4-4663 - Letcher County - Insurance Coverage Declaration.pdf
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- Solicitation number
- Demo - 7
- Issued by
- Knott County, Kentucky
About this file
This is an Insurance Coverage Declaration form for Letcher County, Kentucky, related to a disaster-related demolition services procurement. The document establishes mandatory insurance requirements that contractors must satisfy and submit with their proposals for the demolition services project. Failure to provide complete insurance documentation may result in proposal rejection.
Contractors must provide three categories of insurance coverage: Commercial General Liability with a minimum of $2,000,000 aggregate and $1,000,000 per occurrence limits; Comprehensive Automobile and Water Vehicle Liability covering all automotive equipment used in service performance with minimum limits of $1,000,000 per occurrence combined single limit for any auto, plus Physical Damage Insurance for owned or rented machinery, tools, equipment, office trailers, and vehicles; and Worker's Compensation insurance with employer's liability coverage of not less than $1,000,000 per occurrence for each accident or illness. The Worker's Compensation policy must include a provision prohibiting cancellation or material changes without thirty days' prior written notice to the County. Owner/operators who have filed a "Notice of Election to be Exempt" must provide a signed copy of such notice meeting applicable Worker's Compensation law exemption requirements. Contractors must complete the declaration form and submit all insurance policies with endorsements as part of their proposal submission.
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Text version
INSURANCE COVERAGE DECLARATION
Contractor shall complete the form below and attach the following insurance policies (including all endorsements) to this proposal. Failure to do so, may result in a rejected Proposal.
1. Commercial GeneralLiability–intheamountoftwomilliondollars($2,000,000.00)aggregate/one million dollars ($1,000,000.00) per occurrence. The General Aggregate limit shall either apply separately to the resulting Contractor or shall be at least twice the required occurrence limit.
2. ComprehensiveAutomobileandWaterVehicleLiability–coveringanyautomotiveequipmenttobe used in performance of the service, with a minimum limit in the amount of One Million Dollars ($1,000,000.00) per occurrence combined single limit / any auto. Physical Damage Insurance covering owned or rented machinery, tools, equipment, office trailers, and vehicles.
3. Worker’s Compensation – Proposer shall provide a policy with employer’s liability coverage with limits of not less than One Million Dollars ($1,000,000.00) per occurrence for each accident or illness. The Worker’s Compensation policy shall state that it cannot be cancelled or materially changedwithoutfirstgivingthirty(30)dayspriornoticethereofinwritingtotheCounty.Firmsthat haveowner/operatorsthathavefileda“NoticeofElectiontobeExempt”shallsupplyasignedcopy ofsaidnotice.Anysuchexemptionshallmeettherequirementsthatualifyforanexemptionunderthe applicable Worker’s Compensation law.
Insurance Carrier Type of Coverage Limit ($) Expiration Date
General Liability
Commercial Auto
Worker’s Compensation
File details come from the government source that posted it. Updated .