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<br />~,. A <br />Page 5 <br /> <br />STA TE OF CALIFORNIA <br />Department of Boating and Waterways <br />2000 Evergreen Street # 100 <br />Sacramento, CA 95815 <br /> <br />CCC-304 <br /> <br />CERTIFICATION <br /> <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 /> <br />I Co~tracto;/Bidder Fir:m Name (Printed) - - - <br /> <br />Redwood qit.r f'olice Qepartment __ .._ _ _ _ <br />I By (Authorized Signature) <br /> <br />FederallD Number I <br /> <br /> <br /> <br /> <br />_ _..._. _ __ ._... ........J <br /> <br />Printed Name and Title of Person Signing I <br />I <br />I <br />I <br />I <br /> <br /> <br /> <br /> <br />lLat~~~d--: -~ ~~~- - -_-L;~~_~o~ - ---~~--- j <br /> <br />CONTRACTOR CERTIFICATION CLAUSES <br /> <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 /> <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 /> <br />a. Publish a statement notifying employees that unlawful manufacture, distribution, <br />dispensation, possession or use of a controlled substance is prohibited and specifying <br />actions to be taken against employees for violations. <br /> <br />12 <br />