9-Form - Drug Free.pdf
PDF 81 KB Posted
- Solicitation number
- 2027009
- Issued by
- Indian River County, Florida
About this file
This is a Drug-Free Workplace Certification form required for bidders on the North County Aquatic Center Commercial Pool Spray Feature Replacement project in Indian River County, Florida. The certification confirms that the bidding vendor complies with Florida Statute 287.087 and maintains a drug-free workplace policy. Bidders must certify that their company publishes workplace policies prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances; informs employees about drug abuse dangers and available assistance programs; provides all employees engaged in contract work with copies of the drug-free workplace statement; and notifies employees that contract work participation requires adherence to the policy and reporting of any drug-related convictions within five days of occurrence.
The form requires an authorized representative's signature, company name, and date of certification. Vendors must also certify that they will impose sanctions on or require participation in drug abuse assistance or rehabilitation programs for employees convicted of drug violations, and will make good faith efforts to maintain a drug-free workplace in accordance with Section 287.087. This certification must be included with the bid submission and serves as a prerequisite compliance document for participation in the Indian River County project.
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Text version
DRUG-FREE WORKPLACE CERTIFICATION
(Please include this form with your bid)
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’s 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 893 or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than 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 Section 287.087.
As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements.
Company Name
Bidder's Signature
Date:
| Name of Business: |
| Textfield: |
| Date: |
File details come from the government source that posted it. Updated .