Drug_Free_Workplace_Certification_Form.pdf
PDF 96 KB Posted
- Attached to
- First Aid Supplies - Stock
- Solicitation number
- 016-RW-0926
- Issued by
- Polk County, Florida
About this file
This is a Drug-Free Workplace Certification Form required for a First Aid Supplies - Stock contract with The School Board of Polk County in Florida, issued in accordance with Florida Statute 287.087. The certification applies to the one-year procurement contract for first aid supplies to be delivered to The School Board of Polk County warehouse in Bartow, Florida. Bidders seeking preference in the award process must demonstrate implementation of a drug-free workplace program by completing and submitting this certification form.
To qualify for drug-free workplace preference, bidders must establish and maintain six core programmatic requirements: publishing a workplace statement prohibiting unlawful manufacture, distribution, dispensing, possession, or use of controlled substances; informing employees of drug abuse dangers and available assistance programs; distributing the prohibition statement to all employees engaged in providing the commodities or services; notifying employees of their obligation to report drug-related convictions within five days; imposing sanctions or requiring rehabilitation program participation for employees convicted of drug violations; and maintaining good faith compliance efforts throughout the contract term. The authorized representative must certify that the firm fully complies with all requirements. This preference mechanism applies only when two or more bids are equal in price, quality, and service, with established tie-bid procedures followed if no bidders hold drug-free workplace certification.
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Text version
Drug-Free Workplace Certification Form
In accordance with Florida Statute 287.087, preference shall be given to businesses with drug free workplace programs. Whenever two or more bids which are equal with respect to price, quality, and service are received by the State or by any political subdivision for the procurement of commodities or contractual services, a bid received from a business that certifies that it has implemented a drug-free workplace program shall be given preference in the award process.
Established procedures for processing tie bids will be followed if none of the tied vendors have a drug-free workplace program. In order to have a drug-free program, a business shall:
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 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.
Respondent’s signature
Respondent’s printed name
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