1-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Attached to
- Southshore Sportsplex - Phase 2
- Solicitation number
- IFB-26-00279
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by the Hillsborough County Parks and Recreation Department in Florida for the Southshore Sportsplex - Phase 2 construction project. The form mandates that all vendors bidding on this project certify compliance with Florida Statute 287.087 by implementing comprehensive drug-free workplace policies. Vendors must publish statements prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace; inform employees of drug abuse dangers and available assistance programs; distribute policy statements to all employees engaged in the contract work; require employees to notify employers of any drug-related convictions within five days; and impose sanctions or require rehabilitation program participation for violations. The certification requires the authorized company representative to sign and date the form, affirming full compliance with all specified requirements and commitment to maintaining a drug-free workplace in good faith.
This certification form is a mandatory compliance document for participation in the Southshore Sportsplex - Phase 2 project, a construction contract estimated at $12,650,011.00 for base bid items and $2,769,574.00 for alternate bid items located in Apollo Beach, Florida. The project includes an 8% Small Business Enterprise (SBE) subcontractor participation goal. All vendors and their subcontractors must complete and submit this drug-free workplace certification as part of their bid package to be considered for 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 .