19-File K- CERTIFICATE OF INSURANCE.pdf

This is a Certificate of Insurance Experience form for the Beach Haven West Sanitary Sewer Replacement—Phase 8 project in New Jersey. The document requires bidders to certify their insurance coverage and document relevant work performed within the preceding two years. The form requests bidders to list specific work experience, identify the insurance provider and type of coverage maintained, and disclose whether any insurance policies were cancelled during the relevant period, along with reasons for cancellation if applicable. The certificate must be completed and signed by an authorized representative of the bidding entity, including name, title, and contact information.

The form serves as a qualification and compliance verification mechanism, ensuring that bidders possess and maintain adequate insurance coverage for sanitary sewer replacement work. This document is essential for bidders responding to the sanitary sewer main removal and replacement project along multiple roads in Beach Haven West, New Jersey, including Mill Creek Road, Mary Alice Road, Budd Drive, Gregg Drive, and Jonathan Drive. The certificate allows the procuring jurisdiction to assess bidder capability and insurance status prior to contract award.