Statement of Assurance of Grantee’s and Contractor’s Bonding and Insurance Coverage

Statement of Assurance of Grantee’s and Contractor’s Bonding

and Insurance Coverage

I hereby certify that (name of contractor) has been selected to construct (describe project) in accordance with the Owner / Contractor Agreement signed and executed on (date).

I further certify that (name of contractor) is providing appropriate insurance and bonding coverage for this project in accordance with HRSA / ARRA requirements and as further described:

1. Performance Bond – 100 percent of the contract sum.

2. Payment Bond (Labor and Material) – 100 percent of the contract sum.

3. Comprehensive General Liability Insurance: $ 500,000 per occurrence (minimum).

4. Property Damage Liability Insurance: (amount to be established by the grantee).

5. Automobile Liability Insurance: at least $ 200,000 per person and $ 500,000 per occurrence for bodily injury and $ 20,000 per occurrence for property damage.

6. Inclusion of the subcontractors’ activities within the contractor’s own policy, otherwise each subcontractor must maintain the same levels of insurance under separate policy for the life of the subcontract.

I further certify that (name of grantee) maintains sufficient liability and property insurance against claims that may arise from operations under the construction contract, as well as sufficient property insurance covering the entire work at the site to the full insurable value. This insurance includes the interests of (name of grantee), (name of contractor), and the subcontractors involved in the work.

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(Signature of grantee’s authorized representative)

________________________________________

(Date)

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