ABAC 5100289 Sample COI.pdf

This document is a Certificate of Liability Insurance template for Project No. 5100289 (ABAC) associated with a DBB Construction Contract from January 2024, issued by ACORD for the Board of Regents of The University System of Georgia. The template specifies coverage requirements including Commercial General Liability with limits of $1,000,000 per occurrence, $2,000,000 general aggregate, and $2,000,000 products-completed operations aggregate. Automobile liability coverage is required at $1,000,000 for any auto, with specific requirements for owned, hired, and non-owned vehicles.

The insurance requirements vary based on contract value, with aggregate requirements of $4,000,000 for contracts under $5M and $10,000,000 for contracts $5M and above. Workers' compensation coverage must meet statutory limits. The certificate holder is listed as the Board of Regents of The University System of Georgia, with a specified email contact for documentation (BOR_Facilities-Contracts@usg.edu). The form serves as a subordinate document to the project's payment bond and includes provisions for releasing contractor funds in cases of unresolved subcontractor claims.