Sample_Insurance_Certificate.pdf

PDF 70 KB Posted

Attached to
Drainage Modifications - Johnson St.
Solicitation number
PSPW-26-QQ-06
Issued by
Broward County, Florida

About this file

This is an Insurance Certificate document related to a drainage modifications project for the City of Pembroke Pines, Florida. The certificate appears to be a standard form used to verify insurance coverage requirements for contractors bidding on or performing work for the municipality. The document contains fields for documenting insurance policy information, coverage types, policy limits, and effective dates. Based on the contract opportunity, this certificate would be required from qualified firms bidding to complete drainage modifications on Johnson Street between NW 201st Avenue and NW 200th Avenue, which includes all associated labor, materials, equipment, permitting, and coordination necessary to complete the work.

The Insurance Certificate serves as proof that the contractor maintains adequate insurance coverage as a condition of contract award and performance. While the specific coverage amounts, policy types, and validity periods are not clearly legible in the provided document image, such certificates typically require contractors to maintain general liability, workers' compensation, and other insurance as specified in the project's terms and conditions. This documentation requirement is standard for municipal construction projects in Florida and ensures that contractors have the necessary financial protections in place prior to commencing work on city infrastructure improvements.

View the file

Other files

Show all 11

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 .