2-2026-01 Portable Toilet Rental - COI Template.pdf

This is a Certificate of Liability Insurance template document from the Town of Fairfield located at Sullivan Independence Hall, 725 Old Post Road, Fairfield, CT 06824. The document appears to be a sample template showing the required insurance coverage structure for contractors working with the Town of Fairfield and the Fairfield Board of Education. The certificate outlines mandatory insurance types including Commercial General Liability ($1,000,000 per occurrence, $2,000,000 aggregate), Automobile Liability with CA 9948 Endorsement ($1,000,000), Umbrella Liability ($3,000,000), Workers Compensation (statutory limits), and Crime coverage ($1,000,000). The document specifies that coverage must be effective for specific policy periods and requires contractors to provide policy numbers and insurance company NAIC numbers.

The insurance requirements mandate that the Town of Fairfield, Fairfield Board of Education, and their officers, officials, employees, agents, boards, and commissions be included as additional insured parties on all policies except Workers Compensation, on a primary and non-contributory basis. All policies must include a waiver of subrogation in favor of the certificate holder, and insurers must provide thirty days prior written notice of cancellation to the Town (ten days for non-payment of premium). The document requires signatures from authorized representatives and includes fields for insurance agent contact information, making it a comprehensive template for ensuring adequate contractor insurance coverage for municipal projects.