4-4663 - Letcher County - Insurance Coverage Declaration.pdf
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- Solicitation number
- Demolition - Round 8
- Issued by
- Knott County, Kentucky
About this file
This is an Insurance Coverage Declaration form for Letcher County Fiscal Court related to a disaster-related demolition services procurement. The document outlines mandatory insurance requirements that contractors must satisfy and include with their bids for the demolition services project.
Contractors are required to provide Commercial General Liability coverage with limits of $2,000,000 aggregate and $1,000,000 per occurrence, with the General Aggregate limit applying separately or at least twice the required occurrence limit. Comprehensive Automobile and Water Vehicle Liability coverage is mandatory at a minimum of $1,000,000 per occurrence combined single limit for any automotive equipment used in service performance, along with Physical Damage Insurance covering owned or rented machinery, tools, equipment, office trailers, and vehicles. Worker's Compensation coverage must include employer's liability coverage with limits of not less than $1,000,000 per occurrence for each accident or illness. The Worker's Compensation policy must include a 30-day cancellation notice requirement to the County. Contractors with owner/operators who have filed exemption notices must provide signed copies of those notices meeting applicable Worker's Compensation law requirements. The form requires contractors to complete a table listing their insurance carrier, type of coverage, limits, and expiration dates for each required policy, with all policies and endorsements attached to the 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 .