Certificate of Insurance.pdf

PDF 1 MB Posted

Attached to
Maintain Airfield Markings and Rubber Removal Federal contract opportunity
Solicitation number
FA489720B0002
Issued by
Department of the Air Force Air Combat Command

About this file

This document contains a federal contract opportunity solicitation for maintenance services at Mountain Home Air Force Base in Idaho. The solicitation seeks bids for construction services to maintain airfield markings and conduct rubber removal. It is a small business set-aside with a NAICS code of 23710 and size standard of $36.5 million. Interested parties must register with SAM and review the site for any updates. Bids are due by July 20th at 11:59pm MST and must be submitted via email. The performance period is 120 calendar days for a project valued between $250,000 to $500,000. A site visit will be held on July 7th. The award will be a firm-fixed price contract to the responsible bidder with the lowest priced bid meeting requirements. Price will be evaluated based on total price for all line items delivered to the specified destination.

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Notification of Compliance with Contract Insurance Requirements Page of The undersigned Contractor hereby acknowledges that he/she has read and understands the insurance requirements specified in this contract and hereby provides notification (1) that such insurance shall be maintained in at least the amounts and types as stated in FAR 28.307-2 and during any modifications and/or time extensions granted thereto; (2) that the required insurance policies shall contain an endorsement to the effect that any cancellation of material changes 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 thirty (30) calendar days after the insurer or contractor gives written notice to the Contracting Officer, whichever period is longer; (3) that Workers' 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) that a copy of all subcontractors' proofs of required insurance shall be maintained and shall be made available to the Contracting Officer upon request. This agreement shall be a part of subject contract and shall be legally binding and enforceable at law.

Insurance Company Information Name:

Address:

Policy Number:

Telephone Number:

E-mail Address:

Contractor Information Name:

Address:

Telephone Number:

E-mail Address:

Authorized Signature 9.0.0.2.20120627.2.874785

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State: AL
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