Common use of CITY OF NEW YORK CERTIFICATION BY INSURANCE BROKER OR AGENT Clause in Contracts

CITY OF NEW YORK CERTIFICATION BY INSURANCE BROKER OR AGENT. The undersigned insurance broker or agent represents to the City of New York that the attached Certificate of Insurance is accurate in all material respects. [Name of broker or agent (typewritten)] [Address of broker or agent (typewritten)] [Email address of broker or agent (typewritten)] [Phone number/Fax number of broker or agent (typewritten)] [Signature of authorized official, broker, or agent] [Name and title of authorized official, broker, or agent (typewritten)] State of ) County of ) ) ss.: Sworn to before me this day of 20 NOTARY PUBLIC FOR THE STATE OF

CITY OF NEW YORK CERTIFICATION BY INSURANCE BROKER OR AGENT. The undersigned insurance broker or agent represents to the City of New York that the attached Certificate of Insurance is accurate in all material respects. [Name of broker or agent (typewritten)] [Address of broker or agent (typewritten)] [Email address of broker or agent (typewritten)] [Phone number/Fax number of broker or agent (typewritten)] [Signature of authorized official, broker, or agent] [Name and title of authorized official, broker, or agent (typewritten)] State of ) County of ) ) ss.: County of ) Sworn to before me this day of 20 NOTARY PUBLIC FOR THE STATE OF

CITY OF NEW YORK CERTIFICATION BY INSURANCE BROKER OR AGENT. The undersigned insurance broker or agent represents to the City of New York that the attached Certificate of Insurance is accurate in all material respects. [Name of broker or agent (typewritten)] [Address of broker or agent (typewritten)] [Email address of broker or agent (typewritten)] [Phone number/Fax number of broker or agent (typewritten)] [Signature of authorized official, broker, or agent] [Name and title of authorized official, broker, or agent (typewritten)] State of ) County of ) ) ss.: Sworn to before me this day of 20 NOTARY PUBLIC FOR THE STATE OF

CITY OF NEW YORK CERTIFICATION BY INSURANCE BROKER OR AGENT. The undersigned insurance broker or agent represents to the City of New York that the attached Certificate attachedCertificate of Insurance is accurate in all material respects. [Name of broker or agent (typewritten)] [Address of broker or agent (typewritten)] [Email address of broker or agent (typewritten)] [Phone number/Fax number of broker or agent (typewritten)] [Signature of authorized official, broker, or agent] [Name and title of authorized official, broker, or agent (typewritten)] State of ) County of ) ) ss.: County of ) Sworn to before me this day of 20 NOTARY PUBLIC FOR THE STATE OF

CITY OF NEW YORK CERTIFICATION BY INSURANCE BROKER OR AGENT. The undersigned insurance broker or agent represents to the City of New York that the attached Certificate of Insurance is accurate in all material respects. [Name of broker or agent (typewritten)] [Address of broker or agent (typewritten)] [Email address of broker or agent (typewritten)] [Phone number/Fax number of broker or agent (typewritten)] [Signature of authorized official, broker, or agent] [Name and title of authorized official, broker, or agent (typewritten)] State of ) County of ) ) ss.: County of ) Sworn to before me this day of 20 NOTARY PUBLIC FOR THE STATE OFOF EXHIBIT D BONDING REQUIREMENTS

CITY OF NEW YORK CERTIFICATION BY INSURANCE BROKER OR AGENT. The undersigned insurance broker or agent represents to the City of New York that the attached Certificate of Insurance is accurate in all material respects. [Name of broker or agent (typewritten)] [Address of broker or agent (typewritten)] DRAFT [Email address of broker or agent (typewritten)] [Phone number/Fax number of broker or agent (typewritten)] [Signature of authorized official, broker, or agent] [Name and title of authorized official, broker, or agent (typewritten)] State of ) County of ) ) ss.: County of ) Sworn to before me this day of 20 NOTARY PUBLIC FOR THE STATE OF

CITY OF NEW YORK CERTIFICATION BY INSURANCE BROKER OR AGENT. The undersigned insurance broker or agent represents to the City of New York that the attached Certificate of Insurance is accurate in all material respects. [Name of broker or agent (typewritten)] [Address of broker or agent (typewritten)] [Email address of broker or agent (typewritten)] [Phone number/Fax number of broker or agent (typewritten)] [Signature of authorized official, broker, or agent] [Name and title of authorized official, broker, or agent (typewritten)] State of ) County of ) ) ss.: County of ) Sworn to before me this day of 20 NOTARY PUBLIC FOR THE STATE OFOF INTRODUCTION 1 THE STANDARDS MANAGEMENT AND GENERAL STANDARDS 2

CITY OF NEW YORK CERTIFICATION BY INSURANCE BROKER OR AGENT. The undersigned insurance broker or agent represents to the City of New York that the attached Certificate of Insurance is accurate in all material respects. [Name of broker or agent (typewritten)] [Address of broker or agent (typewritten)] [Email address of broker or agent (typewritten)] [Phone number/Fax number of broker or agent (typewritten)] [Signature of authorized official, broker, or agent] [Name and title of authorized official, broker, or agent (typewritten)] State of ) County of ) ) ss.: Sworn to before me this day of 20 NOTARY PUBLIC FOR THE STATE OF

CITY OF NEW YORK CERTIFICATION BY INSURANCE BROKER OR AGENT. The undersigned insurance broker or agent represents to the City of New York that the attached Certificate of Insurance is accurate in all material respects. [Name of broker or agent (typewritten)] [Address of broker or agent (typewritten)] [Email address of broker or agent (typewritten)] [Phone number/Fax number of broker or agent (typewritten)] [Signature of authorized official, broker, or agent] [Name and title of authorized official, broker, or agent (typewritten)] State of ) County of ) ) ss.: Sworn to before me this day of 20 NOTARY PUBLIC FOR THE STATE OF