4-Form - Drug Free.pdf
PDF 81 KB Posted
- Attached to
- Annual Bid for 93% Sulfuric Acid
- Solicitation number
- 2027001
- Issued by
- Indian River County, Florida
About this file
This is a Drug-Free Workplace Certification form required for bidders on the State of Florida's Annual Bid for 93% Sulfuric Acid contract opportunity. The form mandates that vendors certify compliance with Florida Statute 287.087 by publishing workplace policies prohibiting the unlawful manufacture, distribution, dispensing, possession, or use of controlled substances. Bidders must demonstrate that they inform employees about drug abuse dangers, the company's drug-free workplace policy, available counseling and rehabilitation programs, and associated penalties. Each employee engaged in providing the commodities or 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 contract and that employees must report any conviction or guilty plea related to controlled substance violations occurring in the workplace within five days. Vendors must also impose sanctions on or require participation in drug abuse assistance programs for any convicted employees and make a good faith effort to maintain a drug-free workplace. The authorized company representative must sign and date the form, confirming full compliance with all requirements outlined in 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 .