1-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Attached to
- Kirby Street Pump Station #08 Rehabilitation
- Solicitation number
- IFB-26-00404
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug Free Workplace Form issued in compliance with Florida Statute 287.087 for the Kirby Street Pump Station #08 Rehabilitation project, a construction contract administered by the Hillsborough County Engineering and Operations Department in Florida. The project involves the construction of a new stormwater pump station on a County-owned parcel located north of the existing facility at 5201 E. Kirby Street, Tampa, FL 33617, with an estimated total project cost of $1,473,476.90. The project also includes the decommissioning and demolition of the existing stormwater pump station facility. Questions and requests for interpretation must be submitted no later than 14 calendar days after the date of solicitation issuance, site visit, or pre-bid conference, whichever is later, as specified in Paragraph 4.7 of the Contract Terms and Conditions Document.
As a condition of bid submission and contract performance, the vendor must complete and execute this Drug Free Workplace Form, certifying compliance with Florida Statute 287.087 requirements. The vendor must publish a workplace drug prohibition statement, inform employees of drug abuse dangers and available assistance programs, distribute the statement to all employees engaged in providing the contracted services, require employee notification of controlled substance convictions within five days, and impose sanctions or require participation in rehabilitation programs for violating employees. Additionally, a Small Business Enterprise (SBE) goal of 10% has been established for subcontractor participation in connection with this solicitation and its resulting contract.
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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 .