25-PRF16 Form E.PDF

PDF 169 KB Posted

Attached to
Concession Service
Solicitation number
25-PRF16
Issued by
Dane County, Wisconsin

About this file

This is an insurance and indemnification requirements form (Form E) for the City of Sun Prairie, Wisconsin, related to the Concession Service solicitation (RFQ #25-PRF16) at the Sun Prairie Family Aquatic Center for the 2026 swim season. The document establishes comprehensive insurance and liability obligations that the selected contractor must maintain throughout the performance of the concession services contract. Insurance coverage must be in place prior to commencing work and remain in force until project completion. The contractor must provide evidence of insurance through an Acord Form 25-S certificate signed by the insurer's representative prior to agreement execution, along with specific endorsements documenting compliance with all stated requirements.

The contractor must maintain Worker's Compensation and Employers Liability Insurance with statutory Wisconsin coverage, including $1,000,000 per accident and disease policy limits. Commercial General Liability coverage must meet $1,000,000 per occurrence ($2,000,000 general aggregate if applicable) for bodily injury, personal injury, and property damage; Automobile Liability Insurance of $1,000,000 per occurrence covering all vehicles used in the agreement; Umbrella Liability coverage of $2,000,000 per occurrence; and Professional Liability Insurance of $1,000,000 per claim and annual aggregate. All policies must include the City of Sun Prairie as an additional insured, be primary over any city insurance, and include cancellation provisions requiring 60 days' written notice to the city (10 days for non-payment). The contractor must declare any deductibles or self-insured retentions for city approval and is responsible for ensuring all sub-contractors meet the same minimum insurance requirements. The contractor provides complete indemnification to the city and its officials, employees, and representatives except in cases of sole city fault or willful misconduct.

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Other files

File Type Posted
Attachment B Draft Contract 25-PRF 16.PDF PDF
25-PRF16 Form B.PDF PDF
25-PRF16 Form A.PDF PDF
Addendum 1.pdf PDF
Attachment A Selection Criteria.PDF PDF
25-PRF16 Form F.PDF PDF
25-PRF16 Concession Service.PDF PDF
25-PRF16 Form C.PDF PDF
25-PRF16 Form D.PDF PDF

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Insurance coverage shall be in place prior to commencing work and shall remain in force until the entire project is completed or the length of time that is specified in the contract.

INDEMNIFICATION – Management Operations

Contractor/Consultant hereby indemnifies and shall defend and hold harmless City of Sun Prairie, its elected and appointed officials, officers, employees, or authorized representatives or volunteers and each of them from and against any and all suits, actions, legal or administrative proceedings, claims, demands, damages, liabilities, interest, attorneys’ fees, costs, and expenses of whatsoever kind or nature whether arising before, during, or after completion of the work hereunder and in any manner directly or indirectly caused, occasioned, or contributed to in whole or in part or claimed to be caused, occasioned, or contributed to in whole or in part, by reason of any act, omission, fault, or negligence, whether active or passive, of Contractor/Consultant or of anyone acting under its direction or control or on its behalf in connection with or incident to the performance of this Agreement regardless if liability without fault is sought to be imposed on City of Sun Prairie. Contractor/Consultant’s aforesaid indemnity and hold harmless agreement shall not be applicable to any liability caused by the sole fault, sole negligence, or willful misconduct of the City of Sun Prairie, its elected and appointed officials, officers, employees or authorized representatives or volunteers. This indemnity provision shall survive the termination or expiration of this Agreement.

Contractor/Consultant shall reimburse City of Sun Prairie, its elected and appointed officials, officers, employees, or authorized representatives or volunteers, for any and all legal expenses and costs incurred by each of them in connection therewith or in enforcing the indemnity herein provided. Contractor/Consultant’s obligation to indemnify shall not be restricted to insurance proceeds, if any, received by the City of Sun Prairie, or any of its elected and appointed officials, officers, employees or authorized representatives or volunteers.

INSURANCE REQUIREMENTS – Management Operations

Unless otherwise specified in this Agreement, the Contractor/Consultant shall, at its sole expense, maintain in effect at all times during the performance of the Work, insurance coverage with limits not less than those set forth below with insurers and under forms of policies set forth below.

Worker’s Compensation and Employers Liability Insurance – The Contractor/Consultant shall cover or insure under the applicable Wisconsin labor laws relating to worker’s compensation insurance, all of their employees in accordance with the law in the State of Wisconsin. The

Form C: Consulting-Management/Operations & Maintenance Services Insurance and Indemnification Requirements

RFQ #: 25-PRF16

Contractor/Consultant shall provide statutory covers for work related injuries and employer’s liability insurance with limits of $1,000,00 each accident, $1,000,000 disease policy limit, and $1,000,000 disease each employee.

Commercial General Liability and Automobile Liability Insurance – The Contractor/Consultant shall provide and maintain the following commercial general liability and automobile liability insurance:

Coverage – Coverage for commercial general liability and automobile liability insurance shall be at least as broad as the following:

1. Insurance Services Office (ISO) Commercial General Liability Coverage (Occurrence Form CG 0001) or equivalent forms for endorsement.

2. Insurance Services Office (ISO) Business Auto Coverage (Form CA 0001), covering Symbol 1 (any vehicle) or equivalent forms for endorsement.

Limits – The Contractor/Consultant shall maintain limits no less than the following:

1. General Liability – One million dollars ($1,000,000) per occurrence ($2,000,000 general aggregate if applicable) for bodily injury, personal injury and property damage. If Commercial General Liability Insurance or other form with a general aggregate limit is used, either the general aggregate limit shall apply separately to the project/location (with the ISO CG 2503, or ISO CG 2504, or equivalent forms for endorsement provided to the City of Sun Prairie) or the general aggregate including product-completed operations aggregate limit shall be twice the required occurrence limit.

2. Automobile Liability – One million dollars ($1,000,000) for bodily injury and property damage per occurrence limit covering all vehicles to be used in relationship to the Agreement.

3. Umbrella Liability – Two million dollars ($2,000,000) for bodily injury, personal injury and property damage per occurrence in excess of coverage carried for Employers’ Liability, Commercial General Liability and Automobile Liability as described above.

4. Professional Liability – One million dollars ($1,000,000) per claim and annual aggregate.

Required Provisions – The general liability and automotive liability policies are to contain or be endorsed to contain the following provisions:

1. The City of Sun Prairie, its elected and appointed officials, officers, employees or authorized representatives or volunteers are to be given additional insured status (via ISO endorsement CG 2010, CG 2033 for general liability coverage or equivalent forms for endorsement) as respects: liability arising out of activities performed by or on behalf of the

Contractor/Consultants; products and completed operations of the Contractor/Consultant; premises occupied or used by the Contractor/Consultant; and vehicles owned, leased, hired or borrowed by the Contractor/Consultant. The coverage shall contain no special limitations on the scope of protection afforded to the City of Sun Prairie, its elected and appointed officials, officers, employees or authorized representatives or volunteers.

2. For any claims related to this project, the Contractor/Consultant’s insurance shall be primary insurance as respects the City of Sun Prairie, its elected and appointed officials, officers, employees or authorized representatives or volunteers. Any insurance, self-insurance, or other coverage maintained by the City of Sun Prairie, its directors, officers, employees, or authorized representatives or volunteers shall not contribute to it.

3. Any failure to comply with reporting or other provisions of the policies including breaches of warranties shall not affect coverage provided to the City of Sun Prairie, its elected and appointed officials, officers, employees or authorized representatives or volunteers.

4. The Contractor/Consultant’s insurance shall apply separately to each insured against whom claim is made or suit is brought, except with respect to the limits of the insurer’s liability.

5. Each insurance policy required by this agreement shall state, or be endorsed to state, that coverage shall not be canceled by the insurance carrier or the Contractor/Consultant, except after sixty ((60) days) (10 days for non-payment of premium) prior written notice by U.S. mail has been given to the City of Sun Prairie.

6. Such liability insurance shall indemnify the City of Sun Prairie against loss from liability imposed by law upon, or assumed under contract by, the Contractor/Consultant for damages on account of such bodily injury (including death), property damage, personal injury, completed operations, and products liability.

7. The general liability policy shall cover bodily injury and property damage liability, owned and non-owned equipment, blanket contractual liability, completed operations liability, explosion, collapse, underground excavation, and removal of lateral support, and shall not contain an exclusion for what is commonly referred to by the insurers as the “XCU” hazards. The automobile liability policy shall cover all owned, non-owned, and hired vehicles. All of the insurance shall be provided on policy forms and through companies satisfactory to the City of Sun Prairie, and shall have a minimum A.M. Best’s rating of A- VII.

Deductibles and Self-Insured Retentions – Any deductible or self-insured retention must be declared to and approved by the City of Sun Prairie. At the option of the City of Sun Prairie, its elected and appointed officials, officers, employees, or authorized representatives or volunteers, the insurer shall either reduce or eliminate such deductibles or self-insured retentions.

Evidences of Insurance – Prior to execution of the agreement, the Contractor shall file with the City of Sun Prairie Finance Department, a certificate of insurance (Acord Form 25-S) signed by the insurer’s representative as well as endorsements evidencing the coverage required by this agreement. In addition Form CG 20 10 11 85 covers all bases OR Form CG 20 10 07 04 for ongoing work exposure AND Form CG 20 37 07 04 for products-completed operations exposure.

Contractor will also provide form CG 28 04 10 93, Earlier Notice of Cancellation with 30 days’ notice. The City will accept equivalent forms for endorsement.

Sub-Contractors – In the event that the Contractor/Consultant employs other contractors (sub-contractors) as part of the work covered by this agreement, it shall be the Contractor/Consultant’s responsibility to require and confirm that each sub-contractor meets the minimum insurance requirements specified above.

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