5-MS944 Workers Comp Aff.pdf
PDF 31 KB Posted
- Attached to
- Walnut Alley Drainage Improvements Project
- Solicitation number
- Not on record
- Issued by
- Lehigh County, Pennsylvania
About this file
This is a Workers' Compensation Affidavit file related to Myerstown Borough's 2026 Roadway Project - Contract No. 1 for paving work in Pennsylvania. The project encompasses approximately 5,775 square yards of milling, 490 tons of bituminous wearing course, and additional related work. Bids may be submitted and updated online through the PennBID portal until Tuesday, March 31, 2026, at 2:00 PM, at which time all bids will be made available online. Questions regarding the project must be submitted online via PennBID and must be received by 12:00 PM on Friday, March 27, 2026; questions received after this deadline will not be acknowledged. A certified check or bid bond equal to 10 percent of the total bid is required, and such bonds must be issued by a surety licensed to conduct business in the Commonwealth of Pennsylvania.
The contract is subject to multiple regulatory requirements, including the Pennsylvania Prevailing Wage Act, the Federal Occupational Safety and Health Act of 1970, Pennsylvania Act 229 of 2002, the Pennsylvania One Call Act (Underground Utility Line Protection Law), the Pennsylvania Human Relations Act, non-discrimination in employment and contract compliance regulations, and the Public Works Employment Verification Act. Contractors must submit a noncollusion affidavit as part of their bid submission. Myerstown Borough Council reserves the right to accept or reject any or all bids received.
View the file
Other files
Show all 18
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment 4
AFFIDAVIT RE:
ACCEPTING PROVISIONS OF THE WORKMEN’S COMPENSATION ACT
STATE OF PENNSYLVANIA )
( ss:
COUNTY OF LEBANON )
being duly sworn according to law deposes and says that accepted the provisions of the Workmen’s Compensation Act of 1915 of the Commonwealth of Pennsylvania, with its supplements and amendments, and insured liability thereunder in accordance with the terms of said Act with .
(SURETY COMPANY)
(TYPE OR PRINT) CONTRACTOR
By:
SIGNATURE
Sworn to and subscribed before me this day of A.D. 20 .
SIGNATURE: NOTARY PUBLIC
MY COMMISSION EXPIRES: (DATE)
File details come from the government source that posted it. Updated .