12-Certification Insurance Form.pdf
PDF 445 KB Posted
- Attached to
- 2026 Traffic Signal Upgrades
- Solicitation number
- US.258736
- Issued by
- Chester County, Pennsylvania
About this file
This is a Certification of Insurance Coverage form from West Whiteland Township, Chester County, Pennsylvania, related to the 2026 Traffic Signal Upgrades project along Pottstown Pike (S.R. 0100) and Commerce Drive. The certification serves as a binding acknowledgment from insurance companies that bidders have submitted proposals for the traffic signal upgrade project. Upon award, the insurance provider commits to issuing a certificate of insurance liability evidencing minimum coverage as specified in the request for bids and will issue ISO endorsement CG 20 37 07 04 or a non-ISO equivalent naming West Whiteland Township, its officers, agents, supervisors, elected officials, and employees as additional insureds under the Commercial General Liability insurance policy. The project's bid submission deadline is 1:00 PM on December 1, 2026, via PennBid, with the Board of Supervisors scheduled to make award decisions at their public meeting on December 9, 2026, or at a subsequent meeting.
All bidders must submit a bid bond or certified check equal to 10% of the total bid amount and must comply with the Pennsylvania Prevailing Wage Act. Bidders and any listed subcontractors are required to achieve PennDOT prequalification in accordance with 67 PA Code Chapter 457 and PennDOT Form 408/2026. No bid may be withdrawn within sixty days after opening. The Township reserves the right to waive minor informalities or reject any or all bids. All contractors and employees must comply with non-discrimination requirements regarding race, color, religion, sex, national origin, and handicap status.
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Text version
101 Commerce Drive Tel: (610) 363–9525 Exton, Pennsylvania 19341 www.westwhiteland.org
<INSURANCE COMPANY LETTERHEAD>
CERTIFICATION OF INSURANCE COVERAGE
WEST WHITELAND TOWNSHIP
101 Commerce Drive
Exton, PA 19341
Re: (Insert title of bid)
Name of Insurance Company organized and existing under the laws of the Commonwealth of Pennsylvania and duly registered with the Pennsylvania Department of Insurance and qualified to provide insurance coverage in the Commonwealth of Pennsylvania hereby acknowledge that
(Name of Bidder) of (City) , PA (“Bidder”) has submitted a proposal on the above captioned project, and that in the event an award is made to Bidder, we will issue a certificate of insurance liability evidencing the minimum insurance as stated in the request for bids/proposals and will issue ISO endorsement CG
20 37 07 04 or non ISO equivalent naming West Whiteland Township, its officers, agents, supervisors, elected officials and employees as an additional insured under the Commercial General Liability insurance policy.
Signed and sealed this day of , 20 .
(Insert Insurance Company’s Name)
By:
Name: (Attorney-in-Fact)
File details come from the government source that posted it. Updated .