1-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Attached to
- Real Estate Title Services
- Solicitation number
- RFP-26-00328
- 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 Real Estate Title Services contract opportunity valued at $250,000.00 over a five-year period. Vendors responding to this solicitation must complete and sign the certification form in compliance with Florida Statute 287.087. The form documents that the contractor's organization will implement and maintain a drug-free workplace policy, including publishing statements to employees prohibiting the unlawful manufacture, distribution, dispensing, possession, or use of controlled substances; informing employees of drug abuse dangers and available assistance programs; and distributing the policy statement to all employees engaged in providing the commodities or contractual services under the bid.
The contractor must also establish procedures requiring employees to notify the employer within five days of any conviction or guilty plea related to controlled substance violations occurring in the workplace, and commit to imposing sanctions or requiring participation in drug abuse assistance or rehabilitation programs for violating employees. The undersigned authorized representative certifies that the firm will make a good faith effort to maintain a drug-free workplace through full implementation of these requirements. Completion and signature of this form is a mandatory submission requirement for all bidders responding to the Hillsborough County real estate title services opportunity.
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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 .