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9/14/23, 1:00 PM Grant Package
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<br /> than Federal appropriated funds have been paid or will be paid to any person for influencing
<br /> or attempting to influence an officer or employee of any agency, a member of Congress, an
<br /> officer or employee of Congress, or an employee of a member of Congress in connection with
<br /> this Federal grant or cooperative agreement,the Applicant shall complete and submit
<br /> Standard Form - LLL, "Disclosure of Lobbying Activities" in accordance with its (and any DOJ
<br /> awarding agency's) instructions; and
<br /> (c)The Applicant shall require that the language of this certification be included in the award
<br /> documents for all subgrants and procurement contracts(and their subcontracts)funded with
<br /> Federal award funds and shall ensure that any certifications or lobbying disclosures required
<br /> of recipients of such subgrants and procurement contracts (or their subcontractors) are made
<br /> and filed in accordance with 31 U.S.C. § 1352.
<br /> 2. DEBARMENT, SUSPENSION,AND OTHER RESPONSIBILITY MATTERS
<br /> A. Pursuant to Department regulations on nonprocurement debarment and suspension
<br /> implemented at 2 C.F.R. Part 2867, and to other related requirements,the Applicant certifies,
<br /> with respect to prospective participants in a primary tier"covered transaction," as defined at 2
<br /> C.F.R. § 2867.20(a),that neither it nor any of its principals--
<br /> (a) is presently debarred, suspended, proposed for debarment, declared ineligible,sentenced
<br /> to a denial of Federal benefits by a State or Federal court, or voluntarily excluded from
<br /> covered transactions by any Federal department or agency;
<br /> (b) has within a three-year period preceding this application been convicted of a felony
<br /> criminal violation under any Federal law, or been convicted or had a civil judgment rendered
<br /> against it for commission of fraud or a criminal offense in connection with obtaining,
<br /> attempting to obtain, or performing a public (Federal,State,tribal,or local)transaction or
<br /> private agreement or transaction;violation of Federal or State antitrust statutes or
<br /> commission of embezzlement,theft,forgery, bribery,falsification or destruction of records,
<br /> making false statements,tax evasion or receiving stolen property, making false claims, or
<br /> obstruction of justice, or commission of any offense indicating a lack of business integrity or
<br /> business honesty that seriously and directly affects its (or its principals') present responsibility;
<br /> (c) is presently indicted for or otherwise criminally or civilly charged by a governmental entity
<br /> (Federal, State,tribal, or local)with commission of any of the offenses enumerated in
<br /> paragraph (b) of this certification; and/or
<br /> (d) has within a three-year period preceding this application had one or more public
<br /> transactions(Federal, State,tribal, or local)terminated for cause or default.
<br /> B. Where the Applicant is unable to certify to any of the statements in this certification, it shall
<br /> attach an explanation to this application. Where the Applicant or any of its principals was
<br /> convicted,within a three-year period preceding this application, of a felony criminal violation
<br /> under any Federal law,the Applicant also must disclose such felony criminal conviction in
<br /> writing to the Department (for OJP Applicants,to OJP at Ojpcompliancereporting@usdoj.gov;
<br /> for OVW Applicants,to OVW at OVW.GFMD@usdoj.gov; or for COPS Applicants,to COPS at
<br /> AskCOPSRC@usdoj.gov), unless such disclosure has already been made.
<br /> https://justgrants.usdoj.gov/prweb/PRAuth/app/J GITS_/3yZ6Bxxi_1pDExTOT4XnAjzjAXmVNevW`/!TABTH READ6?pyActivity=0/`40baseclass.pzPro... 14/19
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