1-Certificate of Liability Insurance Sample - Acord 25.pdf

This document is a Certificate of Liability Insurance sample form in ACCORD 25 format provided by the Laredo Independent School District in Texas as a template for all vendors and contractors engaged by the district. The certificate outlines mandatory insurance coverage requirements that must be provided by contractors, including general liability, auto liability, workers' compensation, and umbrella excess liability policies. The district requires that all vendors and contractors submit a certificate of insurance with the district listed as the certificate holder at 900 East Lyons, Laredo, TX 78040. The sample specifies standard coverage limits of $1,000,000 for general liability and auto liability, $5,000,000 for umbrella excess liability, and statutory workers' compensation limits. The certificate must indicate that coverage is primary and non-contributory with respect to general liability, auto liability, and umbrella liability policies, and all policies must include a waiver of subrogation. The district must receive 30 days' notice of policy cancellation, except in cases of non-payment where 10 days' notice is acceptable.

The certificate holder, identified as the Laredo Independent School District, must be named as an additional insured on all general liability, automobile, and umbrella liability policies. The sample form displays example policy numbers and effective dates ranging from January 1, 2018, to January 1, 2019, with customary limits that may be subject to increase depending on contract requirements. The document notes that higher limits than those specified may be required based on the specific scope of work, and vendors must ensure that their insurance agent or broker provides the certificate with their name and address clearly identified. This insurance requirement applies to all contractors, vendors, and lessees entering into agreements with the Laredo Independent School District.