Sample_Insurance_Certificate.pdf

This document is an ACORD Certificate of Liability Insurance sample template for the City of Pembroke Pines, Florida, related to a Milestone Video Management System (VMS) renewal licenses contract. The certificate provides a standard insurance documentation format requiring general liability coverage, with specific instructions for insurance providers to list the City of Pembroke Pines as the certificate holder and additionally insured. The sample certificate demonstrates the necessary components for insurance documentation, including spaces for policy numbers, coverage limits, and contact information.

The insurance certificate is part of a solicitation for renewing Milestone VMS licenses used by the City of Pembroke Pines and its charter schools. The document emphasizes the need for comprehensive general liability insurance, with specific wording requirements such as "THE CERTIFICATE HOLDER IS NAMED AS ADDITIONALLY INSURED WITH REGARD TO GENERAL LIABILITY". The certificate must be completed with the company's specific insurance details, policy information, and coverage limits, serving as a critical component of the contract procurement process for the video management system renewal.