1-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Attached to
- Uniforms for Hillsborough County Sunshine Line
- Solicitation number
- ITQ-26-00124
- 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 a uniform supply contract valued at $30,862.00 for a two-year term. The form mandates that vendors comply with Florida Statute 287.087 by establishing and maintaining a drug-free workplace policy. The vendor must publish a statement prohibiting the unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace and specify disciplinary actions for violations. Additionally, vendors must inform all employees engaged in performing the contract work about the dangers of drug abuse, the company's drug-free workplace policy, available counseling and rehabilitation programs, and applicable penalties. Each affected employee must receive a copy of the workplace statement and acknowledge their agreement to abide by its terms as a condition of employment on the contract.
The certification requires vendors to establish procedures for employees to report any conviction of, or guilty plea to, drug-related violations within five days of the occurrence. Vendors must impose sanctions on employees found in violation or require their participation in available drug abuse assistance or rehabilitation programs. By signing the form, the authorized company representative certifies full compliance with all requirements and commits to making a good faith effort to maintain a drug-free workplace throughout the contract period. This certification is a mandatory submission requirement for all bidders on the Hillsborough County uniform supply 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 .