2-MS944 Workers Comp Aff.pdf

This is an Affidavit of Acceptance for the Workmen's Compensation Act related to the Walnut Alley Drainage Improvements Project being procured by Myerstown Borough in Pennsylvania. The affidavit is a required attestation document in which the contractor confirms acceptance of the provisions of the Pennsylvania Workmen's Compensation Act of 1915 and its amendments, and verifies that the contractor maintains liability insurance coverage in accordance with the Act's requirements. The affidavit must be executed by an authorized representative of the contractor, notarized, and include the name of the surety company providing workers' compensation coverage. The document serves as a compliance verification tool ensuring that all contractors bidding on or awarded this drainage construction project maintain proper workers' compensation insurance protection as mandated by Pennsylvania law.

The affidavit format is a standardized template that requires signature by the contractor, identification of the surety company underwriting the workers' compensation liability, and notarization by a public notary with stated commission expiration date. This documentation is typical for public works projects in Pennsylvania and must be submitted as part of the bid or award process to demonstrate the contractor's ability to meet statutory insurance requirements for all workers employed on the project.