1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Solicitation number
- ITB-26-00132
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by Florida Statute 287.087 for vendors bidding on the Hillsborough County Fire Rescue Emergency Incident Management Team Staffing Services contract. The form mandates that contractors certify compliance with six specific workplace drug-free requirements, including publishing a statement prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace; informing employees about drug abuse dangers and available counseling and rehabilitation programs; distributing the drug-free workplace statement to all employees engaged in providing the commodities or contractual services under bid; notifying employees of their obligation to report any conviction or plea related to controlled substance violations within five days; imposing sanctions or requiring participation in drug abuse assistance programs for violating employees; and making a good faith effort to maintain a drug-free workplace through implementation of these requirements.
The form requires the authorized company representative to sign and date the certification, attesting that the firm fully complies with all stated requirements under Florida Statute 287.087. This certification is a mandatory compliance document for vendors participating in the three-year Hillsborough County Fire Rescue contract valued at $7,401,240.00 and does not involve pricing terms, set-asides, or other financial considerations within the form itself.
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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 .