3-PA2050 Risk Forms.pdf

PDF 3 MB Posted

Attached to
OneDFW and Customer Experience Events
Solicitation number
PA2050
Issued by
Dallas County, Texas

About this file

Written by GovTribe AI ·

This file contains insurance and risk management forms for the Dallas Fort Worth International Airport Board related to a solicitation for OneDFW and Customer Experience Events. The forms establish the insurance requirements and compliance procedures that bidders must follow if awarded the contract. The contract opportunity seeks a contractor to implement customer-facing activations, performances, and events to enhance customer experience at DFW Airport while supporting employee engagement and recognition initiatives. The contract term is five years, and the solicitation is being conducted in accordance with Texas Local Government Code Title 8, Subtitle A, Chapter 252 and/or Government Code 2254.

The insurance requirements mandate that all bidders must confirm compliance with insurance provisions without any change to their offered prices, with confirmation required from both the bidder and their insurance provider. The forms also include a Workers Compensation Hold Harmless and Indemnification Agreement that allows sole proprietors who qualify for exemption from workers compensation insurance to indemnify the Airport and the Cities of Dallas and Fort Worth against claims arising from contract performance, except those caused by the Airport's sole negligence. The contract includes a Small Business Enterprise (SBE) goal of 20%, indicating a preference for participation by certified small businesses in the overall contract execution.

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Other files

File Type Posted
15-PA2050 Schedule of Events.pdf PDF
9-PA2050 General - Instructions, Requirements, FAA Provisions, Terms and Conditions.pdf PDF
7-PA2050 SBE Contract Provisions Local Program 11-06-25 (1).pdf PDF
13-PA2050 Special Provisions.pdf PDF
1-PA2050 Workforce Composition Form.xls XLS spreadsheet
12-PA2050 Business Disclosure Form.dotx.pdf PDF
18-PA2050 OneDFW Customer Experience Events SOW.pdf PDF
17-PA2050 Exhibit D - Wage Rate Form.xlsx XLSX spreadsheet
10-PA2050 Endorsement Form.pdf PDF
5-PA2050 SBE Intent to Perform with Instructions.pdf PDF
11-PA2050 Announcement - Electronic Business Development Forms Application.pdf PDF
4-PA2050 SBE Schedule of Subs (Final) with Instructions.pdf PDF
16-PA2050 Exhibit C - Engagement Calendar Pricing Form.xlsx XLSX spreadsheet
14-PA2050 Proposal Format Requirements and Evaluation Criteria.pdf PDF
6-PA2050 SBE Commitment Form with Instructions.pdf PDF
8-PA2050 Insurance Contract Provisions EXHIBIT A - Request Number REQ00004329.pdf PDF
2-PA2050 SBE Request to Change Subs.pdf PDF
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INSURANCE AFFIDAVIT

Dallas Fort Worth International Airport Board Solicitation No. _____________

NAME OF BIDDER:

To be completed by the Bidder/Proposer:

I confirm that, if awarded the Contract, I will comply with all of the Insurance Provisions, as stated in the Insurance Requirements of Solicitation No. ___________, and said insurance shall be provided without change to the prices offered.

Name of Proposer:

Authorized Agent (please print):

Authorized Agent’s Signature:

Date:

To be completed by Bidder/Proposer’s insurance provider:

I confirm that, if awarded the Contract, the Bidding Firm stated above either has insurance coverage or can obtain coverage in compliance with the requirements of DFW International Airport Board

Solicitation No. __________. I further confirm that this Insurance Agency can comply with the insurance provisions as stated in the Insurance Requirements.

Insurance Agency:

Insurance Agent’s Name (please print):

Insurance Agent’s Signature:

Date:

WORKERS COMPENSATION HOLD HARMLESS

AND INDEMNIFICATION AGREEMENT

For and in consideration of the sums paid to Contractor by Airport under Contract No.

(the “Contract”) and Airport’s agreement to allow Contractor to provide this Hold Harmless and

Indemnification Agreement in lieu of workers compensation insurance, Contractor, for himself and as sole proprietor of Contractor, hereby agrees to release the Airport, the Cities of Dallas and Fort Worth, and their respective officers, agents and employees from, and to indemnify each of them against any and all claims and causes of action for injury, death, disease, or employer liability arising from or in connection with my performance of the Contract Work, save and except such personal injury, death, disease or employer liability as are caused by the sole negligence of the Airport.

I further certify that my firm qualifies for exemption from workers compensation insurance requirements under the law; that I am the firm’s sole proprietor; and that I will provide proof of medical insurance for myself, the only person from my firm that will be performing work under this contract.

NAME OF FIRM:

NAME OF SOLE PROPRIETOR:

SIGNATURE OF SOLE PROPRIETOR:

DATE:

Workers Compensation Hold Harmless and Indemnification Agreement.pdf
6 UWORKERS COMPENSATION HOLD HARMLESS AND INDEMNIFICATION AGREEMENT
DATE:
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File details come from the government source that posted it. Updated .