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ATTACHMENT C <br />CERTIFICATION REGARDING DRUGFREE WORKPLACE REQUIREMENTS <br />rovide a drug-free workplace by: dis ensing, <br />A. The grantee certifies that it wi11 or W>» c~otltthe unlawful manufacture, distribution, p <br />(a) Publishing a statement notifying emp yees tha <br />possession, or rohibited in the grantee's workplace and specifying the actions <br />use of a controlled substance is p roh that wi11 be taken against employees for violation of s~am to n,fo,trm employees about- <br />(b) Establishing an ongoing drug-free awareness prog <br />(1) The dangers of drug abuse in the workplace; <br />(2) The grantee's policy of maintaining a drug-free workplace; and (3) Any available drug counseling, rehabilitation, and employee a~assistance use v oladons occurr ng in the workplace; <br />(4) The penalties that may be imposed upon employees for drug iven a copy of <br />lo ee to be engaged in the performance of the grant be g <br />(c) Making it a requirement that each emp Y ent under <br />ee in the statement required by paragraph (a) that, as a condition of emp oym <br />(d) the statement Notifying the required by paragraph (a); <br />employ <br />the grant, the employee will- <br />statute occurring <br />Abide by the terms of the statement; and <br />(2) Notify the employer in writing of his or her convicfioa~e rsUCh conv ction~criminal drug <br />lace no later than five calendar day from <br />recerv ing notice under paragraph (d)(2) <br />~e~ in the workp ees must <br />Noti~ing the agency in writing, within ten calendach days after conviction. Employers of convicted employ <br />an employee or otherwise recerving actual notice oat officer or other designee on whose g rant activity the <br />provide notice, including position title, to every g <br />(fl T a, point for the receipt of such <br />ted emPloyee was working, unless the Federal agencyf ehas aheaffect d grant~ <br />convic <br />notices. Notices shall include the identifcation number(s o <br />akinS one of the following actions, within 30 calendar days of receiving notice under paragraph (a)(2), wit <br />tent <br />respect to any employee who is so convicted- lo ee, up to and including termination, consis <br />(1) Taking appropriate personnel action against such an emp y <br />with the requirements of the Rehabilitation Act of 1973, as abusedas~ <br />(2) Requiring such employee to p si tance or rehabilitation program <br />articiPate satisfactorily in a drug ro riate <br />approved for such purposes by a Federal, State, or local health, law enforcement, or other app <br />agency; free workplace through implementation of <br />(g) Making a good faith effort to continue to maintain a drug- <br />paragraphs (a), (b), (c), (d), (e), and (0, <br />insert in the space provided below the site(s) for the performance of work done in connection <br />B. The grantee maY <br />with the specific grant: <br />Place of Performance (Street address, city, county, state, zip code) <br />I~5 ~s~ e <br />-5 5~ o <br />Check if there are workplaces on file that are not identified here. 6 <br />~ <br />~ ~CPM_-b'?,►'8 <br />Signed: Dated: <br />~ <br />- oyht nanc,e e c,'1~ ~ <br />Typed Name and Title of Sponsor Representative <br />Page 28 of 28 <br />