5-3. Insurance Sample.pdf

This document is an ACORD Certificate of Liability Insurance and Insurance Requirements for Construction and Other Services for the City of Amarillo, Texas, dated January 12, 2020. The insurance certificate covers commercial general liability, automobile liability, and workers' compensation policies for an unnamed insured, with coverage periods from January 29, 2017 to January 29, 2018. The policy provides $1,000,000 in coverage for each occurrence across various liability categories, including general aggregate, personal and advertising injury, and products/completed operations.

The insurance requirements specify that the City of Amarillo must be named as an "Additional Insured" with a waiver of subrogation. The policy covers general liability with limits of $1,000,000 per occurrence and aggregate, $5,000 for premises medical expense, and $500,000 for damage to rented premises. Automobile liability includes hired and non-owned autos with $1,000,000 coverage. Workers' compensation provides $1,000,000 in employers' liability coverage. For construction projects, additional builders risk policy is required, and all certificates must be provided prior to the start of the project.