Attachment 3 - Contract Insurance Compliance Notification - DRAFT.pdf

PDF 2 MB Posted

Attached to
Joint Base San Antonio Multiple Award Construction Contract (MACC) IDIQ Federal contract opportunity
Solicitation number
Not on record
Issued by
Department of the Air Force Air Education and Training Command

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This document contains an insurance compliance notification form and details of a draft Joint Base San Antonio Multiple Award Construction Contract indefinite delivery/indefinite quantity solicitation. The insurance compliance notification form is to be completed by contractors acknowledging they have and will maintain the insurance requirements specified in the contract. These include maintaining types and amounts of insurance as stated in FAR 28.307-2 for the life of the contract and any extensions. The form also requires notification be provided to the contracting officer of any insurance cancellations or material changes.

The draft solicitation is to establish multiple award IDIQ contracts for construction services at Joint Base San Antonio. Comments from industry on the draft solicitation are requested to be submitted to the identified contracting specialist and contracting officer by May 6, 2021. The solicitation will result in IDIQ contracts under the Department of the Air Force and Air Education and Training Command to obtain construction services on an as-needed basis.

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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

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 .