1-Drug Free Workplace Form.doc

DOC document 27 KB Posted

Attached to
FY26B Animal Control Vans
Solicitation number
ITB-26-00358
Issued by
Hillsborough County, Florida

About this file

This Drug-Free Workplace Certification Form is required by the Hillsborough County Board of County Commissioners for the FY26B Animal Control Vans contract opportunity in Florida, valued at $270,000.00. The form mandates that vendors certify compliance with Florida Statute 287.087 by implementing comprehensive drug-free workplace policies. Vendors must publish statements prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace and must specify actions taken against employees for violations. Additionally, vendors are required to inform employees about the dangers of drug abuse, the company's drug-free workplace policy, available drug counseling and rehabilitation programs, and penalties for drug abuse violations. Each employee engaged in providing the commodities or contractual services under bid must receive a copy of the workplace statement.

As a condition of working on the contract, employees must agree to abide by the drug-free workplace terms and notify their employer of any conviction or guilty plea related to controlled substance violations occurring in the workplace within five days of such conviction. Vendors must impose sanctions on or require satisfactory participation in drug abuse assistance or rehabilitation programs for any convicted employees. The authorized representative of the firm must sign and date the certification form, affirming full compliance with all requirements and making a good faith effort to maintain a drug-free workplace throughout the contract term.

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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 .