1-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Attached to
- Tree Trimming and Removal Services
- Solicitation number
- RFP-2026-01-0-2027/AB
- Issued by
- Brevard County, Florida
About this file
This is a Drug-Free Workplace Form required by the City of Rockledge, Florida, for vendors bidding on Tree Trimming and Removal Services. The form serves as a certification document that vendors must complete and submit as part of their bid submission in accordance with Florida Statute 287.087.
The form requires the vendor to certify compliance with six specific drug-free workplace requirements: publishing a statement to employees prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace; informing employees about drug abuse dangers and the company's drug-free workplace policy; providing each employee engaged in performing the contract work with a copy of the policy statement; notifying employees that compliance with the drug-free workplace terms is a condition of employment on the contract and requiring notification of any drug-related convictions within five days; imposing sanctions or requiring participation in drug abuse assistance or rehabilitation programs for employees convicted of drug violations; and maintaining good faith efforts to sustain a drug-free workplace through implementation of these requirements. The authorized company representative must sign and date the form to certify full compliance with all requirements.
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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 .