1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Solicitation number
- ITB-26-00394
- 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 FY26B Various Construction-Road Maintenance Vehicles & Equipment procurement, which has an estimated project value of $4,351,000.00. As a condition of bid submission, vendors must certify compliance with Florida Statute 287.087 by completing and signing this form. The certification requires vendors to demonstrate implementation of a comprehensive drug-free workplace program, including publishing a statement prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace and specifying disciplinary actions for violations.
Vendors must inform employees about the dangers of drug abuse, communicate the business's drug-free workplace policy, and inform them of available counseling, rehabilitation, and employee assistance programs along with applicable penalties for violations. All employees engaged in providing the commodities or contractual services under bid must receive a copy of the workplace statement and acknowledge their obligation to abide by its terms. Employees are required to notify their employer within five days of any conviction of or guilty plea related to controlled substance violations under Chapter 1893 or any applicable federal or state controlled substance law occurring in the workplace. Vendors must impose sanctions on or require satisfactory participation in drug abuse assistance or rehabilitation programs for any convicted employee and commit to maintaining a drug-free workplace in good faith. The authorized company representative must sign and date the form as certification of full compliance with all requirements.
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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 .