GF-99-8 CERTIFICATIONS The following certification document must be executed by an authorizing official of the grantee organization and returned along with the grant award document: 1. CIVIL RIGHTS: The grantee certifies that it has filed with the National Aeronautics and Space Administration, NASA Form #1206 (rev. Mar. '84), which is an Assurance of Compliance with Title VI of the Civil Rights Act of 1964 (42 U.S.C 2000d). If that form has not been filed with NASA, it must be included with the signed grant award notification document when it is returned to the Institute. 2. DEBARMENT AND SUSPENSION AND DRUG-FREE WORKPLACE: The grantee certifies that it is in compliance with the provisions of 14 CFR 1265, Government- wide Debarment and Suspension, and Government Requirements For a Drug-Free Workplace, unless excepted by paragraphs 1265.110 or 1265.610. The grantee further represents that it maintains such regulations and shall provide a separate filing, if requested. 3. CERTIFICATION REGARDING LOBBYING: For grants exceeding $100,000 the undersigned certifies, to the best of his or her knowledge and belief, that: A. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influenc- ing 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 the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. 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 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 grant, the undersigned shall complete and submit Standard Form-LLL, "Disclosures Form to Report Lobbying," in accordance with its instructions. CERTIFICATIONS Cont. (2) C. The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. _________________________________________ Signature of Certifying Authorizing Official __________________________________________ Date __________________________________________ Institution Name