00625_Affidavit_of_Insurance_.pdf

This is an Affidavit of Insurance form issued by the City of Edinburg, Texas, required as part of the contract documentation for the Fountain Center Roof Rehabilitation project. The affidavit serves as a sworn statement by an authorized representative of the contractor's company, certifying that the attached original insurance certificate accurately reflects the insurance coverage available during the contract term. The form requires the affiant to provide their name, title, and company name, along with notarization by a Texas notary public with an expiration date. The affidavit must be completed and submitted as part of the bidder's proposal package to demonstrate compliance with the City's insurance requirements prior to contract award.

This document is a template requiring completion by contractors bidding on the Fountain Center Roof Rehabilitation project (RFP No. 2026-009). Bidders must submit this affidavit along with their original insurance certificate to verify that they maintain the required coverage, including Workers' Compensation with statutory limits and Comprehensive General Liability at $250,000 per person/$500,000 per occurrence, with the City of Edinburg named as an additional insured. The affidavit must be sworn before a notary public and included in the sealed proposal submission due by April 7, 2026, at 3:00 PM. This documentation is essential for contract execution and demonstrates the contractor's commitment to maintaining adequate insurance protection throughout the project duration, which runs from project award through final completion by August 15, 2026.