7-Drug Free Workplace Form.doc.doc
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- Solicitation number
- RPS-26-00366
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by the State of Florida (Florida Statute 287.087) for vendors bidding on state and local contracts, specifically in connection with a Miscellaneous Construction Engineering and Inspection (CEI) Services solicitation issued by Hillsborough County Capital Programs Department. The form serves as a mandatory certification that bidding vendors must complete and submit as part of their proposal requirements. The contract opportunity involves providing comprehensive CEI services, including materials testing and contract administration for Capital Improvement Program (CIP) and Work Order projects with an estimated contract value of $5,000,000.00 and a performance period of three years. Questions and requests for interpretation must be submitted no later than 14 calendar days after the solicitation issuance date, site visit, or pre-bid conference, whichever occurs later.
The Drug-Free Workplace Certification Form requires vendors to certify compliance with six specific requirements: publishing workplace drug prohibition statements to employees, informing employees about drug abuse dangers and company policy, distributing the statement to all employees engaged in the contracted work, notifying employees of their obligation to report controlled substance convictions within five days, imposing sanctions or requiring participation in rehabilitation programs for violations, and maintaining good faith efforts to sustain a drug-free workplace. The authorized company representative must sign and date the form to certify full compliance with these requirements. This certification is a non-negotiable condition of proposal submission and contract award for all vendors competing for state and local contract opportunities in Florida.
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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 .