1-Drug Free Workplace Form.doc.doc
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- Solicitation number
- ITQ-26-00239
- 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 vendors bidding on a one-time purchase of two Dodge taper bushed reducer gearboxes and four taper bushing kits, with a project estimate of $30,400.00. The form serves as a compliance document under Florida Statute 287.087, certifying that the vendor has implemented and maintains a drug-free workplace program. The document does not specify response dates, due dates, site visits, bidder meetings, or award dates, as it is a standard certification requirement rather than a solicitation document.
The form requires vendors to certify implementation of six specific workplace requirements: publishing a statement prohibiting controlled substance activity, informing employees of drug abuse dangers and company policy, providing copies of the statement to relevant employees, notifying employees of their obligation to report drug-related convictions within five days, imposing sanctions or requiring participation in rehabilitation programs for violating employees, and making good faith efforts to maintain workplace drug-free status. The vendor's authorized representative must sign and date the form as proof of compliance. No pricing information, set-asides, or funding details are contained in this certification document.
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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 .