1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Ice Machine Service and Repair
- Solicitation number
- ITB-26-00066
- 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 Public Works ice machine service and repair contract opportunity. The form mandates that vendors certify compliance with specific workplace drug policies as a condition of bidding on the contract. Vendors must publish statements notifying employees that unlawful manufacture, distribution, dispensing, possession, or use of controlled substances is prohibited in the workplace and specify consequences for violations. Additionally, vendors must inform employees about the dangers of drug abuse, the company's drug-free workplace policy, available drug counseling and rehabilitation programs, and penalties for violations. All employees engaged in providing the commodities or contractual services must receive a copy of the workplace statement and acknowledge that abiding by the policy is a condition of employment on the bid project.
Vendors must require employees to notify the employer within five days of any conviction or guilty plea related to controlled substance violations occurring in the workplace. The vendor must impose sanctions on or require satisfactory participation in a drug abuse assistance or rehabilitation program for any convicted employee. The vendor certifies that the firm will make a good faith effort to maintain a drug-free workplace through full implementation of these requirements. An authorized company representative must sign and date the form to attest to the firm's compliance with all stated requirements.
View the file
Other files
| File | Type | Posted |
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| 4-Direct Deposit Authorization Form 5.15.2025.pdf.pdf | ||
| 5-ITB-26-00066 Insurance Requirements.pdf | ||
| 3-Substitute W9 Form.pdf.pdf | ||
| 2-Insurance Certificate.doc | DOC document | |
| 6-ITB-26-00066 Ice Machine Service and Repair.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 .