2-00 45 26 Contractor Compliance with Workers Compensation Law.doc
DOC document 43 KB Posted
- Solicitation number
- 25-0237
- Issued by
- Tarrant County, Texas
About this file
This document is a Contractor Compliance with Worker's Compensation Law certification for the City of Fort Worth's 2026 Asphalt Resurfacing Contract (Project No. 106168). The project involves comprehensive road resurfacing work, including approximately 750 tons of cement lime, 7,000 square yards of 2-inch surface milling, 46,500 square yards of 12-inch pavement pulverization, and 46,500 square yards of 2-inch asphalt pavement (Type B and Superpave SP-D). The contract requires contractors to provide worker's compensation insurance coverage for all employees and to submit subcontractor compliance certificates.
The document does not provide specific pricing details, funding sources, or contract term lengths. However, it emphasizes legal compliance with Texas Labor Code Section 406.096, requiring contractors to certify worker's compensation insurance coverage. The certification must be completed with a notarized signature, indicating a formal commitment to workplace safety and legal requirements. The project appears to be a municipal infrastructure improvement initiative focused on road resurfacing and rehabilitation within the City of Fort Worth's jurisdiction.
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Other files
| File | Type | Posted |
|---|---|---|
| 6-CPN106168 Project Manual.pdf | ||
| 3-Bid Documents Package Folder Contents Checklist.doc | DOC document | |
| 1-00 45 13 Prequalification Application.pdf | ||
| 5-00 11 13 Invitation to Bidders.docx | DOCX document | |
| 7-Submission Instructions - 25-0237.docx | DOCX document | |
| 4-City Project No. 106168.xlsx | XLSX spreadsheet |
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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. 106168. 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 Asphalt Resurfacing Contract 1
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
City Project No. 106168 Revised July 1, 2011
File details come from the government source that posted it. Updated .