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(2) Notify the ~ioyer in '.,.'ri ting ofh/s or h~' conv/cdon for
<br /> a '.'ioladcrn of'a .~-.~ ct-ag statute occurring in the work-
<br /> place not lam- :Jun five ealeudaZ days a/re' such
<br /> conv/c6ou.
<br />
<br /> Noti~'bg the a~c,,, i~ v.,~g, within mn ca~e:adar days after
<br /> receb,'mg notice un~r suboa.'-a~at~h (d~'h '
<br /> · i','. . - . . _-.. from an ~-niovee
<br /> or o~a~:se rece ang ~:ra~ nonce of such com%tion.
<br />Employers of conyic'~d ~--q~loye~s mus~ provide notice.
<br />bcludhag posid~n t/;/~. '.o ~=SO'= g'am o~cer or other designee
<br />on whose gram ~dvi ,fy the convicted empio.vee w~ war.kine.
<br />unJe.ss ~he Ped~ai _agency has des/ghana a cenu-a/poha~ for ~e
<br />rece, p~ of such notices. Nodce shall haclude the id~tificadon
<br />humbert, si of e,~:h affec:ed
<br />
<br /> (2) Requ/rhag such ~---~. loyee to parr/cipate sadsfactorHv in a
<br /> drug abuse ass/s:aace = rehabilitation pm_~a.m approved
<br /> for such purposes by a Fcd&-aL State. or locaJ health, law
<br /> enforcem, en:. ~ othe.- ~Dmpr/ate auenc,,-
<br />
<br /> (g) Making a good £airh effc~., :o continue to manure a dra~-fre¢
<br /> worlcptace through i=~. iem=:adon ofparagt~_ ins {a), (b~, (c),
<br /> (d), (e). and ¢0. '
<br />
<br />(2) The _~m_mec may inset:., in O.e '-,'Face provided below the sJte~s) for
<br /> ehe perz'orm,a~ee of w~< done i: c=mecdon with t~e speci~c _m-am:
<br />
<br />Place of P='formance:
<br />(Street address, ci~.. cram%., s:ate. ~.. code~
<br />
<br />[] Check if thm~: are wo~phces
<br /> on file that are not iden:ified
<br />
<br />4. Lobbying Discl~ure Act et 1995, Simpson-Craig Amendment
<br />
<br />Applicant o _man/znfioas which ~ desc~bed b section 501(c)(4) of the
<br />bt~mai Revenue Code of 1986 and ~_~e ha lobbying acdv/ties
<br />Dee .~__~b.~ 31, 1995. xhaLl nor be eli_~ble for ~e receipt of Fede:-aJ
<br />con~nrurmg an a~m-d, g-ant, or lorn. Section 501(cX4) of~e
<br />Reve=ue Code of 1986 coven:
<br />
<br /> Civic feaster or org~ni~dottv not 'org~nnized for pmfit but'
<br /> opiated =ct=rive6,for the promo~on o/social welfare, or local
<br /> =~mao= o/~pl<ve~,, the memb~hip of whicg ~ limited to
<br /> the em?o).ea, ora d~i~ated pe~on or pe~ons in a par6~lar
<br /> mu~vMio; aM the n~ e~n~ of which a~ dm'oted ~cl=vivefi,
<br /> m ~aHt~le. educa~ona~ or ~ea~onal~o. vat '
<br />
<br />'~ ~t f~ N ~e Lobb~g D~elo~ Act of 1995 (~b~c ~w 10~
<br />65, D~= 19. 1995),
<br />~ S~d~ 129 afdc B~c~ Bu~et Do~pa~t Ac~ I (~b~c
<br />~w I~, ~ 26. 1996)], Iohb~u ~ is ~fm~ hm~v.
<br />(S~ s~on 3 of~e Ac~) ' -
<br />
<br />The un~=~ed croci=, to the ben of his ~ h~ ~owl~e md be~ef.
<br />~r ff IS X'OT ~ orgmmfion descfib~ b ~on 501]c)(4) of
<br />~ R~'~ue C~ of 1986; OR ~ it ~ ~ ~6on descdb~
<br />m ~nm 501 (c.~4) of~e N~ R~'mue C~e of 1986. wNch. aff~
<br />D~ 51, 1995. HA c x'OT ~g~ ~ ~y lobb~g acfi~Sries as
<br />&fm~ N ~e Lobb~g Distaste Act of 1995. ~
<br />
<br /> not en~e N ~e ~a~ ~uf~ ~s~butiom
<br /> pos~si~. ~ u~ of a c~n~ed ~hsmc~ ~ con~c~ my
<br />
<br />(2) if convicted of a criminal drug offe:~e resulting, from a violado~
<br /> occ=..-'ing durinr, ~e conduc[ o/any grant acd',~rv, he or ~he '.'..ill
<br /> report '.he conv/cdon, ha ~.'rilinv within 10 cale-~dar dav~ of the
<br /> convic:han, m evm-y ~'-ant or'ftc= or other desimaec. ~less the
<br /> Fed~-,d agency, desi_unates a ce=mai point for th~ receipt of' ~uch
<br /> noricm. When notice is made to ruch a central pont. it si:m/l
<br /> include the identification numb~ s) of each affected _m'aac
<br />
<br />A s the duly authorized represenutlve of the applicant, I hereby ccrti .fy that thc applicam, will comolv with the above ceni.flcations.
<br /> NAME OF A. PPLiCANT
<br />
<br />PR'AWARD NUMBER AMD/OR PROJECT NA.ME
<br />
<br />PRINTED NAME A, aND TFTLE OF AUTHORIZED KEPR. ESENTATiVE
<br />
<br />SIGNATURZ
<br />
<br />
<br />
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