Asbestos Report - AC-901579_Hwy-107_Certification.pdf
PDF 392 KB Posted
- Attached to
- Landslide Repairs in Lares, Puerto Rico
- Solicitation number
- 693C73-24-B-000011
About this file
This document is a Certification of No Asbestos Presence for a structure located at PR-124 Km 22.35 in Lares, Puerto Rico, which is scheduled for demolition. The certification is provided by Roberto Rodriguez, a registered Puerto Rico Asbestos Inspector, confirming that the structure is free of asbestos.
The related federal contract opportunity is for Landslide Repairs in Lares, Puerto Rico, with a Solicitation Number of 693C73-24-B-000011. The project consists of repairing landslide and washout damages caused by Hurricanes Irma and Maria on several highways in the Lares municipality. The work includes embankment reconstruction, reinforced soil slope systems construction, gabion walls, gravity retaining wall, drainage systems installation, milling and overlay, pavement reconstruction, pavement markings, removal and replacement of guardrails, signage, temporary traffic control, and other miscellaneous work. The total project cost is expected to fall within the range of $5,000,000 to $10,000,000. Bids will be accepted from certified Small Business Concerns only, and the bid documents are expected to be issued on or about May 9, 2024.
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Text version
GOBIERNO DE PUERTO RICO
OFICINA DEL GOBERNADOR
JUNTA DE CALIDAD AMBIENTAL
Área de Calidad de Agua Forma PGC-009
CERTIFICACION DE NO PRESENCIA DE ASBESTO
EN ESTRUCTURAS A DEMOLERSE
(Deberá completarse en letra de molde o impresa)
NUM. PERMISO: _________________________
Yo, Roberto Rodríguez, mayor de edad, casado, y vecino de Juana Díaz, Puerto Rico, (Nombre) (Estado Civil) (Municipio)
Dirección Postal: PO BOX 366457 San Juan, P.R. 00936-6457 (Pueblo) (Zip Code)
Teléfonos: Residencial (939) 775 – 7587 Oficina (787) 420 - 0220
Certifico que:
1. La estructura “Landslide & Damage Evaluation (ER-HWY-107)" localizada en PR-124 Km 22.35, Lares, P.R., la cual será objeto de una demolición se encuentra libre de asbesto.
2. La información antes indicada es cierta y correcta.
3. Afirmo y reconozco las consecuencias de incluir y someter información falsa en este documento.
4. Para que así conste, firmo la presente certificación en Lares de Puerto Rico, (Municipio) hoy día 21 de marzo de 2023.
Firma y Sello del Profesional o
Firma del Inspector de Asbesto registrado por la JCA (Original)
Nota: Ingenieros o Arquitectos deberán someter evidencia de que se encuentra al día en el pago de sus cuotas de colegiación e Inspectores de Asbesto deberán someter evidencia de la tarjeta de registro provista por la JCA.
Dirección Física: Ave. Ponce de León 1308, Carr. Estatal 8838, Sector el Cinco, Río Piedras, PR 00926 Dirección Postal: Apartado 11488, Santurce, PR 00910-1488 Tel. (787) 767-8181 • Fax (787) 767-1962
ROBERTO RODRÍGUEZ
Puerto Rico
Asbestos Inspector
File details come from the government source that posted it. Updated .