ATTACHMENT F NOTIFICATION OF COMPLIANCE WITH INSURANCE REQUIREMENTS.docx
DOCX document 18 KB Posted
- Solicitation number
- 36C25626Q0217
About this file
This document is an Attachment F Notification of Compliance with Insurance Requirements for Solicitation 36C25626Q0217, a courier services contract for the Department of Veterans Affairs Veterans Health Administration. The document requires the contractor to confirm adherence to specified insurance requirements, including maintaining appropriate insurance coverage, providing notification of policy changes, maintaining workers' compensation insurance, and making subcontractor insurance documentation available upon request. The specific contract is for courier services involving dental/medical instrument transportation between clean and soiled areas for VA Community-Based Outpatient Clinics (CBOCs) in Pensacola and Panama City, Florida.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36C25626Q0217 0001.docx | DOCX document | |
| ATTACHMENT E CONTRACTOR CERTIFICATION.docx | DOCX document | |
| ATTACHMENT C LIST OF PAST PERF REF.docx | DOCX document | |
| ATTACHMENT G Quality Assurance Surveillance Plan.docx | DOCX document | |
| ATTACHMENT B Escambia County FL WD 2015-4561 R30 dtd 07-08-2025.pdf | ||
| 36C25626Q0217.docx | DOCX document | |
| ATTACHMENT A Bay County FL WD 2015-4559 R30 dtd 07-08-2025.pdf | ||
| Attachment D Past Performance Questionaire fillable.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ATTACHMENT F NOTIFICATION OF COMPLIANCE WITH INSURANCE REQUIREMENTS
36C25626Q0217
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 ________________ (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 .