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DFARS PGI 228_3



(Revised April 21, 2014)

PGI 228.3--INSURANCE

PGI 228.304 Risk-pooling arrangements.

TABLE 28-1, INSURANCE RATING PLAN RATING AGREEMENT

 

Special Casualty Insurance Rating Plan

Assignment-Assumption of Premium Obligations

 

    It is agreed that 100 percent* of the return premiums and premium refunds (and dividends) due or to become due the prime contractor under the policies to which the National Defense Projects Rating Plan Endorsement made a part of policy __________________ applies are hereby assigned to and shall be paid to the United States of America, and the prime contractor directs the Company to make such payments to the office designated for contract administration acting for and on account of the United States of America.

 

    The United States of America hereby assumes and agrees to fulfill all present and future obligations of the prime contractor with respect to the payment of 100 percent* of the premiums under said policies.

 

    This agreement, upon acceptance by the prime contractor, the United States of America, and the Company shall be effective from _____________________________

   
 

Accepted_______________________ (Date)

 

_______________________ (Name of Insurance Company)

 

By _____________________(Title of Official Signing)

   
 

Accepted_______________________ (Date)

 

United States of America

 

By ____________________ (Authorized Representative)

   
 

Accepted_______________________ (Date)

 

_______________________ (Prime Contractor)

 

By ____________________ (Authorized Representative)

*In the event the Government has less than a 100 percent interest in premium funds or dividends, modify the assignment to reflect the percentage of interest and extent of the Government's assumption of additional premium obligation.

TABLE 28-2, AUTOMOBILE INSURANCE POLICY ENDORSEMENT

 

    It is agreed that insurance provided by the policy with respect to the ownership, maintenance, or use of automobiles, including loading and unloading thereof, does not apply to the following as insureds: The United States of America, any of its agencies, or any of its officers or employees.

PGI 228.305 Overseas workers' compensation and war-hazard insurance.

PGI 228.370 Additional clauses.

HQ DCMA: DCMA-AO

3901 A Avenue, BLDG 10500

Fort Lee, VA 23801-1809

804– 734-0338

Email: AOInbox@dcma.mil (include "Ground and Flight Risk Clause" on the subject line)

Army: HQ, Army Materiel Command

ATTN: AMCOP-CA

4400 Martin Road

Redstone Arsenal, AL 35898

256– 450-6477

Navy: Commander, Naval Air Systems Command (AIR-09F)

22541 Millstone Road, Unit 10

Patuxent River, MD 20670-1601

301– 342–7233

Air Force: HQ AFMC/A3V

508 W. Choctawhatchee

Eglin AFB, FL 32542-5713

850– 882–7890

Coast Guard: Assistant Commandant for Engineering and Logistics

COMDT CG 4

2100 2nd St. SW

Washington, DC 20593-0001

202– 267–0187

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