1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Multimedia Graphic Designer
- Solicitation number
- ITB-26-00416
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by the 13th Judicial Circuit Court of Florida for the Multimedia Graphic Designer contract opportunity. The form mandates that the contracting vendor certify compliance with Florida Statute 287.087 by implementing a comprehensive drug-free workplace program. The vendor must publish a statement prohibiting the unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace; inform employees about drug abuse dangers and available counseling and rehabilitation programs; distribute the policy statement to all employees engaged in providing the commodities or services under bid; require employees to acknowledge their commitment to maintaining a drug-free workplace and to report any drug-related convictions within five days; and impose sanctions or require participation in drug abuse assistance programs for employees found in violation. The vendor must make a good faith effort to maintain compliance with these requirements throughout the contract period.
The authorized company representative must sign and date the certification form to attest that the firm complies fully with all drug-free workplace requirements. This certification is a mandatory condition of bidding on the three-year multimedia graphic design contract valued at $188,928.00 with the 13th Judicial Circuit Court. No exceptions or alternative compliance methods are indicated in the form.
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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 .