1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Ashcroft Pressure Gauges
- Solicitation number
- ITB-26-00392
- 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 vendors bidding on a one-time purchase of Ashcroft Brand Pressure Gauges estimated at $65,148.80. The form serves as a compliance document under Florida Statute 287.087, mandating that vendors certify their commitment to maintaining drug-free workplace policies. Vendors must publish statements prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace and specify disciplinary actions for violations. Additionally, vendors are required to inform employees about the dangers of drug abuse, communicate the company's drug-free workplace policy, inform employees of available drug counseling and rehabilitation programs, and explain penalties for drug abuse violations.
The certification requires that vendors provide each employee engaged in the commodities or contractual services under bid with a copy of the drug-free workplace statement. Employees must be notified that compliance with the drug-free workplace terms is a condition of employment on the contract and that they must report any conviction of or guilty plea related to controlled substance violations within five days of such conviction. Vendors must impose sanctions on or require satisfactory participation in drug abuse assistance or rehabilitation programs for employees convicted of violations and make a good faith effort to maintain a drug-free workplace. An authorized company representative must sign and date the certification form to attest full compliance with all requirements outlined in Florida Statute 287.087.
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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 .