Sample_Insurance_Certificate.pdf

PDF 70 KB Posted

Attached to
Installation of New Propane Tank
Solicitation number
CS-25-02
Issued by
Broward County, Florida

About this file

This is a Sample Insurance Certificate document for the City of Pembroke Pines, Florida, establishing the comprehensive insurance coverage requirements for contractors bidding on the Installation of New Propane Tank project (IFB # CS-25-02). The solicitation requires qualified firms to furnish all labor, materials, equipment, services, and incidentals for the installation of a turnkey propane autogas vehicle fueling facility featuring a 5,000-gallon tank and dispenser integrated with the city's FUELMASTER fuel management system at 901 Poinciana Drive. The mandatory pre-bid meeting is scheduled for September 23, 2025, with questions due by September 29, 2025. Bids must be submitted electronically by October 14, 2025, at 2:00 pm, with bid opening at 2:30 pm. The project timeline extends 120 calendar days from the Notice to Proceed. The estimated project cost is $350,000.

Contractors with a total cumulative base proposal exceeding $200,000 are required to submit a Proposal Security of 5% of the total base amount, and Payment and Performance Bonds are mandatory for contracts over $200,000. The insurance certificate mandates that the City of Pembroke Pines be named as an additional insured on all required policies. The City encourages bids from local vendors, veteran-owned small businesses, minority-owned businesses, and other specified vendor classifications with potential preference points or percentages available. Contractors must comply with E-Verify system registration, background screening requirements, Davis-Bacon labor standards, and local, state, and federal regulations. The city will waive certain permit fees and cover external permit fees through the Owner's Contingency allocation.

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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 .