Attachment_8_Insurance_Certificate.pdf
PDF 12 KB Posted
- Attached to
- Base Telecommunication System Federal contract opportunity
- Solicitation number
- FA4830-13-R-0003
About this file
Insurance Certificate
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| File | Type | Posted |
|---|---|---|
| BTS_Site_Visit_Minutes.pdf | ||
| ATTACHMENT_1_PERFORMANCE_BASED_WORK_STATEMENT_(Revision__2).pdf | ||
| Attachment_4_Pricing_Table_30_Aug_13.xls | XLS spreadsheet | |
| FA4830-13-R-0003-0002.pdf | ||
| Attachment_3_Davis_Bacon_Wage_Determinations.pdf | ||
| BTS_Questions_and_Answers.pdf | ||
| Attachment_6_DD254.pdf | ||
| FA4830-13-R-0003-0001.pdf | ||
| Attachment_4_Moody_Pricing_Table.xls | XLS spreadsheet | |
| Attachment_9_Site_Visit_Conference_Reservation_Form.pdf | ||
| Attachment_2_SCA_Wage_Determination_2005-2131 _Rev_14.pdf | ||
| Attachment_5_SF_LLL _Disclosure_of_Lobbying_Activities.pdf | ||
| Attachment_10_Question_Form.pdf | ||
| Attachment_3_Davis_Bacon_Wage_Determination_GA130012 _Rev_0.pdf | ||
| Attachment_1_Performance_Work_Statement_14_May_13.pdf | ||
| Attachment_7_Contractor_Information.pdf | ||
| FA4830-13-R-0003_Base_Telecommunications_Services_RFP.pdf | ||
| Attachment_6_DD_Form_254.pdf |
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Text version
CERTIFICATE OF COMPLIANCE WITH INSURANCE REQUIREMENTS
CONTRACT NO. __________________
To be completed upon award of any resulting contract.
The undersigned Contractor hereby acknowledges that he/she has read and understands the insurance requirements specified in this contract and hereby agrees (1) that such insurance will be maintained in at least the amounts and types specified in this contract and during any modifications and/or time extensions granted thereto; (2) that the policies evidencing required insurance shall contain an indorsement to the effect that any cancellation or any material change 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 30 days after the insurer or the Contractor gives written notice to the Contracting Officer, whichever period is longer; (3) that Georgia Workmen’s 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 become a part of the above referenced contract file.
INSURANCE COMPANY (S):
(Name(s)) (Telephone No.)
CONTRACTOR:
(Name)
(Address)
(Authorized Signature) (Date)
(Typed Name and Title)
10-JUL-12
File details come from the government source that posted it. Updated .