1-Drug Free Workplace Form.doc.doc

DOC document 27 KB Posted

Attached to
Sidewalk Replacement and Repair - North (WORCS 2)
Solicitation number
IFB-26-00296
Issued by
Hillsborough County, Florida

About this file

This is a Drug-Free Workplace Certification Form required by Florida Statute 287.087 for the Sidewalk Replacement and Repair - North (WORCS 2) project under Hillsborough County Engineering and Operations Department. The form serves as a mandatory compliance document for vendors bidding on the estimated $10,000,000.00 sidewalk replacement and repair contract. The project scope includes removal of existing sidewalks, construction of new concrete sidewalk segments, repair and replacement of existing sidewalks and curb ramps, ADA compliance grinding and retrofit work, incidental irrigation and sprinkler system repairs, tree removal as necessary, temporary construction traffic control, and sodding and site restoration. By signing the certification, the vendor's authorized representative confirms that the firm publishes a workplace drug prohibition statement to employees, informs employees of drug abuse dangers and company policy, distributes the statement to all employees engaged in the contract work, and notifies employees of the requirement to report any drug-related convictions within five days.

The Drug-Free Workplace Form requires vendors to impose sanctions or mandate participation in drug abuse assistance programs for employees convicted of drug violations and to make good faith efforts to maintain a drug-free workplace. This certification is a prerequisite for contract eligibility and demonstrates the vendor's commitment to workplace safety and legal compliance. The contract includes a Small Business Enterprise (SBE) participation goal of 9% for subcontractor involvement. Vendors must complete and sign the form prior to bid submission to ensure compliance with Florida's drug-free workplace requirements for state and local contracting opportunities.

View the file

Other files

Show all 24

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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 .