Laserfiche WebLink
<br /> <br />CCC-304 <br />CERTIFICATION <br />I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am duly <br />authorized to legally bind the prospective Contractor to the clause(s) listed below. This <br />certification is made under the laws of the State of California. <br />Contractor/Bidder Firm Name (Printed) <br />.'.[)~~' ~. <br />, B rized Sigpature) <br />. ~c - . <br />ame and Title of P on Signing <br />dL. ..r¡~ ..PÆ~ ... ~.. <br />, Date Executed : Executed in the County of <br />, ¿P¡¿O j .&L LIt. . ...... <br /> <br /> <br />. , <br />.. 'ð& . <br /> <br /> <br />Federal ID Number <br />.9LI.. ~po.lll fL <br /> <br /> <br />, <br />~ <br /> <br /> <br />CONTRACTOR CERTIFICATION CLAUSES <br />1. STATEMENT OF COMPLIANCE: Contractor has, unless exempted, complied with <br />the nondiscrimination program requirements. (GC 12990 (a-f) and CCR, Title 2, Section <br />8103) (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 manufaeture, 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 />2) agree to abide by the terms of the company's statement as a condition of employment <br />on the Agreement. <br />Failure to comply with these requirements may result in suspension of payments under <br />the Agreement or termination of the Agreement or both and Contractor may be ineligible <br />for award of any future State agreements if the department determines that any of the <br />following has occurred: the Contractor has made false certification, or violated the <br />certification by failing to carry out the requirements as noted above. (GC 8350 et seq.) <br />3. NATIONAL LABOR RELATIONS BOARD CERTIFICATION: Contractor certifies <br />that no more than one (1) final unappealable finding of contempt of court by a Federal <br />court has been issued against Contractor within the immediately preceding two-year <br />period because of Contractor's failure to comply with an order of a Federal court, which <br />orders Contractor to comply with an order of the National Labor Relations Board. (PCC <br />10296) (Not applicable to public entities.) <br />