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2012-021A
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2012-021A
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Last modified
12/15/2015 1:17:58 PM
Creation date
10/1/2015 4:08:43 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
02/14/2012
Control Number
2012-021A
Agenda Item Number
8.D.
Entity Name
Timothy Rose Contractor
Subject
Contract Documents and Specifications
Culvert Replacement
Area
6th Ave. SW North of 23rd. St. SW
Project Number
1136
Bid Number
2012033
Archived Roll/Disk#
112-R-0001
Supplemental fields
SmeadsoftID
10978
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CONTRACTOR ' s AFFIDAVIT REGARDING EROSION <br /> CONTROL AND TREATMENT OF DEWATERING WATER <br /> AND STORMWATER FROM THE CONSTRUCTION SITE <br /> ( TO BE MADE A PART OF THE STORMWATER POLLUTION PREVENTION PLAN ) <br /> This sworn statement is submitted for Indian River County Project No . 1136 for 6th Avenue <br /> SW Culvert Replacement North of 23rd Street SW . <br /> STATE OF <br /> COUNTY OF <br /> Personally before me the undersigned authority , appeared <br /> administered , stated as follows : who upon oath duly <br /> 1 . This sworn statement is submitted by the CONTRACTOR , <br /> whose business address is <br /> applicable ) its Federal Identification No . ( FEIN ) is and ( if <br /> If entity has no <br /> FEIN , include the Social Security Number of the individual signing this sworn statement . <br /> 2 . My name is and my relationship to the <br /> entity named above is <br /> 3 . 1 understand and agree that in addition to the Stormwater Management System Permit <br /> issued by Indian River County , CONTRACTOR is responsible for complying with the <br /> terms and conditions of the following as applicable to the site : <br /> a . State of Florida Generic Permit for Stormwater Discharge From Large and Small <br /> Construction Activities (for projects one acre or larger) , <br /> b . Stormwater Pollution Prevention Plan ( regardless of project size ) , <br /> c . St . Johns River Water Management District permit ( s ) ( regardless of project size ) , <br /> d . Florida Department of Environmental Protection permit ( s ) ( regardless of project <br /> size ) , <br /> e . All other permits required for this project not specifically listed herein , and <br /> f. All Codes and Ordinances of Indian River County . <br /> 4 . 1 understand that " pollution " as defined by Florida Statutes Chapter 403 . 031 ( 7 ) means : " . . . <br /> the presence in the outdoor atmosphere or waters of the state of any substances , <br /> contaminants , noise , or manmade or human - induced impairment of air or waters or <br /> alteration of the chemical , physical , biological , or radiological integrity of air or water in <br /> quantities or at levels which are or may be potentially harmful or injurious to human health <br /> or welfare , animal or plant life , or property or which unreasonably interfere with the <br /> enjoyment of life or property , including outdoor recreation unless authorized by applicable <br /> law . " <br /> 5 . 1 understand that in addition to the definition set forth in Item 5 above , " pollution " is also <br /> defined by paragraph 1 . 6 of Section 02225 of the Technical Specifications for this <br /> Project . <br /> 01025- 11 Technical Specifica*ions <br /> F : \Public Works\ ENGINEERING DIVISION PROJECTS\ 1136 -6th Ave SW--Culvert Replacement N of 23rd St SW\Admim\Contract <br /> Documents\Technical Specifications . doc <br />
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