1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Isotonic Sports Drink
- Solicitation number
- ITB-26-00233
- 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 Isotonic Sports Drink procurement opportunity. Vendors bidding on this contract must certify compliance with Florida Statute 287.087 by completing and signing this form as a condition of bid submission. The certification requires vendors to establish and maintain comprehensive drug-free workplace policies, including publishing statements that prohibit unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace and specifying disciplinary actions for violations.
Vendors must inform all employees engaged in providing the commodities or contractual services under bid about the dangers of drug abuse, the company's drug-free workplace policy, available counseling and rehabilitation programs, and penalties for violations. Employees must receive a copy of the workplace policy statement and be 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 on or require satisfactory participation in drug abuse assistance or rehabilitation programs for any convicted employee and maintain good faith efforts to sustain a drug-free workplace throughout contract performance.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 2-Insurance Certificate.doc | DOC document | |
| 6-ITB-26-00233 Isotonic Sports Drink.pdf | ||
| 4-Direct Deposit Authorization Form 5.15.2025.pdf.pdf | ||
| 3-Substitute W9 Form.pdf.pdf | ||
| 5-ITB-26-00233 Insurance Requirements.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 .