1-00 45 26 Contractor Compliance with Workers Compensation Law.doc
DOC document 43 KB Posted
- Solicitation number
- 26-0301
- Issued by
- Tarrant County, Texas
About this file
This is a contractor compliance certification document for the City of Fort Worth's PW 2027 Concrete Restoration Contract 2 (City Project No. 106797) in Texas. The project involves significant concrete restoration work including approximately 23,000 square yards of 9-inch concrete panel replacement, 1,550 cubic yards of unclassified excavation, 3,000 cubic yards of flexible base Type A Grade 2, and 12,000 square yards of geogrid base reinforcement. The document establishes compliance requirements for contractors and their subcontractors to maintain worker's compensation insurance coverage as mandated by Texas Labor Code Section 406.096(a) and (b).
The certification requires contractors to provide proof of worker's compensation insurance coverage for all employees working on the project and to submit subcontractor certificates of compliance with worker's compensation requirements. The form includes notarization provisions under Texas law, County of Tarrant, indicating that contractor representatives must execute the document before a notary public and acknowledge their authority to bind their company. The standard construction specification document was revised as of July 1, 2011, establishing the baseline compliance standards for the award and execution of this concrete restoration contract.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 9-Submission Instructions - 26-0301 (rev. 090426).docx | DOCX document | |
| 7-CPN 106797 Pre-Bid Meeting Sign in Sheet.xlsx | XLSX spreadsheet | |
| 8-CPN106797 Pre-Bid Conference.pptx | PPTX presentation | |
| 5-2027 Concrete Restoration Contract 2.xlsx | XLSX spreadsheet | |
| 6-CPN106797 Project Manual.pdf | ||
| 4-00 11 13 Invitation to Bidders.docx | DOCX document | |
| 3-Bid Documents Package Folder Contents Checklist.doc | DOC document | |
| 2-00 35 13 Conflict of Interest Statement.pdf |
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Text version
00 45 26 - 1
CONTRACTOR COMPLIANCE WITH WORKER'S COMPENSATION LAW
SECTION 00 45 26
CONTRACTOR COMPLIANCE WITH WORKER'S COMPENSATION LAW
Pursuant to Texas Labor Code Section 406.096(a), as amended, Contractor certifies that it provides worker’s compensation insurance coverage for all of its employees employed on City Project No. 106797. Contractor further certifies that, pursuant to Texas Labor Code, Section 406.096(b), as amended, it will provide to City its subcontractor’s certificates of compliance with worker’s compensation coverage.
CONTRACTOR:
_____________________________________ By: ___________________________________ Company
(Please Print) _____________________________________ Signature: ______________________________
Address
Title: __________________________________
City/State/Zip
(Please Print)
THE STATE OF TEXAS
COUNTY OF TARRANT
BEFORE ME, the undersigned authority, on this day personally appeared
___________________________________, known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he/she executed the same as the act and deed of ____________________________________ for the purposes and consideration therein expressed and in the capacity therein stated.
GIVEN UNDER MY HAND AND SEAL OF OFFICE this ____________day of
_______________________, 20__.
Notary Public in and for the State of Texas
END OF SECTION
CITY OF FORT WORTH
2027 Concrete Restoration Contract 2
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
City Project No. 106797 Revised July 1, 2011
File details come from the government source that posted it. Updated .