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, Pembroke Pines, FL 33025. The sample certificate provides guidance for businesses seeking to submit insurance documentation as part of a contract or bid process. Key requirements include providing a General Liability insurance policy with the city named as an additional insured, and including specific language stating "THE CERTIFICATE HOLDER IS NAMED AS ADDITIONALLY INSURED WITH REGARD TO GENERAL LIABILITY".

The template outlines the standard sections of an insurance certificate, including spaces for policy details such as policy numbers, effective and expiration dates, and coverage limits across various liability categories like commercial general liability, automobile liability, garage liability, excess liability, and workers' compensation. The certificate must be completed by the insurance provider and includes a cancellation provision requiring 30 days written notice before policy termination. While this is a sample document, it provides a clear framework for the insurance documentation required when doing business with the City of Pembroke Pines.