Attachment 3 - Contract Insurance Compliance Notification.pdf
PDF 2 MB Posted
- Attached to
- Joint Base San Antonio Non-Complex Construction (NC2) Indefinite Delivery Indefinite Quantity (IDIQ) Federal contract opportunity
- Solicitation number
- FA301620R0015
About this file
This document contains an insurance compliance notification form and details of a related federal contract opportunity for non-complex construction services at Joint Base San Antonio in Texas.
The insurance compliance notification form acknowledges the contractor has read and understands the insurance requirements specified in the contract. It provides notification that the required insurance policies will remain in effect for the duration of the contract and contain an endorsement stating any cancellation or material changes will not take effect for the period prescribed by state law or 30 days after notice is given to the contracting officer, whichever is longer. It also confirms workers' compensation insurance or a letter of reciprocal agreement will be maintained and subcontractor proofs of required insurance will be made available upon request.
The related federal contract opportunity is a solicitation for a multiple award IDIQ contract for repair, alteration and minor construction tasks across Joint Base San Antonio facilities. The requirement includes work at installations in Lackland, Fort Sam Houston, Randolph, Camp Bullis and other JBSA locations. The solicitation number is FA301620R0015 and was issued by the Air Force Air Education and Training Command for non-complex construction services.
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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 .