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CERTIFICATION REGARDING LOBBYING ; DEBARMENT , SUSPENSION , AND OTHER RESPONSIBILITIY <br /> MATTERS ; AND DRUG - FREE WORKPLACE REQUIREMENTS <br /> Florida Department of Law Enforcement <br /> Edward Byrne Memorial Justice Assistance Grant Program <br /> (c ) Making it a requirement that each employee to be engaged in the performance <br /> of the grant be given a copy of the statement required by paragraph (a) ; <br /> (d ) Notifying the employee in the statement required by paragraph (a) that, as a <br /> condition of employment under the grant , the employee will- <br /> ( 1 ) Abide by the terms of the statement; and <br /> (2) Notify the employer in writing of his or her conviction for a violation of a Check here _ If there are workplaces on file that <br /> are not identified <br /> criminal drug statute occurring in the workplace no later than five calendar days here . <br /> after the conviction ; <br /> Section 67 .630 of the regulations provides that a grantee that is a <br /> ( e) Notifying the agency , in writing , within 10 calendar days after receiving notice State may elect to make one certification in each <br /> Federal fiscal year. <br /> under subparagraph (d) (2) from an employee or otherwise receiving actual notice A copy of which should be included with each application <br /> for <br /> of such conviction . Employers of convicted employees must provide notice Department of Justice funding . States and State agencies may elect <br /> including position title , to : Department of Justice , Office of Justice Programs , to use OJP Form 4061 /7 . <br /> ATTN : Control Desk , 633 Indiana Avenue , N .W. , Washington , D . C . 20531 . Notice <br /> shall include the identification number(s) of each affected grant; Check here If the State has elected to complete OJP Form <br /> 4061 !7 . <br /> (f) Taking one of the following actions , within 30 calendar days of receiving notice <br /> under subparagraph (d) (2) , with respect to any employee who is so convicted - <br /> ( 1 ) Taking appropriate personnel action against such an employee , up to and DRUG -FREE WORKPLACE <br /> including termination , consistent with the requirements of the Rehabilitation Act of ( GRANTEES WHO ARE INDIVIDUALS ) <br /> 1973 , as amended ; or <br /> As required by the Drug-Free Workplace Act of 1988 , and <br /> ( 2) Requiring such employee to participate satisfactorily in a drug abuse implemented at 28 CFR Part 67 , Subpart F , for grantees <br />, as defined <br /> assistance or rehabilitation program approved for such purposes by a Federal , at 28 CFR Part 67 ; Sections 67 . 615 and 67 . 620- <br /> State , or local health , law enforcement, or other appropriate agency; <br /> A. As a condition of the grant, I certify that I will not engage in the <br /> (g ) Making a good faith effort to continue to maintain a drug-free workplace unlawful manufacture , distribution . dispensing , possession <br />, or use of <br /> through Implementation of paragraphs (a) , (b) , (c) , (d) , (e) , and (f) . a controlled substance in conducting any activity with <br /> the grant, and <br /> B . The grantee may insert in the space provided below the site (s) for the B . If convicted of a criminal drug offense resulting <br /> from a violation <br /> performance of work done in connection with the specific grant: occurring during the conduct of any grant activity , I will report <br /> the <br /> conviction , in writing , within 10 calendar days of the conviction , to: <br /> Place of Performance (Street address , city , county , state , zip code) Department of Justice , Office of Justice Programs , ATTN : <br />Control <br /> Desk , 6333 Indiana Avenue , N .W. , Washington , D . C . 20531 . <br /> As the duly authorized representative of the applicant , I hereby certify that the applica h the above <br /> certifications . STATE OF FLORIDA <br /> INDIAN, RIVER COUNTY <br /> 1 . Grantee Name and Address : Indian River County Board of County C; ommissioneSTHIS IS TO CERTIFY THAT THIS IS <br /> 1801 27 Street Vero Beach , FL 32960A TRUE AND CORRECT COPY OF <br /> THE ORIGINAL ON FILE IN THIS <br /> OFFICE <br /> FF EY K. BA , CL K <br /> 2 . Project Name : Indian River County Drug Testing Program <br /> D . C . <br /> !ATE <br /> 3 . Typed Name and Title of Authorized Representative : Peter D . O ' Bryan , Chairman . e • ° ^ e ~ <br /> Indian River County Board of County Commissioners eDOM <br /> ,.°cQ �ss!Gyt <br /> ppaOLU°4C°° ° <br /> 9 °O°@�Q�• • ° eeeeee s ° e0 '+e�660 c V � ._ <br /> 4 . Signature : ® ' AA,00 °•® Date : June 22 . 2010 a ; <br /> _ <br /> p o G *y • �r a>. <br /> a o° ee4P/9 • • • • <br /> ° ee�• � °°•• p yN pll no •. <br /> Oe � Oee • p°e <br /> ° AA� • ese ae�pe�1{1>q�•�r <br /> a61c'O C®I1e <br /> a tail <br /> FDLE JAG Grant Application Package Lobbying Debarment , Suspension and Drug-Free Workplace Certification <br /> Page 2 <br />