8-05 - Insurance Affidavit.pdf

156 KB Posted

Attached to
LPSIA Airfield Maintenance Building Roofing Project
Solicitation number
ITB 25-19159-AE
Issued by
Henderson County, Texas

About this file

Written by GovTribe AI ·

This document is an Insurance Requirement Affidavit from the City of Lubbock for a specific project numbered ITB 25-19159-AE. The affidavit requires a bidder or offeror to certify that they have reviewed the insurance requirements and, if awarded the contract, will provide a valid insurance certificate and endorsements within ten business days of notification. The document outlines the contractor's commitment to meet all insurance requirements specified in the bid/proposal document.

The affidavit provides space for the contractor to enter their business information, including business name, address, and contact details, as well as space for their insurance agent or broker's contact information. The document also includes a note that if the time requirements are not met, the City of Lubbock reserves the right to reject the bid/proposal and award the contract to another contractor. Contractors with questions are instructed to contact the Director of Purchasing & Contract Management at (806) 775-2572.

View the file

Other files

File Type Posted
16-ITB 25-19159-AE Sign In Sheet.pdf PDF
18-Addendum No. 2.pdf PDF
2-13 - Cons of Local Location.pdf PDF
1-14 - Statement of No Bid.pdf PDF
10-04 - Reference Form.pdf PDF
13-01 - ITB 25-19159-AE Airfield Maintenance Building Roofing Project.pdf PDF
14-03 - Plans and Specifications.pdf PDF
17-Asbestos Analysis Report.pdf PDF
4-12 - Contact Person Form.pdf PDF
9-08 - Non Collusion Affidavit.pdf PDF
11-06 - General Conditions of the Agreement.pdf PDF
5-10 - Proposed Subcontractors Lists.pdf PDF
7-07 - Contractors Statement of Qualifications.pdf PDF
12-02 - Bid Submittal Form.pdf PDF
15-ITB 25-19159-AE Presentation.pdf PDF
3-11 - Conflict of Interest Form.pdf PDF
6-09 - Safety record questionnaire.pdf PDF
Show all 17

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

To Be Completed by Bidder or Offeror

If the time requirement specified above is not met, the City has the right to reject this bid/proposal and award the contract to another contractor. If you have any questions concerning these requirements, please contact the Director of Purchasing & Contract Management for the City of Lubbock at (806)

775-2572.

NOTE TO CONTRACTOR

City of Lubbock

Insurance Requirement Affidavit

Project Number:

I, the undersigned Bidder/Offeror certify that the insurance requirements contained in this bid/proposal document have been reviewed by me and my Insurance Agent/Broker. If I am awarded this contract by the City of Lubbock (City), I will be able to, within ten (10) business days after being notified of such award by the City, furnish a valid insurance certificate and endorsements to the City meeting all of the requirements presented herein.

Contractor Representative (Original Signature) Contractor Representative (Printed)

Contractor’s Business Name:

(Print or Type)

Contractor’s Address:

Contractor’s Email Address:

INSURANCE AGENT/BROKER CONTACT INFORMATION

Firm Name:

Contact Name:

Phone No.: Email:

INSURANCE AGENT/BROKER CONTACT INFORMATION

Firm Name:

Contact Name:

Phone No.: Email:

184487 Typewritten Text

ITB 25-19159-AE

184487 Typewritten Text

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