1-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Attached to
- Drop Ceiling Replacement Services
- Solicitation number
- ITQ-26-00344
- 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 the Drop Ceiling Replacement Services contract opportunity valued at $29,593.00 at the Falkenburg Wastewater Plant. The form serves as a compliance document in accordance with Florida Statute 287.087, requiring vendors to certify their adherence to drug-free workplace standards as a condition of contract eligibility. The document outlines six mandatory requirements that vendors must implement: publishing a workplace drug prohibition statement, informing employees of drug abuse dangers and company policy, distributing the statement to all employees engaged in the contracted work, notifying employees of their obligation to report drug-related convictions within five days, imposing sanctions or requiring rehabilitation participation for violations, and maintaining good faith efforts toward continuous drug-free workplace compliance.
The form requires the authorized company representative to sign and date the certification, affirming full compliance with all stated requirements. As a prerequisite document for bidding on the project, vendors must complete and submit this form as part of their proposal package. The certification applies to all employees engaged in providing the commodities or contractual services under the bid and remains in effect throughout the contract term. Failure to comply with these drug-free workplace requirements or submission of a false certification could result in contract disqualification or termination.
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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 .