Sample_Insurance_Certificate.pdf

PDF 70 KB Posted

Attached to
Replacement of Existing Fire Alarm System at 501 Medical Building
Solicitation number
CS-25-05
Issued by
Broward County, Florida

About this file

This is a Sample Insurance Certificate related to the City of Pembroke Pines' contract opportunity for the replacement of the existing fire alarm system at 501 Medical Building in Florida. The certificate document appears to be a standard insurance certificate of liability form, though the specific details are partially obscured in the provided content. The document contains standard fields typical of certificates of insurance, including policyholder information, insurance carrier details, coverage types, policy limits, and effective dates. The certificate format indicates it is intended to demonstrate that the contractor maintains required insurance coverage as a condition of contract performance for this municipal project.

The insurance certificate serves as documentation that a contractor has obtained the necessary liability insurance coverage required by the City of Pembroke Pines for the fire alarm system replacement project. While specific coverage amounts, policy dates, and insurance carrier information are not clearly legible in the provided sample, such certificates typically verify general liability insurance, workers' compensation coverage, and any other insurance requirements specified in the contract solicitation. This document would be submitted as part of the contractor's bid package or prior to contract award to demonstrate financial responsibility and compliance with the municipality's insurance requirements for the project at 501 Medical Building.

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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 .