Drug Free Workplace Form.doc.doc
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- Solicitation number
- RPS-26-00274
- Issued by
- Hillsborough County, Florida
About this file
This is a Drug Free Workplace Certification Form required by Hillsborough County, Florida, in accordance with Florida Statute 287.087, for the Professional Services for Waste to Energy and Solid Waste Systems contract opportunity estimated at $6,000,000. The form mandates that vendors certify compliance with drug-free workplace requirements as a condition of contract eligibility. The vendor must publish a statement prohibiting the unlawful manufacture, distribution, dispensing, possession, or use of controlled substances in the workplace and must specify the actions taken against employees for violations. Additionally, vendors are required to inform all employees about the dangers of drug abuse, the company's drug-free workplace policy, available drug counseling and rehabilitation programs, and penalties for violations.
The form requires vendors to provide each employee engaged in providing commodities or contractual services under the bid with a copy of the drug-free workplace statement and notify employees that compliance with the statement is a condition of working on the contracted services. Employees must notify their employer of any conviction of, or plea of guilty or nolo contendere to, any violation of Chapter 1893 or controlled substance laws of the United States or any state within five days of conviction if the violation occurred in the workplace. Vendors must impose sanctions on or require satisfactory participation in drug abuse assistance or rehabilitation programs for any convicted employee and must make a good faith effort to maintain a drug-free workplace. The authorized company representative must sign and date the form certifying full compliance with all requirements.
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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 .