Trench Safety Affidavit.PDF
PDF 161 KB Posted
- Attached to
- Rosselli Park Pickleball Court Construction
- Solicitation number
- ITB-25-016-1-2025/DG
- Issued by
- Pinellas County, Florida
About this file
This document is a Trench Safety Affidavit for the City of Treasure Island's Invitation to Bid (ITB 25-016) for Pickleball Court Construction, specifically related to the Rosselli Park Pickleball Court Construction project in Florida. The affidavit requires bidders to acknowledge and comply with the Occupational Safety and Health Administration (OSHA) excavation safety standards, specifically 29 CFR 1926.650 Subpart P, and the Florida Trench Safety Act. Bidders must document and include the costs associated with trench safety measures in their total bid price, with the understanding that no additional payment will be made for variations in estimated quantities or different safety measures.
The affidavit serves as a formal commitment by the bidding company to implement appropriate trench safety standards and indemnify the owner and engineer against any claims arising from non-compliance. Bidders are expected to review available geotechnical information and conduct necessary investigations to design an appropriate trench safety system. Failure to complete the affidavit will result in the bid being declared non-responsive. The document requires a notarized signature, company details, and confirmation of understanding of the trench safety requirements for the construction project.
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Text version
CITY OF TREASURE ISLAND
ITB 25-016 PICKLEBALL COURT CONSTRUCTION
01103264-1
ISSUED FOR BIDDING TRENCH SAFETY AFFIDAVIT
TRENCH SAFETY AFFIDAVIT (SWORN STATEMENT)
The Occupational Safety and Health Administration excavation safety standards, 29 CFR 1926.650 Subpart
P, trench safety standards, will be in effect during the period of construction of the Project.
Bidder acknowledges and issues this sworn statement that included in the Bid Price are costs for complying with the Florida Trench Safety Act (90-96, Laws of FL) effective October 1, 1990, and hereby gives assurance that, if awarded the Contract, the Contractor or Subcontractor performing trench excavation work on the Project will comply with the applicable trench safety standards. The Bidder further identifies the costs as follows:
Trench Safety Item (Description) Cost
TOTAL $
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 insure that the Bidder has considered these costs and included them in the Total Estimated Base Bid and the Total Estimated Additive Alternate Bid. Company will not receive additional payment if actual quantities differ from those estimated or if the Company uses a safety measure different than those listed.
The undersigned assures that the entity will comply with the applicable Trench Safety Standards and agrees to indemnify and hold harmless the Owner and Engineer, and any of their agents or employees from any claims arising from the failure to comply with said standard.
The undersigned, in submitting this Bid, represents that he has reviewed and considered all available geotechnical information and made such other investigations and tests as he may deem necessary to adequately design the trench safety system he will utilize on this Project.
FAILURE TO COMPLETE THE ABOVE SHALL RESULT IN THE BID BEING DECLARED NON-
RESPONSIVE.
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CITY OF TREASURE ISLAND
ITB 25-016 PICKLEBALL COURT CONSTRUCTION
01103264-1
TRENCH SAFETY AFFIDAVIT ISSUED FOR BIDDING
COMPANY NAME:
DATE: BY: ______
TITLE:_____________________________________________
STATE OF FLORIDA
COUNTY OF PINELLAS
The foregoing instrument was sworn and subscribed before me by means of ☐ physical presence or ☐ online notarization this ___ day of _________ 2025, by _______________________________, who is personally known to me or has produced _______________________________ as identification.
Notary Public
Print Name:
(Seal) My commission expires:
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