Sample_Insurance_Certificate.pdf

This document is an ACORD Certificate of Liability Insurance sample template for the City of Pembroke Pines, Florida, specifically related to a new playground turf installation project for the East Campus Charter School. The certificate provides a standard insurance coverage form demonstrating that a contractor must have General Liability insurance with the City of Pembroke Pines named as an additional insured. The template requires the bidding company to include comprehensive general liability coverage, with specific sections for documenting insurance details such as policy numbers, effective dates, policy limits, and coverage types.

The insurance certificate is designed to ensure that any contractor performing work for the City of Pembroke Pines maintains appropriate insurance protections. The document mandates that the certificate holder (City of Pembroke Pines) must be listed at 601 City Center Way, Pembroke Pines, FL 33025, and that the insurance coverage includes specific wording stating "THE CERTIFICATE HOLDER IS NAMED AS ADDITIONALLY INSURED WITH REGARD TO GENERAL LIABILITY". While the document is a sample template, it provides a clear framework for the insurance requirements that must be met by contractors bidding on municipal projects such as the playground turf installation at the East Campus Charter School.