Exhibit_L_-_Installation_Floater_Affidavit_26-B-59IF.docx
DOCX document 14 KB Posted
- Attached to
- El Portal Vehicular Beach Access Ramp
- Solicitation number
- 26-B-59IF
- Issued by
- Volusia County, Florida
About this file
This is an Installation Floater Affidavit form required by Volusia County, Florida for competitive sealed bids submitted under Invitation for Bid 26-B-59IF for the El Portal Vehicular Beach Access Ramp reconstruction project in Daytona Beach Shores. The affidavit template requires the insurance broker for each contract bidder to certify that they contacted a minimum of three insurance companies in an attempt to obtain Installation Floater or Builder's Risk insurance coverage with a Flood coverage extension that includes protection against flood damage resulting from storm surge caused by named and unnamed storms—a specific requirement for this beach and intracoastal waterway construction project. The affidavit must be notarized and submitted with the bid, with blank spaces provided for the insurance broker to list the names of the three insurance companies contacted and to declare whether those companies were unable to provide the required coverage. The document requires witness signatures and notary acknowledgment, with options for physical or online notarization.
This affidavit represents a critical compliance mechanism for a beach reconstruction project estimated at $1,464,420.00 that was damaged during Hurricane Nicole in 2022. The requirement acknowledges the specialized nature of insurance coverage needed for storm-vulnerable coastal construction and establishes a documented record that bidders made good-faith efforts to secure the mandatory flood and storm surge coverage specified in Exhibit A of the solicitation. By requiring contractors to demonstrate that at least three insurance carriers were contacted, Volusia County creates a factual record explaining any inability to obtain such coverage prior to contract award, thereby establishing a baseline understanding of market availability for this specialized insurance product in the coastal construction market.
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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-59IF for El Portal Vehicular Beach Access Reconstruction. ITB 26-B-59IF requires the Contract Bidder to attain the insurance contained in Exhibit A of ITB 26-B-59IF 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-59IF:
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-59IF.
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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