1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Laboratory Toxicity Testing
- Solicitation number
- ITB-26-00323
- 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 in Florida for the Laboratory Toxicity Testing contract opportunity. Vendors bidding on this acute and chronic toxicity testing contract must complete and sign this form as part of their proposal submission. The three-year contract has an estimated project value of $460,350.00.
The form requires vendors to certify compliance with Florida Statute 287.087 by establishing and maintaining a drug-free workplace policy. Vendors must publish statements prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace; inform employees of drug abuse dangers and available counseling or rehabilitation programs; provide copies of the drug-free workplace statement to all employees engaged in providing the commodities or services under the bid; require employees to notify the employer within five days of any conviction or guilty plea related to controlled substance violations occurring in the workplace; and impose sanctions or require participation in drug abuse assistance or rehabilitation programs for violating employees. The authorized signatory certifies that the firm maintains a good faith effort to comply with all requirements outlined in the form.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 5-ITB-26-00323 Laboratory Toxicity Testing.pdf | ||
| 3-Substitute W9 Form.pdf.pdf | ||
| 6-ITB-26-00323 Insurance Requirements.pdf | ||
| 2-Insurance Certificate.doc | DOC document | |
| 4-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 .