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SECTION 00454 - Sworn Statement Under the Florida Trench Safety Act <br /> THIS FORM MUST BE SIGNED BY THE BIDDER WHO WILL BE RESPONSIBLE <br /> FOR THE EXCAVATION WORK ( " BIDDER " ) , OR ITS AUTHORIZED <br /> REPRESENTATIVE , IN THE PRESENCE OF A NOTARY PUBLIC AUTHORIZED TO <br /> ADMINISTER OATHS , <br /> 1 . This Sworn Statement Is submitted with Project No . 0923A for Trans - Florida Greenway <br /> Trail ( North County Park to Sebastian Crossings Blvd . ) <br /> 2 . This Sworn Statement is submitted b <br /> V (Legal N me f � ntity Submitting Sworn Statement) <br /> rhereinafter " BIDDER" Th6 BIDDER 'saddress is <br /> BIDDER 's Federal Employer Identific tion Number ( FEIN ) is r ) i <br /> 3 . My name is -�� yy\ , L `mL C and my relationship to the BIDDER <br /> JPrint Name of Ind ' viduaI Signing ) <br /> is <br /> (Position or TI e ) <br /> I certify , through my signature at the end of this Sworn Statement , that I am an <br /> authorized representative of the BIDDER . <br /> 4 . The Trench Safety Standards that will be in effect during the construction of this Project <br /> are contained within the Trench Safety Act Section 553 . 60 et seg Florida Statutes and <br /> refer to the applicable Florida Statue ( s ) and/or OSHA Regulation ( s ) and include the <br /> " effective date " in the citation (s ) . Reference to and compliance with the applicable <br /> Florida Statute ( s ) and OSHA Regulation (s ) is the complete and sole responsibility of the <br /> BIDDER . Such reference will not be checked by OWNER or ENGINEER and they shall <br /> have no responsibility to review or check the BIDDER ' s compliance with the Trench <br /> Safety Standards . <br /> 5 . The BIDDER assures the OWNER that it will comply with the applicable Trench Safety <br /> Standards . <br /> 6 , The BIDDER has allocated and included in its bid the total amount of $ <br /> based on the linear feet of trench to be excavated over five (5 ) feet deep , for compliance <br /> with the applicable Trench Safety Standards , and intends to comply with said standards <br /> by instituting the following specific method ( s ) of compliance on this Project : <br /> r <br /> The determination of the appropriate method (s ) of compliance is the complete and sole <br /> responsibility of the BIDDER . Such methods will not be checked by the OWNER or <br /> ENGINEER for accuracy , completeness , or any other purpose . The OWNER and <br /> r ENGINEER shall have no responsibility to review or check the BIDDER 's compliance <br /> with the Trench Safety Standards . <br /> 7 . The BIDDER has allocated and included in its bid the total amount of $ <br /> based on the square feet of shoring to be used for compliance with shoring safety <br /> requirements and intends to comply with said shoring requirements by instituting the <br /> following specific method ( s ) of compliance on this Project : <br /> r <br /> 00454 1 00454 - Florida Trench Safety Act - REV 04 -07 . doc <br /> F VPublic Works\ENGINEERING DIVISION PROJECT SV0923A Trans Florida Greenway (At Sebastian River Middle School )VadmimVContract 00cumentsV00454 - Florida <br /> Trench Safety Act - REV 04 -07 doe <br /> r <br />