Certification_of_Insurability_Child___Family_Resouces.pdf
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- Attached to
- Master Agreement AZ|CTR072042
- Contract number
- CTR072042
- Issued by
- Arizona
About this file
This document is a Certification of Insurability form for a Child Care Resource & Referral Services solicitation (No. BPM005727) issued by the Arizona Department of Economic Security. The form is completed by Child & Family Resources, Inc., a potential contractor, and is part of the RFP (Request for Proposal) submittal documents. The form requires the offeror to certify their current or potential insurance coverage meets specific requirements for the proposed contract.
The document outlines specific insurance requirements, including maintaining insurance as specified in the Special Terms and Conditions, providing policy endorsements, and ensuring insurance coverage through a company with an AM Best rating of at least A- VII. The offeror must provide a Certificate of Insurance and policy endorsements within 10 days of award, with specific attention to Sexual Abuse and Molestation coverage of at least $500,000. The document was signed by the company's President/CEO on 11/6/2023, indicating their commitment to meet these insurance requirements for a potential contract related to child care resource and referral services in Arizona.
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Text version
Offeror Submittal Documents
Solicitation No.: BPM005727
Description: Child Care Resource & Referral Services
RFP Solicitation Instructions (06-23) Available Online at https://app.az.gov Page 24 of 34
Attachment 6 - Certification of Insurability
By signing this document, the Offeror certifies the following:
1. The Offeror currently possesses the required insurance as stated in the Special Terms and Conditions; or the
Offeror is able to obtain the required insurance AND shall obtain the required insurance should a contract be awarded to them.
2. The Offeror shall supply separate policy endorsements in addition to the Certificate of Insurance for each policy which requires a waiver of subrogation and/or an additional insured with the required language appearing in the policy schedule. The Offeror shall supply a policy endorsement for the Sexual Abuse and Molestation coverage (if required by contract) showing separate limits no less than $500,000.
3. The Offeror is insured by or shall only seek insurance coverage by an insurance company who has an “AM Best” rating of not less than A- VII.
4. The Offeror shall provide a Certificate of Insurance and associated policy endorsement(s) within ten (10) days of award. The policy(ies) shall be in effect prior to the effective date of the contract.
The undersigned hereby understands its commitment to provide the requirements for insurance indicated above, should a contract be awarded to your company. Failure to submit the certificate of insurance and policy endorsements, and failure to receive acceptance by the Department may result in the Department terminating the Contract by default as stated in the Special Terms and Conditions.
Company Name
Name and Title of Authorized Representative
Signature
Date https://app.az.gov/ sfauland@cfraz.org Typewriter Child & Family Resources, Inc.
sfauland@cfraz.org Typewriter Eric Schindler Ph.D. President/CEO sfauland@cfraz.org Typewriter 11/6/2023
| Uniform Instructions to Offerors |
| Attachment 6 - Certification of Insurability |
File details come from the government source that posted it. Updated .