3-File K-CERTIFICATE OF INSURANCE.pdf

PDF 239 KB Posted

Attached to
ALTERATIONS AND ADDITIONS STAFFORD VOLUNTEER FIRE COMPANY NAUTILUS DRIVE - PHASE 2 FOR THE TOWNSHIP OF STAFFORD
Solicitation number
BID 2026-18
Issued by
Ocean County, New Jersey

About this file

This is a Certificate of Insurance Experience form for the Township of Stafford, New Jersey, requiring bidders on the Nautilus Drive Fire House alterations and additions project to document their insurance coverage and relevant work experience. The form requests bidders to certify their performance of similar work within the preceding two years, identify the type of work completed, name the insurance provider for each project, and disclose whether any insurance policies were cancelled, along with reasons for cancellation if applicable. The certificate includes space for bidder identification, authorized signature, and title, with numbered lines for listing up to sixteen instances of prior work experience.

The document serves as a pre-qualification mechanism to verify that bidders possess adequate insurance coverage and demonstrated experience in construction projects similar in scope to the fire house alterations involving masonry, steel framing, roofing, electrical, plumbing, and mechanical systems work. Bidders must provide contact information for each project's insurance provider to enable verification of coverage during the bid evaluation process.

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Text version

CERTIFICATE OF INSURANCE EXPERIENCE

___________________________________________________________________________hereby certify that

____________________________________________________________________________ have performed the following work within the last two (2) years Was insurance cancelled?

Insurance If yes, provide reason Year Type of Work Provider (Company, for cancellation

Contact name and Phone number)

BIDDER

BY

TITLE

CERTIFICATE OF INSURANCE EXPERIENCE:
hereby certify that:
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
11:
12:
13:
14:
15:
16:
undefined:
BIDDER:
undefined_2:

File details come from the government source that posted it. Updated .