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CONTRACTOR'S AFFIDAVIT REGARDING POLLUTION <br /> This sworn statement is submitted to Indian River County Project No. 0845B for Old Dixie <br /> Highway Sidewalk Improvements, 38th Lane to 45th Street. <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 applicable) its Federal Identification No.(FEIN) is <br /> 2. My name is and my relationship to the <br /> entity named above is <br /> (If signing as Owner's Agent, attach Letter of Authorization to Sign from Owner) <br /> 3. 1 understand and agree that in addition to complying with the terms and conditions of the <br /> Stormwater Management System Permit issued by Indian River County, Contractor is <br /> responsible for complying with the terms and conditions of the following as applicable to <br /> 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 and agrees that "pollution" as defined by Florida Statutes Chapter 403.031(7) <br /> includes: ". . . the presence in the outdoor atmosphere or waters of the state of any <br /> substances, contaminants, noise, or manmade or human-induced impairment of air or waters <br /> or alteration of the chemical, physical, biological, or radiological integrity of air or water in <br /> 01025-20 Technical Specifications <br /> id FAPublic Works\ENGINEERING DIVISION PROJECTS\084513-Old Dixie Hwy Sidewalk(38th Ln-45th St)Vldmim\bid <br /> documents\Master Contract Documents\Technical Specifications.doc <br />