Sample_Insurance_Certificate.pdf

This document is an ACORD Certificate of Liability Insurance template for a contract with the City of Pembroke Pines, located in Florida. The certificate serves as a sample insurance document that outlines requirements for general liability insurance coverage for a potential vendor or contractor. The template specifies that the certificate must include general liability coverage and name the City of Pembroke Pines as the certificate holder, with a specific required statement that "THE CERTIFICATE HOLDER IS NAMED AS ADDITIONALLY INSURED WITH REGARD TO GENERAL LIABILITY."

The template provides a standard insurance certificate format with sections for various types of coverage, including general liability, automobile liability, garage liability, excess liability, and workers' compensation. While no specific contract details are provided, the document establishes insurance documentation requirements for vendors seeking to do business with the City of Pembroke Pines. The certificate must be completed with the actual insurance company details, policy numbers, coverage limits, and effective dates, and must be submitted with the precise language and formatting shown in this sample document.