10-Exhibits Insurance Affidavit.pdf

156 KB Posted

Attached to
DOCUMENT SHREDDING AND GARMENT DESTRUCTION
Solicitation number
RFP-NH-3847
Issued by
Riverside County, California

About this file

Written by GovTribe AI ·

This document is an Insurance Affidavit for RFP #3847, associated with a district procurement process. The affidavit requires a proposer/company to review and agree to specific insurance requirements dated 05/2021, committing to furnish all insurance policies with designated limits, full endorsements, and waiver of subrogation for the full term of the agreement. The proposer must provide insurance certificates, endorsements, and waiver of subrogation within 14 calendar days of the District's notification of award recommendation.

The affidavit emphasizes that failure to maintain the specified insurance coverage will be grounds for contract termination. The document provides a checkbox option for proposers to indicate if they do not accept the terms and conditions, in which case they must detail any exceptions, additions, deletions, or modifications in a separate form. The affidavit requires the authorized representative to sign, print their name, and provide company details including name, mailing address, telephone, city, state, zip code, and email.

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7-Exhibits Additions, Deletions, Exceptions.pdf PDF
8-Exhibits DOCUMENT SHREDDING PRICE FORM.pdf PDF
5-Exhibits Submittal Check List.pdf PDF
1-CARB Contractor Mobile Source Form.pdf PDF
13-Exhibits GARMENT DESTRUCTION PRICE FORM.pdf PDF
2-Exhibits Qualifications and Experience.pdf PDF
3-Exhibits Cal Osha.pdf PDF
6-Exhibits Timeframe to Complete.pdf PDF
11-Exhibits Process to Complete.pdf PDF
12-RFP 3847 ONSITE DOCUMENT DESTRUCTION .pdf PDF
4-Exhibits Business Information.pdf PDF
9-Exhibits References.pdf PDF
Show all 12

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INSURANCE AFFIDAVIT

RFP #3847

I, (Proposer/Company) have reviewed the Insurance Requirements (Rev. 05/2021) in its entirety and agree to furnish all insurance policies with designated limits, along with full endorsements, and waiver of subrogation, as stated in this Request for Proposal for the full term of the agreement.

I hereby agree to provide copies of insurance certificates, endorsements, and waiver of subrogation within fourteen (14) calendar days of the District’s notification of recommendation of award.

I understand and confirm that our firm is able to provide and maintain the coverage as specified.

Failure to maintain said coverage shall be sufficient cause for contract termination and shall result in termination of the awarded contract.

I understand that by signing this document, I (Proposer/Company) agree to all terms and conditions as stated in the Insurance Requirements (Rev. 05/2021).

☐ Check here if you DO NOT accept terms and conditions as stated in the Insurance Requirements (05/2021). Detail all Exceptions in, Additions, Deletions and/or Exceptions Form.

Authorized Representative’s Signature Name Authorized Representative’s Printed Name

Company Name Date

Mailing Address Telephone

City, State, Zip Code Email

Requirements Rev 052021 in its entirety and agree to furnish all insurance policies with:
Check here if you DO NOT accept terms and conditions as stated in the Insurance: Off
Company Name:
Mailing Address:
City State Zip Code:
Authorized Representatives Printed Name:
Date_14:
Telephone:
Email:
Signature1_es_:signer:signature:

File details come from the government source that posted it. Updated .