6-08 - RFP 3906 Insurance Affidavit.pdf

This is an Insurance Affidavit for RFP 3906, a fire hydrant painting services procurement issued by the City of Murrieta, California. The affidavit requires proposers to confirm their agreement to furnish all insurance policies with designated limits, full endorsements, and waiver of subrogation as specified in the Insurance Requirements (Rev. 06/2025) document for the full contract term. Proposers must provide copies of insurance certificates, endorsements, and waiver of subrogation documentation within fourteen calendar days of the City's notification of award recommendation. The affidavit establishes that failure to maintain the required insurance coverage constitutes sufficient grounds for contract termination and that signing the document constitutes agreement to all terms and conditions outlined in the Insurance Requirements.

The document includes a checkbox option for proposers to indicate non-acceptance of the stated insurance terms and conditions, with instructions to detail any exceptions, additions, deletions, or modifications on the Exceptions Form. The affidavit requires completion with the authorized representative's signature, printed name, company name, date, mailing address, telephone number, city, state, zip code, and email address. This affidavit is a mandatory compliance document that must be submitted as part of the RFP 3906 proposal package for fire hydrant painting services covering 1,071 fire hydrants and blow-off valves.