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

This is an Insurance Coverage Declaration form for Letcher County Fiscal Court in Kentucky, which is procuring demolition services in support of a Disaster Property Acquisition Project. The document outlines mandatory insurance requirements that contractors must provide and attach to their proposals as a condition of bid submission. Failure to provide the required insurance documentation may result in proposal rejection.

Contractors must demonstrate coverage in three primary insurance categories: Commercial General Liability with a minimum aggregate limit of two million dollars and one million dollars per occurrence; Comprehensive Automobile and Water Vehicle Liability covering any automotive equipment used in service performance with a minimum of one million dollars per occurrence combined single limit, along with 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 one million dollars 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. Firms with owner-operators who have filed a Notice of Election to be Exempt must provide a signed copy of that notice, provided such exemption meets applicable Worker's Compensation law requirements. Contractors must complete the declaration form by identifying their insurance carrier, coverage type, policy limits in dollars, and expiration dates for each required insurance category.