5-Form - Drug Free.pdf
PDF 81 KB Posted
- Solicitation number
- 2027007
- Issued by
- Indian River County, Florida
About this file
This is a Drug-Free Workplace Certification form required by Florida Statute 287.087 for vendors bidding on the Sandridge Golf Course Cart Barns Roof Replacement project in Vero Beach, Florida. The certification must be completed and submitted with the bid for a roofing project that involves removing and replacing roof covering on cart barns located at 5300 73rd Street, Vero Beach, FL 32967. The project requires all labor, supervision, materials, equipment, and incidentals necessary to complete the roof replacement work.
The certification requires the bidding company to implement and maintain a comprehensive drug-free workplace program that includes publishing a statement prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances; informing employees of drug abuse dangers and available assistance programs; providing each employee working on the contract with a copy of the workplace policy; requiring employees to report any drug-related convictions within five days; and imposing sanctions or requiring participation in rehabilitation programs for violating employees. The authorized company representative must sign and date the form certifying full compliance with all requirements of Florida Statute 287.087 before bid submission.
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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 .