1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Solicitation number
- ITB-26-00381
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by Florida Statute 287.087 for vendors bidding on the Cablecast Broadcast and Streaming System Upgrade project with Hillsborough County Board of County Commissioners. The project involves furnishing, installing, integrating, and commissioning a complete Cablecast broadcast, streaming, and over-the-top (OTT) application system for Hillsborough Television (HTV) over a three-year contract period. The project estimate is $56,845.00. As a mandatory compliance requirement, vendors must certify their adherence to drug-free workplace standards by completing and signing this form prior to bid submission.
The certification requires vendors to demonstrate six key compliance elements: publishing a statement prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace; informing employees of drug abuse dangers and company policy; distributing the policy statement to all employees engaged in the contracted work; notifying employees that contract participation requires compliance and reporting of any drug-related convictions within five days; imposing sanctions or requiring participation in rehabilitation programs for violating employees; and maintaining a good faith commitment to workplace drug-free standards. The authorized company representative must sign and date the form, certifying full compliance with Florida's drug-free workplace requirements as a condition of contract eligibility.
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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 .