W9127821R0012 DBA Certification.pdf
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- Attached to
- Provide Prime Power, Soto Cano AB, Honduras
- Solicitation number
- W9127821R0012
About this file
This document provides certification requirements for Defense Base Act insurance coverage on a federal contract opportunity to provide prime power at Soto Cano Air Base in Honduras. The contract is solicited by the Department of the Army Corps of Engineers Engineering District Mobile. The certification document outlines exceptions and requirements for obtaining DBA insurance, including that contractors must purchase the insurance unless all personnel to be assigned are non-U.S. citizens and permanent residents who were not hired in the United States and the place of performance has a country waiver from the U.S. Department of Labor. It also lists the primary DBA insurance carriers and contact information. The related federal contract opportunity is to provide prime power at Soto Cano Air Base in Honduras and interested offerors should review the attached SF-33 and attachments for proposal instructions.
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CERTIFICATION OF APPLICABILITY
OF
DEFENSE BASE ACT INSURANCE
The United States Department of Labor (DOL) requires that all U.S. government contractors and subcontractors at every level obtain Defense Base Act (DBA) Insurance unless one of two exceptions applies.
A. The place of performance of the contract is covered by a U.S. DOL country waiver. However this waiver is not applicable to certain employees. To determine if your company must obtain DBA insurance please answer the following questions True of False.
1.___The personnel to be assigned to this project are not citizens of the United States.
2.___The personnel to be assigned to this project are not permanent residents of the United States.
3.___The personnel to be assigned to this project were not hired in the United States.
If statements 1-3 are ALL true and the place of performance is a waived country by U.S. DOL, complete certification by signing below and return with your proposal. You do not have to purchase DBA insurance. Please note that your subcontractors at all levels must purchase DBA insurance if any of the above questions are not true for them.
If any of the above statements about your employees is false, you must purchase DBA insurance.
The insurance must be procured through a DBA self-insurance program approved by the U.S.
Department of Labor.
B. If you already has a DBA self-insurance program please chick the statement below and sign the certification.
_____I have a DBA self-insurance program approved by the U.S. Department of Labor.
Signature:_________________________________
Contractor:________________________________
Date:______________________
DEFENSE BASE ACT INSURANCE RATES – LIMITATION – FIXED-PRICE
The mandatory DBA insurance requirement through the Continental Insurance Company (CNA) is hereby removed in its entirety and is converted to commercially available DBA insurance coverage from carriers and self-insured employers authorized by the Department of Labor (DOL). The DOL table of authorized carriers and self-insured employers is available at http://www.dol.gov/owcp/dlhwc/lscarrier.htm
Provided below are the DOL’s primary DBA insurance carriers’ information:
Company Contact Contact Informatiom ACE Robin Smith (215) 640-4836 Allied World Assurance Company (AWAC) Kevin Behan (646) 794-0511 American International Group (AIG Chartis) Rich Friesenhahn (212) 458-3593 Continental Insurance Company (CNA) Meng Fan (212) 440-7207 Starr Indemnity & Liability Company Shane McCaffrey (646) 226-6466 Zurich NA Larry Boyk (212) 861-6792
File details come from the government source that posted it. Updated .