2-00 45 26 Contractor Compliance with Workers Compensation Law.doc
DOC document 43 KB Posted
- Solicitation number
- 26-0315
- Issued by
- Tarrant County, Fort Worth City, Texas
About this file
This is a Contractor Compliance with Worker's Compensation Law certification document for the City of Fort Worth, Texas, related to Project No. 106812, a 2027 Asphalt Resurfacing Contract. The project involves approximately 62,000 square yards of 2-inch surface milling and 62,000 square yards of 2-inch asphalt SP-D SAC-A PG70-28. The document serves as a certification requirement rather than a bid solicitation or contract award notice, establishing the compliance framework contractors must meet prior to project execution.
The document requires contractors to certify that they provide worker's compensation insurance coverage for all employees working on the project, in accordance with Texas Labor Code Section 406.096(a). Contractors must also provide certificates of compliance from all subcontractors demonstrating their worker's compensation coverage, as mandated by Texas Labor Code Section 406.096(b). The certification must be executed by an authorized company representative and notarized before a Texas notary public in Tarrant County. This compliance document represents a prerequisite contractual requirement rather than a standalone procurement and does not contain pricing, bid submission deadlines, or award information.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 10-Submission Instructions - 26-0315 (rev. 092926).docx | DOCX document | |
| 8-CPN106812 Pre-Bid Conference.pptx | PPTX presentation | |
| 7-CPN 106812 Pre-Bid Meeting Sign in Sheet.xlsx | XLSX spreadsheet | |
| 5-2027 Asphalt Resurfacing Contract 1.xlsx | XLSX spreadsheet | |
| 3-00 45 11 Bidders Prequalifications.pdf | ||
| 4-Bid Documents Package Folder Contents Checklist.doc | DOC document | |
| 6-CPN106812 Project Manual.pdf | ||
| 9-CPN 106812 Asphalt Resurfacing Contract 1 Addendum 1.pdf | ||
| 1-00 45 13 Prequalification Application.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. 106812. 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 1
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
City Project No. 106812 Revised July 1, 2011
File details come from the government source that posted it. Updated .