3-Insurance Affidavit.pdf
PDF 56 KB Posted
- Attached to
- Parks and Grounds Maintenance (Re-Bid)
- Solicitation number
- 2026-102
- 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, if awarded the contract, can provide a valid insurance certificate and endorsements within ten (10) business days of notification. Contractors must complete the form with their business details, contact information, and insurance agent/broker information.
The document emphasizes that failure to meet the ten-day insurance requirement may result in the Town rejecting the bid and awarding the contract to another contractor. For any questions regarding the insurance requirements, bidders are instructed to contact the Director of Finance & Contract Management at (915)852-1046. The form provides space for contractors to enter their business name, address, email, and insurance agent details, creating a standardized process for verifying insurance compliance for municipal contracts.
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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 .