Notification of Compliance with Contract Insurance Requirements Charleston.pdf
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- Attached to
- FA860423RB003 Charleston, SC Conveyor System MMHS Federal contract opportunity
- Solicitation number
- FA860423RB003
About this file
This solicitation requests proposals for a conveyor system at Charleston Air Force Base in South Carolina. Offerors are asked to provide design, fabrication, installation, and testing services for conveyors in Buildings 2194 and 2196 under a fixed-price contract structure. Proposals are due by April 7, 2023 with an anticipated award date within 300 days of contract signing. Evaluation will be based on lowest price technically acceptable criteria. The opportunity is fully set aside for small businesses with less than 500 employees. Subcontracting limitations require at least 50% of contract costs to go to similarly situated small business subcontractors. Questions are accepted until March 31 and proposals must be submitted electronically to the Department of the Air Force Materiel Command Lifecycle Management Center at Wright Patterson Air Force Base.
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Text version
Notification of Compliance with Contract Insurance Requirements
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 _____________ (state) 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(S):
Name:
Address:
Policy #:
Telephone #:
CONTRACTOR:
Company Name:
Address:
(Typed Name and Title) (Date)
(Authorized Signature)
FA8604-23-R-B003 Attachment 7 Page 1 of 1
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