SUBCONTRACTOR LICENSING REQUIREMENTS BY STATE

NOTES:
1. Persons Service Corp. cannot accept your bid unless licensing requirements are met for
the state where the project is located.
2. Insurance requirements are attached.

If your bid is over $50,000, you must send a copy of your current contractor’s license and a
State of Alabama valid insurance certificate (per the attached sample) along with your bid.
You must hold a State of Florida license in the appropriate classification(s) to bid, contract,
or perform work in the amount of $50,000 or more even though you may be licensed in
another state. Florida Workers Compensation Insurance required for any out of state
State of Florida company.
If your bid is over $50,000, you must send a copy of your current Mississippi contractor’s
State of Mississippi license and a valid insurance certificate (per the attached sample) along with your bid.
For fire protection, plumbing, HVAC, and electrical trades: If your bid is over $10,000,
you must send a copy of your current Louisiana contractor’s license. For all other trades:
If your bid is over $50,000, you must send a copy of your current Louisiana contractor’s
license. A valid insurance certificate (per the attached sample) is also required with the
State of Louisiana bid.
If your bid is over $50,000, you must send a copy of your current contractor’s license and a
State of Tennessee valid insurance certificate (per the attached sample) along with your bid.
You must send a copy of your current Georgia contractor’s license and a valid insurance
State of Georgia certificate (per the attached sample) along with your bid.
If your bid is over $50,000, you must send a copy of your current Kentucky contractor’s
State of Kentucky license and a valid insurance certificate (per the attached sample) along with your bid.
You must send a copy o your current North Carolina contractor’s license and a valid
State of North Carolina insurance certificate (per the attached sample) along with your bid.
State of South Carolina
You must send a cop of a valid insurance certificate (per the attached sample) along with
State of Texas your bid.
State of Colorado
If your bid is over $50,000, you must send a copy of your current contractor’s license and a
State of Oklahoma valid insurance certificate (per the attached sample) along with your bid.
If your bid is over $50,000, you must send a copy of your current Arkansas contractor’s
State of Arkansas license and a valid insurance certificate (per the attached sample) along with your bid.
State of Missouri
State of Kansas
State of Iowa
 Client#:
DATE (MM/DD/YYYY)
ACORD TM CERTIFICATE OF LIABILITY INSURANCE DATE COI ISSUED
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
CONTACT
PRODUCER NAME: Completed by Agent
Agent Name PHONE FAX
(A/C, No, Ext): xxx-xxx-xxxx (A/C, No): xxxxxxxxxx
Agent Address E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #

INSURER A : GL Insurance Company

INSURED INSURER B : Auto Insurance Company
Subcontractor name
INSURER C : XS Insurance Company
Complete Address
INSURER D : Work Comp Insurance Company

INSURER E : All Ins. Companies must have

INSURER F : AM Best rating of A- or higher

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS

e
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

l
INSR ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS

A GENERAL LIABILITY X X Complete Number xx/xx/xxxx xx/xx/xxxx EACH OCCURRENCE $ 1,000,000

p
DAMAGE TO RENTED
X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ 100,000

CLAIMS-MADE X OCCUR MED EXP (Any one person) $ 5,000

PERSONAL & ADV INJURY $ 1,000,000

m
GENERAL AGGREGATE $ 2,000,000

GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000

X PRO-

a
POLICY LOC $
JECT
COMBINED SINGLE LIMIT
B AUTOMOBILE LIABILITY X X Complete Number xx/xx/xxxx xx/xx/xxxx (Ea accident) $ 1,000,000
X BODILY INJURY (Per person) $

x
ANY AUTO
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS AUTOS
NON-OWNED PROPERTY DAMAGE
X HIRED AUTOS X AUTOS (Per accident) $

E
$

C X UMBRELLA LIAB OCCUR X X Complete Number xx/xx/xxxx xx/xx/xxxx EACH OCCURRENCE $ 1,000,000
EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000

DED X RETENTION $Enter Amt $

WORKERS COMPENSATION WC STATU- OTH-
D AND EMPLOYERS' LIABILITY
X Complete Number xx/xx/xxxx xx/xx/xxxx X TORY LIMITS ER
Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 500,000
OFFICER/MEMBER EXCLUDED? N N/A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 500,000
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Project Name: (show name of the project). Persons Services Corp, Inc. and any other party required by
written contract are included as additional insureds under the above General Liability, Auto Liability and
Umbrella Liability policies. Waiver of subrogation in favor of Persons Services Corp., Inc. and any other
party required by written contract as per General Liability, Auto Liability, Umbrella Liability and Workers'
Compensation. The insurance provided by the General Liability policy is primary and non contributory
with other insurance carried by the General Contractor or Owner.
CERTIFICATE HOLDER CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

Persons Services Corp., Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
4474 Halls Mill Rd. ACCORDANCE WITH THE POLICY PROVISIONS.
Mobile, AL 36693
AUTHORIZED REPRESENTATIVE

© 1988-2010 ACORD CORPORATION. All rights reserved.

ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S105522/M105521