6-12 - Affidavit of Compliance.pdf
PDF 85 KB Posted
- Attached to
- Landscape & Grounds Maintenance Services for North, South and East Patrol Division Stations.
- Solicitation number
- RFP 26-19638-SR
- Issued by
- Henderson County, Texas
About this file
This is an Affidavit of Compliance form issued by the City of Lubbock, Texas Purchasing and Contract Management Department, related to a Request for Proposals for Landscape & Grounds Maintenance Services at three Lubbock Police Department Patrol Division Stations located at 5910 Erskine Street (North), 14005 Indiana Avenue (South), and 1901 MLK Jr. Boulevard (East). The affidavit serves as a compliance certification document that vendors must complete when delivering regulated substances as part of their service contracts. The form requires the vendor to certify that all drivers are qualified through the company's safety department, maintain full compliance with local, state, and federal regulations, and have completed comprehensive training programs that include classroom instruction and practical experience in safety procedures, accidental release management, and incident response protocols.
The affidavit requires the vendor's authorized financial officer to certify that all drivers are properly qualified and certified to safely unload regulated substances and operate all necessary equipment for service delivery. The form demands completion of contact information including phone number, fax number, email address, and physical address, along with the authorized signatory's signature and date. This document ensures that any contractor handling regulated substances during grounds maintenance operations at the police department facilities maintains compliance standards necessary for safe handling and environmental protection throughout the contract term.
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Text version
City of Lubbock, TX Purchasing and Contract Management
Affidavit of Compliance with Local, State, and Federal Regulations of a Regulated Substance
To: City of Lubbock Purchasing Department
From:
Name of person authorized to approve financial matters
Subject: Delivery of ___________________________________ Name of Regulated Substance
All (full legal name of vendor) drivers are qualified through the company’s safety department at (location) and are in full compliance with local, state, and federal regulations.
Furthermore, each (full legal name of vendor) driver undergoes a comprehensive (regulated substance) training program that combines both classroom and actual experience. This program covers several areas for handling safety and awareness, including procedures concerning accidental release and incident management.
Each (full legal name of vendor) driver is qualified and certified by company-generated procedures to safely unload the regulated substance and to operate any and all equipment necessary to perform such task.
Phone No.: Fax No.:
Email:
Address:
Signature: Date:
(Person authorized to approve financial matters)
File details come from the government source that posted it. Updated .