Sample_Insurance_Certificate.pdf

PDF 70 KB Posted

Attached to
Technology for Academy Village
Solicitation number
ED-26-QQ-02
Issued by
Broward County, Florida

About this file

This is a Certificate of Insurance document related to the City of Pembroke Pines' Technology for Academy Village procurement opportunity in Florida. The document appears to be a standard insurance certificate template that would be submitted by vendors to demonstrate proof of required insurance coverage as part of their bid submission or contract execution. The certificate would typically include details regarding general liability, workers' compensation, and other required insurance policies, along with coverage limits and effective dates. However, the specific details within this particular certificate are not clearly legible in the provided document image, preventing identification of the insured party, coverage amounts, policy numbers, or effective periods.

As a supporting document for the Academy Village technology equipment procurement, this insurance certificate would be required from the selected vendor to ensure compliance with the City of Pembroke Pines' contractual insurance requirements. The solicitation indicates Davis-Bacon wage determinations and HUD Section 3 compliance obligations apply, signifying federal funding involvement. Interested firms must submit quotes by July 9, 2026, with the procurement posted as of June 29, 2026. The insurance certificate serves as verification that the awarded contractor maintains adequate coverage to protect the City and comply with all contractual obligations throughout the contract performance period.

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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 .