25-84131500-ITN DFS BOR Attachment J Cert of DFWorkplace.pdf
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- Attached to
- Insurance Broker of Record - Reinsurance Broker for Property and Casualty lines, Risk Management and
- Solicitation number
- ITN-13124
- Issued by
- St. Johns County, Florida
About this file
This document is Attachment J, a Certification of Drug-Free Workplace form for Invitation to Negotiate (ITN) No. 25-84131500-ITN issued by the Florida Department of Management Services. The form is part of a competitive solicitation process where respondents must certify they have implemented a comprehensive drug-free workplace program. The certification requires employers to publish statements prohibiting controlled substance use, inform employees about drug abuse dangers, provide employees with written policy statements, mandate employee reporting of drug convictions, impose sanctions on employees convicted of drug offenses, and make good faith efforts to maintain a drug-free workplace.
The form serves as a potential tie-breaker mechanism, wherein if the Department receives equal offers eligible for award with respect to price, quality, and service, preference will be given to the respondent who has signed and submitted this drug-free workplace certification. The document outlines six specific requirements for a qualifying drug-free workplace program, including employee notification, education about drug abuse, distribution of policy statements, and commitment to workplace substance abuse prevention. Respondents must sign and complete the form, understanding that false statements are punishable under law.
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ITN No.: 25-84131500-ITN
ITN No.: 25-84131500-ITN
Attachment J
Certification of Drug Free Workplace
In the event there is no multiple awards contemplated in the ITN, and the Department receives equal Offers eligible for award, the Department will comply with Florida Statutes in accordance with the ‘Equal Offers’ section of the ITN. When the Department receives equal Offers eligible for award, with respect to price, quality and service, the Department will apply a preference in accordance with Section 287.087, F.S., to the Respondent that has signed and submitted this form with its Offer certifying it has implemented a drug-free workforce program in accordance with the provisions below.
I certify that the Respondent has implemented a drug-free workplace program that includes the following:
(1) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the workplace and specifies the actions that will be taken against employees for violations of such prohibition.
(2) Informing employees about the dangers of drug abuse in the workplace, the business's 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) Giving each employee engaged in providing the commodities or contractual services that are provided under the Offer a copy of the statement specified in (1) above.
(4) In the statement specified in (1), above, notifying the employees that, as a condition of working on the commodities or contractual services that are being competitively procured, the employees 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 893 or of any controlled substance law of the United States or any State, for a violation occurring in the workplace no later than five days after such conviction.
(5) Imposing a sanction on or requiring 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) Making a good faith effort to continuing to maintain a drug-free workplace through implementation of these provisions.
As the person authorized by the Respondent to sign the attachment, I certify that the Respondent complies fully with the above requirements. False statements are punishable under law.
Respondent’s Name: _______________________________________________________
By: ________________________________________ Signature of person authorized to submit Offer
Title: _______________________________________
Name: ______________________________________ Print Name of person authorized to submit Offer
Date: _______________________________________
File details come from the government source that posted it. Updated .