Attachment 5 - Insurance Certificate.pdf
PDF 60 KB Posted
- Attached to
- Moody AFB Mess Attendant Services Amendment 0004 Federal contract opportunity
- Solicitation number
- FA483020Q0010
About this file
This document contains an insurance certificate for contract number FA4830-20-Q-0010 between a contractor and the Department of the Air Force Air Combat Command. The contractor agrees to maintain at minimum the types and amounts of insurance specified in the contract for its entire performance period and any extensions. Required insurance policies must contain an endorsement noting that any cancellation or material change adversely affecting the government's interests will not be effective until 30 days after the insurer or contractor provides written notice to the contracting officer, or the period prescribed by the state law where the contract is performed, whichever is longer. The contractor must also maintain Georgia workers' compensation insurance or a letter of reciprocal agreement with another state for the life of the contract. Copies of insurance proofs for all subcontractors must be maintained and made available to the contracting officer upon request. The contractor signed the certificate agreeing to these terms.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Combo Mess Attendant 0005.pdf | ||
| Combo Mess Attendant 0004.pdf | ||
| Combo Mess Attendant 0003.pdf | ||
| Combo Mess Attendant 0001.pdf | ||
| Attachment 2 - WD 2015-4493.pdf | ||
| Attachment 2 CBA.pdf | ||
| Attachment 3 - Pricing Schedule.xlsx | XLSX spreadsheet | |
| Attachment 4 - SF LLL Disclosure of Lobbying Activities.pdf | ||
| Combo Mess Attendant.pdf | ||
| Attachment 7 - Moody AFB Local Instructions.pdf | ||
| Attachment 2 - Collective Bargaining Agreement.pdf | ||
| Attachment 6 - Contractor Financial Information.pdf | ||
| Attachment 1- PWS Mess Attendant.pdf |
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Text version
CERTIFICATE OF COMPLIANCE WITH INSURANCE REQUIREMENTS
CONTRACT NO. FA4830-20-Q-0010
The undersigned Contractor hereby acknowledges that he/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 the Contractor gives written notice to the Contracting Officer, whichever period is longer; (3) that Georgia 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/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 become a part of the above referenced contract file.
INSURANCE COMPANY (S):
(Name(s)) (Telephone No.)
CONTRACTOR:
(Name)
(Address)
(Authorized Signature) (Date)
(Typed Name and Title)
File details come from the government source that posted it. Updated .