3-Professional Services COI Sample.pdf
PDF 67 KB Posted
- Solicitation number
- 2026-11
- Issued by
- Fairfield County, Connecticut
About this file
This document is an ACORD Certificate of Liability Insurance for the Town of Fairfield, specifically for RFP #2026-20 Architectural Feasibility Study for the Fairfield Woods Library. The certificate involves the Town of Fairfield and the Fairfield Board of Education, covering professional services with various insurance policy details. The RFP focuses on an architectural feasibility study, with the certificate providing comprehensive insurance coverage including commercial general liability, automobile liability, umbrella liability, workers' compensation, cyber liability, and professional errors & omissions insurance.
The insurance certificate includes multiple coverage limits, with commercial general liability set at $1,000,000 per occurrence and $2,000,000 aggregate, and other policies featuring similar structured limits. The document specifies that the Town of Fairfield, its Board of Education, officers, officials, employees, agents, boards, and commissions are included as additional insured on most policies. The insurance policies include a waiver of subrogation and require 30 days prior written notice for cancellation (10 days for non-payment of premium). The certificate is a standard ACORD form, marked as a professional services sample, located at Sullivan Independence Hall in Fairfield, Connecticut.
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Other files
| File | Type | Posted |
|---|---|---|
| 2-References Form.pdf | ||
| 1-Exceptions Form.pdf | ||
| 4-2026-11 Archetectural Feasibility Study - Fairfield Woods Library.pdf |
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Text version
Town of Fairfield Sullivan Independence Hall 725 Old Post Road Fairfield, CT 06824
X X
X X
RFP #2026-20 Archetectural Feasibility Study - Fairfield Woods Library
The Town of Fairfield, Fairfield Board of Educations, its officers, officials, employees, and agents, Boards and Commissions are included as additional insured for all insurance policies except Workers Compensation, on a primary and non-contributory basis. All policies include a waiver of subrogation in favor of the certificate holder. Thirty (30) days prior written notice of cancellation will be given to the Town (Ten (10) days for non-payment of premium).
Insurance Agent Name and Address
Vendor/Contractor Name/Address/Contact
Vendor/Contractor Insurance Companies Enter NAIC #
Month/Date/Year
Policy Number
Policy Number
Policy Number
Policy Number
Effective
Date
Date
Date
Date
Date
Date
Date
Date
Signature
Effective
Effective Effective
Effective Effective
Effective Effective
Professional Services SAMPLE x x x x X X x x x
Insurance Agent Contact
1,000,000
2,000,000
1,000,000
2,000,000
500,000
500,000 500,000
100,000 5,000 1,000,000
2,000,000
$1,000,000
$1,000,000 Policy Number (s) Effective Effective
Date (s) Date (s)
CA 9948 Endorsement
Cyber Liability Professional/Errors & Omissions
File details come from the government source that posted it. Updated .