Form FDACS-13616 at a glance
What it is: This is the Certificate of General Liability Insurance Pertaining to Pest Control Business License of the Florida Department of Agriculture and Consumer Services.
Where and when to file: Respond to: Bureau of Licensing and Enforcement, 3125 Conner Blvd, Bldg 8, Tallahassee, FL 32399-1650.
Each person making application for a pest control business license or renewal thereof must furnish to the department a certificate of insurance that meets the requirements for minimum financial responsibility for bodily injury and property damage.
A filled-in Form FDACS-13616 example: an insurance agent completes the certificate
How to fill out Form FDACS-13616, box by box
The insured business and the producer
Under Insured: (Pest Control Business), enter the Business Name, Physical Address of Business and City, State, Zip Code.
Under PRODUCER: (Insurance Agent), enter the Company Name, Street or Mailing Address, City, State, Zip Code and Phone number.
The policy and the insurance companies
Enter the Policy Number, Policy Effective Date and Policy Expiration Date.
Under Insurance Company(ies) Affording Coverage, enter the company on the "Company (Letter A - below)" line and on the "Company (Letter B - below)" line.
Bodily injury: $250,000 each person and $500,000 each occurrence; and property damage: $250,000 each occurrence and $500,000 in the aggregate; or combined single-limit coverage: $500,000 in the aggregate (checked November 12, 2026).
Coverage, signature, Yes and No
The insured firm's coverage meets or exceeds the minimum statutory requirements.
Yes or No: does the insured have insurance for performing wood-destroying organism inspections in the form of errors and omissions (professional liability) coverage in an amount no less than $500,000 in the aggregate and $250,000 per occurrence (checked November 12, 2026)?
The Authorized Insurance Representative signs on both signature lines.
Common questions about Form FDACS-13616
Where do I file it?
Certificate holder: Florida Department of Agriculture and Consumer Services, Bureau of Licensing and Enforcement, 3125 Conner Blvd, Bldg 8, Tallahassee, FL 32399-1650.
Sources
[1] Form FDACS-13616 (Rev. 07/14), Certificate of General Liability Insurance Pertaining to Pest Control Business License, Florida Department of Agriculture and Consumer Services (the Official source link on this page).