Attachment 3 - Insurance Compliance.pdf
PDF 2 MB Posted
- Attached to
- Custodial Services Solicitation Federal contract opportunity
- Solicitation number
- FA483022Q0007
About this file
This document is an insurance compliance notification form to be signed by a contractor in relation to a custodial services solicitation issued by the Department of the Air Force Air Combat Command. The solicitation seeks proposals for custodial services at an unspecified location in Georgia. Offerors must maintain insurance policies including workers' compensation insurance and provide at least 30 days' notice of any cancellation. The contractor signing the form acknowledges the insurance requirements specified in the related contract and agrees to maintain required coverage amounts and types. A copy of any subcontractors' proofs of insurance must also be made available upon request.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 1 - PWS 1 Mar 2022.pdf | ||
| Attachment 2 - Pricing Schedule.xlsx | XLSX spreadsheet | |
| Attachment 5 - Base Pass.pdf | ||
| Attachment 6 - PPQ Questionaire .pdf | ||
| Attachment 8 - Scheduling Plan.pdf | ||
| Attachment 4 - Wage Determination Rev 17.pdf | ||
| Attachment 9 - Evaluation Factor Tables.pdf | ||
| RFQ - FA483022Q0007.pdf | ||
| Attachment 7 - PP Information.pdf |
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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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| TextField1: RFQ - FA4830-22-Q-0007 Contract Title: Custodian Services |
| State: GA |
| CoName: |
| CoAddress: |
| CoPolicyNumber: |
| CoPhoneNumber: |
| CoEmail: |
| Remove-Ins-Company: |
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| Date: |
| Name: |
| Signature: |
File details come from the government source that posted it. Updated .