1-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Solicitation number
- RFP-26-00156
- Issued by
- Hillsborough County, Madeira Beach City, Florida
About this file
This is a Drug-Free Workplace Certification Form required by the Hillsborough County Board of County Commissioners for the Membrane Based Landfill Leachate Treatment Services contract opportunity in Lithia, Florida. The form mandates that vendors certify compliance with Florida Statute 287.087 by establishing and maintaining a drug-free workplace policy. Vendors must publish statements notifying employees that unlawful manufacture, distribution, dispensing, possession, or use of controlled substances is prohibited in the workplace and must specify the actions taken against violators. All employees engaged in providing commodities or contractual services under the bid must receive a copy of this statement and be informed of drug abuse dangers, company policy, available counseling and rehabilitation programs, and penalties for violations. Employees must agree to notify their employer within five days of any conviction or guilty plea related to controlled substance violations occurring in the workplace. The contract opportunity involves providing leachate treatment services for the Southeast County Landfill with an estimated project value of $26,600,000.00, with questions and requests for interpretation due no later than 14 calendar days after solicitation issuance, site visit, or pre-bid conference, whichever is later.
Vendors must certify their commitment to implementing and maintaining drug-free workplace requirements in good faith. This certification requirement applies to all bidders seeking consideration for the leachate treatment services contract and must be signed by an authorized representative of the offeror. The form serves as a compliance document ensuring that vendors meet Florida statutory requirements before contract award and throughout contract performance.
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Other files
| File | Type | Posted |
|---|---|---|
| 4-Direct Deposit Authorization Form 5.15.2025.pdf.pdf | ||
| 10-Appendix D.pdf | ||
| 13-RFP-26-00156 Contract Terms and Conditions.pdf | ||
| 2-Insurance Certificate.doc.doc | DOC document | |
| 12-RFP-26-00156 Insurance Requirements.pdf | ||
| 6-Attachment A.pdf | ||
| 8-Appendix A.pdf | ||
| 3-Substitute W9 Form.pdf.pdf | ||
| 5-AFFIDAVIT OF COMPLIANCE - Denying Doing Business with a Foreign Country of Concern 02.26.2026.docx | DOCX document | |
| 11-Proposal Bond.docx | DOCX document | |
| 9-Appendix C.pdf | ||
| 7-Appendix B.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 .