State of Idaho CERTIFICATE OF FRANCHISE AUTHORITY

Size: px
Start display at page:

Download "State of Idaho CERTIFICATE OF FRANCHISE AUTHORITY"

Transcription

1 State of Idaho I I CERTIFICATE OF FRANCHISE AUTHORITY I, BEN YSURSA, Secretary of State of the State of Idaho, hereby certify under the seal of my office that: TIME WARNER CABLE PACIFIC WEST LLC File Number VF107 Is hereby granted authority as a system operator to provide cable service or video service in the following service area: CITY OF MOSCOW CITY OF FERNAN LAKE VILLAGE I FURTHER CERTIFY That the authority is granted to install, construct and maintain facilities within the public rights-of-way, over which the local unit of government has jurisdiction, to enable the provision of video services to subscribers to such services, subject to the applicable federal and state laws and regulations, including highway district, municipal and county ordinances and regulations. I FURTHER CERTIFY That the required fees have been paid. Franchise Authority of the above named entity is effective upon issuance of this certificate and shall expire ten (1 0) years from the date of issuance. Dated: October 10, 2012 SECRETARY OF STATE

2 288 APPLICATION FOR CERTIFICATE OF FRANCHISE AUTHORITY (Instructions on Back of Application) 2012 oc- ' I 0 c14 '"... I '' 1-i,j 7 c:.c. Pursuant to Title 50, Chapter 30, Idaho Code, the undersigned applies for authori:ra'ti9p tqprovide vid~o;~~!"'ice in the State of Idaho. 0 //,..'. : '~ ; 1.::., ': '~. - -'-~:-7Ll 1. The name of the applicant is: _T_im_e_w_ar_ne_r_c_ab_le_P_a_cifi_lc_w_e_st_LL_c 2. The address of applicant's principal place of business within Idaho is: 2305 West Kathleen Avenue, Coeur d'alene, ID The mailing address of the applicant is: Same 4. Names of the applicant's principal executive officers: Name Please see attachment A. Title 5. The name and title of applicant's primary Idaho representative: Name Correen Stauffer Title _A_re_a_G_en_er_ai_M_a_na..::g_er 6. Specific identification of the political subdivision(s) constituting the service area wherein the applicant intends to provide cable Or Video service: City of Moscow and the City of Fernan Lake Village 7. The date the applicant intends to begin providing service in the service area described above: _1_ol-:-o1_12_o1~2:-:-:-~:-- (mmlddlyyyy) 8. I verify by signing this application that: [!] All forms have been filed with the federal communications commission as required by that agency. [!] Applicant is legally, financially and technically qualified to provide video service. [!] Verification is attached to this application that comprehensive general liability insurance coverage and automobile liability insurance coverage underwritten by one or more companies licensed to do business in the state of Idaho has been procured by the applicant and will be maintained continuously as required by Idaho Code Section (3)( e). [!] Applicant has attached a list of names and mailing addresses of the governing body of each political subdivision and each local unit of government located within the service area designated in the application. The entities listed will be notified by the Secretary of State upon issuance of the certificate of franchise authority. Customer Acct # : (if using pre-paid account) Dated: October 4, 2012 t!v---- Signature: TypedName: _w,_,l_na_m_r_.g_o_e_~_.j_r. Capacity: _P"':'lreo:-si_de~nt~=~~=~~=~=~= (By an officer or general partner of applicant) Secretary of State use only IDAHO SECRETARY OF STATE 10/10/ :00 CK: CT: BH: = FRAN AUTH D 2 VF lo'i

3 APPLICATION FOR CERTIFICATE OF FRANCHISE AUTHORITY Time Warner Cable Pacific West LLC Attachment A - Officers OFFICERS William R. Goetz, Jr. Amos Smith John Keib Craig Collins Matthew Stanek David Montierth Debi Picciolo Deane Leavenworth Satish Adige David A. Christman Gary Matz William F. Osbourn Mark Schichtel Matthew Siegel Jeffrey Zimmerman Susan A. Waxenberg Ellen Alderdice Meredith Garwood President Regional Chief Financial Officer, West Region President, Residential Services, West Region President, Commercial Services, West Region President, Network Operations & Engineering, West Region Regional Vice President, Commercial Services Regional Vice President, Operations Regional Vice President, Government Relations Senior Vice President, Investments Senior Vice President & Secretary Senior Vice President, State Government Relations Senior Vice President & Controller Senior Vice President, Tax Senior Vice President & Treasurer Senior Vice President Assistant Secretary Assistant Treasurer Assistant Treasurer

4 APPLICATION FOR CERTIFICATE OF FRANCHISE AUTHORITY Time Warner Cable Pacific West LLC Attachment B - Insurance Certificate Attached.

5 ACORD TM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) 9/21/2012 7:33:47 PM THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND ORAL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MARSH USA, INC. Contact Name: 1166 Avenue of the Americas Phone No: 1 Fax No: New York NY Producer Producer Customer No: INSURERS AFFORDING COVERAGE INSURED TIME WARNER CABLE PACIFIC WEST LLC INSURER A: New Hampshire Ins. Co DBA TIME WARNER CABLE INSURER B: Insurance Co. of the State PA COLUMBUS CIRCLE INSURERC: ACE American Insurance Company NEW YORK NY INSURERD: Navigators Insurance Company INSURERF: COVERAGES CERTIFICATE NUMBER NAIC# INSURERE: National Union Fire Ins Co of Pittsburgh THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICYEFF POLICY EXP LTR TYPE OF INSURANCE INSRD WVD POLICY NUMBER (MM/DDNYYY) (MM/DDNYYY) LIMITS GENERAL LIABILITY GL /1/2012 1/1/2013 EACH OCCURRENCE $ 3,000,000 ~ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1,000,000 E :::J 0 CLAIMS-MADE OCCUR MED EXP (Any one $ 10,000 person) PERSONAL & ADV INJURY :::J $ 3,000,000 GENERAL AGGREGATE $ 20,000,000 E GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 5,000,000 0 POLICY D PROJECT DLoc $ AUTOMOBILE LIABILITY CA (AOS) 1/1/2012 1/1/2013 COMBINED SINGLE LIMIT $ 5,000,000 ANY AUTO (Ea accidenl) ~ CA (VA) ALL OWNED AUTOS CA (MA) BODILY INJURY :::J (Per person) $ SCHEDULED AUTOS :::J BODILY INJURY HIRED AUTOS :::J (Per accident) $ :::J NON-OWNED AUTOS PROPERTY DAMAGE (Per accident) $ I~ UMBRELLA LIAB ~OCCUR XOO G /1/2012 1/1/2013 EACH OCCURRENCE $ 25,000,000 c :::J EXCESS LIAB D CLAIMS-MADE AGGREGATE $ 25,000,000 I=::J DEDUCTION $ I RETENTION $ A A WORKERS COMPENSATION we (AOS), we 1/1/2012 1/1/ WCSTATU- DOTH- AND EMPLOYERS' LIABILITY Y/N (CA), WC (FL), TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE we (MN), we ~ N/A E.L. EACH ACCIDENT $ 2,000,000 OFFICER/MEMBER EXCLUDED? (ND,WA,WI,WY) we (OR-Ins. B) E.L. DISEASE- EA $ 2,000,000 Mandatory in NH? EMPLOYEE WC (MA-Ins. B) If yes describe under E.L. DISEASE- POLICY LIMIT $ 2,000,000 SPECIAL PROVISIONS below OTHER Excess WC OH ($1M Retention) we /1/2012 1/1/2013 Workers Camp - Statutory 1,000,000 A Excess WC OH ($1M Retention) we /1/2012 1/1/2013 Employers Liability 1,000,000 D Excess Auto Only NY12EXC V 1/1/2012 1/1/2013 Each Occurrence 2,500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS EVIDENCE OF INSURANCE COVERAGE CERTIFICATE HOLDER CANCELLATION IDAHO OFFICE OF THE SECRETARY OF STATE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 450 N. 4TH STREET BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED BOISE ID IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2009/09) AUTHORIZED REPRESENTATIVE ~~ ~ ACORD CORPORATION. All r1ghts reserved.

6 APPLICATION FOR CERTIFICATE OF FRANCHISE AUTHORITY Time Warner Cable Pacific West LLC Attachment C - Local Units City of Moscow Stephanie Kalasz City Clerk 206 East Third Street Moscow, ID Phone: (208) Fax: (208) City of Fernan Lake Village Cindy Espe City Clerk PO Box 1775 Coeur d'alene, ID Phone: (208) Fax: (208)

Bonding and Insurance Information

Bonding and Insurance Information Bonding and Insurance Information The Exeter Group of Companies, including and Exeter bonding and insurance coverage information: Fidelity Bond Coverage 5 Million Errors and Omissions Insurance 1 Million

More information

SECURITY WEAVER LLC 401 W A ST STE 2200 SAN DIEGO CA 92101

SECURITY WEAVER LLC 401 W A ST STE 2200 SAN DIEGO CA 92101 PO BOX 33015 SAN ANTONIO TX 78265 SECURITY WEAVER LLC 401 W A ST STE 2200 SAN DIEGO CA 92101 CERTIFICATE.OF.LIABILITY.INSURANCE EMJ R054 4/9/2015 DATE THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION

More information

Navajo Mine Permit Application Package SECTION LIABILITY INSURANCE TABLE OF CONTENTS 7 LIABILITY INSURANCE... 7-1

Navajo Mine Permit Application Package SECTION LIABILITY INSURANCE TABLE OF CONTENTS 7 LIABILITY INSURANCE... 7-1 SECTION 7 LIABILITY INSURANCE TABLE OF CONTENTS SECTION SECTION TITLE PAGE NUMBER 7 LIABILITY INSURANCE... 7-1 7-i SECTION 7 LIABILITY INSURANCE LIST OF APPENDICES APPENDIX NUMBER APPENDIX TITLE 7.A Certificate

More information

EXHIBIT J CERTIFICATE OF LIABILITY INSURANCE

EXHIBIT J CERTIFICATE OF LIABILITY INSURANCE EXHIBIT J CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY

More information

Go-To Transport, Inc. 04/28/2016 2005108137 NAICS Codes: 484121, 541614 UNSPSC Codes: 78000000 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 9/8/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE INSURED CERTIFICATE OF LIABILITY INSURANCE PLANI-1 DATE (MM/DD/YYYY) INSURER(S) AFFORDING COVERAGE NAIC # Burlington Insurance Co. INSURER A : 23620 Travelers Prop Cas Co of Amer INSURER B : 25674 INSURER

More information

INSURANCE INSTRUCTIONS

INSURANCE INSTRUCTIONS INSURANCE INSTRUCTIONS The following instructions, Sample Certificate of Insurance, and Sample Endorsements are provided to assist Subcontractors in complying with the insurance requirements for Lawrence

More information

KIWANIS CERTIFICATES OF INSURANCE

KIWANIS CERTIFICATES OF INSURANCE KIWANIS CERTIFICATES OF INSURANCE A current Certificate Packet is enclosed. Please make copies as needed so you have Certificates on hand for future events. On page 2, the Certificate of Insurance Procedures

More information

All Subcontractors. Re: Exhibit C - Certificate of Insurance Requirements (Page 1 of 9) Project: Project #:

All Subcontractors. Re: Exhibit C - Certificate of Insurance Requirements (Page 1 of 9) Project: Project #: To: All Subcontractors Re: Exhibit C - Certificate of Insurance Requirements (Page 1 of 9) Project: Project #: Documents included in this insurance requirement package: Insurance Schedule (Pages 2-3) Sample

More information

INSURANCE REQUIREMENTS

INSURANCE REQUIREMENTS INSURANCE REQUIREMENTS TO ENSURE COMPLIANCE WITH THE CONTRACT DOCUMENT, SUPPLIERS SHOULD FORWARD THE FOLLOWING INSURANCE CLAUSE AND SAMPLE INSURANCE FORM TO THEIR INSURANCE AGENT 1. FORMAT / TIME SUPPLIER

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE PRODUCER INSURED c/o 26 Century Blvd. P.O. Box 305191 Nashville, TN 37230-5191 A GENERAL LIABILITY 79960314 12/31/2013 12/31/2014 POLICY LOC A AUTOMOBILE LIABILITY 73572697 12/31/2013 12/31/2014 ANY AUTO

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC AUTOMOBILE LIABILITY UMBRELLA LIAB ECESS LIAB CERTIFICATE OF LIABILITY INSURANCE OCCUR CLAIMS-MADE

More information

CAPTA/PUSD INSURANCE GUIDELINES

CAPTA/PUSD INSURANCE GUIDELINES CAPTA/PUSD INSURANCE GUIDELINES TABLE OF CONTENTS OVERVIEW... 3 CAPTA REQUIREMENTS... 4 HOLD HARMLESS AGREEMENT... 4 CERTIFICATE OF LIABILITY INSURANCE... 4 ENDORSEMENT... 4 CONTRACT... 4 PUSD REQUIREMENTS...

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY

More information

Risk Management Department NOTICE TO CONTRACTORS / VENDORS / FACILITY USERS

Risk Management Department NOTICE TO CONTRACTORS / VENDORS / FACILITY USERS Risk Management Department NOTICE TO CONTRACTORS / VENDORS / FACILITY USERS Chapman University requires Certificates of Insurance from (1) Contractors, (2) Vendors, (3) Other Parties that provide services

More information

OYSTER POINT MARINA PLAZA 395 & 400 Oyster Point Boulevard, South San Francisco, CA 94080 T. (650) 873-1054 / F. (650) 873-3677

OYSTER POINT MARINA PLAZA 395 & 400 Oyster Point Boulevard, South San Francisco, CA 94080 T. (650) 873-1054 / F. (650) 873-3677 OYSTER POINT MARINA PLAZA 395 & 400 Oyster Point Boulevard, T. (650) 873-1054 / F. (650) 873-3677 EXHIBIT J TENANT VENDOR LIABILITY INSURANCE DOCUMENTATION REQUIREMENTS KASHIWA FUDOSAN AMERICA, INC. (herein

More information

P. Insurance Submittal Address: All Insurance Certificates requested shall be sent to the Clark County Purchasing and Contracts Division, Attention:

P. Insurance Submittal Address: All Insurance Certificates requested shall be sent to the Clark County Purchasing and Contracts Division, Attention: EXHIBIT B ASK PROJECT DESCRIPTION INSURANCE REQUIREMENTS TO ENSURE COMPLIANCE WITH THE CONTRACT DOCUMENT, ASK TYPE SHOULD FORWARD THE FOLLOWING INSURANCE CLAUSE AND SAMPLE INSURANCE FORM TO THEIR INSURANCE

More information

JB Transport, LLC MC#558125. P.O. Box 129 Sandy Hook, MS 39478 Phone: 601-736-1151 Toll Free: 800-956-1151 Fax: 601-222-2459

JB Transport, LLC MC#558125. P.O. Box 129 Sandy Hook, MS 39478 Phone: 601-736-1151 Toll Free: 800-956-1151 Fax: 601-222-2459 JB Transport, LLC MC#558125 P.O. Box 129 Sandy Hook, MS 39478 Phone: 601-736-1151 Toll Free: 800-956-1151 Fax: 601-222-2459 Flatbed/Step Deck Dispatch dispatch@jbtransport.com Brett Stogner Ext. 104: brett@jbtransport.com

More information

VEHICLE INSURANCE PACKET CONTENTS:

VEHICLE INSURANCE PACKET CONTENTS: The University of Texas at Austin 2014/2015 Vehicle Insurance Packet VEHICLE INSURANCE PACKET CONTENTS: 1. Auto Accident Reporting Procedures 2. ACORD Automobile Loss Notice - To Report Auto Accidents

More information

New Carrier Packet Checklist. Below is a list of the documents required by Exxact Express, Inc. to be set up as a carrier:

New Carrier Packet Checklist. Below is a list of the documents required by Exxact Express, Inc. to be set up as a carrier: New Carrier Packet Checklist Below is a list of the documents reuired by Exxact Express, Inc. to be set up as a carrier: New Carrier Information Page W-9 Liability, Cargo and Worker's Comp Certificates

More information

VEHICLE INSURANCE PACKET CONTENTS:

VEHICLE INSURANCE PACKET CONTENTS: The University of Texas at Austin 2015/2016 Vehicle Insurance Packet VEHICLE INSURANCE PACKET CONTENTS: 1. Auto Accident Reporting Procedures 2. ACORD Automobile Loss Notice - To Report Auto Accidents

More information

LAKE COUNTY SCHOOLS. January 31, 2014. Mr. James R. Owens Modular Document Solutions 12320 Crystal Commerce Loop Fort Myers, Florida 22855

LAKE COUNTY SCHOOLS. January 31, 2014. Mr. James R. Owens Modular Document Solutions 12320 Crystal Commerce Loop Fort Myers, Florida 22855 LAKE COUNTY SCHOOLS Leading our Children to Success Purchasing Department 29529 CR 561 Tavares FL 32778 (352) 253-6760 Fax: (352) 253-6761 http://lake.k12.fl.us Superintendent: School Board Members: Susan

More information

W-9: Please fill out. The IRS requires that we keep a W-9 form on file for whomever we do business with.

W-9: Please fill out. The IRS requires that we keep a W-9 form on file for whomever we do business with. Dear Authorized Independent Contractor, Thank you for your desire to work with Gorilla Capital, Inc. and welcome! We invite you to take advantage of our website www.gorillacapital.com, as it will give

More information

EXHIBIT 1 SEMINOLE ELECTRIC COOPERATIVE, INC. (SECI) CONTRACTOR S INSURANCE REQUIREMENTS

EXHIBIT 1 SEMINOLE ELECTRIC COOPERATIVE, INC. (SECI) CONTRACTOR S INSURANCE REQUIREMENTS EXHIBIT 1 SEMINOLE ELECTRIC COOPERATIVE, INC. (SECI) CONTRACTOR S INSURANCE REQUIREMENTS Acceptable certificate(s) of insurance and policy endorsements, as specified below, showing that Contractor s insurance

More information

HORIZON LOCATIONS. HORIZON FREIGHT SYSTEM, INC Service Locations: Email MC #169607. Chaska, MN Logistics. stevez@3pointfreight.

HORIZON LOCATIONS. HORIZON FREIGHT SYSTEM, INC Service Locations: Email MC #169607. Chaska, MN Logistics. stevez@3pointfreight. HORIZON LOCATIONS To better serve you, we are always adding new locations. For terminal updates, please check our website at horizonfreightsystem.com. For any pricing, sales or operational questions, contact

More information

DJ, KJ, VJ Insurance Quote

DJ, KJ, VJ Insurance Quote DJ, KJ, VJ Insurance Quote Selected Coverage 1. General Liability Insurance 2. Property/Equipment Insurance 3. Media Insurance 4. Crime Insurance Limit Selected 1,000,000/2,000,000 0 0 0 Total Cost: How

More information

Fidelity Bond And Errors & Omissions

Fidelity Bond And Errors & Omissions Fidelity Bond And Errors & Omissions Insurance Coverage Information 402 West Broadway, Suite 400, San Diego, California 92101 Office: (619) 615-4210 Facsimile: (619) 615-4205 Web site: www.exeter1031.com

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE A CC)RLY ke...------ CERTIFICATE OF LIABILITY INSURANCE OP ID: RG DATE (MM/DD/YYYY) 03/20/14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.

More information

Comprehensive Automobile Liability: (Including owned, non-owned, leased and Hired automobiles): $1,000,000 Per Occur.

Comprehensive Automobile Liability: (Including owned, non-owned, leased and Hired automobiles): $1,000,000 Per Occur. INSURANCE ATTACHMENT A Insurance Requirements: Workers' Compensation and Emploer's Liabilit insurance: As required b statute No exclusions for partners, proprietors or executive officers. New York Shall

More information

Insurance Requirements for the City of Oshkosh

Insurance Requirements for the City of Oshkosh Insurance Requirements for the City of Oshkosh Revised: May 12, 2014 Revised: April 14, 2014 Revised: October 23, 2013 Revised: July 16, 2012 Revised: May 25, 2012 Revised: May 9, 2012 Revised: December

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY

More information

Thank you for your interest in Leucadia PhotoWorks. Please follow the following steps and checklist to confirm your booking reservation.

Thank you for your interest in Leucadia PhotoWorks. Please follow the following steps and checklist to confirm your booking reservation. 374 N. Coast Highway 101, Suite F15, Encinitas, CA 92024 Thank you for your interest in Leucadia PhotoWorks. Please follow the following steps and checklist to confirm your booking reservation. Step 1:

More information

EXHIBIT A BONDS AND INSURANCE REQUIREMENTS AND FORMS

EXHIBIT A BONDS AND INSURANCE REQUIREMENTS AND FORMS EXHIBIT A BONDS AND INSURANCE REQUIREMENTS AND FORMS 1. BONDS A. The Contractor shall furnish bonds covering the faithful performance of the Contract, payment of all obligations arising thereunder and

More information

EVIDENCE OF COMMERCIAL PROPERTY INSURANCE

EVIDENCE OF COMMERCIAL PROPERTY INSURANCE EVIDENCE OF COMMERCIAL PROPERTY INSURANCE THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. Sample PRODUCER

More information

Attachment D. Insurance

Attachment D. Insurance Insurance Contractor/Vendor: The City and County of San Francisco would like to direct your attention to the City's insurance requirements, which have proved confusing to some bidders in the past. We have

More information

INSURANCE AND SURETY INFORMATION SHEET

INSURANCE AND SURETY INFORMATION SHEET INSURANCE AND SURETY INFORMATION SHEET In order for your company to comply with the bonding and insurance requirements per your contract with the City of Elk Grove there are several things that we require.

More information

Crystal River Unit 3 License Transfer Notification of Transfer Date

Crystal River Unit 3 License Transfer Notification of Transfer Date Crystal River Nuclear Plant 15760 W. Power Line Street Crystal River, FL 34428 Docket 50-302 Operating License No. DPR-72 10 CFR 50.90 October 05, 2015 3F1015-01 U.S. Nuclear Regulatory Commission Attn:

More information

Explanation of Sample UIIA Acord 22 Certificate (See Sample Acord Certificate)

Explanation of Sample UIIA Acord 22 Certificate (See Sample Acord Certificate) Explanation of Sample UIIA Acord 22 Certificate (See Sample Acord Certificate) FORM 5A 1. Full name and address of the insurance agency. 2. Insurance Agent contact information, including agent s name,

More information

SUBCONTRACTOR START UP SHEET

SUBCONTRACTOR START UP SHEET SUBCONTRACTOR START UP SHEET Date: Job Name: Company Name: Contact: Phone #: Email: Please review the following and complete all forms. All documents must be completed, accurate and submitted to Encompass

More information

CITY OF ALTON S CDBG COMMERCIAL FAÇADE REHABILITATION PROGRAM PROGRAM DESCRIPTION

CITY OF ALTON S CDBG COMMERCIAL FAÇADE REHABILITATION PROGRAM PROGRAM DESCRIPTION CITY OF ALTON S CDBG COMMERCIAL FAÇADE REHABILITATION PROGRAM PROGRAM DESCRIPTION Summary: The Alton CDBG Commercial Rehabilitation Program provides matching grants to commercial building owners in designated

More information

ACORD' \--' DATE (MM/DD/YYYY) 02t0612014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, ETEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES

More information

Cabling Phone Systems VoIP Solutions

Cabling Phone Systems VoIP Solutions P.O. Box 270584 Flower Mound, Texas 75011 (469) 293-9133 Phone (469) 628-4141 Mobile (817)491-8409 Fax info@lan-telcommunications.com History of Founder Steve Adams is the Owner and President of LAN-TEL

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE Exhibit A SAMPLE CERTIFICATE OF INSURANCE TO ALL CONTRACTS/PURCHASE ORDER AGREEMENTS ACORD TM CERTIFICATE OF LIABILITY INSURANCE Date (MM/DD/YY) PRODUCER SUBCONTRACTOR S AGENT / BROKER ADDRESS CITY, STATE,

More information

Insurance & Exhibitor Appointed Contractor Requirements

Insurance & Exhibitor Appointed Contractor Requirements Insurance & Exhibitor Appointed Contractor Requirements Insurance Requirements As mentioned in the Policies on Security page of this manual, exhibitors are urged to obtain a rider on their regular insurance

More information

RIMS Executive Report The Risk Perspective. Recent Changes to the ACORD Form Cause and Effect

RIMS Executive Report The Risk Perspective. Recent Changes to the ACORD Form Cause and Effect RIMS Executive Report The Risk Perspective Recent Changes to the ACORD Form Cause and Effect Recent Changes to the ACORD Form Cause and Effect By Deborah A. Tauro, ARM Ann Henstrand, Chief Compliance Officer,

More information

Instructions for Completing the ACORD Certificate of Liability Insurance (Form ACORD 25 [Versions: 2009/09 & 2010/05])

Instructions for Completing the ACORD Certificate of Liability Insurance (Form ACORD 25 [Versions: 2009/09 & 2010/05]) 1. DATE (MM/DD/YYYY) this is the date the Certificate is generated; 2. PRODUCER insert the complete name and address of the insurance agency or broker issuing this Certificate; in the adjacent cell (located

More information

SHORENSTEIN REALTY SERVICES, L.P VENDOR INSURANCE REQUIREMENTS CATEGORY D VENDORS

SHORENSTEIN REALTY SERVICES, L.P VENDOR INSURANCE REQUIREMENTS CATEGORY D VENDORS NAME AND ADDRESS OF AGENCY: NAME AND ADDRESS OF INSURED: Certificate of Insurance COMPANIES AFFORDING COVERAGES INSURANCE COMPANY S DESIGNATED MUST HAVE A MINIMUM OF A- VIII AM BEST RATING COMPANY A COMPANY

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE UMBRELLA LIAB EXCESS LIAB CERTIFICATE OF LIABILITY INSURANCE OCCUR CLAIMS-MADE EACH OCCURRENCE AGGREGATE WC STATU- TORY LIMITS E.L. EACH ACCIDENT OTH- ER E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY

More information

Instructions for Completing the ACORD Certificate of Liability Insurance (Form ACORD 25 [Version: 2010/05])

Instructions for Completing the ACORD Certificate of Liability Insurance (Form ACORD 25 [Version: 2010/05]) 1. DATE (MM/DD/YYYY) this is the date the Certificate is generated; 2. PRODUCER insert the complete name and address of the insurance agency or broker issuing this Certificate; in the adjacent cell (located

More information

SCDOT/CAGC Joint Committee Meeting September 25, 2013 Minutes

SCDOT/CAGC Joint Committee Meeting September 25, 2013 Minutes SCDOT/CAGC Joint Committee Meeting September 25, 2013 Minutes Attendees See attached list The meeting was called to order by Todd Steagall with introductions Old Business Contractor Status Charts were

More information

EXHIBIT "A" INSURANCE REQUIREMENTS FOR RIGHT OF ENTRY AGREEMENTS

EXHIBIT A INSURANCE REQUIREMENTS FOR RIGHT OF ENTRY AGREEMENTS EXHIBIT "A" INSURANCE REQUIREMENTS FOR RIGHT OF ENTRY AGREEMENTS Contractor shall procure and maintain for the duration of the contract insurance against claims for injuries to persons or damages to Property,

More information

EXHIBIT C CONSULTANT INSURANCE REQUIREMENTS SACRAMENTO AREA FLOOD CONTROL AGENCY

EXHIBIT C CONSULTANT INSURANCE REQUIREMENTS SACRAMENTO AREA FLOOD CONTROL AGENCY EXHIBIT C CONSULTANT INSURANCE REQUIREMENTS SACRAMENTO AREA FLOOD CONTROL AGENCY Revised: February 23, 2008 EXHIBIT C INSURANCE REQUIREMENTS Without limiting Consultant s indemnification, Consultant shall

More information

POLICY _EFFECTIVE mammy) ANY AUTO OTHER TI IAN EA ADD 6. AUTO ONLY AGG a WES& / UMBRELLA LIABILITY EACH OCCURRENCE $ _

POLICY _EFFECTIVE mammy) ANY AUTO OTHER TI IAN EA ADD 6. AUTO ONLY AGG a WES& / UMBRELLA LIABILITY EACH OCCURRENCE $ _ 0 1988-2009 ACORD CORPORATION. All rights roservo -1110 ACORD name and logo are romstorod marks of ACORD priabucer E. LOGANS INSURANCE SERVICES 642 3rd Avenuo Suite 13 Chula Vista CA 91910 INSURED Fourth

More information

December 1, 2015. Dear Valued Brannan Companies Subcontractor,

December 1, 2015. Dear Valued Brannan Companies Subcontractor, December 1, 2015 Dear Valued Brannan Companies Subcontractor, As another construction season winds down, the time has come to submit your annual Statement of Qualifications renewal. Please complete the

More information

CERTIFICATE OF INSURANCE TO CITY OF NEWARK CALIFORNIA ( the City ) A Municipal Corporation

CERTIFICATE OF INSURANCE TO CITY OF NEWARK CALIFORNIA ( the City ) A Municipal Corporation CERTIFICATE OF INSURANCE TO CALIFORNIA ( the City ) A Municipal Corporation Page 1 of 2 Only this Certificate of Insurance form will be accepted This certifies to the City of Newark that the following

More information

M MARSH &400. r4 MARSH & McLENNAN. U.S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, DC 20555-0001.

M MARSH &400. r4 MARSH & McLENNAN. U.S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, DC 20555-0001. Sarah Baldys M MARSH Marsh USA Inc. Three Logan Square 1717 Arch Street, Suite 1100 Philadelphia, PA 19103 +1 215 246 1023 Sarah.Baldys@marsh.com www.marsh.com U.S. Nuclear Regulatory Commission ATTN:

More information

April 21, 2015. 2015/16 Annual Budget / Reserve Study & Annual Disclosures. Dear Friars Village Member,

April 21, 2015. 2015/16 Annual Budget / Reserve Study & Annual Disclosures. Dear Friars Village Member, 1190 Camino Copete, San Diego, CA 92111 (858) 277 5132 / (858) 277-5135 Kathy@ark-management.com April 21, 2015 RE: 2015/16 Annual Budget / Reserve Study & Annual Disclosures Dear Friars Village Member,

More information

FULTONCOUNTY GOVERNMENT

FULTONCOUNTY GOVERNMENT FULTONCOUNTY GOVERNMENT LIBRARY CAPITAL IMPROVEMENT PROGRAM Wolf Creek Branch Library Hogan Construction GENERAL LIABILITY WRAP-UP MANUAL Version 2 November 20, 2012 Resurgens Risk Management (RRM)/ Willis

More information

How To Get A Turnkey Autopsy

How To Get A Turnkey Autopsy Hidalgo County Purchasing Department 2812 S. Business Highway 281 New Administration Building Edinburg, Texas 78539 (956) 318-2626/ Fax: (956) 318-2629 October 20, 2015 Valley Forensics, PLLC Attn: Norma

More information

INDEPENDENT CONTRACTOR- PROFESSIONAL SERVICES AGREEMENT. Description of Services. Responsibilities of the Parties

INDEPENDENT CONTRACTOR- PROFESSIONAL SERVICES AGREEMENT. Description of Services. Responsibilities of the Parties INDEPENDENT CONTRACTOR PROFESSIONAL SERVICES AGREEMENT THIS AGREEMENT ("Agreement") is effective as of this 1]_ day of MA\l, 20 15_, by and between the Parks and Leisure Services Department of Beaufo~

More information

COMMERCIAL SOLICITATION FEE $45.00 PER APPLICATION

COMMERCIAL SOLICITATION FEE $45.00 PER APPLICATION Dear Solicitor: Attached you will find an Application for Solicitation within the Village of Lisle, along with a copy of the Village Code pertaining to solicitation. Please read this carefully to familiarize

More information

Extralegal Truck Permit Insurance Requirements

Extralegal Truck Permit Insurance Requirements Extralegal Truck Permit Insurance Before applying for an Extralegal Truck Permit, insurance for the permittee must be on file with SFMTA s Extralegal Truck Permit department. Applicants must submit both

More information

THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS

THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS INSURER POLICY No. ENDORSEMENT NO: ISO FORM CG 20 10 11 85 (MODIFIED) COMMERCIAL GENERAL LIAIBILITY THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY ADDITIONAL INSURED - OWNERS, LESSEES OR

More information

CITY OF ORANGE FILMING PERMIT APPLICATION INSTRUCTIONS

CITY OF ORANGE FILMING PERMIT APPLICATION INSTRUCTIONS FILMING PERMIT APPLICATION INSTRUCTIONS THE REQUIRES 10 WORKING DAYS TO PROCESS AN APPLICATION REQUEST. INCOMPLETE PERMITS WILL NOT BE ACCEPTED. NO PERMITS WILL BE APPROVED IF CONDITIONS FOR APPROVAL ARE

More information

CLC INSURANCE REQUIREMENTS

CLC INSURANCE REQUIREMENTS CLC INSURANCE REQUIREMENTS OVERVIEW All CLC Licensees are required to obtain a minimum of $1 million in general insurance, including product liability and other coverage. Insurance is required to help

More information

ADDENDUM A1. Subcontractor Insurance Requirements

ADDENDUM A1. Subcontractor Insurance Requirements ADDENDUM A1 Subcontractor Insurance Requirements Certificates and endorsements must be received and approved prior to the start of any work. No payments will be released until all insurance documents are

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG EACH RENCE AGGREGATE DED RETENTION E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT DATE

More information

Listed are items that are required to be completed, signed and returned to Greiner Construction Inc. Please initial check off list.

Listed are items that are required to be completed, signed and returned to Greiner Construction Inc. Please initial check off list. Listed are items that are required to be completed, signed and returned to Greiner Construction Inc. Please initial check off list. - Intro Letter Page 2 - Contractor Score Page 3 - Discount Page 9 - Insurance

More information

Douglas County Emergency Management Disaster Recovery Plan

Douglas County Emergency Management Disaster Recovery Plan Crisis Preparation and Recovery "Helping People and Organizations Survive" CivT- /t'-65q- Douglas County Emergency Management Disaster Recovery Plan PROPOSAL January 2, 2014 Purpose Statement The purpose

More information

Gordon L. Mountjoy & Associates, Inc.

Gordon L. Mountjoy & Associates, Inc. INSURANCE REQUIREMENTS CHECKLIST Submit an Acord 25 form and the endorsements as required below. Your insurance must be in compliance immediately after you sign your subcontract and before you start work.

More information

Understanding the Acord Certificate of Insurance

Understanding the Acord Certificate of Insurance 1. PRODUCER Insurance Agent/Broker who issues certificate. 2. NAME OF INSURED Must be the legal name of the contracting party. 3. TYPES OF INSURANCE Must include the types of insurance required by the

More information

City of Fitchburg Insurance Requirements

City of Fitchburg Insurance Requirements INSURANCE REQUIREMENTS CITY OF FITCHBURG CERTIFICATES OF INSURANCE: The Contractor shall instruct his/her insurance carrier to complete a Certificate of Insurance. The attached City of Fitchburg Certificate

More information

APPENDIX B INSURANCE & BONDING REQUIREMENTS FC-5801

APPENDIX B INSURANCE & BONDING REQUIREMENTS FC-5801 APPENDIX B INSURANCE & BONDING REQUIREMENTS ARCHITECTURAL AND ENGINEERING DESIGN SERVICES AT HARTSFIELD- JACKSON ATLANTA A. Preamble The following requirements apply to all work under the agreement. Compliance

More information

Insurance Requirements Professional Services

Insurance Requirements Professional Services Insurance Requirements Professional Services A. REQUIRED INSURANCE. Without limiting any of the other obligations or liabilities of the vendor/contractor, the vendor/contractor shall, at their sole expense,

More information

How To Write A Certificate Of Insurance For A Car With A Safety Insurance Policy

How To Write A Certificate Of Insurance For A Car With A Safety Insurance Policy 1. DATE (MM/DD/YYYY) this is the date the Certificate is generated; 2. PRODUCER insert the complete name and address of the insurance agency or broker issuing this Certificate; Contact person s office

More information

2 nd Notice AHCCCS Insurance Requirements ACTION REQUIRED September 29, 2014 Page 1 of 5

2 nd Notice AHCCCS Insurance Requirements ACTION REQUIRED September 29, 2014 Page 1 of 5 Dear Providers and Staff: 2 nd Notice ACTION REQUIRED September 29, 2014 Page 1 of 5 We distributed a blast fax communication to you on July 16 explaining that effective October 1, 2013 AHCCCS updated

More information

CONTRACT INSURANCE REQUIREMENTS

CONTRACT INSURANCE REQUIREMENTS CONTRACT INSURANCE REQUIREMENTS Dakota County requires that each Contractor with whom the County negotiates a contract, meet standard insurance requirements. Please review these documents to acquaint yourself

More information

INSURANCE AND INDEMNIFICATION REQUIREMENTS. RE: CCTV system for bus shelters at the Economy Lot PAGE 1 OF 4

INSURANCE AND INDEMNIFICATION REQUIREMENTS. RE: CCTV system for bus shelters at the Economy Lot PAGE 1 OF 4 1THE PHILADELPHIA PARKING AUTHORITY RE: CCTV system for bus shelters at the Economy Lot PAGE 1 OF 4 Prior to commencement of the contract and until completion of your work, shall, at its sole expense,

More information

How To Become A Vendor In Pennsylvania

How To Become A Vendor In Pennsylvania ENROLLMENT INSTRUCTIONS When you become a Your Local Leasing Company compliant vendor you are approved to offer your services to all properties managed by Your Local Leasing Company (YLLCO) anywhere in

More information

Bell Partners Industry Risk Level Report

Bell Partners Industry Risk Level Report Bell Partners Industry Risk Level Report Industry Risk Level A/C Equipment & Systems Contractors, Installation, or Repair Access/Badge/Panel Control Systems Adjusters Air Duct Cleaning Air Purification

More information

Contract Review: Key Terms That May Put Your Company At Risk

Contract Review: Key Terms That May Put Your Company At Risk Contract Review: Key Terms That May Put Your Company At Risk Grady Dotson, CPCU, Vice-President of CSDZ, Utah Will Kieffer, AFSB, Surety Account Executive, CSDZ, Utah Surety Bond Review Three Party Agreement:

More information

DABC RETAIL APPLICATION CHECKLIST

DABC RETAIL APPLICATION CHECKLIST Utah Department of Alcoholic Beverage Control P.O. Box 30408 Salt Lake City, UT 84130 DABC RETAIL APPLICATION CHECKLIST Website: www.abc.utah.gov Phone 801-977-6800 Fax 801-977-6889 The items below must

More information

Insurance & Bonding Requirements. Eastside Trail Extension

Insurance & Bonding Requirements. Eastside Trail Extension Eastside Trail Extension A. Preamble The following requirements apply to all work under the Agreement. Compliance is required by all Bidder/Contractors. To the extent permitted by applicable law, (ABI)

More information

CALIFORNIA HOUSING FINANCE AGENCY INSURANCE REQUIREMENTS - CONSTRUCTION RISK

CALIFORNIA HOUSING FINANCE AGENCY INSURANCE REQUIREMENTS - CONSTRUCTION RISK CALIFORNIA HOUSING FINANCE AGENCY INSURANCE REQUIREMENTS - CONSTRUCTION RISK Prior to construction loan closing, the Borrower shall procure and maintain, and provide proof of, all required insurance coverage

More information

City of Mount Shasta, California 305 N. Mt. Shasta Blvd. Mt. Shasta, CA. 96067 (530) 926-7510

City of Mount Shasta, California 305 N. Mt. Shasta Blvd. Mt. Shasta, CA. 96067 (530) 926-7510 City of Mount Shasta, California 305 N. Mt. Shasta Blvd. Mt. Shasta, CA. 96067 (530) 926-7510 OUTDOOR MERCHANDISE DISPLAY APPLICATION INSTRUCTIONS If your display is on private property, you will only

More information

INSURANCE REQUIREMENTS FOR MASTER AGREEMENT CONTRACTORS

INSURANCE REQUIREMENTS FOR MASTER AGREEMENT CONTRACTORS INSURANCE REQUIREMENTS FOR MASTER AGREEMENT CONTRACTORS Without limiting CONTRACTOR's indemnification of COUNTY, and in the performance of this Contract and until all of its obligations pursuant to this

More information

CITY of DALY CITY INSURANCE REQUIREMENTS

CITY of DALY CITY INSURANCE REQUIREMENTS CITY of DALY CITY INSURANCE REQUIREMENTS IMPORTANT NOTE Contractors/Homeowners shall not perform any work, or allow any work to be performed, on behalf of the City or in the City right of way, until the

More information

SCHEDULE "B" - INSURANCE REQUIREMENTS

SCHEDULE B - INSURANCE REQUIREMENTS Certificates of Insurance SCHEDULE "B" - INSURANCE REQUIREMENTS The Contractor shall instruct his/her insurance carrier to complete the attached City of Madison Certificate of Insurance form. This insurance

More information

Third-Party Contract Insurance Guidelines

Third-Party Contract Insurance Guidelines Third-Party Contract Insurance Guidelines To: Re: Multi-Line Program Members Third-Party Contract Insurance Guidelines This edition of the Third-Party Contract Insurance Guidelines is an informational

More information

Page 1 ARTICLE 7. INSURANCE. Section 7.01 Agreement to Insure

Page 1 ARTICLE 7. INSURANCE. Section 7.01 Agreement to Insure Page 1 Section 7.01 Agreement to Insure ARTICLE 7. INSURANCE The Contractor shall not commence performing services under this Agreement unless and until all insurance required by this Article is in effect,

More information

Request for Proposals Westchase District Monument Signs Repaneling Date Issued: August 10, 2015

Request for Proposals Westchase District Monument Signs Repaneling Date Issued: August 10, 2015 Request for Proposals Westchase District Monument Signs Repaneling Date Issued: August 10, 2015 Westchase District is seeking proposals to replace the colored vinyl and acrylic sections of all its 41 monuments

More information

AMENDMENT NO. 1 TO OPERATING AGREEMENT FOR NON-SIGNATORY PASSENGER AIR CARRIERS FOR TAMPA INTERNATIONAL AIRPORT TAMPA, FLORIDA BY AND BETWEEN

AMENDMENT NO. 1 TO OPERATING AGREEMENT FOR NON-SIGNATORY PASSENGER AIR CARRIERS FOR TAMPA INTERNATIONAL AIRPORT TAMPA, FLORIDA BY AND BETWEEN AMENDMENT NO. 1 TO OPERATING AGREEMENT FOR NON-SIGNATORY PASSENGER AIR CARRIERS FOR TAMPA INTERNATIONAL AIRPORT TAMPA, FLORIDA BY AND BETWEEN HILLSBOROUGH COUNTY AVIATION AUTHORITY AND SHUTTLE AMERICA

More information

14RFP00721B-WL, Small Business Market Availability Study

14RFP00721B-WL, Small Business Market Availability Study August 12, 2014 Re: 14RFP00721B-WL, Small Business Market Availability Study Dear Proposers: Attached is one (1) copy of Addendum 1, hereby made a part of the above referenced Request for Proposal #14RFP00721B-WL,

More information

Certificates. Insurance

Certificates. Insurance Best Practices for Certificates of Insurance JANUARY 2012 REVISED APRIL 2013 A publication of Independent Insurance Agents of Texas 2012, 2013 P.O. Box 684487 Austin, Texas 78768 800.880.7428 fax 512.469.9512

More information

W.E. O NEIL CONSTRUCTION CO. OF COLORADO INSURANCE REQUIREMENTS. Project Name Project Address City, State Zip

W.E. O NEIL CONSTRUCTION CO. OF COLORADO INSURANCE REQUIREMENTS. Project Name Project Address City, State Zip W.E. O NEIL CONSTRUCTION CO. OF COLORADO INSURANCE REQUIREMENTS Project Name Project Address Subcontractor SHALL NOT COMMENCE WORK at the site until it has obtained and provided all insurance required

More information

UM Insurance Language Guide Standard Clauses and Insurance Language

UM Insurance Language Guide Standard Clauses and Insurance Language UM Insurance Language Guide Standard Clauses and Insurance Language May 2015 University of Missouri Risk & Insurance Management Table of Contents Key Components Checklist... 3 Red Flags for Insurance Language...

More information

CERTIFICATE OF INSURANCE: WHAT YOU SHOULD KNOW

CERTIFICATE OF INSURANCE: WHAT YOU SHOULD KNOW INTERGOVERNMENTAL RISK MANAGEMENT AGENCY CERTIFICATE OF INSURANCE: WHAT YOU SHOULD KNOW PURPOSE: To assist individuals with reviewing and evaluation a Certificate of Insurance provided by outside entities

More information

5.2 Insurance Requirements The Highway Commissioner VTHD VTHD VTHD additional insured; Vernon Township Highway Department

5.2 Insurance Requirements The Highway Commissioner VTHD VTHD VTHD additional insured; Vernon Township Highway Department 5.2 Insurance Requirements The Highway Commissioner shall determine the minimum acceptable amounts for the following types of insurance--(1) Bodily Injury Liability and (2) Property Damage Liability. There

More information