1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Mobile Trommel Screen Rental
- Solicitation number
- ITB-26-00403
- 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 Mobile Trommel Screen Rental contract opportunity. The form mandates that vendors certify compliance with Florida Statute 287.087 by implementing comprehensive drug-free workplace policies. Vendors must publish statements notifying employees that unlawful manufacture, distribution, dispensing, possession, or use of controlled substances is prohibited in the workplace and specify consequences for violations. The contract pertains to a full-sized mobile trommel screen rental for use at the Southeast Hillsborough County Landfill for a five-year period, with an estimated project value of $600,000.00.
Vendors are required to inform employees about the dangers of drug abuse, the company's drug-free workplace policy, available counseling and rehabilitation programs, and penalties for drug abuse violations. All employees engaged in providing the commodities or contractual services under bid must receive a copy of the drug-free workplace statement. Employees must be notified that as a condition of employment on this contract, they will abide by the policy terms and must report any conviction of or plea of guilty or nolo contendere to violations of controlled substance laws 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 and make good faith efforts 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 .