Contractors Only- Certificate of Insurance Coverage/Hold Harmless Agreement/Workers Comp/W-9
To comply with diocesan procedures, St. Maximilian Kolbe must obtain a Certificate of Insurance and a signed Hold Harmless Agreement from contractors prior to the commencement of work on parish property. See below.
The parish must obtain for the contractor and have on file the following:
1. A Certificate of Insurance with General Liability limits of $2,000,000 naming St. Maximilian Kolbe Catholic Church Society of Wayne County, the Diocese of Rochester and the Most Rev. Matthew H. Clark, Bishop of Rochester as Additional Insured; and
2. a signed Hold Harmless Agreement
3. Workers Comp Certificate
4. W-9
Sample of Wordage for Certificate of Insurance Coverage - Contractor Contractors -Hold Harmless Agreement
Contractors Click to download W-9 form