1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Solicitation number
- ITB-26-00204
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by Florida Statute 287.087 for the Hillsborough County Board of County Commissioners' Roadside Ditch and Canal Cleaning Maintenance Services contract. Vendors bidding on this three-year contract, estimated at $2,847,500.00, must certify compliance with Florida's drug-free workplace requirements. The form requires the offeror's authorized representative to verify that the firm publishes statements to employees prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace and specifies disciplinary actions for violations.
The vendor must demonstrate that employees are informed of drug abuse dangers, the company's drug-free workplace policy, available counseling and rehabilitation programs, and penalties for violations. Each employee engaged in providing commodities or contractual services under the bid must receive a copy of the prohibition statement and acknowledge that abiding by the policy is a condition of employment on the project. Employees are required to notify their employer within five days of any conviction or guilty plea related to controlled substance violations occurring in the workplace. The vendor must impose sanctions or require satisfactory participation in a drug abuse assistance or rehabilitation program for any convicted employee and make a good faith effort to maintain a drug-free workplace throughout contract performance.
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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 .