1-Drug Free Workplace Form.doc.doc
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- Solicitation number
- IFB-26-00287
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by Hillsborough County Engineering and Operations Department for the CR 584 (Waters Ave) at Florida Mining Boulevard Intersection Improvements project in Florida. Vendors bidding on this traffic signal installation project must complete and submit this form certifying compliance with Florida Statute 287.087. The project involves the installation of a new traffic signal with two mast arm structures in the northwest and southeast quadrants of the intersection with interconnect along the CR 584 corridor, with an estimated project value of $2,582,238.00. Questions and requests for interpretation regarding project requirements must be submitted no later than 14 calendar days after the date of solicitation issuance, site visit, or pre-bid conference, whichever is later.
The Drug-Free Workplace Form requires vendors to certify that they maintain comprehensive drug-free workplace policies, including publishing statements prohibiting controlled substance use, informing employees of dangers and penalties, distributing policies to all employees engaged on the contract, establishing a five-day reporting requirement for employee drug-related convictions, and imposing sanctions or requiring participation in rehabilitation programs for violating employees. A Small Business Enterprise (SBE) goal of 7% has been established for subcontractor participation on this project. The form must be signed by an authorized representative of the vendor as a condition of bid submission and contract eligibility.
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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 .