1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Heating, Ventilation, Air Conditioning and Refrigeration (HVACR) Maintenance and Repair Services
- Solicitation number
- ITB-26-00198
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by the Hillsborough County Board of County Commissioners in Florida for vendors bidding on HVACR Maintenance and Repair Services. The form requires vendors to certify compliance with Florida Statute 287.087 by implementing a comprehensive drug-free workplace program. Vendors must publish statements notifying employees that unlawful manufacture, distribution, dispensing, possession, or use of controlled substances is prohibited in the workplace and must specify actions taken against violators. The form applies to all employees engaged in providing the commodities or contractual services under bid for the five-year HVACR maintenance and repair services contract valued at $4,970,320.25.
Vendors must inform employees about the dangers of drug abuse, the company's drug-free workplace policy, available drug counseling and rehabilitation programs, and penalties for violations. Each employee must receive a copy of the drug-free workplace statement and acknowledge that as a condition of employment on this contract, they will abide by the statement's terms and report any conviction or guilty plea related to controlled substance violations within five days of occurrence. Vendors must impose sanctions on or require satisfactory participation in drug abuse assistance or rehabilitation programs for any convicted employee and maintain a good faith effort to sustain a drug-free workplace. The authorized company representative must sign and date the form to certify full compliance with all requirements.
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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 .