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<br />upon request to NHTSA, or its designee in a timely, complete, and accurate way. Additionally, you must comply with all other
<br />reporting, data collection, and evaluation requirements, as prescribed by law or detailed in program guidance.
<br />The State highway safety agency gives this ASSURANCE in consideration of and for obtaining any Federal grants, loans, contracts,
<br />agreements, property, and/or discounts, or other Federal-aid and Federal financial assistance extended after the date hereof to the
<br />recipients by the U.S. Department of Transportation under the Highway Safety Grant Program. This ASSURANCE is binding on the
<br />State highway safety agency, other recipients, sub-recipients, sub-grantees, contractors, subcontractors and their subcontractors',
<br />transferees, successors in interest, and any other participants in the Highway Safety Grant Program. The person(s) signing below is/are
<br />authorized to sign this ASSURANCE on behalf of the Recipient.
<br />
<br />THE DRUG-FREE WORKPLACE ACT OF 1988 (41 U.S.C. 8103)
<br />The Subgrantee will provide a drug-free workplace by:
<br />a.Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of
<br />a controlled substance is prohibited in the grantee's workplace, and specifying the actions that will be taken against
<br />employees for violation of such prohibition;
<br />b.Establishing a drug-free awareness program to inform employees about:
<br />1. The dangers of drug abuse in the workplace;
<br />2. The grantee's policy of maintaining a drug-free workplace;
<br />3. Any available drug counseling, rehabilitation, and employee assistance programs;
<br />4. The penalties that may be imposed upon employees for drug violations occurring in the workplace;
<br />5. Making it a requirement that each employee engaged in the performance of the grant be given a copy of the
<br />statement required by paragraph (a);
<br />c.Notifying the employee in the statement required by paragraph (a) that, as a condition of employment under the grant, the
<br />employee will
<br />1. Abide by the terms of the statement;
<br />2. Notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no
<br />later than five days after such conviction;
<br />d.Notifying the agency within ten days after receiving notice under subparagraph (c)(2) from an employee or otherwise
<br />receiving actual notice of such conviction;
<br />e.Taking one of the following actions, within 30 days of receiving notice under subparagraph (c)(2), with
<br />respect to any employee who is so convicted
<br />1. Taking appropriate personnel action against such an employee, up to and including termination;
<br />2. Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved
<br />for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency;
<br />f.Making a good faith effort to continue to maintain a drug-free workplace through implementation of all of the
<br />paragraphs above.
<br />
<br />POLITICAL ACTIVITY (HATCH ACT)
<br />(applies to all subrecipients as well as States)
<br />The State will comply with provisions of the Hatch Act (5 U.S.C. 1501-1508), which limits the political activities of
<br />employees whose principal employment activities are funded in whole or in part with Federal funds.
<br />
<br />CERTIFICATION REGARDING FEDERAL LOBBYING
<br />(applies to all subrecipients as well as States)
<br />CERTIFICATION FOR CONTRACTS, GRANTS, LOANS, AND COOPERATIVE AGREEMENTS
<br />The undersigned certifies, to the best 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 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 contract,
<br />the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the
<br />extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative
<br />agreement;
<br />2.If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or
<br />attempting to influence an officer or 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 this Federal contract, grant, loan, or cooperative agreement,
<br />the undersigned shall complete and submit Standard Form-LLL,
<br />with its instructions;
<br />3.The undersigned shall require that the language of this certification be included in the award documents for all sub-
<br />awards at all tiers (including subcontracts, subgrants, and contracts under grant, loans, and cooperative agreements) and
<br />that all subrecipients shall certify and disclose accordingly.
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