19-Blanket Additional Insured Policy Sample.png

PNG image 41 KB Posted

Attached to
Stormwater Countywide Ditch and Side Drain Restoration
Solicitation number
IFB-26-00250
Issued by
Hillsborough County, Florida

About this file

This is a sample Additional Insured Policy document image related to Hillsborough County's Stormwater Countywide Ditch and Side Drain Restoration contract in Florida. The image displays a template or example of insurance requirements that contractors must meet as part of their contract obligations. The policy document serves as a reference for the type of additional insured endorsements required to be named on insurance policies submitted with contract proposals or maintained during contract performance.

The contract opportunity itself involves Hillsborough County Engineering and Operations Department retaining a qualified contractor to perform stormwater restoration services across the county on an as-needed basis through individually negotiated Work Orders. Services include ditch maintenance and reshaping, side-drain installation and replacement, culvert work, vegetation removal, shoulder and right-of-way restoration, and associated drainage improvements. The contract term is one year with two optional one-year renewals. The estimated contract value is $4,938,100.00, with an 8% Small Business Enterprise (SBE) subcontractor participation goal established for this solicitation.

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Other files

File Type Posted
8-Insurance Certificate.doc.doc DOC document
7-Change Order Form.pdf.pdf PDF
4-Consent of Surety-Change Order.pdf.pdf PDF
11-Subcontractor Letter of Intent.pdf PDF
26-IFB-26-00250 Bid Bond.pdf PDF
6-Consent of Surety to Final Payment.pdf.pdf PDF
10-Direct Deposit Authorization Form 5.15.2025.pdf.pdf PDF
14-AFFIDAVIT OF COMPLIANCE - Denying Doing Business with a Foreign Country of Concern 02.26.2026.docx DOCX document
18-Hillsborough County BOCC Certificate Holder.png PNG image
25-Attachment A - Insurance Requirements.pdf PDF
16-Allowance Authorization Release Form.pdf.pdf PDF
15-SBE-2 Goal Participation Tutorial.mp4 MP4 file
22-Attachment D - Example Plans - 46147010.pdf PDF
23-Attachment E - Map.pdf PDF
27-IFB-26-00250 Payment Bond.pdf PDF
9-Substitute W9 Form.pdf.pdf PDF
1-Drug Free Workplace Form.doc.doc DOC document
28-IFB-26-00250 Performance Bond.pdf PDF
20-Attachment B - Example Plans - 46147005.pdf PDF
17-Additional Insured Policy Sample.jpg JPG image
5-Subcontractors Statement of Satisfaction.pdf.pdf PDF
13-Contractors Affidavit for Payment of Debts and Claims 02.18.2026.pdf PDF
29-IFB-26-00250 Agreement.pdf PDF
21-Attachment C - Example Plans - 46147009.pdf PDF
3-Application for Payment.pdf.pdf PDF
2-Florida Trench Safety Act, Certification and Disclosure Statement.pdf.pdf PDF
24-Attachment F - Supplemental Specifications.docx DOCX document
12-SBE Subcontractors Material Suppliers List SBE-1 Form.pdf PDF
30-1. IFB-26-00250 Terms and Conditions.pdf PDF
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