BJA-2025-172485 - ATTACHMENT (002).PDF

U.S. Department of Justice | Office of Justice Programs | Bureau of Justice Assistance | NOFO | ojp.gov | 36 
 
Eligibility 
Program 
Description 
Deadlines & 
Contents 
Application 
Review 
Award 
Notices 
Post-Award 
Requirements 
Other 
Information 
Application 
Checklist 
Basic 
Information 
Appendix 1 
 
U.S. DEPARTMENT OF JUSTICE, OFFICE OF JUSTICE PROGRAMS 
 
Certification by the Chief Executive Officer (or senior official) of the Applicant Government 
 
On behalf of the applicant named below, and in support of its application, I certify under penalty 
of perjury to the Office of Justice Programs ("OJP"), U.S. Department of Justice ("USDOJ"), that all of 
the following are true and correct: 
(1) 
I am the chief executive officer of the State or local government ("the jurisdiction") of which 
the applicant entity named below is a part (or a senior official of the jurisdiction, with the legal 
authority to bind the same), I have received appropriate legal advice as to this certification, and I have 
the authority to make this certification on my own behalf as chief executive officer (or senior official) 
and on behalf of the jurisdiction and the applicant entity. I understand that OJP will rely upon this 
certification as a material representation in any decision to make an award to the applicant entity. 
(2) 
I have carefully reviewed (or have received pertinent legal advice concerning) 8 U.S.C. §§ 
1373(a) & (b) and 1644, including the prohibitions on certain actions by State and local government 
entities, agencies, and officials regarding information on citizenship and immigration status. 
(3) 
I (and the applicant entity) understand that, for purposes of this certification, the term "program 
or activity" means what it means under title VI of the Civil Rights Act of 1964 (see 42 U.S.C. § 
2000d-4a), and that terms used in this certification that are defined in 8 U.S.C. § 1101 mean what they 
mean under that section 1101, except that the term "State" also shall include American Samoa (cf. 42 
U.S.C. § 901(a)(2)). 
(4) 
I (and the applicant entity) assure that the applicant entity (and its officials and other personnel) 
will comply with 8 U.S.C. §§ 1373 and 1644 in any "program or activity" receiving federal financial 
assistance under any award made by OJP pursuant to this application. I further certify that any 
subrecipient (at any tier) of such federal financial assistance (and its officials and other personnel) 
will also comply with 8 U.S.C. §§ 1373 and 1644.  
I acknowledge that a materially false, fictitious, or fraudulent statement (or concealment or omission of a 
material fact) in this certification, or in the application that it supports, may be the subject of criminal 
prosecution (including under 34 U.S.C. § 10271 or under 18 U.S.C. § 1001 or 1621, and may subject me 
and the applicant entity to civil penalties and administrative remedies for false claims or otherwise 
(including under 31 U.S.C. §§ 3729–3730 and §§ 3801–3812). I also acknowledge that OJP awards, 
including certifications provided in connection with such awards, are subject to review by USDOJ, 
including by OJP and by the USDOJ Office of the Inspector General. 
 
 
                                                                                                
Signature of Chief Executive Officer (or senior official) of the Applicant Government 
                                        
Date of Certification 
 
                                                                                                
Printed Name of Chief Executive Officer (or senior official) 
       
                                  
Title of Chief Executive Officer (or senior official)  
 
                                                                                                         
Name of Applicant Government Entity