4-D. Insurance Sample.pdf

This document is an ACORD Certificate of Liability Insurance for the City of Amarillo, Texas, issued by ABC Insurance Company dated January 12, 2020. The certificate covers commercial general liability, automobile liability, and workers' compensation insurance with policy periods from January 29, 2017 to January 29, 2018. The insurance provides coverage with general liability limits of $1,000,000 per occurrence and $1,000,000 aggregate, including personal and advertising injury protection, products/completed operations coverage, and $5,000 for premises medical expenses.

The insurance requirements specify that the City of Amarillo is named as an "Additional Insured" with a waiver of subrogation. The automobile liability coverage is $1,000,000 per occurrence and includes hired and non-owned autos. Workers' compensation coverage is set at $1,000,000 for employers' liability per accident, per employee, and for disease policy limits. For construction projects involving new buildings or structural work, an additional builders risk policy is required for the total completed project amount. The document stipulates that all certificates must be provided prior to the start of the project.