Sample_Insurance_Certificate.pdf

This document is an ACORD Certificate of Liability Insurance sample template for a contract with the City of Pembroke Pines, Florida, specifically related to the Loading Dock Modification project at the Charles F. Dodge City Center. The certificate provides a standard insurance documentation format requiring general liability coverage, with specific instructions for the insurance provider to name the City of Pembroke Pines (located at 601 City Center Way, Pembroke Pines, FL 33025) as the certificate holder and additionally insured party.

The sample certificate outlines the mandatory insurance requirements, emphasizing the need for general liability coverage with specific wording that ensures the city is protected. While no specific insurance limits are detailed in this sample, the template indicates that the contractor must provide comprehensive insurance documentation, including policy numbers, effective dates, and coverage types such as commercial general liability, automobile liability, and potentially workers' compensation. The document serves as a guideline for contractors bidding on the loading dock modification project, ensuring they understand the insurance documentation standards required by the City of Pembroke Pines.