4-00 45 26 Contractor Compliance.doc
DOC document 60 KB Posted
- Solicitation number
- 26-0299
- Issued by
- Tarrant County, Texas
About this file
This is a Contractor Compliance certification document for the City of Fort Worth related to Project No. 106822, a 2027 Asphalt Resurfacing Contract 2. The project encompasses significant infrastructure improvements including 2,500 linear feet of curb and gutter, 5,880 square feet of concrete driveway, 9,720 square feet of concrete sidewalk, 8,670 square yards of 2-inch asphalt pavement overlay, 39,112 square yards of 3-inch asphalt pavement, 8,670 square yards of 4-inch asphalt base pavement, 49,112 square yards of pulverization work, 786 tons of cementitious lime, and 37 barrier-free ADA ramps. The contract is governed by the City of Fort Worth's Standard Construction Specification Documents and is located in Tarrant County, Texas.
The file establishes a mandatory compliance requirement pursuant to Texas Labor Code Section 406.096(a), requiring contractors to certify that they provide worker's compensation insurance coverage for all employees on the project. Additionally, contractors must provide certificates of compliance from all subcontractors confirming their worker's compensation coverage in accordance with Texas Labor Code Section 406.096(b). The certification must be notarized before a Texas notary public and includes spaces for the contractor's company name, signature, address, title, and the date of notarization. This compliance documentation serves as a prerequisite condition for contract award and execution.
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Other files
| File | Type | Posted |
|---|---|---|
| 14-Submission Instructions - 26-0299 (rev. 090926).docx | DOCX document | |
| 13-00 41 00 Bid Proposal Workbook Addendum 1.xlsx | XLSX spreadsheet | |
| 12-2027 Asphalt Resurfacing Contract 2 - Addendum 1.pdf | ||
| 1-00 21 13 Instruction to Bidders.docx | DOCX document | |
| 9-Project Manual CPN106822.pdf | ||
| 10-CPN106822 Pre-Bid Conference.pdf | ||
| 11-Sign in Sheet 2027 Asphalt Resurfacing Contract 2.pdf | ||
| 8-00 45 13 Prequalification Application.doc | DOC document | |
| 2-00 61 13 Performance Bond.doc | DOC document | |
| 5-00 61 14 Payment Bond.doc | DOC document | |
| 7-00 45 11 Bidders Prequalifications.doc | DOC document | |
| 3-00 61 19 Maintenance Bond.doc | DOC document | |
| 6-00 52 43 Agreement.doc | DOC document |
Show all 13
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Text version
00 45 26 - 1
CONTRACTOR COMPLIANCE WITH WORKER'S COMPENSATION LAW
SECTION 00 45 26
CONTRACTOR COMPLIANCE WITH WORKER'S COMPENSATION LAW
Pursuant to Texas Labor Code Section 406.096(a), as amended, Contractor certifies that it provides worker’s compensation insurance coverage for all of its employees employed on City Project No. 106822. Contractor further certifies that, pursuant to Texas Labor Code, Section 406.096(b), as amended, it will provide to City its subcontractor’s certificates of compliance with worker’s compensation coverage.
CONTRACTOR:
_____________________________________ By: ___________________________________ Company
(Please Print) _____________________________________ Signature: ______________________________
Address
Title: __________________________________
City/State/Zip
(Please Print)
THE STATE OF TEXAS
COUNTY OF TARRANT
BEFORE ME, the undersigned authority, on this day personally appeared
___________________________________, known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he/she executed the same as the act and deed of ____________________________________ for the purposes and consideration therein expressed and in the capacity therein stated.
GIVEN UNDER MY HAND AND SEAL OF OFFICE this ____________day of
_______________________, 20__.
Notary Public in and for the State of Texas
END OF SECTION
CITY OF FORT WORTH
2027 ASPHALT RESURFACING CONTRACT 2
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
CITY PROJECT NO. 106822
Revised July 1, 2011
File details come from the government source that posted it. Updated .