I am aware that the City Code requires that every registrant shall carry contractor’s public liability insurance and provide a
certificate of insurance to the city in the amount of $500,000 prior to commencing work.
I do here in affirm and promise that I have insurance in effect and will not perform any work for which this registration is
required unless such insurance is in effect and remains in effect, and shall direct my insurance company to notify the City of
Story City if not renewed.
I understand that failure to carry this insurance and maintain State registration is a violation of City Code and may be
punishable by a Municipal Infraction Citation and the revocation of my registration.