Sample_Insurance_Certificate.pdf

PDF 70 KB Posted

Attached to
PSI Duplex Control Panel for Irrigation Application
Solicitation number
PSPW-26-QQ-07
Issued by
Broward County, Florida

About this file

This document is a Certificate of Insurance related to the City of Pembroke Pines' procurement for a PSI Duplex Control Panel for Irrigation Application in Florida. The certificate appears to be a standard insurance document template used to verify that a contractor maintains required insurance coverage for the project. The document contains fields for insurance carrier information, policy numbers, coverage types, and coverage limits, though the specific details are not legible in the provided image. The certificate would typically be submitted by bidders or awarded contractors to demonstrate compliance with insurance requirements specified in the solicitation.

The document serves as proof of insurance protection required by the City of Pembroke Pines as part of the bidding and contracting process. Insurance certificates of this type are standard documentation in government procurement and ensure that contractors maintain adequate liability, workers' compensation, and other required coverage throughout the contract term. The specific insurance requirements, coverage amounts, and policy terms would be detailed in the main solicitation documents and contract terms issued by the City of Pembroke Pines.

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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 .