Sample_Insurance_Certificate.pdf

PDF 70 KB Posted

Attached to
Grant Administration for Community Redevelopment Projects
Solicitation number
PL-25-01
Issued by
Broward County, Florida

About this file

This is a Certificate of Insurance document related to the City of Pembroke Pines' Grant Administration for Community Redevelopment Projects procurement (RFQ # PL-25-01). The certificate evidences insurance coverage requirements for the selected consultant who will provide administrative, technical, and compliance support for housing and community development programs funded by the Community Development Block Grant (CDBG), State Housing Initiatives Partnership (SHIP), Neighborhood Stabilization Program (NSP), and HOME Investment Partnerships Program. The solicitation was issued on October 21, 2025, with written questions due by November 3, 2025, and proposal submissions required by November 18, 2025, at 2:30 pm. The initial contract term is three years with potential for two additional one-year renewal options.

The certificate demonstrates that prospective respondents must maintain comprehensive insurance coverage, including general liability, workers' compensation, and other specialized insurance types as required by the City. The project will be fully funded through federal grant sources with no direct costs to the City of Pembroke Pines. The procurement includes mandatory compliance with HUD Section 3 provisions requiring that 25 percent of total project hours be worked by Section 3 workers, with 5 percent specifically allocated to Targeted Section 3 workers. Additionally, contractors must comply with Davis-Bacon Act prevailing wage regulations for applicable construction trades. The solicitation emphasizes a race and gender-neutral approach to contractor selection while providing preference to Veteran-Owned Small Businesses and encouraging participation from local enterprises.

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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 .