Builders_Risk_Acknowledgment.pdf
PDF 59 KB Posted
- Attached to
- City Hall Wind Mitigation
- Solicitation number
- 26-008
- Issued by
- Santa Rosa County, Mount Carmel CDP, Florida
About this file
This document is a Builder's Risk Insurance Acknowledgment form from the Santa Rosa County Housing Department, requiring contractors to obtain and maintain specific insurance coverage for construction projects. The form outlines six key requirements for the Builder's Risk Insurance policy, including full coverage for the duration of construction, policy amount matching the total contract value, naming Santa Rosa County as additional insureds and loss payees, providing a Certificate of Insurance before work commences, being responsible for deductibles and claims, and maintaining coverage until the county issues final project acceptance.
The insurance policy must cover all work, materials, equipment, and supplies whether on-site, off-site, or in transit, with insurance proceeds payable jointly to the contractor and Santa Rosa County. The policy cannot be canceled, reduced, or allowed to lapse without providing thirty (30) days' prior written notice to the county. By signing the document, the contractor certifies understanding and agreement to comply with all insurance and bonding requirements specified in Article VII of the contract with Santa Rosa County.
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Text version
EXHIBIT [X] – BUILDER’S RISK INSURANCE ACKNOWLEDGMENT
Project Name: ___________________________________________ Contractor Name: ________________________________________ Contract Number: ________________________________________ Santa Rosa County Housing Department
Acknowledgment of Builder’s Risk Insurance Requirement I, the undersigned Contractor, hereby acknowledge and agree to the following requirements as set forth in Article VII – Insurance and Bonding Requirements of the Contract with Santa Rosa County:
1. I shall obtain and maintain, at my own expense, a Builder’s Risk Insurance policy for the full duration of construction, covering all work, materials, equipment, and supplies, whether on-site, off-site, or in transit.
2. The policy shall be written for no less than the total contract amount, including any approved change orders.
3. Santa Rosa County, its officers, employees, and agents shall be named as additional insureds and loss payees. The policy shall include a waiver of subrogation in favor of Santa Rosa County.
4. Prior to commencement of any work, I shall provide Santa Rosa County with a Certificate of Insurance and a copy of the Builder’s Risk policy endorsement. No work shall begin until such proof of coverage has been received and approved by the County.
5. I shall be solely responsible for any deductibles and promptly process any claims under the policy. Insurance proceeds shall be made payable jointly to myself and Santa Rosa County and applied toward repair or replacement of any damaged work.
6. Coverage shall remain in effect until Santa Rosa County issues written notice of final acceptance or completion of the project. I understand the policy shall not be canceled, reduced, or allowed to lapse without thirty (30) days’ prior written notice to the County.
By signing below, I certify that I fully understand and accept the Builder’s Risk Insurance requirements and will comply with all terms and conditions outlined in the contract.
Contractor Name: ________________________________________ Authorized Signature: ___________________________________ Title: _________________________________________________ Date: _________________________________________________
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