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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 gram 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 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 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 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 Idle, to: Department of Justice, Office of Justice Programs, to use QIP Form 4061 /7. <br /> ATTN: Control Desk, 633 Indiana Avenue, N.W., Washington, D.C. 20531 . Notice <br /> shall include the identification numbers) of each affected grant; Check here _ If the State has elected to complete 01 Form <br /> 4061/7. <br /> (I) Taking one of the following actions, within 30 celendar 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 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 carfity 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, or use of <br /> through implementation of paragraphs (a), (b), (c), (d), (e), and (0. a controlled substance in Conducting any activity 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 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 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 Sheriff ' s Office <br /> 4055 41st Avenue , Vero Beach , FL 32960 <br /> 2. Project Name: MULTI -AGENCY CRIMINAL ENFORCEMENT UNIT <br /> 3. Typed Name and Title of Authorized'''Representative, Roy Raymond , Sheriff <br /> �. Signature: 5. Date:�/.__, _ <br /> FOLE JAG Grant Application Package Lol ino Debarment Suspension and Drug-Free Workpiace Certification <br /> Page 2 <br />