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ii. Notify the employer in writing of his or her conviction for a violation of a criminal <br />drug statute occurring in the workplace no later than five (5) calendar days after <br />such conviction; <br />4. Notifying the agency in writing within ten calendar days after receiving notice under <br />paragraph (III)(b) from an employee or otherwise receiving actual notice of such <br />conviction. Employers of convicted employees must provide notice, including position <br />title, to every contract officer or other designee on whose contract activity the <br />convicted employee was working, unless the Federal agency has designated a central <br />point for the receipt of such notices. Notice shall include the identification number(s) of <br />each affected grant; <br />5. Taking one of the following actions, within thirty (30) calendar days of receiving notice <br />under paragraph (III) (b), with respect to any employee who is so convicted— <br />i. Taking appropriate personnel action against such an employee, up to and <br />including termination, consistent with the requirements of the Rehabilitation Act of <br />1973, as amended; or <br />ii. Requiring such employee to participate satisfactorily in a drug abuse assistance or <br />rehabilitation program approved for such purposes by a Federal, State, or local <br />health, law enforcement, or other appropriate agency; <br />6. Making a good faith effort to continue to maintain a drug -free workplace through <br />implementation of paragraphs (1) through (V). <br />For purposes of paragraph (V) regarding agency notification of criminal drug convictions, <br />Authority has designated the following central point for receipt of such notices: <br />Legal Services Manager <br />WA State Health Care Authority <br />PO Box 42700 <br />Olympia, WA 98504-2700 <br />c. CERTIFICATION REGARDING LOBBYING: Title 31, United States Code, Section 1352, <br />entitled "Limitation on use of appropriated funds to influence certain Federal contracting and <br />financial transactions," generally prohibits recipients of Federal grants and cooperative Contracts <br />from using Federal (appropriated) funds for lobbying the Executive or Legislative Branches of the <br />Federal Government in connection with a SPECIFIC grant or cooperative Contract. Section 1352 <br />also requires that each person who requests or receives a Federal grant or cooperative Contract <br />must disclose lobbying undertaken with non -Federal (non -appropriated) funds. These <br />requirements apply to grants and cooperative Contracts EXCEEDING $100,000 in total costs (45 <br />CFR Part 93). <br />The undersigned (authorized official signing for the contracting organization) certifies, to the best <br />of his or her knowledge and belief, that: <br />1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the <br />undersigned, to any person for influencing or attempting to influence an officer or <br />employee of any agency, a Member of Congress, an officer or employee of Congress, <br />or an employee of a Member of Congress in connection with the awarding of any <br />Federal contract, the making of any Federal grant, the making of any Federal loan, the <br />entering into of any cooperative Contract, and the extension, continuation, renewal, <br />amendment, or modification of any Federal contract, grant, loan, or cooperative <br />Contract. <br />Washington State 20 HCA Contract #K7843 <br />Health Care Authority <br />