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<br />k. CERTIFICATION REGARDING DRUG-FREE WORKPLACE <br />REQUIREMENTS <br /> <br />Instructions for Certification <br /> <br />1. By signing and/or submitting this application or grant agreement, the grantee is providing the certification set out below. <br />2. The certification set out below is a material representation of fact upon which reliance is placed when the agency awards the grant If it is later detennined that the <br />grantee knowingly rendered a false certification, or otherwise violates the requirements of the Drug-Free Workplace Act, the agency, in addition to any other remedies <br />available to the Federal Government, may take action authorized under the Drug-Free Workplace Act. <br />3. For grantees other than individuals, Alternate I applies. <br />4. For grantees who are individuals, Alternate II applies. <br />5. Workplaces under grants, for grantees other than individuals, need not be identified on the certification. If known, they rnay be identified in the grant application. If <br />the grantee does not identify the workplaces at the time of application, or upon award, if there is no application, the grantee must keep the identity of the workplace(s) on <br />file in its office and make the information available for Federal inspection. Failure to identify all known workplaces constitutes a violation of the grantee's drug-free <br />workplace requirements. <br />6. Workplace identifications must include the actual address of building (or parts of buildings) or other sites where work under the grant takes place. Categorical <br />descriptions may be used (e.g., all vehicles of mass transit authority or State highway department while in operation, State employees in each local unemployment office, <br />perfonners in concert halls or radio studios). <br />7. If the workplace identified to the agency changes dming the performance of the grant, the grantee shall inform the agency of the change(s), if the previously identified <br />the workplaces in question (see paragraph five). <br />8. Definitions of terms in the Nonprocurement Suspension and Debannent common rule and Drug-Free Workplace common rule apply to this certification. Grantees' <br />attention is called, in particular, to the following definitions from these rules: <br />Controlled substance means a controlled substance in Schedules I through V of the Controlled Substances Act (21 U.S.c. 812) and as further defined by <br />regulation (21 CFR 1308.1 I through 1308.15); <br />Conviction means a finding of guilt (including a plea of nolo contendere) or imposition of sentence, or both, by any judicial body charged with the <br />responsibility to detennine violations of the Federal or State criminal drug statutes; <br />Criminal drug statute means a Federal or non-Federal criminal statute involving the manufacture, distnbution, dispensing, use, or possession of any <br />controlled substance; <br />Emolovee means the employee of a grantee directly engaged in the performance of work under a grant, including: (I) All direct charge employees; (ii) All <br />indirect charge employees unless their impact or involvement is insignificant to the performance of the grant; and, (iii) Temporary personnel and consultants who are <br />directly engaged in the performance of work under the grant and who are on the grantee's payroll. This definition does not include workers not on the payroll of the <br />grantee (e.g., volunteers, even if used to meet a matching requirement; consultants or independent contractors not on the grantee's payroll; or employees of subrecipients <br />or subcontractors in covered workplaces.) <br /> <br />Certification Regarding Drug-Free <br />Workplace Requirements <br /> <br />Alternate 1. (Grantees Other Than Individuals) <br /> <br />A. The grantee certifies that it will or will continue to provide a drug- free <br />workplace by: <br />(a) Publishing a statement notifying employees that the unlawful <br />manufacture, distribution, dispensing, possession, or use of a controlled <br />substance is prolnbited in the grantee's workplace and specifying the actions <br />that will be taken against employees for violation of such prolnbition; <br />(b) Establishing an ongoing drug-free awareness program to inform <br />employees about-- <br />(1) The dangers of drug abuse in the workplace; <br />(2) The grantee's policy of maintaining a drug-free workplace; <br />(3) Any available drug counseling, rehabilitation, and employee <br />assistance programs; and <br />(4) The penalties that may be imposed upon'empk ':es for drug <br />abuse violations occurring in the workplace; <br /><0 making it a requirement that each employee to be engaged il <br />performance of the grant be given a copy of the statement requin c by <br />paragraph (a); <br />(d) Notifying the employee in the statement required by paragraph (a) that, as <br />a condition of employment under the grant, the employee wilI-- <br />(1) Abide by the terms of the statement; and <br />(2) Notify the employer in writing of his or her conviction for a <br />violation of a criminal drug statute occurring in the workplace no later than <br />five calendar days after such conviction; <br />(e) Notifying the agency in writing, within ten calendar days after receiving <br />notice under paragraph (2) from an employee or otherwise receiving actual <br />notice of such conviction. Employers of convicted employees must provide <br />notice, including position title, to every grant activity the convicted employee <br />was working, unless the Federal agency has designated a central point for the <br />receipt of such notices. Notice shall include the identification number(s) of <br />each affected grant; <br /> <br />(1) Taking on of the following actions within 30 calendar days of receiving <br />notice under paragraph (d)(2), with respect to any employee who is so <br />convicted-- <br />(1) Taking appropriate personnel action against such an <br />employee, up to and including tennination, consistent with the requirements <br />of the Rehabilitation Act of1973, as amended; or <br />(2) Requiring such employee to participate satisfactorily in a <br />drug abuse assistance or rehabilitation program approved for such pUIposes <br />by a Federal, State, or local health, law enforcement, or other appropriate <br />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 (1). <br />B. The grantee may insert in the space provided below the site(s) for the <br />performance of work done in connection with the specific grant: Place of <br />Performance (Street address, city, county, state, zip code) <br /> <br />Check [ ] if there are workplaces on file that are not identified here. <br />Alternate II. (Grantees Who Are Individuals) <br />(a) The grantee certifies that, as a condition of the grant, he or she will not <br />engage in the unlawful manufacture, distribution, dispensing, possession, or <br />use of a controlled substance in conducting any activity with the grant; <br />(b) If convicted of a criminal drug offense resulting from a violation <br />occurring dwing the conduct of any grant activity, he or she will report the <br />conviction, in writing, within 10 calendar days of the conviction, to every <br />grant officer or other designee, unless the Federal agency designates a central <br />point for the receipt of such notices. When notice is made to such a central <br />point, it shall include the identification number(s) of each affected grant. <br /> <br />/ <br /> <br />25 <br />