Attachment 3 - Insurance Compliance - PDF.pdf

PDF 2 MB Posted

Attached to
Catholic Musician Federal contract opportunity
Solicitation number
FA483024Q0029
Issued by
Department of the Air Force Air Combat Command

About this file

This document is a Notification of Compliance with Contract Insurance Requirements. It outlines the insurance requirements for a federal contract, including maintaining the necessary types and amounts of insurance coverage, providing endorsements for policy changes, and providing proof of subcontractor insurance. The contractor must acknowledge and agree to these insurance compliance terms, which will be legally binding under the contract. The document includes the contractor's information, the insurance company details, and requires the authorized signature of the contractor.

The related federal contract opportunity is for Catholic Musician services, where the contractor will plan, organize, and coordinate music selections for the Catholic community. The solicitation number is FA483024Q0029. This is an active solicitation issued by the Department of the Air Force Air Combat Command.

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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: RFQ - FA483024Q0029 Position Title: Catholic Muscian Services
State: GA
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 .