Sample_Insurance_Certificate.pdf

PDF 70 KB Posted

Attached to
Demolition and Site Clearing of Existing Residential Improvements and Associated Features
Solicitation number
PSPW-26-QQ-03
Issued by
Broward County, Florida

About this file

This is a sample insurance certificate document related to the City of Pembroke Pines' demolition and site clearing project for a residential property located at 900 SW 196th Ave, Pembroke Pines, Florida 33029. The certificate appears to be a template or example document used to verify insurance coverage requirements for contractors bidding on or executing this demolition and site clearing contract. The document contains standard insurance certificate fields including policy information, coverage types, effective dates, and certificate holder details, though the specific policy numbers, coverage amounts, and effective dates are not fully legible in the provided image.

The insurance certificate serves as documentation that a contractor possesses the required insurance coverage necessary to perform demolition and site clearing work on the residential property. This type of certificate is typically required as part of contract execution and ongoing compliance to protect the City of Pembroke Pines and other interested parties. The certificate format includes standard provisions for general liability, workers' compensation, and other coverages commonly mandated for construction and demolition projects. Contractors responding to this solicitation would be expected to provide similar certificates demonstrating adequate insurance protection prior to commencing work on the residential demolition and site clearing project.

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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 .