2-00 45 26 Contractor Compliance.doc
DOC document 60 KB Posted
- Solicitation number
- 26-0306
- Issued by
- Tarrant County, Texas
About this file
This is a Contractor Compliance certification document issued by the City of Fort Worth for City Project No. 106821, a 2027 Asphalt Resurfacing Contract in Texas. The document requires contractors to certify their compliance with worker's compensation insurance requirements under Texas Labor Code Section 406.096(a). Contractors must confirm that they provide worker's compensation insurance coverage for all employees assigned to the project and must submit certificates of compliance from all subcontractors as required by Texas Labor Code Section 406.096(b). The form includes signature lines for the contractor's authorized representative, company information fields, and notarization by a Texas notary public in Tarrant County.
The document serves as a mandatory compliance certification rather than a pricing or procurement document. No pricing terms, bid amounts, or award dates are specified within this certification form. The requirement applies to all contractors and subcontractors working on the identified City of Fort Worth project, with compliance verification necessary prior to contract execution. The notarization requirement ensures the authenticity and binding nature of the contractor's certification regarding worker's compensation coverage compliance.
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| 11-CPN106806 Pre-Bid Conference.pdf | ||
| 3-00 61 14 Payment Bond.doc | DOC document | |
| 8-00 61 13 Performance Bond.doc | DOC document | |
| 5-00 61 19 Maintenance Bond.doc | DOC document | |
| 6-00 11 13 Invitation to Bidders.docx | DOCX document | |
| 13-Addendum No. 1.pdf | ||
| 1-00 52 43 Agreement.docx | DOCX document | |
| 14-Submission Instructions - 26-0306 (rev. 091026).docx | DOCX document | |
| 9-Project Manual CPN106806.pdf | ||
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| 4-00 21 13 Instruction to Bidders (1).docx | DOCX 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. 106821. 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 ASPHALT RESURFACING CONTRACT 6
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
CITY PROJECT NO. 106821
Revised July 1, 2011
File details come from the government source that posted it. Updated .