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<br />employee wno IS SO convlClea: <br /> <br />(1) Taking appropriate personnel action against such an employee, <br />up to and including termination, consistent with the requirements of <br />the Rehabilitation Act of 1973, as amended; or <br />(2) Requiring such employee to participate satisfactorily in a drug <br />abuse assistance or rehabilitation program approved for such <br />purposes by a Federal, State, or local health, law enforcement or <br />other appropriate agency. <br /> <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 (t). <br /> <br />(8) The grantee may insert in the space provided below the site(s) for the performance of work <br />done in connection with the specific grant: <br /> <br />Place of Performance <br />Street <br /> <br />City <br /> <br />State <br /> <br />Zip <br /> <br />Signed by Eddie Fitzgerald on 2002-03-19 11 :00: 1 0.0 <br /> <br />Section 17.630 of the regulations provide that a grantee that is a State may elect to make one certification in <br />each Federal fiscal year. A copy of which should be included with each application for FEMA funding. States <br />and State agencies may elect to use a Statewide certification. <br /> <br />1. Type of Federal Action <br /> <br />Disclosure of Lobbying Activities <br />2. Status of Federal Action 3. Report Type <br /> <br />4. Name and Address of Reporting Entity: <br /> <br />5. If Reporting Entity in No.4 is a Subawardee, Enter Name and Address of <br />Prime: <br /> <br />6. Federal DepartmenUAgency <br /> <br />7. Federal Program NamelDescription <br /> <br />8. Federal Action Number if Known: <br /> <br />9. Award Amount if known <br /> <br />10a. Name and address of Lobbying Registrant: <br />(if individual, last name, first name, MI) <br /> <br />10b. Individuals Performing Services: <br />(including address if different from No.10a) <br /> <br />Information requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure of <br />lobbying activities is a material representation of fact upon which reliance was placed by the tier above when <br />this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This <br />information will be reported to the Congress semi-annually and will be available for public inspection. Any <br />person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and <br />not more than $100,000 for each such failure. <br />