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INSURANCE REQUIREMENT AFFIDAVIT <br />TO BE COMPLETED BY APPROPRIATE INSURANCE AGENT <br />MUST BE RETURNED AS PART OF BID <br />I, the undersigned agent, certify that the insurance requirements contained in this bid <br />document have been reviewed by me with the below-identified <br />vendor/contractor/consultant/engineer/architect. If the below-identified <br />vendor/contractor/consultant/engineer/architect is awarded this contract by the City of <br />Paris, I will be able, within ten (10) working days after being notified of such award, to <br />furnish a valid insurance certificate to the City meeting all of the requirements contained <br />in this bid. <br />Agent's Signature <br />Agent Name (Print or Type) <br />Nam e of Insurance Carrier <br />dress of Agency <br />Citv/State <br />Phone Number <br />Name of Vendor/Contractor <br />neer/Architect (Print or Type <br />SUBSCRIBED AND SWORN TO before me this day of <br />Notary Public, State of Texas <br />this time requirement is not met, the City has the right to declare this vendor non-responsible and award <br />~ntract to the next lowest bidder meeting the specifications. If you have any questions concerning tt <br />_.r <br />