2-Substance Abuse Prevention Form Fillable.pdf
PDF 253 KB Posted
- Attached to
- SB-FP-06-2526 Herbicide Weed Management Bid
- Solicitation number
- SB-FP-06-2526 Herbicide Weed Management Bid
- Issued by
- Kane County, Illinois
About this file
The document is a Substance Abuse Prevention Form issued by Kane County Forest Preserve District in Geneva, Illinois, implementing the State of Illinois Substance Abuse Prevention and Public Works Project Act (Act 095-0635). The form requires contractors and sub-contractors working on public works projects for the state, county, city, or political subdivisions to have a substance abuse prevention program in place for all laborers, mechanics, and workers employed on such projects, as approved on January 1, 2008.
The form serves as an acknowledgment and compliance document, with space for a company to provide its name, an authorized officer's signature, their title, and the date of signing. Companies are required to attach a copy of their specific Substance Abuse Prevention Program to this form when participating in public works projects. The document is part of Kane County's 100-year celebration (1925-2025) and aligns with their mission to preserve and restore the nature of Kane County.
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Text version
To preserve and restore the nature of Kane County
1996 South Kirk Road, Suite 320, Geneva, Illinois 60134
Bill Lenert, President Benjamin Haberthur, Executive Director
(630) 232-5980 Fax: (630) 232-5924 www.kaneforest.com
SUBSTANCE ABUSE PREVENTION FORM
WHEREAS, it is the policy of the State of Illinois as declared in Substance Abuse Prevention and Public Works Project Act **(Act 095-0635)** program act for laborers, mechanics and other workman employed in any public works by the State, County, City or any political subdivision or by any work under construction for public works@ approved January 1, 2008, that all contractors or sub-contractors must have a substance abuse prevention program in place for all laborers, workmen and mechanics employed by and on behalf of any and all public body engaged in public works.
The undersigned hereby acknowledges and attaches a copy of their Substance Abuse Prevention Program.
Company Name
Signature of Officer of Company
Title
Date http://www.kaneforest.com/
Title
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