13-ATTACHMENT -STATEMENT ACCEPTING PROVISIONS OF WORKERS’ COMPENSATION ACT.pdf

This is a Statement Accepting Provisions of the Workers' Compensation Act document related to the 3rd and Spruce Warehouse Improvements Project for the City of Reading, Pennsylvania. The document serves as a formal declaration by contractors that they have accepted the provisions of the Pennsylvania Workers' Compensation Act and its supplements, and have secured appropriate insurance coverage for workers' compensation liability. The statement accommodates three types of contractors: individual contractors, corporations, and partnerships, each with designated signature and attestation sections. The document requires identification of the insurance company providing coverage and must be signed by an authorized representative of that company, acting as Attorney-In-Fact.

This document is a mandatory compliance requirement for contractors bidding on or performing work for the City of Reading project. All contractors must execute and submit this statement as part of their bid submission or contract documentation to demonstrate compliance with Pennsylvania's workers' compensation insurance requirements. The form does not contain pricing information, contract terms, or project specifications but rather functions as a verification mechanism ensuring contractors maintain required worker protection insurance throughout project execution.