Here is a sample letter that will assist you in requesting a Certificate of Insurance from your contractor. This letter clarifies for the contractor what insurance policies and insurance limits must be in force prior to beginning any work associated with the contract.
Date
Dear Contractor:
Prior to beginning the work you will be performing for Multnomah County, the following insurance policies must be in force (as outlined in your contract):
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Limits |
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Commercial Gen. Liability |
/ |
Occurrence; |
/ |
Aggregate |
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Professional Liability |
/ |
Occurrence; |
/ |
Aggregate |
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Other |
/ |
Occurrence; |
/ |
Aggregate |
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Auto Liability -Symbol 1" |
/ |
Occurrence |
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Workers' Compensation |
Statutory |
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Work may not commence nor can payment be made until evidence of the insurance coverage required by this contract is submitted to the County. As evidence of the insurance coverage required by this contract, you must provide a Certificate of Insurance to Multnomah County. This can be obtained from your insurance agent/broker. The certificate needs to specify and document all provisions within this contract, including naming County as additional insured. A renewal certificate must be sent to Multnomah County Contract Administration Section, 2505 S.E. 11th, Portland, Oregon 97202, 10 days prior to coverage expiration.
Thirty days written notice must be given to Multnomah County Contract Administration if there is going to be a cancellation, material change, exhaustion of aggregate limits or intent not to renew insurance coverage.
If you have any questions, please contact ___________________________ (Department/Division/County contact) at __________________ (telephone number) as soon as possible.
Thank you.