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Contractor/Bidder Firm Name (Printed) Federal ID Number <br />Date Executed Executed in the County of <br />Contractor Certification Clauses CCC 04/2017 <br />CERTIFICATION <br />I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am <br />duly authorized to legally bind the prospective Contractor to the clause(s) listed <br />below. This certification is made under the laws of the State of California. <br />By (Authorized Signature) <br />Printed Name and Title of Person Signing <br />CONTRACTOR CERTIFICATION CLAUSES <br />1.STATEMENT OF COMPLIANCE: Contractor has, unless exempted, complied with the <br />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 drug-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 />Approved as to form: <br />Ryan O. Hodge, Assistant City Attorney <br />EXHIBIT 1 <br />City of Santa Ana 95-6000785 <br />Kristine Ridge <br />June 9, 2022 Orange