Sample_Insurance_Certificate.pdf

This is a Sample Insurance Certificate related to a fire alarm system replacement project for the City of Pembroke Pines, Florida. The certificate documents insurance coverage requirements for the contractor undertaking the replacement of the existing fire alarm system at the 501 Medical Building located at 501 NW 103rd Avenue. The project requires a complete engineered installation of an addressable Notifier Fire-Lite brand fire alarm system compliant with ADA, Florida Fire Prevention Code, NFPA 72 (2022 Edition), and NFPA 70 (NEC, 2020 Edition). Key project deliverables include removal and replacement of all existing wiring and audio/visual devices, installation of a new Fire-Lite 200X panel with surge protection, comprehensive system testing, staff training, and construction restoration. A mandatory pre-bid meeting is scheduled for December 2, 2025, at 10:00 a.m. at the project site, with questions due by December 8, 2025, at 11:30 p.m. Bids must be electronically submitted by December 23, 2025, at 2:00 p.m., with bid opening at 2:30 p.m. the same day. The contractor must complete the work within 60 calendar days from the Notice to Proceed.

The project has an estimated budget of $80,000 with liquidated damages of $500 per day for non-compliance. Required insurance coverage includes comprehensive general liability of $1,000,000 per occurrence and $2,000,000 aggregate, workers' compensation, auto liability of $1,000,000, and umbrella/excess liability of $2,000,000. Proposal Security (Bid Bond) is required only if the total cumulative base proposal exceeds $200,000, and contracts exceeding $200,000 will require Payment and Performance Bonds at 100 percent of contract price. The project is funded through CDBG-COVID-19 Grant Funds and is subject to HUD Section 3 requirements mandating best efforts to provide employment and contracting opportunities to low- and very low-income residents. Contractors must comply with federal requirements including E-Verify registration, Davis-Bacon prevailing wage certification, and Section 3 implementation with Form 1 of the HUD Section 3 Implementation Plan required at bid submission. The contractor must provide a one-year workmanship warranty and three-year manufacturer's warranty on all equipment, with the existing fire alarm system remaining operational until the new system is tested and accepted by the City.