Drug Free Workplace Form.doc.doc

DOC document 27 KB Posted

Attached to
Northwest Transfer Station Community Collection Center (NWTS CCC) Floor Upgrades
Solicitation number
IFB-26-00265
Issued by
Hillsborough County, Florida

About this file

This is a Drug-Free Workplace Certification Form required by Florida Statute 287.087 for vendors bidding on the Northwest Transfer Station Community Collection Center (NWTS CCC) Floor Upgrades project with Hillsborough County Board of County Commissioners in Florida. The project involves installation of cast-in-place concrete work for the facility, with the contractor responsible for furnishing all labor, materials, tools, supervision, transportation, and equipment necessary for demolition of existing concrete and asphalt paving and installation of new concrete work. The estimated project value is $2,243,136.50, and the work must be completed by a licensed General Contractor in the State of Florida.

The Drug-Free Workplace Form serves as a mandatory certification requirement for bid submission. By signing the form, the offeror certifies that the firm publishes workplace statements prohibiting controlled substance use, informs employees of drug abuse dangers and company policies, provides copies of the statement to all employees engaged in the contract work, notifies employees of the requirement to report convictions within five days, and commits to implementing sanctions or requiring participation in rehabilitation programs for violators. Additionally, a 5% Small Business Enterprise (SBE) subcontractor participation goal has been established for this solicitation, requiring bidders to demonstrate good faith efforts to meet this threshold as part of their bid submission.

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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 .