3-CDL Program Contractor Statement of Compliance.pdf
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- Solicitation number
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- Fayette County, Pennsylvania
About this file
The document is a CDL (Commercial Driver's License) Program Contractor's Statement of Compliance form intended for use by local government agencies. The form requires contractors who may perform safety-sensitive functions involving commercial driving to certify their compliance with federal Department of Transportation drug and alcohol testing regulations under 49 CFR Parts 40 and 382. Contractors must complete this certification prior to contract award and every six months thereafter, documenting their participation in a qualified drug and alcohol testing program.
The form requires contractors to provide key details about their drug and alcohol testing program, including the program name, a contact person, address, state, ZIP code, and phone number. By signing the document, the contractor attests to maintaining a compliant testing program for employees performing safety-sensitive functions that typically require a Commercial Driver's License. This certification is a mandatory requirement for contractors seeking to work with the local government entity, ensuring workplace safety and regulatory adherence in transportation-related contracts.
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Text version
CDL Program
Contractor’s Statement of Compliance
Due to the nature of the work which this contractor may perform for this employer, this contractor must use employees who perform safety-sensitive functions for which a Commercial Driver’s
License (CDL) is typically required. Under federal Department of Transportation regulations (49
CFR Parts 40 and 382), the contractor is responsible for implementing a drug and alcohol testing program for these employees. Prior to being awarded any contract by the Local Government and every six months thereafter of the contract, this contractor must certify its compliance with these regulations to the Local Government by signing the form below.
This hereby certifies that on , (Date) (Name of Contractor) did provide the Local Government with the following information attesting to the contractor’s current participation in a qualified drug and alcohol testing program.
Testing Program Name
Program Contact Person
Address State ZIP Code
Phone Number
Contractor Signature
(Name and Title)
File details come from the government source that posted it. Updated .