3-Insurance Requirements.pdf

PDF 909 KB Posted

Attached to
Student and Family Medical Services
Solicitation number
RFQ 26-001KB
Issued by
Fort Bend County, Texas

About this file

The documents present an ACORD Certificate of Liability Insurance and Insurance Requirements for Fort Bend Independent School District (FBISD), detailing comprehensive insurance coverage specifications for non-construction services. The ACORD certificate demonstrates insurance coverage across multiple liability categories including General Liability, Auto Liability, Umbrella/Excess Liability, and Workers' Compensation, with specific policy limits and effective dates from 1/1/2012 to 1/1/2013 for an entity named Certus Energy Solutions, LLC.

The insurance requirements document outlines detailed coverage specifications, 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, Umbrella/Excess Liability, Sex Molestation/Abuse coverage, and Cyber/Data Liability. The document stipulates that all insurance coverages must be issued by companies licensed in Texas, with the district reserving the right to review and adjust insurance requirements during the contract period. Contractors are required to provide certificates demonstrating compliance with these comprehensive insurance conditions before commencing work.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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 .