2-00 45 26 Contractor Compliance with Workers Compensation Law.doc
DOC document 43 KB Posted
- Solicitation number
- 26-0329
- Issued by
- Tarrant County, Texas
About this file
This is a Contractor Compliance with Workers Compensation Law certification document required by the City of Fort Worth, Texas for the Concrete Pavement Repair Unit Price Contract covering various projects. The contract encompasses miscellaneous task orders for pavement rehabilitation work, including concrete pavement repair or replacement, repair of concrete curb and gutter, concrete sidewalks, curb ramps, and driveways. The purpose of this invitation is to establish unit prices for these services. The City reserves the right to award contracts for amounts less than the total bid amount and is not obligated to award the full bid amount.
Contractors must certify compliance with Texas Labor Code Section 406.096(a), as amended, demonstrating that they provide worker's compensation insurance coverage for all employees employed on the contract. Contractors are further required to provide the City with certificates of compliance from all subcontractors verifying their worker's compensation coverage. The certification must be notarized before a notary public in Texas and executed by an authorized representative of the contracting company. This standard construction specification document was revised as of July 1, 2011, and applies to all pavement repair projects undertaken by the City of Fort Worth.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 4-Concrete Pavement Repair UPC.xlsx | XLSX spreadsheet | |
| 1-00 11 13 Invitation to Bidders.docx | DOCX document | |
| 6-Concrete Pavement Repair UPC Project Manual.pdf | ||
| 5-00 45 42 Small Business Utilization Form.xlsx | XLSX spreadsheet | |
| 3-Bid Documents Package Folder Contents Checklist.doc | DOC document | |
| 7-Submission Instructions - 26-0329.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 Concrete Pavement Repair Unit Price Contract. 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
Concrete Pavement Repairs UPC
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Various Projects Revised July 1, 2011
File details come from the government source that posted it. Updated .