Registered Professional's Proof of Insurance
Confirmation of liability insurance for the registered professional engineer on the project.
Registered Professional's Proof of Insurance
(This form need to be completed if you are using and engineer, if so then your engineer will complete this and attach a copy of their valid insurance)
ATTENTION: Town of View Royal Building Department
RE: Building Permit No. : Address: 12 Vickery Road Project Description: Single Family Dwelling
This is to confirm that the undersigned registered professional is insured by a policy of insurance covering liability to third parties for errors and omissions in the provision of professional services in respect of the captioned project, a certificate for insurance which is attached.
The undersigned will notify both the Building Official and the owner who has engaged the undersigned to provide professional services in respect of the captioned project, in writing, of any termination of or change in terms of the coverage provided by the policy, immediately upon being informed of or becoming aware of such termination or change.
Signature of Registered Professional
Mark Buesink Print Name
Document Images
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