1-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Solicitation number
- RFQ-26-00418
- 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 for the Fiscal Year 2027 Cold Weather Shelter Partnerships contract opportunity in Florida. Vendors responding to this partnership opportunity must complete and submit the certification to demonstrate compliance with Florida Statute 287.087. The form serves as a prerequisite document for organizations seeking to partner with Hillsborough County to provide shelter services to vulnerable residents during the cold weather season, with an estimated project value of $250,000.00.
The certification requires the vendor to establish and maintain a drug-free workplace by publishing employee policies prohibiting controlled substance use, informing employees of drug abuse dangers and available assistance programs, distributing the policy statement to all employees engaged in the contract work, and imposing sanctions or requiring rehabilitation participation for violations. Vendors must certify in writing that they comply fully with all six enumerated requirements and commit to making good faith efforts to maintain a drug-free workplace throughout the contract term. The authorized representative must sign and date the form before submission as part of the bid package for the cold weather shelter partnership.
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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 .