1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Solicitation number
- ITB-26-00128
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Form required by the Hillsborough County Board of County Commissioners for the Carpet, Luxury Vinyl and Tile Floor Cleaning contract opportunity in Florida. The form certifies vendor compliance with Florida Statute 287.087 and establishes mandatory drug-free workplace requirements for contractors bidding on county services. The contract, valued at $1,332,869.50, covers carpet, custom Cuban cement tile, and luxury vinyl tile plank cleaning at various County facilities over a four-year term. Vendors must submit this completed and signed certification form as part of their bid package to be considered for award.
The Drug-Free Workplace Form requires vendors to publish workplace policies prohibiting controlled substance use, inform employees of drug abuse dangers and available assistance programs, distribute the policy statement to all employees working on the contract, mandate employee notification of drug-related convictions within five days, impose sanctions or require rehabilitation participation for violators, and maintain good faith efforts toward workplace drug-free compliance. This form is a mandatory compliance document and must be executed by an authorized representative of the bidding firm. The contract is designated as a Small Business Enterprise (SBE) Set-Aside, restricting eligibility to qualified small businesses.
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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 .