Sample_Insurance_Certificate.pdf

PDF 70 KB Posted

Attached to
Grant Administration for Community Redevelopment Projects
Solicitation number
PL-25-01
Issued by
Broward County, Florida

About this file

This is a sample insurance certificate document related to a Request for Qualifications (RFQ # PL-25-01) issued by the City of Pembroke Pines, Florida for grant administration services in community redevelopment projects. The City seeks a qualified consultant to provide comprehensive administrative, technical, and compliance support for housing and community development programs funded through Community Development Block Grant (CDBG), State Housing Initiatives Partnership (SHIP), Neighborhood Stabilization Program (NSP), and HOME Investment Partnerships Program. The solicitation was issued on October 21, 2025, with written questions due by November 3, 2025, and proposal submissions required by November 18, 2025, at 2:30 pm. The initial contract term is three years with potential for two additional one-year renewal options. Key deliverables include program planning, reporting, environmental review, citizen participation, financial management, and contractor oversight.

Respondents must provide comprehensive insurance coverage including general liability, workers' compensation, and other specialized insurance types as specified in the procurement documents. The project will be fully funded through federal grant sources with no direct costs to the City. The procurement includes mandatory compliance with HUD Section 3 provisions requiring that 25 percent of total project hours be performed by Section 3 workers, with 5 percent specifically allocated to Targeted Section 3 workers. Contractors must demonstrate best efforts to hire local residents, provide job training, and contract with businesses that can direct economic opportunities to Section 3 workers. Davis-Bacon Act prevailing wage regulations apply to construction trades. Evaluation criteria will prioritize consultant experience, understanding of work requirements, and previous project performance, with preference given to Veteran-Owned Small Businesses.

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Specimen_Contract_-_Professional_Services_(CCNA_Non-Continuing_Services).pdf PDF
Standard_Release_of_Lien.pdf PDF
Specimen_Contract_-_Contractual_Services_Agreement.pdf PDF
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YOUR COMPANY NAME HERE Companies providing coverage

SAMPLE CERTIFICATE

Must Include General Liability

City of Pembroke Pines 601 City Center Way Pembroke Pines FL 33025

City Must Be Named as Certificate Holder

"THE CERTIFICATE HOLDER IS NAMED AS ADDITIONALLY INSURED WITH REGARD TO GENERAL LIABILITY"

Certificate must contain wording similar to what appears below

File details come from the government source that posted it. Updated .