5-Certification of Insurability.pdf

This is a Certification of Insurability form required by the City of Yuma, Arizona for RFQ #26-180 regarding Professional Design Services for 40th Street: Avenue 6E to 7E. The form serves as a prerequisite document that prospective contractors and consultants must complete and submit with their Statement of Qualifications. By signing the certification, bidders affirm their awareness of the insurance requirements specified in the RFQ solicitation and confirm their capability to provide the required insurance coverage if selected for the contract. The completed and signed document must be returned along with the Statement of Qualifications by the submission deadline.

The referenced project involves the design of a new segment of 40th Street extending from Avenue 6E to Avenue 7E, configured as a Minor Arterial roadway with four travel lanes, turning lanes where necessary, curb, gutter, and sidewalk infrastructure. The project scope includes a 10-foot wide multi-use path on the north side, grading, drainage, paving, a raised median, traffic signals at Avenue 6E and 7E, an at-grade signalized intersection at State Route 195, lighting, and Arizona Public Service power service connections. The City has provided a preliminary Design Concept Report, Traffic Analysis, Environmental Considerations, and draft 15% plans with the solicitation. Construction is currently scheduled for Fiscal Year 2028.