1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Community Feral Cat Spay and Neuter Program
- Solicitation number
- ITB-27-00018
- 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 Community Feral Cat Spay and Neuter Program with the Hillsborough County Board of County Commissioners in Florida. The form requires the vendor to certify compliance with drug-free workplace standards as a condition of bidding on this contract opportunity, which involves providing spay, neuter, ear-tipping, and vaccination services for community feral cats within Hillsborough County. The contract has an estimated value of $79,000.00 and is for a one-year period.
The vendor must certify that it publishes a workplace statement prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances; informs employees of drug abuse dangers and applicable policies; provides each employee working on the contract with a copy of the statement; requires employees to notify the employer of any drug-related convictions within five days; imposes sanctions or requires participation in rehabilitation programs for convicted employees; and makes good faith efforts to maintain drug-free operations. The authorized representative must sign and date the form as evidence of full compliance with all requirements specified 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 .