1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Solicitation number
- ITB-26-00259
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Form required by the Hillsborough County Board of County Commissioners in Florida for the FY26A Various Construction-Road Maintenance Vehicles & Equipment procurement, estimated at $2,891,000.00. The form mandates that all vendors and their employees comply with Florida Statute 287.087 by establishing and maintaining a drug-free workplace policy. Bidders must certify that they publish statements prohibiting the unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace; inform employees of drug abuse dangers and available assistance programs; distribute the policy statement to all employees engaged in providing the commodities or services under bid; require employees to notify the employer within five days of any drug-related convictions; and impose sanctions or require participation in rehabilitation programs for violations.
The vendor or authorized representative must sign and date the certification form to confirm full compliance with all drug-free workplace requirements. This form is a mandatory submission requirement as part of the competitive sealed bid process for construction and road maintenance vehicles and equipment. Non-compliance or failure to submit the executed form may result in bid rejection or disqualification from consideration for the contract award.
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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 .