1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Solicitation number
- ITB-26-00072
- 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 Hillsborough County Pet Resources Department's Cat Sterilization and Vaccination Certificate Program. The program seeks licensed veterinarians with permitted veterinary establishments to provide spay, neuter, and vaccination services exclusively for stray cats and kittens taken in by Hillsborough County through the Pet Resources Center. The estimated project budget is $200,000.00. Vendors must complete and submit the certification form as part of their bid response, with an authorized representative's signature and date required on the document.
The Drug-Free Workplace Certification requires vendors to certify compliance with six specific requirements: publishing a workplace drug prohibition statement to employees, informing employees of drug abuse dangers and available assistance programs, distributing the policy statement to all employees providing services under the contract, notifying employees of reporting obligations for drug-related convictions within five days, imposing sanctions or requiring rehabilitation program participation for violations, and maintaining good faith efforts to sustain a drug-free workplace. This certification is a mandatory compliance document for all bidders on this state and local contract opportunity in Florida.
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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 .