1-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Solicitation number
- IFB-26-00399
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by Hillsborough County, Florida for the Miscellaneous Parking Lot Repaving Services Term Contract. The form mandates that vendors certify compliance with Florida Statute 287.087 by implementing a comprehensive drug-free workplace policy. Vendors must publish statements prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace; inform employees about drug abuse dangers and available counseling or rehabilitation programs; distribute the policy statement to all employees engaged in providing the commodities or contractual services under bid; notify employees that abiding by the drug-free workplace terms is a condition of employment on the project and require notification of any drug-related convictions within five days; and impose sanctions or require participation in drug abuse assistance programs for violations. The vendor's authorized representative must sign and date the certification attesting to full compliance with these requirements.
The Drug-Free Workplace Form represents a mandatory compliance requirement for all bidders on the Hillsborough County parking lot repaving contract, which is estimated at $6,000,000.00 and includes a 5% Small Business Enterprise (SBE) subcontractor goal. This certification is a prerequisite for contract consideration and reflects Florida's statutory requirements for public procurement. The form serves as the vendor's contractual commitment to maintain drug-free workplace standards throughout the contract term.
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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 .