6-6k - Cert of Insurance.pdf

This is a Certificate of Insurance Experience form for Stafford Township's Dredging & Popular Point Restoration Project—Phase 2 in New Jersey. The form requires bidders to document their insurance coverage and relevant work experience performed within the previous two years. Bidders must list up to fifteen instances of comparable work, identifying the type of work performed, the insurance provider utilized, the year of completion, and the contact information for the project. The form also requires bidders to disclose whether any insurance policies were cancelled during the relevant period and, if applicable, provide the reason for cancellation along with the name and phone number of the insurance contact.

This certificate serves as a qualification and verification document, requiring completion and signature by an authorized bidder representative with their title, name, and phone number. The form functions as part of the bidding requirements to demonstrate that prospective contractors possess adequate insurance experience and have successfully maintained coverage on similar projects. No specific dollar amounts, pricing terms, or contract award dates are detailed in this particular document, as it is exclusively a proof-of-insurance-experience form used during the bidding qualification process.