Common use of Contractor Acknowledgement of Receipt of This Form Clause in Contracts

Contractor Acknowledgement of Receipt of This Form. Contractor Representative Name (print) Contractor Representative Signature Schedule 4 TOWNSHIP OF ESQUIMALT CONTRACTOR COORDINATION CONFIRMATION OF CONTRACTOR RESPONSIBILITIES This form must be completed and signed before work begins Date Project Description: Tender Ref #: Please select one of the following and complete the relevant section(s) of this form O Type A - Prime Contractor Single Employer Workplace O Type B - Prime Contractor - Multiple Employer Workplace/Includes Sub-Contractors O Type C - No Prime Contractor Appointed - Municipal Qualified Coordinator Contractor Contractor Representative Job Title Person Designated Responsible for Coordination of Safety: Contact #: Township of Esquimalt Representative: Job Title Contact # Type A and B - Prime Contractor Appointed - The Contractor Acknowledges the appointment as Prime Contractor  yes no Attends necessary pre-construction safety meetings (documented)  yes no Determines the boundaries of the workplace, and ensure that only workers of one employer perform duties with-in those boundaries (Type A only)  yes no  n/ a Is responsible for identifying and complying with any and all applicable Acts, Regulations, Standards and By-laws. The Contractor shall also understand that the WSBC OH&S Regulation and/or any other applicable Acts or Standards shall be adhered to at all times and supersede any direction from the City and it representatives.  yes no Shall immediately notify The Township of Esquimalt of any conflict between directions given to them and any applicable Acts, Regulations or Standards and By-laws.  yes no Accepts that written documentation (e.g. notes, records, inspections, meetings etc.) on all health and safety issues must be made available upon request to the Township of Esquimalt.  yes no Has (or will before work starts) received a completed Job Site Hazard Identification Form from a representative of the Township of Esquimalt.  yes no Will conduct an inspection of the worksite to identify any hazards before starting any work on site.  yes no Shall communicate all known hazards to any person who may be affected and ensure that appropriate measures are taken to effectively control or eliminate all hazards  yes no Must ensure that all workers on site are suitably trained, orientated and competent to perform the duties for which they are assigned.  yes no Must submit a Notice of Project to WorkSafeBC (WSBC )and submit a copy to the Township of Esquimalt as required  yes no Shall report any and all injuries or incident required by regulation to WorkSafeBC. The Contractor shall also report these incidents to the Township of Esquimalt Contract Administrator.  yes no The Contractor must be on the Township of Esquimalt approved Contractor list and will submit a copy of their formal Occupational Health and Safety program and site specific safe work procedures where required.  yes no The Contractor has provided a current "WSBC Clearance Letter" stating that their account with WorkSafeBC is in good standing  yes no The Contractor has appointed a qualified coordinator responsible for project safety and provided the Township of Esquimalt with their name and contact information in writing  yes no Type B Only The Prime Contractor has identified and provided to the Township of Esquimalt the names of all other employers and or sub-Contractors working on the project  yes no The Prime Contractor has or will notify all sub-Contractors of all know and foreseeable hazards  yes no The Prime Contractor will meet all obligations under the WorkSafeBC Act and Regulations for coordinating a multiple employer workplace.  yes no The Prime Contractor shall be responsible for regular inspections and ensuring that all sub Contractors and their employees comply with any and all applicable Acts, Regulations Standards and By-laws  yes no Notes/Follow-up: See Page 3 for Signatures Type C - No Prime Contractor Appointed - Municipal Qualified Coordinator Township of Esquimalt Representative Job Title Contractor Contractor Representative Job Title The Municipal Qualified Coordinator Must Acknowledge that the Township of Esquimalt is the Prime Contractor  yes no Attend and coordinate pre-construction meetings as required  yes no Determine the boundaries of the workplace, and ensure that all Contractors works with-in those boundaries  yes no Ensure that the Contractor and/or the Municipal Qualified Coordinator have conducted an inspection of the worksite to identify any hazards  yes no Identify and communicate all known hazards the Contractor and ensure that appropriate measures are taken to effectively control or eliminate the hazards to the health and safety of all persons at the worksite  yes no Confirm that all workers are suitably trained, orientated and competent to perform the duties for which they are assigned.  yes no Complete the Job Site Hazard Identification Form with the Contractor  yes no Submit a Notice of Project to WorkSafeBC as required  yes no Conduct regular inspections and ensure that all sub Contractors and their employees comply with any and all applicable Acts, Regulations Standards and By-laws  yes no Ensure the Contractor is on the Township of Esquimalt Approved Contractor List  yes no Ensure the Contractor has provided a current "Clearance Letter" stating that their account with WorkSafeBC is in good standing  yes no Type C - The Contractor Must Identify and Comply with any and all applicable Acts, Regulations, Standards and By- laws. The Contractor shall also understand that the WorkSafeBC OH and S Regulation and/or any other applicable Acts or standards supersede direction from the City and shall be adhered to at all times.  yes no Immediately notify The Township of Esquimalt of any conflict between directions given to them and any applicable Acts, Regulations or Standards  yes no Provide written documentation (e.g. notes, records, inspections, meetings etc.) on all health and safety issues must be made available upon request to the Township of Esquimalt.  yes no Ensure that all workers are suitably trained, orientated and competent to perform the duties for which they are assigned.  yes no Report any and all injuries or incident required by regulation to WorkSafeBC and to the Township of Esquimalt  yes no Perform regular inspections and ensuring that all of their employees comply with any and all applicable Acts, Regulations Standards and By-laws  yes no Notes/Follow-up: Contractor Representative Name (print) Contractor Representative Signature Township of Esquimalt Representative Name (print) Township of Esquimalt Representative Signature Form of Tender ( FOR USE WHEN UNIT PRICES FORM THE BASIS OF PAYMENT - TO BE USED ONLY WITH THE GENERAL CONDITIONS AND OTHER STANDARD DOCUMENTS OF THE UNIT PRICE MASTER MUNICIPAL CONSTRUCTION DOCUMENTS. ) Corporation of the Township of Esquimalt Contract: 2017 Sewer and Drain CCTV Inspections Reference No. E046 TO OWNER:

Appears in 2 contracts

Samples: www.esquimalt.ca, www.civicinfo.bc.ca

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Contractor Acknowledgement of Receipt of This Form. Contractor Representative Name (print) Contractor Representative Signature Schedule 4 TOWNSHIP OF ESQUIMALT CONTRACTOR COORDINATION CONFIRMATION OF CONTRACTOR RESPONSIBILITIES This form must be completed and signed before work begins Date Project Description: Tender Ref #: Please select one of the following and complete the relevant section(s) of this form O Type A - Prime Contractor Single Employer Workplace O Type B - Prime Contractor - Multiple Employer Workplace/Includes Sub-Contractors O Type C - No Prime Contractor Appointed - Municipal Qualified Coordinator Contractor Contractor Representative Job Title Person Designated Responsible for Coordination of Safety: Contact #: Township of Esquimalt Representative: Job Title Contact # Type A and B - Prime Contractor Appointed - The Contractor Acknowledges the appointment as Prime Contractor  yes no Attends necessary pre-construction safety meetings (documented)  yes no Determines the boundaries of the workplace, and ensure that only workers of one employer perform duties with-in those boundaries (Type A only)  yes no  n/ a Is responsible for identifying and complying with any and all applicable Acts, Regulations, Standards and By-laws. The Contractor shall also understand that the WSBC OH&S Regulation and/or any other applicable Acts or Standards shall be adhered to at all times and supersede any direction from the City and it representatives.  yes no Shall immediately notify The Township of Esquimalt of any conflict between directions given to them and any applicable Acts, Regulations or Standards and By-laws.  yes no no Accepts that written documentation (e.g. notes, records, inspections, meetings etc.) on all health and safety issues must be made available upon request to the Township of Esquimalt.  yes no Has (or will before work starts) received a completed Job Site Hazard Identification Form from a representative of the Township of Esquimalt.  yes no Will conduct an inspection of the worksite to identify any hazards before starting any work on site.  yes no Shall communicate all known hazards to any person who may be affected and ensure that appropriate measures are taken to effectively control or eliminate all hazards  yes no Must ensure that all workers on site are suitably trained, orientated and competent to perform the duties for which they are assigned.  yes no Must submit a Notice of Project to WorkSafeBC (WSBC )and submit a copy to the Township of Esquimalt as required  yes no Shall report any and all injuries or incident required by regulation to WorkSafeBC. The Contractor shall also report these incidents to the Township of Esquimalt Contract Administrator.  yes no The Contractor must be on the Township of Esquimalt approved Contractor list and will submit a copy of their formal Occupational Health and Safety program and site specific safe work procedures where required.  yes no The Contractor has provided a current "WSBC Clearance Letter" stating that their account with WorkSafeBC is in good standing  yes no The Contractor has appointed a qualified coordinator responsible for project safety and provided the Township of Esquimalt with their name and contact information in writing  yes no Type B Only The Prime Contractor has identified and provided to the Township of Esquimalt the names of all other employers and or sub-Contractors working on the project  yes no The Prime Contractor has or will notify all sub-Contractors of all know and foreseeable hazards  yes no The Prime Contractor will meet all obligations under the WorkSafeBC Act and Regulations for coordinating a multiple employer workplace.  yes no The Prime Contractor shall be responsible for regular inspections and ensuring that all sub Contractors and their employees comply with any and all applicable Acts, Regulations Standards and By-laws  yes no Notes/Follow-up: See Page 3 for Signatures Type C - No Prime Contractor Appointed - Municipal Qualified Coordinator Township of Esquimalt Representative Job Title Contractor Contractor Representative Job Title The Municipal Qualified Coordinator Must Acknowledge that the Township of Esquimalt is the Prime Contractor  yes no Attend and coordinate pre-construction meetings as required  yes no Determine the boundaries of the workplace, and ensure that all Contractors works with-in those boundaries  yes no Ensure that the Contractor and/or the Municipal Qualified Coordinator have conducted an inspection of the worksite to identify any hazards  yes no Identify and communicate all known hazards the Contractor and ensure that appropriate measures are taken to effectively control or eliminate the hazards to the health and safety of all persons at the worksite  yes no Confirm that all workers are suitably trained, orientated and competent to perform the duties for which they are assigned.  yes no Complete the Job Site Hazard Identification Form with the Contractor  yes no Submit a Notice of Project to WorkSafeBC as required  yes no Conduct regular inspections and ensure that all sub Contractors and their employees comply with any and all applicable Acts, Regulations Standards and By-laws  yes no Ensure the Contractor is on the Township of Esquimalt Approved Contractor List  yes no Ensure the Contractor has provided a current "Clearance Letter" stating that their account with WorkSafeBC is in good standing  yes no Type C - The Contractor Must Identify and Comply with any and all applicable Acts, Regulations, Standards and By- laws. The Contractor shall also understand that the WorkSafeBC OH and S Regulation and/or any other applicable Acts or standards supersede direction from the City and shall be adhered to at all times.  yes no Immediately notify The Township of Esquimalt of any conflict between directions given to them and any applicable Acts, Regulations or Standards  yes no Provide written documentation (e.g. notes, records, inspections, meetings etc.) on all health and safety issues must be made available upon request to the Township of Esquimalt.  yes no Ensure that all workers are suitably trained, orientated and competent to perform the duties for which they are assigned.  yes no Report any and all injuries or incident required by regulation to WorkSafeBC and to the Township of Esquimalt  yes no Perform regular inspections and ensuring that all of their employees comply with any and all applicable Acts, Regulations Standards and By-laws  yes no Notes/Follow-up: Contractor Representative Name (print) Contractor Representative Signature Township of Esquimalt Representative Name (print) Township of Esquimalt Representative Signature Form of Tender ( FOR USE WHEN UNIT – Appendix 1 XXXXXX XXXXXXXX SPORTS CENTRE ROOFING PROJECT SCHEDULE OF PRICES FORM THE BASIS (All prices and Quotations including the Contract Price shall include all Taxes, but shall not include HST. HST shall be shown separately.) SECTION A – GENERAL REQUIREMENTS Form of Tender - Appendix 2 XXXXXX XXXXXXXX SPORTS CENTRE ROOFING PROJECT PRELIMINARY CONSTRUCTION SCHEDULE INDICATE SCHEDULE WITH BAR CHART WITH MAJOR ITEM DESCRIPTIONS AND TIME ACTIVITY (WEEKLY) CONSTRUCTION SCHEDULE 1 2 3 4 5 6 7 8 9 10 11 12 Form of Tender - Appendix 3 XXXXXX XXXXXXXX SPORTS CENTRE ROOFING PROJECT EXPERIENCE OF PAYMENT SUPERINTENDENT Name: Experience: Dates: Project Name: Responsibility: References: Dates: Project Name: Responsibility: References: Dates: Project Name: Responsibility: References: Form of Tender - TO BE USED ONLY Appendix 4 XXXXXX XXXXXXXX SPORTS CENTRE ROOFING PROJECT COMPARABLE WORK EXPERIENCE PROJECT OWNER/ CONTRACT NAME PHONE NUMBER WORK DESCRIPTION VALUE ($) Form of Tender - Appendix 5 XXXXXX XXXXXXXX SPORTS CENTRE ROOFING PROJECT SUBCONTRACTORS TENDER ITEM TRADE SUBCONTRACTOR NAME PHONE NUMBER Form of Tender - Appendix 6 XXXXXX XXXXXXXX SPORTS CENTRE ROOFING PROJECT LABOUR AND EQUIPMENT RATES OCCUPATION COST OF LABOUR HOURLY RATE COST OF LABOUR OVERTIME RATE EQUIPMENT MAKE AND MODEL HOURLY RATE WITH THE GENERAL CONDITIONS AND OTHER STANDARD DOCUMENTS OPERATOR Appendix 7: Certificate of Insurance This does not have to be returned with the tender. It will be completed by the successful bidder. CERTIFICATION OF THE UNIT PRICE MASTER MUNICIPAL CONSTRUCTION DOCUMENTS. ) Corporation of the INSURANCE The certificate is issued to: The Township of Esquimalt Contract0000 Xxxxxxxxx Xxxx. Xxxxxxxxx, XX X0X 0X0 Insured: 2017 Sewer Name: Address: Broker: Name: Address: Location and Drain CCTV Inspections Reference Nonature of operation or contract to which the Certificate applies: Policy Date Type of Insurance Company & Policy Number Effective Expiry Limits of Liability/Amounts Section 1 Comprehensive General Liability &/or Umbrella Liability including:  Broad Form Products/Completed Operations;  Sudden & Accidental Pollution;  Blanket contractual;  Personal Injury;  Contingent Employer’s Liability;  Broad Form Property Damage;  Non-Owned Automobile;  Cross Liability Clause. E046 TO OWNERBodily Injury, Property Damage and additional coverages as required; $ Primary $ Excess $ Umbrella $ Aggregate $ Deductible Minimum Liability required; $5,000,000 Section 2 Automobile Liability If vehicles are insured by ICBC provide the ICBC form APV-47 Bodily injury and Property Damage $ Limit Minimum Liability required $2,000,000 Inclusive It is understood and agreed that the policy/policies noted above shall contain amendments to reflect the following:

Appears in 1 contract

Samples: Agreement

Contractor Acknowledgement of Receipt of This Form. Contractor Representative Name (print) Contractor Representative Signature Schedule 4 TOWNSHIP OF ESQUIMALT CONTRACTOR COORDINATION CONFIRMATION OF CONTRACTOR RESPONSIBILITIES This form must be completed and signed before work begins Date Project Description: Tender Ref #: Please select one of the following and complete the relevant section(s) of this form O Type A - Prime Contractor Single Employer Workplace O Type B - Prime Contractor - Multiple Employer Workplace/Includes Sub-Contractors O Type C - No Prime Contractor Appointed - Municipal Qualified Coordinator Contractor Contractor Representative Job Title Person Designated Responsible for Coordination of Safety: Contact #: Township of Esquimalt Representative: Job Title Contact # Type A and B - Prime Contractor Appointed - The Contractor Acknowledges the appointment as Prime Contractor  yes no Attends necessary pre-construction safety meetings (documented)  yes no Determines the boundaries of the workplace, and ensure that only workers of one employer perform duties with-in those boundaries (Type A only)  yes no  n/ a Is responsible for identifying and complying with any and all applicable Acts, Regulations, Standards and By-laws. The Contractor shall also understand that the WSBC OH&S Regulation and/or any other applicable Acts or Standards shall be adhered to at all times and supersede any direction from the City and it representatives.  yes no Shall immediately notify The Township of Esquimalt of any conflict between directions given to them and any applicable Acts, Regulations or Standards and By-laws.  yes no Accepts that written documentation (e.g. notes, records, inspections, meetings etc.) on all health and safety issues must be made available upon request to the Township of Esquimalt.  yes no Has (or will before work starts) received a completed Job Site Hazard Identification Form from a representative of the Township of Esquimalt.  yes no Will conduct an inspection of the worksite to identify any hazards before starting any work on site.  yes no Shall communicate all known hazards to any person who may be affected and ensure that appropriate measures are taken to effectively control or eliminate all hazards  yes no Must ensure that all workers on site are suitably trained, orientated and competent to perform the duties for which they are assigned.  yes no Must submit a Notice of Project to WorkSafeBC (WSBC )and submit a copy to the Township of Esquimalt as required  yes no Shall report any and all injuries or incident required by regulation to WorkSafeBC. The Contractor shall also report these incidents to the Township of Esquimalt Contract Administrator.  yes no The Contractor must be on the Township of Esquimalt approved Contractor list and will submit a copy of their formal Occupational Health and Safety program and site specific safe work procedures where required.  yes no The Contractor has provided a current "WSBC Clearance Letter" stating that their account with WorkSafeBC is in good standing  yes no The Contractor has appointed a qualified coordinator responsible for project safety and provided the Township of Esquimalt with their name and contact information in writing  yes no Type B Only The Prime Contractor has identified and provided to the Township of Esquimalt the names of all other employers and or sub-Contractors working on the project  yes no The Prime Contractor has or will notify all sub-Contractors of all know and foreseeable hazards  yes no The Prime Contractor will meet all obligations under the WorkSafeBC Act and Regulations for coordinating a multiple employer workplace.  yes no The Prime Contractor shall be responsible for regular inspections and ensuring that all sub Contractors and their employees comply with any and all applicable Acts, Regulations Standards and By-laws  yes no Notes/Follow-up: See Page 3 for Signatures Type C - No Prime Contractor Appointed - Municipal Qualified Coordinator Township of Esquimalt Representative Job Title Contractor Contractor Representative Job Title The Municipal Qualified Coordinator Must Acknowledge that the Township of Esquimalt is the Prime Contractor  yes no Attend and coordinate pre-construction meetings as required  yes no Determine the boundaries of the workplace, and ensure that all Contractors works with-in those boundaries  yes no Ensure that the Contractor and/or the Municipal Qualified Coordinator have conducted an inspection of the worksite to identify any hazards  yes no Identify and communicate all known hazards the Contractor and ensure that appropriate measures are taken to effectively control or eliminate the hazards to the health and safety of all persons at the worksite  yes no Confirm that all workers are suitably trained, orientated and competent to perform the duties for which they are assigned.  yes no Complete the Job Site Hazard Identification Form with the Contractor  yes no Submit a Notice of Project to WorkSafeBC as required  yes no Conduct regular inspections and ensure that all sub Contractors and their employees comply with any and all applicable Acts, Regulations Standards and By-laws  yes no Ensure the Contractor is on the Township of Esquimalt Approved Contractor List  yes no Ensure the Contractor has provided a current "Clearance Letter" stating that their account with WorkSafeBC is in good standing  yes no Type C - The Contractor Must Identify and Comply with any and all applicable Acts, Regulations, Standards and By- laws. The Contractor shall also understand that the WorkSafeBC OH and S Regulation and/or any other applicable Acts or standards supersede direction from the City and shall be adhered to at all times.  yes no Immediately notify The Township of Esquimalt of any conflict between directions given to them and any applicable Acts, Regulations or Standards  yes no Provide written documentation (e.g. notes, records, inspections, meetings etc.) on all health and safety issues must be made available upon request to the Township of Esquimalt.  yes no Ensure that all workers are suitably trained, orientated and competent to perform the duties for which they are assigned.  yes no Report any and all injuries or incident required by regulation to WorkSafeBC and to the Township of Esquimalt  yes no Perform regular inspections and ensuring that all of their employees comply with any and all applicable Acts, Regulations Standards and By-laws  yes no yes no Notes/Follow-up: Contractor Representative Name (print) Contractor Representative Signature Township of Esquimalt Representative Name (print) Township of Esquimalt Representative Signature Form of Tender ( FOR USE WHEN UNIT PRICES FORM THE BASIS OF PAYMENT - TO BE USED ONLY WITH THE GENERAL CONDITIONS AND OTHER STANDARD DOCUMENTS OF THE UNIT PRICE MASTER MUNICIPAL CONSTRUCTION DOCUMENTS. ) Corporation of the Township of Esquimalt Contract: 2017 Sewer and Drain CCTV Inspections Tillicum Renewal Project Reference No. E046 E054 TO OWNER:: 1 WE, THE UNDERSIGNED: 1.1 have received and carefully reviewed all of the Contract Documents, including the Instructions to Tenderers, the specified edition of the “Master Municipal Construction Documents - General Conditions, Specifications and Standard Detail Drawings” and the following Addenda: ( ADDENDA, IF ANY ) 1.2 have full knowledge of the Place of the Work, and the Work required; and 1.3 have complied with the Instructions to Tenderers; and

Appears in 1 contract

Samples: www.esquimalt.ca

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Contractor Acknowledgement of Receipt of This Form. Contractor Representative Name (print) Contractor Representative Signature Schedule 4 TOWNSHIP OF ESQUIMALT CONTRACTOR COORDINATION CONFIRMATION OF CONTRACTOR RESPONSIBILITIES This form must be completed and signed before work begins Date Project Description: Tender Ref #: Please select one of the following and complete the relevant section(s) of this form O Type A - Prime Contractor Single Employer Workplace O Type B - Prime Contractor - Multiple Employer Workplace/Includes Sub-Contractors O Type C - No Prime Contractor Appointed - Municipal Qualified Coordinator Contractor Contractor Representative Job Title Person Designated Responsible for Coordination of Safety: Contact #: Township of Esquimalt Representative: Job Title Contact # Type A and B - Prime Contractor Appointed - The Contractor Acknowledges the appointment as Prime Contractor  yes no Attends necessary pre-construction safety meetings (documented)  yes no Determines the boundaries of the workplace, and ensure that only workers of one employer perform duties with-in those boundaries (Type A only)  yes no  n/ a Is responsible for identifying and complying with any and all applicable Acts, Regulations, Standards and By-laws. The Contractor shall also understand that the WSBC OH&S Regulation and/or any other applicable Acts or Standards shall be adhered to at all times and supersede any direction from the City and it representatives.  yes no Shall immediately notify The Township of Esquimalt of any conflict between directions given to them and any applicable Acts, Regulations or Standards and By-laws.  yes no Accepts that written documentation (e.g. notes, records, inspections, meetings etc.) on all health and safety issues must be made available upon request to the Township of Esquimalt.  yes no Has (or will before work starts) received a completed Job Site Hazard Identification Form from a representative of the Township of Esquimalt.  yes no Will conduct an inspection of the worksite to identify any hazards before starting any work on site.  yes no Shall communicate all known hazards to any person who may be affected and ensure that appropriate measures are taken to effectively control or eliminate all hazards  yes no Must ensure that all workers on site are suitably trained, orientated and competent to perform the duties for which they are assigned.  yes no Must submit a Notice of Project to WorkSafeBC (WSBC )and submit a copy to the Township of Esquimalt as required  yes no Shall report any and all injuries or incident required by regulation to WorkSafeBC. The Contractor shall also report these incidents to the Township of Esquimalt Contract Administrator.  yes no The Contractor must be on the Township of Esquimalt approved Contractor list and will submit a copy of their formal Occupational Health and Safety program and site specific safe work procedures where required.  yes no The Contractor has provided a current "WSBC Clearance Letter" stating that their account with WorkSafeBC is in good standing  yes no The Contractor has appointed a qualified coordinator responsible for project safety and provided the Township of Esquimalt with their name and contact information in writing  yes no Type B Only The Prime Contractor has identified and provided to the Township of Esquimalt the names of all other employers and or sub-Contractors working on the project  yes no The Prime Contractor has or will notify all sub-Contractors of all know and foreseeable hazards  yes no The Prime Contractor will meet all obligations under the WorkSafeBC Act and Regulations for coordinating a multiple employer workplace.  yes no The Prime Contractor shall be responsible for regular inspections and ensuring that all sub Contractors and their employees comply with any and all applicable Acts, Regulations Standards and By-laws  yes no Notes/Follow-up: See Page 3 for Signatures Type C - No Prime Contractor Appointed - Municipal Qualified Coordinator Township of Esquimalt Representative Job Title Contractor Contractor Representative Job Title The Municipal Qualified Coordinator Must Must: Acknowledge that the Township of Esquimalt is the Prime Contractor  yes no Attend and coordinate pre-construction meetings as required  yes no Determine the boundaries of the workplace, and ensure that all Contractors works with-in those boundaries  yes no Ensure that the Contractor and/or the Municipal Qualified Coordinator have conducted an inspection of the worksite to identify any hazards  yes no Identify and communicate all known hazards the Contractor and ensure that appropriate measures are taken to effectively control or eliminate the hazards to the health and safety of all persons at the worksite  yes no Confirm that all workers are suitably trained, orientated and competent to perform the duties for which they are assigned.  yes no Complete the Job Site Hazard Identification Form with the Contractor  yes no Submit a Notice of Project to WorkSafeBC as required  yes no Conduct regular inspections and ensure that all sub Contractors and their employees comply with any and all applicable Acts, Regulations Standards and By-laws  yes no Ensure the Contractor is on the Township of Esquimalt Approved Contractor List  yes no Ensure the Contractor has provided a current "Clearance Letter" stating that their account with WorkSafeBC is in good standing  yes no Type C - The Contractor Must Identify and Comply with any and all applicable Acts, Regulations, Standards and By- laws. The Contractor shall also understand that the WorkSafeBC OH and S Regulation and/or any other applicable Acts or standards supersede direction from the City and shall be adhered to at all times.  yes no Immediately notify The Township of Esquimalt of any conflict between directions given to them and any applicable Acts, Regulations or Standards  yes no Provide written documentation (e.g. notes, records, inspections, meetings etc.) on all health and safety issues must be made available upon request to the Township of Esquimalt.  yes no Ensure that all workers are suitably trained, orientated and competent to perform the duties for which they are assigned.  yes no Report any and all injuries or incident required by regulation to WorkSafeBC and to the Township of Esquimalt  yes no Perform regular inspections and ensuring that all of their employees comply with any and all applicable Acts, Regulations Standards and By-laws  yes no yes no Notes/Follow-up: Contractor Representative Name (print) Contractor Representative Signature Township of Esquimalt Representative Name (print) Township of Esquimalt Representative Signature Form of Tender ( FOR USE WHEN UNIT PRICES FORM THE BASIS OF PAYMENT - TO BE USED ONLY WITH THE GENERAL CONDITIONS AND OTHER STANDARD DOCUMENTS OF THE UNIT PRICE MASTER MUNICIPAL CONSTRUCTION DOCUMENTS. ) Corporation of the Township of Esquimalt Contract: 2017 Sewer and Drain CCTV Inspections Various Capital 2019 Reference No. E046 E049 & E072 TO OWNER:: 1 WE, THE UNDERSIGNED: 1.1 have received and carefully reviewed all of the Contract Documents, including the Instructions to Tenderers, the specified edition of the “Master Municipal Construction Documents - General Conditions, Specifications and Standard Detail Drawings” and the following Addenda: ( ADDENDA, IF ANY ) 1.2 have full knowledge of the Place of the Work, and the Work required; and 1.3 have complied with the Instructions to Tenderers; and

Appears in 1 contract

Samples: www.civicinfo.bc.ca

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