1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Shipping Containers
- Solicitation number
- ITB-26-00247
- 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 Shipping Containers contract opportunity, which is governed by Florida Statute 287.087. Vendors bidding on this two-year shipping container supply contract, estimated at $146,685.00, must complete and sign this certification form as part of their bid submission. The form requires the vendor to implement and maintain a comprehensive drug-free workplace policy, including publishing statements that prohibit unlawful manufacture, distribution, dispensing, possession, or use of controlled substances; informing employees of the dangers of drug abuse and available assistance programs; distributing the policy statement to all employees engaged in providing the commodities or services under bid; notifying employees that compliance with the drug-free workplace policy is a condition of employment on the contract; and requiring employees to report any drug-related convictions or guilty pleas within five days of occurrence.
The certifying official must attest that the firm complies fully with all drug-free workplace requirements and commits to making a good faith effort to maintain ongoing compliance. Vendors are required to impose sanctions or mandate participation in drug abuse assistance or rehabilitation programs for any employee convicted of controlled substance violations. This form must be signed by an authorized representative of the bidding firm and submitted as part of the competitive sealed bid package for the Hillsborough County shipping container procurement.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 3-Direct Deposit Authorization Form 5.15.2025.pdf.pdf | ||
| 4-ITB-26-00247 Shipping Containers.pdf | ||
| 2-Substitute W9 Form.pdf.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .