1-Drug Free Workplace Form.doc
DOC document 27 KB Posted
- Attached to
- Sand Delivered for Sandbag Operations State and local contract opportunity
- Solicitation number
- ITB-26-00073
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Form required by the Hillsborough County Board of County Commissioners in Florida for the Sand Delivered for Sandbag Operations contract opportunity. The solicitation seeks competitive sealed bids from experienced and qualified contractors with a proven track record of supplying multiple types of sand or equivalent materials for delivery to various County locations and job sites on an ongoing and as-needed basis. The resulting contract will be effective for a three-year period with an estimated value of $617,490.00.
As a condition of bidding on this contract, the vendor must certify compliance with Florida Statute 287.087 by publishing a workplace drug prohibition statement, informing employees about drug abuse dangers and company policy, distributing the policy statement to all employees engaged in providing the commodities or services under bid, notifying employees of reporting requirements for drug-related convictions, imposing sanctions or requiring participation in rehabilitation programs for violations, and making good faith efforts to maintain a drug-free workplace. The offeror must sign and date the form to certify full compliance with all requirements.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 5-ITB-26-00073 Insurance Requirements Attachment.pdf | ||
| 2-Insurance Certificate.doc | DOC document | |
| 4-Direct Deposit Authorization Form 5.15.2025.pdf.pdf | ||
| 3-Substitute W9 Form.pdf.pdf | ||
| 6-ITB-26-00073 Sand Delivered for Sandbag Operations.pdf |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .