document.write(d.getFullYear()); The listed endorsements shall be attached to this certificate; copies of the endorsements are also acceptable. City of Houston Alaska official website. ���� ^� a$gden $� -D M� Access Online forms. . HOME Schedules, Forms & Flyers Schedules: Class Schedule 2020 Fall and Spring no 2. Only City … City of Houston hotel occupancy report form. Search form. . Waiver of Subrogation Endorsement Number: FORMTEXT [Enter Endorsement Form No.] + , V W � � � � � � � � � � � � � � � � � � � $ � @� �&� -D M� Additional Insured Endorsement Number: FORMTEXT [Enter Endorsement Form No.] ���� ^� a$gden $a$gden $ � �&� -D M� 2020 City Clerk Memos and Reports; 2019 City Clerk Reports; Elections. Search Search. © Producer: FORMTEXT [Insert name of Producer] Street/Mailing Address: FORMTEXT [Insert address of Producer] City: FORMTEXT [Insert city] State: FORMTEXT [Insert State] Zip Code: FORMTEXT [Zip Code] Insured: FORMTEXT [Insert name of the Insured] Street/Mailing Address: FORMTEXT [Insert mailing address of Insured] City: FORMTEXT [Insert city] State: FORMTEXT [Insert State] Zip Code: FORMTEXT [Zip Code] Phone#: FORMTEXT [Office Phone Number] WORKERS COMPENSATION INSURANCE COVERAGE: Endorsed with a Waiver of Subrogation in favor of The City of Houston. 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 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. � Start or Transfer your water service today for residential customers only. X. City of Houston, Certificate of Insurance for Awards Under $50,000 and Over $50,000, Construction Affirmative Action Compliance, Contractor Ownership Disclosure Ordinance, Criminal Justice Information Services Addendum (CJIS), Formal Instructions for Price List Bidders, Pay or Play forms can be found on the Office of Business Opportunity website, Hire Houston First Form can be found on the Office of Business Opportunity website, SMWPDBE Forms can be found on the Office of Business Opportunity website, Contract Compliance Forms can be found on the Office of Business Opportunity website, NIGP Code Search and Commodity Provider Search, Citywide DPU (Departmental Purchasing Unit) Contact List. ���� a$gden gdS@� $ � @� �&� -D M� • View and Pay your bills online If you notice missing storm grates in your community, don't forget to call the City Help Line 713-837-0311 or 3-1-1 from your cell phone. Clerk's Office. The Houston Public Works provides many of the basic services that affect the daily lives of everyone who lives and works in Houston. . The terms of the referenced policies control over the terms of this certificate. Additional Insured Endorsement #: FORMTEXT [Enter Endorsement Form No.] 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 LiabilityCommercial General Liability Insurance (choose one) FORMCHECKBOX Claims Made FORMCHECKBOX Occurrence FORMTEXT [Enter Policy Number] FORMTEXT [Enter Effective Date] FORMTEXT [Enter Expiration Date]Each Occurrence: $ FORMTEXT [Enter policy amount] Products/Completed Operations Aggregate $ FORMTEXT [Enter policy amount] General Aggregate $ FORMTEXT [Enter policy amount] AUTOMOBILE LIABILITY INSURANCE: Endorsed with The City of Houston as Additional Insured and with a Waiver of Subrogation in favor of The City of Houston. Exemptions/Waivers: The City of Houston will award a contract to a contractor that neither Pays nor Plays only ifthe contractor has received an approved waiver (Form POP-4 only City departments can request). h�bbd``b`Z$E@,+ ��H� �V �$�W��(���L� F҈���� �� e Schedules, Forms & Flyers; INSTRUCTORS; THE NONPROF. 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 217 0 obj <> endobj                     • Create and track service requests In addition to being able to access these forms from each respective department and online content area, you can find and access all necessary forms, applications and attachments applicable to conducting business with The City of Houston … You can always go on line to the City of Houston 311 Service Directory and report any issue that needs attention. Form Number 1263 Live, Work, Play. ���� ^� a$gden $��`��a$gden $ � �&a$gden d8� � $a$gden $�� � � ]�� ^� `� a$gden d$� � $� � ^� a$gdWq d8� gd� e 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 consumption Awareness Program (C.A.P.) search. Authorized Representatives must complete the form providing all requested information and submit by fax, U.S. mail, or e-mail as requested by the City of Houston. Search for: ACADEMY; CLASSES. Project areas may consist of one or more subdivisions. Our employees operate the city's finest convention, arts and entertainment venues. = Word file P Waiver of Subrogation Endorsement #: FORMTEXT [Enter Endorsement Form No.] Property Purchase & Construction Information. = PDF file Houston City Controller; Houston City Council; Campaign Finance Reports; City Charter; Code of Ordinances; More Government Info; Residents. Please complete all the fields in the form before sending. menu. @ A B J K U V W e f g h s t ~  � � � � � � � � � ���۽��۽���۽��۽���۩vj�\S h�9k >*CJ aJ j h�9k >*CJ UaJ hen h�� 5�CJ aJ h�- h b CJ aJ &�j� hen h�� >*CJ UaJ &�j� hen h�� >*CJ UaJ hen h�� CJ aJ hQg� >*CJ aJ hen h�� >*CJ aJ "hen h�� >*CJ aJ mH nH u j hen h�� >*CJ UaJ &�jb hen h�� >*CJ UaJ � � � � � � � � � � � � � ! " ... City of Houston. Houston, Alaska. � ��ࡱ� > �� � � ���� � � ���������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������� _� �� �% bjbj b b A w �� �� �� � ( ( � � � � � ���� � � � 8 � L � g3 � $ B ( j j j l" � �% �' �2 �2 �2 �2 �2 �2 �2 $ 5 � �7 � 3 � �( J" " l" �( �( 3 � � j j � !3 L, L, L, �( F � j � j �2 L, �( �2 L, L, : N0 , �0 j ���� ����1� ���� D) j z0 Open Records Request Form; Internship Application; Development Regulations & Information: Guidelines for Modification of Sidewalks and Safety Buffer New!                     • View usage history Animal Release by Registered Owner 2017 Fillable, Conditional Use Permit Application Fillable, Fire Department Facility Use Request Form, Kennel-Cattery Registration Licensing Form, Marijuana Application Supplement Form M Fillable, Rezone/Land Use Amendment Application Fillable, Sales Tax Exemption Owner Builder Fillable, Sales Tax Exemption Wholesale Manufacturer Application, Special Event Vendor Permit Application ( New), Special Event Vendor Permit Application_fillable.pdf, Application to Lease City Owned Land draft. One of the changes the board is suggesting is releasing body cam footage of incidents in a consistent and timely manner. � HHF Online Application; HHF Appeals Process (updated 01.14.2016) Small Business Resources. The Houston Permitting Center combines the majority of the City of Houston's permitting and licensing into one convenient location. PLEASE ATTACH ALL ENDORSEMENTS TO THIS FORM, AND INCLUDE THE MATCHING POLICY NUMBER ON THE ENDORSEMENT. City of Houston Strategic Procurement Division Forms. var d = new Date(); 227 0 obj <>/Filter/FlateDecode/ID[<75971F508523D33BF104A14A048D3FD5><0F0DFF8F379190459CE5CAF8AAEE2C24>]/Index[217 23]/Info 216 0 R/Length 66/Prev 38252/Root 218 0 R/Size 240/Type/XRef/W[1 2 1]>>stream Name of Authorized Representative: FORMTEXT [Insert name of Authorized Representative]Representative�s Address: FORMTEXT [Insert address of Authorized Representative]City: FORMTEXT [Insert city] State: FORMTEXT [Insert State] Zip: FORMTEXT [Zip Code]Authorized Representative�s Phone Number (including Area Code): FORMTEXT [Authorized Representative's Office Phone Number]Signature of Authorized Representative XDate FORMTEXT [Date of Signature] Form Number: HOU3 Edition Date: 11/01/2014 Page PAGE 2 of NUMPAGES \* Arabic \* MERGEFORMAT 2 * + , u z � � � � U V W X � � � � � � � 4 # 0 1 2 : ; E ����ƻ��᧖���ƻ��z�fzTzƻz� "hen h�� >*CJ aJ mH nH u &�jp hen h�� >*CJ UaJ j hen h�� >*CJ UaJ h�- h�� CJ aJ �j� h�9k >*CJ UaJ h�9k >*CJ aJ h�- h b CJ aJ hen h�� CJ aJ hen h�� >*CJ aJ h�9k >*CJ aJ mH nH u j h�9k >*CJ UaJ �j h�9k >*CJ UaJ � � � � � � r � � � � � � � � � � � � � � $If $If gd;� $ � �&-D M�

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