Sample_Insurance_Certificate.pdf
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- Attached to
- Pest Control Services for Various City Locations
- Solicitation number
- CS-25-04
- Issued by
- Broward County, Florida
About this file
This document is an ACORD Certificate of Liability Insurance for the City of Pembroke Pines, located at 601 City Center Way, Pembroke Pines, FL 33025. The certificate is a standard insurance form demonstrating proof of insurance coverage. It requires the inclusion of General Liability insurance and contains placeholder sections for various types of insurance coverage including commercial general liability, automobile liability, garage liability, excess liability, and workers' compensation.
The certificate mandates that the City of Pembroke Pines must be named as the Certificate Holder, with specific wording stating "THE CERTIFICATE HOLDER IS NAMED AS ADDITIONALLY INSURED WITH REGARD TO GENERAL LIABILITY". The document is a sample template with sections to be filled out by an insurance provider, indicating the specific insurance companies providing coverage, policy numbers, effective dates, and coverage limits. The form includes a cancellation clause requiring 30 days written notice before policy cancellation and is marked as an ACORD 25-S (7/97) standard form.
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