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)j <br />• DEPARTMENT OF IiEALTII AND HUMAN SERVICES <br />DIVISION OF PUBLIC HEALTH <br />CERTIFICATION REGARDING DRUG-FR E WORKPLACE REQUIREMENTS <br />1. By execution of this Agreement the Contractor certifies that it will provide a drug free <br />workplace by: <br />A. Publishing a statement notifying employees that the unlawful manufacture, distribution, <br />dispensing, possession or use of a controlled substance is prohibited in the Contractor's <br />workplace and specifying the actions that will be taken against employees for violation of such <br />prohibition; <br />B. Establishing a drug-free awareness program to inform employees about: <br />(1) The dangers of drug abuse in the workplace; <br />(2) The Contractor's policy of maintaining a drug-free workplace; <br />(3) Any available drug counseling, rehabilitation, and employee assistance programs; and <br />• (4) The penalties that may be imposed upon employees for drug abuse violations occurring in the <br />workplace; <br />C. Making it a requirement that each employee be engaged in the performance of the agreement <br />be given a copy of the statement required by paragraph (a); <br />D. Notifying the employee in the statement required by paragraph (a) that, as a condition of <br />employment under the agreement, the employee will: <br />(1) Abide by the terms of the statement; and <br />(2) Notify the employer of any criminal drug statute conviction for a violation occurring in the <br />workplace no later than five days after such conviction; <br />E. Notifying the Department within ten days after receiving notice under subparagraph (d)(2) <br />from an employee or otherwise receiving actual notice of such conviction; <br />F. Taking one of the following actions, within 30 days of receiving notice under subparagraph <br />(d)(2), with respect to any employee who is so convicted: <br />(1) Taking appropriate personnel action against such an employee, up to and including <br />termination; or <br />(2) Requiring such employee to participate satisfactorily in a drug abuse assistance or <br />rehabilitation program approved for such purposes by a Federal, State, or local health, law <br />enforcement, or other appropriate agency; and <br />• Making a good faith effort to continue to maintain a drug free workplace through <br />implementation of paragraphs (a), (b), (c), (d), (e), and (f). <br />Drug Free 5100 <br />Page 1 of 2 <br />