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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 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 67.630 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
<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 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 tide, 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
<br /> shall include the identification number(s) of each affected grant; Check here _ If the State has elected to complete OJP Form
<br /> 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, as
<br /> 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, or
<br /> use of
<br /> through implementation of paragraphs (a), (b), (c), (d), (e), and (f). a controlled substance in conducting any activity with the grant;
<br /> and
<br /> B. The grantee may insert in the space provided below the site(s) for the S. If convicted of a criminal drug offense resulting from a
<br /> 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: T1 ;&LW 9IVt ✓ COVNtl 656AV4 of Carnm rSs fdNe rs ( Q 27 f ✓ect
<br /> AV 0 AC), I R 3 .2 4 Go
<br /> 2. Project Name : _ _X A; A i " 1bYCN 00006 to/ c► ,✓ 0yoid,
<br /> 3 . Typed Name and Title of Authorized Representative : SOLVJ d ✓ k, L 6wd C4oL 44 ph ,pt ✓So wj
<br /> 4. Signature:
<br /> 8 5. Date: July 15 , 2008
<br /> _FDLE JAG Grant Application Package Lobbying, Debarment . Suspension, and Drug-Free Workplace Certification
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