EXHIBIT 10 - CERTIFICATE OF COMPLIANCE WITH 49 CFR PART 655.pdf
PDF 62 KB Posted
- Solicitation number
- DR145358
- Issued by
- California
About this file
This is a Certificate of Compliance with 49 CFR Part 655 document issued by the Los Angeles County Metropolitan Transportation Authority (LACMTA) addressing prevention of alcohol misuse and prohibited drug use in transit operations. The certificate requires bidders and proposers to certify compliance with federal drug and alcohol testing regulations applicable to safety-sensitive functions in transit work. Bidders must first determine whether the contract work involves safety-sensitive functions as defined in 49 CFR Part 655. If safety-sensitive functions are not required, bidders proceed directly to signature requirements. If safety-sensitive functions are involved, bidders must indicate whether they have already established anti-drug use and alcohol misuse programs meeting 49 CFR 655 requirements or will establish such programs prior to contract award, and similarly certify regarding drug and alcohol testing programs.
Bidders selecting safety-sensitive function requirements must submit both their Anti-drug Use and Alcohol Misuse Program and their Drug and Alcohol Testing Program to LACMTA for review and approval prior to contract award. The document requires authorized representative signatures, titles, and dates. No pricing information, contract term lengths, renewal options, or financial requirements are specified in this compliance certificate, which functions solely as a regulatory certification document confirming adherence to federal transit safety drug and alcohol testing mandates.
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Text version
BIDDER/PROPOSER: ______________________
EXHIBIT 11 - CERTIFICATE OF COMPLIANCE WITH 49 CFR PART 655,
PREVENTION OF ALCOHOL MISUSE AND PROHIBITED DRUG USE IN
TRANSIT OPERATIONS
Bidder/Proposer hereby certifies that:
A. Safety Sensitive Functions Requirement
(Choose one of the following alternatives by checking the appropriate box)
1.
To the best of my knowledge and belief the Work required under the Contract WILL NOT require the performance of “Safety Sensitive Functions” as defined in 49 CFR Part 655.
OR
2.
To the best of my knowledge and belief the Work required under the Contract WILL require the performance of “Safety Sensitive Functions” as defined in 49 CFR Part 655.
If alternative A.1 was chosen, Bidder/Proposer shall proceed directly to Section D.
If alternative A.2 was chosen, Bidder/Proposer must complete Section B, parts 1 and 2, and Section C, prior to proceeding to Section D.
B. Required Drug and Alcohol Programs
1. Anti-drug Use and Alcohol Misuse Program
(Choose one of the following alternatives by checking the appropriate box)
a. Bidder/Proposer has established and implemented an anti-drug use and alcohol misuse program meeting the requirements on 49 CFR 655.
OR
b.
Bidder/Proposer will establish and implement an anti-drug use and alcohol misuse program meeting the requirements on 49 CFR 655 prior to contract award.
2. Drug and Alcohol Testing Program
(Choose one of the following alternatives by checking the appropriate box)
a. Bidder/Proposer has established and implemented a drug and alcohol testing program that complies with 49 CFR Part 655.
OR
b. Bidder/Proposer will establish and implement a drug and alcohol testing program that will comply with 49 CFR Part 655 prior to contract award.
BIDDER/PROPOSER: ______________________
C. Submittals
If Bidder/Proposer marked Section A.2 above, Bidder/Proposer understands and acknowledges that it must submit (1) its Anti-drug Use and Alcohol Misuse Program and
(2) its Drug and Alcohol Testing Program to LACMTA for review and approval prior to contract award.
Bidder/Proposer Initials ___________
D. Signatures
Bidder/Proposer:
Authorized Representative:
Signature of Authorized Representative:
Title:
Date:
EXHIBIT - CERTIFICATE OF COMPLIANCE WITH 49 CFR PART 655, PREVENTION OF ALCOHOL MISUSE AND PROHIBITED DRUG USE IN TRANSIT OPERATIONS
| Authorized Representative: |
| Title: |
| Date: |
| A: |
| 1: Off |
| 2: Off |
| B: |
| 1: |
| a: Off |
| b: Off |
| 2: |
| a: Off |
| b: Off |
| Bidder/Proposer2: |
| BIDDER/PROPOSER: |
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