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_ CERTIFICATION REGARDING LOBBYING ; DEBARMENT, SUSPENSION , AND OTHER RESPONSIBILITIY <br /> m G MATTERS ; AND DRUG -FREE WORKPLACE REQUIREMENTS A TRUE COPY <br /> CERTIFICATION ON LAST P % GE <br /> Florida Department of Law Enforcement J . K . BARTON , CLERK <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 are <br /> 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 , as <br /> 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 : Control <br /> Desk, 633 Indiana Avenue , N .W. , Washington , D . C . 20531 . <br /> As the duly authorized representative of the applicant , I hereby certify that the applicant will comply with the above <br /> certifications . <br /> 1 . Grantee Name and Address : Indian River County Board of County Commissioners <br /> 1801 27 thStreet , Vero Beach , FL 32960 <br /> 2 . Project Name : Indian River County Drug Testing Program <br /> 3 . Typed Name and Title of Authorized Representative : Bob Solari , Chairman <br /> Indian River County Board of County Commissioners <br /> 4 . Signature : lc*4ex 5 . Date : July 19 , 2011 <br /> �a u�RalaRalla pm,�,,,rz <br /> a��,oaa� Su� iYll,�'04d'ry0tt 41 <br /> a d o' °O ' "(1 0 'APPROVED AS, 7 <br /> n <br /> NLEGALS lICDER9C <br /> n9 a <br /> a o (�4 <br /> n a BY <br /> n � Lw1 U <br /> ALAN S . �C BCNEYl-I <br /> COUN ATTOVR <br /> FDS , wo <br /> dA a iitApplication Package Lobbying, Debarment , Suspension, and Drug-Free Workplace Certification <br /> Page 2 <br />