1-Drug Free Workplace Form.doc.doc

DOC document 27 KB Posted

Attached to
Volunteer Appreciation Gala
Solicitation number
ITQ-26-00018
Issued by
Hillsborough County, Florida

About this file

The document is a Drug-Free Workplace Form for the state of Florida, specifically aligned with Florida Statute 287.087. The form is a certification by a vendor that they will maintain a drug-free workplace by implementing specific workplace policies and practices, including publishing a statement prohibiting controlled substance use, informing employees about drug abuse dangers, providing a copy of the drug-free workplace policy to employees, and establishing consequences for drug-related workplace violations.

The form is associated with a Hillsborough County Pet Resources Department contract for a Volunteer Appreciation Gala, with an estimated project budget of $30,000. The gala will be a three-hour event to honor department volunteers and foster organizations, requiring a contractor to provide event space, equipment, food, and associated services. The form itself is a standard compliance document that vendors must complete to demonstrate their commitment to maintaining a safe, drug-free work environment as a prerequisite for participating in the county contract opportunity.

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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 .