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

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Attached to
ATFP Construct West Gate ID Check Area Federal contract opportunity
Solicitation number
MXDP143001
Issued by
Department of the Air Force Air Education and Training Command

About this file

This document is a notification of compliance with contract insurance requirements for solicitation number MXDP143001 from the Department of the Air Force Air Education and Training Command. The solicitation is for a firm-fixed price construction contract to demolish and construct a new road, gatehouse, and ID check area at the west gate entrance of Laughlin Air Force Base. Key requirements include building a new canopy and associated utilities to fully functional standards. The project scope includes all necessary construction phasing and work. The acquisition is set aside for women-owned small businesses with a NAICS code of 236220 and $39.5 million size standard. Interested parties can download the solicitation from the provided website but copies are not available for mailing. The Government will consider all responsible sources and anticipates awarding a firm-fixed price contract.

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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

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State: TX
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