Exhibit_9_-_Contractor_Safety_Responsibility_Form.pdf

This is a Contractor Safety Responsibility Form issued by the County of Orange, California for the Santa Ana Delhi Channel (F01) Project. The document establishes comprehensive safety requirements and protocols that all contractors and subcontractors must follow throughout the project execution. The form outlines mandatory safety compliance areas including worker injury and illness prevention programs, personal protective equipment requirements, hazardous material handling, confined space operations, excavation safety with designated competent persons, fall protection measures, lockout/tagout procedures, scaffolding standards, and environmental compliance including air emissions, hazardous waste management, and storm drain/sanitary sewer protections. Contractors must submit their Injury and Illness Prevention Program (IIPP) to the Project Manager prior to project start and maintain documentation of all safety training provided to personnel. The document specifies that Cal/OSHA fatality or serious injury reporting is mandatory within 8 hours, with minimum civil penalties of $5,000 for non-compliance. Additionally, contractors must ensure personnel evacuate to locations 150 feet away during hazardous operations and obtain proper authorization before resuming work.

The form requires contractor acknowledgment through a signed certification statement confirming the contractor has read and understands the safety policy and agrees to comply with all outlined provisions and procedures. Compliance with California Labor Code sections and OSHA regulations is mandatory, including adherence to specific Cal/OSHA standards referenced throughout the document such as sections addressing personal protective equipment, hazardous materials handling, confined spaces, excavation operations, and fall protection. The safety responsibility form serves as a binding agreement between the contractor and the County of Orange, establishing that the contractor bears full responsibility for enforcing safety policies among all personnel and maintaining safety compliance throughout all project phases, with violations subject to project stoppage and civil penalties.