36C25620Q0317-006.docx
DOCX document Posted
- Solicitation number
- 36C25620Q0317
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This document contains a federal solicitation for grease trap maintenance services. The Department of Veterans Affairs Network Contracting Office 16 is seeking these services for the Southeast Louisiana Veterans Health Care System in New Orleans. The solicitation number is 36C25620Q0317 and it is set aside for Service-Disabled Veteran Owned Small Businesses. Interested parties must be registered and verified in SAM, VETBIZ, and VetBiz 4212 systems to be considered for award. The solicitation details and response requirements can be found under the specified number.
36C25620Q0317 ATTACHMENT 4- NOTIFICATION OF COMPLIANCE WITH INSURANCE REQUIREMENTS.docx
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25620Q0317-0001000.docx | DOCX document | |
| 36C25620Q0317-004.docx | DOCX document | |
| 36C25620Q0317-014.pdf | ||
| 36C25620Q0317-003.txt | TXT text file | |
| 36C25620Q0317-010.pdf | ||
| 36C25620Q0317-011.pdf | ||
| 36C25620Q0317-002.docx | DOCX document | |
| 36C25620Q0317-015.pdf | ||
| 36C25620Q0317-005.docx | DOCX document | |
| 36C25620Q0317-009.pdf | ||
| 36C25620Q0317-013.pdf | ||
| 36C25620Q0317-007.pdf | ||
| 36C25620Q0317-008.pdf | ||
| 36C25620Q0317-012.pdf |
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ATTACHMENT 4 – NOTIFICATION OF COMPLIANCE WITH INSURANCE REQUIREMENTS
36C25620Q0317
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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