1-Drug Free Workplace Form.doc.doc

DOC document 27 KB Posted

Attached to
Northwest Transfer Station Community Collection Center (NWTS CCC) Floor Upgrades
Solicitation number
IFB-26-00148
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 Northwest Transfer Station Community Collection Center (NWTS CCC) Floor Upgrades project. The form mandates that all vendors bidding on this general contracting opportunity for cast-in-place concrete work, estimated at $2,243,136.50, must certify compliance with Florida Statute 287.087. Vendors must publish statements to employees prohibiting the unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace and must communicate the business's drug-free workplace policy, available counseling and rehabilitation programs, and applicable penalties.

The certification requires vendors to distribute the drug-free workplace statement to all employees engaged in providing the commodities or contractual services under bid and to establish procedures for employee notification of drug-related convictions occurring in the workplace within five days. Vendors must impose sanctions on or require satisfactory participation in drug abuse assistance or rehabilitation programs for convicted employees and maintain a good faith effort to sustain a drug-free workplace. The authorized company representative must sign and date the certification form to confirm full compliance with all requirements. Additionally, this solicitation includes a 5% Small Business Enterprise (SBE) participation goal for subcontractor involvement.

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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 .