1-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Solicitation number
- RFP-26-00320
- 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 for the Veterans Memorial Park Education & Cultural Center Interactive Displays project in Florida. The form mandates that vendors certify compliance with Florida Statute 287.087 by implementing a comprehensive drug-free workplace policy. Vendors must 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 programs; distribute the policy statement to all employees engaged in providing commodities or contractual services under the bid; notify employees that compliance is a condition of employment and require reporting of drug-related convictions within five days; impose sanctions or require participation in rehabilitation programs for employees convicted of drug violations; and make a good-faith effort to maintain a drug-free workplace. The form requires an authorized representative's signature and date certifying full compliance with all requirements.
This certification document is a mandatory compliance requirement for all bidders on the $800,000 Veterans Memorial Park project. Prospective contractors must complete and submit this form as part of their proposal package to demonstrate their commitment to maintaining drug-free workplace standards as mandated by Florida law. The form serves as a prerequisite qualification for bid consideration and must be executed by an authorized company representative prior to contract award.
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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 .