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30 <br /> INSTRUCTIONS FOR TIFITIN <br /> 1. By signing and submitting this form,the grantee is providing the certification set out on pages 1 and 2. <br /> 2. The certification set out on pages 1 and 2 is a material representation of fact upon which reliance is placed when the <br /> agency awards the grant.If it is later determined that the grantee knowingly rendered a false certification,or <br /> 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. Workplaces under grants,for grantees other than individuals,need not be identified on the certification.If known, <br /> they may be identified in the grant application lithe grantee does not identify the workplaces at the time of <br /> application,or upon award,if there is no application,the grantee must keep the identity of the workplace(s)on file <br /> in its office and make the information available for Federal inspection.Failure to <br /> identify all known workplaces constitutes a violation of the grantee's drug-free workplace-requirements. <br /> 4. Workplace identifications must include the actual address of buildings(or parts of buildings)or other sites where <br /> work under the grant takes place.Categorical descriptions may be used(e.g.,all vehicles of a mass transit <br /> authority or State highway department while in operation,State employees in each local unemployment office, <br /> performers in concert halls or radio studios). <br /> 5. lithe the workplace identified to the agency changes during the performance o f the grant,the grantee shall <br /> inform the agency of the change(s).If it previously identified the workplaces in question(see paragraph three). <br /> 6. Definitions of terns in the Nonprocurement Suspension and Debarment common rule and Drug-Free <br /> Workplace common rule apply to this certification.Grantees'attention is called,in particular,to the <br /> following definitions from these rules: <br /> "Controlled substance'�means a controlled substance in Schedules I through V of the Controlled <br /> Substances Act 1 U.S.C.812)and as further defined by regulation(21 CFR 1 308.11 through 1308.15); <br /> "Conviction"means a finding of guilt(including a plea of nolo contendere)or imposition of sentence,or <br /> both,by any judicial body charged with the responsibility to determine violations of the Federal or <br /> States criminal drug statutes; <br /> "Criminal drug statute"means a Federal or non-Federal criminal statute involving the manufacture, <br /> distribution,dispensing,use,or possession of any controlled substance; <br /> "Employee"�means the employee of a grantee directly engaged in the performance of work under a grant, <br /> including:(i)all"direct charge"employees;(ii)all"indirect charge"employees unless their impact or <br /> involvement is insignificant to the performance of the grant;and,(iii)temporary personnel and consultants <br /> who are directly engaged in the performance of work under the grant and who are on the grantee's payroll. <br /> This definition does not include workers not on the payroll of the grantee(e.g.volunteers,even if used to meet <br /> a matching requirement;consultants or independent contractors not on the grantee's payroll;or employees of <br /> s ub reci pien is or subcontractors in covered workplaces) <br /> • D-1 O49(REV 5/90) <br />