7-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Attached to
- Miscellaneous Subsurface Investigation & Testing
- Solicitation number
- RPS-26-00367
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by Hillsborough County Capital Programs Department for vendors bidding on the Miscellaneous Subsurface Investigation & Testing contract in Florida, valued at approximately $6,000,000.00. The scope of work encompasses geotechnical services, construction materials testing, roofing and waterproofing assessments, materials engineering, and asbestos-related services. Vendors must provide qualified personnel, necessary equipment, written reports, evaluations, and recommendations related to the work orders. The form serves as the vendor's attestation of compliance with Florida Statute 287.087 regarding workplace drug policies and employee notifications.
As a condition of contract award, the vendor certifies that it publishes statements prohibiting controlled substance manufacture, distribution, dispensing, possession, or use in the workplace; informs employees of drug abuse dangers and available assistance programs; distributes the policy statement to all employees working on the contract; requires employees to report drug-related convictions within five days; imposes sanctions or requires rehabilitation program participation for violations; and maintains good faith efforts to sustain a drug-free workplace. The authorized representative of the vendor must sign and date the form, confirming full compliance with all requirements outlined in Florida Statute 287.087.
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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 .