COM 0732.000 1996-1998 - Laserfiche WebLink

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~ ^ i (2) Notify the employer of any criminal drug statute conviction for a violation occurring in [he workplace no later than five days after such conviction; (e) Notifying the agency within [en days after receiving notice under subparagraph (d)(2) from an employee or oth Bruise receiving actual notice of such conviction; (f) Taking one of the following actions, ui thin 30 days of receiving notice under subparagraph (d)(2), with respect to any employee who is so convicted (1) Taking appropriate personnel action against such an employee, up to and including termination; ar (2) Requiring such employee [o participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency; (g) Making a good faith effort [o continue to maintain a drug free workplace through implementation of paragraphs (a), (b), (c), (d), (e) and (f). B. The grantee shall insert in the space provided below the site(s) for the performance of cork done in connection with the specific grant. Place of Performance (Street address, city, county, Slate, zip code) County of Hawaii Rural Housine PreGervat;on rI371t Organization Name PR/Award Number or Project Name &tephen K. Yamashiro Mavor Name and Title of Authorized Representative Signature Date INSTRUCTIONS FOR CERTIFICATION 1. By signing and submit[i ng this form, the grantee is providing [he certification set out on pages 1 and 2- 2. The certification set out on pages 1 and 2 is a material representation of fact upon which reliance was placed when the agency determined to award the grant. If it is later determined that the grantee knowingly rendered a false certification, or otherwise violates the requirements of • the Drug-Free Workplace Act, the agency, in addition to any other remedies available to the Federal Government, may take action authorized under the Drug-Free Workplace Act. 2 Form AD-7049 (2/89) 'U.i. GPO: 1989-oi~-005.91529