1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Predictive Electrical and Mechanical Maintenance State and local contract opportunity
- Solicitation number
- ITB-26-00163
- 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 Predictive Electrical and Mechanical Maintenance contract opportunity valued at $578,490.00 for a five-year term. The form serves as a compliance document that vendors must complete and sign to demonstrate adherence to Florida Statute 287.087 requirements. Bidders are required to certify that their organization publishes workplace policies prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances; informs employees about drug abuse dangers and available assistance programs; provides all relevant employees with copies of the drug-free workplace statement; notifies employees of their obligation to report drug-related convictions or guilty pleas within five days; and implements sanctions or requires participation in rehabilitation programs for violations.
The certification requires the authorized company representative to sign and date the form, confirming the firm's full compliance with all six stipulated requirements and commitment to maintaining a drug-free workplace in good faith. This form is a mandatory submittal for vendors bidding on Hillsborough County contracts and represents a condition of eligibility to compete for the predictive electrical and mechanical maintenance services contract.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 3-Substitute W9 Form.pdf.pdf | ||
| 5-ITB-26-00163 Predictive Electrical and Mechanical Maintenance.pdf | ||
| 4-Direct Deposit Authorization Form 5.15.2025.pdf.pdf | ||
| 6-ITB-26-00163 Insurance Requirements.pdf | ||
| 2-Insurance Certificate.doc | DOC document |
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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 .