Contractors_Acknowledgement_form.pdf
PDF 32 KB Posted
- Attached to
- Omega Park CCUA Connection State and local contract opportunity
- Solicitation number
- 25/26-007
- Issued by
- Clay County, Miramar Beach CDP, Florida
About this file
Contractor's Acknowledgment Form Summary
This Contractor's Acknowledgment Form is issued by Clay County Utility Authority (CCUA) in Middleburg, Florida, and serves as a formal acknowledgment that contractors will provide materials in strict compliance with CCUA's specifications, details, and Approved Materials Manual. The form applies to the Omega Park CCUA Connection project, which involves installing water and sewer mains, decommissioning septic systems, and constructing a lift station at Omega Community Park in Middleburg. The project requires approximately 190 linear feet of 8" PVC gravity sewer main, 335 linear feet of 2" water service, and 484 linear feet of 2" force main. The mandatory pre-bid meeting is scheduled for October 30, 2025, at 1:00 PM on-site, with bids due November 20, 2025, at 4:00 PM. Substantial completion is required within 120 days of the Notice to Proceed, with final completion expected within 150 calendar days.
The acknowledgment form mandates that contractors design manholes according to CCUA Standard Details and bear full responsibility for correcting, removing, and replacing any non-compliant materials at their own expense. The form applies to materials listed in CCUA's Approved Materials Manual; however, alternate materials, unlisted materials, and submittals for pumping stations and plant installations require individual shop drawings and CCUA approval prior to installation. Contractors must submit executed acknowledgments from each supplier used on the project. The design engineer retains the right to require additional submittals and shop drawings as deemed necessary. A 5% bid bond is required, and the project connection charges total $27,670.30, funded by Clay County with utility service connection fees. Chen Moore and Associates serves as the engineering design firm.
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Text version
Clay County Utility Authority 3176 Old Jennings Road
Middleburg, Florida 32068-3907 Telephone (904) 272-5999 Facsimile (904) 213-2498
Working together to protect public health, conserve our natural resources, and create long-term value for our ratepayers.
Shop Drawings and CCUA's Approved Materials List Form Contractor's Acknowledgment
Date: _______________________
Project Name:
The undersigned does hereby acknowledge and agree to provide only materials which are in accordance with CCUA's specifications, details, and its Approved Materials Manual.
Manholes shall be designed in accordance with CCUA's Standard Details, and it shall be the contractor's responsibility to verify that they are designed and built accordingly.
Correction, removal, and replacement of all Non-Compliant items shall be the contractor's responsibility and expense.
Acknowledged By:
Company Name:
Authorized Signature:
Title:
Address:
Telephone Number:
NOTE: (1) This form shall take the place of individual shop drawings for each item of materials with the following exceptions: any alternate materials requested by the Engineer; any material not listed in the CCUA's Materials Manual; and submittals associated with pumping stations and plant installations. Those exceptions shall have an individual shop drawing submitted for CCUA's review and approval prior to any installation of said materials. Please attach your executed acknowledgement from each individual supplier you plan to use on the project.
(2) This is CCUA's procedure and it does not preclude the design engineer from requiring additional submittals and shop drawings as he deems necessary for the project.
| Clay County Utility Authority |
| Middleburg, Florida 32068-3907 |
| Telephone (904) 272-5999 |
| Facsimile (904) 213-2498 |
| Working together to protect public health, conserve our natural resources, and create long-term value for our ratepayers. |
| Shop Drawings and CCUA's Approved Materials List Form |
| Contractor's Acknowledgment |
| Date: |
| Project Name: |
| Company Name: |
| Title: |
| Address 1: |
| Address 2: |
| Address 3: |
| Telephone Number: |
File details come from the government source that posted it. Updated .