Sample_Insurance_Certificate.pdf

PDF 70 KB Posted

Attached to
UT Rock and Sand-Fill Deliveries
Solicitation number
PSUT-2026-QQ-03
Issued by
Broward County, Florida

About this file

This is a sample insurance certificate document related to a City of Pembroke Pines, Florida contract opportunity for the delivery of road construction materials. The City of Pembroke Pines seeks qualified vendors to deliver road rock, sand-fill, and #57 3/4-inch washed rock on an as-needed basis to designated locations within the city as specified by the City upon request. The deliveries will be performed in accordance with the terms, conditions, and specifications contained in the solicitation. The document appears to be a template or sample format for the insurance certificate that prospective bidders must provide as part of their bid submission, ensuring vendors maintain appropriate coverage during contract performance.

The insurance certificate serves as proof of the vendor's insurance requirements and coverage amounts necessary to qualify for and perform under the contract. Specific pricing terms, set-asides, incumbent vendor information, response deadlines, and contract award dates are not detailed in this sample certificate document. Vendors interested in bidding on this rock and sand-fill delivery contract should consult the complete solicitation documents for detailed specifications, pricing requirements, insurance coverage minimums, bid submission deadlines, and other material terms and conditions governing the procurement.

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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 .