FORM 10-CERTIFICATION OF DRUG-FREE WORKPLACE PROGRAM.pdf

PDF 138 KB Posted

Attached to
MyFloridaNet-3 Core Services - ITN
Solicitation number
ITN-12980
Issued by
Clay County, Leon County, Polk County, Florida

About this file

This document is Form 10 - Certification of Drug-Free Workplace Program for the MyFloridaNetwork-3 project, issued by the State of Florida Department of Management Services under Invitation to Negotiate (ITN) No. DMS-24/25-260. The form outlines the requirements and procedures for businesses to establish and maintain a drug-free workplace program as part of a competitive bidding process.

The document details six specific requirements for businesses to implement a drug-free workplace program, including publishing employee statements about controlled substance prohibitions, informing employees about drug abuse dangers and assistance programs, providing employees with written statements, mandating employee notification of drug-related convictions, imposing sanctions on convicted employees, and making a good faith effort to maintain a drug-free workplace. Businesses that certify compliance with these requirements can receive preference when bids are otherwise equal in price, quality, and service. The form is designed to be signed by an authorized representative who certifies the organization's full compliance with the specified drug-free workplace guidelines.

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Other files

File Type Posted
Attachment A-Statement of Work.pdf PDF
Attachment G-Instructions for Cost Reply Price Workbook.pdf PDF
Attachment I-Assumptions and Exceptions.docx DOCX document
Attachment J-Evaluator Scoresheet.xlsx XLSX spreadsheet
Attachment L-Evaluator Instructions-Technical Reply.pdf PDF
FORM 04-STATEMENT OF NO PRIOR DISQUALIFYING INVOLVEMENT.pdf PDF
FORM 06–QUALIFICATIONS & EXPERIENCE QUESTIONNAIRE.docx DOCX document
FORM 08-PUR 7801 VENDOR CERTIFICATION FORM.pdf PDF
FORM 11-NON-COLLUSION CERTIFICATION.pdf PDF
_MFN-3_ITN_Core_Services_DMS-2425-260.pdf PDF
Addendum No. 1 - posted 6-30-25.pdf PDF
Attachment A-Statement of Work_v2 posted 6-30-25.docx DOCX document
Attachment B-Draft Contract_v2 posted 6-30-25.docx DOCX document
Attachment J-Evaluator Scoresheet.xlsx XLSX spreadsheet
Attachment K-Cost Reply Price Workbook_v2 posted 6-30-25.xlsx XLSX spreadsheet
Attachment N-Negotiator Scoring Sheet.xlsx XLSX spreadsheet
FORM 01–CONTACT INFORMATION.pdf PDF
FORM 04-STATEMENT OF NO PRIOR DISQUALIFYING INVOLVEMENT.pdf PDF
FORM 05–MANDATORY RESPONSIVE REQUIREMENTS.pdf PDF
FORM 07–CLIENT REFERENCE FORM.pdf PDF
FORM 11-NON-COLLUSION CERTIFICATION.pdf PDF
FORM 12-PUR 1355 FOREIGN COUNTRY OF CONCERN ATTESTATION.pdf PDF
_MFN-3_ITN_Core_Services_DMS-2425-260.pdf PDF
Addendum No. 1 - posted 6-30-25.pdf PDF
Attachment C-Service Level Agreements_v2 posted 6-30-25.xlsx XLSX spreadsheet
Attachment E-Reply Format.pdf PDF
Attachment N-Negotiator Scoring Sheet.xlsx XLSX spreadsheet
FORM 01–CONTACT INFORMATION.pdf PDF
FORM 11-NON-COLLUSION CERTIFICATION.pdf PDF
FORM 12-PUR 1355 FOREIGN COUNTRY OF CONCERN ATTESTATION.pdf PDF
Attachment B-Draft Contract_v3.docx DOCX document
Attachment F-Technical Reply Instructions.pdf PDF
Attachment J-Evaluator Scoresheet.xlsx XLSX spreadsheet
Attachment K-Cost Reply Price Workbook_v3.xlsx XLSX spreadsheet
Attachment N-Negotiator Scoring Sheet.xlsx XLSX spreadsheet
FORM 01–CONTACT INFORMATION.pdf PDF
FORM 03-SUBCONTRACTING.pdf PDF
FORM 13-PUR 1808 COMMON CARRIER OR CONTRACTED CARRIER ATTESTATION.pdf PDF
Attachment B-Draft Contract_v3.docx DOCX document
Attachment I-Assumptions and Exceptions_v2 posted 6-30-25.docx DOCX document
FORM 06–QUALIFICATIONS & EXPERIENCE QUESTIONNAIRE_v2 posted 6-30-25.docx DOCX document
FORM 07–CLIENT REFERENCE FORM.pdf PDF
FORM 09-PUR 2024 USE OF COERCION FOR LABOR AND SERVICES.pdf PDF
FORM 13-PUR 1808 COMMON CARRIER OR CONTRACTED CARRIER ATTESTATION.pdf PDF
_MFN-3_ITN_Core_Services_DMS-2425-260.pdf PDF
Attachment G-Instructions for Cost Reply Price Workbook.pdf PDF
Attachment I-Assumptions and Exceptions_v2 posted 6-30-25.docx DOCX document
Attachment K-Cost Reply Price Workbook_v5 posted 09.18.2025.xlsx XLSX spreadsheet
FORM 04-STATEMENT OF NO PRIOR DISQUALIFYING INVOLVEMENT.pdf PDF
FORM 06–QUALIFICATIONS & EXPERIENCE QUESTIONNAIRE_v2 posted 6-30-25.docx DOCX document
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Text version

ITN No.: DMS-24/25-260 Page 1 of 2 MyFloridaNet-3 Core Services

FORM 10 – CERTIFICATION OF DRUG-FREE WORKPLACE PROGRAM

4050 Esplanade Way Tallahassee, FL 32399-0950

850-488-2786

Ron DeSantis, Governor Pedro Allende, Secretary

FOR

MyFloridaNetwork-3

ITN NO: DMS-24/25-260

THE STATE OF FLORIDA

DEPARTMENT OF MANAGEMENT SERVICES

ITN No.: DMS-24/25-260 Page 2 of 2 MyFloridaNet-3 Core Services

FORM 10 - CERTIFICATION OF DRUG-FREE WORKPLACE PROGRAM

287.087 Preference to businesses with drug-free workplace programs.--Whenever two or more bids, proposals, or replies that 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, proposal or reply received f rom a business that certifies that it has implemented a drug-free workplace program shall be given preference in the award process. In order to have a drug-f ree workplace 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 specif ied 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 5 days af ter 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, 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 responding organization complies fully with the above requirements. False statements are punishable at law.

Respondent’s Name:

By:

Authorized Signature

Print Name and Title

FORM 10 - CERTIFICATION OF DRUG-FREE WORKPLACE PROGRAM

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