Sample_Insurance_Certificate.pdf

PDF 70 KB Posted

Attached to
Pembroke Lakes Pool Resurfacing
Solicitation number
RE-26-QQ-06
Issued by
Broward County, Florida

About this file

This is a sample insurance certificate document related to the City of Pembroke Pines' Pembroke Lakes Pool Resurfacing project in Florida. The certificate appears to be a template or example of the type of insurance documentation that bidders and contractors would be required to provide as part of the contract requirements. The document contains standard insurance certificate fields and formatting typical of proof-of-insurance documents used in construction and pool maintenance projects, though the specific details, coverage amounts, policy numbers, and effective dates are not clearly legible in the provided image.

The insurance certificate serves as documentation that a contractor maintains the necessary liability and other required insurance coverage for performing work on public projects. While the specific coverage requirements, minimum limits, and additional insured provisions are not clearly readable in this sample document, such certificates are typically mandatory submissions for contractors bidding on municipal construction and renovation projects. Contractors responding to the Pembroke Lakes pool resurfacing bid would need to provide a completed certificate of insurance meeting the City of Pembroke Pines' requirements prior to contract award and commencement of work.

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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 .