A.5.8.3 Certificate of Professional Liability Insurance

A. Certificate of Professional Liability Insurance

HUD Project Name: HUD Project Number: Borrower:

B. To: Lender and Secretary of Housing and Urban Development

C. I certify that ___________(Name of Architect/ Engineer/ Design Professional) is insured in the amount of $ under ____________________________(Name of Insurer) Policy No. _______________________ of Architect and/or Engineers Professional Liability Insurance.

MAP Guide, March 2021 Go to beginning of Appendix 5

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Appendix 5 Architectural and Construction Analysis A.5.9 HUD Cost Reviewer Reports Format

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D. This Policy shall be maintained up through acceptance of the 12-month warranty inspection for the subject HUD Project.

Signature:

Title: Date: Insurer’s Name: Business Address:

E. Warning: Title 18 U.S.C. 1001, provides in part that whoever knowingly and willfully makes or uses a document containing any false, fictitious, or fraudulent statement or entry, in any manner in the jurisdiction of any department or agency of the United States, shall be fined not more than $10,000 or imprisoned not more than five years or both.