6-EXHIBIT F – INSURANCE AFFIDAVIT.pdf
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- Solicitation number
- RFP-JC-3940 (Utility-scale Energy Generation Study)
- Issued by
- Riverside County, California
About this file
This is an Insurance Affidavit form for RFP #3940 issued by the Eastern Municipal Water District (EMWD) in California. The affidavit requires the proposing company to confirm its review of and agreement to comply with all insurance requirements specified in the Request for Proposal. The proposer must commit to furnishing all insurance policies with designated limits, full endorsements, and waiver of subrogation for the complete contract term. Within fourteen calendar days of the District's notification of award recommendation, the selected proposer must provide copies of insurance certificates, endorsements, and waiver of subrogation documentation. The proposer acknowledges its ability to provide and maintain the specified coverage and understands that failure to maintain such coverage constitutes sufficient grounds for contract termination.
The affidavit provides proposers with the option to note exceptions, additions, or deletions to the stated insurance requirements through a designated exceptions form. The authorized representative of the proposing company must sign the affidavit and provide contact information including name, company name, mailing address, telephone number, city/state/zip code, and email. By executing this document, the proposer agrees to all terms and conditions outlined in the Insurance Requirements section of the RFP for the utility-scale energy generation study and evaluation project.
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Text version
EXHIBIT F – INSURANCE AFFIDAVIT
RFP #3940
I, (Proposer/Company) have reviewed the 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 District’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 the Insurance Requirements.
☐ Check here if you DO NOT accept terms and conditions as stated in the Insurance Requirements. Detail all Exceptions in, Additions, Deletions and/or Exceptions Form.
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 .