4-00 45 26 Contractor Compliance with Workers Compensation Law.doc
DOC document 60 KB Posted
- Solicitation number
- 25-0225
- Issued by
- Tarrant County, Frankston Town, Texas
About this file
This document is a Contractor Compliance with Worker's Compensation Law certification for the City of Fort Worth's 2026 Asphalt Resurfacing Contract 4 (City Project No. 106167). The project involves comprehensive street resurfacing and infrastructure improvement, with approximately 73,734 square yards of 2" asphalt pavement installation (Type SP-D with PG 70-22 Superpave), 73,734 square yards of surface milling, 366 square yards of concrete pavement base repair, and additional infrastructure work including curb and gutter replacement, driveway and sidewalk repairs, ADA curb ramp installations, and 30,065 linear feet of pavement marking.
The project is located in Tarrant County, Texas, and requires contractors to provide worker's compensation insurance coverage for all employees. The certification document mandates that contractors submit compliance certificates, including subcontractor worker's compensation coverage documentation. While specific pricing details are not provided in this document, the project appears to be a municipal infrastructure improvement initiative funded by the City of Fort Worth, with a focus on road resurfacing and related construction activities.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 5-Bid Documents Package Folder Contents Checklist.doc | DOC document | |
| 6-106167 Project Manual.pdf | ||
| 7-City Project No. 106167.xlsx | XLSX spreadsheet | |
| 1-00 11 13 Invitation to Bidders BONFIRE.docx | DOCX document | |
| 3-00 45 13 Prequalification Application.docx | DOCX document | |
| 2-00 45 11 Bidders Prequalifications.doc | DOC document | |
| 8-Submission Instructions - 25-0225.docx | DOCX document |
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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. 106167. 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
2026 ASPHALT RESURFACING CONTRACT 4
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
City Project No. 106167 Revised July 1, 2011
File details come from the government source that posted it. Updated .