Opening of Proposals - Utility Billing System - North Star Utilities Solutions - Part 2

Home Browse Search

NORTHISTAR'" B. Proof of Insurance Included below is a copy of a recent insurance affidavit supplied in another proposal. This is included to satisfy the requirements of proof that NorthStar can meet the Insurance requirements. To Be Completes[ By Insurance Agent/Broker and Bidder Section 1 I, the undersigned Agent/Broker, reviewed the insurance requirements contained in . If the Bidder listed below is awarded a contract by the City for this solicitation, I will furnish the City, within fifteen calendar days of notification of award, an insurance certificate and Declaration Page with Endorsements to show that all insurance requirements have been met, including naming the City _ as additional insured. Agent's Name: Agency Name: Address: City/State/ZIP: Garnik Tonoyan Willis Canada Inc., AWillis Towers Watson Company 100 King StW., Suite 4700 Toronto, ON M5X 1E4 Telephone No: 46 -368 - 9641 E-mail Address: Garnik.Tonoyan@WillisTowersWatson.com Bidder's Name/Company: NorthStar, a Division of N. Harris Computer Corporation r s Insurance Agent/Broker Signature: ' Y _ Date: September 25, 2017� Section 2 If the above fifteen day requirement is not met, the City _ has the right to reject this bid and award the contract to the next lowest bidder meeting specifications or to the next most favorable proposal. Questions concerning these requirements, and requests for exceptions, must be submitted by date included in Bidders' Instructions. By submitting a bid and signing below I affirm the following: I am aware of all costs to provide the required insurance, will do so pending contract award, and will provide a valid insurance certificate meeting all requirements and policy endorsement within fifteen calendar days of notification of award. I further agree to the indemnification statement listed in the insurance requirements. Signature: Date: L) U '� 2D%y NorthStar Proposal Response — South Bend Indiana