Sample_Insurance_Certificate.pdf

This document is an ACORD Certificate of Liability Insurance sample template for the City of Pembroke Pines, Florida, related to a wastewater transmission system hydraulic model project. The certificate serves as a standard insurance documentation template requiring vendors to provide general liability insurance coverage, with specific instructions for completing the certificate. The document mandates that the City of Pembroke Pines must be named as the certificate holder and additionally insured, with a requirement for general liability coverage.

The sample certificate outlines key insurance requirements, including spaces for multiple insurers, policy numbers, effective and expiration dates, and coverage limits across various liability categories such as commercial general liability, automobile liability, and workers' compensation. While not detailing specific insurance amounts, the template provides a structured framework for vendors to demonstrate appropriate insurance protections for the municipal contract, emphasizing the importance of comprehensive liability coverage for the proposed wastewater transmission system hydraulic modeling project.