Sample_Insurance_Certificate.pdf

PDF 93 KB Posted

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 document that demonstrates the company's insurance coverage, with a specific requirement to include General Liability insurance. The document is a sample template showing the necessary components of an insurance liability certificate, including spaces for policy numbers, coverage types, and liability limits.

The certificate emphasizes that the certificate holder (the City of Pembroke Pines) must be named as an additional insured with regard to general liability. The form includes placeholders for multiple insurers, coverage types such as commercial general liability, automobile liability, and workers' compensation. The document also includes a cancellation clause requiring 30 days written notice before policy cancellation, and provides space for detailing the specific insurance coverage and limits.

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