ATTACHMENT H NOT OF COMP W INS REQTS.docx
DOCX document 17 KB Posted
- Attached to
- J045--Boiler Maintenance and Services Federal contract opportunity
- Solicitation number
- 36C25624Q1019
About this file
This document is an Attachment H - Notification of Compliance with Insurance Requirements related to the federal contract opportunity for Boiler Preventive Maintenance Services, Solicitation Number 36C25624Q1019.
The key details are:
The contractor acknowledges and agrees to maintain the specified insurance coverage for the duration of the contract, including any modifications or time extensions. This includes providing proper notification to the Contracting Officer prior to any policy cancellation or material changes. The contractor also agrees to maintain required state workers' compensation insurance and to provide copies of subcontractor insurance documentation upon request. The document provides the insurance company details and requires the contractor's authorized signature.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| ATTACHMENT F Past Performance Questionaire fillable.pdf | ||
| ATTACHMENT B Bay Cty FL WD 2015-4559 R24 12-26-2023.pdf | ||
| ATTACHMENT A Harrison County MS WD 2015-5147 R22 dtd 12-26-2023.pdf | ||
| ATTACHMENT D Okaloosa Cty FL WD 2015-4531 R25 12-26-2023.pdf | ||
| ATTACHMENT C Escambia Cty FL WD 2015-4561 R24 12-26-2023.pdf | ||
| ATTACHMENT G CONTRACTOR CERTIFICATION.docx | DOCX document | |
| ATTACHMENT E LIST OF PAST PERF REF.docx | DOCX document | |
| 36C25624Q1019.docx | DOCX document |
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Text version
ATTACHMENT H – NOTIFICATION OF COMPLIANCE WITH INSURANCE REQUIREMENTS
36C25624Q1019
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 .