8-10 - 26-04 - INSURANCE REQUIREMENTS CHECKLIST.pdf

Title Description: Sale Surplus Lead Acid batteries for Recycling Prepared: 08 16 2025 SWA Bid/Agreement No.:26-04 AL

SWA Level 7a Risk Profile 7501 N. Jog Rd, West Palm Beach, FL 33412 REV 2023 08 29

Solid Waste Authority of Palm Beach County

INSURANCE REQUIREMENTS CHECKLIST

TYPE OF COVERAGE MINIMUM COVERAGE LIMITS

Must include if marked.

“X”

Comprehensive Commercial General Liability

Bodily Injury & Property Damage $1,000,000. Per Occurrence $2,000,000. General Aggregate or CSL $2,000,000. Products – Comp/Op Aggregate

(Please note special instructions →) Silica products exclusion must be eliminated if cement/concrete materials will be used during construction. Prior to accessing the SWA property or commencing activities under this agreement, the insured is required to provide the SWA with an acceptable certificate of insurance, including an Additional Insured, and Waiver of Subrogation endorsement. Minimum insurance coverage and limits marked on this list are required and must be no more restrictive than most recent ISO forms. A certificate must include the current date and list the SWA as a Certificate Holder. The prime firm is responsible, insurance requirements extend to employees and subcontractors. Endorsements must be listed by form name and number, or copies provided. The SWA may request copies of policy documents.

X Occurrence Form X Premises Operations X Delete XCU Exclusion X Products-Completed Operations X Contractual Liability X Independent Contractors X Personal Injury Blasting Demolition

Watercraft – by exception for non-Owned or Hull/ P&I (if used in project)

Pollution extension, CPL, or separate EIL

Automobile Liability Bodily Injury & Property Damage

$1,000,000. Combined Single Limit (Ea. accident) $ 10,000. Personal Injury Protection (PIP)

X Any Auto Covered or Scheduled X Non-owned/Hired (if no owned vehicles)

X Workers’ Compensation

Employer’s Liability If required F.S. Chapter 440/Federal Gov’t.

Statutory Limits $100,000. Occurrence $500,000. Aggregate $100,000. Disease

Umbrella/Excess Liability

$1,000,000. Occurrence

Professional Liability/Errors and Omissions

$__________. Each Loss

Pollution Liability or Environmental Impairment Liability (EIL), Contractor Pollution Liability (CPL)

$1,000,000. BI & PD Aggregate or CSL

Cyber Liability

$__________. Each Incident/Claim

Builder’s Risk

100% of Value Property Under Construction

The SWA of Palm Beach County, its Officers, Employees and Agents must be named as an Additional Insured except for Workers’ Compensation and Employer’s Liability, Professional Liability, and Inland Marine. Vendor must use the following ISO form(s), or others approved by the SWA Risk Management:

Additional Insured Endorsement Form(s) CG2010, and CG2026. Must use ISO Waiver of Subrogation Endorsement CG2404 except for Workers’ Compensation Professional Liability and Inland Marine. Include the SWA Agreement Title, Number, and specific project description on the certificate.