2-00 45 26 Contractor Compliance.doc

DOC document 60 KB Posted

Attached to
PW 2026 Concrete Restoration Contract 3, City Project No. 106668
Solicitation number
26-0075
Issued by
Tarrant County, Frankston Town, Texas

About this file

This is a contractor compliance certification document for the City of Fort Worth's PW 2026 Concrete Restoration Contract 3 (City Project No. 106668) in Texas. The document requires contractors to certify their compliance with Texas Labor Code Section 406.096(a) by providing worker's compensation insurance coverage for all employees working on the project. The major work consists of approximately 11,260 square yards of 9-inch concrete pavement, 9,472 square yards of 6-inch concrete pavement, 4,100 cubic yards of flex base, and 18,250 square yards of geogrid installation. The specification document was revised as of July 1, 2011, and applies to Tarrant County.

The certification must be notarized and executed by an authorized representative of the contractor. Additionally, contractors are required to obtain and provide to the City certificates of compliance from all subcontractors regarding their worker's compensation coverage, as mandated by Texas Labor Code Section 406.096(b). The document does not contain pricing information, set-asides, award dates, or contract term details, as it functions solely as a compliance certification requirement rather than a complete contract solicitation document.

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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. 106668. 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

2026 CONCRETE RESTORATION CONTRACT 3

STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS

CITY PROJECT NO. 106668

Revised July 1, 2011

File details come from the government source that posted it. Updated .