Orange County NC Website
i <br /> . 23 <br /> use of a controlled substance is prohibited in the grantee's (b) Requiring such employee to participate satisfactorily in a - <br /> workplace and specifying the actions that will be taken against drug abuse.assistance or rehabilitation program approved for <br /> employees for violation of such prohibition; such purponow by,i Federal,State,or local health,law enforce- <br /> ment or other appropriate agency; <br /> (ii) Establishing an on-going drug-free awareness program to <br /> inform employees about— (vii) Making a good faith effort to continue to maintain a <br /> drug-fray,workplace through implementation of paragraphs J. <br /> (a) The dangers of drug abuse in the workplace; (i),hi),(iii),(iv),(v),and (vi). <br /> (b) The grantee's policy of maintaining a drug-free workplace; B. The grantor may insert in the space provided below the sitcfs) <br /> for the performance of work done in connection with the specific <br /> (c) Any available drug counseling,rehabilitation,and employ- grant: <br /> ee assistance programs; and <br /> ('lace of Performance(street address,city,county,state,zip code) <br /> The penalties that may be imposed upon employees for <br /> drug abuse violations occurring in the workplace; e <br /> (iii) :Making it a requirement that each employee to be <br /> engaged in the performance of the grant be given a copy of <br /> the statement required by paragraph(i); Check O if there are workpiaces on file that are not identified _ <br /> here. } <br /> (iv) Notifying the employee in the statement required by <br /> paragraph(i)that,as a condition of employment-under the Section 67.630 of the regulations provides that a grantee that is a <br /> grant,the employee will— State may elect to make one certification in each Federal fiscal <br /> year,a copy of which should be included with each application <br /> (a) Abide by the terms of the statement, and for Department of Justice funding. States and State agencies may <br /> elect to use OJP Form 4061/7. 3 <br /> (b) Notify the employer in writing of his or her conviction for <br /> a violation of a criminal drug statute occurring in the work- Check C3 if the State has elected to complete OJP Form 4061/7. <br /> place no later than five calendar days after such conviction; <br /> 4. Coordination <br /> (v) Notifying the agency,in writing,within 10 calendar days <br /> after receiving notice under subparagraph(iv)(b)from an The Public Safetv Partnership and Community Policing Act of 1994 <br /> employee or otherwise receiving actual notice of such conic- requires applicants to certify that there has been appropriate coordi- <br /> tion. Emplovers of convicted employees must provide notice, nation with all agencies that may be affected by the applicants grant <br /> including position title,to: COPS Office,1100 Vermont Ave., proposal if approved. Affected agencies may include,among others, t` <br /> NLW,Washington,DC 20530. Notice shall include the identifi- the Office of the United States Attome%;state or local prosecutors,or <br /> cation number(s)of each affected grant, correctional agencies. The applicant certifies that there has been <br /> appropriate coordination with all affected agencies. <br /> (vi) Taking one of the following actions,within 30 calendar <br /> days of receiving notice under subparagraph(iv)(b),with 5. Non-Supplanting <br /> respect to any employee who is so convicted— <br /> The applicant hereby certifies that Federal funds will not be used to <br /> (a) Taking appropriate personnel action against such an replace or supplant State or local funds,or funds supplied by the <br /> employee,up to and including termination,consistent with Bureau of Indian Affairs,that would,in the absence of federal aid,be <br /> the requirements of the Rehabilitation Act of 197-3,as amend- made available to or for law enforcement purposes. <br /> ed; or <br /> As the duly aurthorized n7yrr•cvrtutive of the applimnt,f here8v ertity tfrut tfte appfic:nct cc-ril cvinply:oath the zLvve c�!ihcrt ort�. <br /> Grantee Name and Addre-:;: <br /> Applic-ation No.and/tor Pmjc`d Name: Crintev IFS! Vendor Number. <br /> Typed Name:.urd Title of Authonzed Repret�entative: <br /> Signature: Date: <br />