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TOSHIBA <br />Leading Innovation >>> <br />DRUG -FREE WORKPLACE FORM <br />6401 Nob Hill Road <br />Tamarac, FL 33321 <br />The undersigned vendor in accordance with Florida Statutes, Chapter 287, Section 287.087 hereby <br />certifies that Toshiba Business Solutions does: <br />Name of Business) <br />1) Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, <br />possession, or use of a controlled substance is prohibited in the workplace and specifying the <br />actions that will be taken against employees for violations of such prohibition. <br />2) Inform employees about the dangers of drug abuse in the workplace, the business's policy of <br />maintaining a drug -free workplace, any available drug counseling, rehabilitation, and employee <br />assistance programs, and the penalties that may be imposed upon employees for drug abuse <br />violations. <br />3) Give each employee engaged in providing the commodities or contractual services that are under <br />bid a copy of the statement specified in subsection (1). <br />4) In the statement specified in subsection (1), notify the employees that, as a condition of working <br />on the commodities or contractual services that are under bid, the employee will abide by the <br />terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo <br />contendere to, any violation of Florida Statutes, Chapter 893 or of any controlled substance law of <br />the United States or any state, for a violation occurring in the workplace no later than five (5) days <br />after such conviction. <br />5) Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or <br />rehabilitation program if such is available in the employee's community, by any employee who is <br />so convicted. <br />6) Make a good faith effort to continue to maintain a drug -free workplace through implementation of <br />this section. <br />As the person authorized to sign the statement, I certify that this firm complies fully with the above <br />requirements. <br />Pro o 'rs Signature Date —� <br />roshlba's Recommendations for The City of Coconut GeeVs RFP for Managed Print Services, 12 -01.10.10 <br />Page 37 of 42 <br />