Attachment 13 - Insurance Compliance.pdf
PDF 2 MB Posted
- Attached to
- CATM Range Maintenance Services - Moody Air Force Base Federal contract opportunity
- Solicitation number
- FA483024Q0001
About this file
This document is an insurance compliance notification form for a federal contract opportunity with the Department of the Air Force Air Combat Command. The form requires the contractor to acknowledge maintaining at least the insurance amounts and types specified in FAR 28.307-2 for the duration of the contract and any extensions. Workers' compensation or reciprocal agreement insurance must also be kept. The contractor must provide at least 30 days' notice to the contracting officer for any cancellation or material changes to the required policies. Subcontractors must also maintain proof of required insurance available upon request.
The related solicitation is for CATM range maintenance services at Moody Air Force Base under number FA483024Q0001. The opportunity type is a solicitation from the Department of the Air Force Air Combat Command for maintaining the Combat Arms Training and Maintenance range.
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Notification of Compliance with Contract Insurance Requirements 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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File details come from the government source that posted it. Updated .