CERTIFICATION OF CONTRACTOR’S INSURANCE AND …



CERTIFICATION OF CONTRACTOR’S INSURANCE AND BONDINGProject Sponsor: FORMTEXT ?????Project: FORMDROPDOWN FORMTEXT ?????I certify that FORMTEXT ?????, general contractor for(Name of Contractor) FORMTEXT ?????, has obtained, and will be required(Contract Description)to maintain, insurance as is customary during construction, including workers’ compensation, comprehensive general liability, contractors’ indemnification obligations, vehicle liability, and property. Builder’s risk or similar types of insurance in the amount of full replacement cost of the project, or portion thereof, being constructed under the contract has also been obtained, and will be maintained, by the contractor to the extent that such insurance is obtainable. Flood insurance, if applicable, has also been obtained and will be maintained by the contractor.I also certify that the contractor has submitted a payment and performance bond or bonds as described below:Type of BondAmount of BondSurety FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????(Signature)(Date) FORMTEXT ?????(Typed Name and Title of Project Sponsor’s Authorized Representative) ................
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