1-Workmens Comp Aff.pdf

This is a Workmen's Compensation Act Affidavit required by Lemoyne Borough in Cumberland County, Pennsylvania, for the Apple Street Phase 2 Improvements contract. The affidavit certifies that the contractor has accepted the provisions of the Pennsylvania Workmen's Compensation Act of 1915, as amended and supplemented, and maintains required liability insurance coverage in accordance with the Act. The document requires the contractor's signature, the surety company name and type, notarization, and the notary public's commission expiration date. Bids for the Apple Street Phase 2 Improvements project, which includes roadway reconstruction, installation of infiltration trenches, and associated work, must be submitted online through PennBID by 2:00 PM on Tuesday, January 27, 2026. A bid bond equal to 10 percent of the total bid amount, issued by a surety licensed to conduct business in Pennsylvania, is required with all proposals. Questions must be submitted online by 12:00 PM on Friday, January 23, 2026.

The contract is subject to multiple regulatory requirements including the Pennsylvania Prevailing Wage Act, Federal OSHA regulations, Pennsylvania Act 229 of 2002, the Pennsylvania One Call Act, the Pennsylvania Human Relations Act, non-collusion affidavit provisions, non-discrimination in employment and contract compliance regulations, and the Public Works Employment Verification Act. Contractors must provide a non-collusion affidavit and certify compliance with all applicable state and federal labor and safety standards. Lemoyne Borough Council reserves the right to accept or reject any or all bids. Specific pricing, contract term duration, and renewal option details are not disclosed in this affidavit document.