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

PDF 623 KB Posted

Attached to
5075-Letcher-Invitation for Bid -Demolition Services - R-9
Solicitation number
Demo - R9
Issued by
Knott County, Kentucky

About this file

Written by GovTribe AI ·

This is an Insurance Coverage Declaration form submitted by Letcher County Fiscal Court in Kentucky in support of a disaster-related property acquisition and demolition project. The document serves as proof of required insurance coverage for bidders and contractors participating in the demolition services procurement (Invitation for Bid 5075-Letcher-Demolition Services - R-9). The declaration outlines the mandatory insurance requirements that must be maintained throughout the contract period, including general liability, property damage, and workers' compensation coverage as specified in the bid documents and contract terms.

The Insurance Coverage Declaration establishes the minimum insurance thresholds and coverage types required for contractors to be eligible for award and contract performance. This document functions as a compliance verification mechanism ensuring that all awarded contractors maintain adequate insurance protection during the demolition services execution. The specific coverage amounts, policy types, and proof-of-insurance submission requirements are detailed within the declaration to protect both Letcher County and contractor personnel involved in the disaster-related demolition operations.

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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 .