Laserfiche WebLink
Servlce Contract <br /> "Page 4 <br /> <br />' REQUIRED COVERAGES - Where "X" Appears in Box CERTIFICATES OF INSURANCE <br /> <br /> 4. Professional Liability (continued) <br /> <br /> A Certified copy of the Claims Made form must be provided. <br /> <br /> It will be a requirement of the County that Coverage for the period of the <br /> contract will be maintained for a period of no less than five after the <br /> expiration of the contract. If coverage for five years is not available, a <br /> shorter term may be negotiated. <br /> <br /> 5. Bonds/Crime Insurance <br /> Insurance Company(s) <br /> <br /> /X~l. Fidelity Insurance Bond Policy Number(s)Pollcy Period (dates) <br /> a. Faithful Performance Coverage of <br /> all officials, agents, and Signature of Indlvtdual authorized <br /> employees with access to funds Insurance Company to bind Company to <br /> received by Contractor -coverage shown, and above endorsement <br /> requirements. <br /> <br /> b. Limits shall at least be equal to <br /> maximum County funds in contractors Name <br /> possession or control during <br /> contract term. Address <br /> <br /> State, City, Zip <br /> /x/2. Money and Securities Policy <br /> <br /> a. Insurance against the Insurance Company (s) <br /> disappearance, destruction or <br /> wrongful abstraction of funds on Policy Number(s) Policy Period(dates) <br /> and off premises of contractor. <br /> · .- Signature to Individual authorized by <br /> b. Limits shall be at least equal to Insurance Company to bind Company to <br /> maximum County funds in contractors coverage shown, and above endorsement <br /> possession or control during requirements. <br /> contract term. <br /> <br /> Name <br /> <br /> Address <br /> <br /> City, State, Zip <br /> <br /> 6. Other (Describe below) <br /> Insurance Company (s) <br /> <br /> Policy Number(s) Policy Period(dates) <br /> <br /> Signature of Individual authorized <br /> by Insurance Company to bind Company <br /> to covera e shown, and above to <br /> endorsemeXt requirements <br /> <br /> <br />