3-Insurance Affidavit.pdf
PDF 56 KB Posted
- Attached to
- Parks and Grounds Maintenance
- Solicitation number
- 2026-100RFP
- Issued by
- El Paso County, Texas
About this file
This document is an Insurance Requirement Affidavit from the Town of Horizon City, designed for potential contractors bidding on a municipal project. The affidavit requires bidders to certify that they have reviewed the insurance requirements and can provide a valid insurance certificate with endorsements within ten (10) business days of being awarded the contract. Failure to meet this requirement may result in the town rejecting the bid and awarding the contract to another contractor.
The document provides space for contractors to enter their business details, including company name, address, email, and contact information. It also includes sections for insurance agent/broker contact information. Contractors are advised to contact the Director of Finance & Contract Management at (915)852-1046 if they have any questions about the insurance requirements. The affidavit serves as a formal commitment by the bidder to comply with the town's insurance stipulations and provides a mechanism for the town to verify insurance readiness prior to contract award.
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Text version
To Be Completed by Bidder or Offeror
NOTE TO CONTRACTOR
Contractor Representative (Original Signature) Contractor Representative (Printed)
Contractor’s Business Name:
(Print or Type)
Contractor’s Address:
Contractor’s Email Address:
INSURANCE AGENT/BROKER CONTACT INFORMATION
Firm Name:
Contact Name:
Phone No.: Email:
INSURANCE AGENT/BROKER CONTACT INFORMATION
Firm Name:
Contact Name:
Phone No.: Email:
Project Number:
Insurance Requirement Affidavit
Town of Horizon City meeting all of the requirements presented herein.
such award by the Town, furnish a valid insurance certificate and endorsements to the Town the Town of Horizon City (City), I will be able to, within ten (10) business days after being notified of document have been reviewed by me and my Insurance Agent/Broker. If I am awarded this contract by I, the undersigned Bidder/Offeror certify that the insurance requirements contained in this bid/proposal
Horizon City at (915)852-1046.
requirements, please contact the Director of Finance & Contract Management for the Town of and a ward the contract to another contractor. If you have any questions concerning these If the time requirement specified above is not met, the Town has the right to reject this bid/proposal
File details come from the government source that posted it. Updated .