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<br />Attachments <br /> <br /> <br /> <br />h) Certificate of Liability Insurance <br />A copy of the agency’s current certificate, from the agency’s insurance carrier. Table 1 below <br />outlines insurance types and minimums required, for each jurisdiction. If exempt from <br />Worker’s Compensation compliance, include a statement explaining why, with the agency’s <br />application materials. <br /> <br />NOTE: Proof of insurance is not required at the time of application submission. If your agency <br />is approved for funding, documentation of insurance must be provided to the jurisdiction <br />awarding the funding when the contract is awarded. The insurance certificate should reflect <br />the funding jurisdiction as an additional insured party and certificate holder and provide <br />coverage for the duration of the funding period (July 1 – June 30). Renewal certificates must <br />be sent to the jurisdiction 30 days prior to any expiration date, cancellation or modification of <br />any stipulated insurance coverage. <br /> <br />NOTE: Upon request, insurance requirements may be reviewed on a case by case basis by <br />the Town or County. Please contact the staff identified on the Submission Requirements on <br />Page 2 if you have questions or would like to request a review of your insurance requirements. <br /> <br />DocuSign Envelope ID: A24D2229-012E-4233-A6F8-624A53BCF7DA