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Bid No, 2019016/IRC-1631 <br />SWORN STATEMENT UNDER THE FLORIDA TRENCH SAFETY ACT <br />THIS FORM MUST BE SIGNED BY THE BIDDER WHO WILL BE RESPONSIBLE FOR THE <br />EXCAVATION WORK ("BIDDER"), OR ITS AUTHORIZED REPRESENTATIVE, IN THE <br />PRESENCE OF A NOTARY PUBLIC AUTHORIZED TO ADMINISTER OATHS. <br />This Sworn Statement is submitted with Project No. IRC -1631 for <br />US HIGHWAY 1 LANDSCAPING — SOUTH COUNTY LINE TO OSLO ROAD (IRC 1631) <br />-. This Sworn Statement is submitted by Green Construction Technologies Inc. <br />iL-mcra Name of Entity Subrii*ting Sworn Statement) <br />2130 N.E. 15th Terrace Wilton Manors Florida 33305 hereinafter <br />-BIDDER'. The BIDDER's address is <br />BIDDER's Federal Employer Identification Number (FEIN) is 65-0802133 <br />3. My name is Christina L. Erwin and my relationship to the BIDDER <br />fP•in- Name of IndVidUal Signin; ',, <br />is President <br />'Pasriin or Titlei <br />I certify. through my signature at the end of this Sworn Statement. that I am an authorized <br />representative of the BIDDER. <br />4. The Trench Safety Standards that will be in effect during the construction of this Project are <br />contained within the Trench Safety Act. Section 553.60 et seq Florida Statutes and refer to the <br />applicable Florida Statue(s) andior OSHA Regulation(s) and include the "effective date" in the <br />citation(s). Reference to and compliance with the applicable Florida Statute(s) and OSHA <br />Regulation(s) is the complete and sole responsibility of the BIDDER. Such reference will not be <br />checked by OWNER or ENGINEER and they shall have no responsibility to review or check the <br />BIDDERs compliance with the Trench 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 S 0.00 . based <br />on the linear feet of trench to be excavated over five (5) feet deep. for compliance with the <br />applicable Trench Safety Standards. and intends to comply with said standards by instituting the <br />following specific method(s) of compliance on this Project: <br />"there will be no trenching in excess of 5—ft <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 ENGINEER <br />for accuracy, completeness. or any other purpose. The OWNER and ENGINEER shall have no <br />responsibility to review or check the BIDDER's compliance with the Trench Safety Standards, <br />Page 25 of 45 <br />