J.11 Sample Certificate of Liability Insurance.pdf
PDF 171 KB Posted
- Attached to
- Senate Parks Fountain and Pool Operation
- Solicitation number
- AOCSSB24Q0058
- Issued by
-
Architect of the Capitol
About this file
This document appears to be a sample Certificate of Liability Insurance related to a federal contract opportunity. It outlines the required insurance coverage amounts for a contract, including general liability, automobile liability, and worker's compensation insurance. The insurance must be provided by a carrier licensed to do business in the District of Columbia, Maryland, or Virginia, as applicable based on the location of the work. The United States of America, acting through the Architect of the Capitol, must be included as an additional insured on the policy.
The related federal contract opportunity is a Request for Quote (RFQ) issued by the Architect of the Capitol for Park and Pool Preventative Maintenance Services at the Senate Office Buildings. The contract will be a Firm Fixed Price Contract awarded to the responsible quoter providing the lowest price technically acceptable quote. The contract period of performance is expected to be 1 base year with 4 one-year options, for a total of 5 years. The NAICS code is 561790 - Other Services to Buildings and Dwellings, and the PSC code is Z1QA - Maintenance Of Restoration Of Real Property (Public Or Private).
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Text version
Name of Insurance Agent
Name of Contractor
2,000,000.00
50,000.00
200,000.00 500,000.00 20,000.00
Additional insurance may be applicable by operation of the contract - for example, AOC Clauses AOC52.228-3 Professional Liability Insurance or AOC52.228-8 Pollution Liability Insurance
Provide the project title and a brief project description.
NOTE: The United States of America, acting by and through the Architect of the Capitol shall be included as an additional insured with respect to operations under this contract.
Architect of the Capitol U.S. Capitol Building, Room SB-15 Washington, DC 20515
Contract Number
Name of Insurance Carrier(s)
*combined single limit coverage providing the limits shown is acceptable
In amounts as required by the laws of (1) the District of Columbia for work performed in the District of Columbia; (2) the State of Maryland for work performed in Maryland; or (3) the Commonwealth of Virginia for work performed in Virginia, etc
Y
Select Contract Type
✔ other insurance
File details come from the government source that posted it. Updated .