9-10 - Affidavit of Compliance.pdf

PDF 120 KB Posted

Attached to
Pest Control Services at Southeast and Northwest Water Reclamation Plants
Solicitation number
ITB 26-19322-SR
Issued by
Hunt County, Lubbock City, Texas

About this file

This is an Affidavit of Compliance form issued by the City of Lubbock, Texas Purchasing and Contract Management Department, designed to ensure vendor compliance with local, state, and federal regulations regarding the delivery and handling of regulated substances. The affidavit requires the vendor's authorized financial officer to certify that all company drivers are qualified and trained through the company's safety department and maintain full compliance with applicable regulations. The form mandates that each driver complete a comprehensive training program combining classroom instruction and practical experience, covering safety procedures, hazard awareness, accidental release protocols, and incident management. Drivers must be qualified and certified by company-generated procedures to safely unload regulated substances and operate all necessary equipment.

The affidavit is a prerequisite compliance document for the City's pest control services contract at Southeast and Northwest Water Reclamation Plants, though the specific regulated substance to be delivered is left blank for completion based on the pest control products utilized. The form requires the vendor to provide contact information including phone, fax, email, and address, along with the signature and date of the person authorized to approve financial matters. This documentation ensures that vendors selected for the City of Lubbock's pest control services contract demonstrate adherence to safety and regulatory standards for handling and delivering chemical or hazardous materials at water treatment facilities.

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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 .