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Home My WebLink Aboutexhibit CBID NUMBER: RFPIDF-04105-99 OPENING DATE: JUNE 30, 2006 @ 2:00 P.M. ATTACHMENT C CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS; AND DRUG -FREE WORKPLACE REQUIREMENTS Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Applicants should also review the instructions for certification included In the regulations before completing this form. Signature of this Corm provides for condnliance with certification requirements under 34 CFR Part 82, 'New Restrictions on Lobbying,' and 34 CFR Part 85, "Government -wide Debarment and Suspension (Nonprocuremenl) and Government -wide Requirements for Drug -Free Workplace (Grants)." The certifications shall be treated es a material representation of fact upon which reliance will be placed when the Department of Education determines lo award the covered transaction, grant, of cooperative agreement. 1. LOBBYING As required by Section 1352, Title 31 of the U.S. Code, and implemented at 34 CFR Part 82, for persons entering Into a grant or cooperative agreement over $100,000, as defined at 34 CFR Part 82, Sections 82.105 and .82.110, the applicant certifies that: (a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection wllh the making of any Federal grant, the entering Into of any cooperative agreement, and the extension, continu- ation, renewal. amendment, or modification of. any Federal grant or cooperative agreement; (b) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress. or an employee of a Member of. Congress in oonnectionwith this Federal grant or cooperative agreement, the undersigned shall complete and submit Standard Form - LLL, 'Disclosure Form to Report Lobbying. In accordance with its instructions; (c) The undersigned shall require That the language of this certification be included in the award docurnents for all subawards stall tiers (including subgrants, contracts under grants and cooperative agreements, and subcontracts) and that all subredplents shall certify and disclose accordingly. 2. DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS As required by Executive Order 12549, Debarment and Suspension, and implemented at 34 CFR Part 85, for prospec- tive participants in primary covered transactions. as defined at 34 CFR Part 85, Sections 85.105 and 85.110— A. The applicant oertifies.lhat It and its principals: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered .transactions by any Federal department or agency; (b) Have nol within a three-year period preceding this applica- tion been convicted of or had a civil judgement rendered against them for commission of fraud or a crinnal offense In connection with obtaining. attempting to obtain, or performing a public (Federal. Slate. or local) transaction or contract under a public transaction; violation of Federal or Stale antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; 29 (c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (2)(b) of this certification; end (d) Have «ot within a three-year period preceding this application had ono or more public transaction (Federal. State, or local) terminated for cause Of default; and B. Where the applicant Is unable 10 certify to any of the state- ments in this certification, he or she shall attach an explanation to this. application. 3. DRUG -FREE WORKPLACE (GRANTEES OTHER THAN INDIVIDUALS) As required by the Drug -Free Workplace Act of'1988, and implemented at 34 CFR Part 85. Subpart F, for grantees. as defined at 34 CFR Pert 85, Sections 85.805 and 85.610 - A. The applicant certifies that it will or will continuo to provide a drug -free workplace by: (a) Publishing a statement notifying employees Thal the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited In the grantee's workplace and specifying 1ha actions that will be taken against employees for violation of such prohibition; (b) Establishing. an on -going drug -free awareness program to inform employees about: (1) The dangers of drug abuse in the workplace; (2) The grantee's policy of maintaining a drug -free workplace; (3) Any avallabte drug counseling, rehabilitation, and employee assistance programs; and (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; (c) Making II a requirement that each employee to be engaged in the performance of the grant. be given a copy of the statement required by paragraph (a); (d) Notifying the employee In the statement required by para- graph (a) that, as a condition of employment under the grant, the employee will: (1) Abide by the terms of the statement; and (2) Notify the employer In writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five calendar days after such conviction: BID NUMBER: RFPIDF-04/05-99 OPENING DATE: JUNE 30, 2005 @ 2:00 P.M. (e) Notifying the agency, in writing, within 10 calendar clays after receiving notice under subparagraph (d)(2) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees crust provide notice, including position title, to: Director, Grants Policy and Oversight Staff, U.S. Depart- ment of Education, 400 Maryland Avenue, S.W. (Room 3852, GSA Regional Office Building No. 3), Washington. DC 20202- 4248, Notice shall include the identification number(s) of each affected grant; (f) Taking one of the following actions, within 30 calendar days of receiving notice under subparagraph (11)(2), with respect to any employee who Is so convicted: (1) Taking appropriate personnel action against such en em- ployee, up 10 and induding termination, consistent with the requirements of the Rehabilitation Ad of 1973, as amended; or (2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement. or other appropriate agency; (g) Making a good faith effort to oonlinue to maintain a drug -free workplace through implementation of paragraphs (a). (b), (c), (d), (e), and (1). B. The grantee may insert in the space provided below the site(s) for the performance or work done in connection with the specific grant: Place of Performance (Street address. city, county, state, zip code) Chock. 1 ] if there are workplaces an file that are not identified here. DRUG -FREE WORKPLACE (GRANTEES WHO ARE INDIVIDUALS) As required by the Drug -Free Workplace Ad of 1988, and Implemented at 34 CFR Part 85, Subpart F. for grantees, as defined at 34 CFR Part 85, Sections 85.805 and 85.610- A. As a condition of the grant, 1 certify that 1 will not engage In the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance In conducting any activity with the grant; and B. If amvicled of a criminal drug offense resulting {turn a violation occurring during the conduct of any grant activity, I will report the mnvidion, in writing. within 10 calendar days of the mnvidlon, to: Director. Grants Policy and Oversight Staff, Department of Education, 400 Maryland Avenue, S.W. (Room 3652, GSA Regional Office Building No. 3), Washington, DC 20202-4248. Notice shall include the identification number(s) of each affected grant. As the duly authorized represenlahve of the applicant, I hereby certify that the applicant will comply with the above certifications. NAME OF APPLICANT PR/AWARD NUMBER AND / OR PROJECT NAME PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE SIGNATURE DATE ED 80-0013 12/98. 30