5-00 45 26 Contractor Compliance with Workers Compensation Law.pdf
PDF 56 KB Posted
- Attached to
- PW-Alpha Ranch Parkway & Comancheria Way Offsite Water Line (City Project Number 106400)
- Solicitation number
- 26-0093
- Issued by
- Tarrant County, Texas
About this file
This is a contractor compliance document establishing workers compensation law requirements for the City of Texas's PW-Alpha Ranch Parkway & Comancheria Way Offsite Water Line project (City Project Number 106400). The document outlines mandatory compliance standards that contractors must meet regarding workers compensation insurance and related obligations throughout the duration of the project, which involves approximately 8,531 linear feet of 16-inch water line installation by open cut and 4,456 linear feet of 30-inch water line installation by open cut.
The document establishes the legal and regulatory framework requiring all contractors and subcontractors to maintain active workers compensation coverage in compliance with Texas state law. Contractors must provide proof of current workers compensation insurance prior to commencing work and maintain continuous coverage throughout the project term. Failure to comply with workers compensation requirements may result in work stoppage, contract termination, or other remedial actions as permitted under applicable Texas statutes and local ordinances.
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Text version
00 45 26 - 1
CONTRACTOR COMPLIANCE WITH WORKER'S COMPENSATION LAW
CITY OF FORT WORTH ALPHA RANCH PARKWAY &
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS COMANCHERIA WAY OFFSITE WATER LINE
Revised July 1, 2011 City Project No. 106400
SECTION 00 45 26 1
CONTRACTOR COMPLIANCE WITH WORKER'S COMPENSATION LAW 2
Pursuant to Texas Labor Code Section 406.096(a), as amended, Contractor certifies that it 4 provides worker’s compensation insurance coverage for all of its employees employed on 5
City Project No. 106400. Contractor further certifies that, pursuant to Texas Labor Code, 6
Section 406.096(b), as amended, it will provide to City its subcontractor’s certificates of 7 compliance with worker’s compensation coverage. 8
CONTRACTOR: 10
_____________________________________ By: 12
___________________________________ 13
Company (Please Print) 14
_____________________________________ Signature: ______________________________ 16
Address 17
_____________________________________ Title: __________________________________ 19
City/State/Zip (Please Print) 20
THE STATE OF TEXAS § 23
COUNTY OF TARRANT § 25
BEFORE ME, the undersigned authority, on this day personally appeared 27
___________________________________, known to me to be the person whose name is 28 subscribed to the foregoing instrument, and acknowledged to me that he/she executed the same as 29 the act and deed of ____________________________________ for the purposes and 30 consideration therein expressed and in the capacity therein stated. 31
GIVEN UNDER MY HAND AND SEAL OF OFFICE this ____________day of 33
_______________________, 20__. 34
__________________________________ 37
Notary Public in and for the State of Texas 38
END OF SECTION 40
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