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State of California <br />Drag Free Workplace Ce~fication <br />STD 21 (NEW I 1-90) <br /> <br />Exhibit E <br /> <br /> Page I of 1 <br /> <br />G40027 <br /> <br />COMPANY/ORGANIZATION NAME City of Santa Ana <br /> <br />The Contractor or grant recipient named above hereby certifies compliance with Government Code 8355 in matters relating to providing a <br />drug-free workplace. The above named Contractor will: <br /> <br />I. Publish a statement notifying employees that unlawful manufacture, distribution, dispensation, possession, or use ora controlled <br />substance is prohibited and specifying actions to be taken against employees for violations, as required by Government Code Section <br />8355(a). <br /> <br />2, Establish a Drug Free Awareness Program as required by Government Code Section 8355(b), to inform employees about all of <br />the following: ~ <br /> <br />(a) The danger of drug abuse in the workplace, <br /> <br />(b) The person's or organization's policy of rnalntaining a drag-free workplace, <br /> <br />(c) Any available counseling, rehabilitation and employee assistance programs, and <br /> <br />(d) Penalties that may be imposed upon employees for drag abuse violations <br /> <br /> Provide as required by Govemrnent code Section 8355(c) that every employee who works on the proposed contract or grant <br />(a) Will receive a copy of the cornpany's drag-frae policy statement, and <br /> <br />(b) Will agree to abide by the terms of the company's statement as a condition of employment in the contract or grant. <br /> <br /> CERTIFICATION <br /> <br />I, the o~cial named below, hereby swear that Iarn duly authorized legally to bind the contractor or grant recipient to the above described <br />certification. Iarn fully aware that this certification, executed on the date and in the county below, is rnade under penalty ofporjury under <br />the laws of the State of California. <br /> <br />OFFICIAL'S NAME David N. Ream <br /> <br />DATE EXECUTED EXECUTED IN THE COUNTY OF Orange <br /> <br />CONTRACTOR or GRANTEE RECIPIENT SIGNATURE <br /> <br />TITLE City Manager <br /> <br />95-6000785 <br /> <br />FEDERAL IDNUMBER <br /> <br /> <br />