1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- SCADA Infrastructure System Electrical Parts
- Solicitation number
- ITB-26-00081
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by the State of Florida for vendors bidding on the Hillsborough County Water Resources Department's SCADA Infrastructure System Electrical Parts contract. The form mandates that vendors certify compliance with Florida Statute 287.087 by implementing comprehensive drug-free workplace policies. Vendors must publish statements notifying employees that unlawful manufacture, distribution, dispensing, possession, or use of controlled substances is prohibited in the workplace, inform employees of the dangers of drug abuse and available assistance programs, distribute the policy statement to all employees engaged in providing the commodities or services under bid, and 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 or require satisfactory participation in drug abuse assistance or rehabilitation programs on any employee convicted of drug-related violations and make a good faith effort to maintain a drug-free workplace through implementation of these requirements. The form requires an authorized company representative to sign and date the certification, attesting that the firm fully complies with all stated requirements. This certification is a prerequisite for participation in the Hillsborough County Water Resources Department bid for SCADA Low Pressure Sanitary System electrical parts, estimated at $285,270.05.
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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 .