1-Drug Free Workplace Form.doc.doc

DOC document 27 KB Posted

Attached to
Stormwater Countywide Ditch and Side Drain Restoration
Solicitation number
IFB-26-00250
Issued by
Hillsborough County, Florida

About this file

This is a Drug-Free Workplace Certification Form required by the Hillsborough County Engineering and Operations Department for the Countywide Stormwater Ditch and Side-Drain Restoration Contract in Florida. The form mandates that bidding vendors certify compliance with Florida Statute 287.087 regarding workplace drug policies and substance abuse prevention measures. Vendors must demonstrate that they publish statements prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace; inform employees about drug abuse dangers and available counseling and rehabilitation programs; distribute copies of the drug-free workplace policy to all employees engaged in the contract work; require employees to report any drug-related convictions within five days; and impose sanctions or require rehabilitation program participation for violations. The vendor's authorized representative must sign and date the certification, attesting to full compliance with all requirements and a commitment to maintain a drug-free workplace in good faith.

This certification form is a mandatory compliance document that vendors must complete and submit as part of their bid response for the stormwater restoration contract. Failure to certify compliance with the drug-free workplace requirements established under Florida law may result in bid disqualification. The form serves as a contractual commitment binding the awarded vendor to implement and maintain drug-free workplace policies throughout the initial one-year contract term and any subsequent renewal periods. All subcontractors participating in the work, including those fulfilling the 8% Small Business Enterprise subcontractor participation goal, are subject to the same drug-free workplace certification 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 .