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Ce)
<br />
<br />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 tiffs, 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 />(0
<br />
<br />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)
<br />
<br />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 />(;)
<br />
<br />Requiting 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 cf work done in connection wiU1 the-specific
<br /> grant:
<br />
<br />Place cf Performance:
<br />(Street address, city, county, state, zip code)
<br />
<br />CABARRUS COUNTY DEPARTMENT OF AGING
<br />331 CORBAN AVENUE S.E.
<br />CONCORD, NORTH CAROLINA 28{)25
<br />[] Check if there are workplaces
<br /> on file that are not identified here.
<br />
<br />(4) Lobbying Disclosure Act of 1995, 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 />tile employees of a designated person or persons in e particular
<br />municipality, and the net earnings of which are devoted
<br />exclusively to cha~ftable, educational, or recreational purposes.
<br />
<br />As sst forth in the Lobbying Disclosure Act of 1995 Public Law 104-
<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}, lobbying activities is defined broadly.
<br />(See section 3 of the Act.)
<br />
<br />The undersigned certifies, tO the best of his or her knowledge and
<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 organization
<br />described in section 501 (c)(4) of the Internal Revenue Code of
<br />1986, which, after December 31, 1995, HAS NOT engaged in any
<br />lobbying activities as defined in the Lobbying Disclosure Act cf 1995,
<br />a~ amended.
<br />
<br />ALTERNATE !1 (GRANTEES WHO ARE INDIVIDUALS)
<br />
<br />(1)
<br />
<br />The grantee certifies fiat, 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. When notice is made to such a central point, it
<br />shall include the identification number(s) of each affected grant.
<br />
<br />As fie 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 />Weathedzation Assistance Program (WAP)
<br /> Contract ft99-1441-38(2)
<br />
<br />PRINTED NAMEAND TITLE OF AUTHORIZED
<br />REPRESENTATIVE
<br />Arne L. Fennel, Chairman
<br />Board of Commissioners
<br />
<br />SIGNATURE
<br />
<br />DATE
<br />
<br />
<br />
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