2-Certification_of_Safety_Program_(1).pdf

This is a Certification of Safety Program Compliance form issued by the William S. Hart Union High School District for Project Number FE 12. The form serves as a mandatory certification that contractors must submit with each payment request to confirm continuous implementation of all legally required safety programs, including CAL-OSHA compliance and required safety meetings. The certification must be completed and signed by an authorized representative of the prime contractor using the contractor's proper company name as it appears on the contractor's license. The form requires identification of the period ending date corresponding to the payment request, the contractor's company name, the authorized signer's name and signature, and the date of certification. This certification is a condition precedent to receiving payment under the contract.

This document is a standard compliance and payment certification requirement applicable to the hazardous waste removal services contract (Package HAZ2604A) for the William S. Hart Union High School District. Contractors must provide this certification with every payment request throughout the contract term, demonstrating ongoing adherence to all applicable safety regulations and contractual safety obligations. The form establishes accountability for safety program implementation across the duration of the project and serves as documentation of the contractor's commitment to maintaining a compliant safety environment during all contract performance periods.