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 related to a Florida state solicitation for business automobile insurance. The form is designed to be submitted by bidders participating in the Invitation to Bid (ITB), demonstrating compliance with a drug-free workplace program as a potential tiebreaker mechanism when bids are otherwise equal. The certification requires bidders to implement a comprehensive drug-free workplace program that includes publishing employee notifications, informing staff about drug abuse dangers, providing drug counseling resources, and establishing workplace conduct standards related to controlled substances.

The certification is part of a broader procurement process for a one-year State Term Contract covering business automobile insurance for seven Florida state agencies, including the Department of Agriculture and Consumer Services, Department of Children and Families, and others. The contract will cover approximately 617 vehicles, with bidders required to hold a valid Florida insurance license, provide a dedicated contract manager, and offer toll-free customer service. The solicitation emphasizes vendor qualifications, including 10 years of insurance placement experience, a current certificate of authority to transact insurance, and quotation documentation from insurers with current AM Best Ratings. The approximate annual spend on the expiring policy is $1,305,368, with the state reserving the right to make no award if deemed in its best interest.

View the file

Other files

File Type Posted
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 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 H Draft Contract.pdf PDF
Attachment J Certification Drug Free.docx DOCX document
Attachment K Broker Information.docx DOCX document
Attachment N Auto Usage.pdf PDF
Show all 31

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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 .