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DOH CONTRACT #: CLH31015 <br /> <br />2022-2024 Consolidated Contract Page 12 of 16 <br />2) Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the <br />workplace no later than five calendar days after such conviction; <br />E. Notifying the agency in writing within ten calendar days after receiving notice under paragraph D. 2) from an <br />employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide <br />notice, including position title, to every contract officer or other designe e on whose contract activity the convicted <br />employee was working, unless the Federal agency has designated a central point for the receipt of such notices. <br />Notice shall include the identification number(s) of each affected grant; <br />F. Taking one of the following actions, within 30 calendar days of receiving notice under paragraph D. 2) with respect <br />to any employee who is so convicted: <br />1) Taking appropriate personnel action against such an employee, up to and including termination, consistent with <br />the requirements of the Rehabilitation Act of 1973, as amended; or <br />2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program <br />approved for such purposes by a Federal, State, or local health, law enforcement, or other appropria te agency; <br />G. Making a good faith effort to continue to maintain a drug -free workplace through implementation of paragraphs <br />(A), (B), (C), (D), (E), and (F). <br />For purposes of paragraph (E) regarding agency notification of criminal drug convictions, DOH has des ignated the <br />following central point for receipt of such notices: <br />Compliance and Internal Control Officer <br />Department of Health – Office of Financial Services <br />PO Box 47901 <br />Olympia, WA 98504-7901 <br /> <br />3. CERTIFICATION REGARDING LOBBYING <br />Title 31, United States Code, Section 1352, entitled "Limitation on use of appropriated funds to influence certain Federal <br />contracting and financial transactions," generally prohibits recipients of Federal grants and cooperative agreements from <br />using Federal (appropriated) funds for lobbying the Executive or Legislative Branches of the Federal Government in <br />connection with a SPECIFIC grant or cooperative agreement. Section 1352 also requires that each person who requests <br />or receives a Federal grant or cooperative agreement must disclose lobbying undertaken with non -Federal (non- <br />appropriated) funds. These requirements apply to grants and cooperative agreements EXCEEDING $100,000 in total <br />costs (45 CFR Part 93). <br />The undersigned (authorized official signing for the contracting organization) certifies, to the best of his or her <br />knowledge and belief, that: <br />A. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for <br />influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or <br />employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal <br />contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative <br />agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, <br />loan, or cooperative agreement. <br />B. If any funds other than Federally appropriated funds have been paid or will be paid to any pers on for influencing or <br />attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of <br />Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or <br />cooperative agreement, the undersigned shall complete and submit Standard Form -LLL, "Disclosure of Lobbying <br />Activities," in accordance with its instructions. (If needed, Standard Form -LLL, "Disclosure of Lobbying <br />Activities," its instructions, and continuation sheet are included at the end of this application form.) <br />C. The undersigned shall require that the language of this certification be included in the award documents for all <br />subcontracts at all tiers (including subcontracts, subcontracts, and contracts under grants, loans and cooperative <br />agreements) and that all subrecipients shall certify and disclose accordingly.