Insurance Certificate Sample.pdf
PDF 171 KB Posted
- Solicitation number
- 145387
- Issued by
- Hartford County, Connecticut
About this file
This is an Insurance Certificate Sample document related to the Hartford Applied AI Center Website & Event Scheduling contract opportunity in Connecticut. The document serves as a template or example for insurance documentation that bidders and contractors may be required to provide as part of their contract compliance obligations. The sample certificate outlines the standard format and information fields that contractors must include when submitting proof of insurance coverage to the state or contracting agency.
The document establishes the baseline insurance requirements and certificate formatting that contractors must follow when engaging with the Hartford Applied AI Center project. It specifies the essential documentation elements needed to demonstrate adequate insurance coverage, including policyholder information, coverage types, policy limits, expiration dates, and authorized representative details. This sample certificate ensures uniformity in insurance documentation submissions and allows contractors to understand exactly what format and information the contracting agency expects prior to contract award and performance.
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Text version
SAMPLE ONLY
ADDITIONAL
INSURED
WAIVER OF
SUBROGATION
The City of Hartford and the Hartford Public Schools is included as an additional insured, AIIMA on a primary non-contributory basis as required per the policy provisions if required as such in written contract with the named insured which has been executed prior to loss/claim. Waiver of subrogation applies in favor of the holder per the policy provisions if required as such in a written contract with the Named insured which has been executed prior to loss/claim
City of Hartford
550 Main Street
Hartford, CT 06103 smsheppard Highlight smsheppard Highlight
File details come from the government source that posted it. Updated .