ATTACHMENT 5 NOTIFICATION OF COMPLIANCE WITH INSURANCE REQUIREMENTS.docx
DOCX document 17 KB Posted
- Attached to
- R499--Weapon Detection System and Services Federal contract opportunity
- Solicitation number
- 36C25622Q1084
About this file
This document is an attachment providing a notification of compliance with insurance requirements for solicitation number 36C256-22-Q-1084 for weapons detection system and services. The contractor acknowledges they have read and understand the insurance requirements specified in the contract and agree to maintain at least the amounts and types of insurance coverage specified, including workers' compensation insurance. The contractor further agrees policies will contain an endorsement that any cancellation or material change adversely affecting the government's interest will not be effective for the period prescribed by state law where the contract is performed or until 30 days after the insurer or contractor provides written notice to the contracting officer, whichever is longer. The contractor must provide copies of subcontractor insurance proofs upon request.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C25622Q1084 0001.docx | DOCX document | |
| ATTACHMENT 1 HINDS CTY MS WD 2015-5153 REV19 DATED 06-27-2022.pdf | ||
| ATTACHMENT 3 PAST PERFORMACE QUESTIONAIRE.docx | DOCX document | |
| ATTACHMENT 2 LIST OF PAST PERFORMANCE REFERENCES.docx | DOCX document | |
| 36C25622Q1084_1.docx | DOCX document | |
| ATTACHMENT 4 CONTRACTOR CERTIFICATION.docx | DOCX document |
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Text version
ATTACHMENT 5 – NOTIFICATION OF COMPLIANCE WITH INSURANCE REQUIREMENTS
36C256-22-Q-1084_1
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 _MS_______________ (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 .