1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Cotton Rags
- Solicitation number
- ITB-26-00351
- 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 for a competitive sealed bid solicitation in Florida for the ongoing and as-needed purchase of cotton rags over a five-year period, with an estimated project value of $160,000.00. The form mandates that the vendor certify compliance with Florida Statute 287.087 by publishing a workplace statement prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances. Vendors must inform employees about the dangers of drug abuse, the company's drug-free workplace policy, available counseling and rehabilitation programs, and penalties for violations. Each employee engaged in providing the commodities or services under bid must receive a copy of the statement and acknowledge that abiding by its terms is a condition of employment on the contract. Employees are required to notify their employer of any conviction of or guilty plea related to controlled substance violations within five days of such conviction.
Vendors must impose sanctions on or require satisfactory participation in drug abuse assistance or rehabilitation programs for employees convicted of drug violations. The certification requires the authorized signatory to affirm that the firm maintains a good faith effort to continue operating a drug-free workplace through full implementation of these requirements. This form must be signed and dated by the offeror and submitted as part of the bid package.
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Other files
| File | Type | Posted |
|---|---|---|
| 2-Substitute W9 Form.pdf.pdf | ||
| 4-ITB-26-00351 Cotton Rags.pdf | ||
| 3-Direct Deposit Authorization Form 5.15.2025.pdf.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 .