Attachment 11_Notification of Compliance with Contract Insurance Requirements.pdf
PDF 2 MB Posted
- Attached to
- Air Force Drug Testing Laboratory Support Services Federal contract opportunity
- Solicitation number
- FA805220R0001
About this file
This document is an attachment providing notification of compliance with contract insurance requirements for solicitation number FA805220R0001. The related federal contract opportunity is for Air Force Drug Testing Laboratory support services to provide nineteen full time equivalents in specific labor categories including Medical Laboratory Technician-Team Lead, Medical Laboratory Technicians for specimen processing, Data Entry Clerks, Analytical Scientists, and Information Technology support. The place of performance is 2480 Ladd Street, Building 3750, Joint Base San Antonio-Lackland in Texas. The services support one of six Department of Defense laboratories conducting the Drug Demand Reduction Program. The attachment requires the contractor to acknowledge maintaining the specified insurance amounts and types during any contract modifications or extensions and to provide endorsements for cancellation notices.
View the file
Other files for this federal contract opportunity
Show all 23
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Please wait...
If this message is not eventually replaced by the proper contents of the document, your PDF viewer may not be able to display this type of document.
You can upgrade to the latest version of Adobe Reader for Windows®, Mac, or Linux® by visiting http://www.adobe.com/go/reader_download.
For more assistance with Adobe Reader visit http://www.adobe.com/go/acrreader.
Windows is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Mac is a trademark of Apple Inc., registered in the United States and other countries. Linux is the registered trademark of Linus Torvalds in the U.S. and other countries.
Notification of Compliance with Contract Insurance Requirements Page of The undersigned Contractor hereby acknowledges that he/she has read and understands the insurance requirements specified in this contract and hereby provides notification (1) that such insurance shall be maintained in at least the amounts and types as stated in FAR 28.307-2 and during any modifications and/or time extensions granted thereto; (2) that the required insurance policies shall contain an endorsement to the effect that any cancellation of material changes 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 thirty (30) calendar days after the insurer or contractor gives written notice to the Contracting Officer, whichever period is longer; (3) that Workers' 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 be a part of subject contract and shall be legally binding and enforceable at law.
Insurance Company Information Name:
Address:
Policy Number:
Telephone Number:
E-mail Address:
Contractor Information Name:
Address:
Telephone Number:
E-mail Address:
Authorized Signature 9.0.0.2.20120627.2.874785
| CurrentPage: |
| PageCount: |
| TextField1: FA8052-20-R-0001 |
| State: TX |
| CoName: |
| CoAddress: |
| CoPolicyNumber: |
| CoPhoneNumber: |
| CoEmail: |
| Remove-Ins-Company: |
| Add an item: |
| TextField2: |
| Date: |
| Name: |
| Signature: |
File details come from the government source that posted it. Updated .