1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Solicitation number
- ITB-26-00422
- 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 for the Pumping, Transportation, and Disposal of Leachate contract opportunity in Florida, as mandated by Florida Statute 287.087. The contract involves the provision of leachate pumping, transportation, and disposal services from the Southeast County Landfill on an as-needed basis over a three-year term, with an estimated project value of $14,280,000.00. Bidders must submit this certification form as part of their proposal response to be considered for award.
The form requires the vendor to certify compliance with six specific drug-free workplace requirements, including publishing a workplace drug prohibition statement, informing employees of drug abuse dangers and available assistance programs, distributing the statement to all employees engaged in providing the contracted services, notifying employees of their obligation to report controlled substance convictions within five days, imposing sanctions or requiring rehabilitation program participation for violating employees, and maintaining good faith efforts to sustain a drug-free workplace. Completion and signature by an authorized company representative is mandatory, with the certification serving as a compliance verification condition for bid submission and contract award eligibility.
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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 .