4-4663 - Letcher County - Insurance Coverage Declaration.pdf

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Attached to
4663-Letcher County-Invitation for Bid- Title Services - R-12
Solicitation number
Title Round 12
Issued by
Knott County, Kentucky

About this file

This is an Insurance Coverage Declaration form submitted to Letcher County, Kentucky in conjunction with a bid for title search and closing services related to a 2022 FEMA Home Buyout Program property. The declaration requires proposing contractors to provide evidence of three types of insurance coverage with specific minimum limits and to attach complete copies of all insurance policies and endorsements to their proposals. Failure to submit the required insurance documentation may result in proposal rejection.

Contractors must demonstrate Commercial General Liability coverage with a minimum aggregate limit of $2,000,000 and per-occurrence limit of $1,000,000, with the General Aggregate limit applying separately or equaling at least twice the required occurrence limit. Comprehensive Automobile and Water Vehicle Liability coverage is required with a minimum limit 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. Worker's Compensation insurance must include employer's liability coverage with limits of not less than $1,000,000 per occurrence for each accident or illness, with a requirement that the policy cannot be cancelled or materially changed without thirty days' prior written notice to the County. Firms with owner/operators who have filed a "Notice of Election to be Exempt" must supply a signed copy of that notice meeting applicable Worker's Compensation law exemption requirements.

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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 .