J.13 Sample Certificate of Liability Insurance.pdf
PDF 171 KB Posted
- Solicitation number
- AOCSSB24Q0024
- Issued by
-
Architect of the Capitol
About this file
The document provided is a sample Certificate of Liability Insurance that includes the required insurance coverage, limits, and additional insured information for a federal contract opportunity. The related federal contract opportunity is an RFQ issued by the Architect of the Capitol (AOC) for inspection and testing services of select fire protection systems in the Senate Office Buildings. The RFQ is anticipated to result in a single award firm-fixed price contract to a responsible quoter registered in SAM. The required insurance coverage includes general liability, automobile, and other applicable insurance as determined by the contract terms. The United States of America, acting through the Architect of the Capitol, must be included as an additional insured with respect to operations under the contract.
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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 .