6-Exhibit F.pdf
PDF 137 KB Posted
- Solicitation number
- RFP-JC-3837
- Issued by
- Riverside County, California
About this file
The document is an Insurance Affidavit from the Eastern Municipal Water District (EMWD) that requires proposers/companies to review and agree to specific insurance requirements for a contract opportunity. The affidavit mandates that the proposer furnish insurance policies with designated limits, full endorsements, and a waiver of subrogation for the full term of the agreement. Proposers must provide insurance certificates, endorsements, and subrogation waivers within 14 calendar days of EMWD's award notification.
By signing this document, the proposer acknowledges and agrees to all insurance terms and conditions outlined in Section VIII of the sample agreement. Failure to maintain the specified insurance coverage will result in contract termination. The form provides an option for proposers to indicate if they do not accept the insurance requirements, in which case they must detail any exceptions in Exhibit E. The document requires the authorized representative to complete company details, including name, address, contact information, and signature.
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Text version
EXHIBIT F
INSURANCE AFFIDAVIT
I, _______________________________ (Proposer/Company) have reviewed the EMWD’s Insurance Requirements in its entirety and agree to furnish all insurance policies with designated limits, along with full endorsements, and waiver of subrogation, as stated in this Request for Proposal for the full term of the agreement.
I hereby agree to provide copies of insurance certificates, endorsements, and waiver of subrogation within fourteen (14) calendar days of the EMWD’s notification of recommendation of award.
I understand and confirm that our firm is able to provide and maintain the coverage as specified.
Failure to maintain said coverage shall be sufficient cause for contract termination and shall result in termination of the awarded contract.
I understand that by signing this document, I (Proposer/Company) agree to all terms and conditions as stated in Section VIII, Insurance Requirements within the sample agreement attached herein.
☐ Check here if you DO NOT accept terms and conditions as stated in Section VIII, Insurance Requirements. Detail all Exceptions in Exhibit E, Additions, Deletions and/or Exceptions.
Authorized Representative’s Signature Name Authorized Representative’s Printed Name
Company Name Date
Mailing Address Telephone
City, State, Zip Code Email
File details come from the government source that posted it. Updated .