Sample_Insurance_Certificate.pdf

The document is an ACORD Certificate of Liability Insurance sample template for the City of Pembroke Pines, Florida, specifically related to an FSU Charter School ADA Access Controls project. The certificate provides a standard insurance documentation format that bidders must complete, requiring General Liability insurance coverage with the City of Pembroke Pines named as the Certificate Holder and Additional Insured. The template mandates specific insurance requirements, including listing insurance providers, policy numbers, coverage limits, and a critical clause stating "THE CERTIFICATE HOLDER IS NAMED AS ADDITIONALLY INSURED WITH REGARD TO GENERAL LIABILITY".

The sample certificate outlines comprehensive insurance coverage requirements, including sections for General Liability, Automobile Liability, Garage Liability, Excess Liability, and Workers' Compensation. The document emphasizes that bidders must provide a certificate that includes General Liability coverage, with the City of Pembroke Pines located at 601 City Center Way, Pembroke Pines, FL 33025, explicitly named as the Certificate Holder. The insurance documentation is crucial for the FSU Charter School project, which involves installing five ADA access push buttons at the school campus, ensuring proper risk management and protection for the municipal entity undertaking the accessibility improvement project.