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EXHIBIT D <br />CERTIFICATION <br />1, the official named below, CERTIFY UNDER PENALTY OF PERJURY that 1 am duly authorized to <br />legally bind the prospective Grantee to the clause(s) listed below. This certification is made under the <br />laws of the State of California. <br />Grantee Agency Name (Printed) <br />Federal ID Number <br />City of San Leandro Marina <br />94-6000421 <br />By (Authorized Signature) <br />Printed Name and Title of Person Sign' <br />Chris Zapata, City Manager <br />Date Executed <br />Executed in the County of <br />Executed <br />2,/ / ` ` /0 <br />Alameda <br />GRANTEE CERTIFICATION CLAUSES <br />1. STATEMENT OF COMPLIANCE: <br />Grantee has, unless exempted, complied with the nondiscrimination program requirements. <br />(Gov. Code §12990 (a -f) and CCR, Title 2, Section 8103) (Not applicable to public entities.) <br />2. DRUG-FREE WORKPLACE REQUIREMENTS: <br />Grantee will comply with the requirements of the Drug -Free Workplace Act of 1990 and will <br />provide a drug-free workplace by taking the following actions: <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 />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; <br />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 <br />employment on the Agreement. <br />Failure to comply with these requirements may result in suspension of payments under the <br />Agreement or termination of the Agreement or both and Grantee may be ineligible for award of <br />any future State agreements if the department determines that any of the following has <br />occurred: the Grantee has made false certification, or violated the certification by failing to <br />Date: 09/02/2015 Contract # C15S0614. City of San Leandro Marina, Surrendered and Abandoned Vessel Page: 18 of 24 <br />Exchange (SAVE) Fiscal Year 2015/2016 <br />