2-Certificate of Liability Insurance Sample - Acord 25 (1).pdf
PDF 645 KB Posted
- Attached to
- Bid #26-001 Sale of Real Property
- Solicitation number
- BID #26-001
- Issued by
- Upton County, Texas
About this file
This is a Certificate of Liability Insurance sample document (ACORD 25 form) provided by the Laredo Independent School District in Texas for use by all vendors and contractors engaged with the district. The document outlines mandatory insurance requirements that must be submitted by vendors and contractors prior to contract execution. All vendors and contractors must provide certificates of insurance naming Laredo ISD as the certificate holder and additional insured, with coverage including general liability, auto liability, umbrella/excess liability, and workers' compensation. The certificate must specify the insurance agent or broker providing the certificate, the insurance company writing the policy, policy numbers, and effective dates. Notice of cancellation requirements mandate a minimum of 30 days' notice to the certificate holder, except in cases of non-payment where 10 days' notice is permissible.
The minimum insurance limits required are $1,000,000 for general liability, $1,000,000 for auto liability, $5,000,000 for umbrella excess liability, and statutory limits for workers' compensation. Coverage must be primary and non-contributory with respect to general liability, automobile, and umbrella liability policies. All policies must include a waiver of subrogation, including workers' compensation, and must be endorsed to provide the specified notice of cancellation periods. The certificate holder address is identified as Laredo Independent School District, 900 East Lyons, Laredo, TX 78040. Higher insurance limits may be required depending on the nature and scope of the contract. This sample certificate serves as a template for vendors bidding on Laredo ISD contracts, including the property sale solicitation.
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Text version
The following outlines a sample Certificate of Insurance which should be provided to Laredo ISD from ALL Vendors / Contractors..
Insurance Agent / Broker Providing Certificate And Address
A x xx x x x
A
B
A
Insurance Agent/Broker Providing Certificate
Vendor / Contractor / Lessee/ Name Needs to Agree With Contract
Date Issued
Insurance Company
Writing Policy
General 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 included as Additional Insured as respects General Liability, Automobile & Umbrella Liability policies and granted a Waiver of Subrogation on all policies including Workers Compensation. Coverage is primary and non-contributory as respects to General Liability, Automobile & Umbrella Liability. In the event of cancellation by the insurance companies all policies have been endorsed to provide (30) days Notice of Cancellation (except (10) days for non-payment) 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 1/1/2018 1/1/2019
1/1/2018 1/1/2019
ABCE897658 1/1/2018 1/1/2019
XYZ2243433334 1/1/2018 1/1/2019
1,000,000
100,000 50,000
1,000,000 2,000,000 2,000,000
1,000,000
ALL 3 Boxes Checked Also OK
Company A Company B x
Limits Required in ALL Four
Laredo Independent School District 900 East Lyons Laredo, TX 78040
Vendor / Contractor / Lessee Address Name Needs to Agree with Contract
Recommended wording
Slide Number 1
File details come from the government source that posted it. Updated .