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a SVG'OR-N STATEMENT UNDER THE FLORIDA TRENCH SAFETY ACT THIS FORM MUST BE SIGNED BY THE BIDDER VVHO «FILL BE RESPONSIBLE FOR THE EXCAVATIO'_N WORK ( " BIDDER"). OR ITS AUTHORIZED a REPRESENTATIVE, IN THE PRESENCE OF ANOT_ARY PUBLIC AUTHORIZED TO ADMINISTER OATHS . 1 . This Sworn Statement is submitted with Bid No . 2007033 for Gifford Park Security Rouse. _ 2 . This SworaSiaiementissubrninedby Passage Island Homes , Inc . (Legal Name oibntity Submitting Sworn Statement) 1910 82nd Avenue # 205 , Vero Beach , FL 32966 heremaftcr "BODER" . The BIDDER ' s address is a BIDDER ' sFederal En, plover Identification Number59 - 3456562 a dl na:ntis Brian F . Adams a ,dmvrelationshintotheBMDER (Prim: Name of individual S gg=i g) r " is President (Position or Tile I certify; through my signature at the end of this Sworn Statement, that I am an authorized representative of the BIDDER. r 4. The Trench Safety Standards that will be iz effect during the construction of this Project are contained within the Trench Safety Act, Section 553 . 60 et seq Florida Statutes and refer to the applicable Florida Stan:e(s) and/or OSHA Regulaiion(s) and include the "effective date" in the a citation(s) . Ref rence to and compliance with the applicable Florida Statute(s) and OSHA Regulation(s) is the complete and sole responsibility of the BIDDER. Such reference will not be a checked by OVTBR or ENGINEER and they shall have no responsibility to review or check the BIDDER ' s compliance with the Trench Safety Standards . 5 . The BIDDER assures the O-V vWER that it will comply with the applicable Trench Safety a Standards . 6. The BIDDER has allocated and included in its proposal the total amount of S N / A based on the linear feet of trench to be excavated over five (5) feet deep , for compliance with the a applicable Trench Safety Standards, and intends to comply with said standards by instituting the following specific method(s) of compliance on this Project: N / A r Tl- e determination of the appropriate method(s) of compliance is the complete and sole r responsibility of the BIDDER. Such methods u311 not be checked by the OWNER or ENGLNEER for accuracy, completeness, or any other purpose. The O'WNTER and ENGINEER shall have no responsibility to re6ew or check the BIDDER ' s compliance with the Trench a Safety Standards . 7. The BIDDER has allocated and included in its proposal the total_ amount of S N / A based on the square feet of shoring to be used for compliance with shoring safety requirements r