1-Drug Free Workplace Form.doc.doc

DOC document 27 KB Posted

Attached to
Pipeline Work Order Construction Services - WORCs 6
Solicitation number
IFB-26-00426
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 Pipeline Work Order Construction Services for Hillsborough County Capital Projects Department. The form applies to the construction and installation project estimated at $12,075,000.00, which involves water mains, reclaimed water mains, and wastewater force mains at various water, reclaimed water, and wastewater facilities operated by Hillsborough County Water Resources Department. The vendor must certify compliance with drug-free workplace requirements as a condition of contract award and performance.

By signing the certification, the offeror attests that the firm publishes a statement prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace; informs employees of drug abuse dangers and available counseling and rehabilitation programs; distributes the statement to all employees engaged in providing the commodities or contractual services; notifies employees that contract work requires compliance with the drug-free policy and mandates reporting of any drug-related convictions within five days; imposes sanctions or requires participation in drug assistance programs for violations; and maintains good faith efforts to sustain a drug-free workplace. A Small Business Enterprise (SBE) subcontracting goal of 6% has been established for this solicitation.

View the file

Other files

File Type Posted
25-Payment Bond.pdf PDF
7-Payment Assistance (SBE Set-Aside).pdf.pdf PDF
4-Allowance Authorization Release Form.pdf.pdf PDF
20-Attachment A - Supplemental Specifications - 10.09.2026.pdf PDF
5-Application for Payment.pdf.pdf PDF
6-Consent of Surety-Change Order.pdf.pdf PDF
12-Substitute W9 Form.pdf.pdf PDF
17-SBE Goal Participation SBE-1 Form Tutorial.mp4 MP4 file
16-Subcontractor Letter of Intent .pdf PDF
9-Consent of Surety to Final Payment.pdf.pdf PDF
18-Attachment B - Utility Accomodation Guide and ROW Use Procedures.pdf PDF
14-Contractors Affidavit for Payment of Debts and Claims 02.18.2026.pdf PDF
22-1. Terms and Conditions.pdf PDF
8-Subcontractors Statement of Satisfaction.pdf.pdf PDF
15-AFFIDAVIT OF COMPLIANCE - Denying Doing Business with a Foreign Country of Concern 02.26.2026.docx DOCX document
24-Bid Bond.pdf PDF
2-Florida Trench Safety Act, Certification and Disclosure Statement.pdf.pdf PDF
19-Attachment C - Insurance Requirements.pdf PDF
23-Agreement - IFB-26-00426.pdf PDF
21-NEW SBE Subcontractors Material Suppliers List SBE-1 Form-10.2026.pdf PDF
13-Direct Deposit Authorization Form 5.15.2025.pdf.pdf PDF
3-Vendor Eligibility Check Prior to Contract Award.pdf.pdf PDF
11-Insurance Certificate.doc.doc DOC document
10-Change Order Form.pdf.pdf PDF
26-Performance Bond.pdf PDF
Show all 25

On GovTribe

Work with this file

  • 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 .