Sample_Insurance_Certificate.pdf

PDF 70 KB Posted

Attached to
City Hall Lobby Lights
Solicitation number
PSPW-26-QQ-04
Issued by
Broward County, Florida

About this file

This is a Sample Insurance Certificate document related to the City of Pembroke Pines' lobby lights replacement project at City Hall in Pembroke Pines, Broward County, Florida. The certificate serves as a template for bidders to demonstrate proof of insurance coverage as required for participation in this construction project. The solicitation requires proposals by July 2, 2026, with questions due by the same deadline, indicating a compressed timeline for bidder inquiries. The scope of work involves the removal and replacement of lobby lights at City Hall in accordance with specifications and terms outlined in the solicitation documents, including a detailed specification sheet posted June 11 and scope-of-work documentation posted June 4. No site visits or bidders' conferences are explicitly mentioned in the available documentation, and no award date or specific contract term has been stated in the posted solicitation summary.

The project is subject to Davis-Bacon prevailing-wage determination FL20250197 (effective through July 4, 2025) and HUD Section 3 requirements, which impose labor-compliance obligations including apprenticeship and local-hiring preferences where applicable. These federal labor standards restrict the bidder pool and establish mandatory wage and employment compliance. The City has provided specimen professional-services and contractual-services agreements for bidder reference. No estimated contract value, incumbent contractor, evaluation criteria, or specific funding source is disclosed in the solicitation summary. The insurance certificate template establishes a contractual requirement for bidders to maintain specified coverage throughout project execution.

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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 .