1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Commercial Grade Recliners
- Solicitation number
- ITB-26-00331
- 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 Commercial Grade Recliners procurement, valued at $130,999.00. The form requires vendors to certify compliance with Florida Statute 287.087 by publishing workplace policies prohibiting unlawful drug manufacture, distribution, dispensing, possession, or use; informing employees of drug abuse dangers and available counseling or rehabilitation programs; distributing the policy statement to all employees engaged in providing the commodities or services under bid; and notifying employees that they must report any drug-related convictions or guilty pleas within five days of occurrence. No specific response dates, due dates, site visits, bidder's meetings, award dates, or contract terms are detailed in this form.
Vendors must impose sanctions on or require satisfactory participation in drug abuse assistance programs for any employee convicted of drug violations and make a good faith effort to maintain a drug-free workplace. The authorized signatory must certify full compliance with all requirements outlined in the form. This certification is a mandatory compliance document and does not address pricing terms, set-asides, incumbents, funding sources, or other contract-specific financial or administrative details.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .