10-TOPB Drug Free Workplace Form.pdf
PDF 92 KB Posted
- Attached to
- Seaview Park Landscaping
- Solicitation number
- ITB No. 2026-023
- Issued by
- Palm Beach County, Florida
About this file
This is a Drug Free Workplace Certification form required by the Town of Palm Beach, Florida for contractors bidding on the Seaview Park Landscaping maintenance contract. The form establishes mandatory compliance requirements for grantees and their employees engaged in the performance of the contract work. The Town requires contractors to publish workplace policies prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances; establish a drug-free awareness program informing employees of abuse dangers, company policy, available counseling resources, and violation penalties; and ensure all employees receive copies of the drug policy statement. Contractors must notify employees that compliance with the drug-free workplace policy is a condition of employment and that employees must report any criminal drug statute convictions occurring in the workplace within five days. The contract term begins October 1, 2026, and runs through September 30, 2027, with four optional one-year renewal periods available based on satisfactory performance and budget authorization.
Contractors must notify the Town within ten days of receiving notice of employee drug convictions and take appropriate personnel action, up to and including termination, or require employee participation in an approved drug rehabilitation program within thirty days of notification. The Town expects contractors to maintain good faith efforts in sustaining a drug-free workplace through continued implementation of all stated requirements. The authorized agent of the bidding firm must sign and date the certification form, providing firm name, contact information, and email confirmation. Bid prices must remain valid for ninety days from the bid closing date, and award will be made to the lowest responsive and responsible bidder whose proposal meets all stated requirements and criteria.
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Text version
TOWN OF PALM BEACH
DRUG FREE WORKPLACE
CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS The grantee certifies that it will provide a drug-free workplace by:
1. Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the grantee’s workplace and specifying the actions that will be taken against employees for violation of such prohibition;
2. Establishing a drug-free awareness program to inform employees about—
a. The dangers of drug abuse in the workplace;
b. The grantee’s policy of maintaining a drug-free workplace;
c. Any available drug counseling, rehabilitation and employee assistance programs, and
d. The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace.
3. Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (1);
4. Notifying the employee in the statement required by paragraph (1) that, as a condition of employment under the grant, the employee will—
a. Abide by the terms of the statement; and
b. Notify the employer of any criminal drug statute conviction for a violation occurring in the workplace no later than five days after each conviction;
5. Notifying the agency within ten days after receiving notice under subparagraph (4b) from an employee or otherwise receiving actual notice of such conviction;
6. Taking one of the following actions, within 30 days of receiving notice under subparagraph (4b), with respect to any employee who is so convicted—
a. Taking appropriate personnel action against such an employee, up to and including termination; or
b. Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency;
7. Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs 1, 2, 3, 4, 5, 6.
As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements.
Firm: Date:
Authorized Agent: Title:
Email: Phone:
Signature:
| Firm: |
| Date: |
| Name: |
| Title: |
| Email: |
| Phone: |
| eSignature: |
File details come from the government source that posted it. Updated .