7-04 Bond Required Affidavit.pdf

PDF 133 KB Posted

Attached to
Pavement Preservation Services (Slurry Seal)
Solicitation number
Bid #34-05-26
Issued by
Bell County, Texas

About this file

This is a Bond Requirement Affidavit form issued by the City of Temple, Texas, for a pavement preservation services contract involving slurry seal application. The document requires an insurance agent or broker to certify that bond requirements specified in the bid document have been reviewed with the contractor. If the contractor is awarded the contract, the agent/broker must furnish valid bonds and appropriate power of attorney documentation within thirty days of the award notification. The estimated budget for this project is $2,250,000, and the slurry seal work involves applying a mixture of water, asphalt emulsion, aggregate, and additives to existing asphalt pavement surfaces across multiple street locations, with striping required on select high-traffic streets. Milling is not required at any location. Bidders must submit bids on all line items to be considered for award, as the contract will be awarded in its entirety to a single bidder.

The affidavit must be completed and uploaded to the City's EUNA Procurement system or submitted as a hard copy. Failure to meet the bond requirements subjects the bid to rejection, and the City reserves the right to award the contract to another contractor meeting the specifications. Contractors and agents with questions regarding bond requirements should contact the City of Temple's Risk Manager at (254) 298-5674, while inquiries about the bid itself should be directed to the Director of Purchasing at (254) 298-5655.

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Text version

COMPLETE & UPLOAD TO EUNA PROCUREMENT

OR SUBMIT VIA HARD COPY

CITY OF TEMPLE, TEXAS

BOND REQUIREMENT AFFIDAVIT

I, the undersigned Agent/Broker, certify that the bond requirements contained in this bid document have been reviewed by me with the below identified Contractor. If the below identified Contractor is awarded this contract by the City of Temple, I will be able to, within thirty (30) days after being notified of such award, furnish valid bonds and appropriate “power of attorney” to the City meeting all of the requirements defined in this bid.

Agent (Signature) Agent (Print)

Name of Agency/Broker:

Address of Agent/Broker:

City/State/Zip:

Agent/Broker Telephone Number:

CONTRACTOR’S NAME:

(Print or Type)

To Be Completed by Appropriate Insurance Agent

NOTE TO AGENT/BROKER

If this requirement is not met, the City has the right to reject this bid and award the contract to another contractor meeting the specifications. If you have any questions concerning these bond requirements, please contact the Risk Manager for the City of Temple at (254) 298-5674. If you have questions concerning the bid, please contact the Director of Purchasing for the City of Temple at (254) 298-5655.

File details come from the government source that posted it. Updated .