Attachment B-Insurance Acknowledgement.docx

This is an Insurance Acknowledgement document issued by the Department for Behavioral Health, Developmental and Intellectual Disabilities related to a contract solicitation. The document requires signature acknowledgment from the contractor or authorized representative, including printed name, title, and position, along with the date of acknowledgment.

The document serves as a liability waiver in which the Department for Behavioral Health, Developmental and Intellectual Disabilities explicitly disclaims responsibility for any employee insurance costs associated with the awarded contract. This includes, but is not limited to, medical malpractice insurance. By signing this acknowledgment, the contractor assumes full responsibility for obtaining and maintaining all required employee insurance coverage independent of the contracting agency.