7-Drug Free Workplace Form.doc.doc

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Attached to
Professional Traffic Engineering Services (SBE Set-Aside)
Solicitation number
RPS-26-00269
Issued by
Hillsborough County, Florida

About this file

This is a Drug-Free Workplace Certification Form required by the Hillsborough County Engineering and Operations Department in Florida for the Professional Traffic Engineering Services contract opportunity. Vendors responding to this solicitation must complete and submit the form as part of their proposal requirements. The form obligates the vendor to establish and maintain a drug-free workplace policy in accordance with Florida Statute 287.087. Vendors must publish a statement prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace and must communicate this policy, associated penalties, and available assistance programs to all employees engaged in providing the commodities or services under the bid. Employees must be required to notify their employer within five days of any conviction or guilty plea related to controlled substance violations occurring in the workplace.

The vendor certification requires implementation of workplace drug testing and monitoring procedures, including sanctions or mandatory participation in rehabilitation programs for employees found in violation of the drug-free workplace policy. The vendor must execute the form by authorized signature and certify full compliance with all requirements outlined in the document. This certification is a mandatory condition for consideration in the Professional Traffic Engineering Services contract, estimated at $4,000,000, with submission deadlines and requirements outlined in the Hillsborough County solicitation documents.

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Text version

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’ 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 1893 or of any controlled substance law of the United States or any state, for violation occurring in the workplace no later than five (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 this section.

As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements.

Offeror’s Signature

Date

DRUG-FREE WORKPLACE FORM

G:\Forms Library\0500-Forms\522_Drug Free Workplace Form.doc

File details come from the government source that posted it. Updated .