Laserfiche WebLink
TRENCH SAFETY ACT COMPLIANCE STATEMENT <br /> Project Name : Mitigation Reef — Shoreline Sectors 1 &2 <br /> Project Number: 03102 <br /> Project Location : Indian River County, Florida <br /> Instructions : Florida Statutes Section 553 .60 through 553 . 64, known as the "Trench Safety Act" requires <br /> all contractors engaged by Indian River County, Florida to comply with Occupational Safety and Health <br /> Administration's excavation safety standard, found in 29 C .F .R. s . 1926 . 650 Subpart P . All prospective <br /> contractors are required to sign this Trench Safety Act Compliance Statement and provide compliance <br /> cost information where indicated below. The costs for complying with the Trench Safety Act must be <br /> incorporated into this Project's base Bid. Certify this Statement in the presence of a notary public or other <br /> officer authorized to administer oaths . <br /> Certification <br /> 1 . I understand that the Trench Safety Act requires me to comply with OSHA excavation safety <br /> standards found in 29 C.F.R. s . 1926 . 650 Subpart P. I will comply with The Trench Safety Act and I will <br /> design and provide trench safety systems at all trench excavations in excess of five feet in depth for this <br /> Project. <br /> 2 . The estimated cost imposed by compliance with The Trench Safety Act will be : <br /> Dollars $ per linear foot of trench to be excavated . <br /> 0 . The estimated cost imposed by compliance with the Trench Safety Act will be : <br /> Dollars $ per square foot of special shoring used. <br /> 4. The amount listed above has been included within the Base Bid. <br /> Certified : <br /> (Contractor) <br /> By : <br /> (Signature) <br /> (Typed or Printed Name) <br /> STATE OF <br /> COUNTY OF <br /> The foregoing instrument was acknowledged before me this day of , 2003 by <br /> of <br /> who is personally known to me or has produced as identification and who did <br /> (did not) take an oath. <br /> Notary Public (affix sea] ) <br /> My Commission Expires : <br /> INFORMATION REQUIRED OF BIDDERS <br /> I-7 <br />