Attch 5 - Insurance Certification.pdf
PDF 72 KB Posted
- Attached to
- Laundry Services Federal contract opportunity
- Solicitation number
- FA667023R0004
About this file
This document contains a federal contract solicitation and related attachments for laundry services. The 914th Contracting Flight at Niagara Falls Air Reserve Station is seeking proposals for laundry services to support the 914th Force Support Squadron from August 1, 2023 through July 31, 2028, consisting of a base period and four option periods. Offerors must propose fixed prices for laundry services using the bid schedule attachment and provide past performance references using the questionnaire attachment. Proposals are due by July 10, 2023 and the point of contact is Andrew Church. The solicitation includes insurance certification and quality assurance surveillance plan attachments.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Solicitation Q and A FA667023R0004.pdf | ||
| Laundry - Amendment 1 - FA667023R00040001.pdf | ||
| Attch 4 - Bid Schedule Laundry.pdf | ||
| Solicitation - FA667023R0004.pdf | ||
| Attch 3 - Laundry Services - FA6670-23-R-0004 - Past Performance Questionnaire.pdf | ||
| Attch 6 - Laundry QASP May 18.pdf | ||
| Attch 1 - PWS Laundry 18 May.pdf | ||
| Attch 2 - SCA 15-4147 rev 25 - 17 May 2023.pdf |
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Text version
ACKNOWLEDGEMENT, AGREEMENT AND CERTIFICATION OF
COMPLIANCE WITH CONTRACT INSURANCE REQUIREMENTS
Contract No: FA6670-23-R-0004
The undersigned Contractor hereby acknowledges that he/she has read and understands the insurance requirements specified in this contract, and hereby certifies; (1) that such insurance has been obtained and agrees that said insurance will be maintained in at least the amount and types specified in this contract and during any modifications and/or time extensions granted thereto; (2) that these required insurance policies will each contain an endorsement to the effect that cancellation of any material change to the insurance policies adversely affecting the interest of the government shall not be effective for such period as may be prescribed by the laws of the State in which this contract is to be performed and in no event less than thirty (30) calendar days after written notice thereof has been given to the Contracting Officer; (3) that New York 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/or time extensions granted thereto; and (4) where shall ensure that each subcontractor possesses current certification of insurance satisfying the contract requirements;
and (5) that this agreement shall become a part of the above referenced contract and shall be legally binding and enforceable at law.
(CONTRACTOR) (INSURANCE COMPANY)
(STREET ADDRESS) (STREET ADDRESS)
(CITY, STATE, ZIP) (CITY, STATE, ZIP)
(AUTHORIZED SIGNATURE DATE) (AGENT, TELEPHONE NUMBER)
(TYPED NAME AND TITLE) (POLICY NUMBER)
ACCEPTANCE
The undersigned Contracting Officer, on behalf of the United States of America, hereby accepts the above Agreement and Certification and hereby incorporates the above Agreement into the above referenced contract in full text in compliance with FAR 52.228-5 of 52.228-8, as applicable.
UNITED STATES OF AMERICA
DATE: _________________ ___________________________________
(CONTRACTING OFFICER/914 CONF/LGC)
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