1-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Solicitation number
- RFP-26-00025
- Issued by
- Hillsborough County, Florida
About this file
The document is a Drug-Free Workplace Form from the state of Florida, specifically aligned with Florida Statute 287.087, designed for vendors participating in state and local contract opportunities. While this specific form is associated with a Hillsborough County Water Resources Department contract for a Customer Billing, Payment and Engagement Solution valued at $22,000,000 over a five-year term, the form itself is a mandatory certification that outlines specific requirements for maintaining a drug-free workplace.
The form requires vendors to commit to six key actions: publishing a statement prohibiting controlled substance activities in the workplace, informing employees about drug abuse dangers and potential penalties, distributing workplace drug policy statements, notifying employers of any drug-related convictions, implementing sanctions or rehabilitation programs for convicted employees, and making a good faith effort to maintain a drug-free work environment. By signing the document, the vendor certifies full compliance with these requirements, which serve as a prerequisite for participation in state and local government contract opportunities.
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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 .