Grand Haven, MI · Ottawa County
Bond And Certificate Of Insurance
This insurance certificate identifies a business’s coverage and names the City of Grand Haven as certificate holder for the business or contractor providing it.
What this form is
The document records an insured business’s insurance agency, policies, coverage dates, and limits, and identifies the City of Grand Haven as certificate holder. Use it when providing the city with a bond and certificate of insurance. The certificate notes that it is for information only and does not change or extend the coverage in the listed policies.
Who needs it
A business or contractor providing a bond and certificate of insurance naming the City of Grand Haven as certificate holder may use this document.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This certificate is signed and dated without a notary; the authorized insurance representative signs it, and no notarized attachment or sworn step is stated.
How to submit this form
- 1
Download The Certificate
Download the Bond And Certificate Of Insurance PDF.
- 2
Complete The Certificate
Provide the insured business, insurance agency, policy, coverage dates, and limits information shown on the certificate.
- 3
Gather Additional Remarks
Attach an ACORD 101 Additional Remarks Schedule if more space is required.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Bond And Certificate Of Insurance document do?
- It records an insured business’s coverage details and names the City of Grand Haven as certificate holder. The certificate says it provides information only and does not alter policy coverage.
- Who uses the Bond And Certificate Of Insurance?
- A business or contractor providing a bond and certificate of insurance naming the City of Grand Haven as certificate holder may use this document.
- Do I need a notary for the Bond And Certificate Of Insurance?
- No. The authorized insurance representative signs and dates the certificate without a notary; no notarized attachment or sworn step is stated.
- How do I submit the Bond And Certificate Of Insurance?
- The document does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Bond And Certificate Of Insurance doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.