1-Drug Free Workplace Form.doc

DOC document 27 KB Posted

Attached to
Railroad Crossing Dynamic Envelope Installation and Maintenance
Solicitation number
ITB-26-00355
Issued by
Hillsborough County, Florida

About this file

This is a Drug Free Workplace Form required by the Hillsborough County Board of County Commissioners for the Railroad Crossing Dynamic Envelope Installation and Maintenance contract opportunity in Florida. The form establishes compliance requirements for contractors bidding on this as-needed maintenance and installation project at various locations throughout Hillsborough County over a three-year period. Contractors must certify their commitment to maintaining a drug-free workplace and implementing related policies and procedures as a condition of bid submission and contract award.

The form requires contractors to acknowledge their understanding of the federal drug-free workplace requirements and certify that they will provide a drug-free workplace during contract performance. This certification is a mandatory compliance document for the estimated $635,500.00 project and must be completed and submitted with the bid package. The form ensures that all contractors operating on county projects maintain appropriate workplace safety standards and comply with applicable federal and state drug-free workplace legislation.

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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 .