1-Drug Free Workplace Form.doc

DOC document 27 KB Posted

Attached to
Four Variations of Pull-behind Mowers State and local contract opportunity
Solicitation number
ITB-26-00098
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 Fleet Management Department's competitive bid solicitation for four variations of pull-behind mowers with an estimated project budget of $187,500.00. The form serves as a mandatory compliance document that vendors must complete and sign to demonstrate adherence to drug-free workplace requirements. Vendors must certify that their business publishes statements notifying employees that unlawful manufacture, distribution, dispensing, possession, or use of controlled substances is prohibited in the workplace and specify actions taken against violators. Additionally, vendors must inform employees about the dangers of drug abuse, the company's drug-free workplace policy, available counseling and rehabilitation programs, and penalties for violations.

The certification requires vendors to provide each employee engaged in the commodities or contractual services under bid with a copy of the drug-free workplace statement and notify employees that compliance is a condition of working on the contract. Employees must notify their employer within five days of any conviction or guilty plea related to controlled substance violations occurring in the workplace. Vendors must impose sanctions or require satisfactory participation in drug abuse assistance or rehabilitation programs for convicted employees and make a good faith effort to maintain a drug-free workplace. The authorized company representative must sign and date the form to certify full compliance with all requirements outlined in Florida Statute 287.087.

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Other files for this state and local contract opportunity

Other files attached to Four Variations of Pull-behind Mowers, newest first.
File Type Posted
4-ITB-26-00098 Four (4) Variations of Pull-behind Mowers.pdf PDF
7-Specification 3.pdf PDF
5-Specification 1.pdf PDF
8-Specification 4.pdf PDF
2-Substitute W9 Form.pdf.pdf PDF
3-Direct Deposit Authorization Form 5.15.2025.pdf.pdf PDF
6-Specification 2.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 .