1-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Solicitation number
- IFB-26-00406
- Issued by
- Hillsborough County, Wright CDP, 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 Valrico Reclaimed Water Facility Diesel Generator Project in Florida. The form serves as a mandatory compliance document that vendors must complete and submit as part of their bid submittal. The certification requires vendors to publish workplace policies prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances; inform employees of drug abuse dangers and available counseling and rehabilitation programs; provide all employees engaged in the contract work with copies of the drug-free workplace statement; notify employees of their obligation to report any drug-related convictions within five days; and impose sanctions or require participation in drug rehabilitation programs for violating employees. Vendors must also make good faith efforts to maintain a drug-free workplace throughout the term of any resulting contract.
The Drug-Free Workplace Form requires the authorized company representative to certify full compliance with all six specified requirements by signing and dating the document. This certification is a standard prerequisite for participating in Florida state and local government contracts and must accompany the vendor's bid proposal. Non-compliance with these requirements can result in bid rejection or contract termination. The form applies to all employees assigned to provide commodities or contractual services under the bid solicitation.
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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 .