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� �&� -D M� . search. ~ � Live, Work, Play. The Houston Public Works provides many of the basic services that affect the daily lives of everyone who lives and works in Houston. City of Houston, Certificate of Insurance for Awards Under $50,000 and Over $50,000, Construction Affirmative Action Compliance, Contractor Ownership Disclosure Ordinance, Criminal Justice Information Services Addendum (CJIS), Formal Instructions for Price List Bidders, Pay or Play forms can be found on the Office of Business Opportunity website, Hire Houston First Form can be found on the Office of Business Opportunity website, SMWPDBE Forms can be found on the Office of Business Opportunity website, Contract Compliance Forms can be found on the Office of Business Opportunity website, NIGP Code Search and Commodity Provider Search, Citywide DPU (Departmental Purchasing Unit) Contact List. Form Number 1263 6. We opened in June 2011 with a mission to help customers achieve their goals while complying with the City’s regulations. � Our employees operate the city's finest convention, arts and entertainment venues. Search form. provides consumers with several tools to help better manage your monthly water usage and bill. t �� � � � � � � 4� a�e yten � � � � � � � � � � � � � � ' ( ) * - 0 E F P ����ø����������ÚÏ�t�bT hen h;� >*CJ \�aJ #j hen h;� >*CJ U\�aJ h�- hS@� CJ PJ ^J aJ hen hS@� >*CJ aJ hen hS@� CJ aJ hen h;� CJ PJ ^J aJ hen h�rW CJ PJ ^J aJ hen h�rW CJ aJ hen h;� CJ aJ hen h;� CJ aJ mH nH uj hen h;� CJ UaJ #�jz hen h;� CJ UaJ � � � � � � � u f S f @ $� dM� $If ^� a$gd�rW $���d4� $If ^���a$gden $d4� $If a$gd�rW $���d4� $If ^���a$gd�rW v kd $$If ����\ _ .�4( � � � G
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submission to City of Houston, as well as maintenance of records. X. Trunk or Treat Event ~ October 31, 2020 at 3:00 p.m. Waiver of Subrogation Endorsement Number: FORMTEXT [Enter Endorsement Form No.] Prior to the beginning of work, the vendor shall obtain the minimum insurance and endorsements specified. Start or Transfer your water service today for residential customers only. �2 73 0 g3 �0 R ;8 �) � ;8 �0 ;8 � �0 � �( �( L, �( �( �( �( �( 3 3 L, �( �( �( g3 �( �( �( �( ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ���� ;8 �( �( �( �( �( �( �( �( �( ( H :
CITY OF HOUSTON CERTIFICATE OF INSURANCE
This certificate of insurance is provided for informational purposes only, and does not confer any rights or obligations other than the rights and obligations conveyed by the policies referenced on this certificate. Carrier Name: FORMTEXT [Insert insurance company name]
NAIC#: FORMTEXT [Insert NAICS code]Carrier Phone Number: FORMTEXT [Office Phone Number]Address: FORMTEXT [Insert address of insurance company]
City: FORMTEXT [Insert city]State: FORMTEXT [Insert State]Zip: FORMTEXT [Zip Code]Type of InsurancePolicy NumberEffective DateExpiration DateLimits of Liability FORMCHECKBOX Any auto
FORMCHECKBOX All Owned autos
FORMCHECKBOX Hired Autos
FORMCHECKBOX Scheduled Autos
FORMCHECKBOX Non-owned Autos FORMTEXT [Enter Policy Number] FORMTEXT [Enter Effective Date] FORMTEXT [Enter Expiration Date]Combined Single Limit
$ FORMTEXT [Enter policy amount]
Bodily Injury (per person)
$ FORMTEXT [Enter policy amount]
Bodily Injury (per accident)
$ FORMTEXT [Enter policy amount]
Property Damage (per accident)
$ FORMTEXT [Enter policy amount]
OTHER INSURANCE COVERAGE: (i.e. … The Houston Public Works provides many of the basic services that affect the daily lives of everyone who lives and works in Houston.
PLEASE ATTACH ALL ENDORSEMENTS TO THIS FORM, AND INCLUDE THE MATCHING POLICY NUMBER ON THE ENDORSEMENT. 227 0 obj
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Primarily, the department is responsible for all the things we take for granted on a daily basis: the administration, planning, maintenance, construction management and technical engineering of the City’s infrastructure. Only City of Houston certificates of insurance are acceptable; representatives� certificates are not.
Documents and Forms . The Houston Permitting Center combines the majority of the City of Houston's permitting and licensing into one convenient location. Inner City Nutcracker; Donate; NEWS; Schedules, Forms & Flyers. Home; Departments.
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City: FORMTEXT [Insert city]State: FORMTEXT [Insert State]Zip: FORMTEXT [Zip Code]Type of InsurancePolicy NumberEffective DateExpiration DateLimits of LiabilityWorkers Compensation Insurance
Employers� Liability FORMTEXT [Enter Policy Number]
FORMTEXT [Enter Policy Number] FORMTEXT [Enter Effective Date]
FORMTEXT [Enter Effective Date] FORMTEXT [Enter Expiration Date]
FORMTEXT [Enter Expiration Date] FORMCHECKBOX W.C. Statutory Limits
E.L. Each Accident
$ FORMTEXT [Enter policy amount]
E.L. Disease � Each Employee
$ FORMTEXT [Enter policy amount]
E.L. Disease � Policy Limit
$ FORMTEXT [Enter policy amount]
COMMERCIAL GENERAL LIABILITY INSURANCE:
Endorsed with The City of Houston as Additional Insured and with a Waiver of Subrogation in favor of The City of Houston. 217 0 obj
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XDate FORMTEXT [Date of Signature]
Form Number: HOU3
Edition Date: 11/01/2014
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