7-2026-48 Sample Contractors - COI.pdf

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Attached to
2026-48 Kitchen Equipment Repair & Preventative Maintenance
Solicitation number
2026-48
Issued by
Fairfield County, Connecticut

About this file

This is a Certificate of Insurance (COI) document for the Town of Fairfield, Connecticut, on behalf of Fairfield Public Schools, related to competitive bidding for kitchen equipment repair and preventive maintenance services. The document outlines insurance requirements that contractors must maintain throughout the contract term. The Town of Fairfield, Fairfield Board of Education, its officers, officials, employees, agents, boards, and commissions must be named as additional insureds on all policies except Workers Compensation on a primary and non-contributory basis. All policies must include a waiver of subrogation in favor of the certificate holder, with thirty days' prior written notice of cancellation required (ten days for non-payment of premium).

The document specifies minimum insurance coverage limits required from bidders, including General Liability ($1,000,000 per occurrence and $2,000,000 aggregate), Pollution Liability ($1,000,000), Crime coverage ($1,000,000 to $2,000,000), and Excess Liability up to $10,000,000. The sample contractor referenced maintains coverage through an insurance company with NAIC number CA 9948. All contractors bidding on project 2026-48 for Kitchen Equipment Repair & Maintenance must provide proof of these insurance requirements as a condition of contract award and continued performance.

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Text version

Town of Fairfield Sullivan Independence Hall 725 Old Post Road Fairfield, CT 06824

X X

X X

Project Name:

The Town of Fairfield, Fairfield Board of Educations, its officers, officials, employees, and agents, Boards and Commissions are included as additional insured for all insurance policies except Workers Compensation, on a primary and non-contributory basis. All policies include a waiver of subrogation in favor of the certificate holder. Thirty (30) days prior written notice of cancellation will be given to the Town (Ten (10) days for non-payment of premium).

Insurance Agent Name and Address

Vendor/Contractor Name/Address/Contact

Vendor/Contractor Insurance Companies Enter NAIC #

Month/Date/Year

Policy Number

Policy Number

Policy Number

Policy Number

Effective

Date

Date

Date

Date

Date

Date

Date

Date

Signature

Effective

Effective Effective

Effective Effective

Effective Effective

Contractors SAMPLE x x x x X X x x x

Insurance Agent Contact

1,000,000

2,000,000

1,000,000

1,000,000

500,000

500,000 500,000

100,000 5,000 1,000,000

2,000,000

Pollution Liability $1,000,000Policy Number (s) Effective Effective Date (s) Date (s)

CA 9948 Endorsement

Crime $1,000,000

2,000,000X Excess Liab 10,000,000

2026-48 Kitchen Equipment Repair & Maintenance

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