1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Solicitation number
- ITB-26-00326
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug Free Workplace Form for the Hillsborough County Board of County Commissioners in Florida related to the Hurricane Season Contingency Portable Pump Rentals contract opportunity. The form establishes compliance requirements for bidders and contractors participating in the contingency rental of portable pumps for emergency response situations. The resulting contract will be for a five-year period with an estimated project value of $5,589,125.00. Bidders must certify their commitment to maintaining a drug-free workplace as a condition of contract award and performance.
The Drug Free Workplace Form serves as a mandatory certification document requiring contractors to acknowledge their understanding of federal and state drug-free workplace statutes and regulations. Signatories must confirm that they will provide a drug-free workplace in compliance with applicable laws and maintain workplace policies that prohibit the unlawful manufacture, distribution, dispensation, possession, or use of controlled substances. This certification applies to all employees and contractors who will perform work under the contract and must be executed prior to contract execution or as a condition of award.
View the file
Other files
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 .