1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Security Access Control Cameras State and local contract opportunity
- Solicitation number
- ITB-26-00196
- 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' Security Access Control Cameras contract opportunity. The form mandates that bidding vendors certify compliance with six specific drug-free workplace requirements, including publishing statements prohibiting controlled substance manufacture, distribution, dispensing, possession, or use in the workplace; informing employees about drug abuse dangers and company policy; providing all employees engaged in the contracted services with a copy of the prohibition statement; notifying employees that compliance is a condition of work and requiring notification of any drug-related convictions within five days; imposing sanctions or requiring participation in drug abuse assistance programs for convicted employees; and maintaining good faith efforts to sustain a drug-free workplace. The contract relates to installations, inspections, testing, preventative maintenance, and repair of closed-circuit surveillance systems, access control systems, and intercom systems for multiple Hillsborough County Water Resources Department facilities over a five-year term with an estimated project value of $461,365.28.
The form requires the authorized offeror representative to sign and date the certification, attesting that the firm fully complies with all drug-free workplace requirements established under Florida law. This certification is a prerequisite for bid submission and represents a mandatory compliance document rather than a pricing or financial term document. No pricing information, set-asides, incumbent details, or funding sources are addressed in this particular form, as it serves solely as a compliance certification instrument for vendors participating in the competitive sealed bid process.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 7-ITB-26-00196 VendorSecuritySoftwareQuestionnaire.xlsx | XLSX spreadsheet | |
| 6-ITB-26-00196 Insurance Requirements.pdf | ||
| 2-Insurance Certificate.doc | DOC document | |
| 3-Substitute W9 Form.pdf.pdf | ||
| 4-Direct Deposit Authorization Form 5.15.2025.pdf.pdf | ||
| 8-ITB-26-00196 Security Access Controls Cameras.pdf | ||
| 5-ITB-26-00196 Attachment A.pdf |
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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 .