3-Certification Insurance Form.pdf

This is a Certification of Insurance Coverage form issued by West Whiteland Township, Pennsylvania, for use with sealed bid solicitations. The form serves as a pre-award insurance certification whereby the bidder's insurance company acknowledges receipt of a proposal submission and commits to providing the minimum required insurance coverage upon contract award. The township requires bidders to obtain Commercial General Liability insurance with West Whiteland Township, its officers, agents, supervisors, elected officials, and employees named as additional insureds. The insurance company must issue an ISO endorsement CG 20 37 07 04 or non-ISO equivalent to satisfy the township's insurance requirements. The form is a blank template requiring completion by the insurance provider, including the insurance company name, the bidder's name and city of residence in Pennsylvania, the bid title, the execution date, and the authorized signature of the insurance company's attorney-in-fact.

The document contains no specific pricing information, set-asides, or incumbent vendor details. The form does not establish contract term length, renewal options, or funding sources. This certification is a mandatory administrative requirement applicable to all bidders responding to West Whiteland Township's solicitations, including the advertised 2026 Road Paving Program and park signage procurement. Bidders must ensure their insurance providers complete and submit this certification as part of their proposal packages to demonstrate financial accountability and risk management compliance prior to contract award.