Attachment 5 - 05 CCR Certificate Insurance Form.docx
DOCX document 39 KB Posted
- Solicitation number
- FA564125RBOS2
About this file
This is a Certificate of Insurance form required under the Spain-United States Defense Cooperation Agreement for contractors providing services in Spain. The certificate establishes civil liability coverage requirements for employees performing work under U.S. contracts at Spanish installations. The insurance must cover damages to persons or property arising from employee actions or omissions during official functions and site visits in Spain, with total indemnity limits of €601,012.10. Coverage includes sub-limits of €90,151.82 per injured person for personal liability, €60,101.21 for property damage, and €6,010.12 for judiciary bonds. The policy must be effective for the contract duration with no franchises or deductibles applied to the guarantees, and the insurance company waives all subrogation rights against the United States of America. All disputes related to the policy's construction or enforcement are subject to Spanish Courts and Spanish law jurisdiction.
This certificate is applicable to the Turkey-Spain (T-S) Base Operations Support (BOS) Acquisitions (Solicitation FA564125RBOS2), where the U.S. Air Force is separating and awarding two independent contracts for BOS services in Turkiye and at Moron Air Base, Spain. Contractors selected for the Spain BOS contract will need to comply with this insurance requirement as a condition of performing services at the Spanish installation.
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Text version
Certificate of Insurance
CERTIFICATE OF INSURANCE COVERAGE OF THE CIVIL LIABILITY REFERRED TO UNDER ARTICLE 5 OF ANNEX 6 TO THE AGREEMENT BETWEEN THE KINGDOM OF SPAIN AND THE UNITED STATES OF AMERICA ON COOPERATION FOR THE DEFENSE SIGNED THE 1ST OF DECEMBER 1988
The insurance Company:
| with legal domicile in | |
| Tel: |
| of nationality | |
| and registered in the Mercantile Registry of |
| Date: | |
| Number: | |
| Book: |
| Section: | |
| Volume: | |
| Page: |
CERTIFIES
| That | |
| of | |
| nationality has contracted |
| with this company Policy Number | |
| of civil liability against damages to persons or property |
which could arise from actions or omissions committed by any of their employees in the performance of their official
| functions/professional activities in Spain because of the contract |
| signed with U.S. Forces, and during the visit which, in |
| respect of such contract, they may make to | |
| Spain | according to the general conditions in force for this |
type of insurance and also to the special conditions created for this purpose in the Spanish-U.S. Permanent Committee; that said company has paid the premium according to the agreed conditions; and that such Policy is in force.
The Policy establishes as coverage of the mentioned risks the following amounts:
INDEMNITY LIMITS:
| - |
| For casualty: |
| 601,012.10 Euros |
With the following sub-limits for each injured person:
| - |
| For personal liability: |
| 90,151.82 Euros |
| - |
| For property damage: |
| 60,101.21 Euros |
| - |
| For Judiciary Bond: |
| 6,010.12 Euros |
| The granted coverage is effective from | |
| through |
and does not include any type of franchise, or similar limitation, to be deducted from the mentioned guarantees or any clause which requires the submission to any type of arbitration. The underwriting insurance company considers that the established amounts adequately cover the insured risks.
| 1. |
| “The insurance company waives any right of subrogation against the United States of America which may arise by reason of any payment under this Policy.” |
| 2. |
| “The parties hereto explicitly agree to submit to the jurisdiction of the Spanish Courts of Law and to the Spanish Laws to settle any matter related to the construction or enforcement of the clauses and conditions of this Policy.” |
| IN WITNESS HEREOF the present document is signed in | |
| on |
For the Insured Company (signature)
For the Insurance (signature and stamp)
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