2-03 - Insurance Affidavit.pdf

This is an Insurance Affidavit form required by the City of Lubbock, Texas for bidders and offerors responding to the Light-Medium Duty Maintenance and Repair for City Vehicles contract opportunity. The affidavit serves as a certification that the bidder has reviewed all insurance requirements specified in the bid/proposal document with their insurance agent or broker. Bidders who are awarded the contract must provide a valid insurance certificate and endorsements meeting all stated requirements within ten (10) business days of receiving notice of award from the City. The form requires the bidder to provide their name, business name, address, email, and original signature, along with contact information for both their primary and secondary insurance agents or brokers, including firm name, contact name, phone number, and email address.

The City of Lubbock reserves the right to reject any bid/proposal if the insurance requirements and submission deadlines are not satisfied. Bidders with questions regarding the insurance requirements should contact the City's Director of Purchasing & Contract Management at (806) 775-2572. This affidavit is a mandatory document that must be completed and submitted as part of the bidding process to demonstrate bidder compliance with the City's insurance coverage expectations prior to contract execution.