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 in Santa Clarita, California, for Project Number FE 12. The form serves as a mandatory certification requirement that must accompany each payment request from contractors. Contractors are required to certify their continuous implementation of all safety programs mandated by law and contract documents, including California OSHA requirements and required safety meetings. The certification must be signed by an authorized representative of the prime contractor and dated to correspond with the period ending date on the associated payment request. This form is a condition precedent to payment authorization and must be submitted with every payment request throughout the contract period.

The certification form does not establish specific pricing terms, set-asides, or funding requirements, as it functions solely as a compliance documentation requirement. The form requires contractors to provide their proper company name as it appears on their contractor's license, the name of the authorized signer, project name, and bid package number. No specific performance metrics or quantifiable safety standards are detailed within this form; instead, it relies on contractors' attestation to their compliance with applicable safety laws and contract requirements. This certification mechanism ensures ongoing safety program accountability throughout the contract performance period and serves as part of the District's standard payment request documentation procedures.