BIDDING DOCUMENTS

PUMP STATION NO. 1 UPGRADES BID PROPOSAL

SEWER AUTHORITY OF THE TOWNSHIP OF PITTSTON BP-1

BID PROPOSAL

Proposal of ____________________________________ (hereinafter called "BIDDER"), organized and existing under the laws of the State/Commonwealth of ___________________ doing business as _________________________________* to the Sewer Authority of the

Township of Pittston, (hereinafter called "OWNER").

In compliance with your Invitation for Bids, BIDDER hereby proposes to perform all

WORK for the Pump Station No. 1 Upgrades project in strict accordance with the

CONTRACT DOCUMENTS, within the time set forth therein, and at the prices stated below.

By submission of this BID, each BIDDER certifies, and in the case of a joint BID each party thereto certifies as to its own organization, that this BID has been arrived at independently, without consultation, communication, or agreement as to any matter relating to this BID with any other BIDDER or with any competitor.

BIDDER hereby agrees to commence work under this contract on or before a date to be specified in the NOTICE TO PROCEED and to fully complete the PROJECT within One

Hundred Fifty (150) consecutive calendar days. BIDDER further agrees to pay as liquidated damages, the sum of $200.00 for each consecutive calendar day per phase thereafter as provided in Section 7.10 of the General Conditions.

In the case of a discrepancy between the lump sum bid amount entered for an item and the Total Cost for an item, the lump sum bid amount shall govern.

In case of a discrepancy between the Price in Words and Price in Figures, the Price in

Figures shall govern.

Bidder acknowledges receipt of the following addenda:

Date Description

No. 1 _____________________ No. 2 _____________________ No. 3 _____________________

* Insert "A Corporation", "A Partnership" or "An Individual” as applicable.

Bidder agrees to perform all the work described in the Contract Documents for the following unit price or lump sum:

NOTE: Bids shall include all applicable taxes and fees.

SEWER AUTHORITY OF THE TOWNSHIP OF PITTSTON BP-2

SEWER AUTHORITY OF THE TOWNSHIP OF PITTSTON

PUMP STATION NO. 1 UPGRADES

BID FOR LUMP SUM CONTRACT

SEWER AUTHORITY OF THE TOWNSHIP OF PITTSTON BP-3

TOTAL CONSTRUCTION BID – PUMP STATION NO.1 UPGRADES

(IN WORDS)

(IN FIGURES)

The presentation in the Bid Proposal of lump sum bid amounts that are obviously unbalanced, may be sufficient cause for rejection of the entire Proposal, whether or not such Proposal is the lowest submitted.

The undersigned hereby certifies that this proposal is genuine and not sham or collusive, or made in the interest or in behalf of any person, firm, or corporation not herein named and that the undersigned has not directly or indirectly induced or solicited any other bidder to submit a sham bid, or any other person, firm, or corporation to refrain from bidding, and that the undersigned has not in any manner sought by collusion to secure for himself an advantage over any other bidder.

FIRM NAME

BY

TITLE

OFFICIAL ADDRESS:

BUSINESS PHONE/FAX:

/ E-MAIL:

(Date)

SEWER AUTHORITY OF THE TOWNSHIP OF PITTSTON BP-4

The undersigned Bidder has satisfied himself or itself as to the accuracy of the Estimated Quantities in the above bid schedule by examining the site of the WORK and reviewing the drawings and specifications, including all addenda.

IN WITNESS WHEREOF, the undersigned Bidder has caused this Bid to be signed and submitted in its name, the __________ day of _________________________________, 2026.

All bids must be accompanied by a Bid Bond or certified check payable to the Owner along with a letter of commitment from a licensed surety company certifying they will submit the required contract surety if awarded the Contract.

Individual Bidder

Witness:

________________________________ (SEAL)

(Signature of Individual)

Trading and Doing Business As

Partnership Bidder*

(Name of Partnership) Witness:

___________________________________ By: _______________________________(SEAL) Partner

___________________________________ By: _______________________________(SEAL) Partner

___________________________________ By: _______________________________(SEAL) Partner

___________________________________ By: _______________________________(SEAL) Partner

* If a partnership is BIDDER, all partners must execute bid.

SEWER AUTHORITY OF THE TOWNSHIP OF PITTSTON BP-5

Corporation Bidder

(Name of Corporation)

By: __________________________________ (Vice) President or other Authorized Representative**

ATTEST:

(Assistant) Secretary

(CORPORATE SEAL)

** Attach appropriate proof, dated as of the same date as the Bond, evidencing authority to execute in behalf of the corporation.

Address of Corporation License Number (if applicable)

State/Commonwealth of Incorporation: _____________________________

SEWER AUTHORITY OF THE TOWNSHIP OF PITTSTON BP-6

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NONCOLLUSION AFFADAVIT OF PRIME BIDDER

NCA-1

PUMP STATION NO. 1 UPGRADES

SEWER AUTHORITY OF THE TOWNSHIP OF PITTSTON

SECTION 00311

NONCOLLUSION AFFIDAVIT OF PRIME BIDDER

The undersigned, being first duly sworn, deposes and says that:

1. He/She is _______ of ______________________ , (owner, partner, officer, representative or agent) (company name) the BIDDER that has submitted the attached Bid.

2. He/She is fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid.

3. Such Bid is genuine and is not a collusive or sham Bid;

4. Neither the said BIDDER not any of its officers, partners, owner, agents, representatives, employees or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly with any other Bidder, firm or person to submit a collusive or sham Bid in connection with the Contract for which the attached Bid has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other Bidder, firm or person to fix price or prices in the attached Bid or of any overhead, profit or cost element for the Bid prices or the Bid price of any BIDDER, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the OWNER or any person interested in the proposed Contract; and

5. The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the BIDDER or any of its agents, representatives, owners, employees, or parties in interest including this affiant.

(Signed)

(Title)

Notarized:

Subscribed and sworn to before me this ______ day of ________________, 2026

My commission expires: _________________________

SEWER AUTHORITY OF THE TOWNSHIP PITTSTON

NONCOLLUSION AFFADAVIT OF PRIME BIDDER

NCA-2

NONCOLLUSION AFFIDAVIT OF SUBCONTRACTOR

The undersigned, being first duly sworn, deposes and says that:

1. He/She is ___ of , (owner, partner, officer, representative or agent) (company name) the BIDDER that has submitted the attached Bid, hereinafter referred to as the “Subcontractor”.

2. He/She is fully informed respecting the preparation and contents of the Subcontractor’s Proposal submitted to the Contractor for certain work in connection with;

(project name)

3. Such Subcontractor’s Proposal is genuine and is not a collusive or sham Proposal.

4. Neither the said Subcontractor not any of its officers, partners, owner, agents, representatives, employees or parties in interest, including this affiant, has in any way colluded, conspired, connived or agreed, directly or indirectly with any other Bidder, firm or person to submit a collusive or sham Proposal in connection with the Contract for which the attached Bid has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other Bidder, firm or person to fix price or prices in the attached Bid or of any other BIDDER, or to fix the price or prices in Subcontractor’s Proposal, or to secure through any collusion, conspiracy, connivance or unlawful agreement any advantage against the OWNER or any person interested in the proposed Contract; and

5. The price or prices quoted in the Subcontractor’s Proposal are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the BIDDER or any of its agents, representatives, owners, employees, or parties in interest including this affiant.

(Signed)

(Title)

Notarized:

Subscribed and sworn to before me this ______ day of ________________, 2026

My commission expires: _________________________

EQUAL OPPORTUNITY CERTIFICATIONS

EEOC-1

SECTION 00330

CERTIFICATIONS OF EQUAL EMPLOYMENT OPPORTUNITIES

CERTIFICATION OF BIDDER REGARDING EQUAL EMPLOYMENT OPPORTUNITY

INSTRUCTIONS

This certification is required pursuant to Commonwealth of Pennsylvania Procurement Code, Title 62 C.S. § 3701. The implementing rules and regulations provide that any bidder or prospective contractor, or any of their proposed subcontractors, shall state as an initial part of the bid or negotiations of the contract whether it has participated in any previous contract or subcontract subject to the equal opportunity clause; and, if so, whether it has filed all compliance reports due under applicable instructions.

Where the certification indicates that the bidder has not filed a compliance report due under applicable instructions, such bidder shall be required to submit a compliance report within seven calendar days after bid opening. No contract shall be awarded unless such report is submitted.

CERTIFICATION BY BIDDER

NAME AND ADDRESS OF BIDDER (Include ZIP Code)

1. Bidder has participated in a previous contract or subcontract subject to the Equal Opportunity Clause.

∼ Yes ∼ No

2. Compliance reports were required to be filed in connection with such contract or subcontract.

∼ Yes ∼ No

3. Bidder has filed all compliance reports due under applicable instructions, including SF-100.

∼ Yes ∼ No

4. Have you ever been or are you being considered for sanction due to violation of

Commonwealth of Pennsylvania Procurement Code, Title 62, as amended?

∼ Yes ∼ No NAME AND TITLE OF SIGNER (Please Type)

SIGNATURE DATE

EQUAL OPPORTUNITY CERTIFICATIONS

EEOC-2

SECTION 00330

CERTIFICATION BY PROPOSED SUBCONTRACTOR REGARDING

EQUAL EMPLOYMENT OPPORTUNITY

NAME OF PRIME CONTRACTOR PROJECT NO

INSTRUCTIONS

This certification is required pursuant to Commonwealth of Pennsylvania Procurement Code, Title 62. The implementing rules and regulations provide that any bidder or prospective contractor, or any of their proposed subcontract, shall state as an initial part of the bid or negotiations of the contract whether it has participated in any previous contract or subcontract subject of the equal opportunity clause; and, if so, whether it has filed all compliance reports due under applicable instructions.

Where the certification indicates that the subcontractor has not filed a compliance report due under applicable instructions, such subcontractor shall be required to submit a compliance report before the owner approves the subcontract or permits work to begin under the subcontract.

SUBCONTRACTOR’S CERTIFICATION

Subcontractor’s Name:

Address:

1. Bidder has participated in a previous contract or subcontract to the Equal Opportunity Clause.

∼ Yes ∼ No

2. Compliance reports were required to be filed in connection with such contract or subcontract.

∼ Yes ∼ No

3. Bidder has filed all compliance reports due under applicable instructions, including SF- 100.

∼ Yes ∼ No

4. If the answer to item 3 is "No," please explain in detail on reverse side of this certification.

Certification - The information above is true and complete to the best of my knowledge and belief.

NAME AND TITLE OF SIGNER (Please Type)

SIGNATURE DATE

NONDISCRIMINATION/SEXUAL HARASSMENT

NDSH-1

NONDISCRIMINATION/SEXUAL HARASSMENT CLAUSE

During the term of the Grant, the Grant Applicant and contractor or subcontractor agrees as follows:

1. In the hiring of any employee(s) for the manufacture of supplies, performance of work, or any other activity required under a contract or any subcontract, the Grant Applicant, subcontractor, or any person acting on behalf of the Grant Applicant or subcontractor shall not, by reason of gender, race, creed, or color, discriminate against any citizen of this Commonwealth who is qualified and available to perform the work to which the employment relates.

2. Neither the Grant Applicant nor any contractor or subcontractor nor any person on their behalf shall in any manner discriminate against or intimidate any employee involved in the manufacture of supplies, the performance of work, or any other activity required under the contract on account of gender, race, creed, or color.

3. The Grant Applicant, or any contractor and subcontractor shall establish and maintain a written sexual harassment policy and shall inform their employees of the policy. The policy must contain a notice that sexual harassment will not be tolerated and employees who practice it will be disciplined.

4. The Grant Applicant or any contractor or subcontractor shall not discriminate by reason of gender, race, creed, or color against any contractor or subcontractor or supplier who is qualified to perform the work to which the contracts relates.

5. The Grant Applicant and each contractor and subcontractor shall furnish all necessary employment documents and records to and permit access to their books, records, and accounts by the contracting agency and the Bureau of Contract Administration and Business Development, for purposes of investigation, to ascertain compliance with provisions of this Nondiscrimination/Sexual Harassment Clause. If the Grant Applicant or any contractor or subcontractor does not possess documents or records reflecting the necessary information requested, the Grant Applicant, contractor or subcontractor shall furnish such information on reporting forms supplied by the contracting agency or the Bureau of Contract Administration and Business Development.

6. The Grant Applicant shall include the provisions of this Nondiscrimination/Sexual Harassment Clause in every contract so that such provisions will be binding upon each contractor.

7. The Commonwealth Financing Authority may cancel or terminate the Grant, and all money payable pursuant to the Grant may be forfeited for a violation of the terms and conditions of this Nondiscrimination/Sexual Harassment Clause. In addition, the Commonwealth Financing Authority may proceed with debarment or suspension and may place the Grant Applicant in the Grantee Responsibility File.

NONDISCRIMINATION/SEXUAL HARASSMENT

NDSH-2

ACCEPTED BY:

Title

Company Name and address:

I _________________________of _________________________ certify that (company name)

_________________________ met the provisions of Nondiscrimination/Sexual (company name)

Harassment Clause when providing services to Sewer Authority of the Township of Pittston for the Pump Station No. 1 Upgrade project.

Signature Date

Name/Title

PUMP STATION NO. 1 UPGRADES NONSEGREGATED FACILITIES CERT

SEWER AUTHORITY OF THE TOWNSHIP OF PITTSTON CNSF-1

CERTIFICATION OF NON SEGREGATED FACILITIES

The Bidder certifies that they do not maintain or provide for their employees any segregated facilities at any of their establishments, and that they do not permit their employees to perform their services at any location, under the Bidder’s control, where segregated facilities are maintained. The Bidder certifies further that they will not maintain or provide for their employees any segregated facilities at any of their establishments, and that they will not permit their employees to perform their services at any location under the Bidder’s control where segregated facilities are maintained. The Bidder agrees that a breach of this certification will be a violation of the Equal Opportunity clause in any contract resulting from acceptance of this bid. As used in this certification, the term "segregated facilities" means any waiting rooms, work areas, restrooms and washrooms, restaurants and other eating areas, timeclocks, locker rooms and other storage or dressing areas, transportation, and housing facilities provided for employees which are segregated by explicitly directive or are in fact segregated on the basis of race, color, religion, or national origin, because of habit, local custom, or otherwise. The Bidder agrees that (except where they have obtained identical certification from proposed subcontractors for specific time periods) they will obtain identical certifications from proposed subcontractors prior to the award of subcontracts exceeding $10,000 which are not exempt from the provisions of the Equal

Opportunity clause, and that they will retain such certifications in their field.

Note: The penalty for making false statements in offers is prescribed in 18 U.S.C. 1001.

Date , 2026

Name of Bidder

Official Address By (including ZIP CODE): Signature

Title

PUMP STATION NO. 1 UPGRADES BID BOND

SEWER AUTHORITY OF THE TOWNSHIP OF PITTSTON BB-1

BID BOND

KNOW ALL MEN BY THESE PRESENTS, that _____________________________________

(CONTRACTOR)

hereinafter called the PRINCIPAL and ________________________________ hereinafter

(SURETY)

called the SURETY, are hereby held and firmly bound unto the Sewer Authority of the Township of Pittston hereinafter called the OWNER, in the penal sum of

_____________________________ Dollars ($_______________) for the payment of which sum, well and truly to be made, we hereby jointly and severally bind ourselves, our heirs, executors, administrators, successors, and assigns.

The condition of the above obligation is such that, whereas, the PRINCIPAL has submitted to the

OWNER a certain proposal attached hereto and hereby made a part hereof, to enter into a

CONTRACT in writing, for Pump Station No. 1 Upgrades

NOW, THEREFORE,

a. If said PROPOSAL shall be rejected by the OWNER, or in the alternative,

b. If within ten calendar (10) days of receipt of the Notice of Intent to Award from the OWNER or the OWNER'S AGENT of the OWNER'S intention to award a CONTRACT to the PRINCIPAL in accordance with the PROPOSAL, the PRINCIPAL shall duly execute and deliver a PERFORMANCE BOND and PAYMENT BOND in the amounts required and in the forms set forth in the CONTRACT DOCUMENTS under which the PROPOSAL was submitted with a SURETY or SURETIES as required by said CONTRACT DOCUMENTS and in the event of acceptance of his PROPOSAL by the OWNER shall within the period specified therefor, enter into a written CONTRACT with the OWNER in accordance with the BID as accepted and furnish to the OWNER proper evidence of insurance coverage as required by the CONTRACT DOCUMENTS, Then this obligation shall be void; otherwise the same shall remain in full force and effect, it being expressly understood and agreed that the liability of the SURETY for any and all default of the PRINCIPAL of claims hereunder shall in no event exceed the penal amount of this obligation as herein stated.

The SURETY, for value received, hereby stipulates and agrees that the obligation of said SURETY and its bond shall be in no way impaired or affected by an extension of the time within which the OWNER may accept such PROPOSAL and said SURETY does hereby waive notice of any such extension.

SEWER AUTHORITY OF THE TOWNSHIP OF PITTSTON BB-2

IN WITNESS WHEREOF, the PRINCIPAL and SURETY have executed this instrument under their several seals this _____________ day of _____________________, 2026, the name and corporate seal of each corporate party being hereby affixed and these presents duly signed by its proper officers, pursuant to authority of its governing body.

(Individual Principal)

Witness: ___________________________________ (SEAL) (Signature of Individual)

Trading and doing business as

(Partnership Principal)

Witness: __________________________________________ (Name of Partnership)

______________________________ BY: _______________________________ (SEAL)

Partner

______________________________ BY: _______________________________ (SEAL)

Partner

______________________________ BY: _______________________________ (SEAL)

Partner

______________________________ BY: _______________________________ (SEAL)

Partner

If CONTRACTOR is partnership all partners should execute BOND.

SEWER AUTHORITY OF THE TOWNSHIP OF PITTSTON BB-3

(Corporation Principal)

ATTEST: BY: ______________________________________

(President/Vice-President)

(Secretary/Assistant Secretary)

Or (if appropriate)

Witness:

_______________________________ *BY: _____________________________________

Authorized Representative

* Attach appropriate proof, dated as of the same date as the Bond, evidencing authority to execute in behalf of the Corporation.

(Corporation Surety)

Witness:

______________________________ **BY: ____________________________________

Attorney-in-Fact

Address of Contractor: __________________________________________________________

**Attach an appropriate power of attorney, dated as of the same date as the Bond, evidencing the authority of the Attorney-in-Fact to act in behalf of the corporation.

SEWER AUTHORITY OF THE TOWNSHIP OF PITTSTON BB-4

IMPORTANT: All Bonds shall be in the forms prescribed by law or regulation or by the Contract Documents and be executed by such sureties as are named either in the current list of "Companies Holding Certificates of Authority as Acceptable Sureties on Federal Bonds and as Acceptable Reinsuring Companies" as published in Circular 570 (amended) by the Audit Staff Bureau of Accounts, U.S. Treasury Department or on the current edition of the "Surety List" of licensed companies published by the Commonwealth of Pennsylvania Insurance Department, Company Division System. All Bonds signed by an agent must be accompanied by a certified copy of the Authority to act, dated concurrent with the Bond.

PUMP STATION NO. 1 UPGRADES STATEMENT OF BIDDER’S QUALIFICATIONS

SEWER AUTHORITY OF THE TOWNSHIP OF PITTSTON BC-1-1

STATEMENT OF BIDDER'S QUALIFICATIONS

All questions must be answered and the data given must be clear and comprehensive. This statement must be notarized. If necessary, questions may be answered on separate attached sheets. The bidder may submit any additional information he desires.

1. Name of bidder:

2. Permanent main office address:

3. When organized:

4. If a corporation, where incorporated:

5. How many years have you been engaged in the contracting business under your present firm or trade name?

6. Contracts on hand (schedule these, showing amount of each contract and the appropriate anticipated dates of completion):

7. General character of work performed by your company:

8. Have you ever failed to complete any work awarded to you? If so, where and why?

9. Have you ever defaulted on a contract? If so, where and why?

10. List the more important projects recently completed by your company, stating the approximate cost for each and the month and year completed:

11. List your major equipment available for this contract:

12. Experience in construction work similar in importance to this project:

13. Background and experience of the principal members of your organization, including the officers:

14. Credit available: $

15. Give Bank references:

SEWER AUTHORITY OF THE TOWNSHIP OF PITTSTON BC-1-2

16. The undersigned hereby authorizes and requests any persons, firm, or corporation to furnish any information requested by the OWNER in verification of the recitals comprising this STATEMENT OF BIDDER'S QUALIFICATIONS.

Dated this _______ day of ______________ 2026.

(Name of Bidder)

By:________________________________

Title:________________________________

STATE/COMMONWEALTH OF: __________________________

COUNTY OF:________________________

________________________________________________________, being duly sworn deposes and says that he/she is _________________________________________________________ of

(Title)

(name of organization) and that the answers to the foregoing questions and all statements therein contained are true and correct.

Subscribed and sworn to before me this ___________ day of __________________, 2026.

Notary Public

My Commission Expires: ______________, 20__.

SEWER AUTHORITY OF THE TOWNSHIP OF PITTSTON BC-1-3

REFERENCES

1. Company Name: ______________________________________________________ Company Address: ______________________________________________________ Telephone No.: ______________________________________________________ Contact Person: ______________________________________________________

2. Company Name: ______________________________________________________ Company Address: ______________________________________________________ Telephone No.: ______________________________________________________ Contact Person: ______________________________________________________

3. Company Name: ______________________________________________________ Company Address: ______________________________________________________ Telephone No.: ______________________________________________________ Contact Person: ______________________________________________________

SEWER AUTHORITY OF THE TOWNSHIP OF PITTSTON BC-1-4

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PUMP STATION NO. 1 UPGRADES SAFETY GUIDELINES

SEWER AUTHORITY OF THE TOWNSHIP OF PITTSTON BC-2-1

SAFETY GUIDELINES AND REQUIREMENTS

1. The CONTRACTOR will be responsible for initiating, maintaining and supervising all safety precautions and programs in connection with the WORK. The CONTRACTOR will take all necessary precautions for the safety of, and will provide the necessary protection to prevent damage, injury or loss to all employees on the WORK and other persons who may be affected thereby, all the WORK and all materials or equipment to be incorporated therein, whether in storage on or off the site, and other property at the site or adjacent thereto, including trees, shrubs, lawns, walks, pavements, roadways, structures and utilities not designated for removal, relocation or replacement in the course of construction.

2. The CONTRACTOR will erect and maintain, as required by the conditions and progress of the WORK, all necessary safeguards for safety and protection. The CONTRACTOR will notify owners of adjacent utilities when prosecution of the WORK may affect them. The CONTRACTOR will remedy all damage, injury or loss to any property, caused directly or indirectly, in whole or in part, by the CONTRACTOR, any SUBCONTRACTOR or anyone directly or indirectly employed by any of them or anyone for whose acts any of them be liable, except damage or loss attributable to the fault of the CONTRACT DOCUMENTS or to the acts or omissions of the OWNER or the ENGINEER or anyone employed by either of them or anyone for whose acts either of them may be liable and not attributable, directly or indirectly, in whole or in part, to the fault or negligence of the

CONTRACTOR.

3. In emergencies affecting the safety of persons or the WORK or property at the site or adjacent thereto, the CONTRACTOR, without special instruction or authorization from the ENGINEER or OWNER shall act to prevent threatened damage, injury or loss. The CONTRACTOR will give the ENGINEER prompt WRITTEN NOTICE of any significant changes in the WORK or deviations from the CONTRACT DOCUMENTS caused thereby, and a CHANGE ORDER shall thereupon be issued covering the changes and deviations involved.

4. The CONTRACTOR will keep himself fully informed of, and shall carefully observe and comply with all state, county and local laws, ordinances and regulations which in any manner affect the conduct of the work, and all such orders or decrees as exist at present and those which may be enacted later, of bodies having any jurisdiction or authority over the WORK, and shall indemnify and save harmless the OWNER and all its officers, agents and servants against any claim or liability arising from or based upon the violation of any such law, ordinance, regulation, order or decree, whether by himself or his employees.

5. All safety procedures outlined by the Occupational Safety and Health Administration

(OSHA) will be strictly adhered to; all safety training required in the above-mentioned regulations has been provided and successfully completed by all employees; and all safety equipment mandated by those regulations will be provided and utilized in the completion of this project. False statements and non-compliance to these safety procedures will result in immediate termination of this contract.

PUMP STATION NO. 1 UPGRADES SAFETY GUIDELINES

SEWER AUTHORITY OF THE TOWNSHIP OF PITTSTON BC-2-2

6. Neither the activities nor presence of the OWNER or DESIGN PROFESSIONAL, nor the presence of their employees and subconsultants at the construction site shall relieve the General Contractor or any other entity of his obligations, duties, and responsibilities including, but not limited to, construction means, methods, sequences, techniques, or procedures necessary for performing, superintending or coordinating all portions of the WORK of construction in accordance with the contract documents and any health or safety precautions required by any regulatory agencies. The OWNER and DESIGN PROFESSIONAL and their personnel have no authority to exercise any control over any construction contractor or other entity or its employees in connection with their work or any health or safety precautions. The OWNER agrees that the General Contractor is solely responsible for job site safety and warrants that this intent shall be made evident in the OWNER’s agreement with the General Contractor. The OWNER also agrees that the OWNER , the DESIGN PROFESSIONAL and their employees and consultants shall be indemnified and shall be made additional insureds under the General Contractor’s general liability insurance policy.

Understanding of the above safety guidelines and requirements is hereby acknowledged this

_____________ day of _____________________, 2026.

NAME__________________________________________ (SEAL)

TITLE__________________________________________

Commonwealth of Pennsylvania

Public Works Employment Verification Form

Public Works Employment Verification Office Department of General Services Bureau of Procurement 6th floor, Forum Place 555 Walnut Street

Harrisburg, PA 17101-1914

717-346-8115 ra-gsgseverify.pa.gov

Instructions: Complete and return the form to the contracting Public Body prior to the award of the contract.

Business or Organization Name (Employer)

Address

City State Zip Code

Check One:

Contractor

Subcontractor

Contracting Public Body

Contract/Project No.

Project Description

Project Location

Date enrolled in E-Verify

Sewer Authority of The Township of Pittston

Highland Hills-Phase 2 Sewer Rehabilitation-Selected Excavated Repairs– 2026-0968-Pump Station No. 1 Upgrades

Excavation, Removal, and Replacement of an approximately 300 L.F. Section of Sanitary Sewer Main

Pittston Township, Luzerne County, Pennsylvania

As a contractor/subcontractor for the above referenced public works contract, I hereby affirm that as of the above date, our company is in compliance with the Public Works Employment Verification Act (‘the

Act’) through utilization of the federal E-Verify Program (EVP) operated by the United States

Department of Homeland Security. To the best of my/our knowledge, all employees hired post January

1, 2013 are authorized to work in the United States.

It is also agreed to that all public works contractors/subcontractors will utilize the federal EVP to verify the employment eligibility of each new hire within five (5) business days of the employee start date throughout the duration of the public works contract. Documentation confirming the use of the federal

EVP upon each new hire shall be maintained in the event of an investigation or audit.

I, , authorized representative of the company above, attest that the information contained in this verification form is true and correct and understand that the submission of false or misleading information in connection with the above verification shall be subject to sanctions provided by law.

Authorized Representative Signature Date of Signature