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This Certification does not apply. This Certification is applicable. Instructions Concerning Lobbying and Drug -Free Workplace Requirements Lobbying Certification This certification is o material representation of fact upon which reliance was placed when this transaction was made or entered into. submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, udr zz' U.S. Code. Any person who fails tofile the n,qvircu certification shall be subject to a civil penalty of not less than $10,000 and not more than $zon,onOfor each such failure. Drug -Free Workplace Certification 1. By signing and/or submitting this application orgrant agreement, the grantee is providing the certification. z. The certification is material representation offact upon which reliance is placed when the agency awards the grant. If it is later determined that the grantee knowingly rendered a false certification, nrotherwise violates the requirements of the Drug -Free Workplace Act, *uo' in addition to any other remedies available to the Federal Government, may take action authorized under the Drug -Free Workplace Act. z. Workplaces under grants, for grantees other than md|v|uua|,' need not be identified on the certification. If known, they may be identified in the grant application. If the grantee does not identify the workplaces at the time o, application, or upon award, if there is no application, the grantee must keep the identity of the workplace(s) on file in its office and make the information available for Federal inspection. Failure u,identify all known workplaces constitutes a violation of the grantee's drug-free workplace requirements. 4. Workplace identifications must include the actual address of buildings (or ports of buildings) or other sites wxcpc work under the grant takes place. Categorical descriptions may be used (e.g., all vehicles ora mass transit authority or State highway department while in operation, State cmp|ovcco in each mce| unemployment office, performers in concert halls orradio stouons). s. If the workplace identified to the agency changes during the performance of the grunt' the grantee shall inform the agency of the change(s), if it previously identified the workplaces in question (see paragraph three). s. The grantee may insert in the space provided below the site(s) for the performance of work done in connection with the specific grant: Place of Performance (street address, city, county, state, zip code). Check if there are workplaces on me that are not identified xcn,. The certification with regard to the drug-free workplace is required byz4CFR part 21. Place Name :1 Street County State Zi [_San Leandro City Hall 1 835 East 14" Street I San Leandro Alameda CA I 94F,77 7. Definitions or terms in the mnnpmcuremcnr Suspension and Debarment common m|c and nmypnce Workplace common rule apply tothis certification. Grantees' attention is called, in particular, u,the following definitions from these rules: "Controlled substance" means a controlled substance in Schedules z through v of the Controlled Substances Act (21 U.S.C. 812) and as further defined by regulation (21 CFR 1308.11 through 1388.15); "Conviction" means o finding of guilt (including a plea of nolo cnn*cnoe,e) or imposition of sentence, or both, by any judicial body charged with the responsibility to determine violations of the Federal or State criminal drug statutes; "Criminal drug statute" means a Federal or non -Federal criminal statute involving the manuractunc, distribution, dispensing, use, or possession of any controlled substance; "Employee" means the employee of a grantee directly engaged in the performance of work under a grant, including: a. all "direct charge" employees; b. all "indirect charge" employees unless their impact or involvement is insignificant to the performance orthe grant; and c. temporary personnel and consultants who are directly engaged in the performance of work under the grant and who are on the grantee's payroll. This definition does not include workers not on the payroll of the grantee (e.g., volunteers, even if used to meet a matching requirement; consultants or independent contractors not on the grantee's payroll; or employees o[subn,c|p|ents or subcontractors |ncovered wnrxp|aces). Note that by signing these certifications, certain documents must completed, in use, and on file for verification.