1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Isotonic Sports Drinks
- Solicitation number
- ITB-26-00050
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by Florida Statute 287.087 for the Hillsborough County Board of County Commissioners Fire Rescue Department's competitive sealed bid procurement for isotonic sports drinks. Vendors responding to this solicitation must complete and submit this certification form as a mandatory requirement. The form applies to suppliers providing beverages to supplement fluid loss during firefighting and training operations for a two-year contract period with an estimated budget of $102,850.00.
The Drug-Free Workplace Form requires the offeror to certify compliance with six specific conditions: publishing a workplace drug prohibition statement to employees, informing employees of drug abuse dangers and available assistance programs, distributing the statement to all employees engaged in providing the commodities or services under bid, notifying employees of conviction reporting requirements within five days, implementing sanctions or requiring participation in rehabilitation programs for violations, and making a good faith effort to maintain a drug-free workplace. The authorized signatory must sign and date the form to confirm the firm's full compliance with Florida Statute 287.087 requirements. This certification serves as a prerequisite eligibility requirement for bid consideration and is a standard administrative requirement for state and local contracts in Florida.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 3-Substitute W9 Form.pdf.pdf | ||
| 2-Insurance Certificate.doc | DOC document | |
| 5-ITB-26-00050 Insurance Requirements.pdf | ||
| 6-ITB-26-00050 Isotonic Sports Drinks.pdf | ||
| 4-Direct Deposit Authorization Form 5.15.2025.pdf.pdf |
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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 .