08-822Council File # (}g � �a—
Green Sheet # 3056410
RESOLUTION
CI OF SAIl�T PAUL, MINNESOTA —
Presented By: - —��
1 BE IT RESOLVED, that the city council authorizes the City of Saint Paul, Police Department, to enter into the
2 attached amendment to agreement #Q2-14327-G with the Minnesota Depariment of Public Safety, which
3 includes an indemnificarion clause. A copy of said agreement is to be kept on file and on record in the
4 Office of Financial Services.
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Adoption Certified by Co�ncil Secretary:
By: ' �" -
Approved by a • Date: �l �`��
By:
Approval Recommended by Financial Services:
B �.�-�--�,� �
Appro b ayor fo ion to Council:
By:
Q:\FiscalAffairs�P,O&CR12008�2006HomelandSecAmendment02_7 4327_G xis
Requested by Department of:
� Green Sheet Greeri Sheet , Green Sheet Green Sheet Green Sfieet Green Sheet �
. (�' g� a-
�
Chief John Harrington
266-558g
t Be on Councf� mon
Doc. Type: RESOLUTION
E•Oocument Required: Y
Document Contact: Evette Scarver
Contact phone: 266-5541
y
Assign
Number
Fo�
Routing
Order
ToWI # of Signature Pages 1_ (Clip All Locafioas for Signature)
0 oliceDe atYment PoliceDe artment
1 o&ce D artmeut Police De artment
2 i Attorne Ci Attorne
3 ��� �m� Financial Services
4 or's Office y � w .
5 ouncil Councfl
6 i Cleik Ci Clerk
Signatures on the attached counc9l resolution authorizing the Ciry of Saint Paul,Police Department, to enter into the attached
amendment to ageement #02-14327-G with the State of Minnesota Department of Public Safety.
�uawns: Hpprove (A) w F
Pianning Commission
CIB Committee
Civil Service Commission
1. Has this person/firtn ever worked under a contract for [his departmenY?
Yes No
2. Has this persoNfirm ever been a city employee?
Yes No
3. Does this person/firtn possess a skill �ot normally possessed by any
cunent ciry employee?
Yes No
Ekpiai� all yes answers on separate sheet and attach W green sheet
Initiating Problem, Issues, Opportu�ity (Who, What, When, Where, Why): �
The City of Sainz Paul, Police Departrnent, has received a 2006 Aomeland Security Grant Progam, addirional time is needed to
perfonn the services and tasks covered by the grant.
Advantages !f Approved:
The 2006 Homeland Security Grant Program provides funding for equipment and training for Bomb Technicians that will enable them
to prevent, protect against, respond to, and recover from terrorist attack.
Disadvantages If Approved:
None.
Disadvantages If Not Approved:
Lost opporCUnity to use grant funds.
Trensaction: $75,000.00
Funain9 source: State of Minnesota
Cost/Revenue Budgeted:
Activity Number: 436-34206
Financial I�formation:
(Explain)
AMErtDMENT NO. 1 TO GRANT CON�'RACT 2006-HSGP-00615 ��,� ��
200b
Contract Expiration date: � 3une 3'
� r�„t,act Axnirarion date: Mazch
Contract
This amendruent is beriveen the State of Ivlinnesota, acting through its Commissioner of Public Safety, Division
of Homeland Security and Emeraency Management, 444 Cedaz Street, Suite 223, St. Paul, Minnesota 55101-
6223 ("State") and St. Pau1 Police Deparnnent, 367 Grove Street, St. Paul, Minuesota 55101 ("Grantee
Recitals
1 The State has a grant contract with the Grantee identified as Grant Contract 2006-HSGP-0061 � for planning,
organization, equipment, training> exercises and management and admuustration to prevent, protect against,
respond to, and recover from tenorist attacks, major disasters, and other emergencies.
2 The State and the Grantee have agreed that additional time is necessary for the satisfactory completion of
this project.
3 The State and the Crrantee are willing to amend the Original Grant Contract as stated below.
Grant Contract Amendment
In this Amendment deleted contract terms will be struck out and the added contract terms will be underlined.
REVISION 1. Clause 1, "Term of Grant Contract, Section 1.2, of the Original Grant Contract is amended as
follows:
1.2 Expiration date: T -��o;'�"�w March 30, 2009, or until all obligations have been satisfactorily
fulfilled, whichever occurs first.
REST OF THIS PAGE INTENTIONALLY LEFT BLANK
Graut Amendment OS/0'7
AMENAMENT NO. 1 TO GRAN'I' CONTRACT 2006-ASGP-00615 bg � g � �
Except as amended herein, the terms and conditions of the Original Grant Contract and all previous
amead�ents remain in full force and effect
By execurion of this amendment, t}�e terms and conditions of the Original Graut Contract and all previous
amendments aze expressly restated and reaffirmed.
1. ENC[3MBRANCE VERIFICATION
Individual cernfiu that frmds have been encumbered tu
requ "ved 6y Mutn StaG §§ 16A.I5 m+d 76C.05.
Siened:
Date:
C'nant Conllact
2. GRAN'I'EE
The Grmrtee cert�u that the appropnate person(s}
hm�e executed the conttact on behalJof ihe Graniee as
reguired by applicab7e mhcles, bylaws, resolufiotts, o
By:
Title
Date
By:
Titla
Data
By
Ti
Da
sy
Ti
Da
3. STATE AGENCY
By:
/ (with
'Fifle: 1
�
, Date: �
i
\
authority)
2
Grant Amendment 051�7
Council File # � 1 � � �
Green Sheet # 3039633
_�---
RESOLUTION
CITY OF SALNT PAUL, MINNESOTA
PresenCed By:
Og�S�-a-
Committee:Date: _,_
Referred T o:
1 WH�REAS, the City of Saint Paul, Fol�ce Depariment, wishes to enter mto a grant from the Niinnesoia
2 Department of Public Safety for 2006 Homeland Security Grant Proeram; and
3
4 WI�REAS, this grant provides funding for equipment and training for Bomb Technicians; an
5
6 THEREFORE BE IT RESOVLED, that the Saint Paul City Council anthorizes the w� b incSudes an to
7 enter into, and Chief 3ohn Harrington to implement the attached grant agreement,
8 indemnification clause. A copy of said agreement is to be keQt on file and on record in tLe Oif'ice of
9 Financial Services.
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by D�partment of:
!�
P�lice
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Form
', Approved by Mayo:
`gY�__—� �..
Attorney:
to Council:
C]:\F iscal�AO&CR\CRSTAND.zis
�v�� ' � �- g�gM (�nt # 2007-HSGP-00
STATE OF MI-�`�3ESOTA � � a ��
GRANP CONTRACT __ _.� - - -
This grant contcact is between ihe Staie of Minnesota, acfing th�ough its Commissioner of Public Safetv. Division of
Homeland Securitv and Emereencv Manaeement 444 Cedar Street Suite 223. St PauL Minnesota �7101-6223 ("State")
and Citv of St PanL 3b7 Crrove Street StPauL Minnesota »106 ("Grantee").
Recitals
1 Under Minn- Stat § 12.22 and 299A.01 Subd 2(4) the State is empowered to allocate and disburse federal fimds made
available throngh the Department of Aomeland Security and is empowered to enter into ���te 20 6 Homeland
2 The State is in need of the distributian of federal funds to elin ble grant r� � training> exercises,
Security Grant Program, Award Number 2006-GE-T6-0005, for plannin g
and mauagement and administration to prevent, protect a�ainst, respond to, and recover from terrorist attacks, major
disasters, and other emergencies. ees to erForm all services described in this grant contract to the
3 The Grantee represents that it is duly qualified and agr P
sarisfaction of the State.
Grant Contracl
1 Term of Grant ContraM
1.1 Effective date: Se�tember 1_ 2006, or the date the State obtains all required signatures under Minnesota tatntes
Section 16G05, subdivision 2, whichever is later. Once this grant contract is fully executed, the Grantee may
claim reimbursement for expendituzes incurred pursuant to Clause 42 of this grant contract Reimbursements will
only be made for those expenditures made according to the terms of this grant contract.
1_Z Bxpiration date: June 3� 2��8� or until all obligations have been saxisfactorily fulfilled, whichever occurs first.
13 S9 tate Aud t» 10. Go e� Data Prac 121 Publ c ty and E dorseme tol3hGov rn 1.a`x',1� sdict on,�
and Venue; and 15. Data Disclosure.
Grantee's Duties
'I1�e Grantee, who is not a state employee, will: lication, Attachment A, which is
2.1 Petform the work in the Grantee's 2006 Homeland Security Cnant Program App I�in
attached and ineorpozated � andtadmicnlstcaton costs identified in Attachm nt A were approved from the
organizational, ancUor manag
2006 Homeland Security Grant Program Guidelines incorporated into this grant coan ontract These additional
2.2 Comply with the standards and requirements attached and incorporated into this gr
S�dards and requirements are the following:
a. Federal Audit Requirements, labeled Attachment B, which is attached and incorporated into this b ant contraot.
b. Federal Assurances, labeled AttacYunent C, which is attached and incotporated into this giant contract. form,
a Grantees receiving $100,000.00 or more must complete and reiurn the Certification Regazding Lobbying
labeled Attachment D, which is attached and incorporated into this grant contrac�
23 Funds approved under this grant contraet shall be used to supplement, and shall not be used to supplant, non-
federal funds dedicated to this effort. The Grantee may be required to supply documentation certifying that a
reducrion in non-federa] resources occurred for reasons other�e �an of e ui ment X urehased thr ugJi this �
2.4 Provide all necessary training to their employees cnnceming 4 P p
contract, and shall noT permit the equipment to be tampered with or operatad by individuals who are not properly
tzained.
2.5 Assume total responsibility of the proper handling, use, and maintenance of the equipment and bear all costs o
maintenance, repair and/or zeplacement related to equipment. Equipment purchased through this grant contract is
the properry of the Grantee.
2_6 When practicable, any equipment purchased with grant funding shall be prom�ently marked as fo ows:
"purchased �*'ith funds provided by the U.S. Department of Someland Securi
2.7 Comply with all program guidelines specified in the 2006 Homeland Security Grant Pcogram Guidelines,
specifically, Yhe Cnantee is zequ4red to deveiop, implement, and adopt National Incident Management System
2006 Homeland Security Grant Program (11/06)
HSEM Grani � 2007-ASC,P-005 �
(�3IMg), and Iiome3and Se�urity Presidential Directive (HSPD) that is comprised of 8 initiatives in their ,� p�.
jnrisdiction and the Grantea is requiced to document and submit documentation to the State to support proof of ;}O' C�
compliance.
3 Time
'Lhe Grantee must comply with all the time requirements described in this grant conhact. Tn The performance of this
gant contract, time is of the essence.
Consideration and Payment
4.1 Consideratian. The State will pay for all services performed by the Grantee under this grant contract as o ows:
(1) Compensation. The Grantee will be reimbursed an amount not to exceed $75.000.00 according to the
breakdown of costs specified in Attachment A.
'I'ba Grantee wi11 suhmit a written change request for any substiturion of budget items or deviation of more than
15°lo from the appzoved budget category amounts in Attachment A. Change requests for subsritutions of budget
items, or a deviation of more than 15%a from the approved budget category amount must be given in wnting to
the 5tate's Authorized Representative and at least 60 days prior to the Expiration date of this grant contract.
Grantees whose requests have been approved will be notified in wiiting by the State's Authorized
Representative to the Grantee's Authorized Representarive. Requests must be approved prior to any
expenditure by the Grantee.
(2) Matching Reqaurements. (If Agplicable.) Grantee certifies that the following matching requirement, for the
granY contrac� wiA be met by the Grantee: $Q.00.
(3) Total Oblzgation. The total obligation of the State for all compensation and reimbursements to the Grantee
under this gr�t contract will not exceed $75.00Q.00.
4.2 Payment
(1) Invoices. The State will promptly pay the Grantee after the Grantee presents a Financi tatns
ReportlPayment Request for the services actually performed and the State s Authorized Representative
accepts the invoiced services. Financial5tatus Report/Payment Request must be submitted tunely and
according to the following schedule:
Grantee will submit the Financial Status RepordPayment Request along with copies of�d within 30 days of
itemizsd invoices for actual costs incurred quarterly, but not more often than monthly,
the period covered by the Financial Status Report/Payment Request.
Expenditures for each state fiscal yeaz (July throu� June) of this g7ant contract must be for services
satisfactorily performed within applicable state fiscal years. The Final Financial Status ReportJPaytnent
Request pertaining to each state fascal yeaz of this grant contract must be received by 7uly 31 of that calendaz
year. Reimbursements from the next fisca] year(s) may commence on or after 7uly 1 of that calendar yeaz.
The final invoice must be received within 30 days after the Bxpiration date of this grant contract.
Grantee will submit narrative performance reports at least bi-annually on June 30`� and December 31 for the
life of the grant. The nazrative performance report shall consist of a compazison of actual accomplishments
to the approved work plan in Attachment A. These reQorts must be submirted before reimbursement will be
paid.
(�) FederaL funds. Payments under this grant contract will be made from federal fi:nds obtained by the State
through CFDA # 97.067 supported under DHS Aonronriations act of 2006 (P L. 109-901 "fhe C`irantee is
responsible for compliance with all federal requirements imposed on these funds and accepts full financial
responsibiliry for any requizements imposed by the Grantee's failure to comply with federal requirements.
2006 Homeland Security Grani ProLraua (11/06)
HSEM Grant � 2007-HS^� -�Q 5 ��
W O
Condi6ons of Paymen�
All services provided by the Graatee under flxis grant contract must be performed to_the State's_sarisfachon,_as
determined at the sole discretion of the State's Aulliorized� �d� o r�� �e� Pozwork -
federal, sfiate, and Yoeal taws, ordi$�ces, n�les, a�d reg+2
found by the State to be unsatisfactory or performed in violation of federal, state, or local law.
Anthorized Represenfati�'e
The State's Authorized Representative is Shazon Olson. Grant S ecialist Aivision of Fiomeland Securitv an
Emeraencv ManaQemen 444 Cedar Street Suite 223. St Paul. MN 55101-6223, hone 651 201-7422. e-mail:
sharon.l.olsonnasfate.mn.us, or his/her successor, and has the responsbility to monitor the Grantee's performance
and The authority to accept tbe services provided under tlris grant contract If the services are satisfactory, the
State`s Authorizad Representative wil1 certify acceptance on each invoice submitted for payment
The Grantee's Authorizad Representative is I-avnence Ro eis Seroeant St Paul Bomb Dis osal Unit 367 Crrove
Street St Paul. Minnesota 55038, hone 651 266-57�1se- ant the Grantee must �immediately otify the
Authorized Representative changes at any time during gi
Stata.
Assignment, Amendmeuts, Waiver, and Grant Contract Complete
'1.1 Assignment The Gzantee may neitl�er assign nor transfer any zights or obligarions under this grant contract
without the prior eDnsent of ttae State and a fully executed Assignment Agreement, executed and approved by
the same parties who executed and approved this grant conuact, or their successors in office.
7.2 Amendmenis. AnY aznendment to this grant contract must be in writing and witl not be effective until it has
been executed and approved by the same parties who executed and approved the original grant contract, or
their successozsin office.
73 Waiver. Tf the State fails to enforce any provision of this grant contxact, that failure does not waive the
provision or its right to enforce it.
7.4 Grant Contract Complete. This gant conh�act contains all negotiations and agreements between the State and
the Grantee. No other understanding regazding �is grant contract, whether written or oral, may be used to
bind either pariy
g Liability
The Crrantee must indemnify, save, and hold the State, its agents, and employees hazmless from any c auns or
causes of action, including attorney's fees incurred by the State, arising from the performance of this gant contract
the Grantee have for the Stae fa lure to fulfill i obligations under this �ant contrabar any legal remedies
9 State Audits
Under Minn� Stat. § 16C.�5, subd. 5 the Grantee's books, records, documents, and accounting procedures an
practices relevant to this b ant contract aze subject to examination by the State and/or the State Auditor or
Legislative Auditor, as appropriate, for a minimum of six yeazs from the end of this grant contract.
10 Government Data Practices
The Gtantee and State must comply with the Minnesota Govemment Data Practices Act, Minn. Stat. Ch. 13, as �t
applies to a11 data provided by the State under this gant contract, and as iT applies to all data created, collected,
received, stored, used, maintained, or disseminated by the Grantee under this grant contract. The civil remedies of
Minn. Stat. § 13.08 apply to the release of the data referred to in this clause by either the Crrantee or the State.
If the Grantee receives a request to release the data referred to in this Clause, the Grantee must immediately notify
the State. The State will give the Grantee instructions concerning the release of the daffi to the requesting p�Y
be£ore the data is released.
2006 Homeland Securiry Grant Pro�ram (11i06)
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Page A-2
F1omelaFld Security Grant Program FY2006
Grantee: st Pau� somt fl�s�osat txm
o�-g��
qTTAGHMEPff A
Grant Idumber. a ab'� -fd $�s �- OlIJQ3
Appiication Overview
Major Objectives
Piease explain how the resources requested in this app{ication wi14 enhance your jurisdiction's ability
to prevent a terrorist act and be prepared to demonstrate how homeiand security witt be improved•
Aiso, p{ease +ndicate how the specific items requested support and are consistent with the overa{�
State Fiomeland Security 5trategy.
All equipment items are tools which enable the trained Bomb Tecfinicians to preve�t, mitigate,or investigate acts of
terrorism. The training and planning will enabte techrncians to maintain proficiency and a6ility to respond statewide to
CBRNE incidents.
All resources requested support Goai #5 Objective C 1 of the State Nometa�d Security Strategy.
Page A-1
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�<34
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pttachment B
6. 'i1�e Statement of Ea.penditures form can be used for the schedule of federal assistance- �D �� a �
7. The grantee agees to retain documantabon to support the schedule of federal assistance for aYleast four
vears.
&i�
WILll l�+wua 4�� ��—
within nine months of the 6z'antee's f'tscal vear end.
pMB Circulaz A-133 requires recipients of more than $500,000 in fe� e�a ��£ollowmg addressy of
the audit report within 3d days after issuance to the ceniral clearingh
Bweau of the Census
Data Preparafion Division
1201 East I Oth Street
Jeffersonville, Indiana 47132
Attn: Single AudiY Cleazinghouse
The Department of Public SafeTy's audit zeport should be addressed to:
Minnesota Department of Public Safety
Office ofFiscal and Administrative Services
4A4 Cedaz Sireet
Suite 126, Town Square
St Pau1, MN 55101-5126
B-2
2006 Homeland Security Grant Program (l l/d6)
Attachment B
�nExaz. Aunrr �Q�mErTrs (�,�2�2'
I. For subreci ients that a�e sta�e �I �v�a. -� •--•�---- ------ -- -
Y{�e arantee expends total federal assistance of $� 00 or more per yeaz, the grantee agrees to obtain
either a single audit or a proar'e�n-sPecific audit made for the fiscal year in a�cordance with �e t� of
the Sin�le Audit Act Amendments of 1996.
Audits shall be mada annuallY ��ess the state vr local government has, by January 1, 1987> a
constiturional or statutorY requirement for less frequ�ent audits. ��e govemm�t so requests. It shall
�ognizant agency shall permitbiennial audits, coverinbboth years, callin for
but on] audits prior to 1987 or administrative policies in place prior to
also honor requests for biennial audits by governments that have an administrah°e po icy S
audits less frequent than annual, y
January l, 1987.
2.
3.
�� � ends total d'uect and indirect federal assistance of $SOQ000 or more per yeaz, the
grantee agrees to obtain a fmancial and eements wi h versit�escoHo p�ta�s � �ther u No profo
"Requirements for Grants and A�
prganizafions" as applicable. The audit shall cover either the entire organization or all federal funds o
the organvation.
The audit must detertnine whetlaer the subrecipient spent federal assistance funds in accordance with
applicable laws and regularions.
The audit shall be made by an independent auditor. An independent auditor is a state or local govemment
auditor or a public accountant who meets the independence standards specified in the General Accounting
Office's "Standards for Audit of Goveznmantal Organizations, Programs, Activities, and Functions."
The audit report shall state that the audit was performed in accordance with the provisions of OMB
Circulaz A-133 (or A-11 Q as aPPlicable).
The reporting requirements for aud audit o dehaAudits of State an Local Govemmentxl Un ist'
CeRified Public Accounts' (AICPA) r o ed �e use of the audit guide.
in 1986. The federal government has aPP
In addition to the audit rep� lan for corrective acion � Pl�ed and aomments on the atu $ o�
in the report, including p a statement describing �e
coaective acrion taken on prior fmdings. If corrective action is not necessary,
reason it is not should accompany �e audit report.
4. The grantee agrees that the grantor, the Legislative Auditor, the State Auditor, and any independent
auditor designated by the grantor shall have such access to grantee's records and financial statements as
may be necessary for the grantor to comply with the Single Audit Act Amendments of 1996 and ONIB
Circular A-133.
5. Grantees of federal financial assistance from subrecipients are also required to comply with the Single
Audit Act and OMB Circulaz A-133.
2006 Homeland Security GrantProa am (11(06)
�
EXHEBff A �-Q,2'�'
" i-t01VfEtkND ��C�RiTY At�fl EMERGEt�t�Y [etANAGENf�Rl� — - --
���
��.t����
,a� � Grantee: StPaut Bomb Disposal Unit ��
� Grant Number. r; ��7� �U � �
�q���`� Program Component: Urban Area SI: St Paut 6omb D�sposal Urnt
Page A-10
Atracl�ment C
bb-G2�a"
STANDARA ASSURA.NCES - - -- - -- -
The Agplicznt heieby assures and certifies compliance with all applicable Federal statutes, regulations,
policies, guidelines, and requirements, including O?v1B Cir�ulars A-21, A-87, A-102, A-110, A-122, A-
133; Ex. Order 12372 (intergovemmeatal review of federal programs); and 28 C.F.R pts. 66 or 70
(administra2ive requirements for �ants and cooperative ageements)• Tho aPPlicant als° specifical]y
assures and certifies that
1. It has fhe legal authority to apply for federal assistance and the �ns�tuh°nal> m�n�erial, and financial
�apability (including funds sufficient to pay any required non-federal share of pro}ect cost) to ensure
proper planning> management, and completion of tl�e project described in this application.
2. It will establish safed azds to prohibit employees from using their posifions for a purpose thal constitutes
or presents the appeazance of personal or organizarional conflict of interest, or petsonal gain.
3: It will give the awazding agency or the General Accounting Office, through any authorized
xepresentative, access to and the right to examine all paper or electronic xecords related to the financial
assistance.
4. It will comply with atl lawful requirements imposed by the awuding agency, specifically including any
applicable regulations, such as 28 C.F.R. pts. 18, 22, 23, 30, 35, 38, 42, 61, and 63.
5. IY will assist the awarding agency (if necessary} in assuring compliance with section 106 of the National
Historic Preservation Act of 1966 (16 U.S.C. § 470), Ex. Order 11593 (identification and protection of
historic properties), the Archeologicai and Historicat Preservation Act of 1974 (16 U.S.C. § 469 a-1 et
seq.), and the Narional Environmental Policy Act of 1969 (42 U.S.C. § 4321).
6. It will comply (and will require any subgrantees or contractors to comply) with any applicable
statutprily-imQosed nondiscrimination requuements, which may include the Omnibus Crime Control and
Safe Streets Act of 1968 (42 U.S.C. § 3789d); the Victims of Crime Act (42 L3.S.C. § 10604(e)); T1ie
Juvenile Justice and Delinquency Prevention Act of 2002 (42 U.S.C. § 5672(b)); the Civil RigJtts Act of
1964 (42 U.S.C. § 2000d); the Rehabilitation Act of 1973 (29 U.S.C. § 7 94); the Americans with
Disabilifies Act of 1940 (42 U.S.C. § 12131-34); the Education Amendments of 1972 (20 U.S.C. §§1681,
1683, 1685-86); and the Age Discrimination Act of 1975 (42 U.S.C. §§ 6101-07); see Ex. Order 13279
(equal protection of the laws for faith-based and community organizations).
7. If a governmental enrity:
a. it will comply with the requirements of the Uniform Relocation Assistance and Real Property
Acquisitions Act of 1970 (42 [3.S.G § 4601 et seq.), which govem ttte treatment of persons
displaced as a result of federal and fedetally-assisted programs; and
b. it will comply with requirements of 5 U.S.C. §§ 1501-08 and §§ 7324-28, which limit certain
political activifies of State or local govemment employees whose principal employment is in
connection with an activity fmanced in whole or in part by federal assistance.
CERTIFICATIONS REGARDING LOBBYING; DEBARMENT, Si7SPE'NSIONAND OTHER
RESPONSIBILITYMATTERS; AND DRUG-FREE WORKPLACB AEOUdREMENTS
Applicants should refer to the regulations cited below to determine the certification to which they aze
required to attest Applicants should also review the instructions for certification included in the
regulations before completing th�s form. Signature of this form provldes for compliance with certification
requirements under 28 CFR Part 69, "New Restrictions on Lobbying" and 28 CFR Part 67, "Govemment-
C-I
2006 Homeland Security Grant Pr b�ram (11/06)
Attachment C �
wide Debarment and Suspension (Nonprocurement) and Govemment-wide Requirements for Dru� Free b�� b�'�
W orkplace (Grants)- The certifications shall be ueated as a maten�l Tepresentation of facY upon whicb_ ___
reliance will be_placed when the Department of Justice determines to award the covered transaction, �rant,
or cooperative aareement
-- --
1. LOBBI'Il�TG As required by Section 13 52, Tifla 31 of the U.S. Code, and implemented at 28 CFR Part
69, for persons entering into a grant or cooperative agreement over $100,000, as defined aT 28 CFR Part
69, the applicant certifies that:
(a) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersi�ed, to
any pexson for influencing or attempting to influence an officer or employee of any a;ency, a Member of
Congress, an offxcer or employee of Con�ess, or an employee of a Member of Congress in connecrion
with ttAe making of any Federal gant, the entering into of any cooperative agreement, and the extension,
continuarion, renewal, amendment, or modificafion of any Federal gant or cooperarive agreement;
(b) If any funds otUer than Federal appropriated funds have been paid or wall 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 Congess, or an employee of a Member of Congress in connection with this Federal
grant or cooperative agreement, the undersigned shall complete and submit Standard Form - LLL,
"Disclosure of Lobbying Activities," in accordance with its instructions;
(c) T7ae undersigned shall require ffiat the lana age of this certification be included in the award documents
for all subawazds at all riers (inciuding subgrants conh'acts under grants and cooperative agreements, and
subcontracts) and that all sub-recipients shall certify and disclose accordingly.
2. DEBARMENT, SUSPENSION, AND OTf�R RESPONSIBILITY MATTERS (DIItECT
RECTPIENT)
As required by Execufive Order 12549, Debazment and Suspension, and implemented at 28 CFR Part 67,
for prospecfive participants in primary covered transactions, as defined at 28 CFR Part 67, Section 67510
A. The applicant certifies that it and its principals:
(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a
denial of Federal benefits by a State or Federal court, or voluntarily excluded from covered lxansactions by
any Federal deparhnent or agency;
(b) Have not within a three-year period preceding this application been convicted of or had a civil
judgment rendered against them for commission of fraud ot a criminal offense in connection with
obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract
under a public transaction; violarion of Federal or State antitrust statutes or commission of embezzlement,
theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen
property;
(c) Are not presently indicted for or otherwise criminally or civilly charged by a govemmenYal enrity
(Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this
certification; and (d) Have not within a three-yeaz period preceding this application had one or more public
transactions (Federal, State, or local) terminated for cause or default; and
B. Where the applicant is unahle to certify to any of the statemenxs in this certification, he oz she shall
attach an explanation to this application.
3. ARUG-FREE WORKPLACE (GRANTEES OTT�R THAN INDiVIDUALS)
C-2
2066 Homeland Security Grant Pro (11lO6)
6g'g��
Attachment D
C�R`I`�I�ATiO�i RE�ARDING LOBBYAVG - - ---- -- - ---
For State of Minnesota Contracts and Cnants °ver $100,000
The undarsigned certifies, to the best of his or her lmowledge and belief that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of flie
undersi�ed, to any person for influencing or attempling to influence an officer or employee of any a�ency,
a member of Congress, an officer or employee of Congress, or an o f � y Fede al g ma�°= of any
connecrion with the awazding of any Federal contract, tha m�a �e extension, continuation, renewal,
Federal loan, tha entering into of any cooperative agreement,
amendment, or modification of any Federal contsact, gant, loan, or cooperative a�eement
�2� If any funds other than Federal appropriated £unds have been paid or will be paid to any person
fot 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
Fedetal coniract, gant, loan, or coopemrive ageement, the undersigned sball complete and submit
Standard Form-LLL, Disclosure Form to Report Lobby'mg in accordance with its instructions.
(3) The undersigned shall require tt�at the language of this certification be included in the awazd
documents for all subawazds at all tiers (including subcontracts, subgrants, and coniracts �nder grants,
loans and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.
This certificarion is a material representation of fact upon which reliance was placed when this transaction
was made or entered into. Submission of this ° erson who failsto fi e r qu'ired certificarionnshall be�is
transacrion imposed by 31 U.S.C. 1352. Any P
subject to a civil penalty of not less than $10,000 and not more than $100 for each such failuie.
prganization Name
Dlame and Title of Official Signing for Organization
Signature of Official
Date
D-1
2006 Homeland Security Grant Program (11/06)
Attachment C 2
Qg � ��
As required by the Drug Free VJorkplace Act of 1988, �d implemented at 28 CFR p�rt 6�� Subpart F, for
grantees, as deftned at 28 CFR Part 67 Sections 67.615 and 67.620 _ ---
. • • � ' a free wor lace bY: _ _
- --
A. The applicant certrfies �at it � or w�ll cont}aue to provide a dru�-
(a) Publishing a statement notifying employees that tUe unlawful manufacture, distriburion, dispensing,
possession, or use of a controlled substance is prokubited in tha grant��s workplace and specifying tha
actions thaY wi11 be takan against employees for violarion of such protubition;
(b) Establishing an on-going drug-free awazeness program to inform employees about
(1) The dangers of drug abuse in the workplace;
(2) The grantee's policy ofmaintaining a drug-8ee workplace;
(3) Any available drug counseling, rehahilitation, and employee assistance progams; and
(4) The penalries that may be unposed upon employees for drug abuse violations occurring in tha
workplace;
(c) Making it a requuement that each empioyee to be engaged in the performance of the gr�t be given a
copy of the statement required by paragaph (a);
(d) Notifying the employee in the statement required by paragraph (a) that, as a condition of employment
under the grant, the employee will
(1) Abide by the terms of the statement; and
(2) Notify �e employer in writing of his or her conviction for a violation of a criminal drug statute
occurring in the workplace no later than five calendaz days after such convicrion;
(e) Notifying the agency, in writing, within 10 calendar days after receiving norice undez subparagraPh
(d)(2) from an employee or othercvise receiving actual notice of such convicrion. Employers of convicted
employees must provide notice, including position title, to: Department of 7ustice, Office of Justice
Programs, ATI'N: Control Desk, 633 Indiana Avenue, N.W., W�hington, D.C. 20531. Notice shall
include the idenrification number(s) of each affected grant;
(fl Taking one of the following actions, within 30 calendar days of receiving notice under subparagraph
(d)(2), with respect to any employee who is so convicted
(1) Taking appropriate personnel action against such an employee, up to and including termination,
consistent with the requirements of the Rehabilitation Act of 1973, as amended; or
( ro am a�goved fo Puoh purposes by a F deralcState, or local h alth, aw or
P � PP
appropriate agency;
(g) Ntaking a good faiYh effort to continue to maintain a drug-free workplace tY�rough implementation of
paragraphs (a), (b) (c), (d), (e), and (fl.
As the duly authoiized representative of the applicant, I hereby certify thai the applicant will comply with
t�e above certifications.
C-3
2006 Homeland Security Grant Program (11/06)
L a�d
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1� Data Disclosure
linder Minn. Stat § 270C.6�, and other applicable law, the Crrantee consents to disclosure of its social sec o�'ded
number, faderai employez taac iden�ication number, and/ rsonnel �involved m th p Y�n� °�� ��°
to the State, to federal and state taY agencies and stata P
These identification numbers may be use� in the euf-0rceme delin uen�state tax �l�ab�n ss �f anY ° pay otherstata
action requiring �e �� �o file state t� retums and p Y 9
liabilities.
1. ENCUMBRANCE VERIFICATION
Indrvidual cert�ij�es flwt f+� �'m'e �� er�
required by M rrEmG�'�� �-��
�`:"fit�aa� _•
��
Si�ed:
Date:
Grant Conhact
The (
have
ra;
3.
sy
Ti1
D�
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� - �re c�' �`i na.��� C.�,r'�l�C�
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` � i � ��
1 CYIQ. • v
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T ..""
2006 Homeland Security Grant Program (I1/06)
Distribution:
DPS/FAS
Grantee
State's Auihonzed Represenfative
2. GRANTEE ' �s� R�'e�_ �`� f.,_���`�'�✓✓�'I