AG 1993 06 21 - Laserfiche WebLink

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( I I Abide by the Items of the statement: and ~ 2) Notify the emploY'er in writing of his or her convic- tion for a violation ora criminal drug statute occur- ring in the workplace not later than five calendar days after such conviction: (e) Notifying the agency, in wriling, within ten calendar days after receiving notice under subparagraph from an employee or otherwise receiving aclual notice of such conviction. Employers of convicled employees must provide notice, including Posi6on title, to every grant officer or other designee on whose grant activity thc convicted employee was working, unless thc Federal agency has designated a central Poinl for the receipt of such notices. Notice shall include thc identification number, s) of each affected grant: (fi Taking one of thc following actions, within 30 calendar days of receiving notice under subparagraph <d)(2). w nh rcspccl to any employee who.is so conviclcd: (I) Taking appropriate personnel action against such an employee, up to and including termination, consis- tent wilh the rcquircmcms of thc Rehabilitation Acl of 1973, as amended: or ¢2) Requiring such employee to participate satisfaclo- rily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal. Slate. or local health, law enforcement, or other appropriate agency: (g) Making a good failh efforl t~ continue Ia maimain a drug-flee workplace Ihrough implementation o[ para- graphs (a). (bL (eL (all (el, and (~,. The grantee may insert in the space' provided below the sile(s) for the performance of work done in connection with specific grant: Place of Performance: (Streel address, city. county, state, zip code) Cabarrus County Dept. of Aging ~31Corban Avenue, S. E. Concord, N.C. 28026 F--] Check if Iher~ are workplaces on file Ihat are not identified here. ALTERNATE I! (GRANTEES WHO ARE INDIVIDUALS) ( I ) Thc grantee cc r~ific s that. as a condilion oflhc gm nt. he or she wdl not engage in the unlawful manufacture, distribution. dispensing, possession, or use of a controlled substance in conducting any activiEy wilh ~he granL (2) If convicted of a criminal dr~g offense resulting from a violation occurring during the conducl of any grant activity. he or she will report the conviction, in writing, within I0 calendar days of Ihe conviction, to every gran! officer or other designee, unless the Federal agency designales a ccn- Iral point for the receipt of such notices. When notice is made Io such a cemral poinl, il shall include the identification number(si of tach affected grant As the duly authorized representative of the applicant. I hereby certify Ihat Ihe applicant will comply wilh Ihe above certifications. NAME OF APPLICANT Cabarrus County PR/AWARD NUMBER AND/OR PROJECT NAME Weatherization Assistance Program PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Carolyn Ca,rpenter, Chair Cabarrus County Board of Commissioners SIGNATURE ~ DATE