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d) Notifying the employee in the statement <br />required by paragraph (a), above, that, as a <br />condition of emp loyment under the contract, <br />the employee will- <br />(l) Abide by the terms of the statement; and <br />(2) Notify the employer in writing of his or <br />her conviction for a violation of a criminal <br />drug statute occurring in the workplace no <br />later than five calendar days after such <br />conviction; <br />e) Notifying the agency in writing within ten <br />calendar days after receiving notice under <br />paragraph (d)(2) from an employee or <br />otherwise receiving actual notice of such <br />conviction. Employers of convicted <br />employees must provide notice, including <br />position title, to every contract officer or <br />other designee on whose contract activity <br />the convicted employee was working, unless <br />the Federal agency has designated a central <br />point for the receipt of such notices. Notice <br />shall include the identification number(s) of <br />each affected grant; <br />t) Taking one of the following actions, within <br />30 calendar days of receiving notice under <br />paragraph (d) (2), with respect to any <br />employee who is so convicted- <br />(l) Taking appropriate personnel action <br />against such an employee, up to and <br />including termination, consistent with the <br />requirements of the Rehabilitation Act of <br />1973, as amended; or <br />(2) Requiring such employee to participate <br />satisfactorily in a drug abuse assistance <br />or rehabilitation program approved for <br />such purposes by a Federal, State, or <br />local health, law enforcement, or other <br />appropriate agency; <br />g) Making a good faith effort to continue to <br />maintain a drug-frce workplace through <br />implementation of paragraphs (a), (b), (c), <br />(d), (e), and (t). <br />2015-2017 Consolidated Contract <br />DOH CONTRACT #: C17114 <br />For purposes of paragraph (e) regarding agency <br />notification of criminal drug convictions, DOH <br />has designated the following central point for <br />receipt of such notices: <br />Compliance and Internal Control Officer <br />Office of Grants Management <br />W A State Department of Health <br />PO Box 47905 <br />Olympia, W A 98504-7905 <br />3. CERTIFICATION REGARDING <br />LOBBYING <br />Title 31, United States Code, Section 1352, <br />entitled "Limitation on use of appropriated funds <br />to influence certain Federal contracting and <br />financial transactions," generally prohibits <br />recipients of Federal grants and cooperative <br />agreements from using Federal (appropriated) <br />funds for lobbying the Executive or Legislative <br />Branches of the Federal Government in <br />connection with a SPECIFIC grant or <br />cooperative agreement. Section 1352 also <br />requires that each person who requests or <br />receives a Federal grant or cooperative <br />agreement must disclose lobbying undertaken <br />with non-Federal (nonappropriated) funds. <br />These requirements apply to grants and <br />cooperative agreements EXCEEDING $100,000 <br />in total costs (45 CFR Part 93). <br />The undersigned (authorized official signing for <br />the contracting organization) certifies, to the best <br />of his or her knowledge and belief, that: <br />(1) No Federal appropriated funds have been <br />paid or will be paid, by or on behalf of the <br />undersigned, to any person for influencing <br />or attempting to influence an officer or <br />employee of any agency, a Member of <br />Congress, an officer or employee of <br />Congress, or an employee of a Member of <br />Congress in connection with the awarding of <br />any Federal contract, the making of any <br />Federal grant, the making of any Federal <br />Joan, the entering into of any cooperative <br />agreement, and the extension, continuation, <br />renewal, amendment, or modification of any <br />Federal contract, grant, loan, or cooperative <br />agreement. <br />Page 12 of 17