O. Notification of Compliance with Contract Insurance Requirements.pdf

PDF 2 MB Posted

Attached to
Repair-Replace Overruns on Center Runway Federal contract opportunity
Solicitation number
FA309923R0001
Issued by
Department of the Air Force Air Education and Training Command

About this file

This document contains a federal contract solicitation and a notification of compliance with contract insurance requirements. The federal contract solicitation from the Air Force is seeking proposals for repair and replacement of several sections of overruns on the Center Runway at Laughlin Air Force Base in Texas, including edge lighting and threshold relocation. The work scope involves repair by mill and overlay of sections O06C, O07C, O08C, O09C, O10C, and T16A to current standards. The acquisition is set aside for small businesses with a NAICS code of 237310 and size standard of $39.5M. The period of performance and estimated value are between $2M-$6M. An organized site visit will be held on January 21, 2023 and proposals are due by an unspecified future date. The insurance notification acknowledges the contractor's understanding of insurance requirements in FAR 28.307-2 and provides information on applicable policies.

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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:
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TextField1:
State: TX
CoName:
CoAddress:
CoPolicyNumber:
CoPhoneNumber:
CoEmail:
Remove-Ins-Company:
Add an item:
TextField2:
Date:
Name:
Signature:

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