7-10 - Insurance Affidavit.pdf

This is an Insurance Affidavit form required by the City of Lubbock, Texas for bidders and offerors responding to RFP 26-19328-AE for Water Operations Pump Repairs. The affidavit certifies that the bidder has reviewed the insurance requirements specified in the bid/proposal document with their insurance agent or broker and confirms their ability to furnish a valid insurance certificate and all required endorsements within ten (10) business days of receiving notice of contract award from the City. The form requires the contractor to provide their business name, address, email address, and original signature along with contact information for their primary and secondary insurance agents or brokers, including firm names, contact names, phone numbers, and email addresses.

The City of Lubbock reserves the right to reject any bid/proposal if the contractor fails to meet the ten-day insurance certificate submission requirement. Bidders with questions regarding the insurance requirements should contact the Director of Purchasing & Contract Management for the City of Lubbock at (806) 775-2572. This affidavit must be completed and submitted as part of the proposal process for the water pump and motor repair services contract, which includes both shop service and field repairs for the City's Water Operations department.