5 Ins Requirements Check List.pdf
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- Solicitation number
- 147913
- Issued by
- Riverside County, California
About this file
This document is an Insurance Requirements Checklist for RFP No. 27-010SB issued by the City of Corona Utilities Department for plumbing services in California. Contractors must complete and submit this checklist with their proposals through the PlanetBids system. The checklist outlines mandatory insurance coverage requirements that bidders must confirm they can provide, including General Liability ($3M occurrence/$6M aggregate), Automobile Liability ($1M), Workers' Compensation and Employer's Liability ($1M), Builders'/All Risk coverage naming the City as loss payee, and Contractor's Pollution Liability ($3M/$6M). All insurance policies must be issued by carriers with A.M. Best ratings of at least (A-):VII and must include 30-day cancellation notice endorsements.
The checklist requires comprehensive insurance endorsements across multiple policy types. General Liability policies must name the City and its representatives as additional insureds, provide Completed Operations coverage via specified endorsement forms (CG 20 10 11 85, CG 20 37, or alternatives), and be primary to any City insurance. Automobile Liability coverage must include owned vehicles under Form CA 0001 code 1 or, if no owned vehicles exist, hired and non-owned auto coverage under codes 8 and 9. Workers' Compensation policies must include waivers of subrogation against the City for all losses arising from contractor work. Contractors must indicate yes or no for each requirement and explain any negative responses in the space provided. This insurance documentation is a mandatory submission component for proposal consideration.
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Text version
12/2025 RFP No. 27-010SB
UTILITIES DEPARTMENT PLUMBING SERVICES
City of Corona RFP No. 27-010SB Insurance Requirements Check List
(To be Completed and Submitted with Contractor’s Proposal)
All applicable insurance requirements are identified with a ‘YES’ under the “Applicable to Vendor” column. Indicate Yes or No below if you are able to comply with the requirement.
YES NO
Applicable to
Vendor Can your company provide General Liability -$3M occurrence/$6M aggregate? YES Can your company provide Automobile Liability - $1M? YES Can your company provide Workers Compensation and Employer's Liability - $1M? YES Can your company provide Errors and Omissions (Professional) Liability Insurance - $1M per claim or occurrence/$2M aggregate? Not
Applicable Can your company provide Technology Professional Errors and Omissions Liability Insurance - $2M occurrence or $2M aggregate? Not
Applicable Can your company provide Builders'/All Risk for the completed value of the project naming the City as the loss payee? YES Can your company provide Contractor’s Pollution Liability and Transportation Pollution Liability with minimum limits of $3 million/$6 million with a primary Additional Insured endorsement?
YES
Can your company provide coverage with an insurer with a current A.M. Best’s rating no less than (A-):VII and licensed as an admitted insurance carrier in California? YES Can your company provide coverage with an insurer with a current A.M. Best’s rating no less than (A-):X and authorized to issue the required policies in California? YES Will your insurance policies have a (30) days' notice of cancellation endorsement? YES If your firm is unable to provide a (30) day notice of cancellation will your firm sign a City provided statement that the Vendor shall notify the City within two business days any notice of cancellation? YES Does your insurance have any deductibles and/or self-insurance retentions? YES
Insurance Endorsements
General Liability
YES NO
Applicable to
Vendor (Occurrence form CG 0001) YES Will your company provide an insurance policy that states the City, its directors, officials, officers, employees, agents, and volunteers shall be covered as additional insured with respect to liability arising out of work or operations performed by or on behalf of the Contractor, including materials, parts or equipment furnished in connection therewith?
Will your company provide an insurance policy that states any person or organization whom you have agreed to include as an additional insured under a written contract?
provided such contract was executed prior to the date of loss?
Can your company provide Completed Operations as evidenced with the following endorsements? YES Endorsement form CG 20 10 11 85 OR YES CG 20 37 and one of the following YES
CG 20 10 YES
CG 20 26
12/2025 RFP No. 27-010SB
UTILITIES DEPARTMENT PLUMBING SERVICES
CG 20 33
CG 20 38
Will your company provide a General Liability endorsement stating that the insurance coverage shall be primary any City insurance will be in excess of the contractor’s insurance and will not be called upon to contribute Endorsement Form shall be as broad as CG 20 01 04 13? YES
Automobile Liability
YES NO
Applicable to
Vendor Does your insurance cover Owned automobiles with Form number CA 0001 code 1 (Any Auto)? YES If your company does not have owned automobiles, does your insurance cover No owned autos Code 8 (hired) and 9 (non-owned)? YES
Workers' Compensation
YES NO
Applicable to
Vendor Will your company provide a waiver for all rights of subrogation against the City, its directors, officials, officers, employees, agents, and volunteers for losses paid under the terms of the insurance policy which arise from work or Services performed by the Contractor?
Will your company provide a Waiver of Subrogation – All Other Policies. Contractor hereby waives all rights of subrogation any insurer of Contractor’s may acquire against the City, its directors, officials, officers, employees, agents, and volunteers for losses paid under the terms of any insurance policy which arise from work or Services performed by the Contractor?
Use the space below to explain any "NO" responses.
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