1-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Solicitation number
- RFP-26-00372
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by the State of Florida in accordance with Florida Statute 287.087, applicable to the Hillsborough County Community Development Block Grant (CDBG) Multi-Family Acquisition Rehabilitation project. The form serves as a mandatory compliance certification for vendors bidding on the $3,800,000.00 project, which seeks competitive sealed proposals from public or private non-profit entities for multi-family acquisition rehabilitation projects, including both rental and homeownership housing conversion options. Vendors must complete and sign the certification form as a condition of bid submission, with the authorized signatory attesting to the firm's full compliance with all specified requirements.
The Drug-Free Workplace Form requires vendors to implement and maintain a comprehensive drug-free workplace program that includes publishing workplace prohibition statements, informing employees of drug abuse dangers and available assistance programs, distributing the policy to all employees engaged in contract work, notifying employees of reporting obligations within five days of any controlled substance violations, imposing sanctions or requiring rehabilitation program participation for violations, and making good faith efforts to maintain the drug-free environment. This certification is a mandatory prerequisite for vendor eligibility and contract award on the Hillsborough County CDBG project, with the vendor's authorized representative required to sign and date the form as evidence of compliance with Florida statutory requirements.
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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 .