Laserfiche WebLink
INSURANCE REQUIREMENT AFFIDAVIT <br />TO BE COMPLETED BY APPROPRIATE INSURANCE AGENT <br />MUST BE RETURNED AS PART -OFBID <br />I, the undersigned agent, certify the insurance requirements contained in this bid for <br />vendor/contractor/consultant/engineer/architect. If the City of Paris awards this contract, I will be able, <br />within ten (10) working days of notification of such award, to furnish a valid insurance certificate to the <br />City, mee;jng all of the requirements contained in this bid. <br />xgentls Signature Agent'.- Cint or Type) <br />Name oii�surapc� <br />am Carrier <br />w. <br />!:� <br />Address of Agency <br />ode <br />Name of Vendor <br />Phone Number <br />gineer/Architect (Print or Type) <br />o <br />SUBSCRIBED AND SWORN TO and before me this ',,",1`,'1 11 2 <br />NTEZ5 <br />NOTARY PUBLIC 1� <br />STATE OF TEXAS <br />ID # 134399088 <br />r 2027 <br />Note to Agent: <br />If this time requirement is not met, the City has the right to declare this vendor non -responsible and award the <br />contract to the next lowest bidder meeting the specifications. If you have any questions concerning these <br />requirements, please contact the City of Parig at..903.784.9289. <br />............ . . <br />