4-Glenwood Substance Abuse Prevention Form Fillable.pdf

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Attached to
SB-FP-11-2526 Glenwood Park Capital Improvements
Solicitation number
SB-FP-11-2526 Glenwood Park Capital Improvements
Issued by
Kane County, Illinois

About this file

This is a Substance Abuse Prevention Form required by Kane County Forest Preserve District for the Glenwood Park Capital Improvements project, a capital improvement initiative involving site amenities and entry driveway renovation at Glenwood Park Forest Preserve in Illinois. The form serves as acknowledgment and attestation that contractors and subcontractors have established and will implement a substance abuse prevention program for all laborers, mechanics, and workmen employed on the public works project. The document requires the contractor to provide company name, authorized officer signature, officer title, and date of submission, along with an attached copy of their comprehensive substance abuse prevention program.

This requirement is mandated under Illinois State law (Act 095-0635, the Substance Abuse Prevention and Public Works Project Act), which became effective January 1, 2008. The regulation applies to all contractors and subcontractors engaged in public works projects undertaken by the State of Illinois, counties, municipalities, and other political subdivisions. Compliance with this substance abuse prevention program requirement is a condition of participation in the project and must be demonstrated prior to contract award or commencement of work.

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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

SB-FP-11-2526

http://www.kaneforest.com/

Title

Company Name:
Title:
Date:

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