ATTH B NOTIFICATION OF COMPLIANCE WITH INS REQ.docx
DOCX document 17 KB Posted
- Attached to
- V225--AMBULANCE SERVICES
- Solicitation number
- 36C25621Q1754
About this file
This document contains an attachment to a federal contract solicitation for ambulance and wheelchair transportation services. The Department of Veterans Affairs Network Contracting Office 16 is seeking quotes from open market businesses to provide non-emergent ambulance and wheelchair transportation services for the Gulf Coast Veterans Health Care Systems Mobile Outpatient Clinic. Interested parties must be registered, active, and verified in the System for Award Management to be considered for award. The solicitation number is 36C25621Q1754 and utilizes a NAICS code of 621910 with a small business size standard of $16.5 million. No telephone inquiries will be accepted.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| ATTH A WD 2015-4605 Mobile AL R12 06-24-2021.pdf | ||
| 36C25621Q1754.docx | DOCX document | |
| ATTH E PAST PERFORMANCE QUESTIONNAIRE.docx | DOCX document | |
| ATTH G CONTRACTOR CERTIFICATION.docx | DOCX document | |
| ATTH D LIST OF PAST PERF REF.docx | DOCX document | |
| ATTH C QUALITY ASSURANCE SURVEILLANCE PLAN QASP.docx | DOCX document | |
| ATTH F GSA Fed Spec Star of Life Ambulance.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 B – NOTIFICATION OF COMPLIANCE WITH INSURANCE REQUIREMENTS
36C25621Q1754
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 .