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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 A TRUE COPY <br /> Edward Byrne Memorial Justice Assistance Grant Program CERTIFICATION ON LAST F AGE <br /> J . R . SMITH , CLERK <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 vicwd&e' Pf 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 67.830 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 Federal <br /> 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 406117. <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 /> 406117. <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 the <br /> grant; and <br /> Be The grantee may insert in the space provided below the sites) for the Be If convicted of a criminal drug offense resulting from <br /> a violation <br /> performance of work done in connection with the specifiCtgrant:. occurring during the conduct of any grant activity, I will report the <br /> _, conviction, in writing, within 10 calendar days of the conviction, to: <br /> Place of Performance (Street address, city, county, state; 4,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 /> 180127"' Street, Vero Beach, FL 32960 <br /> 2. Project Name : Indian River County Drug Testing Program <br /> 3 . Typed Name and Title of Authorized Representative :_ Joseph E . Flescher, Chairman <br /> Indian River County Board of County Commissioners <br /> 4. Signature : 5. Date : July 16 , 2013 <br /> FDLE JAG Grant Application Package Lobbying, Debarment , Suspension, and Drug-Free Workplace Certification <br /> Page 2 <br />