5-00 62 00 worker comp affidavit.pdf

This is a Worker's Compensation Affidavit document related to a competitive sealed bid solicitation issued by St. John's United Church of Christ for renovation work on the Noble House located at 201 South Broad Street, Nazareth, Pennsylvania. The project involves converting an existing single-family dwelling into two individual dwelling units through selective demolition and associated construction work across four prime contracts: General Construction, Mechanical Construction, Electrical Construction, and Plumbing Construction. Contract documents became available online through the PennBid Program beginning February 26, 2026 at 9:00 A.M. prevailing time at no cost to interested bidders. A pre-bid meeting was scheduled for March 12, 2026 at 10:00 A.M. prevailing time at the project site, with sealed bids due by 10:00 A.M. prevailing time on March 31, 2026. Prospective bidders are required to submit a Bid Bond equal to five percent of the total bid amount, while the successful bidder must provide Performance and Payment Bonds each in the amount of one hundred percent of the total contract value.

The project is subject to Davis-Bacon Act prevailing wage requirements. All applicable Equal Employment Opportunity requirements for federally assisted contracts are in effect, with qualified Minority Business Enterprises, Women Business Enterprises, and Section 3 qualified firms encouraged to submit bids. The affidavit document itself is a standard worker's compensation certification requirement that bidders must submit as part of their bid package to demonstrate compliance with worker's compensation insurance obligations.