1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Firefighting Hoses, Nozzles, and Accessories
- Solicitation number
- ITB-26-00009
- Issued by
- Hillsborough County, Florida
About this file
The document is a Drug-Free Workplace Form for a Florida state procurement opportunity associated with Hillsborough County Fire Rescue Department. The form requires vendors bidding on a contract for firefighting hoses, nozzles, and accessories to certify compliance with Florida Statute 287.087, which mandates specific workplace drug prevention and reporting standards. The contract has an estimated project budget of $152,085.05 and seeks a qualified contractor to provide various-sized fire hoses and related equipment.
The Drug-Free Workplace Form outlines six key requirements for vendors, including publishing employee statements about controlled substance prohibitions, informing employees about drug abuse risks, distributing policy statements, notifying employers of drug-related convictions, imposing sanctions on convicted employees, and maintaining a drug-free workplace. By signing the form, the vendor certifies full compliance with these requirements, which are designed to ensure a safe and professional work environment for the firefighting equipment procurement process.
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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 .