1-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Solicitation number
- RFP-26-00141
- 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 for vendors bidding on Program Year 2026 HOME/HOME-ARP Projects and CHDO Certification in Florida, with an estimated project value of $2,000,000.00. The form serves as a compliance document under Florida Statute 287.087, which mandates that all vendors bidding on county commodities or contractual services certify their commitment to maintaining a drug-free workplace. Vendors must acknowledge their implementation of specific workplace policies and practices designed to prevent and address controlled substance abuse among employees engaged in the performance of the contract.
The certification requires vendors to demonstrate that they have published statements prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace; informed employees about drug abuse dangers and available counseling or rehabilitation programs; distributed copies of the drug-free workplace policy to all employees working on the contract; notified employees of their obligation to report convictions or guilty pleas related to drug violations within five days; and imposed sanctions or required participation in rehabilitation programs for employees convicted of drug violations. Vendors must further certify their good faith effort to maintain a drug-free workplace through implementation of these requirements. The authorized company representative must sign and date the form before submission as part of the proposal package.
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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 .