1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Media Podium Equipment
- Solicitation number
- ITB-26-00341
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug Free Workplace Form for the Hillsborough County Thirteenth Judicial Circuit Court (Administration) in Florida, which is seeking competitive sealed bids for the one-time purchase of various media podium equipment with an estimated project value of $184,061.00. The form establishes the requirement that all bidders and contractors must comply with federal drug-free workplace standards as a condition of contract award and performance. This certification document is a mandatory submission component of the bidding process and certifies that the bidder maintains a drug-free workplace in accordance with applicable federal regulations and state requirements.
The Drug Free Workplace Form serves as a compliance verification tool requiring bidders to acknowledge their commitment to maintaining drug-free workplaces and to certify that they have implemented appropriate policies and procedures. All contractors bidding on this media podium equipment procurement must complete and submit this form as part of their bid package. Failure to provide the required certification may result in bid disqualification. The form is a standard requirement for state and local government contracts in Florida and ensures that selected contractors meet federal workplace substance abuse prevention standards throughout the contract term.
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Other files
| File | Type | Posted |
|---|---|---|
| 4-ITB-26-00341 Media Podium Equipment.pdf | ||
| 3-Direct Deposit Authorization Form 5.15.2025.pdf.pdf | ||
| 2-Substitute W9 Form.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 .