1-Drug Free Workplace Form.doc.doc

DOC document 27 KB Posted

Attached to
Trailed Rotary Mower State and local contract opportunity
Solicitation number
ITQ-26-00337
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 in Florida for a competitive procurement of one trailed rotary mower with an estimated project value of $47,000. The form mandates that vendors certify compliance with Florida Statute 287.087 by establishing and maintaining comprehensive drug-free workplace policies. Vendors must publish statements prohibiting the unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace and must inform all employees engaged in providing commodities or contractual services under the bid of these policies, associated penalties, and available counseling or rehabilitation programs. Each affected employee must receive a copy of the workplace statement and acknowledge their obligation to comply with its terms and notify their employer of any drug-related convictions or guilty pleas within five business days of occurrence.

Vendors are required to impose sanctions on or mandate participation in drug abuse assistance or rehabilitation programs for employees found in violation of drug policies and must make a good-faith effort to maintain compliance with these requirements throughout contract performance. The authorized company representative must sign and date the certification, attesting that the firm fully complies with all specified drug-free workplace requirements under Florida law.

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3-Substitute W9 Form.pdf.pdf PDF
7-ITQ-26-00337 Preliminary Bid Tabulation.pdf PDF
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2-Insurance Certificate.doc.doc DOC document
5-ITQ-26-00337 Insurance Requirements.pdf PDF
6-ITQ-26-00337 Trailed Rotary Mower.pdf PDF

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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 .