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of PAR(r <br />��. sf Gy <br />�Ja;�ti�a DRUG—FREE WORKPLACE FORM <br />The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that <br />Maurizio L Bettoli does: <br />(Name of Business) <br />1. Publish a statement notifying employees thatthe unlawful manufacture, distribution, dispensing, <br />possession, or use of a controlled substance is prohibited in the workplace and specifying the <br />actions thatwill be taken against employees for violations of such prohibition. <br />2. Inform employees about the dangers of drug abuse in the workplace, the business' policy of <br />maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee <br />assistance programs, and the penalties that may be imposed upon employees for drug abuse <br />violations. <br />3. Give each employee engaged in providing the commodities or contractual services that are under <br />bid a copy of the statement specified in subsection (1). <br />4. In the statement specified in subsection (1), notifythe employees that, as a condition of working <br />on the commodities or contractual services that are under bid, the employee will abide by the <br />terms of the statement and will notifythe employer of any conviction of, or plea of guilty or nolo <br />contendere to, any violation of Chapter 893 or of any controlled substance law of the United <br />States or any state, for a violation occurring in the workplace no laterthan five (5) days after such <br />conviction. <br />5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or <br />rehabilitation program if such is available in the employee's community by, any employee who is <br />so convicted. <br />Make a good faith effortto continue to maintain a drug-free workplace through implementation <br />of this section. <br />As the person authorized to sign the statement, I certify that this firm complies fully with the above <br />requirements.' <br />Proposer's Signature <br />Maurizio L Bettoli <br />Proposer's Printed Name <br />