1-Drug Free Workplace Form.doc.doc
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- Solicitation number
- IFB-26-00346
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by the State of Florida for compliance with Florida Statute 287.087 in connection with the Hillsborough County Water Resources Department's Low Pressure Sewer System Installations and Repairs (WORCS-2) contract opportunity. The form must be completed and signed by an authorized representative of any vendor bidding on this project. Vendors are required to certify their compliance with six specific drug-free workplace requirements, including publishing a statement prohibiting controlled substance use in the workplace, informing employees of 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 the requirement to report convictions or guilty pleas related to controlled substance violations within five days, imposing sanctions or requiring participation in rehabilitation programs for violating employees, and maintaining good faith efforts to sustain a drug-free workplace environment.
The Drug-Free Workplace Certification Form is a mandatory compliance document that all bidders must complete as a condition of contract eligibility. Vendors must demonstrate that their organization has implemented comprehensive drug-free workplace policies and procedures and commit to ongoing enforcement throughout the contract period. The certification requirement applies to all employees engaged in providing services related to the estimated $4,410,000 low-pressure sewer system installation and repair project. Failure to complete and submit this form with the bid submission may result in the vendor being deemed non-responsive and ineligible for contract award.
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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 .