2-MS944 Workers Comp Aff.pdf

This is a Workers' Compensation Affidavit document required by Lemoyne Borough in Cumberland County, Pennsylvania, for the 10th Street Retaining Wall Rehabilitation Project. The affidavit serves as a contractor certification confirming acceptance of the provisions of the Pennsylvania Workmen's Compensation Act of 1915 and its amendments. The project involves rehabilitation of approximately 170 linear feet of concrete retaining wall on 10th Street. Sealed bids will be accepted online through the PennBID/Bonfire website until Tuesday, June 9, 2026, at 2:00 p.m., with questions required to be submitted by 4:00 p.m. on Friday, June 5, 2026. All bid submissions must be accompanied by a certified check or bid bond equal to 10 percent of the total bid amount, with bonds required to be issued by a surety licensed to conduct business in the Commonwealth of Pennsylvania.

The contract is subject to compliance with the Pennsylvania Prevailing Wage Act, the Federal Occupational Safety and Health Act of 1970 (OSHA), Pennsylvania Act 229 of 2002, the Pennsylvania One Call Act (Act 287 of 1974), the Pennsylvania Human Relations Act 222, non-collusion affidavit requirements, non-discrimination in Employment/Contract Compliance Regulations, and the Public Works Employment Verification Act. Contractors must provide proof of workers' compensation insurance coverage through an authorized surety company. The affidavit must be notarized and signed by the contractor or authorized representative. Lemoyne Borough Council reserves the right to accept or reject any or all bids submitted for this project.