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STATE OF FLORIDA INDIAN RIVER COUNTY THIS IS TO CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF THE ORIGINAL ON FILE IN THIS OFFICE. RYAN L BUTLER, CLERK BY D.C. Criminal Justice GrantsDATE LOBBYING, DEBARMENT, AND DRUG FREE WORKPLACE CERTIFICATION Email completed form to: CJgrants@fdle.state.fl.us i. Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the subgrantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; ii. Establishing an on-going drug-free awareness program to inform employees about — 1) The dangers of drug abuse in the workplace; 2) The subgrantee's policy of maintaining a drug-free workplace; 3) Any available drug counseling, rehabilitation, and employee assistance programs; and 4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace. iii. Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (i); iv. Notifying the employee in the statement required by paragraph (i) that, as a condition of employment under the grant, the employee will — 1) Abide by the terms of this statement; and 2) Notify the employer in writing of his or her conviction for a violation of criminal drug statute occurring in the workplace no later than five (5) calendar days after the conviction. V. Notifying the agency, in writing, within ten (10) calendar days after receiving notice under subparagraph (iv)(2) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice including position title to: Florida Department of Law Enforcement, Bureau of Criminal Justice Grants, P.O. Box 1489, Tallahassee, FL 32302-1489. Notice shall include the identification number(s) of each affected grant. vi. Taking one of the following actions within thirty (30) calendar days of receiving notice under subparagraph (iv)(2), with respect to any employee who is convicted — 1) Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or 2) Requiring such employee to participate in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency. vii. Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (i) through (vi). b) The subgrantee may insert in the space provided below the site(s) for the performance or work done in connection with As the duly authorized representative of the applicant, I hereby certify that applicant will comply with the following certifications: 11 Certification Regarding Lobbying (required for applications over $100,000) 2✓ Certification Regarding Debarment, Suspension and Other Responsibility Matters (required for all applicants) E] Certification Regarding Drug -Free Workplace (required for state agency applications) Recipient: Indian River County Printed Name: Joseph E. Flescher Title: Chairman Signature: Date: 08/25/2025 Applica Number: QGJG-001 Page 2 of 2 Lobbying, Debarment, and Drug Free Workplace Certification rev. 07/25