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<br />DRUG FREE WORK PLACE CER TIFICA TION <br /> <br />BID ON BLEACHER, PARK AND PLAYGROUND EQUIPMENT, II-OOI4-MR <br /> <br />I hereby swear or affirm that this company has established a drug-free work place program by <br />completing the following requirements: <br /> <br />1) Published a statement notifying employees that the unlawful manufacture, distribution, <br />dispensing, possession, or use of a controlled substance is prohibited in the work place and <br />specifying the actions that will be taken against employees for violations of such prohibition. <br /> <br />2) Informed employees about the dangers of drug abuse in the work place, the business's policy <br />of maintaining a drug-free work place, any available drug counseling, rehabilitation, and <br />employee assistance programs, and the penalties that may be imposed upon employees for drug <br />abuse violations. <br /> <br />3) Given each employee engaged in providing the commodities or contractual services that are <br />under bid a copy of the statement specified in subsection (1). <br /> <br />4) In the statement specified in subsection (1), notified the employees that, as a condition of <br />working on the commodities or contractual services that are under bid, the employee will abide <br />by the terms of the statement and will notify the employer of any conviction of, or plea of guilty <br />or nolo contendere to, any violation of chapter 893 or of any controlled substance law of the <br />United States or any state, for a violation occurring in the work place no later than five (5) days <br />after such conviction. <br /> <br />5) Imposed a sanction on, or required 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 <br />is so convicted. <br /> <br />6) Make a good faith effort to continue to maintain a drug-free work place through <br />implementation of this section. <br /> <br />As the person authorized to sign the statement, I certify that this firm complies fully with <br />the above requirements. <br /> <br />VENDOR'S SIGNATURE/DATE <br /> <br />COMPANY NAME <br /> <br />Page 34 of37 <br />