00625_Affidavit_of_Insurance_.pdf
PDF 73 KB Posted
- Attached to
- Fountain Center Roof Rehabilitation
- Solicitation number
- 2026-009
- Issued by
- Hidalgo County, Texas
About this file
This is an Affidavit of Insurance form issued by the City of Edinburg, Texas, for use in contract procurement processes. The affidavit serves as a sworn statement by an authorized representative of the contractor's company confirming that the attached insurance certificate accurately reflects the insurance coverage currently available and that will remain available throughout the term of the agreement. The form requires the affiant to be sworn before a notary public in Texas and includes spaces for the affiant's signature, title, company name, date of attestation, notary public information, and commission expiration date. This document is a standard compliance requirement for the Fountain Center Roof Rehabilitation project (RFP No. 2026-009), which requires contractors to maintain comprehensive general liability insurance of $250,000 per person/$500,000 per occurrence and workers' compensation coverage with statutory limits throughout the project duration.
The affidavit serves as verification that bidders on the Fountain Center Roof Rehabilitation project possess the required insurance coverage as a mandatory condition of contract eligibility. Contractors must submit this completed and notarized affidavit along with their original insurance certificates as part of their proposal package to demonstrate compliance with the City of Edinburg's insurance requirements. The affidavit is a critical document in the overall procurement documentation package, which includes bonds, certificates, and other compliance certifications necessary for bid evaluation and contract award consideration.
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Text version
BONDS AND CERTIFICATES
CITY OF EDINBURG AFFIDAVIT OF INSURANCE
AFFIDAVIT OF INSURANCE
THE STATE OF TEXAS §
§ KNOW ALL MEN BY THESE PRESENTS:
THE COUNTY OF
BEFORE ME, the undersigned authority, on this day personally appeared
, who [Affiant] being by me duly sworn on his oath stated that he is , of [Title]
[Contractor's Company Name] the Contractor named and referred to within the Contract Documents; that he is fully competent and authorized to give this affidavit and that the attached original insurance certificate truly and accurately reflects the insurance coverage that is now available and will be available during the term of the Agreement.
[Affiant's Signature]
SWORN AND SUBSCRIBED before me on .
[Date]
Notary Public in and for the State of TEXAS
[Print or type Notary Public name]
[Notary Seal] My Commission Expires:
[Expiration Date]
END OF DOCUMENT
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