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A'rTUr. <br />APPWVED AS TO FORM <br />CLERK OF T14E COUNCIL <br />7 Dais GomezMMC Ig a <br />CCC 04/201 Y , AN . HODG <br />Clerk of the Council s istant ity Attorney <br />CERTIFICATION <br />I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am duly <br />authorized to legally bind the prospective Contractor to the clause(s) listed below. This <br />certification is made under the laws of the State of California. <br />Contractor/Bidder Firm Name (Printed) <br />Federal ID Number <br />C : At� o� JC .>o Ans <br />q C5 ooD 485 <br />By (Authorized Signatxare) <br />_ <br />J <br />Printed Name and Title of Person Signing <br />Date Executed <br />Executed in the -County of <br />l �l <br />T /%U�(J <br />CONTRACTOR CERTIFICATION CLAUSES <br />1. STATEMENT OF COMPLIANCE: Contractor has, unless exempted, complied with <br />the nondiscrimination program requirements. (Gov. Code § 12990 (a-f) and CCR, Title 2, <br />Section 11102) (Not applicable to public entities,) <br />2, DRUG -FREE WORKPLACE REQUIREMENTS: Contractor will comply with the <br />requirements of the Drug -Free Workplace Act of 1990 and will provide a ding -free <br />workplace by taking the following actions: <br />a, Publish a statement notifying employees that unlawful manufacture, distribution, <br />dispensation, possession or use of a controlled substance is prohibited and specifying <br />actions to be taken against employees for violations. <br />b. Establish a Drug -Free Awareness Program to inform employees about: <br />1) the dangers of drug abuse in the workplace; <br />2) the person's or organization's policy of maintaining a drug -free workplace; <br />3) any available counseling, rehabilitation and employee assistance programs; and, <br />4) penalties that may be imposed upon employees for drug abuse violations. <br />c. Every employee who works on the proposed Agreement will: <br />1) receive a copy of the company's drug -free workplace policy statement; and, <br />2) agree to abide by the terms of the company's statement as a condition of employment <br />on the Agreement. <br />Failure to comply with these requirements may result in suspension of payments under <br />the Agreement or termination of the Agreement or both and Contractor may be ineligible <br />for award of any future State agreements if the department determines that any of the <br />following has occurred: the Contractor has made false certification, or violated the <br />