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SECTION 00454 - SWORN STATEMENT UNDER THE FLORIDA TRENCH SAFETY ACT THIS FORM MUST BE SIGNED BY THE BIDDER WHO WILL BE RESPONSIBLE i FOR THE EXCAVATION WORK ( " BIDDER ") , OR ITS AUTHORIZED REPRESENTATIVE , IN THE PRESENCE OF A NOTARY PUBLIC AUTHORIZED TO ' ADMINISTER OATHS . 1 . This Sworn Statement is submitted with Project No . 9327 for Oslo Road and 43rd Avenue Intersection Improvements 2 . This Sworn Statement is submitted by . (Legal Name of Entity Submitting Sworn Statement) he einafter " BIDDER . The BIDDER ' s address is � BIDDER ' s Federal Employer Identification Number ( FEIN ) is 3 . My oame is . C ( � 4Ta7 and my relationship to the BIDDER (Print Na a of Individual Signing ) ' IS (Position or Title ) I certify , through my signature at the end of this Sworn Statement , that I am an authorized representative of the BIDDER . 4 . The Trench Safety Standards that will be in effect during the construction of this Project are contained within the Trench Safety Act , Section 553 . 60 et . seg . Florida Statutes and ' refer to the applicable Florida Statue ( s ) and /or OSHA Regulation ( s ) and include the " effective date " in the citation (s ) . Reference to and compliance with the applicable Florida Statute(s ) and OSHA Regulation ( s ) is the complete and sole responsibility of the BIDDER . Such reference will not be checked by OWNER or ENGINEER and they shall have no responsibility to review or check the BIDDER ' s compliance with the Trench Safety Standards , 5 , The BIDDER assures the OWNER that it will comply with the applicable Trench Safety Standards and agrees to indemnify , defend and hold harmless the OWNER and ENGINEER, and any of their agents or employees , from any claims arising from the ' failure of the BIDDER to identify applicable standards or to comply with said standards . As specific consideration for the indemnification above , the OWNER agrees to give the BIDDER twenty-five dollars ( $ 25 . 00 ) , which the OWNER agrees is paid on behalf of all ' parties indemnified hereinabove . 6 . The BIDDER has allocated and included in its bid the total amount of $ 4 0660,06" based on the linear feet of trench to be excavated over five ( 5 ) feet deep , for compliance with the applicable Trench Safety Standards , and intends to comply with said standards by instituting the following specific method ( s ) of compliance on this Project : The determination of the appropriate method ( s ) of compliance is the complete and sole ' responsibility of the BIDDER . Such methods will not be checked by the OWNER or ENGINEER for accuracy , completeness , or any other purpose . The OWNER and Florida Trench Safety Act 00454 - 1 FAPublic Works\Capital Projects\Oslo - 43rd Avenue\CONTRACT DOCUMENTS\Florida Trench Safety Act. doc Rev. 05/01