4-00 45 26 Contractor Compliance with Workers Compensation Law.doc

DOC document 43 KB Posted

Attached to
PW Exposition Way Slope Stabilization Project, City Project No. 105816
Solicitation number
26-0292
Issued by
Tarrant County, Texas

About this file

This is a Contractor Compliance with Workers Compensation Law document related to the PW Exposition Way Slope Stabilization Project (City Project No. 105816) in Texas. The document establishes compliance requirements for contractors working on this public works project, which involves approximately 992 square yards of slope stabilization, 1,363 linear feet of 6-inch pipe subdrain (Type 8), 8,550 square yards of 7-inch concrete pavement removal and replacement, 135 linear feet of stacked stone wall grout repair, and 30 linear feet of stacked masonry stone wall removal and replacement (4 to 8 feet in height). All contractors and subcontractors must comply with Texas workers compensation law requirements as a condition of contract performance and payment.

The compliance document mandates that contractors maintain current workers compensation insurance coverage as required by state law, provide proof of coverage upon request, and ensure all employees are covered under the appropriate workers compensation insurance policy. Contractors must also verify that subcontractors maintain valid workers compensation coverage and are responsible for monitoring ongoing compliance throughout the project duration. Failure to maintain required workers compensation coverage may result in contract termination, withholding of payment, and potential legal penalties.

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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. 105816. 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

Exposition Way Slope Stabilization Project

STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS

CPN 105816

Revised July 1, 2011

File details come from the government source that posted it. Updated .