1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Pump Station Control Panels and Other Enclosures
- Solicitation number
- ITB-26-00393
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug Free Workplace Form related to a pump station control panels and enclosures contract opportunity issued by the Hillsborough County Board of County Commissioners in Florida. The form establishes the drug-free workplace requirements and certifications that contractors must comply with to participate in the bidding process. Contractors are required to certify that they maintain a drug-free workplace in accordance with federal and state regulations, and they must acknowledge the consequences of non-compliance, including potential contract termination and debarment from future contract opportunities with the County.
The form serves as a mandatory compliance document that bidders must complete and submit as part of their bid package for the two-year pump station control panel and enclosure supply contract valued at approximately $3,660,000.00. By executing this form, contractors attest that they have implemented workplace drug testing policies, employee awareness programs, and procedures to maintain a drug-free work environment. Failure to maintain drug-free workplace standards or submitting false certifications can result in contract cancellation, suspension, and exclusion from County procurement opportunities for specified periods.
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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 .