Sample_Insurance_Certificate.pdf
PDF 70 KB Posted
- Solicitation number
- RE-24-09
- Issued by
- Broward County, Florida
About this file
This document is an ACORD Certificate of Liability Insurance sample template for the City of Pembroke Pines, Florida, related to a project involving shade structure installations at Maxwell Park and Josias Dog Park. The certificate provides a standard insurance documentation format that requires general liability coverage, with specific instructions for vendors to complete the form, including naming the City of Pembroke Pines as the certificate holder and adding the city as an additional insured party.
The sample certificate outlines key insurance requirements, emphasizing the need for comprehensive general liability coverage with clear policy documentation. While the document does not specify exact insurance limits, it provides a structured template for vendors to demonstrate their insurance qualifications, which is a standard prerequisite for municipal construction and installation projects. The certificate serves as a critical component of the procurement process, ensuring that contractors maintain appropriate insurance protection for the proposed shade structure project in 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 .