3-06 Required Form - Bond Requirement Affidavit.pdf
PDF 120 KB Posted
- Solicitation number
- Bid #95-03-26
- Issued by
- Bell County, Texas
About this file
This is a Bond Requirement Affidavit form for the City of Temple, Texas, related to the Airport PAPI and REIL Replacement project at Draughon-Miller Central Texas Regional Airport. The form requires the contractor's bond agent or broker to certify that bond requirements have been reviewed with the identified contractor and to confirm the ability to furnish valid bonds and appropriate power of attorney documentation within thirty (30) days of contract award. The affidavit must be completed by the insurance agent or broker, signed, and either uploaded to EUNA Procurement or submitted as a hard copy with the bid submission. The City reserves the right to reject any bid where this requirement is not met and award the contract to another contractor meeting the specifications.
The project involves the construction of new 4-box LED Precision Approach Path Indicator (PAPI) and Runway End Identifier Lights (REIL) systems to replace existing equipment on runway 34, with an add alternate for replacing direct buried electrical lines with new lines in conduit and related electrical box upgrades. The engineer's estimate for the base project is $100,922, with work to be completed within 180 consecutive calendar days from Notice to Proceed. For questions regarding bond requirements, bidders should contact the City of Temple Risk Manager at (254) 298-5674, and for general bid inquiries, the Director of Purchasing at (254) 298-5655.
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Text version
BOND REQUIREMENT AFFIDAVIT
PLEASE HAVE YOUR BOND AGENT COMPLETE THE FOLLOWING BOND
REQUIREMENT AFFIDAVIT FORM AND RETURN IT WITH YOUR BID
COMPLETE & UPLOAD TO EUNA PROCUREMENT
OR SUBMIT VIA HARD COPY
CITY OF TEMPLE, TEXAS
BOND REQUIREMENT AFFIDAVIT
I, the undersigned Agent/Broker, certify that the bond requirements contained in this bid document have been reviewed by me with the below identified Contractor. If the below identified Contractor is awarded this contract by the City of Temple, I will be able to, within thirty (30) days after being notified of such award, furnish valid bonds and appropriate “power of attorney” to the City meeting all of the requirements defined in this bid.
Agent (Signature) Agent (Print)
Name of Agency/Broker:
Address of Agent/Broker:
City/State/Zip:
Agent/Broker Telephone Number:
CONTRACTOR’S NAME:
(Print or Type)
To Be Completed by Appropriate Insurance Agent
NOTE TO AGENT/BROKER
If this requirement is not met, the City has the right to reject this bid and award the contract to another contractor meeting the specifications. If you have any questions concerning these bond requirements, please contact the Risk Manager for the City of Temple at (254) 298-5674. If you have questions concerning the bid, please contact the Director of Purchasing for the City of Temple at (254) 298-5655.
File details come from the government source that posted it. Updated .