Attachment J Certification Drug Free.docx

DOCX document 24 KB Posted

Attached to
Business Automobile Insurance
Solicitation number
ITB-13707
Issued by
Polk County, Florida

About this file

This document is a Certification of Drug-Free Workplace form from a Florida state government procurement process, specifically related to an Invitation to Bid (ITB). The form is designed to provide a preference for bidders who have implemented comprehensive drug-free workplace programs, which could be a determining factor in awarding contracts when bids are otherwise equal in price, quality, and service.

The certification requires bidders to demonstrate a robust drug-free workplace program, including publishing employee statements prohibiting controlled substance use, informing employees about drug abuse dangers, providing drug counseling resources, and establishing clear consequences for drug-related violations. Bidders must commit to maintaining these standards, with false statements being legally punishable. The form allows the authorized representative of the bidding organization to certify compliance with these requirements, potentially gaining a competitive advantage in the state procurement process by meeting Section 287.087 of Florida Statutes.

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Other files

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Attachment A Scope of Work.pdf PDF
Attachment B Mandatory Responsive Requirements.docx DOCX document
Attachment E ESTC 9.12.2024.pdf PDF
Attachment I PUR 1355.docx DOCX document
Attachment L Expiring Policy.pdf PDF
Attachment N Auto Usage.pdf PDF
Attachment A Scope of Work.pdf PDF
Attachment E ESTC 9.12.2024.pdf PDF
Attachment K Broker Information.docx DOCX document
Attachment D ATCs.pdf PDF
Attachment G PUR 7801 Vendor Certification Form.docx DOCX document
Attachment M Historical Loss Experience.pdf PDF
_ITB Business Automobile Insurance.pdf PDF
Attachment C Revised Price Sheet .xlsx XLSX spreadsheet
Attachment H Draft Contract.pdf PDF
Attachment L Expiring Policy.pdf PDF
Attachment M Historical Loss Experience.pdf PDF
Business Auto Q&A Addendum No. 1.pdf PDF
_ITB Business Automobile Insurance.pdf PDF
Attachment C Price Sheet.xlsx XLSX spreadsheet
Attachment F PUR 1000 General Contract Conditions.pdf PDF
Attachment B Mandatory Responsive Requirements.docx DOCX document
Attachment C Price Sheet.xlsx XLSX spreadsheet
Attachment D ATCs.pdf PDF
Attachment G PUR 7801 Vendor Certification Form.docx DOCX document
Attachment I PUR 1355.docx DOCX document
Attachment F PUR 1000 General Contract Conditions.pdf PDF
Attachment H Draft Contract.pdf PDF
Attachment K Broker Information.docx DOCX document
Attachment J Certification Drug Free.docx DOCX document
Attachment N Auto Usage.pdf PDF
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Text version

Attachment J Certification of Drug Free Workplace

In the event there is no multiple award contemplated in the ITB, and the Department receives equal Bids eligible for award, the Department will comply with Florida Statutes in accordance with the ‘Equal Bids’ section of the ITB. When the Department receives equal Bids eligible for award, with respect to price, quality and service, the Department will apply a preference in accordance with Section 287.087, F.S., to the Bidder that has signed and submitted this form with its Bid certifying it has implemented a drug-free workforce program in accordance with the provisions below.

I certify that the Bidder has implemented a drug-free workplace program that includes the following:

(1) Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the workplace and specifies the actions that will be taken against employees for violations of such prohibition.

(2) Informing 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) Giving each employee engaged in providing the commodities or contractual services that are provided under the Bid a copy of the statement specified in (1) above.

(4) In the statement specified in (1), above, notifying the employees that, as a condition of working on the commodities or contractual services that are under Bid, the employees 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 five days after such conviction.

(5) Imposing a sanction on or requiring 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) Making a good faith effort to continuing to maintain a drug-free workplace through implementation of these provisions.

As the person authorized by the Bidder to sign the attachment, I certify that the Bidder complies fully with the above requirements. False statements are punishable under law.

Bidder’s Name: _______________________________________________________

By: ____________________________________ Signature of person authorized to submit Bid

Title: __________________________________

Name: _________________________________ Print Name of person authorized to submit Bid

Date: __________________________________

File details come from the government source that posted it. Updated .