E and E Vending Att 10 Certification of Insurance.pdf
PDF 166 KB Posted
- Attached to
- Master Agreement AZ|CTR077299
- Contract number
- CTR077299
- Issued by
- Arizona
About this file
This document is an Attachment 10 - Certification of Insurability for Solicitation No. BPM006108, issued by the Arizona Department of Economic Security. The document is specifically for a solicitation related to Vending Equipment and Related Services, with E & E Vending Solutions as the offeror. The certification is signed by Eddie Harnett, Managing Partner, on 4/01/2025.
The certification requires E & E Vending Solutions to confirm their ability to meet specific insurance requirements, including possessing or obtaining required insurance coverage, providing policy endorsements, and using an insurance company with an "AM Best" rating of at least A- VII. The company must submit a Certificate of Insurance and associated policy endorsements within ten days of contract award, with policies effective prior to the contract start date. Failure to comply may result in contract termination by the Department of Economic Security.
View the file
Other files
Show 40 more
50 files listed here. See the rest on GovTribe.
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 10 - Certification of Insurability
Solicitation No.: BPM006108
Description: Vending Equipment and Related Services
RFP Solicitation Instructions (04-24) Available Online at https://app.az.gov Page 24 of 28
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.
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
E & E Vending Solutions
Eddie Harnett Managing Partner
4/01/2025
File details come from the government source that posted it. Updated .