1-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Attached to
- Trap Neuter Vaccinate Return (TNVR) Services
- Solicitation number
- ITQ-26-00105
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by the Hillsborough County Board of County Commissioners, Pet Resources Department for vendors bidding on Trap, Neuter, Vaccinate, and Return (TNVR) services in Florida. The form mandates that vendors certify compliance with Florida Statute 287.087 by implementing a comprehensive drug-free workplace program. Vendors must publish statements notifying employees that unlawful manufacture, distribution, dispensing, possession, or use of controlled substances is prohibited in the workplace and specify disciplinary actions for violations. Vendors are required to inform employees about the dangers of drug abuse, the company's drug-free workplace policy, available drug counseling and rehabilitation programs, and applicable penalties. Each employee engaged in providing the commodities or contractual services under bid must receive a copy of the workplace statement and acknowledge their agreement to comply with its terms and notify the employer of any drug-related convictions or guilty pleas within five days of occurrence.
The contract opportunity is for TNVR services for feral or free-roaming cats with an estimated value of $50,000.00 for an eight-month period. Vendors must demonstrate good faith efforts to maintain a drug-free workplace through implementation of the required program and impose sanctions or require participation in drug abuse assistance or rehabilitation programs for employees convicted of drug violations. Submission of the completed and signed Drug-Free Workplace Certification Form is a mandatory requirement for bid consideration on this Hillsborough 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 .