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ATTACHMENT
<br />• CERTIFICATIONS REGARDING LOBBYING; DEBARMENT; SUSPENSION AND OTHER
<br />RESPONSIBILITY MATTERS; AND DRUG-FREE WORKPLACE REQUIREMENTS
<br />Applicants should refer to the regulations cited below to determine the certification to which they are required to attest. Applicants should also review
<br />the instructions for certification included in the regulations before completing this form. Signature of this form provides for compliance with certification
<br />requirements under 28 CFR Part 69, "New Restrictions on Lobbying; and 28 CFR Part 67, "Government -wide Debarment and Suspension
<br />(Nonprowrement) and Govemment-wide Requirements for Drug -Free Workplace (Grants)." The certifications shall be treated as a material
<br />representation of fact upon which reliance will be placed when the Department of Education determines to award the covered transaction, grant, or
<br />cooperative agreement.
<br />1. LOBBYING
<br />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
<br />agreement over $100,000, as defined at 28 CFR Part 69, the applicant certifies that:
<br />(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
<br />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
<br />in connection with the making of any Federal grant, the entering Into of any cooperative agreement, and the extension, confinuation, renewal,
<br />amendment, or modification of any Federal grant or cooperative agreement;
<br />(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
<br />employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this
<br />Federal grant or cooperative agreement, the undersigned shall complete and submit Standard Form -LLL, "Disclosure Form to Report Lobbying," in
<br />accordance with its Instructions;
<br />(c) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including
<br />subgrants, contracts under grants and cooperative agreements, and subcontracts) and that all subrecipients shall certify and disclose accordingly.
<br />2. DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS
<br />As required by Executive Order 12549, Debarment and Suspension, and implemented at 28 CFR Part 67, for prospective participants in primary
<br />covered transactions, as defined at 28 CFR Part 67, Section 67.510
<br />. A. The applicant certifies that it and its principals:
<br />(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of Federal benefits by a State or Federal
<br />court, or voluntarily excluded from covered transactions by any Federal department or agency;
<br />(b) Have not within a three-year period preceding this application been convicted of or had a civil judgement rendered against them for commission of
<br />fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract
<br />under a public transaction; violation of Federal or State antitrust statutes or comn-dssion of embezzlement, theft, forgery, bdbery, falsification or
<br />destruction of records, making false statements, or receiving stolen property;
<br />(c) Are not presently indicted for or otherwise criminally or civilly charged by a govemmental entity (Federal, State, or local) with wmmission of any of
<br />the offenses enumerated in paragraph (2)(b) of this certification; and
<br />(d) Have not within a three-year period preceding this application had one or more public transaction (Federal, State, or local) tem ini ted for cause or
<br />default; and
<br />B. Where the applicant Is unable to certify to arty of the statements in this certification, he or she shall attach an explanation to this application.
<br />3. DRUG-FREE WORKPLACE (GRANTEES OTHER THAN INDIVIDUALS)
<br />As required by the Drug -Free Workplace Act of 1988, and implemented at 28 CFR Part 67, Subpart F, for grantees, as defined at 28 CFR
<br />Part 67, Sections 67.615 and 67.620
<br />A. The applicant certifies that It will or will continue to provide a drug-free workplace by:
<br />(a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is
<br />prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition;
<br />(b) Establishing an on-going drug-free awareness program to inform employees about:
<br />(1) The dangers of drug abuse in the workplace;
<br />(2) The grantee's policy of maintaining a drug-free workplace;
<br />(3) Any available drug counseling, rehabilitation, and employee assistance programs; and
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