13-02 (02) - Insurance Affidavit.pdf

This is an Insurance Affidavit form required by the City of Lubbock for bidders and offerors on the Valencia Public Improvement District Park Lighting Project in Lubbock, Texas. The project involves adding string lighting along two community park tree-lined walking paths located at 1624 87th Street, Lubbock, Texas 79424. The contract duration is six months with an optional extension for an additional six months. Bidders must certify that they have reviewed the insurance requirements with their insurance agent or broker and confirm their ability to furnish a valid insurance certificate and endorsements meeting all specified requirements within ten business days of contract award notification from the City.

The affidavit serves as a pre-award compliance document requiring bidder or offeror certification of insurance capability. Contractors must complete the form with their business information, contact details, and insurance agent or broker information. Failure to meet the ten-business-day insurance requirement timeframe provides the City with grounds to reject the bid and award the contract to another contractor. For questions regarding insurance requirements, bidders should contact the Director of Purchasing & Contract Management for the City of Lubbock at (806) 775-2572.