1-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Attached to
- CDBG-DR Notice of Funding Availability (NOFA) for Small Multifamily Rehabilitation Projects
- Solicitation number
- RFP-26-00365
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug Free Workplace Form associated with Hillsborough County Board of County Commissioners' Community Development Block Grant-Disaster Recovery (CDBG-DR) Notice of Funding Availability for Small Multifamily Rehabilitation Projects in Florida. The form establishes compliance requirements for entities bidding on the project to rehabilitate, manage, and operate small multifamily housing units for unmet recovery needs resulting from Hurricanes Helene and Milton. Prospective contractors and subcontractors must certify their commitment to maintaining a drug-free workplace in accordance with federal regulations and provide written drug-free workplace policies. The certification applies to all work performed under the contract and requires ongoing compliance throughout the contract term.
The form requires bidders to acknowledge receipt of and compliance with the drug-free workplace certification requirements as a condition of proposal submission and contract award. This certification is a mandatory federal requirement for organizations receiving CDBG-DR funding and represents a critical part of the compliance documentation needed for the $10,000,000 project. Failure to complete and submit the Drug Free Workplace Form may result in disqualification of a proposal or termination of a contract award.
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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 .