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Santa Ana Public Library <br />Zip Book Project <br /> 2022-2023 ZIP22-68 <br /> Page 22 of 29 <br /> <br />EXHIBIT B: CERTIFICATION of COMPLIANCE FORM <br />1. AUTHORIZED REPRESENTATIVE: I certify that the authorized representative named <br />below is the legally designated representative of the Grantee for this Grant <br />Agreement and project and is authorized to receive and expend funds in order <br />to administer this grant program. <br />2. I certify that all information provided to the California State Library for review in <br />association with this award is correct and complete to the best of my <br />knowledge, and as the authorized representative of the Grantee, I commit to <br />the conditions of this award, and I have the legal authority to do so. <br />3. I certify that any or all other participants or contractors in the grant program <br />have agreed to the terms of the application/grant award and have entered into <br />an agreement(s) concerning the final disposition of equipment, facilities, and <br />materials purchased for this program from the funds awarded for the activities <br />and services described in the attached, as approved and/or as amended in the <br />application by the California State Librarian. <br />4. The authorized representative, on behalf of the Grantee, certifies that the <br />Grantee will comply with all applicable requirements of State and Federal laws, <br />regulations, and policies governing this program, to include the requirements <br />listed below in this Certification of Compliance Form. <br />5. The authorized representative, on behalf of the Grantee, hereby certifies to the <br />California State Library, for an award of funds in the amount $9,928. This award <br />will provide library services as set forth in the Project Application as approved <br />and/or as amended by the California State Librarian. <br />6. STATEMENT OF COMPLIANCE: Grantee has, unless exempted, complied with the <br />non-discrimination program requirements. (Gov. Code §12990 (a-f) and CCR, <br />Title 2, Section 11102). <br />7. DRUG-FREE WORKPLACE REQUIREMENTS: Grantee will comply with the <br />requirements of the Drug-Free Workplace Act of 1990 and will provide a drug- <br />free workplace by taking the following actions: <br />a. Publish a statement notifying employees that unlawful manufacture, <br />distribution, dispensation, possession, or use of a controlled substance is <br />prohibited and specifying actions to be taken against employees for <br />violations. <br />b. Establish a Drug-Free Awareness Program to inform employees about: <br />DocuSign Envelope ID: 39D3416E-E2CB-4407-9A82-A0F316B701C9 <br />In Process