State Certified Contractor Registration Form Page 4

Download a blank fillable State Certified Contractor Registration Form in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete State Certified Contractor Registration Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

BOARD OF COUNTY COMMISSIONERS
ESCAMBIA COUNTY, FLORIDA
Development Services Department
3363 West Park Place
Pensacola, FL 32505
(850) 595-3550 - Phone
(850) 595-3401 - FAX
INSURANCE REQUIREMENTS
Certificates of Insurance (COI) must read exactly as the name on Contractor’s license.
Original COI is required but we will accept a Certificate faxed from your insurance
company. We cannot accept Insurance Certificates faxed from the Contractor.
If the Contractor utilizes a leasing agency, the COI should state by name, the Contractor
is included in the coverage, or provide a valid Workers’ Compensation exemption.
CERTIFICATE HOLDER
Escambia County
3363 West Park Place
Pensacola, FL 32505
Fax No.: (850) 595-3401
LIMITS FOR GENERAL LIABILITY INSURANCE
Plumbing & Gas:
$100,000 liability & $25,000 property damage
Electrical:
$100,000 bodily injury each person or $300,000 aggregate &
$500,000 property damage
General & Bldg:
$300,000 liability & $50,000 property damage
All Others:
$100,000 liability & $25,000 property damage
Should you have any questions or require additional information regarding insurance
requirements, please contact the Licensing & Investigations Section at (850) 595-3509 or fax to
(850) 595-3401.
LICENSING & INVESTIGATIONS SECTION
CONTRACTOR LICENSING
Revised: 9/2010

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

State Of Maine Registration Form State Of Maine Registration Form Legal
Contractor Registration Form (crf) - Trinidad And Tobago Housing Development Corporation Contractor Registration Form (crf) - Trinidad And Tobago Housing Development Corporation Life
Contractor Registration Form/authorized Agent Affidavit - Village Of Estero Building And Permitting Services Contractor Registration Form/authorized Agent Affidavit - Village Of Estero Building And Permitting Services Legal
Sarasota County Contractor Licensing Contractor Registration Form Sarasota County Contractor Licensing Contractor Registration Form Life
Municipal Income Tax Contractor Registration Form Municipal Income Tax Contractor Registration Form Life
Mechanical Contractors Registration Form - City Of Walker Mechanical Contractors Registration Form - City Of Walker Life
Plumbing Contractors Registration Form - City Of Walker Plumbing Contractors Registration Form - City Of Walker Life
Residential Contractors Registration Form - City Of Walker Residential Contractors Registration Form - City Of Walker Legal
Highway Contractors Registration Form - City Of Walker Highway Contractors Registration Form - City Of Walker Life
Commercial Contractors Registration Form - City Of Walker, Michigan Building & Zoning Department Commercial Contractors Registration Form - City Of Walker, Michigan Building & Zoning Department Legal

Related Categories

Parent category: Legal
Download
Go
Page of 4