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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 />Justice <br />(c) Making it a requirement that each employee to be engaged in the performan <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 <br />criminal drug statute occurring in the workplace no later than five calendar days <br />after the conviction; <br />(e) Notifying the agency, in writing, within 10 calendar days after receiving notice <br />under subparagraph (d) (2) from an employee or otherwise receiving actual notice <br />of such conviction. Employers of convicted employees must provide notice <br />including position tide, to: Department of Justice, Office of Justice Programs, <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; <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 <br />including termination, consistent with the requirements of the Rehabilitation Act of <br />1973, as amended; or <br />(2) Requiring such employee to participate satisfactorily in a drug abuse <br />assistance or rehabilitation program approved for such purposes by a Federal, <br />State, or local health, law enforcement, or other appropriate agency; <br />(g) Making a good faith effort to continue to maintain a drug-free workplace <br />through implementation of paragraphs (a), (b), (c), (d), (e), and (f). <br />B. The grantee <br />may <br />insert in <br />the space <br />provided <br />below the site(s) for the <br />performance of <br />work <br />done in <br />connection <br />with the <br />specific grant: <br />Place of Performance (Street address, city, county, state, zip code) <br />As the duly authorized representative of the applicant, I hereby <br />certifications. <br />1. Grantee Name and <br />2. Project <br />Grant <br />Check here _ If there are workplaces on file that are not identified <br />here. <br />Section 67.630 of the regulations provides that a grantee that is a <br />State may elect to make one certification in each Federal fiscal year. <br />A copy of which should be included with each application for <br />Department of Justice funding. States and State agencies may elect <br />to use OJP Form 4061/7. <br />Check here _ If the State has elected to complete OJP Form <br />4061/7. <br />DRUG-FREE WORKPLACE <br />(GRANTEES WHO ARE INDIVIDUALS) <br />As required by the Drug -Free Workplace Act of 1988, and <br />implemented at 28 CFR Part 67, Subpart F, for grantees, as defined <br />at 28 CFR Part 67; Sections 67.615 and 67.620- <br />A. As a condition of the grant, I certify that I will not engage in the <br />unlawful manufacture, distribution, dispensing, possession, or use of <br />a controlled substance in conducting any activity with the grant; and <br />S. If convicted of a criminal drug offense resulting from a violation <br />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 />Department of Justice, Office of Justice Programs, ATTN: Control <br />Desk, 633 Indiana Avenue, N.W., Washington, D.C. 20531. <br />applicant will comply with the above <br />#aN/ go&%/c✓ covNtl 64AV4 of cor►1M ri's %dNt ✓S fJ 2 1� f-✓ect <br />V ac�.f R 3.2 4 Go <br />3. Typed Name and Title of Authorized Representative: <br />4. Signature: <br />101 c►r✓w, <br />L, <br />L <br />5. Date: July 15, 2008 <br />JAG Grant Application Package Lobbying, Debarment, Suspension, and <br />