9-RFP3871 - Exhibit F.pdf
PDF 135 KB Posted
- Attached to
- SCADA Graphics Standardization
- Solicitation number
- RFP-JC-3871
- Issued by
- Riverside County, California
About this file
This document is an Insurance Affidavit from Eastern Municipal Water District (EMWD) that requires proposers to review and agree to the agency's insurance requirements for a contract opportunity. The affidavit obligates the proposer to furnish all required insurance policies with designated limits, full endorsements, and waiver of subrogation for the full term of the agreement. Proposers must provide insurance certificates, endorsements, and waiver of subrogation within 14 calendar days of EMWD's notification of award recommendation.
The document outlines critical compliance terms, specifically that failure to maintain the specified insurance coverage will be sufficient cause for contract termination. Proposers must acknowledge agreement with Section VIII, Insurance Requirements within the sample agreement, with an option to detail any exceptions in Exhibit E if they do not fully accept the terms. The affidavit requires an authorized representative's signature, company details, contact information, and provides a checkbox for indicating non-acceptance of insurance terms.
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Text version
EXHIBIT F
INSURANCE AFFIDAVIT
I, ______________________________ (Proposer/Company) have reviewed 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 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 .