Florida Trench Safety Act Form v.12.25.pdf

PDF 494 KB Posted

Attached to
Lift Station #46 Rehabilitation
Solicitation number
145242
Issued by
Polk County, Florida

About this file

This is a Florida Trench Safety Act Compliance Form (v. 12.25) required for submission with bid responses to the Lift Station #46 Rehabilitation project in Florida. The form serves as a compliance checklist to ensure bidders acknowledge and account for all costs associated with meeting trench safety requirements under Florida Statute 553.63. Bidders must identify and itemize trench safety measures in the provided summary table, specifying the description of each safety measure, unit of measure (linear feet or square yards), quantity, unit cost, and extended cost for up to eight line items (labeled A through H). The form explicitly states that trench safety compliance costs must be included in the total bid amount.

This is not a pay item but rather an informational document designed to confirm that bidders have considered and incorporated trench safety expenses into their overall pricing. Award for the Lift Station #46 Rehabilitation project shall be made to the lowest responsive and responsible bidder based on the combined total price of all line items, though the District reserves the right to award in its best interest. All costs for Florida Trench Safety Act compliance are the responsibility of the bidder and must be fully accounted for in the submitted bid response.

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Text version

Solicitation/Bid#: __________________

Completed form must be submitted with bid response.

COMPLIANCE WITH FLORIDA TRENCH SAFETY ACT

FS § 553.63

Bidder hereby acknowledges all costs for complying with the Florida Trench Safety Act are included in the Total Bid. For informational purposes only, the Bidder is required to identify these costs in the summary below.

TRENCH SAFETY MEASURE

(DESCRIPTION)

UNIT OF

MEASURE

(LF, SY)

UNIT

QTY

UNIT

COST

EXTENDED

COST

A.

B.

C.

D.

E.

F.

G.

H.

THIS IS NOT A PAY ITEM: The purpose of this form is to gather information on the costs associated with trench safety measures and to ensure that the Bidder has considered these costs and included them in the Total Bid.

v. 12.25 http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0500-0599/0553/Sections/0553.63.html

SolicitationBid:
A:
UNIT OF MEASURE LF SYA:
UNIT QTYA:
UNIT COSTA:
EXTENDED COSTA:
B:
UNIT OF MEASURE LF SYB:
UNIT QTYB:
UNIT COSTB:
EXTENDED COSTB:
C:
UNIT OF MEASURE LF SYC:
UNIT QTYC:
UNIT COSTC:
EXTENDED COSTC:
D:
UNIT OF MEASURE LF SYD:
UNIT QTYD:
UNIT COSTD:
EXTENDED COSTD:
E:
UNIT OF MEASURE LF SYE:
UNIT QTYE:
UNIT COSTE:
EXTENDED COSTE:
F:
UNIT OF MEASURE LF SYF:
UNIT QTYF:
UNIT COSTF:
EXTENDED COSTF:
G:
UNIT OF MEASURE LF SYG:
UNIT QTYG:
UNIT COSTG:
EXTENDED COSTG:
H:
UNIT OF MEASURE LF SYH:
UNIT QTYH:
UNIT COSTH:
EXTENDED COSTH:

File details come from the government source that posted it. Updated .