Attachment 6 - Insurance Compliance Template.pdf
PDF 2 MB Posted
- Solicitation number
- FA483024Q0016
About this file
This document is the Notification of Compliance with Contract Insurance Requirements. It outlines the required insurance coverage and notifications for a federal contract. The contractor must maintain insurance as specified in FAR 28.307-2, including Workers' Compensation Insurance, and provide 30-day written notice of any cancellation or material changes to the Contracting Officer. The contractor must also maintain copies of all subcontractors' proofs of required insurance and make them available to the Contracting Officer upon request.
The related federal contract opportunity is for Vertical Transportation Equipment (VTE)/Elevator Maintenance Services at Moody AFB. The contract will be awarded based on best value to the government considering both price and technical factors, as detailed in the Request for Quotes (RFQ) and its attachments. A Performance Work Statement (PWS) describing the requirements is provided in Attachment 1.
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment 0002 - Questions And Answers pdf.pdf | ||
| Revised RFQ.pdf | ||
| Attachmnet 7 -Base Pass Template v2.0.pdf | ||
| Revised RFQ.pdf | ||
| Attachment 8- Base Map.pdf | ||
| RFQ.pdf | ||
| Attachment 3 -WD 2015-4493 REV 23.pdf | ||
| Attachment 1 -PWS pdf.pdf | ||
| Attachment 5 - Official Questions Form.docx | DOCX document | |
| Attachment 4 - Applicable Provisions and Clauses...pdf | ||
| Attachment 2 - Pricing Schedule.xlsx | XLSX spreadsheet |
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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 .