4-RFP 3936 Exhibits Insurance Affidavit.pdf

This Insurance Affidavit document is associated with Request for Proposal #3936 from the Eastern Municipal Water District in California for asphalt rehabilitation services at the Operations and Maintenance Center and Administration Center parking lots. The project encompasses the removal and replacement of asphalt, grinding, saw cutting, application of slurry and sealants, and line striping. Proposers are required to review and accept the insurance requirements specified in the RFP in their entirety. The District will notify the selected awardee, and proposers must submit copies of insurance certificates, endorsements, and waiver of subrogation documentation within fourteen calendar days of the award notification.

Proposers must affirm their ability to provide and maintain all specified insurance coverage for the full term of the agreement with designated limits and full endorsements. Failure to maintain the required coverage constitutes sufficient cause for contract termination. The affidavit requires the authorized representative's signature, printed name, company name, date, mailing address, telephone number, city, state, zip code, and email address. Proposers have the option to indicate non-acceptance of the insurance terms and conditions by checking a designated box and detailing all exceptions, additions, deletions, or modifications on a separate Exceptions, Additions, Deletions and/or Exceptions Form.