Atch 4. Notification of Compliance with Contract Insurance Requirements.pdf

PDF 1 MB Posted

Attached to
Repair Roof and Upgrade HVAC and UPS System B328
Solicitation number
MXDP10-A058
Issued by

About this file

This document contains a notification of compliance with contract insurance requirements and details of a related federal contract opportunity for repair and upgrade work. The notification acknowledges the contractor has read and understands the insurance requirements specified in the contract, including maintaining at least the amounts and types stated in FAR 28.307-2. It also provides notification that required insurance policies will contain an endorsement that any cancellation or adverse changes will not be effective for the period prescribed by state law or 30 calendar days after notice to the Contracting Officer, whichever is longer.

The related federal contract opportunity is a solicitation from the Department of the Air Force to repair and replace the roofing system and upgrade the HVAC and UPS systems on Building 328 at Laughlin Air Force Base in Del Valle, Texas. The work must be completed according to provided drawings and specifications. This acquisition is set aside for Women Owned Small Businesses with a NAICS code of 238160 and size standard of $16.5 million. The government anticipates awarding a firm-fixed price contract and all prospective offerors must be registered in SAM to be considered for award. The response due date is not provided.

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Notification of Compliance with Contract Insurance Requirements SAF/AQCP Template | 1 May 2014 Page of The undersigned Contractor hereby acknowledges that he/she has read and understands the insurance requirements specified in this contract and hereby provides notification (1) that such insurance shall be maintained in at least the amounts and types as stated in FAR 28.307-2 and during any modifications and/or time extensions granted thereto; (2) that the required insurance policies shall contain an endorsement to the effect that any cancellation of material changes adversely affecting the Government's interest shall not be effective for such period as the laws of the State in which this contract is to be performed prescribe, or until thirty (30) calendar days after the insurer or contractor gives written notice to the Contracting Officer, whichever period is longer; (3) that Workers' Compensation Insurance, or letter of reciprocal agreement with another state, shall be maintained on this contract for and during the entire performance period and for any modifications and/or time extensions granted thereto; and (4) that a copy of all subcontractors' proofs of required insurance shall be maintained and shall be made available to the Contracting Officer upon request. This agreement shall be a part of subject contract and shall be legally binding and enforceable at law.

Insurance Company Information Name:

Address:

Policy Number:

Telephone Number:

E-mail Address:

Contractor Information Name:

Address:

Telephone Number:

E-mail Address:

Authorized Signature 9.0.0.2.20120627.2.874785

CurrentPage:
PageCount:
TextField1:
State: TX
CoName:
CoAddress:
CoPolicyNumber:
CoPhoneNumber:
CoEmail:
Remove-Ins-Company:
Add an item:
TextField2:
Date:
Name:
Signature:

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