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SECTION 00459 - <br />FLORIDA CE -RI <br />IDDER'S AFFIDAV <br />IED EROSION AN <br />STATE OF <br />INSPECTOR JNTROL <br />(TO ACCOMPANY BID - THIS AFFIDAVIT WILL BECOME PART OF THE CONTRACT <br />DOCUMENTS IF A CONSTRUCTION CONTRACT IS AWARDED TO BIDDER) <br />THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER <br />OFFICER AUTHORIZED TO ADMINISTER OATHS. <br />This sworn statement is submitted with Project No. 0430 for: <br />Egret Marsh Stormwater Park, Pumping. Stations, and Force, Main. <br />STATE OF bool 0a <br />COUNTY OF <br />Before me, the undersigned authority, appeared/'/ 1C/4 <br />who upon oath, duly administered, stated as follows: �� b(�(A�`�"`e i <br />I. This sworn statement is submitted by /��� co,J <br />whose bus' ess address is _/ S U C 1 r c .y <br />FederalIdentification N - (FEIN is �6 - Ilglo-2Z and (if applicable) its <br />2. My name is Arc_ A wt o <br />named above is and my relationship to the entity <br />3. 1 understand that if selected for this Project, I must provide a full-time State of Florida <br />Certified Erosion and Sediment Control Inspector for the Project's full duration. <br />4. 1 agree that I will be responsible for complying with all local, state, and federal <br />requirements regarding erosion and sediment control for the Project. <br />5. 1 understand that "pollution" as defined by Florida Statutes section 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 or <br />welfare, animal or plant life, or property or which unreasonably interfere with the enjoyment <br />of life or property, including outdoor recreation unless authorized by applicable law." <br />6. 1 understand that in addition to the definition set forth in Item 5 above, "pollution" is also <br />defined by paragraph 1.5 of Section 02225 of the Technical Specifications for this Project. <br />7. 1 understand that there are civil and criminal penalties for pollution listed in Florida <br />Statutes section 403.161 and that there are other penalties listed in Section 02225 of the <br />Technical Specifications for this Project. I understand that I may be liable for these and <br />other penalties if pollution occurs as a result of my activities associated with the Project. <br />Last Revised 08/2008 00459-1 <br />Egret F:\Public Works\Cliff Suthard\1 A A Egret Marsh Redesign Contract Documents Technical Specifications0v 0\0045garsh <br />Affidavit Regarding Certified Stormwater Inspector Egret Marsh.doc <br />