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Attachment A FY05 HOMELAND SECURITY GRANT PROGRAM Required Application Submissions 1. SF -424 Grant Application with certifications (through GMS) Non - Supplanting Certification: This certification from the SAA, which is a required component of the online GMS application, affirms that federal funds will only be used to supplement existing funds and will not replace (supplant) funds that have been appropriated for the same purpose. Potential supplanting will be addressed in the application review as well as in the pre -award review, post - award monitoring, and the audit. Applicants or grantees may be required to supply documentation certifying that a reduction in non - federal resources occurred for reasons other than the receipt or expected receipt of federal funds. Match Requirement: The EMPG program has a 50% federal and 50% state cost -share cash or in -kind match requirement. Unless otherwise authorized by law, federal funds can not be matched with other federal funds. In accordance with federal guidelines and DHS Office of General Counsel (OGC) rulings, match requirements are waived for the U.S. Territories of American Samoa, Guam, the Virgin Islands, and the Commonwealth of the Northern Mariana Islands. For further information on allowable sources and types of funds, timing of match contributions, and records for match, please consult the OJP Financial Guide, Chapter 3 at http : / /www.oip.usdoi.-qov /FinGuide /. Assurances: The online GMS application includes a list of assurances that the applicant must comply with in order to receive federal funds under this program. It is the responsibility of the recipient of the federal funds to fully understand and comply with these requirements. Failure to comply may result in the withholding of funds, termination of the award, or other sanctions. The applicant will be agreeing to these assurances upon the submission of the application. Certifications Regarding Lobbying; Debarment, Suspension, and Other Responsibility Matters; and Drug -Free Workplace Requirement: This certification, which is a required component of the online application, commits the applicant to compliance with the certification requirements under 28 Code of Federal Regulations (CFR) part 67, Government -wide Debarment and Suspension (Non - procurement); 28 CFR part 69, New Restrictions on Lobbying; and 28 CFR part 83 Government -wide Requirements for Drug -Free Workplace (Grants). All of these can be referenced at http: / /www.access.gpo.gov /nara /cfr /waisidx 04 /28cfrv2 04.html. The certification will be treated as a material representation of the fact upon which reliance will be placed by DHS in awarding grants. • Suspension or Termination of Funding: DHS, by written notice, may terminate this grant, in whole or in part, when it is in the Government's interest. DEPARTMENT OF HOMELAND SECURITY ( OFFICE FOR DOMESTIC PREPAREDNESS 11