6-Certificate of Insurance - Ultrasonic Flow Meter.pdf

PDF 318 KB Posted

Attached to
Onicon Ultrasonic Flow Meter
Solicitation number
AVM1028251030
Issued by
Broward County, Fruitville CDP, Florida

About this file

This document is an Insurance Requirements form for the Purchase of an Ultrasonic Flow Meter issued by the Broward County Aviation Department for the Ft. Lauderdale-Hollywood International Airport. The document outlines specific insurance coverage requirements for a vendor, detailing the types and minimum liability limits for various insurance categories including General Liability, Auto Liability, Excess Liability/Umbrella, Worker's Compensation, and Pollution/Environmental Liability. The form provides flexibility, noting that proof of insurance is not required if delivery will be by common carrier, and access to airside is not permitted.

The insurance requirements stipulate that Broward County must be listed as the Certificate Holder and endorsed as an additional insured for liability (except Professional Liability). The vendor's insurance must provide primary coverage without requiring contribution from the County, and any self-insured retention must be declared and approved. The County shall be provided 30 days' written notice of cancellation (10 days for non-payment), and the vendor is responsible for all coverage deductibles unless otherwise specified in the agreement. Notable special conditions include requirements for extended reporting periods for claims-made forms and maximum deductible limits for specific types of coverage.

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Text version

INSURANCE REQUIREMENTS

Purchase of Ultrasonic Flow Meter

CERTIFICATE HOLDER:

Broward County Aviation Department Ft. Lauderdale-Hollywood International Airport, Suite 200 320 Terminal Drive Fort Lauderdale, FL 33315 Operations

Risk Management Division

TYPE OF INSURANCE ADDL

INSD

SUBR

WVD

MINIMUM LIABILITY LIMITS

Each Occurrence Aggregate

GENERAL LIABILITY - Broad form Commercial General Liability Premises–Operations [ ] XCU Explosion/Collapse/Underground Products/Completed Operations Hazard Contractual Insurance Broad Form Property Damage Independent Contractors Personal Injury Per Occurrence or Claims-Made:

Per Occurrence □ Claims-Made Gen’l Aggregate Limit Applies per:

□ Project □ Policy □ Loc. □ Other _______

Bodily Injury

Property Damage

Combined Bodily Injury and Property Damage

Personal Injury

Products & Completed Operations

AUTO LIABILITY

Comprehensive Form Owned Hired Non-owned Any Auto, If applicable Note: May be waived if no driving will be done in performance of services/project.

Access to airside not permitted

Bodily Injury (each person)

Bodily Injury (each accident)

Property Damage

Combined Bodily Injury and Property Damage

□ EXCESS LIABILITY / UMBRELLA

Per Occurrence or Claims-Made:

□ Per Occurrence □ Claims-Made Note: May be used to supplement minimum liability coverage requirements.

[x] WORKER’S COMPENSATION

Note: U.S. Longshoremen & Harbor Workers’ Act & Jones Act is required for any activities on or about navigable water.

N/A Each Accident

STATUTORY LIMITS

[ ] EMPLOYER’S LIABILITY Each Accident

[ ] POLLUTION / ENVIRONMENTAL

LIABILITY COSTS ** this is required if consultant or it’s subcontractor when testing or investigating by digging or drilling on any airport property or the use of any hazardous materials or the risk of disturbing any hazardous materials on airport property.

If claims-made form:

Extended Reporting Period of: 2 years

*Maximum Deductible: $25k

Extended Reporting Period of:

*Maximum Deductible: $25k

*Maximum Deductible: $10 k

Description of Operations: “Broward County” shall be listed as Certificate Holder and endorsed as an additional insured for liability, except as to Professional Liability.

County shall be provided 30 days written notice of cancellation, 10 days’ notice of cancellation for non-payment. Vendor insurance shall provide primary coverage and shall not require contribution from the County, self-insurance or otherwise. Any self-insured retention (SIR) must be declared to and approved by County and may require proof of financial ability to meet losses. Vendor is responsible for all coverage deductibles unless otherwise specified in the agreement.

2025-10-23T15:26:26-0400
COLLEEN POUNALL

File details come from the government source that posted it. Updated .