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(e) Notify the co=YSWer receiving notice t SON Grants Officer
<br />within ten calea of
<br />such conviction under subparagraph (d)(2) from
<br />the employee, or otherwise receiving actual no-
<br />nce. The notice shall include the title of the
<br />employee's position and the identificw._ ::_
<br />number(s) of each affected grant;
<br />(f) Take one of the following actions, within 30
<br />calendar days of receiving notice under
<br />subparagraph 4b; with respect to any employee
<br />who is so convicted—
<br />(1) Take appropriate personnel action against
<br />such an employee up to and including termi-
<br />nation consistent with therequirements of the
<br />Rehabilitation Act of 1973, as amended; or
<br />(2) Require such employee to participate saris -
<br />factorily in a drug abuse assistance or reha-
<br />bi]itation pzograrn approved for such purcoses
<br />by a Federal, State or local health, law en-
<br />forcement, or other appropriate agency;
<br />(g) YIa_ke a good faith effort to continue to maintain
<br />a drug -free work -Place through implementation
<br />Of paragraphs 1(a) through
<br />I The grantee shall insert in the space provided below
<br />tare sire(s) for the performance of work done in
<br />connection with the specific zrant:
<br />Pace of Perforrnance (Street address, city, county, state,
<br />rip code):
<br />RSVP - Orange County Department on Aging
<br />410 Caldwell Street
<br />Chapel Hill, NC 27516
<br />Orange Count
<br />® Check here if there are grantee workplaces that are
<br />not identified above,
<br />C. LOBB
<br />As required by Section 1352, Title 31 of the U. S. Code,
<br />and implemented az 45 CFR Part 1230, for organizations
<br />entering +:eta a grant or cooperative agreerrert over
<br />SiW,000, as defined at 45 CFR Part 1230, Sections
<br />1230.105 and 1230.110, the applicant certifies that:
<br />1. No Federal appropriated funds have been paid or will
<br />be paid, by or on behalf of the undersigned, to any
<br />person for influencing or attempting to influence an
<br />officer or employee of any agency, a Member of
<br />Congress, an officer or employes of Congress, or an
<br />employee of a Member of Congess in connection
<br />with the awarding of any Federal contract, the making
<br />of any Federal grant, the making of any Federal loan,
<br />the entering into of any cooperative agreement, or tl:e
<br />extension, continuation, renewal, amendment, or
<br />modification of any Federal contract, grant, loan, or
<br />cooperative agreement.
<br />I If any funds other than Federal appropriated funds
<br />have been paid or will be paid to any person for
<br />influencing or attempting to influence an officer or
<br />employee of any agency, a Member oz Congress, an
<br />officer or employee of Congress, or an employee or a
<br />Member of Congress m connection with this Federal
<br />contract, grant. loan, or cooperative ageeme ^t, rte
<br />undersigned shall complete and submit Standard
<br />Form -LLL, "Disclosure Form to Report Lobby -Lng,"
<br />in accordance with its instructions.
<br />=. The undersigned shall require that the larl uaze of
<br />this cerdncation be included in the award documents
<br />for all subcontracts at all tiers (including subcon-
<br />tracts, subgrants, and contracts under grams, loans,
<br />and cooperative agreements) and that all subreciuients
<br />shall certify and disclose accordingly. y
<br />As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above
<br />cerrmcation(s). (A copy of the governing body's authorization for me to sign this cezdncation as official the above
<br />tative is on file in the applicant's office.) -
<br />Orange County Government
<br />Applicant Organization
<br />Moses
<br />Chair, Orange County Commissioners
<br />Printed Name and Title of Authorized Representative
<br />Sion; e of utholized Certifying
<br />Date
<br />rage 11
<br />19-A.
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