1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Various Fleet Vehicles and Equipment
- Solicitation number
- ITB-27-00008
- 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 for the purchase and delivery of various fleet vehicles and equipment, a competitive sealed bid procurement estimated at $900,500.00 in Hillsborough County, Florida.
The form requires vendors to certify compliance with Florida Statute 287.087 by implementing a comprehensive drug-free workplace program. Vendors must publish a statement prohibiting the unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace and specify actions taken against violators. 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 violations. Each employee engaged in providing the commodities or contractual services under bid must receive a copy of this statement. Employees must be notified that as a condition of working on the bid services, they will abide by the statement terms and must notify their employer within five days of any conviction of or plea of guilty or nolo contendere to violations of Chapter 1893 or controlled substance laws. Vendors must impose sanctions or require satisfactory participation in drug abuse assistance or rehabilitation programs for convicted employees and make a good faith effort to maintain a drug-free workplace. The authorized representative must sign and date the certification attesting to full compliance with all stated requirements.
View the file
Other files
Show all 17
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .