Sample_Insurance_Certificate.pdf
PDF 70 KB Posted
- Attached to
- Kitchen Equipment for Charter Schools
- Solicitation number
- ED-25-01
- Issued by
- Broward County, Florida
About this file
This document is an ACORD Certificate of Liability Insurance template for a contract opportunity with the City of Pembroke Pines, Florida, specifically related to kitchen equipment procurement for Charter Schools. The certificate provides a standard framework for insurance documentation, requiring general liability coverage with the City of Pembroke Pines named as the certificate holder and additionally insured. The template mandates specific insurance requirements, including general liability coverage with designated policy limits and a requirement that the certificate contain specific wording confirming additional insured status.
The insurance certificate is designed to ensure that any contractor providing kitchen equipment to Charter Schools maintains appropriate liability protection. Key requirements include comprehensive general liability coverage, with spaces to list policy numbers, effective dates, and coverage limits across various categories such as occurrence, aggregate, and specific liability types. The document emphasizes the importance of proper insurance documentation as a prerequisite for participating in the City of Pembroke Pines' charter school kitchen equipment procurement process, protecting the municipal entity's interests through standardized insurance verification.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
| �������������� | ��� |
| ���� | ����� |
| ������ | ��� ������ |
| ���������� | ||
| ��� | ��� | �� |
| ��� | ��� | |||
| ������������������������������������������������������������������������� | ��������������������������������������������������������� | |||
| ������ ���� | ������� | ������������������������������������������� | ������������������������������������������� | ��������������� |
| �������������������������������������������������������������������������!������������������ | ����"������������������������������� | |||
| ������������#��������� | ���������� | ��������������������������������� | �� |
��/�/00*1(%2
��(+�/00*1(%2
��(+�/00*1(%2
���3�������������� ���������������
| ����� | �� |
| �� | �� |
| ������������������ ������������ | ����� |
| � | ���������!���������������" |
| ����������� | ����������� |
| ������������ | �� |
| ���������� | �������� |
| ����������������������������� | �� |
| ������������� | ���� |
| ������ | ����� |
| ��� | |
| ��#������������ | ���� |
������45����6 ��������������������8799
,'<*0& ,+'=(02 <'0
Page 2 of 3 Page 2 of 3
| �������������� ��� | �� | ����� ��� |
| ���� | ����� | |
| ����� | ��� |
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 .