1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Herbicides & Insecticides State and local contract opportunity
- Solicitation number
- ITB-26-00146
- 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 a competitive sealed bid solicitation for herbicides and insecticides in Florida. The contract opportunity involves supplying herbicides and insecticides as needed over a two-year period, with an estimated project value of $53,797.50. All qualified vendors submitting bids must complete and sign this certification form as a condition of bid submission and contract award.
The Drug-Free Workplace Form requires vendors to certify compliance with Florida Statute 287.087 by implementing six specific requirements: publishing a workplace drug prohibition statement to employees, informing employees of drug abuse dangers and company policy, distributing the statement to all employees engaged in performing contract work, notifying employees of their obligation to report convictions or guilty pleas related to controlled substance violations within five days, imposing sanctions or requiring participation in rehabilitation programs for employees convicted of drug violations, and maintaining good faith efforts to sustain a drug-free workplace. The authorized company representative must sign and date the form certifying full compliance with all requirements. This form represents a mandatory compliance document rather than a pricing or technical specification document.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 2-Substitute W9 Form.pdf.pdf | ||
| 4-ITB-26-00146-Attachment A – Herbicide Insecticide Requirements.pdf | ||
| 3-Direct Deposit Authorization Form 5.15.2025.pdf.pdf | ||
| 5-ITB-26-00146 Herbicides Insecticides.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 .