ATTACHMENT 3 - NOTIFICATION OF COMPLIANCE WITH INSURANCE REQUIREMEN.docx
DOCX document 16 KB Posted
- Attached to
- Q517 -- RX Reverse Distribution Federal contract opportunity
- Solicitation number
- 36C25624Q0975
About this file
This document is a Notification of Compliance with Insurance Requirements for federal contract 36C256-24-Q-0975. The contractor acknowledges understanding and agreeing to maintain insurance as specified in the contract, including providing notice of any policy changes or cancellations. Key details include:
The contractor agrees to maintain the required insurance types and amounts during the contract performance and any modifications or extensions. The contractor must provide copies of subcontractor insurance to the Contracting Officer upon request. The insurance policies must include an endorsement that any material changes or cancellation will not be effective for at least 30 days after written notice to the Contracting Officer. The contractor must also maintain the required state workers' compensation insurance for the entire contract period.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Q and A Attachment A - CII-CV Destructions 10-23.pdf | ||
| Q and A Attachment C - Destructions July23-Jun24.xlsx | XLSX spreadsheet | |
| Q and A Attachment B - CII-CV Destructions 030524.pdf | ||
| ATTACHMENT 1 - GRANT_RAPIDES_LA WD 2015-5175 REV 24 DATED 04-26-2024.docx | DOCX document | |
| Solicitation 36C25624Q0975.docx | DOCX document | |
| ATTACHMENT 2 - CONTRACTOR CERTIFICATION.docx | DOCX document |
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Text version
ATTACHMENT 3 – NOTIFICATION OF COMPLIANCE WITH INSURANCE REQUIREMENTS
36C256-24-Q-0975
NOTIFICATION OF COMPLIANCE WITH INSURANCE REQUIREMENTS
The undersigned Contractor hereby acknowledges that he or she has read and understands the insurance requirements specified in this contract and hereby agrees (1) that such insurance will be maintained in at least the amounts and types specified in this contract and during any modifications and or time extensions granted thereto; (2) that the policies evidencing required insurance shall contain an endorsement to the effect that any cancellation or any material change 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 30 days after the insurer or contractor gives written notice to the Contracting Officer, whichever period is longer; (3) that ________________ (State) Workmen's 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 time extensions granted thereto; and (4) that a copy of all subcontractors’ proof of insurance shall be maintained and shall be made available to the Contracting Officer upon request. This agreement shall become a part of the above referenced contract file.
INSURANCE COMPANY(S): ____________________________________
(NAME[S]) (TELEPHONE NUMBER[S]): ______________________________________________
CONTRACTOR: ____________________________________________
(NAME): __________________________________________________
(ADDRESS): _______________________________________________
(AUTHORIZED SIGNATURE) (DATE): _______________________________________________
(TYPED NAME AND TITLE):________________________________________________________
File details come from the government source that posted it. Updated .