36C25620Q0305-013.docx
DOCX document Posted
- Attached to
- R699--Switchboard Operators for New Orleans Federal contract opportunity
- Solicitation number
- 36C25620Q0305
About this file
This document is a notification of compliance with insurance requirements for federal contract 36C256-20-Q-0305 to provide switchboard operator services for the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16 in New Orleans. The contractor acknowledges that they have read and understand the insurance requirements specified in the contract and agrees to maintain at least the amounts and types of insurance coverage specified, including workers' compensation insurance. The contractor further agrees to provide endorsements showing that any policy cancellations or changes will not take effect until 30 days after notice is given to the contracting officer, and to make available copies of subcontractor insurance proofs upon request.
36C25620Q0305 ATTACHMENT F - NOTIFICATION OF COMPLIANCE WITH INSURANCE.docx
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C25620Q0305-0001000.docx | DOCX document | |
| 36C25620Q0305-014.pdf | ||
| 36C25620Q0305-009.docx | DOCX document | |
| 36C25620Q0305-010.docx | DOCX document | |
| 36C25620Q0305-012.docx | DOCX document | |
| 36C25620Q0305-011.docx | DOCX document | |
| 36C25620Q0305-007.docx | DOCX document | |
| 36C25620Q0305-008.pdf |
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Text version
ATTACHMENT F – NOTIFICATION OF COMPLIANCE WITH INSURANCE REQUIREMENTS
36C256-20-Q-0305
NOTIFICATION OF COMPLIANCE WITH INSURANCE REQUIREMENTS
The undersigned Contractor hereby acknowledges that he or she has read and understands the insurance requirements specified in this contract and hereby agrees (1) that such insurance will be maintained in at least the amounts and types specified in this contract and during any modifications and or time extensions granted thereto; (2) that the policies evidencing required insurance shall contain an endorsement to the effect that any cancellation or any material change adversely affecting the Government's interest shall not be effective for such period as the laws of the State in which this contract is to be performed prescribe, or until 30 days after the insurer or contractor gives written notice to the Contracting Officer, whichever period is longer; (3) that ________________ (State) Workmen's Compensation Insurance, or letter of reciprocal agreement with another state, shall be maintained on this contract for and during the entire performance period and for any modifications and time extensions granted thereto; and (4) that a copy of all subcontractors’ proof of insurance shall be maintained and shall be made available to the Contracting Officer upon request. This agreement shall become a part of the above referenced contract file.
INSURANCE COMPANY(S): ____________________________________
(NAME[S]) (TELEPHONE NUMBER[S]): ______________________________________________
CONTRACTOR: ____________________________________________
(NAME): __________________________________________________
(ADDRESS): _______________________________________________
(AUTHORIZED SIGNATURE) (DATE): _______________________________________________
(TYPED NAME AND TITLE):________________________________________________________
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