Sample_Insurance_Certificate.pdf
PDF 70 KB Posted
- Attached to
- Wastewater Treatment Plant Unit 1 Rehabilitation
- Solicitation number
- PSUT-25-07
- 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, specifically related to the Wastewater Treatment Plant Unit 1 Rehabilitation project. The certificate provides a standard insurance documentation format that contractors must complete, requiring general liability coverage with the City of Pembroke Pines named as the certificate holder and additionally insured. The template outlines specific insurance requirements, including spaces for policy details such as policy numbers, effective dates, expiration dates, and coverage limits across various insurance categories like general liability, automobile liability, and workers' compensation.
The certificate emphasizes key compliance requirements for contractors, including mandatory general liability coverage and specific wording that names the City of Pembroke Pines as an additional insured. The sample document serves as a guide for potential bidders on the wastewater treatment plant rehabilitation project, indicating the city's insurance and risk management expectations for contractors. While the document does not provide specific pricing or financial details, it represents a critical administrative requirement for vendors seeking to participate in the municipal contract opportunity.
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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 .