1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Solicitation number
- ITB-26-00122
- 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 the Hydra-Stop Insta-Valve 250 Patriot Insertion Valves contract opportunity, valued at $175,000.00. The form mandates that all vendors bidding on this project 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 form does not specify particular response deadlines, site visits, or bidders' conferences; rather, it serves as a prerequisite certification document that must be completed and signed by an authorized representative of the bidding firm.
The form requires vendors to inform employees about the dangers of drug abuse, maintain workplace policies promoting drug-free environments, distribute the required statement to all employees engaged in providing the commodities or contractual services under bid, and notify employees of their obligation to report any convictions or guilty pleas related to controlled substance violations within five days of the conviction. Vendors must impose sanctions or require participation in drug abuse assistance or rehabilitation programs for employees found in violation and make a good faith effort to maintain a drug-free workplace. This certification form represents a compliance requirement rather than a pricing or funding document and must be executed by the offeror's authorized signature before bid submission.
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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 .