Florida_Trench_Safety_Form.pdf
PDF 96 KB Posted
- Attached to
- Chesnut Park Managed Aquifer Recharge Well Drilling And Completion Of Subsurface Testing
- Solicitation number
- 26-0046-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This is a Florida Trench Safety Certification and Disclosure Statement form required for the Chesnut Park Managed Aquifer Recharge Well Drilling and Completion of Subsurface Testing project administered by Pinellas County Utilities. The project involves drilling a 24-inch diameter injection well to 1,250 feet below land surface and potentially constructing a 6-inch diameter monitor well. The bid was issued November 3, 2025, with a mandatory site visit on November 5, 2025, at 10:00 am. Questions are due November 7, 2025, and proposal submissions are due November 13, 2025, at 3:00 pm. The contract will be awarded to the lowest responsive, responsible bidder with a contract duration of 540 consecutive calendar days, including a 12-month guarantee period.
The trench safety form requires bidders to acknowledge compliance with the Florida Trench Safety Act, which establishes Federal excavation safety standards from 29 C.F.R. Section 1926.650 Subpart P as the interim state standard. Bidders must disclose the costs and linear feet of trench excavation associated with each specific safety measure employed on the project. The contractor assumes sole responsibility for selecting geotechnical data and designing the trench safety system and must extend additional funds at no additional cost if necessary to achieve compliance with applicable trench safety requirements. Incomplete submission of this form may result in the bid being declared non-responsive. The project includes a 5% Small Business Enterprise participation goal, mandatory E-Verify compliance, and insurance requirements with minimum coverage limits of $500,000 to $1,000,000 per occurrence. Funding is provided through Pinellas County Utilities and co-funding from the Southwest Florida Water Management District.
View the file
Other files
Show all 21
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
FLORIDA TRENCH SAFETY
FLORIDA TRENCH SAFETY ACT
CERTIFICATION AND DISCLOSURE STATEMENT
The undersigned acknowledges the requirements of the Florida Trench Safety Act (Section 553.60 et. seq. Florida Statutes).
A. The Bidder further acknowledges that the Florida Trench Safety Act, (the Act) establishes the Federal excavation safety standards set forth at 29 C.F.R. Section 1926.650 Subpart P, as the interim state standard until such time as the state of Florida, through its Department of Labor and Employment Security, or any successor agency, adopts, updates, or revises said interim standard. This State of Florida standard may be supplemented by special shoring requirements established by the State of Florida or any of its political subdivisions.
B. The Bidder, as Contractor, shall comply with all applicable excavation/trench safety standards.
C. The contractor shall consider the geotechnical data available from the County, if any, the Contractor's own sources, and all other relevant information in its design of the trench safety system to be employed on the subject Project. The Contractor acknowledges sole responsibilities for the selection of the data on which it relies in designing the safety system, as well as for the system itself.
D. The amounts that the Bidder has set forth for pipe installation includes the following excavation/trench safety measures and the linear feet of trench excavated under each safety measure. These units, costs, and unit values shall be disclosed solely for the purpose of compliance with procedural requirements of the Act. No adjustment to the Agreement Time or price shall be made for any difference in the actual number of linear feet of trench excavation, except as may be otherwise provided in these Contract Documents.
Trench Safety Measure (Description)
Units of Measure
(LF, SF)
Unit (Quantity)
Unit Cost
Extended Cost
1. $ $
2. $ $
3. $ $
4. $ $
5. $ $ For Information Only, Not for Payment Purposes $
FLORIDA TRENCH SAFETY
Bidder may use additional sheets as necessary to extend this form. Failure to complete the above may result in the bid being declared non-responsive.
A. The amount disclosed as the cost of compliance with the applicable trench safety requirements does not constitute the extent of the Contractor’s obligation to comply with said standards. The Contractor shall extend additional sums at no additional cost to the County, if necessary, to comply with the Act (except as otherwise be provided).
B. Acceptance of the bid to which this certification and disclosure applies in no way represents that the County or its representatives has evaluated and thereby determined that the above costs are adequate to comply with the applicable trench safety requirements nor does it in any way relieve the Contractor of its sole responsibility to comply with the applicable trench safety requirements.
Company Name
Name and Title
Address: Telephone/Fax
Federal Employee ID NO. (FEIN)
Email of Account Representative
File details come from the government source that posted it. Updated .