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<br /> <br />PART C: Certification Regarding Drug-Free Workplace Requirements <br /> <br />CHECK.::i. IF THIS CERTIFICA TJON IS FOR AN APPLICANT WHO IS NOT AN INDIVIDUAL. <br />Alternate I. (Grantees Other Than Individuals) <br /> <br />A. The grantee certifies that it will or continue to provide a drug-free workplace by: <br /> <br />(a) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession. <br />or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be <br />taken against employees for violation of such prohibition; <br /> <br />I <br /> <br />(b) Establishing an ongoing drug-free awareness program to inform 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 assistance programs; and <br />(4) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; <br /> <br />I <br /> <br />(c) Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the <br />statement required by paragraph (a): <br /> <br />(d) Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the <br />grant, the employee will-- <br />(1) Abide by the terms of the statement; and <br />(2) Notify the employer in writing of his or her conviction for a violation of a criminal drug statute <br />occurring in the workplace no later than five calendar days after such conviction; <br /> <br />I <br /> <br />I <br /> <br />(e) Notifying the agency in writing, within ten calendar days after receiving notice under subparagraph (d)(2) from <br />an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must <br />provide notice, including position title. to every grant officer on whose grant activity the convicted employee was <br />working, unless the Federal agency has designated a central point for the receipt of such notices. Notice shall <br />include the identification number(s) of each affected grant; <br /> <br />I <br /> <br />I <br /> <br />(f) Taking one of the following actions, within 30 calendar days of receiving notice under subparagraph (d)(d). with <br />respect to any employee who is so convicted -- <br />(1) Taking appropriate personnel action against such an employee. up to and including termination, <br />consistent with the requirements of the Rehabilitation Act of 1973, as amended; or <br />(2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved <br />for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency; <br /> <br />(g) Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs <br />(a), (b), (c), (d), (e) and (t). <br /> <br />I <br /> <br />I <br /> <br />B. The grantee may insert in the space provided below the site(s for the performance of work done in connection with the <br />specific grant: <br /> <br />Place of Performance (Street address, city, county. state, zip code) <br /> <br />I <br /> <br />I <br /> <br />Check _ If there are workplaces on file that are not identified hera. <br /> <br />PART 0: Certification Regarding Drug-Free Workplace Requirements <br /> <br />I <br /> <br />CHECK <br /> <br />IF THIS CERTlFICA nON IS FOR AN APPLICANT WHO IS AN INDIVIDUAL. <br /> <br />AlternAte II. (Grantees Who Are Individuals) <br /> <br />I <br />I. <br /> <br />(a) <br /> <br />The grantee certifies that, as a condition of the grant, he or she will not engage in the unlawful manufacture. <br />distribution. dispensing, possession. or use of a controlled substance in conducting any activity with the grant; <br /> <br />If convicted of a criminal drug offense resulting from a violation occurring during the conduct of any grant activity. <br />he or she will report the conviction, in writing, within 10 calendar days of the conviction, to the grant officer or <br />other designee, unless the Federal agency designates a central point for the receipt of such notices. When notice <br />made to such a central point, it shall include the identification number(s) of each affected grant. <br /> <br />DI-21)10 <br />JUlie 1995 <br />(Tllis fmm repiacas 01-1 [;53. 01-1 ~54 <br />01-1955. DI-HISa OliO OI-196~\1 <br /> <br />(b) <br /> <br />1 <br /> <br />I <br />