1-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Solicitation number
- IFB-26-00075
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by Hillsborough County, Florida for the LED Sports Lighting Retrofit & Installation Term Contract. The form mandates that the vendor certifies compliance with Florida Statute 287.087 requirements for maintaining a drug-free workplace. The contract is a four-year term agreement with Hillsborough County Facilities Management & Real Estate Services for LED sports lighting retrofit and installation services at various county athletic ballfields and play courts. The total project is estimated at $8,000,000.00, with allocations distributed among awarded firms based on bid document specifications. The vendor must meet specified technical requirements for either retrofitting existing metal halide systems to LED or installing new LED lighting systems.
The form requires the vendor to publish workplace drug policies, inform employees of drug abuse dangers and available assistance programs, distribute the policy statement to all employees engaged in contract work, and notify employers of any employee drug-related convictions within five days. Vendors must impose sanctions or require participation in rehabilitation programs for violating employees and maintain good faith efforts to sustain a drug-free workplace. The undersigned authorized representative must certify full compliance with all requirements by signing and dating the form. This certification is a prerequisite for bid submission and contract award under Florida statute requirements for state and local contracts.
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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 .