Attachment 4- Proof of Insurance.pdf
PDF 1 MB Posted
- Attached to
- B940 CDC Sunshades Federal contract opportunity
- Solicitation number
- FA302223R0018
About this file
This document is a proof of insurance notification form for a federal contract. The form notifies that the contractor has read and understands the insurance requirements specified in the contract and will maintain at least the amounts and types required by FAR 28.307-2. It also notes that required insurance policies will contain an endorsement that any cancellation or material changes adversely affecting the government's interest will not be effective for the period prescribed by state law or until 30 days after notice is given to the contracting officer, whichever is longer. Workers' compensation insurance is also required. The contractor must make available copies of subcontractor proofs of insurance upon request.
The related federal contract opportunity is solicitation number FA302223R0018 from the Department of the Air Force Air Education and Training Command for B940 CDC Sunshades. No further details are provided on the required products or services.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| B940 RFIs 20230807.pdf | ||
| B940 RFIs 20230802.pdf | ||
| Design Build SOW_20230726.pdf | ||
| CDC_AF Form 66_20230726.xlsx | XLSX spreadsheet | |
| Amendment 1 FA302223R00180001 .pdf | ||
| Attachment 5- Form DD1354.pdf | ||
| Attachment 1- Statement of Work.pdf | ||
| Attachment 2- Wage Determination.pdf | ||
| Attachment 3- AF Form 66.xlsx | XLSX spreadsheet | |
| Solicitation - FA302223R0018.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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File details come from the government source that posted it. Updated .