9 X. Employee Acknowledgment and Statement of Understanding: By signing below, I acknowledge that I have received this City of Lamar Non-CDL Drug and Alcohol Testing Policy (“Policy”) and that I have read and understand the Policy. I understand and agree that I am subject to the Policy and will comply with the Policy in its entirety, including without limitation the provisions regarding alcohol and controlled substance use and/or abuse. I understand that additional information about the City’s Drug & Alcohol-Free Workplace policies may be found in the City’s Personnel Policy Manual Chapter IV, Section 12, and that any violation may result in corrective action outlined in Chapter IV, Section 15 of the City’s Personnel Policy. I further understand the following: • failure to comply with this policy may result in dismissal from employment. • I am responsible for paying for follow up testing and for any required rehabilitation under this Policy. • the City of Lamar will pay for pre-employment, post-accident, random and reasonable suspicion testing. • That the City of Lamar reserves the right to make changes to this Policy at any time. • if I have any questions on this Policy and procedure I can contact the under signed supervisor and/or his superior. Designated Employer Representative: - Margaret Saldana, HR Director Alternate Employer Representative – Robert Evans, City Administrator Employee Name (printed): ____________________________________________________ Employee Signature: __________________________________________________________ Date: ______________________________
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