36C25620Q0603-008.docx
DOCX document Posted
- Solicitation number
- 36C25620Q0603
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This document contains an attachment and related federal contract opportunity notice. The attachment is a notification of compliance with insurance requirements template for contractors to acknowledge they have read, understand, and will comply with insurance stipulations in the referenced contract. The related federal contract opportunity is a presolicitation notice for waste and refuse collection services at the Gulf Coast Veterans Health Care System in Biloxi, Mississippi. The solicitation number is 36C25620Q0603 and it is set aside as a service-disabled veteran-owned small business procurement. Interested parties must be registered in SAM, VETBIZ if applicable, and VetBiz if applicable, to be considered for award. The Department of Veterans Affairs Network Contracting Office 16 is the contracting agency. The solicitation package will be available on or after May 14, 2020.
36C25620Q0603 ATTACHMENT 7- NOTIFICATION OF COMPLIANCE WITH INSURANCE REQUIREMENTS.docx
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25620Q0603 A0003.docx | DOCX document | |
| 36C25620Q0603 Rev 06-17-2020.pdf | ||
| 36C25620Q0603 Rev 06-02-2020.pdf | ||
| S06 36C25620Q0603 A0002.pdf | ||
| 36C25620Q0603 0001.docx | DOCX document | |
| 36C25620Q0603 Rev 5-26-20.pdf | ||
| 36C25620Q0603-006.docx | DOCX document | |
| 36C25620Q0603-005.txt | TXT text file | |
| 36C25620Q0603-002.pdf | ||
| 36C25620Q0603-001.docx | DOCX document | |
| 36C25620Q0603-004.txt | TXT text file | |
| 36C25620Q0603-009.docx | DOCX document | |
| 36C25620Q0603-003.txt | TXT text file | |
| 36C25620Q0603-007.docx | DOCX document |
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ATTACHMENT 7 – NOTIFICATION OF COMPLIANCE WITH INSURANCE REQUIREMENTS
36C25620Q0603
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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