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(e) Notifying the agency, in writing within ten calendar days after <br /> receiving notice under subparagraph (d)(2) from an employee <br /> or otherwise receiving actual notice of such conviction. <br /> Employers of convicted employees must provide notice, <br /> including position title, to energy grant officer or other designee <br /> on whose grant activity the convicted employee was working, <br /> unless the Federal agency has designated a central point for <br /> the receipt of such notices Notice shall include the <br /> identification number(s) of each affected grant; <br /> <br /> (f) Taking one of the following actions, within 30 calendar days of <br /> receiving notice under subparagraph (d)(2) with respect to any <br /> employee who is so convicted: <br /> <br /> (1) Taking appropriate personnel action against such an <br /> employee, up to and including termination, consistent with <br /> the requirements of the Rehabilitation ACt of 1973, as <br /> amended; or <br /> <br /> (2) Req;Jiring such employee to participate satisfactorily in a <br /> drug abuse assistance or rehabilitation program approved <br /> for such purposes by a Federal, State. or local health, law <br /> enforcement, or other appropriate agency; <br /> <br /> (g) Making a good faith effort to continue to maintain a drug-free <br /> workplace through implementation of paragraphs (a), (b), (c), <br /> (d}, (e), and (f). <br /> <br />(2) The grantee may insert in the space provided below the site(s) for <br /> the performance of wod( done in connection with the specific <br /> grant: <br /> <br />Place of Performance: <br />(Street address, city, county, state, zip code) <br /> <br />CABARRUS COUNTY DEPARTMENT OF AGING <br />331 CORBAN AVENUE $.E. <br />CONCORD, NORTH CAROLINA 28025 <br /> <br />-~: Check if there are workplaces <br /> on file that are not identified here. <br /> <br />(4) Lobbying Disclosure Act of lg95, Simpson-Craig Amendment _ <br /> <br />Applicant organizations which are described in section 501 (c)(4) of <br />the Internal Revenue Code of 1986 and engage in lobbying <br />activities after December 31, 1995, shall not be eligible for the~ <br />receipt, of Federal funds constituting an award, grant, or loan. <br />Section 501 (c)(4) of the Internal Revenue Code of 1986 covers: <br /> <br />Civic leagues or organizations not organized for profit but... <br />operated exclusively for the promotion of social welfare, or local <br />associations of employees, the membership of which is limited to <br />the employees of a designated person or persons in a particular <br />municipality, and the net earnings of which am devoted_ <br />exclusively to charitable, educational, or recreational purposes, <br /> <br />As set forth in the Lobbying Disclosure Act of 1995 Public Law 10~ <br />65, December 19, 1995), as amended {"Simpson-Craig Amendment.. <br />see Section 129 of the Balanced Budget Downpayment Act, I (Public <br />Law 104.99, January 26, 1996}, Iobbying activities is defined broadly. <br />(See section 3 of the Act.) <br /> <br />The undersigned certifies, to the best of his or her knowledge an~" <br />belief, that: it IS NOT an.organization described in section 501 (c)(4) <br />of the Internal Revenue Code of 1986 OR that it IS an organizafio <br />described in section 501 (c)(4) of the Internal Revenue Code ¢ <br />1986, which, after December 31, 1995, HAS NOT engaged in an~- <br />lobbying activities as defined in the Lobbying Disclosure Act of'1995, <br />as amended. <br /> <br />ALTERNATE II (GRANTEES WHO ARE iNDIVIDUALS) <br /> <br />(1) <br /> <br />The grantee certifies that, as a condition of the grant, he or she <br />will not. engage in the unlawful manufacture, distribution, <br />dispensing, possession, or use of a controlled substances in'" <br />conducting any activity with the grant. <br /> <br />(2) <br /> <br />If convicted of a criminal drug offense resulting from a violation <br />occurring during the conduct of any grant activity, he or she will-- <br />report the conviction, in writing, within 10 calendar days of the <br />conviction, to every grant officer or other designee, unless the <br />Federal agency designates a central point for the receipt of <br />such notices. 1Nhen notice is made to such a central point, it-- <br />shall include the identification number(s) of each affected grant. <br /> <br />As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above certifications. <br /> <br />NAME OF APPLICANT <br /> <br />CABARRUS COUNTY DEPARTMENT OF AGING <br /> <br />PR/AWARD NUMBER AND OR PROJECT NAME <br />Weatherization Assistance Program (WAP) <br /> Contract #99-1441-38(2) <br /> <br />PRINTED NAME AND TITLE OF AUTHORIZED <br />REPRESENTATIVE <br /> <br />Executive Director <br /> <br />SIGNATURE <br /> <br />DATE <br /> <br /> <br />