1-Drug Free Workplace Form.doc

DOC document 27 KB Posted

Attached to
Financial Consultant Services
Solicitation number
ITB-27-00020
Issued by
Hillsborough County, Florida

About this file

This is a Drug-Free Workplace Form required by Florida Statute 287.087 for the Financial Consultant Services contract opportunity issued by the Hillsborough County Board of County Commissioners. The form establishes compliance requirements for vendors bidding on the five-year financial consulting services contract valued at $1,300,000.00, which pertains to rate structure guidance for the Transportation Assessment Program, Residential Street Lighting Program, and Stormwater Management Assessment Program within Hillsborough County's Public Works Department. As a condition of contract award, the offeror must certify full compliance with drug-free workplace standards by signing and submitting the completed form.

The form mandates that the vendor publish workplace policies prohibiting controlled substance manufacture, distribution, dispensing, possession, or use; inform employees of drug abuse dangers and available assistance programs; distribute the policy statement to all employees engaged in performing contract work; require employee notification of drug-related convictions within five days; and impose sanctions or require participation in rehabilitation programs for violating employees. The vendor must also make a good-faith effort to maintain a drug-free workplace through ongoing implementation of these requirements. This certification must be executed by an authorized representative and submitted as part of the bid response.

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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 .