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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 /> 0 . 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 : T r r p <br /> ontractor) <br /> (Signature) ,,, <br /> (Typed or Printed Name) <br /> STATE OF : MoLss y., 05!A� S <br /> COUNTY OF : <br /> The foregoing instrument was acknowledged before me this day of lL/ 2008 <br /> by P'�� of s d� r1.e 2r; n <br /> who is personally known to me or has produced as id ntifica[ion <br /> and who did (did not) take an oath . <br /> Notary Public &)�"ffix seal ) <br /> My Commission Expires : <br /> OFFICIAL SEAL <br /> DEBORAH A. LAMOUREAUX <br /> NOTARY PUBLIC <br /> COMMONWEALTH of MASSACHUSETTS 044572017 <br /> My Comm. Expires May 19, 2011 00300-6 <br /> i <br />