7-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Solicitation number
- RPS-26-00423
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by Florida Statute 287.087 for the Waters Avenue Force Main Replacement CEI Services contract opportunity in Hillsborough County, Florida. The form establishes compliance requirements that vendor offerors must acknowledge and certify prior to contract award. The certification addresses the vendor's commitment to maintaining a drug-free workplace by publishing statements notifying employees of controlled substance prohibitions, informing employees of drug abuse dangers and available assistance programs, distributing the workplace policy statement to all employees engaged in providing the commodities or services under bid, requiring employees to report convictions or guilty pleas related to controlled substance violations within five days, and imposing sanctions or requiring participation in rehabilitation programs for employees convicted of drug violations.
The form requires the authorized representative of the prospective contractor to sign and certify full compliance with all six enumerated requirements, affirming the vendor's good faith effort to maintain a drug-free workplace. This certification is a mandatory submission requirement for the Waters Avenue Force Main Replacement CEI Services solicitation, which is seeking qualified professionals to provide construction management, engineering, and inspection services for an estimated $2,200,000.00 project. A 10% Small Business Enterprise (SBE) subcontractor participation goal has been established for this contract opportunity.
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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 .