1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Sporting Scoreboard Systems
- Solicitation number
- ITB-26-00160
- 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 the Sporting Scoreboard Systems contract opportunity. Vendors bidding on this contract must complete and submit this form as part of their proposal package. The form certifies that the bidding contractor complies with Florida Statute 287.087 requirements regarding workplace drug policies and employee notification procedures. Contractors must demonstrate that they have published statements prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace; informed employees about drug abuse dangers and available assistance programs; provided copies of the drug-free workplace statement to all employees engaged in the contract work; notified employees of their obligation to report any drug-related convictions within five days; and committed to maintaining a drug-free workplace through implementation and enforcement of these requirements.
The form serves as a compliance document rather than a pricing or project scope instrument. Completion requires an authorized company representative to sign and date the certification, affirming that the firm fully complies with all six enumerated requirements of Florida's drug-free workplace statute. This certification is mandatory for all vendors submitting competitive sealed bids for the two-year, $442,095.00 Sporting Scoreboard Systems contract with Hillsborough County. Failure to complete and submit this form may result in bid rejection, as compliance with Florida's drug-free workplace requirements is a standard condition of eligibility for state and local contract awards in Florida.
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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 .