1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Schneider Electrical Components State and local contract opportunity
- Solicitation number
- ITB-26-00116
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by the Hillsborough County Water Resources Department (WRD) in Florida for vendors bidding on a competitive sealed bid procurement for Schneider Electrical component parts. The contract opportunity is a two-year period with an estimated project budget of $545,053.19. The form must be completed and signed by an authorized representative of the bidding firm as a condition of submitting a bid for the commodities or contractual services under this solicitation.
The certification requires vendors to implement and maintain a comprehensive drug-free workplace program that includes publishing a statement prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace; informing employees about drug abuse dangers and company policy; distributing the policy statement to all employees engaged in providing the bid commodities or services; notifying employees of their obligation to report any controlled substance convictions or guilty pleas within five days of occurrence; and imposing sanctions or requiring participation in drug abuse assistance or rehabilitation programs for employees found in violation. Vendors must certify in writing that their firm complies fully with Florida Statute 287.087 requirements and maintains a good faith effort to sustain a drug-free workplace throughout the contract period.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 4-ITB-26-00116 Schneider Electrical Components.pdf | ||
| 2-Substitute W9 Form.pdf.pdf | ||
| 3-Direct Deposit Authorization Form 5.15.2025.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 .