A-2006-183 - Laserfiche WebLink

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r State of California Drug Free Workplace Certification STD 21 (NEW 11-90) Exhibit E S1-V-07 COMPANY IORGANIZATION NAME The Contractor or grant recipient named above hereby certifies compliance with Government Code 8355 in matters relating to providing a drug-free workplace. The above named Contractor will: 1. Publish a statement notifying employees that unlawful manufacture, distribution, dispensation, possession, or use of a controlled substance is prohibited and specifying actions to be taken against employees for violations, as required by Government Code Section 8355(a). 2. Establish a Drug Free Awareness Program as required by Government Code Section 8355(b), to inform employees about all of the following: (a) (b) (c) (d) The danger of drug abuse in the workplace, The person's or organization's policy of maintaining a drug-free workplace, Any available counseling, rehabilitation and employee assistance programs, and Penalties that may be imposed upon employees for drug abuse violations 3. Provide as required by Government code Section 8355(c) that every employee who works on the proposed contract or grant (a) (b) Will receive a copy of the company's drug-free policy statement, and Will agree to abide by the terms of the company's statement as a condition of employment in the contract or grant. CERTIFICATION I, the official named below, hereby swear that I am duly authorized legally to bind the contractor or grant recipient to the above described certification. I am fully aware that this certification, executed on the date and in the county below, is made under penalty of pe~ury under the laws of the State of California. OFFICIAL'S NAME DATE EXECUTED EXECUTED IN THE COUNTY OF CONTRACTOR or GRANTEE RECIPIENT SIGNATURE TITLE FEDERAL ID NUMBER