CERTIFICATIONS IRDING LOBBYING; DEBARMENT, SUSPI ON AND OTHER <br /> RESPONSIBILI TIERS; AND DRUG -FREE WORKPLACE QUIREMENTS_ <br /> Applicants should refer to the regulations cited below to determine the certification to which they are required to attest Applicants <br /> should also review the instructions for certification included in the regulations before completing this form. Signature of this form <br /> provides for compliance with certification requirements under 34 CFR Part 82, "New Restrictions on Lobbying," and 34 CFR Part 85, <br /> 'Government -wide Debarment and Suspension (Nonprocurement) and Government -wide Requirements for Drug -Free Workplace <br /> (Grants)." The certifications shall be treated as a material representation of fact upon which reliance will be placed when the <br /> Department of Education determines to award the covered transaction, grant, or cooperative agreement. <br /> 1. LOBBYING (c) Are not presently indicted for or otherwise criminally or civilly <br /> charged by a governmental entity (Federal, State, or local) with <br /> As required by Section 1352, Title 31 of the U.S. Code, and commission of any of the offenses enumerated in paragraph <br /> implemented at 34 CFR Part 82, for persons entering into a grant (2)(b) of this certification; and <br /> or cooperative agreement over $100,000, as defined at 34 CFR <br /> Part 82, Sections 82.105 and 82.110, the applicant certifies that: (d) Have not within a three -year period preceding this application <br /> had one or more public transaction (Federal, State, or local) <br /> (a) No Federal appropriated funds have been paid or will be paid, terminated for cause or default; and <br /> by or on behalf of the undersigned, to any person for influencing <br /> or attempting to influence an officer or employee of any agency, a B. Where the applicant is unable to certify to any of the <br /> Member of Congress. an officer or employee of Congress, or an statements in this certification, he or she shall attach an <br /> employee of a Member of Congress in connection with the making explanation to this application. <br /> of any Federal grant, the entering into of any cooperative <br /> agreement, and the extension, continuation, renewal, amendment, <br /> or modification of any Federal grant or cooperative agreement; 3. DRUG -FREE WORKPLACE <br /> • <br /> (b) If any funds other than Federal appropriated funds have been (GRANTEES OTHER THAN INDIVIDUALS) <br /> paid or will be paid to any person for influencing or attempting to As required by the Drug-Free Workplace Act of 1988, and <br /> influence an officer or employee of any agency, a Member of implemented at 34 CFR Part 85, Subpart F, for grantees, as <br /> Congress, an officer or employee of Congress, or an employee of defined at 34 CFR Part 85, Sections 85.605 and 85.610 - <br /> a Member of Congress in connection with this Federal grant or <br /> cooperative agreement, the undersigned shall complete and A. The applicant certifies that it will or will continue to provide a <br /> submit Standard Forth - ILL, "Disclosure Form to Report drug -free workplace by <br /> Lobbying" in accordance with its instructions; <br /> (a) Publishing a statement notifying employee; that the unlawful <br /> (c) The undersigned shall require that the language of this manufacture, distribution, dispensing, possession, or use of a <br /> certificalion be included in the award documents for all subawards controlled substance is prohibited in the grantee's workplace and <br /> at all tiers (including subgrants, contracts under grants and specifying the actions that will be taken against employees for <br /> cooperative agreements, and subcontracts) and that all violation of such prohibition; <br /> subrecipien is shall certify and disclose accordingly. <br /> (b) Establishing an on-going drug -free awareness program to <br /> inform employees about: <br /> 2. DEBARMENT, SUSPENSION, AND OTHER • • <br /> RESPONSIBIUTY MATTERS (1) The dangers of drug abuse in the workplace; <br /> As required by Executive Order 12549, Debarment and (2) The grantee's policy of maintaining a drug -free workplace; <br /> Suspension, and implemented at 34 CFR Part 85, for prospective <br /> participants in primary covered transactions, as defined at 34 CFR (3) My available drug counseling, rehabilitation, and employee <br /> Part 85, Sections 85.105 and 85.110— assistance programs; and <br /> A. The applicant certifies that it and its principals: (4) The penalties that may be imposedd.upon employees for drug <br /> abuse violations occurring in the workplace; <br /> (a) Are not presently debarred, suspended, proposed for <br /> debarment, declared ineligible, or voluntarily excluded from (c) Making it a requirement that each employee to be engaged in <br /> covered transactions by any Federal department or agency; the performance of the grant be given a copy of the statement <br /> required by paragraph (a); - <br /> (b) Have not within a three -year period preceding this application <br /> been convicted of or had a civil judgement rendered against them (d) Notifying the employee in the statement required by paragraph <br /> for commission of fraud or a criminal offense in connection with (a) that, as a condition of employment under the grant, the <br /> obtaining, attempting to obtain, or performing a public (Federal, employee will: <br /> State, or local) transaction or contract under a public transaction; <br /> violation of Federal or State antitrust statutes or commission of (1) Abide by the terms of the statement; and <br /> embezzlement, theft, forgery, bribery, falsification or destruction of <br /> records, making false statements, or receiving stolen property; (2) Notify the employer in writing of his or her conviction for a <br /> violation of a criminal drug statute occurring in the workplace no <br /> later than five calendar days after such conviction; <br /> (e) Notifying the agency, in writing, within 10 calendar days employee or otherwise receiving actual notice of such <br /> after receiving notice under subparagraph (dX2) from an conviction. Employers of convicted employees must provide <br />