1-03 Insurance Affidavit.pdf

This is an Insurance Affidavit form required by the City of Lubbock, Texas for bidders and offerors responding to Request for Proposal 26-19418-KM for body work and accident damage repair services for Citibus vehicles. The affidavit certifies that the bidder has reviewed all insurance requirements contained in the bid/proposal document in consultation with their insurance agent or broker. Bidders must confirm their ability to furnish valid insurance certificates and endorsements meeting all specified requirements within ten business days of contract award notification. The form requires completion by the bidder with signature, printed name, business name, address, and email address, along with contact information for the primary and secondary insurance agent or broker, including firm name, contact name, phone number, and email address.

The affidavit serves as a pre-award verification mechanism to ensure bidders can meet the City's insurance obligations prior to contract execution. Failure to meet the ten-business-day insurance documentation requirement provides the City with grounds to reject the bid and award the contract to another contractor. Questions regarding insurance requirements should be directed to the City of Lubbock's Director of Purchasing & Contract Management at (806) 775-2572.