1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Specialty Paint State and local contract opportunity
- Solicitation number
- ITB-26-00142
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by the Hillsborough County Board of County Commissioners in Florida for the Specialty Paint contract solicitation. Vendors must certify compliance with Florida Statute 287.087 and establish workplace policies prohibiting the unlawful manufacture, distribution, dispensing, possession, or use of controlled substances. The form requires bidders to publish statements notifying employees of the prohibition and associated penalties, inform employees about drug abuse dangers and available assistance programs, distribute copies of the policy to all employees engaged in providing the commodities or contractual services under bid, and require employees to notify their employer of any drug-related convictions occurring in the workplace within five days. The contract opportunity involves providing various types of paint including spray, spray marking, and brush application paint, with an estimated project value of $287,316.00 and a two-year contract term.
Vendors must demonstrate good faith efforts to maintain a drug-free workplace and impose sanctions or require participation in drug abuse rehabilitation programs for any employee convicted of a controlled substance violation. The authorized company representative must sign and date the certification form, attesting that the firm fully complies with all requirements outlined in Florida Statute 287.087. This form is a mandatory compliance document for all bidders participating in the Specialty Paint solicitation and must be submitted as part of the bid package.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 2-Substitute W9 Form.pdf.pdf | ||
| 3-Direct Deposit Authorization Form 5.15.2025.pdf.pdf | ||
| 4-ITB-26-00142 Speciality Paint.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 .