1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Fire Hydrants State and local contract opportunity
- Solicitation number
- ITB-26-00104
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by the Hillsborough County Water Resources Department in Florida for vendors bidding on a fire hydrant supply contract. The form mandates that vendors comply with Florida Statute 287.087 by establishing and maintaining a drug-free workplace policy. Vendors must publish statements notifying employees that unlawful manufacture, distribution, dispensing, possession, or use of controlled substances is prohibited in the workplace and must specify the actions taken against employees for violations. The estimated project budget for the two-year fire hydrant supply contract is $601,663.54, and all bidders must submit this completed certification form as part of their proposal submission.
The form requires vendors to 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. Vendors must provide each employee engaged in the contract work with a copy of the drug-free workplace statement and ensure employees acknowledge they will abide by the policy and report any drug-related convictions or guilty pleas within five days of occurrence. Additionally, vendors must impose sanctions on or require participation in drug abuse assistance programs for any convicted employees and demonstrate good faith efforts to maintain a drug-free workplace. The authorized company representative must sign and date the form to certify full compliance with all requirements.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 4-Appendix B-Approved Products List.pdf | ||
| 5-ITB-26-00104 Fire Hydrants.pdf | ||
| 2-Substitute W9 Form.pdf.pdf | ||
| 3-Direct Deposit Authorization Form 5.15.2025.pdf.pdf |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .