Description
The document appears to be a certification form for proposers to confirm their ability to obtain required insurance coverage. The form is to be completed by the proposer's insurance agent and includes information about the proposer, the insurance agency, and the agent/broker. The form is related to an RFQ, but the details of the RFQ are not provided in the document.
• The proposer must meet all insurance requirements as specified in Attachment 4, Exhibit B.
• The proposer has been advised of any additional costs associated with obtaining the required insurance coverage.
• The proposer has agreed to obtain the required insurance coverage if selected as the successful proposer.