Laserfiche WebLink
<br />Form RA 10 <br /> <br />DRUG-FREE WORKPLACE REQUIREMENTS CERTIFICATION <br /> <br />By signing this application or grant agreement, the grantee is providing the certification set out below. <br /> <br />This certification is a material representation of fact upon which reliance was placed with the agency determined <br />to award the grant. If it is later determined that the grantee knowingly rendered an erroneous certification, the <br />agency, in addition to any other remedies available to the federal government, may take available action. <br />I. The grantee certifies that it will provide a drug-free workplace by: <br /> <br />A. Publishing a sta1ement notifying employees that the unlawful manufacture, distribution, dispensing, <br />possession, or use of a controlled substance is prohibited in the grantee's workplace and specifying the <br />actions that will be taken against employees for violation of such prohibition. <br /> <br />B. Establishing a drug-free awareness program to inform employees about: <br />1. the dangers of drug abuse in the workplace; <br /> <br />2. the grantee's policy of maintaining a drug-free workplace; <br /> <br />3. any available drug counseling, rehabilitation, and employee assistance programs; and <br />4. the penalties that may be imposed upon employees for drug abuse violations. <br /> <br />C. Making it a requirement that each employee to be engaged in the performance of the grant be given a <br />copy of the statement required by paragraph (A). <br /> <br />D. Notifying the employee in the sta1ement required by paragraph (A) that, as a condition of employment <br />under the grant, the employee will: <br />1. abide by the terms of the sta1ement, and <br /> <br />2. notify the employer of any criminal drug statute com~ction for a violation occurring in the workplace <br />not later than five days after such conviction. <br /> <br />E. Notifying the agency within ten days after receiving notice under subparagraph (D)(2) from an employee <br />or otherwise receiving actual notice of such conviction. <br /> <br />F. Taking one of the following actions with respect to any employee who is so convicted: <br /> <br />1. taking appropriate personnel action against such an employee, up to and including termination; or <br />2. requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation <br />program approved for such purposes by a federal, state, or local health, law enforcement, or other <br />appropriate agency. <br />G. Making a good faith effort to continue to maintain a drug-free workplace through the implementation 'of <br />paragraphs (A), (B), (C), (D), (E), and (F). <br /> <br />-'~ <br /> <br />n. The grantee shall insert in the space provided below the site(s) for the performance of work done in <br />connection with the specific grant. <br />Place of Performance: <br /> <br />Police Athletic League, City of Paris, Paris, Texas <br /> <br />0rpnizatiaD <br /> <br />135 1st S.E. <br />SIreel Adclrw <br /> <br />Paris <br />CIl)' <br /> <br />Lamar <br />County <br /> <br />Texas <br />SIII& <br /> <br />75460 <br />2ipCoclc <br /> <br />Mithael E. Malone <br />NIII\C of PClIClCl <br /> <br /> <br />City Manager <br />Tille <br /> <br />Ci ty of Paris <br />0rpniDli0n <br /> <br />1 / 30 / 97 <br />--n; <br /> <br />23 <br />em Fonns Packet, revised 7/96 <br />