1-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Attached to
- Cat Litter
- Solicitation number
- ITQ-26-00201
- 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 in Florida for the Cat Litter supply contract opportunity. Vendors responding to this solicitation must complete and sign this certification form as a mandatory compliance requirement under Florida Statute 287.087. The form applies to all employees engaged in providing commodities or contractual services under the bid, and vendors must certify their commitment to maintaining a drug-free workplace throughout the one-year contract term valued at $37,500.00.
The certification requires vendors to implement six specific compliance measures: publish a statement prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace; inform employees of drug abuse dangers and available assistance programs; distribute the policy statement to all relevant employees; require employees to notify the employer of drug-related convictions within five days; impose sanctions or require participation in rehabilitation programs for violations; and demonstrate good-faith efforts to maintain workplace drug-free compliance. The authorized company representative must sign and date the form, affirming that the firm fully complies with all stated requirements.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 4-Direct Deposit Authorization Form 5.15.2025.pdf.pdf | ||
| 5-ITQ-26-00201 Insurance Requirements.pdf | ||
| 6-ITQ-26-00201 Cat Litter.pdf | ||
| 2-Insurance Certificate.doc.doc | DOC document | |
| 3-Substitute W9 Form.pdf.pdf |
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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 .