Sample_Insurance_Certificate.pdf

This document is an ACORD Certificate of Liability Insurance template for the City of Pembroke Pines, Florida, located at 601 City Center Way. The certificate provides a standard insurance documentation format that requires a bidding or contracting company to complete with their specific insurance details. Key requirements include having General Liability insurance and naming the City of Pembroke Pines as an additional insured, with specific wording that states "THE CERTIFICATE HOLDER IS NAMED AS ADDITIONALLY INSURED WITH REGARD TO GENERAL LIABILITY."

The template outlines mandatory insurance coverage sections including General Liability, Automobile Liability, Garage Liability, Excess Liability, and Workers Compensation. While no specific contract details are provided, the document serves as a standardized insurance verification form that potential contractors or vendors must complete to demonstrate adequate insurance coverage when bidding on or performing work for the City of Pembroke Pines. The certificate allows for multiple insurers to be listed and requires specific policy limits and effective dates to be documented.