1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Mosquito Control Spraying Services State and local contract opportunity
- Solicitation number
- ITB-26-00311
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Form certification document required by the Hillsborough County Board of County Commissioners in Florida for a Mosquito Control Spraying Services contract opportunity valued at $2,756,360.00 over a three-year period. The form requires vendors to certify compliance with Florida Statute 287.087 by publishing workplace policies prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances, and by communicating these policies to all employees engaged in performing the commodities or contractual services under bid.
Vendors must establish mechanisms to inform employees about drug abuse dangers, company policy regarding drug-free workplaces, available counseling and rehabilitation programs, and penalties for violations. Employees must be required to notify their employer within five days of any conviction or guilty plea related to controlled substance violations occurring in the workplace. Vendors must also impose sanctions on or require participation in drug abuse assistance or rehabilitation programs for convicted employees. The authorized signatory certifies that the firm will make a good faith effort to maintain a drug-free workplace through full implementation of these requirements, with the form requiring both the offeror's signature and date of execution.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 5-ITB-26-00311 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 | ||
| 6-ITB-26-00311 Mosquito Control Spraying Services.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 .