1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Emergency Shelter Staffing
- Solicitation number
- ITB-26-00131
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Form required by Florida Statute 287.087 for the Emergency Shelter Staffing contract opportunity with Hillsborough County Fire Rescue (HCFR), Office of Emergency Management (OEM). The form certifies vendor compliance with Florida's drug-free workplace requirements and must be completed and signed by an authorized representative of any firm bidding on this contract. The contract seeks an experienced contractor to provide shelter staffing support services during emergency activations and declared disasters within Hillsborough County for both residents and pets, with trained and certified personnel available for rapid deployment in congregate and non-congregated shelter settings. The contract term is three (3) years, with an estimated project value of $374,610.00.
As a condition of contract award, the vendor must publish statements notifying employees that unlawful manufacture, distribution, dispensing, possession, or use of controlled substances is prohibited in the workplace; inform employees about drug abuse dangers and available counseling or rehabilitation programs; distribute the policy statement to all employees engaged in providing the contracted services; require employees to notify the employer of any drug-related convictions within five (5) days; and impose sanctions or require participation in drug abuse assistance programs for violations. The vendor must make a good faith effort to maintain a drug-free workplace throughout the contract period. This form must be completed, signed, and submitted as part of the bid package to demonstrate compliance with Florida statutory requirements.
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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 .