2002-197-RES REPEAL RESOLUTION 2002-176

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CJD Grar.pplication - Page 14 CERrlFICATIONS 1. The applicant certifies that It will provide a drug.free workplace by: a. Publishing a statement notifying employees that the unlawful manufaclure, distribution, dispensing. possession, or use of a controlled substance Is prohibited In the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition. b. Establish a drug-free awareness program to intorm employees about: I. the dangers of drug abuse in the workplace: ii. the applicant's policy of maintaining a drug-free workplace; iii. any available drug counseling, rehabilitation, and employee assistance programs; and iv. the penalties that may be imposed upon employees for drug abuse violations. c. Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (a). d. Notifying the employee In the statement required by paragraph (a) that, as a condition of employment under the grant, the employee will: I. abide by the terms of the statement. and Ii. notify the employer of any criminal drug statute conviction for a violation occurring In the WOrkplace not later than five days after such conviction. e. Notifying the agency within ten days after receiving notice under subparagraph (d)(ii) from an employee or otherwise receiving actual notice of such conviction. f. Taking one of the following actions with respect to any employee who Is so convicted: I. Taking appropriate personnel action against such an employee, up to and Including termination; or Ii. Requiring such employee to participate satisfactorily In a drug abuse assistance or rehabilitation program approved for such purposes by a federal, state, or local health, law enforcement. or other appropriate agency. g. Making a good faith effort to continue to maintain a drug-free workplace through the Implementation of paragraphs (a). (b). (c). (d). (e), and (n. If application is In excess of $100,000,1 certify to the best of my knowledge and belief to the following: 1. No federal appropriated funds have been paid or will be paid to any person for innuencing or attempting to Influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress In connection with the awarding of any federal contract, the making of any federal grant, the making of any federal Joan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. D Check here if any non-federal funds have been paid or will be paid to any person for influencing or attempting to Influence an officer or employee of any agency. a member of Congress, an officer or employee of Congress, or an employee of a member of Congress In connection with this federal contract, grant, loan, or cooperative agreement. You must also notify the Criminal Justice Division (CJO) or your local council of governments for the -Disclosure Form to Report Lobbying". 2. The undersigned shall require that the language of this certification be included in the award documents for all sub-awards at all tiers and that all sub-recipients shall certify accordingly. AUDIT CERTIFICATION (SELECT THE APPROPRIATE CHOICEl I certify: < o o The applicant agency currently expends combined federal funding of 5300,000 or more and. therefore, Is required to submit an annual single audit by an independent auditor made In accordance with the Single Audit Act Amendments of 1996 and OMS CircularA-133. The applicant agency currently expends combined federal funding of less than $300,000 and, therefore, Is exempt from the Single Audit Act and cannot charge audit costs to a CJO grant. I understand. however, that CJO may require a limited scope audit as defined in OMS Circular A-133. EQUAL EMPLOYMENT OPPORTUNITY PLAN (EEOP) CERTIFICATION (SELECT THE APPROPRIATE CHOICE) Definitions: Tvoe I Entitv Educationallmedicallnon-profit institutionlNative American Tribe - certification required (setect appropriate choice below); EEOP NOT required. Tvoe II Entltv All other recipients receiving more than 525.000, but not more the $500,000 - certification required (select the appropriate choice below): organizations must maintain EEOP on fiie for possible audit If the organization has more the 50 employees. Tvoe III Entltv For profit entities and state and local governments receiving $500,000 or more - certification required (select the appropriate choice below); the organization must submit an EEOP to the Office for Civil Rights (OCR) for approval. Issue Dale: October 2002