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Exhibit C <br />page 1 of 2 <br />HHS CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS: <br />GRANTEES OTHER THAN INDIVIDUALS <br />Instructions for Certification <br />By signing and/or submitting this application or grant agreement, the grantee is providing the <br />certification set out below. <br />1) This certification is required by regulations implementing the Drug -Free Act of 1988, 45 <br />CFR Part 78, Subpart F. The regulations, published in the May 25. 1990 Federal Register, require <br />certification by grantees that they will maintain a drug-free workplsee. The certification set out <br />below is a material representation of fact upon which reliance wig be placed when the Department <br />of Health and Human Services (HHS) dew.. .nes to award the grant. If it is later determined that <br />the grantee knowingly rendered a false certification, or otherwise violates the requirements of the <br />Drug-Frse Workplace Act. HSS. in addition to any other remedies available to the Federal <br />Government, may take aeoon authorized under the Drug -Free Workplace Act. <br />2) Workplaces under grams. for gramses other than individuals. need not be identified on the <br />certification. If known, they may be identified in the gram application. If the grantee does not <br />identify the workplaces at the time of application, or upon award, if there is no application, the <br />grantee must keep the identity of the workplaces) on file in its office and make the information <br />available for Federal inspection. Failure to identify all known workplaces constitutes a violation of <br />the grantee's drug-free workplace requirements. <br />3) Workplace identifications must include the actual address of buildings for parts of buildings) <br />or other sites where work under the gram takes place. Categorical descriptions may be used (e.g., <br />aY vehicles of a mass trwit authority or State highway department while in operation, State <br />employees in each local unemployment office, performers in concert halls or radio studios). <br />41 It the workplace identified to the agency changes during the performance of the gram, the <br />grantee shall inform the agency of the enange(s). if it previously identified the workplaces in <br />question (see above). <br />51 DMinitions of terms in the Nonproc:urament Suspension and Debarment common rule and <br />Drug -Free Workplace common rule apply to this certification. Grantees' attention is called, in <br />particular, to the following definitions tram thus ruin: <br />"Controlled substance" means a controlled substance in Schedules I through V of the <br />Controlled Substances Act t21 U.S.C. 212) and as further defined by regulation (21 CFR 1308.11 <br />through 1308.15): <br />*Conviction' moans a finding of guilt (including a piss of nolo comendsrs) or imposition of <br />sentence, or both, by any judicial body charged with the responsibility to determine violations of <br />the Fedard or State criminal drug sunutes: <br />•Criminal drug statute' means a Federal or non -Federal criminal states involving the <br />manufacture, distribution. dispensing, use. or possession of any controlled substance: <br />'Emptoyee" means the employee of a grantee directly engaged in the performance of work <br />under a grant, including: (i) All direct emerge employees: (ii) All Indirect charge employees unless <br />their impact or involvement Is insignificant to the performance of the gram: and, (iii) Temporary <br />personnel and consultants who are directly, engaged in the performance of work under the grant <br />and who are on the grantee's payroll. This definition does not include workers not on the payroll of <br />the grantee (e.g., volunteers. even if used to meet a matching requirement: consultants or <br />indspendem contractors not on the grantee's payroll: or employees of subrecipiertts or <br />subcontractors In covered workplaceal. <br />