Orange County NC Website
{•) The dangea of drug abnsc in the vrrnkphcr, <br />(b) The grantee s pork] of aaintaiaing a drugfree workplaeG <br />{c) Aay avadabk drag manacling, rehabii"iusion and cmptoyce <br />assistance programs, and <br />(d) the penalties that aaf be imposed upon anplgas fordrug- <br />abnsc violations oceurdngin the workpace; <br />(tb) Making it a rcquinmcat that nch rmplaycc to be rng7gcd err <br />the perfortnance of the grant be green a copy of the sneerrrent <br />zegaired by paragraph sQ; <br />(rr) Notifying the employee in t}rc stuemertt required b9 paragraph <br />(] that, as a condition of empTogmmt under the man; the <br />employee vs11 <br />(a) Atxide by the terms of the atatcmeitr, and <br />(b) Norify the unplopv in writing of his or her conviction for a <br />violation of a crimiml drug statute occurring in the workplace ao <br />later than Frve calendar days after such conviction; <br />(v) NodCytttg the agrncy, in writing, widen ]0 calendar days after <br />receiving aoticc under subpuagraph (rr}(b) Gum an employee of <br />otherwise receiving actual notice of such conviction Employers of <br />convicted employees must provide notice, iruhtding position ttlc <br />to: COPS O(fxe TT00vcrmortt Ave, Nut; Washington DC. <br />20530 Notice shall include the idrntification number(s) of nch <br />affected Brant <br />(.y) Taking one of nc~ foDo~ring actions ~sithin 30 nlendar days of <br />receiving notice under subparagraph (v)(b). wirh respect to arsy <br />employee who is so convrctcd <br />{a) Taking appropriate pctsoanci xtion agaiaat such as <br />smployey up to and iockrdvtg termimttoa, consistent with <br />the ral+irrmxnts of the Rehahi6tatioa Act of 1973, as <br />smenided; m <br />(b) Regucirg such rntployee m partidpatc satisfactorily in z <br />drug abase ass;stanct or rehabs'Gtadon ptogaar approved fa <br />such purposes by a iederat sme or local hesStTr, }aw <br />asfotuateal m other apprtspriate agvxy; <br />(vri) Mokrog a good Frith effort ro raatimre to maintain a <br />drug-Iceeaotkpheethrtwgh implemcnmtioa of pata~+phs <br />~. ~a). n. ~')> (v) and ('^) - <br />~ 7bc graotcc may ituert in the space provided below the <br />siae(s} for the perfortnarrce of work done is conoectioa with <br />the spcriGc grmk <br />Plate of pcrforasaace (sweet address, dry. covng4 sate, zip <br />code) <br />_ 1914 New Hope Church Road __ _ <br />Hilisbbrouoh. NC 27253 _. <br />ChecE~if thuc arc workplaces oa fdc chat arc tier <br />idcntificd here <br />4. Coordimtion <br />the Public Safcry Pumership sad Cornmvnity Pariang Att <br />of ]999 requires applicants to certify that there Ma hem <br />appropriate coordination with al agencies tlnt nrry be <br />:ffeeted br the app5caat's grant proposal if approved <br />Affected agrncies rosy include among others, the Ofbce of <br />the United Scores Attorney state os kxai proseeutnrs or <br />correctroml sgerwes ITte applicant entiGa that there has <br />6ttn appropriate coor3ination with all affeced agencies. <br />Orange County Emergency Management P.O. Box 8181 <br />Hillsborough, NC 27278 <br />Grmtee IRS/ Vrndor Nnmbec 56-6000327 <br />Fake statanents m claims made is carmectiort with COPS greats (faduding toopetatire agreetnmts) may result iR fines, <br />imprisormtcnt, disbarmcat from patticipatittg in federal gnrrb or conrncrs, and/or my other remedy available by last <br />I catifj that the asstrtancea pro+idcd tic core wad accurate to tIx bat of my kaovkdge <br />Elections or other adectioaa of new of6ciils v~71 rtot rc5eve the gtaatec tp$q of Its obligations ruttier dris grwt <br />Pypeal Name wad Iirk of I.aw Enformrrmt Ezetutire (or OEfical tsidr Programmatic Aurhtuity, as appiticable): <br />Jack B II, Director <br />Typed Natnt and Pxlc of C=wcrnmatt Fxewtire (or Offidal with Financial Avehomty ss apprtcabkr <br />John M. Link,~lr. County <br />~~ <br />25>ros <br />~~ cT®ctaraQ F0, 200f d2041t3ti <br />