Exhibit_L_-_Installation_Floater_Affidavit_26-B-39IF.docx
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- Solicitation number
- 26-B-39IF
- Issued by
- Volusia County, Florida
About this file
This is an Installation Floater Affidavit form for ITB 26-B-39IF, a reconstruction project for the Florida Shores Boulevard Vehicular Beach Access Ramp in Daytona Beach Shores, administered by Volusia County, Florida, in partnership with the State of Florida Department of Environmental Protection. The affidavit serves as a notarized statement from the insurance broker of a contract bidder documenting efforts to obtain specialized insurance coverage required by the bid. The form requires the affiant to list three insurance companies contacted to obtain Installation Floater or Builder's Risk insurance policies with Flood coverage extensions that specifically cover flood damage resulting from storm surge caused by named and unnamed storms for beach and intracoastal waterway construction projects. The sealed bid submission deadline for ITB 26-B-39IF is April 9, 2026, at 3:00 p.m., with a non-mandatory pre-bid meeting scheduled for March 16, 2026, at 10:30 a.m., and a question submission deadline of March 26, 2026, at 11:59 p.m.
The affidavit is submitted by the contract bidder to document that the three contacted insurance companies informed the broker that they cannot provide the required Installation Floater and Builder's Risk insurance coverage with Flood coverage extensions for this project. This documentation appears to serve as evidence of good faith efforts to obtain the mandated insurance coverage. The form requires notarization with witness signatures and must be completed before the bid submission deadline. Award is anticipated in May 2026 to the lowest responsive and responsible bidder, with the total estimated project budget of $2,041,339 funded through FEMA sources requiring compliance with federal contract provisions including Davis-Bacon Act prevailing wage requirements and other federal contract standards.
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Text version
STATE OF
COUNTY OF
BEFORE ME, the undersigned authority, authorized in the state and county aforesaid to take acknowledgements, personally appeared ______________ (affiant), who after being duly sworn deposes and says:
Affiant is the Insurance Broker for _______________ (Contract Bidder). Contract Bidder placed a bid for ITB 26-B-39IF for Florida Shores Boulevard Vehicular Beach Access Ramp Project. ITB 26-B-39IF requires the Contract Bidder to attain the insurance contained in Exhibit A of ITB 26-B-39IF which includes a requirement for either an Installation Floater or Builder’s Risk insurance policy with a Flood coverage extension which includes coverage for Flood resulting from storm surge caused by named and unnamed storms for a beach or intracoastal waterway construction project. On behalf of the Contract Bidder, I contacted the following three (3) insurance companies to attain Installation Floater and Builder’s Risk insurance coverage with a Flood coverage extension for ITB 26-B-39IF:
1.________________________________________________________________
2.________________________________________________________________
3.________________________________________________________________.
The three (3) companies listed above informed me that they are not able to provide Installation and Builder’s Risk insurance coverage policy with a Flood coverage extension to the Contract Bidder in support of ITB 26-B-39IF.
SIGNED, SEALED AND DELIVERED
IN THE PRESENCE OF:
Witness signature Print Name:
(Print Name)
Witness signature
(Print Name)
The foregoing instrument was acknowledged before me by means of [__]physical presence or [ ] online notarization this ____ day of _________, 202_, by ____________ ___who is personally known and/or produced ___________________ as identification and who being duly sworn, deposes and says that the aforementioned is true and correct to his or her best knowledge.
Notary Public signature
Print Name
My commission expires:
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