11-Drug Free Workplace Form.pdf
PDF 92 KB Posted
- Attached to
- Palm Trees for 400 Block of Peruvian Avenue
- Solicitation number
- ITB No. 2026-036
- Issued by
- Palm Beach County, Florida
About this file
This is a Drug Free Workplace Certification form issued by the Town of Palm Beach, Florida, in connection with a competitive bid solicitation for the furnish and installation of palm trees along the 400 block of Peruvian Avenue. The certification document outlines the Town's mandatory drug-free workplace requirements that all contractors and their employees must comply with during contract performance. Contractors must establish and maintain a drug-free workplace by publishing a formal statement prohibiting unlawful controlled substance activity, establishing a drug awareness program, distributing the policy statement to all employees engaged in grant work, and requiring employees to notify employers of any criminal drug convictions occurring in the workplace within five days. The Town requires notification of any employee convictions within ten days and mandates corrective action within thirty days, including potential termination or mandatory participation in an approved drug rehabilitation program.
The certification requires the authorized representative of the contracting firm to execute the document with signature, printed name, title, email address, and phone number, certifying full compliance with all stated drug-free workplace requirements. This certification is a standard compliance requirement for contractors bidding on Town of Palm Beach projects and must be completed and submitted as part of the bid package through the Town's online procurement platform, Euna Procurement (Bonfire). The contractor's commitment to maintaining a drug-free workplace demonstrates good faith effort and organizational integrity throughout the contract term.
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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 .