4 Ack of the Ins Req Check Sheet.pdf

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Attached to
City of Corona UTILITIES DEPARTMENT PLUMBING SERVICES
Solicitation number
147913
Issued by
Riverside County, California

About this file

This is an Acknowledgment of Insurance Requirements Check Sheet for the City of Corona Utilities Department Plumbing Services RFP No. 27-010SB in California. The document serves as a certification form that contractors must complete and submit with their proposal to acknowledge that they have reviewed the City's insurance requirements and understand their obligation to provide the required insurance coverage. The City has provided a sample certificate of insurance for the contractor's preliminary review to facilitate compliance with insurance requirements.

Contractors must complete the acknowledgment form by providing their firm name, the printed name and title of the authorized signing official, and the signature and date of that authorized representative. The completed form must be submitted electronically through the PlanetBids system along with all other required RFP documents prior to the proposal submission deadline. The form confirms that all applicable insurance requirements specific to this project are identified in the RFP Insurance Requirements Check List, and contractors are expected to maintain all required coverage throughout the contract term.

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12/2025 RFP No. 27-010SB

UTILITIES DEPARTMENT PLUMBING SERVICES

ACKNOWLEDGMENT OF THE INSURANCE REQUIREMENTS CHECK SHEET

(To be Completed and Submitted with Contractor’s Proposal)

All applicable insurance requirements to this RFP are identified with a ‘YES’ under the “Applicable to Vendor” column on the RFP Insurance Requirements Check List.

Contractor acknowledges that we have reviewed the City of Corona Insurance Requirements Check Sheet and understand that we will be able to provide the insurance coverage required. A sample certificate of insurance is enclosed for the City’s preliminary review.

(Firm Name)

(Print name and title of person signing for firm)

(Signature/Date)

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