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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 <br /> that 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 <br /> 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 Check here If the State has elected to complete <br /> OJP Form <br /> shall include the identification number(s) of each affected grant; 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 , <br /> possession , or use of <br /> through implementation of paragraphs (a) , (b) , (c) , (d) , (e) , and (f) . a controlled substance in conducting any activity <br />with 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.,auitmIla� +, <br /> performance of work done in connection with the specific grant: <br /> occurring during the conduct of any grant activity, I vii1�epor�th . . �0Z ,'! <br /> conviction , in writing , within 10 calendar days of th coivction , to: s <br /> Place of Performance (Street address , city , county , state, zip code) Department of Justice , Office of Justice Program N : <br /> Control � s <br /> Desk, 633 Indiana Avenue , N . W. , Washington , [5�& 2 1 O <br /> : ctom <br /> As the duly authorized representative of the applicant , I hereby certify that the applicant will comply with the a6hie <br /> : cc ; <br /> certifications . <br /> as • ;• �;: <br /> 1 . Grantee Name and Address : Indian River County Board of County Commissioners Im <br /> 1801 27th Street , Vero Beach , F_ L 32960 �Nn03 �M ••.•• <br /> YYYY/ YIY• <br /> e <br /> 2 . Project Name : Indian River County Drug Testing Program <br /> � s <br /> 3 . Typed Name and Title of Authorized Representative : Gary C . Wheeler, Chairman <br /> Indian River County Board of County Commissioners <br /> 4 . Signature : C / 6 . ° tae ' July 10 , 2012 1w�\ <br /> Y <br /> t <br /> •per` <br /> ' �_ V ..`� . / _ .. . _. I � .. V�tInYUlYY2 •,�Y` <br /> FDLE JAG Grant Application Package Lobbying Debarment Suspension and Drug-Free Workplace Certification <br /> Page 2 <br />