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<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 />Contractor/Bidder Firm Name (Printed) <br /> <br />FederallD Number <br /> <br /> <br />94-6001116 <br /> <br />I 8 ~on Signing <br />__~ ( ~ W&:zr~ lee r <br />I Date Executed Executed in the County of <br />/-~b '-Of 5A~ H A-TE:-O <br /> <br /> <br />.- . <br /> <br /> <br />cl{~~ ot 'B\ tc <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 /> <br />14919 <br />