ATTH F NOT OF COMPLIANCE WITH INS.docx
DOCX document 17 KB Posted
- Attached to
- R602--Lab Courier services, JACC, FL Federal contract opportunity
- Solicitation number
- 36C25620Q0945
About this file
This document contains an insurance compliance notification form and information on a federal contract opportunity for laboratory courier services. The form is to be completed by contractors to acknowledge they have read and understand the insurance requirements of the contract and agree to maintain at least the types and amounts of coverage specified. It requires the contractor's name, address, signature of an authorized official and date.
The federal contract opportunity is a presolicitation notice for courier services for the Joint Ambulatory Care Center in Pensacola, Florida issued by the Department of Veterans Affairs Network Contracting Office 16. The opportunity is set aside 100% for Service-Disabled Veteran Owned Small Businesses. The NAICS code is 492110 with a size standard of 1,500 employees. Interested parties must be registered in SAM, VETBIZ and report in accordance with VetBiz regulations. No proposals, quotes or phone calls will be accepted at this time. The solicitation number is 36C25620Q0945 and additional details will be provided in the forthcoming solicitation package.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C25620Q0945 0001.docx | DOCX document | |
| ATTH E CONTRACTOR CERTIFICATION.docx | DOCX document | |
| ATTH A WD 15-4561 Escambia PCola FL R13.pdf | ||
| 36C25620Q0945.docx | DOCX document | |
| ATTH C PAST PERFORMANCE QUESTIONNAIRE.docx | DOCX document | |
| ATTH B LIST OF PAST PERF REF.docx | DOCX document | |
| ATTH D QASP.docx | DOCX document |
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Text version
ATTACHMENT F – NOTIFICATION OF COMPLIANCE WITH INSURANCE REQUIREMENTS
36C25620Q0945
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 .