1-Insurance Requirements.pdf
PDF 909 KB Posted
- Attached to
- Stop Loss Insurance
- Solicitation number
- RFP 26-023KB
- Issued by
- Fort Bend County, Texas
About this file
The document is an ACORD Certificate of Liability Insurance and an Insurance Requirements and Conditions document for Fort Bend Independent School District (FBISD), detailing comprehensive insurance coverage requirements for non-construction services. The ACORD form provides a sample certificate demonstrating various insurance policy types including General Liability, Auto Liability, Umbrella/Excess Liability, and Workers' Compensation, with specific coverage limits and policy periods from 1/1/2012 to 1/1/2013 for a vendor named Certus Energy Solutions, LLC.
The insurance requirements specify detailed coverage limits for different liability types, including $1,000,000 Combined Single Limit for Automobile Liability, $2,000,000 Aggregate for Comprehensive General Liability, and Statutory Limits for Workers' Compensation. Additional specialized coverages include Professional Errors & Omissions Liability with a one-time project amount, Umbrella or Excess Liability covering 100% of contract amounts, and specific provisions for Sex Molestation/Abuse and Cyber/Data Liability. The district requires all insurance coverages to be issued by companies licensed in Texas, with certificates naming the district as an Additional Insured and including a 30-day cancellation notice provision.
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Text version
Insurance Agent / Broker
Providing Certificate
And Address
A x x
Insurance Agent/Broker
Providing Certificate Trucker/Vendor/ Name Needs to Agree
With Contract Date Issued
Insurance
Company
Writing Policy
General
Liability Commercial
XYZ22434343334 1/1/2012 1/1/2013
1,000,000
100,000
50,000
1,000,000
Company A
Company B
Limits Required
Trucker/Vendor Name
Address
Name Needs to Agree with Contract x x x x
A
B
A
Liability
Auto Liability
Umbrella Excess
(Limits can be combined with AL, GL and/or EL to meet req.)
Workers’
Compensation
Commercial
General Liability &
Occurrence Based
Location name & mailing address:
This is where notice of cancellation will be mailed to.
NOTICE OF CANCELLATION
Require 30 days but some agents will not issue more than 10 days because policies can be cancelled in 10 days for non-payment.
Certificate Holder is named as an Additional Insured with respect to General Liability, Automobile Liability and Umbrella or Excess Liability coverages. General Liability coverage is primary and non-contributory. Waivers of
Subrogation are provided on behalf of Certificate Holder with respect to Workers' Compensation, General Liability, Automobile Liability and Excess Liability. In the event of cancellation by the insurance companies, the policies have been endorsed to provide (30) days Notice of Cancellation to the certificate holder shown below. .
Customary Limits for
Umbrella attachment xWC Statutory Limits 1,000,000
1,000,000
1,000,000
5,000,000 5,000,000
Note: Higher limits may be required
8783009889 1/1/2012 1/1/2013
1/1/2012 1/1/2013
ABCE897658 1/1/2012 1/1/2013
1,000,000
2,000,000
2,000,000
1,000,000
ALL 3 Boxes
Checked Also OK x
Limits Required in ALL Four
Certus Energy Solutions, LLC 15710 John 16431 Lexington Blvd.
Sugar Land , 77479F. Kennedy Blvd, Ste 260 Houston, TX 77032
SAMPLE ACORD
rgarcia Typewritten Text Contractor/Vendor Name rgarcia Typewritten Text rgarcia Typewritten Text
FBISD
rgarcia Typewritten Text rgarcia Typewritten Text rgarcia Sticky Note Accepted set by rgarcia rgarcia Sticky Note MigrationConfirmed set by rgarcia
INSURANCE REQUIREMENTS and CONDITIONS for Non-Construction Services
2.16.17 BCMorrison
File details come from the government source that posted it. Updated .