8-Drug Free Workplace Form.doc.doc
DOC document 27 KB Posted
- Solicitation number
- RPS-26-00282
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug-Free Workplace Certification Form required by the State of Florida under Florida Statute 287.087, applicable to the Hillsborough County Water Resources Department's Van Dyke Flow Diversion project. The form requires vendors submitting proposals for the pump station and pipeline infrastructure project to certify compliance with drug-free workplace requirements. Vendors must publish statements to employees prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace and must specify disciplinary actions for violations. Vendors are required to inform employees about drug abuse dangers, the company's drug-free workplace policy, available counseling and rehabilitation resources, and penalties for violations. All employees engaged in providing commodities or contractual services under the bid must receive a copy of the workplace prohibition statement.
The certification requires vendors to notify employees that compliance with the drug-free workplace terms is a condition of working on the project and that employees must report any conviction or guilty plea related to controlled substance violations within five days of occurrence. Vendors must impose sanctions or require satisfactory participation in drug abuse assistance or rehabilitation programs for convicted employees. The authorizing representative must sign and date the form, certifying that the firm maintains full compliance with all stated requirements and makes a good faith effort to continue maintaining a drug-free workplace. This form must be completed and submitted as part of the proposal package for the five-year, $2,000,000 estimated Construction Manager at Risk delivery project.
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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 .