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PINCREST 22 001Acknowledgement of Conformance with OSHA Standards Pinecrest Villas Neighborhood Traffic Calming Phase II TO THE CITY OF SOUTH MIAMI We, ?7)1 l � C�X6 rPL(410�S a, (AAName of Contractor), hereby acknowledge and agree that as Contractors for the Pinecrest Villas Nieghborhood Traffic Calming Improvements Phase I, as specified have the sole responsibility for compliance with all the requirements of the Federal Occupational Safety and Health Act of 1970, and all State and local safety and health regulations, and agree to indemnify and hold harmless the City of South Miami against any and all liability, claims, damages, losses and expenses they may incur due to the failure of (subcontractor's names): A El to comply with such act or regulation. CONT ACTOR v►Y�wti Witnes I BY: Aas7(-,,f Name pt -)ms Title © thomasfpepe- 09 -28 -1 I (Updated 05 -16 -2012) Page 26