1-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Solicitation number
- IFB-26-00362
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by Hillsborough County, Florida for the Roadway Resurfacing Repair and Preservation Districts 1 & 2 contract opportunity. The form documents a vendor's compliance with Florida Statute 287.087 and requires the undersigned business to certify implementation of a comprehensive drug-free workplace program. Vendors must publish statements prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace and must inform employees of the dangers of drug abuse, company policy, available counseling and rehabilitation programs, and penalties for violations. Each employee engaged in providing commodities or contractual services under the bid must receive a copy of the workplace statement and acknowledge their commitment to comply with its terms, including notification to the employer within five days of any conviction or guilty plea related to controlled substance violations.
The certification requires vendors to impose sanctions or mandate satisfactory participation in drug abuse assistance or rehabilitation programs for employees convicted of drug-related offenses. The vendor's authorized representative must sign and date the form, certifying full compliance with all requirements and affirming a good faith effort to maintain a drug-free workplace. This form is a mandatory compliance document for participation in the roadway resurfacing project, which carries an estimated contract value of $16,000,000.00 and includes a 5% Small Business Enterprise (SBE) subcontractor participation goal.
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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 .