6-MS944 Workers Comp Aff.pdf

This is an Affidavit Re: Accepting Provisions of the Workmen's Compensation Act related to the Re-Bid Eisenhower Drive Signalization Upgrade Project in Hanover Borough, Pennsylvania. The affidavit serves as a required certification that the contractor accepts the provisions of Pennsylvania's Workmen's Compensation Act of 1915, as amended, and has secured appropriate liability insurance coverage under the Act. The document requires the contractor to identify the surety company providing workers' compensation insurance and must be executed by an authorized representative of the contractor, then notarized. This affidavit is a standard compliance requirement for the signalization upgrade project, which involves traffic signal improvements and is subject to multiple state and federal regulations including prevailing wage requirements, OSHA standards, and the Public Works Employment Verification Act.

The Eisenhower Drive Signalization Upgrade Project has a bid deadline of Tuesday, October 20, 2026, at 2:00 PM, with online bid submission available through PennBID. Prospective bidders must submit a certified check or bid bond equal to 10 percent of the total bid amount from a surety licensed to conduct business in Pennsylvania. The contract is subject to Pennsylvania's prevailing wage standards, Act 229 of 2002, the Pennsylvania One Call Act (Underground Utility Line Protection Law), the Pennsylvania Human Relations Act, and requires noncollusion affidavits and employment verification compliance. Hanover Borough Council reserves the right to accept or reject any or all bids submitted.