2-Substance Abuse Prevention Form Fillable.pdf
PDF 253 KB Posted
- Attached to
- SB-FP-07-2526 Teasel Management
- Solicitation number
- SB-FP-07-2526
- Issued by
- Kane County, Illinois
About this file
This is a Substance Abuse Prevention Form from Kane County Forest Preserve District, located at 1996 South Kirk Road, Suite 320, Geneva, Illinois 60134. The form serves as a compliance document for the district's public works projects and requires all contractors and subcontractors to acknowledge and demonstrate adherence to substance abuse prevention programs. The document references Illinois state legislation (Act 095-0635), the Substance Abuse Prevention and Public Works Project Act, which mandates that all contractors, subcontractors, laborers, mechanics, and workmen employed on public works projects by the State of Illinois, counties, cities, or political subdivisions must maintain a substance abuse prevention program in place. The form requires the contractor to provide company name, signature of a company officer, officer title, and date of submission, along with a copy of the contractor's substance abuse prevention program.
No specific pricing terms, project costs, funding sources, or contract award dates are identified in this form. The document functions solely as a compliance verification mechanism requiring contractors bidding on Kane County Forest Preserve District public works projects to certify the existence and implementation of substance abuse prevention protocols for their workforce. Completion and submission of this form is a mandatory prerequisite for contract eligibility on applicable public works projects within the district's jurisdiction.
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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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