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<br />BID NUMBER: RFP/DF.07/08.61 <br /> <br />ATTACHMENT C <br /> <br />OPENING DATE: MAY 6,2008 @2:30 P.M, <br /> <br />CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, SUSPENSION AND OTHER <br />RESPONSIBILITY MATTERS; AND DRUG-FREE WORKPLACE REQUIREMENTS <br /> <br />Applicants should rele-r 101M regulations dl9d below to del9rrrMnQ Ihe certification 10 whid1 they ate required 10 alias!. ApplicanlS <br />should also u.wiaw the instructbns lex certification induded in the regulaUoos before OOIl"pleting this form. Signalur901 this toon <br />provides lor oompJiance with certification requirements under 34 CFR Par182. "New Restrictions on lobbying: and 34 CFR Part as, <br />"Government-wid" Debarmml and Suspension {NonproaJremenl} and Governmenl-wide Requirements for Drug-Fre9 WOfkplace <br />(Grants): Th9 certil1calions shall be healed as 9 malerial repr&sentation d lad upon whidl reliance will be, placed when the <br />Department of Education de(ernines 10 award lhe rove-red transaction, grant, or rooperative agrMmenL <br /> <br />1, LOBBYING <br /> <br />As required by Section 1352. Tille 31 of the U,S. Code, and <br />implemented at 34 CFR Part 82, lor persons entering inlo a <br />gran1 Of rooperstive agreemern over S100,OOO, as deflned at <br />34 CFR Part 82. Sections 82.105 and 82.110, the applicanl <br />certifies lhat: <br /> <br />(a) No Federal 8pptClpfialed funds have been paid Of will be <br />paid. by or on behatt of the undersigned, 10 any person for <br />influencing or allerrpling 10 influence an dficer or errployee 01 <br />any 9gency. a Marrtler Cot Congress. an officer or errployee of <br />Congress. or an employee 01 a Me-J'T'ber of Congress in <br />connection with the making 01 any F &deral grant. the entering <br />into 01 any cooperative agreement. and lhe exlension. continu- <br />ation. renewal, amendment. or mxlificalion of any Federal <br />grant or CX)Of)9rstive agreement <br /> <br />(b) If any funds olherlhan Federal appropriated funds have <br />been paid or will be pa'd to any person fOf innuencing or <br />allempllng \0 influence- an officer or efTl)loyee cf any 9gency. a <br />Mermer of Congress. an ofllcef or errpoyee of Congress, or <br />an employee 01 a Member 01 Congress in oonnedion with this <br />Federal grant Cf oooperative agreement. the undersigned shall <br />rompIete and submit Standard Form -lLL. 'Disclosure Form 10 <br />Rep:rt Lobbying: In aCQJfdance with Its Instructions; <br /> <br />(c) The Undersignoo shall require that the language of lhis <br />certification be induded in the award OOcurTl9nts lor ell <br />subewards at allliefS (inducling subgranls, contracts under <br />grants and cooperative agreQrTlQnts. and sub00l11rads) and <br />that all subrecipients Shall certily and disdose acrordingty. <br /> <br />2. DEBARMENT, SUSPENSION, AND OTHER <br />RESPONSIBILITY MATTERS <br /> <br />As required by Executive Order 12549. Debarment and <br />SuspGnsion. and i~lemenled al 34 CFR Part 65. fOf prospec- <br />tive partldpanls in primary oovered l1aosadions. as defined at <br />34 CFR Part 85. Sections 85.105 and 85.110- <br /> <br />A. The applicant certifies that II and its prlndpals: <br /> <br />(a) Ale no( presenlly debaned. suspended. pl'OJXISed lor <br />debarment. dedared ineligible. Cf voluntarily exduded horn <br />covered transadions by any Fede,al department or agenc.y; <br /> <br />(b) Have nol within a three-year period preceding lhis applica- <br />lion been convided d Of had a dvil judgerTl9nt rendered <br />againstlhem for commission of fraUd ex a crininal offense in <br />connection YJith obtaining. anefllJl.ing 10 oblain, or performing a <br />public (Federal. Slale, Of local) tJansadioo ex contrad under a <br />public lJansadion; violation d Federal Of Stale anlilrusl <br />statutes or ~sslon at ermezzlement, thefl. lorgeI)'. <br />bribery;'lalstflcatk:>n Of destruction of reoorclSj making lalse <br />statefT'lQnls, or receiving stolen property; <br /> <br />(C) Are rot presently indided tor or oU1QlWise criminally or civilly <br />chargoo by a governmental entity (F ederal. State. Of lOCal~ with <br />oolTllission of any of the otfenses enumerated in paragraph <br />(2}(b) oIlhis certification; and <br /> <br />(d) Have no! within a three-year periOO preceding this application <br />had one or nnre public transadion (F9Cleral. Slale. or local) <br />1erminated lor cause or defaul1; and <br /> <br />B. Whele the applicanl is unable 10 certity \0 any of IhG stale-- <br />ments in this certification. he or she shan attach an <br />explanation to this application. <br /> <br />3. DRUG*FREE WORKPLACE <br />(GRANTEES OTHER THAN INDIVIDUALS) <br /> <br />As required by the Drug-Free Workplace Adot 1988. and <br />implemented at34 CFR Part 85. Subpart F. for grantees. as <br />defined al34 CFR Part 85. SecUonS 85.605 and 85.610 * <br /> <br />A. The applicanl certifies lhall will or will oonlinue 10 provide a <br />drug-Iree workplace by: <br />(a) PUblishing a statement nolilying errployees that the unlawful <br />manufacture. distribution. dIspensing, possession. or use or a <br />oontrolled substance is prohibited in the grantee's worIq:Jface and <br />spedfying the actions that will be laken against employees for <br />Yidalion of such prdlibition: <br /> <br />(b) Establishing an on-going drug-free awareness pegram to <br />inform employees about: <br /> <br />(1) The dangers of drug abuse in the workplace; <br /> <br />(2) The glantee's policy or maintaining a drug-Iree workplace; <br /> <br />(3) Any available drug oounseling. rehabilitation. and errp)Qye9 <br />assistance programs; and <br /> <br />(4) The penalties thai may be imposed uJXfl errploye9s rOf dng <br />abuse violations occurring in Ihe \YDrkplace: <br /> <br />(c) Making il 3 f9quilemenl that each employee to be engaged In <br />the performance oIl1le grant be given a ropy 01 the statement <br />fequired by paragraph (a); <br /> <br />(d) Notifying the efll)k:rjee in the statement required by para- <br />graph (a) that as 3 roodiUon d errpoymenl under the grant, lhe <br />errployee will: <br /> <br />(1) Abide by the lerms 01 thO statement; and <br /> <br />(2) Notify the efTl'k:rter in writing of his or her cowidlon tor Q <br />violation of a crlninal drug statute ocaming in the workplace no <br />laler than fivQ calendar days aner- sudloonvidlon;- <br /> <br />29 <br />