1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Countywide Sidewalk Grinding State and local contract opportunity
- Solicitation number
- ITB-26-00342
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by Florida Statute 287.087 for the Hillsborough County Board of County Commissioners' Countywide Sidewalk Grinding project. The form applies to vendors bidding on sidewalk grinding services for maintenance and improvement of public sidewalks at various locations within Hillsborough County. The contract opportunity is for a two-year period with an estimated project value of $1,949,995.50.
The Drug-Free Workplace Form requires the vendor to certify compliance with six specific requirements: publishing a statement prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace; informing employees about drug abuse dangers and the business's drug-free workplace policy; distributing the statement to each employee engaged in providing the commodities or contractual services under bid; notifying employees that compliance with the drug-free workplace statement is a condition of employment on the contract and requiring notification of any drug-related convictions within five days; imposing sanctions or requiring participation in drug abuse assistance or rehabilitation programs for convicted employees; and making a good faith effort to maintain a drug-free workplace. The authorized representative of the vendor must sign and date the certification form to affirm full compliance with all requirements.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 6-ITB-26-00342 Countywide Sidewalk Grinding.pdf | ||
| 3-Substitute W9 Form.pdf.pdf | ||
| 2-Insurance Certificate.doc | DOC document | |
| 4-Direct Deposit Authorization Form 5.15.2025.pdf.pdf | ||
| 5-ITB-26-00342 Insurance Requirements.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 .