1-Drug Free Workplace Form.doc.doc

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Attached to
R3M Miscellaneous Facilities Construction Term Contract 11
Solicitation number
IFB-26-00401
Issued by
Hillsborough County, Florida

About this file

This is a Drug-Free Workplace Certification Form required by the Hillsborough County Facilities Management and Real Estate Services Department for the R3M Miscellaneous Facilities Construction Term Contract 11 in Florida, pursuant to Florida Statute 287.087. The form establishes the requirement for vendors to certify compliance with drug-free workplace standards as a condition of contract eligibility. Vendors must publish a statement prohibiting the unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace and must inform all employees about the dangers of drug abuse, the company's drug-free workplace policy, available drug counseling and rehabilitation programs, and penalties for violations. Each employee engaged in providing the commodities or contractual services under bid must receive a copy of this statement and acknowledge their obligation to abide by its terms.

Vendors must notify employees that they are required to report any conviction of, or plea of guilty or nolo contendere to, any violation of Chapter 1893 or any controlled substance law within five days of such conviction. The vendor must also impose sanctions or require satisfactory participation in a drug abuse assistance or rehabilitation program for any convicted employee and maintain a good faith effort to sustain a drug-free workplace. The authorized company representative must sign and date the certification form to confirm full compliance with all requirements. This certification is a mandatory prerequisite for bid submission on this miscellaneous facilities construction contract, which carries an estimated value of $16,500,000.00 and includes a 10% Subcontractor Business Enterprise participation goal.

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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 .