CERTIFICATIONS
Certification
– Debarment, Suspension, and Other Responsibility
Matters
This certification is
required by the government-wide regulations implementing Executive Order 12549,
Debarment and Suspension, 2 CFR Part 180, Section 180.335, What information must I provide before
entering into a covered transaction with a Federal agency?
As the duly authorized
representative of the applicant, I certify, to the best of my knowledge and
belief, that neither the applicant nor its principals:
·
Is presently excluded or
disqualified;
·
Has been convicted within
the preceding three years of any of the offenses listed in § 180.800(a) or had a
civil judgment rendered against it
for one of those offenses within that time period;
·
Is presently indicted for or
otherwise criminally or civilly charged by a governmental entity (Federal,
State, or local) with commission or any of the offenses listed in § 180.800(a);
or
·
Has had one or more public
transactions (Federal, State, or local) terminated within the preceding three
years for cause or default.
Certification – Drug Free
Workplace
This certification is
required by the Corporation’s regulations implementing sections 5150-5160 of the
Drug-Free Workplace Act of 1988 (P.L. 100-690), 45 CFR Part 2545, Subpart
B. The regulations require certification by grantees, prior to award, that
they will make a good faith effort, on a continuing basis, to maintain a
drug-free workplace. The certification set out below is a material
representation of fact upon which reliance will be placed when the agency
determines to award the grant. False certification or violation of the
certification may be grounds for suspension of payments, suspension or
termination of grants, or government-wide suspension or debarment (see 2 CFR
Part 180, Subparts G and H).
As the duly authorized
representative of the grantee, I certify, to the best of my knowledge and belief, that the grantee will provide a drug-free workplace
by:
A.
Publishing a drug-free
workplace statement that:
a.
Notifies employees that the
unlawful manufacture, distribution, dispensing, possession, or use of a
controlled substance is prohibited in the grantee’s
workplace;
b.
Specifies the actions that
the grantee will take against employees for violating that prohibition; and
c.
Informs employees that, as a
condition of employment under any award, each employee will abide by the terms
of the statement and notify the grantee in writing if the employee is convicted
for a violation of a criminal drug statute occurring in the workplace within
five days of the conviction;
B.
Requiring that a copy of the
statement described in paragraph (A) be given to each employee who will be
engaged in the performance of any Federal award;
C.
Establishing a drug-free
awareness program to inform employees about:
a.
The dangers of drug abuse in
the workplace;
b.
The grantee’s policy of
maintaining a drug-free workplace;
c.
Any available drug
counseling, rehabilitation, and employee assistance programs;
and
d.
The penalties that the
grantee may impose upon them for drug abuse violations occurring in the
workplace;
D.
Providing us, as well as any
other Federal agency on whose award the convicted employee was working, with
written notification within 10 calendar days of learning that an employee has
been convicted of a drug violation in the workplace;
E.
Taking one of the following
actions within 30 calendar days of learning that an employee has been convicted
of a drug violation in the workplace:
a.
Taking appropriate personnel
action against the employee, up to and including termination;
or
b.
Requiring that the employee
participate satisfactorily in a drug abuse assistance or rehabilitation program
approved for these purposes by a Federal, State, or local health, law
enforcement, or other appropriate agency;
F.
Making a good faith effort to
continue to maintain a drug-free workplace through implementation of paragraphs
(A) through (E).
Certification - Lobbying
Activities
As required by Section 1352,
Title 31 of the U.S. Code, as the duly authorized representative of the
applicant, I certify, to the best of my knowledge and belief,
that:
·
No federal appropriated funds
have been paid or will be paid, by or on behalf of the applicant, to any person
for influencing or attempting to influence an officer or employee of any agency,
a member of Congress, an officer of Congress in connection with the awarding of
any federal contract, the making of any federal loan, the entering into of any
cooperative agreement, or modification of any federal contract, grant, loan, or
cooperative agreement;
·
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 connection with this federal contract, grant, loan, or
cooperative agreement, the applicant will submit Standard Form-LLL, "Disclosure
Form to Report Lobbying," in accordance with its
instructions;
·
The applicant will require
that the language of this certification be included in the award documents for
all subcontracts at all tiers (including subcontracts, subgrants, and contracts
under grants, loans and cooperative agreements) and that all subrecipients will
certify and disclose accordingly.
Certification - Grant Review
Process (State Commissions Only)
I certify that in conducting
our review process, we have ensured compliance with the National and Community
Service Act of 1990, the Corporation's peer review requirements, and all state
laws and conflict of interest rules.
For
If you are not applying for a
grant through AmeriCorps*State and National, you may ignore this
section.
Erroneous certification or
assurance
The
assurances and certifications are material representations of fact upon which we
rely in determining whether to enter into this transaction. If we later determine that you knowingly
submitted an erroneous certification or assurance
Notice of error in
certification or assurance
You
must provide immediate written notice to us if at any time you learn that a
certification or assurance was erroneous when submitted or has become erroneous
because of changed circumstances.
Definitions
The
terms “debarment”, “suspension”, “excluded”, “disqualified”, “ineligible”,
“participant”, “person”, “principal”, “proposal”, and “voluntarily excluded” as
used in this document have the meanings set out in 2 CFR Part 180, subpart I,
“Definitions.” A transaction shall
be considered a “covered transaction” if it meets the definition in 2 CFR part
180 subpart B, “Covered Transactions.”
Assurance requirement for
subgrant agreements
You
agree by submitting this proposal that if we approve your application you shall
not knowingly enter into any lower tier covered transaction with a person who is
debarred
Assurance inclusion in
subgrant agreements
You
agree by submitting this proposal that you will obtain an assurance from
prospective participants in all lower tier covered transactions and in all
solicitations for lower tier covered transactions that the participants are not
debarred
Assurance of subgrant
principals
You
may rely upon an assurance of a prospective participant in a lower-tier covered
transaction that is not debarred
Non-assurance in subgrant
agreements
If
you knowingly enter into a lower tier covered transaction with a person who is
suspended
Prudent person
standard
Nothing contained in the aforementioned may be construed to require establishment of a system of records in order to render in good faith the assurances and certifications required. Your knowledge and information is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.