1-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Solicitation number
- IFB-26-00354
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by Hillsborough County, Florida, in accordance with Florida Statute 287.087 for the Bearss Avenue at Florida Avenue Intersection Improvements project, estimated at $1,263,856.86. The form establishes mandatory compliance requirements for vendors bidding on this infrastructure project, which includes roadway widening for an exclusive westbound to southbound right turn lane, milling and resurfacing, drainage improvements, Americans with Disabilities Act sidewalk and pedestrian curb ramp improvements, earthwork, traffic signal installation with pedestrian features, and signing and pavement marking. Vendors must certify their commitment to maintaining a drug-free workplace by completing and signing the certification form prior to bid submission.
The vendor certification requires implementation of six key compliance components: publishing a workplace statement prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances; informing employees of drug abuse dangers and company policy; providing each employee with a copy of the prohibition statement; requiring employees to notify the employer of any drug-related convictions within five days; imposing sanctions or requiring participation in drug abuse assistance or rehabilitation programs for violations; and demonstrating good faith efforts to maintain ongoing workplace drug-free compliance. The authorized company representative must sign and date the form, certifying full compliance with all requirements mandated by Florida law for state and local contract eligibility.
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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 .