4-Form - Drug Free.pdf
PDF 81 KB Posted
- Attached to
- Round Island Shelters Columns Replacement
- Solicitation number
- 2027006
- Issued by
- Indian River County, Wilton Manors City, Florida
About this file
This is a Drug-Free Workplace Certification form required for bidders on the Round Island Shelters Columns Replacement project in Vero Beach, Florida. The form mandates that vendors certify compliance with Florida Statute 287.087 by implementing and maintaining a drug-free workplace policy. Vendors must publish statements notifying employees that unlawful manufacture, distribution, dispensing, possession, or use of controlled substances is prohibited in the workplace and specify disciplinary actions for violations. Additionally, vendors are required to inform employees about the dangers of drug abuse, communicate the company's drug-free workplace policy, inform employees of available drug counseling and rehabilitation programs, and advise employees of penalties for drug abuse violations. All employees engaged in providing commodities or contractual services under the bid must receive a copy of the drug-free workplace statement.
The certification requires vendors to notify employees that compliance with the drug-free workplace terms is a condition of employment on the project and that employees must report any conviction or guilty plea related to controlled substance violations under Florida Chapter 893 or federal law within five days of conviction. Vendors must also impose sanctions on or require satisfactory participation in drug abuse assistance or rehabilitation programs for any convicted employee. The authorized company representative must sign and date the certification form, affirming that the firm fully complies with all stated requirements and commits to maintaining a drug-free workplace in accordance with Section 287.087.
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Text version
DRUG-FREE WORKPLACE CERTIFICATION
(Please include this form with your bid)
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’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. 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 893 or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than 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 Section 287.087.
As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements.
Company Name
Bidder's Signature
Date:
| Name of Business: |
| Textfield: |
| Date: |
File details come from the government source that posted it. Updated .