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2012-101A
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2012-101A
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Last modified
12/28/2015 1:31:44 PM
Creation date
10/1/2015 4:28:13 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
05/22/2012
Control Number
2012-101A
Agenda Item Number
12.I.1
Entity Name
Timothy Rose Contracting
Subject
Contract Documents and Specifications
Oslo Road Phase 111 Roadway Improvements
Area
58th Avenue and 43rd Avenue
Project Number
0517
Bid Number
2012036
Supplemental fields
SmeadsoftID
11224
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Zv <br /> 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 Inian River Count Project No . 0517 for Oslo Road <br /> Phase III Roadway Improvements ( 58 Avenue to 43 Avenue ) <br /> STATE OF <br /> COUNTY OF <br /> Personally before me the undersigned authority , appeared <br /> who upon oath duly <br /> administered , stated as follows : <br /> 1 . This sworn statement is submitted by the CONTRACTOR , <br /> whose business address is <br /> and ( if <br /> applicable ) its Federal Identification No . ( FEIN ) is 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 . I 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 Specifications <br /> F :\Public Works\ENGINEERING DIVISION PROJECTS\0517-OSLO ROAD_43rd Ave to 58th Ave-Phase III \Admim\bid <br /> documents\Technical Specifications . doc <br />
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