Complete the form below or download the PDF and email it to jmanos@benchmark-gc.com
Completion of this form is required for all vendors and subcontractors prior to bidding, contract execution, or commencement of work.
All insurance policies shall remain in full force and effect throughout the duration of the Contract. Trade Partner shall not commence work until all required Certificates of Insurance and endorsements have been submitted to and approved by Contractor.
Insurance shall comply with the Contract Documents and Prime Contract. Please note that all insurance certificates should have the following Certificate Holder information:
Nickel Construction Group LLC dba Benchmark General Contractors 16836 McGregor Blvd Fort Myers, FL 33908
In no event shall coverage be less than the following:
Required Endorsements:
Additional Requirements:
(Occurrence Form Only)
Required Coverage and Endorsements:
b. DEDUCTIBLE MUST BE LISTED
(Required when design or engineering services are provided)
No mold, fungi, bacteria, or water intrusion exclusions permitted when scope includes water protection or containment. If claims-made, a five-year extended reporting period is required.
Contractor and Subcontractor waive all rights against each other, Owner, Architect/Engineer, and other subcontractors for damages covered by Builder’s Risk or property insurance, except rights to proceeds. Deductibles shall be borne by the benefiting Party.
The undersigned certifies that all information provided is true and complete and acknowledges that compliance with all licensing, safety, insurance, and contractual requirements is mandatory.