7-00 45 26 Contractor Compliance.doc
DOC document 60 KB Posted
- Solicitation number
- 26-0304
- Issued by
- Tarrant County, Texas
About this file
This is a Contractor Compliance certification document for the City of Fort Worth's PW 2027 Asphalt Resurfacing Contract 3 (City Project No. 106794) in Texas. The project involves approximately 7,840 linear feet of 7-inch curb and gutter, 15,700 square feet of 6-inch concrete driveway, 709 square yards of 7-inch concrete valley gutter, 72,984 square yards of 3-inch asphalt pavement using Superpave SP-D, 72,984 square yards of 11-inch pavement pulverization, and 1,168 tons of cemlime. The document requires contractors to certify their compliance with Texas Labor Code Section 406.096(a) by providing worker's compensation insurance coverage for all employees assigned to the project and committing to obtain and provide subcontractor certificates of compliance with worker's compensation coverage requirements.
The certification must be notarized before a notary public in the State of Texas, County of Tarrant, with the contractor providing company information, authorized signatory details, and address. This compliance document serves as a prerequisite requirement for contract award and represents the City of Fort Worth's enforcement of mandatory worker's compensation insurance coverage as mandated by Texas state law for all construction projects.
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Other files
| File | Type | Posted |
|---|---|---|
| 11-00 41 00 Bid Proposal Workbook.xlsx | XLSX spreadsheet | |
| 9-00 61 13 Performance Bond.doc | DOC document | |
| 2-00 61 14 Payment Bond.doc | DOC document | |
| 15-2027 Asphalt Resurfacing Contract 3, CPN106794 Pre-Bid Conference.pdf | ||
| 13-Submission Instructions - 26-0304 (rev. 090426).docx | DOCX document | |
| 3-00 45 11 Bidders Prequalifications.doc | DOC document | |
| 14-Sign in Sheet 2027 Asphalt Resurfacing Contract 3.pdf | ||
| 10-00 52 43 Agreement.doc | DOC document | |
| 4-00 61 19 Maintenance Bond.doc | DOC document | |
| 1-00 21 13 Instruction to Bidders.docx | DOCX document | |
| 12-Project Manual CPN 106794.pdf | ||
| 5-00 45 13 Prequalification Application.doc | DOC document | |
| 8-00 11 13 Invitation to Bidders.docx | DOCX document | |
| 6-00 35 13 Conflict of Interest Statement.doc | DOC document |
Show all 14
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Text version
00 45 26 - 1
CONTRACTOR COMPLIANCE WITH WORKER'S COMPENSATION LAW
SECTION 00 45 26
CONTRACTOR COMPLIANCE WITH WORKER'S COMPENSATION LAW
Pursuant to Texas Labor Code Section 406.096(a), as amended, Contractor certifies that it provides worker’s compensation insurance coverage for all of its employees employed on City Project No. 106794. Contractor further certifies that, pursuant to Texas Labor Code, Section 406.096(b), as amended, it will provide to City its subcontractor’s certificates of compliance with worker’s compensation coverage.
CONTRACTOR:
_____________________________________ By: ___________________________________ Company
(Please Print) _____________________________________ Signature: ______________________________
Address
Title: __________________________________
City/State/Zip
(Please Print)
THE STATE OF TEXAS
COUNTY OF TARRANT
BEFORE ME, the undersigned authority, on this day personally appeared
___________________________________, known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he/she executed the same as the act and deed of ____________________________________ for the purposes and consideration therein expressed and in the capacity therein stated.
GIVEN UNDER MY HAND AND SEAL OF OFFICE this ____________day of
_______________________, 20__.
Notary Public in and for the State of Texas
END OF SECTION
CITY OF FORT WORTH
2027 ASPHALT RESURFACING CONTRACT 3
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
CITY PROJECT NO. 106794
Revised July 1, 2011
File details come from the government source that posted it. Updated .