1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Roll-Off Trailers
- Solicitation number
- ITB-25-00334
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Form required by Florida Statute 287.087 for vendors bidding on the Hillsborough County Solid Waste Management Department's procurement of conventional roll-off trailers with an estimated project budget of $240,000. The form serves as a certification document that vendors must complete as part of their bid submission, requiring the business to attest that they maintain a drug-free workplace in compliance with state law.
The form requires vendors to certify compliance with six specific requirements including publishing drug prohibition statements to employees, providing drug abuse education and counseling information, distributing policy statements to workers on the contract, requiring employee notification of drug-related convictions within five days, imposing sanctions or requiring rehabilitation participation for convicted employees, and making good faith efforts to maintain ongoing drug-free workplace policies. The vendor must provide their business name, authorized signature, and date to complete the certification as part of their bid package for the roll-off trailer procurement.
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Text version
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that
________________________________________________________ does:
(Name of Business)
1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition.
2. Inform employees about the dangers of drug abuse in the workplace, the business’ policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations.
3. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in subsection (1).
4. In the statement specified in subsection (1), notify the employees that, as a condition of working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of Chapter 1893 or of any controlled substance law of the United States or any state, for violation occurring in the workplace no later than five (5) days after such conviction.
5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program, if such is available in the employee’s community, by any employee who is so convicted.
6. Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section.
As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements.
Offeror’s Signature
Date
DRUG-FREE WORKPLACE FORM
G:\Forms Library\0500-Forms\522_Drug Free Workplace Form.doc
File details come from the government source that posted it. Updated .