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 sample certificate provides guidance for contractors and vendors on the required insurance documentation when doing business with the city. Key requirements include providing a General Liability insurance policy with specific coverage details and naming the City of Pembroke Pines as the Certificate Holder and Additional Insured.

The certificate mandates that insurance documentation must include specific language, notably "THE CERTIFICATE HOLDER IS NAMED AS ADDITIONALLY INSURED WITH REGARD TO GENERAL LIABILITY" and must list the City's complete address. The template outlines various insurance categories such as General Liability, Automobile Liability, Garage Liability, and Workers' Compensation, with spaces for policy numbers, effective dates, expiration dates, and coverage limits. The document also specifies a 30-day written notice requirement for policy cancellations, ensuring the city is informed of any changes to a vendor's insurance coverage.