ATTACHMENT E NOT OF COMP W INS REQTS.docx
DOCX document 17 KB Posted
- Attached to
- J063--Fire alarm maintenance to include nurse call system Federal contract opportunity
- Solicitation number
- 36C25624Q0934
About this file
This document is an Attachment E - Notification of Compliance with Insurance Requirements related to the federal contract opportunity for fire alarm and nurse call system maintenance and testing services, Solicitation Number 36C25624Q0934.
The document outlines the insurance requirements the contractor must meet, including maintaining specified insurance coverage amounts and types, providing notification of any changes or cancellations to the Contracting Officer, and providing proof of subcontractor insurance. The contractor must acknowledge and agree to these insurance requirements as part of the contract. The federal agency involved is the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C25624Q0934 0001.docx | DOCX document | |
| ATTACHMENT F QUALITY ASSURANCE SURVEILLANCE PLAN.docx | DOCX document | |
| ATTACHMENT C Past Performance Questionaire.pdf | ||
| ATTACHMENT D CONTRACTOR CERTIFICATION.docx | DOCX document | |
| ATTACHMENT B LIST OF PAST PERF REF.docx | DOCX document | |
| ATTACHMENT A Harrison Cty MS WD 2015-5147 R22.pdf | ||
| 36C25624Q0934.docx | DOCX document |
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Text version
ATTACHMENT E – NOTIFICATION OF COMPLIANCE WITH INSURANCE REQUIREMENTS
36C25624Q0934
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):_____________________________________________
File details come from the government source that posted it. Updated .