ATTACHMENT 11 NOTIFICATION OF COMPLIANCE WITH INSURANCE REQUIREMENTS.docx
DOCX document 16 KB Posted
- Attached to
- R699--Document Destruction (Shredding) Federal contract opportunity
- Solicitation number
- 36C25621Q0003
About this file
This document includes an attachment notifying compliance with insurance requirements for a federal contract and the related solicitation opportunity. The attachment requires contractors to acknowledge and agree to maintain specified insurance types and amounts during the contract period and any extensions, to include an endorsement noting cancellation requirements, and provide proof of subcontractor insurance upon request.
The related solicitation seeks document destruction and shredding services for the Gulf Coast Veterans Health Care Systems. It is set aside 100% for Service-Disabled Veteran-Owned Small Businesses and has a NAICS code of 561990 with a size standard of $12 million. Interested parties must be registered, active, and verified in SAM, VetBiz, and Vet 4212. The solicitation number is 36C256-21-Q-0003 and will be issued following this presolicitation notice. No proposals, quotes, or phone calls will be accepted until the full solicitation is released.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| ATTACHMENT 12 LIMITATIONS ON SUBCONTRACTING ACKNOWLEDGMENT.docx | DOCX document | |
| 36C25621Q0003 0001.pdf | ||
| 36C25621Q0003 0002.pdf | ||
| 36C25621Q0003.docx | DOCX document | |
| ATTACHMENT 9 CONTRACTOR CERTIFICATION.docx | DOCX document | |
| ATTACHMENT 6 QUALITY ASSURANCE SURVEILLANCE PLAN (QASP).docx | DOCX document | |
| ATTACHMENT 4 MOBILE COUNTY WD 15-4605 REV 9 DATED 12-23-19.pdf | ||
| ATTACHMENT 7 LIST OF PAST PERFORMANCE REFERENCES.docx | DOCX document | |
| ATTACHMENT 1 BAY COUNTY WD 15-4559 REV 12 DATED 12-23-19.pdf | ||
| ATTACHMENT 5 OKALOOSA COUNTY WD15-4531 REV 13 DATED 05-01-20.pdf | ||
| ATTACHMENT 8 PAST PERFORMACE QUESTIONAIRE.docx | DOCX document | |
| ATTACHMENT 10 CONTRACTOR RULES OF BEHAVIOR.pdf | ||
| ATTACHMENT 2 ESCAMBIA COUNTY WD 15-4561 REV 10 DATED 12-23-19.pdf | ||
| ATTACHMENT 3 HARRISON COUNTY WD 15-5147 REV 10 DATED 12-23-19.pdf |
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Text version
ATTACHMENT 11 – NOTIFICATION OF COMPLIANCE WITH INSURANCE REQUIREMENTS
36C256-21-Q-0003
NOTIFICATION OF COMPLIANCE WITH INSURANCE REQUIREMENTS
The undersigned Contractor hereby acknowledges that he or she has read and understands the insurance requirements specified in this contract and hereby agrees (1) that such insurance will be maintained in at least the amounts and types specified in this contract and during any modifications and or time extensions granted thereto; (2) that the policies evidencing required insurance shall contain an endorsement to the effect that any cancellation or any material change 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 30 days after the insurer or contractor gives written notice to the Contracting Officer, whichever period is longer; (3) that ________________ (State) Workmen's 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 time extensions granted thereto; and (4) that a copy of all subcontractors’ proof of insurance shall be maintained and shall be made available to the Contracting Officer upon request. This agreement shall become a part of the above referenced contract file.
INSURANCE COMPANY(S): ____________________________________
(NAME[S]) (TELEPHONE NUMBER[S]): ______________________________________________
CONTRACTOR: ____________________________________________
(NAME): __________________________________________________
(ADDRESS): _______________________________________________
(AUTHORIZED SIGNATURE) (DATE): _______________________________________________
(TYPED NAME AND TITLE):________________________________________________________
File details come from the government source that posted it. Updated .