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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 th7performance
<br /> of the grant be given a copy of the statement required by paragraph( d) Notifrying the employee In the statement required by paragraph
<br /> (
<br /> condition of employment under the grant, the employee will-
<br /> ( 1 ) Abide by the terms of the statement; and
<br /> _
<br /> (2) Notify the employer in writing of his or her conviction for a violation of a Check here If there are workplaces
<br /> on file that are not identified
<br /> here .
<br /> criminal drug statute occurring in the workplace no later than five calendar days
<br /> after the conviction; Section 67 , 630 of the regulations provides that a grantee that is a
<br /> e Notifyingtheagency, in writing . within 10 calendar days after receivingnotice State may elect to make one certification in each Federal
<br /> fiscal year.
<br /> una9 , y A copy of which should be included with each application for
<br /> under subparagraph ( d ) (2) from an employee or otherwise receiving actual notice Department of Justice funding . States and
<br />State agencies may elect
<br /> of such conviction. Employers of convicted employees must provide notice to use OJP Form 4061 /7 .
<br /> including position title , to: Department of Justice, Office of Justice Programs,
<br /> ATTN: Control Desk, 633 Indiana Avenue , N .W ., Washington , D .C . 20531 . Notice Check here If the State has elected
<br />to complete OJP Form
<br /> shall include the identification number(s ) of each affected grant; 4061 /7 .
<br /> (f7 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
<br /> grantees , as defined
<br /> assistance or rehabilitation program approved for such purposes by a Federal , at 2B 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
<br />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
<br />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
<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 :
<br /> 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 /> Indian River County Board of Commissoners
<br /> 1 . Grantee Name and Address :
<br /> ,Substance. Abuse Council Indian River County Drug Testing Program
<br /> z. Project Name :
<br /> 3 . Typed Name and Title of Authorized Representative :
<br /> Wesley Davis
<br /> 4 . Signature: _� ��' 5 . Date :
<br /> 08 / 18 / 2009
<br /> FDLE JAG Grant Application Package Lobbying Debarment Suspension and Drug-Free Workplace Certification
<br /> Page 2
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