2-Certification_of_Safety_Program_(1).pdf

This is a Certification of Safety Program Compliance form required by the William S. Hart Union High School District for the Culinary Arts Modernization Project (Bid Package WSH2511A). The document serves as a mandatory certification that contractors must submit with each payment request to confirm continuous implementation of all safety programs required by law and contract documents, including CAL-OSHA requirements and mandatory safety meetings. The form requires the prime contractor to certify compliance for the period covered by each payment request, with the contractor's authorized representative signing and dating the certification. The certification must be provided as a condition precedent to receiving payment throughout the contract term.

The form is a standardized compliance document with fields for the period ending date on the payment request, the contractor's legal company name as it appears on the contractor's license, the authorized signer's name and signature, bid package number, and project name. This certification requirement underscores the District's emphasis on maintaining rigorous safety standards throughout project execution, particularly given the comprehensive nature of the Culinary Arts Modernization Project spanning six high schools with work phases scheduled from December 2025 through June 2026.