2-Substance Abuse Prevention Form Fillable.pdf
PDF 253 KB Posted
- Attached to
- SB-FP-08-2526 Pond Management
- Solicitation number
- SB-FP-08-2526
- Issued by
- Kane County, Illinois
About this file
This is a Substance Abuse Prevention Form issued by Kane County Forest Preserve District, located in Geneva, Illinois. The form certifies compliance with the Illinois Substance Abuse Prevention and Public Works Project Act (Act 095-0635), which became effective January 1, 2008. The form requires all contractors and subcontractors engaged in public works projects for the State of Illinois, counties, cities, and political subdivisions to maintain an approved substance abuse prevention program for all laborers, mechanics, and workmen employed on the project. Contractors must complete the form by providing their company name, an authorized officer's signature, the officer's title, and the date of submission, along with an attached copy of their substance abuse prevention program.
This document serves as a compliance requirement for the related pond management contract opportunity (SB-FP-08-2526) with Kane County Forest Preserve District. The form does not specify pricing, set-asides, funding sources, or contract terms, as it functions solely as a prerequisite certification document. Contractors bidding on public works projects within Kane County must submit this completed form to demonstrate they have implemented a substance abuse prevention program that meets state requirements. The substance abuse prevention program itself must address drug and alcohol use prevention for all workers involved in the public works project.
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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
| Company Name: |
| Title: |
| Date: |
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