Okaloosa County BOCC — September 1, 2015 — Safe Connections Edward Byrne Grant Application FY 2015 — reading text

A. As a condition of the grant, I certify that I will not engage in the (g) Making a good faith effort to continue to maintain a drug-free workplace unlawful manufacture, distribution, dispensing, possession , or use of through implementation of paragraphs (a) , (b) , (c) , (d) , (e) , and (f) . a controlled substance in conducting any activity with the grant; and B. The grantee may insert in the space provided below the site(s) for the B. If convicted of a criminal drug offense resulting from a violation performance of work done in connection with the specific grant: occurring during the conduct of any grant activity, I will report the conviction , in writing , within 1O calendar days of the conviction , to: Place of Performance (Street address , city , county, state, zip code) Department of Justice, Office of Justice Programs, ATTN: Control Desk , 633 Indiana Avenue , N.W., Washington , D.C. 20531 . As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above certifications. 1. Grantee Name and Add ress: Okaloosa County Board of County Commissioners. 302 North Wilson Street. Suite 302 , Crestview, Florida 32536 2. Project Name: Family Viol ence Prevention Project 3. Typed Name and Title of Authorized Representative: Nathan D. Boyles. Chairman 5. Date: _ _ _ _ _ _ _ _ _ _ _ __ 4. Signatur e : - - - - - - - - - - - - - - - - - - - - - - - - FDLE JAG Grant Application Package Lobbying, Debarment , Suspension, and Drug-Free Workplace Certification Page 2