Laserfiche WebLink
TRENCH SAFETY ACT COMPLIANCE STATEMENT <br />Project South RO Water Treatment Plant Improvements <br />Bid Number # 2008027 <br />Instructions <br />Florida Statutes Sections 553.60 through 553.64, known as the "Trench Safety Act" requires all contractors <br />engaged by Indian River County, Florida to comply with Occupational Safety and Health Administration's <br />excavation safety standard, found in 29 C.F.R. s. 1926.650 Subpart P. All prospective contractors are required <br />to sign this Trench Safety Act Compliance Statement and provide compliance cost information where indicated <br />below. The costs for complying with the Trench Safety Act must be incorporated into this Project's base Bid. <br />Certify this Statement in the presence of a notary public. <br />Certification <br />1. I understand that the Trench Safety Act requires me to comply with OSHA excavation safety standards <br />found in 29 C.F.R. section 1926.650 Subpart P. I will comply with The Trench Safety Act and I will design <br />and provide trench safety systems at all trench excavations in excess of five feet in depth for this Project. <br />2. The estimated cost imposed by compliance with The Trench Safety Act will be: <br />Dollars 1, b per linear foot of trench to be excavated. <br />3. The estimated cost imposed by compliance with the Trench Safety Act will be: <br />O . oa Dollars b , vo per square foot of special shoring used. <br />4. The amount listed above has been included within the Base Bid. <br />Certified: <br />By: <br />STATE OF: !"*,0.Ssal 05ig S <br />COUNTY OF: <br />The foregoin <br />by �,no <br />(Signature) 4190,/c[ A /� <br />(Typed or Printed Name) <br />instrument was acknowledged before me this day of <br />�.. <br />who is personally known to me or has produced <br />and who did (did not) take an oath. <br />Notary Public Lei "ffix seal) <br />My Commission Expires: <br />OFFICIAL <br />NOTAPY PUBLIC <br />• •Tj <br />• <br />044572017 <br />00300-6 <br />as <br />ME <br />I <br />STATE OF: !"*,0.Ssal 05ig S <br />COUNTY OF: <br />The foregoin <br />by �,no <br />(Signature) 4190,/c[ A /� <br />(Typed or Printed Name) <br />instrument was acknowledged before me this day of <br />�.. <br />who is personally known to me or has produced <br />and who did (did not) take an oath. <br />Notary Public Lei "ffix seal) <br />My Commission Expires: <br />OFFICIAL <br />NOTAPY PUBLIC <br />• •Tj <br />• <br />044572017 <br />00300-6 <br />as <br />ME <br />