Required_Types_and_Limits_of_Insura..(499004).docx
DOCX document 18 KB Posted
- Attached to
- Emergency Medical Service Transport Providers
- Solicitation number
- 25-SQ-37AK
- Issued by
- Volusia County, Florida
About this file
The document is an insurance requirements chart for Volusia County, Florida, specifically related to an Emergency Medical Service Transport Provider contract. The county is seeking qualified ambulance service providers to supplement their existing ambulance transport services, with comprehensive insurance requirements detailing specific coverage types including Workers' Compensation, General Liability, Auto Liability, Transportation Pollution Liability, Excess Liability, Professional Liability, and Crime & Fidelity insurance.
The insurance requirements mandate extensive coverage protections for the county, including additional insured status, waiver of subrogation, and specific endorsements across multiple insurance categories. Notable requirements include thirty (30) days written notice for policy cancellations, with the certificate holder being the Volusia County Purchasing & Contracts Division. While specific dollar amounts for insurance limits are not fully completed in the document, the chart provides a detailed framework for insurance coverage that potential ambulance service providers must meet to be considered for the contract, ensuring comprehensive risk management for the county's emergency medical service transportation needs.
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Text version
Required Types and Limits of Insurance Chart:
TYPE OF INSURANCE
| WORKERS COMPENSATION | |
| |_| | Waiver of Subrogation |
| |_| | Longshore & Harbor Workers’ Act, Jones Act, & Maritime Coverage Endorsement |
| Florida Statutory Coverage |
| GENERAL LIABILITY - Broad form | |
| |_| | Occurrence Basis |
| |_| | Blanket Contractual Liability |
| |_| | County Additional Insured |
| |_| | County Additional Named Insured |
| |_| | Waiver of Subrogation |
| |_| | Independent Contractors |
| |_| | Blanket additional ensured endorsement |
| |_| | Project specific |
| |_| | Location specific |
| |_| | XCU |
| |_| | |
| EACH OCCURRENCE | |
| $ |
| GENERAL AGGREGATE |
| $ |
| Premises-Operations |
| $ |
| Products & Completed Ops |
| $ |
| Personal & Adv Inj. |
| $ |
Fire Damage $
| AUTO LIABILITY | |
| |_| | Any Auto |
| |_| | Broadened Pollution Liability Endorsement CA 99 48 03 06 |
| |_| | MCS 90 |
| |_| | County Additional Insured |
| |_| | Contractor, its subcontractors & independent contractors shall name County as additional insured |
| Combined Single Limit | |
| $ |
| Bodily Injury (Per person) |
| $ |
| Bodily Injury (Per accident) |
| $ |
| Property Damage (Per Accident) |
| $ |
| TRANSPORATION POLLUTION LIABILITY | |
| |_| | County Additional Insured |
| |_| | Loading & Unloading Coverage |
| |_| | In-transit Coverage |
| |_| | Endorsement: Non-owned disposal site coverage |
| |_| | Endorsement: Primary & non-contributory with any insurance or self-insurance maintained by or available to County. |
Note: If contractor does not have “Coverage Symbol 1: Any Auto”, contractor is limited to use of covered autos only.
| EXCESS LIABILITY | |
| |_| | Umbrella Form (Follow Form Basis) |
| |_| | County Additional Insured |
| |_| | County Additional Named Insured |
| |_| | Project Specific |
| |_| | Location Specific |
| |_| | |
| $ per Occurrence/Aggregate |
Note: If County cannot be added as additional insured, then policy shall be endorsed to provide additional insured status if required on the primary policy.
| |_| | PROFESSIONAL LIABILITY | |
| |_| | County Additional Insured |
| |_| | CRIME & FIDELITY |
| |_| | FIDELITY (including theft by computer coverage) |
CANCELLATION: Thirty (30) days written notice of cancellation is required to the Certificate Holder:
Certificate Holder:
County of Volusia Purchasing & Contracts Division 123 W. Indiana Avenue, Room 302 DeLand, FL 32720
ATTN: ____________________________
Risk Management Division
File details come from the government source that posted it. Updated .