Common use of Valid Sample with a Certified Clause in Contracts

Valid Sample with a Certified. Result means a body component sample that may be measured for the presence or absence of drugs, alcohol or their metabolites. I acknowledge that I have seen and read the Drug and Alcohol Testing Article (Article 30). of the Collective Bargaining Agreement between the City of Minneapolis and the Police Officers Federation of Minneapolis. I hereby consent to undergo drug and/or alcohol testing pursuant to Article 30, and I authorize the City of Minneapolis through its agents and employees to collect a sample from me for those purposes. I understand that the procedure employed in this process will ensure the integrity of the sample and is designed to comply with medicolegal requirements. I understand that the results of this drug and alcohol testing may be discussed with and/or made available to my employer, the City of Minneapolis. I further understand that the results of this testing may affect my employment status as described in Article 30. The purpose of collecting a sample is to test that sample for the presence of drugs and alcohol. A sample provided for drug and alcohol testing will not be tested for any other purpose. The name, initials and social security number of the person providing the sample may be requested so that the sample can be identified accurately but confidentially. Information about medications and other information relevant to the reliability of, or explanation for, a positive test result will be requested by the Medical Review Officer (MRO) to ensure that the test is reliable and to determine whether there is a legitimate medical reason for any drug, alcohol, or their metabolites in the sample. The MRO may only disclose to the City of Minneapolis test result data regarding presence or absence of drugs, alcohol, or their metabolites, in a sample tested. The City of Minneapolis or laboratory may not disclose the test result reports and other information acquired in the drug testing process to another employer or to a third party individual, governmental agency, or private organization without the written consent of the person tested, unless permitted by law or court order. Evidence of a positive test result on a confirmatory test may be: (1) used in an arbitration proceeding pursuant to a collective bargaining agreement, an administrative hearing under Minnesota Statutes, Chapter 43A or other applicable state or local law, or a judicial proceeding, provided that information is relevant to the hearing or proceeding; (2) disclosed to any federal agency or other unit of the United States government as required under federal law, regulation, or order, or in accordance with compliance requirements of a federal government contract; and (3) disclosed as required by law, court order, or subpoena. Positive test results may not be used as evidence in a criminal action against the employee tested. Name (Please Print or Type) Social Security Number Signature Date Witness Date

Valid Sample with a Certified. Result means a body component sample that may be measured for the presence or absence of drugs, alcohol or their metabolites. Xxxxxxx X. Xxxxx Date Xxxx Xxxxxxx Date Director, Employee Services President, MAFC I acknowledge that I have seen and read the City of Minneapolis Drug and Alcohol Testing Article (Article 30). of the Collective Bargaining Agreement between the City of Minneapolis and the Police Officers Federation of MinneapolisLOA. I hereby consent to undergo drug and/or alcohol testing pursuant to Article 30said LOA, and I authorize the City of Minneapolis through its agents and employees to collect a sample from me for those purposes. I understand that the procedure employed in this process will ensure the integrity of the sample and is designed to comply with medicolegal requirements. I understand that the results of this drug and alcohol testing may be discussed with and/or made available to my employer, the City of Minneapolis. I further understand that the results of this testing may affect my employment status as described in Article 30the Agreement. The purpose of collecting a sample is to test that sample for the presence of drugs and alcohol. A sample provided for drug and alcohol testing will not be tested for any other purpose. The name, initials and social security number of the person providing the sample may be requested so that the sample can be identified accurately but confidentially. Information about medications and other information relevant to the reliability of, or explanation for, a positive test result will be requested by the Medical Review Officer (MRO) to ensure that the test is reliable and to determine whether there is a legitimate medical reason for any drug, alcohol, or their metabolites in the sample. The MRO may only disclose to the City of Minneapolis test result data regarding presence or absence of drugs, alcohol, or their metabolites, in a sample tested. The City of Minneapolis or laboratory may not disclose the test result reports and other information acquired in the drug testing process to another employer or to a third party individual, governmental agency, or private organization without the written consent of the person tested, unless permitted by law or court order. Evidence of a positive test result on a confirmatory test may be: (1) used in an arbitration proceeding pursuant to a collective bargaining agreement, an administrative hearing under Minnesota Statutes, Chapter 43A or other applicable state or local law, or a judicial proceeding, provided that information is relevant to the hearing or proceeding; (2) disclosed to any federal agency or other unit of the United States government as required under federal law, regulation, or order, or in accordance with compliance requirements of a federal government contract; and (3) disclosed as required by law, court order, or subpoena. Positive test results may not be used as evidence in a criminal action against the employee tested. Name (Please Print or Type) Social Security Number Signature Date and Time Witness DateDate and Time

Valid Sample with a Certified. Result means a body component sample that may be measured for the presence or absence of drugs, alcohol or their metabolites. I acknowledge that I have seen and read the Drug and Alcohol Testing Article (Article 3024). of the Collective Bargaining Agreement between the City of Minneapolis and the Police Officers Federation of Minneapolis. I hereby consent to undergo drug and/or alcohol testing pursuant to Article 3024, and I authorize the City of Minneapolis through its agents and employees to collect a sample from me for those purposes. I understand that the procedure employed in this process will ensure the integrity of the sample and is designed to comply with medicolegal requirements. I understand that the results of this drug and alcohol testing may be discussed with and/or made available to my employer, the City of Minneapolis. I further understand that the results of this testing may affect my employment status as described in Article 3024. The purpose of collecting a sample is to test that sample for the presence of drugs and alcohol. A sample provided for drug and alcohol testing will not be tested for any other purpose. The name, initials and social security number of the person providing the sample may be requested so that the sample can be identified accurately but confidentially. Information about medications and other information relevant to the reliability of, or explanation for, a positive test result will be requested by the Medical Review Officer (MRO) to ensure that the test is reliable and to determine whether there is a legitimate medical reason for any drug, alcohol, or their metabolites in the sample. The MRO may only disclose to the City of Minneapolis test result data regarding presence or absence of drugs, alcohol, or their metabolites, in a sample tested. The City of Minneapolis or laboratory may not disclose the test result reports and other information acquired in the drug testing process to another employer or to a third party individual, governmental agency, or private organization without the written consent of the person tested, unless permitted by law or court order. Evidence of a positive test result on a confirmatory test may be: (1) used in an arbitration proceeding pursuant to a collective bargaining agreement, an administrative hearing under Minnesota Statutes, Chapter 43A or other applicable state or local law, or a judicial proceeding, provided that information is relevant to the hearing or proceeding; (2) disclosed to any federal agency or other unit of the United States government as required under federal law, regulation, or order, or in accordance with compliance requirements of a federal government contract; and (3) disclosed as required by law, court order, or subpoena. Positive test results may not be used as evidence in a criminal action against the employee tested. Name (Please Print or Type) Social Security Number Date Signature Date Witness DateWitness

Valid Sample with a Certified. Result means a body component sample that may be measured for the presence or absence of drugs, alcohol or their metabolites. Xxxxx X. Xxxxx Date Xxxx Xxxxxxx Date Director, Labor Relations President, MAFC I acknowledge that I have seen and read the City of Minneapolis Drug and Alcohol Testing Article (Article 30). of the Collective Bargaining Agreement between the City of Minneapolis and the Police Officers Federation of MinneapolisLOA. I hereby consent to undergo drug and/or alcohol testing pursuant to Article 30said LOA, and I authorize the City of Minneapolis through its agents and employees to collect a sample from me for those purposes. I understand that the procedure employed in this process will ensure the integrity of the sample and is designed to comply with medicolegal requirements. I understand that the results of this drug and alcohol testing may be discussed with and/or made available to my employer, the City of Minneapolis. I further understand that the results of this testing may affect my employment status as described in Article 30the Agreement. The purpose of collecting a sample is to test that sample for the presence of drugs and alcohol. A sample provided for drug and alcohol testing will not be tested for any other purpose. The name, initials and social security number of the person providing the sample may be requested so that the sample can be identified accurately but confidentially. Information about medications and other information relevant to the reliability of, or explanation for, a positive test result will be requested by the Medical Review Officer (MRO) to ensure that the test is reliable and to determine whether there is a legitimate medical reason for any drug, alcohol, or their metabolites in the sample. The MRO may only disclose to the City of Minneapolis test result data regarding presence or absence of drugs, alcohol, or their metabolites, in a sample tested. The City of Minneapolis or laboratory may not disclose the test result reports and other information acquired in the drug testing process to another employer or to a third third-party individual, governmental agency, or private organization without the written consent of the person tested, unless permitted by law or court order. Evidence of a positive test result on a confirmatory test may be: (1) used in an arbitration proceeding pursuant to a collective bargaining agreement, an administrative hearing under Minnesota Statutes, Chapter 43A or other applicable state or local law, or a judicial proceeding, provided that information is relevant to the hearing or proceeding; (2) disclosed to any federal agency or other unit of the United States government as required under federal law, regulation, or order, or in accordance with compliance requirements of a federal government contract; and (3) disclosed as required by law, court order, or subpoena. Positive test results may not be used as evidence in a criminal action against the employee tested. Name (Please Print or Type) Social Security Number Signature Date and Time Witness DateDate and Time

Valid Sample with a Certified. Result means a body component sample that may be measured for the presence or absence of drugs, alcohol or their metabolites. Xxxxx X. Xxxxx Date Xxxx Xxxxxxx Date Director, Labor Relations President, IAFF I acknowledge that I have seen and read the Drug and Alcohol Testing Article Agreement (Article 30). Attachment A) of the Collective Bargaining Agreement between the City of Minneapolis and the Police Officers Federation of MinneapolisIAFF Local 82. I hereby consent to undergo drug and/or alcohol testing pursuant to Article 30this Agreement, and I authorize the City of Minneapolis through its agents and employees to collect a sample from me for those purposes. I understand that the procedure employed in this process will ensure the integrity of the sample and is designed to comply with medicolegal requirements. I understand that the results of this drug and alcohol testing may be discussed with and/or made available to my employer, the City of Minneapolis. I further understand that the results of this testing may affect my employment status as described in Article 30the Agreement. The purpose of collecting a sample is to test that sample for the presence of drugs and alcohol. A sample provided for drug and alcohol testing will not be tested for any other purpose. The name, initials and social security number of the person providing the sample may be requested so that the sample can be identified accurately but confidentially. Information about medications and other information relevant to the reliability of, or explanation for, a positive test result will be requested by the Medical Review Officer (MRO) to ensure that the test is reliable and to determine whether there is a legitimate medical reason for any drug, alcohol, or their metabolites in the sample. The MRO may only disclose to the City of Minneapolis test result data regarding presence or absence of drugs, alcohol, or their metabolites, in a sample tested. The City of Minneapolis or laboratory may not disclose the test result reports and other information acquired in the drug testing process to another employer or to a third third-party individual, governmental agency, or private organization without the written consent of the person tested, unless permitted by law or court order. Evidence of a positive test result on a confirmatory test may be: (1) used in an arbitration proceeding pursuant to a collective bargaining agreement, an administrative hearing under Minnesota Statutes, Chapter 43A or other applicable state or local law, or a judicial proceeding, provided that information is relevant to the hearing or proceeding; (2) disclosed to any federal agency or other unit of the United States government as required under federal law, regulation, or order, or in accordance with compliance requirements of a federal government contract; and (3) disclosed as required by law, court order, or subpoena. Positive test results may not be used as evidence in a criminal action against the employee tested. Name (Please Print or Type) Social Security Number Signature Date Witness Dateand Time Witness

Valid Sample with a Certified. Result means a body component sample that may be measured for the presence or absence of drugs, alcohol or their metabolites. I acknowledge that I have seen and read the Drug and Alcohol Testing Article Agreement (Article 30). Attachment A) of the Collective Bargaining Agreement between the City of Minneapolis and the Police Officers Federation of MinneapolisIAFF Local 82. I hereby consent to undergo drug and/or alcohol testing pursuant to Article 30this Agreement, and I authorize the City of Minneapolis through its agents and employees to collect a sample from me for those purposes. I understand that the procedure employed in this process will ensure the integrity of the sample and is designed to comply with medicolegal requirements. I understand that the results of this drug and alcohol testing may be discussed with and/or made available to my employer, the City of Minneapolis. I further understand that the results of this testing may affect my employment status as described in Article 30the Agreement. The purpose of collecting a sample is to test that sample for the presence of drugs and alcohol. A sample provided for drug and alcohol testing will not be tested for any other purpose. The name, initials and social security number of the person providing the sample may be requested so that the sample can be identified accurately but confidentially. Information about medications and other information relevant to the reliability of, or explanation for, a positive test result will be requested by the Medical Review Officer (MRO) to ensure that the test is reliable and to determine whether there is a legitimate medical reason for any drug, alcohol, or their metabolites in the sample. The MRO may only disclose to the City of Minneapolis test result data regarding presence or absence of drugs, alcohol, or their metabolites, in a sample tested. The City of Minneapolis or laboratory may not disclose the test result reports and other information acquired in the drug testing process to another employer or to a third party individual, governmental agency, or private organization without the written consent of the person tested, unless permitted by law or court order. Evidence of a positive test result on a confirmatory test may be: (1) used in an arbitration proceeding pursuant to a collective bargaining agreement, an administrative hearing under Minnesota Statutes, Chapter 43A or other applicable state or local law, or a judicial proceeding, provided that information is relevant to the hearing or proceeding; (2) disclosed to any federal agency or other unit of the United States government as required under federal law, regulation, or order, or in accordance with compliance requirements of a federal government contract; and (3) disclosed as required by law, court order, or subpoena. Positive test results may not be used as evidence in a criminal action against the employee tested. Name (Please Print or Type) Social Security Number Signature Date Witness Dateand Time Witness

Valid Sample with a Certified. Result means a body component sample that may be measured for the presence or absence of drugs, alcohol or their metabolites. Xxxxxxx Xxxxxxx Date Xxxx Xxxxxxx Date Director, Labor Relations President, IAFF I acknowledge that I have seen and read the Drug and Alcohol Testing Article Agreement (Article 30). Attachment A) of the Collective Bargaining Agreement between the City of Minneapolis and the Police Officers Federation of MinneapolisIAFF Local 82. I hereby consent to undergo drug and/or alcohol testing pursuant to Article 30this Agreement, and I authorize the City of Minneapolis through its agents and employees to collect a sample from me for those purposes. I understand that the procedure employed in this process will ensure the integrity of the sample and is designed to comply with medicolegal requirements. I understand that the results of this drug and alcohol testing may be discussed with and/or made available to my employer, the City of Minneapolis. I further understand that the results of this testing may affect my employment status as described in Article 30the Agreement. The purpose of collecting a sample is to test that sample for the presence of drugs and alcohol. A sample provided for drug and alcohol testing will not be tested for any other purpose. The name, initials and social security number of the person providing the sample may be requested so that the sample can be identified accurately but confidentially. Information about medications and other information relevant to the reliability of, or explanation for, a positive test result will be requested by the Medical Review Officer (MRO) to ensure that the test is reliable and to determine whether there is a legitimate medical reason for any drug, alcohol, or their metabolites in the sample. The MRO may only disclose to the City of Minneapolis test result data regarding presence or absence of drugs, alcohol, or their metabolites, in a sample tested. The City of Minneapolis or laboratory may not disclose the test result reports and other information acquired in the drug testing process to another employer or to a third third-party individual, governmental agency, or private organization without the written consent of the person tested, unless permitted by law or court order. Evidence of a positive test result on a confirmatory test may be: (1) used in an arbitration proceeding pursuant to a collective bargaining agreement, an administrative hearing under Minnesota Statutes, Chapter 43A or other applicable state or local law, or a judicial proceeding, provided that information is relevant to the hearing or proceeding; (2) disclosed to any federal agency or other unit of the United States government as required under federal law, regulation, or order, or in accordance with compliance requirements of a federal government contract; and (3) disclosed as required by law, court order, or subpoena. Positive test results may not be used as evidence in a criminal action against the employee tested. Name (Please Print or Type) Social Security Number Signature Date Witness Dateand Time Witness

Valid Sample with a Certified. Result means a body component sample that may be measured for the presence or absence of drugs, alcohol or their metabolites. 07/05/2024 Xxxxxxx Xxxxxxx Date Xxx Xxxxxxx Date Director, Labor Relations Labor Counsel I acknowledge that I have seen and read the City of Minneapolis Drug and Alcohol Testing Article (Article 30). of the Collective Bargaining Agreement between the City of Minneapolis and the Police Officers Federation of MinneapolisLOA. I hereby consent to undergo drug and/or alcohol testing pursuant to Article 30said LOA, and I authorize the City of Minneapolis through its agents and employees to collect a sample from me for those purposes. I understand that the procedure employed in this process will ensure the integrity of the sample and is designed to comply with medicolegal requirements. I understand that the results of this drug and alcohol testing may be discussed with and/or made available to my employer, the City of Minneapolis. I further understand that the results of this testing may affect my employment status as described in Article 30the Agreement. The purpose of collecting a sample is to test that sample for the presence of drugs and alcohol. A sample provided for drug and alcohol testing will not be tested for any other purpose. The name, initials and social security number of the person providing the sample may be requested so that the sample can be identified accurately but confidentially. Information about medications and other information relevant to the reliability of, or explanation for, a positive test result will be requested by the Medical Review Officer (MRO) to ensure that the test is reliable and to determine whether there is a legitimate medical reason for any drug, alcohol, or their metabolites in the sample. The MRO may only disclose to the City of Minneapolis test result data regarding presence or absence of drugs, alcohol, or their metabolites, in a sample tested. The City of Minneapolis or laboratory may not disclose the test result reports and other information acquired in the drug testing process to another employer or to a third third-party individual, governmental agency, or private organization without the written consent of the person tested, unless permitted by law or court order. Evidence of a positive test result on a confirmatory test may be: (1) used in an arbitration proceeding pursuant to a collective bargaining agreement, an administrative hearing under Minnesota Statutes, Chapter 43A or other applicable state or local law, or a judicial proceeding, provided that information is relevant to the hearing or proceeding; (2) disclosed to any federal agency or other unit of the United States government as required under federal law, regulation, or order, or in accordance with compliance requirements of a federal government contract; and (3) disclosed as required by law, court order, or subpoena. Positive test results may not be used as evidence in a criminal action against the employee tested. Name (Please Print or Type) Social Security Number Signature Date and Time Witness DateDate and Time

Valid Sample with a Certified. Result means a body component sample that may be measured for the presence or absence of drugs, alcohol or their metabolites. Xxxxxxx GilesDirector, Employee Services Date Xxxx LakoskyPresident, IAFF Date I acknowledge that I have seen and read the Drug and Alcohol Testing Article Agreement (Article 30). Attachment A) of the Collective Bargaining Agreement between the City of Minneapolis and the Police Officers Federation of MinneapolisIAFF Local 82. I hereby consent to undergo drug and/or alcohol testing pursuant to Article 30this Agreement, and I authorize the City of Minneapolis through its agents and employees to collect a sample from me for those purposes. I understand that the procedure employed in this process will ensure the integrity of the sample and is designed to comply with medicolegal requirements. I understand that the results of this drug and alcohol testing may be discussed with and/or made available to my employer, the City of Minneapolis. I further understand that the results of this testing may affect my employment status as described in Article 30the Agreement. The purpose of collecting a sample is to test that sample for the presence of drugs and alcohol. A sample provided for drug and alcohol testing will not be tested for any other purpose. The name, initials and social security number of the person providing the sample may be requested so that the sample can be identified accurately but confidentially. Information about medications and other information relevant to the reliability of, or explanation for, a positive test result will be requested by the Medical Review Officer (MRO) to ensure that the test is reliable and to determine whether there is a legitimate medical reason for any drug, alcohol, or their metabolites in the sample. The MRO may only disclose to the City of Minneapolis test result data regarding presence or absence of drugs, alcohol, or their metabolites, in a sample tested. The City of Minneapolis or laboratory may not disclose the test result reports and other information acquired in the drug testing process to another employer or to a third party individual, governmental agency, or private organization without the written consent of the person tested, unless permitted by law or court order. Evidence of a positive test result on a confirmatory test may be: (1) used in an arbitration proceeding pursuant to a collective bargaining agreement, an administrative hearing under Minnesota Statutes, Chapter 43A or other applicable state or local law, or a judicial proceeding, provided that information is relevant to the hearing or proceeding; (2) disclosed to any federal agency or other unit of the United States government as required under federal law, regulation, or order, or in accordance with compliance requirements of a federal government contract; and (3) disclosed as required by law, court order, or subpoena. Positive test results may not be used as evidence in a criminal action against the employee tested. Name (Please Print or Type) Social Security Number Signature Date Witness Dateand Time Witness