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(2) The contractor's policy of maintaining a <br />drug-free workplace; <br />(3) Any available drug counseling, <br />rehabilitation, and employee assistance <br />programs; and <br />(4) The penalties that may be imposed upon <br />employees for drug abuse violations <br />occurring in the workplace; <br />c) Making it a requirement that each employee <br />to be engaged in the performance of the <br />contract be given a copy of the statement <br />required by paragraph (a) above; <br />d) Notifying the employee in the statement <br />required by paragraph (a), above, that, as a <br />condition of employment under the contract, <br />the employee will— <br />(1) Abide by the terms of the statement; and <br />(2) Notify the employer in writing of his or her <br />conviction for a violation of a criminal drug <br />statute occurring in the workplace no later <br />than five calendar days after such 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 other <br />designee on whose contract activity the <br />convicted employee was working, unless the <br />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 />f) Taking one of the following actions, within 30 <br />calendar days of receiving notice under <br />paragraph (d) (2), with respect to any <br />employee who is so convicted— <br />(1) Taking appropriate personnel action <br />against such an employee, up to <br />and including termination, <br />consistent with the requirements of <br />the Rehabilitation Act of 1973, as <br />amended; or <br />(2) Requiring such employee to <br />participate satisfactorily in a drug <br />abuse assistance or rehabilitation <br />program approved for such <br />purposes by a Federal, State, or <br />local health, law enforcement, or <br />other appropriate agency; <br />g) Making a good faith effort to continue to <br />maintain a drug-free workplace through <br />implementation of paragraphs (a), (b), (c), <br />(d), (e), and (f). <br />For purposes of paragraph (e) regarding agency <br />notification of criminal drug convictions, Authority <br />has designated the following central point for <br />receipt of such notices: <br />Legal Services Manager <br />WA State Health Care Authority <br />PO Box 42700 <br />Olympia, WA 98504-2700 <br />3. CERTIFICATION REGARDING 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 cooperative <br />agreement. Section 1352 also requires that each <br />person who requests or receives a Federal grant <br />or cooperative agreement must disclose lobbying <br />undertaken with non -Federal (nonappropriated) <br />funds. 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 or <br />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 />loan, 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 />Local Health Jurisdiction Page 38 of 59 Medicaid Administrative Claiming <br />Washington State Health Care Authority Contract # K3069 <br />