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nationwide template to enable all levels of government, tribal nations, nongovernmental organizations, and <br />private sector partners to work together to prevent, protect against, respond to, recover from, and mitigate <br />the effects of incidents, regardless of cause, size, location, or complexity, <br />56. Will comply with OMB Standard Form 424B Assurances —Non construction Programs, whereby the <br />awarding agency may require subgrantees and subrecipiems to certify to additional assurances. <br />57. Will not make any award or permit any award (subgrant or contract) to any party which is debarred or <br />suspended or is otherwise excluded from or ineligible for participation in Federal assistance programs under <br />Executive Order 12549 and 12689, `Debarment and Suspension," As required by Executive Order 12549, <br />Debarment and Suspension, and implemented at 44 CFR Part 17, for prospective participants in primary <br />covered transactions, the applicant wilt provide protection against waste, fraud and abuse, by debarring or <br />suspending those persons deemed irresponsible in their dealings with the Federal government. Applicant <br />certifies that it and Its principals: <br />a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a <br />denial of Federal benefits by a State or Federal court, or voluntarily excluded from covered <br />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 <br />judgment rendered against them for commission of fraud or a criminal offense in connection with <br />obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or <br />contract under a public transaction, violation of Federal or State antitrust statutes or commission of <br />embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, <br />or receiving stolen property. <br />c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity <br />(Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1)(b) of <br />this certification; and have not within a three -year period preceding this application had one or more <br />public transactions (Federal, State, or local) terminated for cause or default; and <br />d. Where the applicant is unable to certify to any of the statements in this certification, he or she shall <br />attach an explanation to this application. <br />58. Will comply with requirements to acknowledge Federal funding when issuing statements, press releases, <br />requests for proposals, bid invitations, and other documents describing projects or programs funded in <br />whole or in part with Federal funds. <br />59. Will obtain, via Cal OES, the prior approval from DH$ on any use of the DHS seal(s), logos, crests or <br />reproductions of flags or likenesses of DHS agency officials, including use of the United States Coast <br />Guard seal, logo, crests or reproductions of flags or likenesses of Coast Guard officials. <br />60. Will comply with the requirements of the Drug -Free Workplace Act of 1988 (41 U.S.C. § 701 et seq.), <br />which requires that all organizations receiving grants from any Federal agency agree to maintain a drug -tree <br />workplace, The recipient must notify the awarding office if in employee of the recipient is convicted of <br />violating a criminal drug statute. Failure to comply with these requirements may be cause for debarment. <br />These regulations are codified at 2 CFR 3001. <br />61. Will comply with the requirements of the government -wide award term which implements Section 106(g) <br />of the Trafficking Victims Protection Act (TVPA) of 2000, as amended (22 U.S.C. § 7104), located at 2 <br />CFR Part 175, This is implemented in accordance with OMB Interim Final Guidance, Federal Register, <br />Volume 72, No. 218, November 13, 2007. In accordance with Section 106(g) of the TVPA, as amended, <br />requires the agency to include a condition that authorizes the agency to terminate the award, without <br />penalty, if the recipient or a subrectpient engages in severe forms of trafficking in persons during the period <br />of time that the award is in effect, procures a commercial sex act during the period of time that the award is <br />Page 9 initials <br />