3-Drug Free Workplace Form.pdf
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- Solicitation number
- ITB No. 2026-044
- Issued by
- Palm Beach County, Florida
About this file
This is a Drug Free Workplace Form related to the Town of Palm Beach, Florida's invitation to bid for the Mandel Recreation Center Fitness Room Flooring Project. The project involves the removal of existing flooring, subfloor and surface preparation, and installation of new rubber flooring at the recreation center located at 340 Seaview Avenue, Palm Beach, Florida. Work must be scheduled to commence and conclude between August 1-10. A non-mandatory pre-bid meeting and site visit will be held on Tuesday, May 26, 2026, at 2:00 PM EST at the Mandel Recreation Center, with attendance strongly encouraged to allow bidders to seek clarification from the project manager and Town staff. All bids must be submitted online through the Town's eProcurement platform, Euna Procurement (Bonfire). Prices quoted must remain valid for ninety days from bid closure, and award will be made to the lowest responsive and responsible bidder meeting all requirements and criteria.
The Town reserves the right to award the contract to the bidder who will best serve the Town's interests and may accept or reject any and all bids. Awards may be made on an all-or-none basis or line-by-line basis. Per Section 287.05701, Florida Statutes, the Town may not request documentation of or consider a vendor's social, political, or ideological interests in determining vendor responsibility. The form ensures compliance with drug-free workplace requirements as a condition of contract eligibility and performance.
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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: |
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