1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Water Meter Boxes and Lids
- Solicitation number
- ITB-26-00188
- 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 for the Water Meter Boxes and Lids contract opportunity in Florida. The form mandates that vendors certify compliance with Florida Statute 287.087 by publishing workplace policies prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances. Vendors must inform employees about drug abuse dangers, the drug-free workplace policy, available counseling and rehabilitation programs, and associated penalties. Each employee engaged in providing the commodities or contractual services under bid must receive a copy of the policy statement and acknowledge that compliance is a condition of employment on the contract. The resulting contract is for a five-year period with a project estimate of $4,035,525.00.
Vendors must impose sanctions or require satisfactory participation in drug abuse assistance or rehabilitation programs for employees convicted of controlled substance violations. Employees are obligated to notify their employer within five days of any conviction or plea of guilty or nolo contendere related to Chapter 1893 violations or any controlled substance law of the United States or any state occurring in the workplace. The vendor, as the authorized signatory, must certify full compliance with all requirements and commit to making a good faith effort to maintain a drug-free workplace throughout the contract term.
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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 .