4-4663 - Letcher County - Insurance Coverage Declaration.pdf
PDF 623 KB Posted
- Solicitation number
- Abatement - 10
- Issued by
- Knott County, Kentucky
About this file
This is an Insurance Coverage Declaration form for Letcher County, Kentucky, related to an invitation for bid for asbestos abatement services at a residential property. The document requires contractors to submit proof of insurance coverage as part of their bid proposal, with failure to provide the required documentation potentially resulting in proposal rejection.
Contractors must provide three types of insurance policies: Commercial General Liability coverage with limits of $2,000,000 aggregate and $1,000,000 per occurrence; Comprehensive Automobile and Water Vehicle Liability with minimum limits of $1,000,000 per occurrence combined single limit for any automotive equipment used in service performance, along with Physical Damage Insurance for owned or rented machinery, tools, equipment, office trailers, and vehicles; and Worker's Compensation with employer's liability coverage of at least $1,000,000 per occurrence for each accident or illness. The Worker's Compensation policy must include a provision stating it cannot be cancelled or materially changed without thirty days' prior written notice to the County. Contractors with owner/operators who have filed a Notice of Election to be Exempt from Worker's Compensation must provide a signed copy of that notice, provided the exemption meets applicable state Worker's Compensation law requirements. Bidders must complete the declaration form and attach all relevant insurance policies and endorsements to their proposal.
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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 .