EXHIBIT 10 - CERTIFICATE OF COMPLIANCE WITH 49 CFR PART 655.pdf

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Attached to
Community Relations Services Bench
Solicitation number
PS145468
Issued by
California

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Written by GovTribe AI ·

This is a Certificate of Compliance with 49 CFR Part 655 submitted to the Los Angeles County Metropolitan Transportation Authority (LACMTA) for RFP No. PS145468. The document is a certification form that bidders and proposers must complete to demonstrate compliance with federal regulations regarding the prevention of alcohol misuse and prohibited drug use in transit operations. Bidders must first determine whether the work required under the contract will involve "Safety Sensitive Functions" as defined in 49 CFR Part 655. If safety-sensitive functions are not required, the bidder may proceed directly to the signature section. If safety-sensitive functions are required, the bidder must complete additional sections documenting their anti-drug use and alcohol misuse program as well as their drug and alcohol testing program, either confirming existing programs or committing to establish such programs prior to contract award.

The document requires bidders to certify the status of their drug and alcohol compliance programs and, if applicable, to submit both their Anti-Drug Use and Alcohol Misuse Program and Drug and Alcohol Testing Program to LACMTA for review and approval prior to contract award. The form must be signed by an authorized representative of the bidder or proposer, with the date of signature required. The specific contract opportunity involves establishing a multi-disciplinary Community Relations Services Bench in California to provide on-call professional services supporting community engagement, research, public affairs, digital engagement, training and facilitation, and related activities for capital projects and operational initiatives.

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BIDDER/PROPOSER: ______________________

EXHIBIT 10 - 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.

RFP No. PS145468 Exhibit 10- Certificate of Compliance 49 CFR Part 655

Date: 9.28.26

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:

RFP No. PS145468 Exhibit 10- Certificate of Compliance 49 CFR Part 655

Date: 9.28.26

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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