Sample_Insurance_Certificate.pdf

PDF 70 KB Posted

Attached to
CCNA Sunswept Community Water System Replacement Program State and local contract opportunity
Solicitation number
PSUT-25-14
Issued by
Broward County, Florida

About this file

This is a Sample Insurance Certificate for the City of Pembroke Pines, Florida's CCNA Sunswept Community Water System Replacement Program, a competitive Request for Qualifications solicitation for engineering design and construction phase services. The solicitation seeks qualified consulting firms to serve as Engineer of Record and provide comprehensive professional services including design development, permit acquisition, bidding assistance, and construction administration for the replacement of aging potable water infrastructure within the Sunswept residential community and adjacent commercial areas in Broward County. The project scope encompasses water main replacement and upsizing, water service relocations, meter connections and box replacements, fire hydrant replacements, and associated restoration work, with an estimated total capital improvement project cost of $15,120,000. The question submission deadline is March 3, 2026, with proposals due by 2:00 PM on March 17, 2026, followed by public bid opening at 2:30 PM the same day. The estimated design services timeline spans eighteen months with an anticipated start date of August 1, 2026 and completion date of February 1, 2028. No pre-bid meeting is scheduled.

Comprehensive insurance requirements include general liability coverage of $1,000,000 per occurrence and $2,000,000 aggregate, professional liability and errors and omissions coverage of $1,000,000, workers' compensation, auto liability, and pollution liability coverage, with the City named as additional insured on all policies. The solicitation includes local business set-asides and preferences, with Pembroke Pines local vendors receiving a five-point preference, Broward County local vendors receiving 2.5 points, and Veteran-Owned Small Businesses receiving 2.5 points. Vendors must comply with E-Verify employment eligibility verification requirements, drug-free workplace certification, Florida public entity crime statutes, human trafficking certifications, Davis-Bacon Act prevailing wage requirements, and HUD Section 3 requirements directing economic opportunities to low- and very low-income residents with minimum numeric goals of 25 percent of total project hours worked by Section 3 workers and 5 percent by Targeted Section 3 workers. The professional engineering services budget is estimated at $1,120,000, with construction costs estimated at $14,000,000, and compensation will be negotiated at rates determined to be fair, competitive, and reasonable following CCNA procedures. No proposal security or performance bonds are required for the professional services phase.

View the file

Other files for this state and local contract opportunity

Other files attached to CCNA Sunswept Community Water System Replacement Program, newest first.
File Type Posted
CCNA_Sunswept_Community_Water_System_Replacement_Program_(Addendum_#2_Revision).pdf PDF
CCNA_Sunswept_Community_Water_System_Replacement_Program_(Addendum_#2_Revision).pdf PDF
CCNA_Sunswept_Community_Water_System_Replacement_Program.pdf PDF
Specimen_Contract_-_Professional_Services_(CCNA_Non-Continuing_Services).pdf PDF
Sample_Insurance_Certificate.pdf PDF
Sample_Insurance_Certificate.pdf PDF
Specimen_Contract_-_Professional_Services_(CCNA_Non-Continuing_Services).pdf PDF
Specimen_Contract_-_Professional_Services_(CCNA_Non-Continuing_Services).pdf PDF
HUD_Section_3_Implementation_Plan_and_Forms_1-6.pdf PDF
SAMPLE_-_Davis-Bacon_Wage_Determination_(FL20250197_-_2025-07-04).pdf PDF
Specimen_Contract_-_Construction_Agreement.pdf PDF
HUD's_Davis-Bacon_and_Labor_Standards_Contractor_Guide_Addendum.pdf PDF
Specimen_Contract_-_Construction_Agreement.pdf PDF
Standard_Release_of_Lien.pdf PDF
HUD's_Davis-Bacon_and_Labor_Standards_Contractor_Guide_Addendum.pdf PDF
INTERNAL_GUIDANCE_FOR_DAVIS-BACON_WAGE_DECISIONS.docx DOCX document
SAMPLE_-_Davis-Bacon_Wage_Determination_(FL20250197_-_2025-07-04).pdf PDF
SAMPLE_-_Davis-Bacon_Wage_Determination_(FL20250197_-_2025-07-04).pdf PDF
Specimen_Contract_-_Construction_Agreement.pdf PDF
Standard_Release_of_Lien.pdf PDF
HUD_Section_3_Implementation_Plan_and_Forms_1-6.pdf PDF
Specimen_Contract_-_Contractual_Services_Agreement.pdf PDF
Standard_Release_of_Lien.pdf PDF
INTERNAL_GUIDANCE_FOR_DAVIS-BACON_WAGE_DECISIONS.docx DOCX document
Specimen_Contract_-_Contractual_Services_Agreement.pdf PDF
HUD's_Davis-Bacon_and_Labor_Standards_Contractor_Guide_Addendum.pdf PDF
HUD_Section_3_Implementation_Plan_and_Forms_1-6.pdf PDF
INTERNAL_GUIDANCE_FOR_DAVIS-BACON_WAGE_DECISIONS.docx DOCX document
Specimen_Contract_-_Contractual_Services_Agreement.pdf PDF
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YOUR COMPANY NAME HERE Companies providing coverage

SAMPLE CERTIFICATE

Must Include General Liability

City of Pembroke Pines 601 City Center Way Pembroke Pines FL 33025

City Must Be Named as Certificate Holder

"THE CERTIFICATE HOLDER IS NAMED AS ADDITIONALLY INSURED WITH REGARD TO GENERAL LIABILITY"

Certificate must contain wording similar to what appears below

File details come from the government source that posted it. Updated .