CSA_Insurance_Template..pdf
PDF 148 KB Posted
- Solicitation number
- 467
- Issued by
- Los Angeles County, San Francisco City, California
About this file
This document is a Contractual Services Agreement Insurance Requirements document for the City of Santa Monica detailing insurance specifications for contractors. The document outlines mandatory insurance coverage requirements, including Commercial General Liability (CGL), Automobile Liability, and Workers' Compensation insurance with specific minimum scope and limits. Contractors must maintain insurance against claims for injuries and damages arising from work performance, with coverage extending to the City of Santa Monica, its officers, officials, employees, and volunteers.
The insurance requirements specify minimum coverage limits, such as $1,000,000 per occurrence for CGL with a general aggregate limit, $1,000,000 per accident for Automobile Liability, and statutory Workers' Compensation insurance. Contractors must provide original certificates and endorsements before work begins, with insurers required to be authorized to conduct business in California and have an A.M. Best rating of no less than A:VII. The City reserves the right to require complete, certified copies of insurance policies at any time and may terminate the agreement if insurance coverage is not maintained, with potential additional damages sought from the contractor.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Government_and_Stakeholder_Coordination_Consultant.pdf | ||
| CSA_Template.pdf | ||
| Proposer_Checklist.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
| �+���&%,�-&.% | &.%�/ | |
| �� | (��,+�& | . |
/� (��01���-�% �.%'+�&%���&1&.%' ��)&.-'�/ ��.%2+�.�'� ��,&-&1�'� *�� 3� (& �-&3�&�.'��/�
| %%�� | . | |
| %�4. | (� | (��*��/ |
| /� | (��4 | |||
| �5�(���+%,����3� | (��$ | |||
| % | �&� | |||
| �6�. | '�&1�% | '6���*��'�% | & | .��'6��-*) |
3��'� �'����7��� � ����8����9�:� �����;�!�����������$ ���&1��'(&))����& �)�&' �&'���
&,�&'<��=>��� �������?�������:��@����A�B�?:CD��E%'+�&%���F���.��'��//.���G
�-�$H��������
���.%1�$HI�
%�&%�J ��+���%��K��&'.'6�.%�)+,.%1�*�
| ,+� | '�&%,�� |
| -*)� | �,� |
| *��& | . |
%'6�*� *�� 3�,&-&1�6�� ,.)3�.%2+�3�&%,�*��' %&)�&%,�&,��� .'.%1�.%2+�36�4. (�).-. '�
| �)�''� | (&%�L�6���6����*��� | ||||||
| ��+���%����E/�&�1�%��&)�&11��1& | ��).-. | �&**).�'6��. | (��� | (��1�%��&)�&11��1& | ��).-. | �'(&))�&**)3�'�*&�& | �)3� |
| � | (.'�*� | ||||||
| 2�� | M) | ||||||
| �& | . |
%�NE%'+�&%���F���.��'��//.���G
�-�$H�
O��PQ�
| �� | (��1�%��&)�&11��1& | ��).-. | �'(&))���� | 4.��� | (����R+.��,� |
| ��+���%���).-. | ����S>����� �@����:��@����AD�E%'+�&%���F���.��'��//.���G |
�-�$0�������� ���.%1�$ ,����N&%3�&+ Q6� 4%�,�&+ '6�$ ,��T�N(.��,Q�&%,�$ ,��U�N% %V 4%�,Q6�4. (�).-. '� �)�''� (&%�L�6���6����*���&��.,�% �/ ,.)3�.%2+�3�&%,�*� *�� 3�,&-&1����W>�XYZ[\Z]̂�_Ỳ a\b]cdeYbf��ghijkilm�nhopkqlrsthq�tqluirqvk�rl�ikwutikx�yz�s{k�F & ��
| �%.&6�4. | (�F | & | + |
| �3�I.-. | '�&%,�|op}hzkilm�~tryt}tsz��qluirqvk��ts{�}totsl� |
�)�''� (&%�L�6���6����*���&��.,�% �/ ,.)3�.%2+�3� ��,.'�&'��N'���/
| % | ||
| ����Q���E/� | (��$ | |
| % | �&� | |
| ��-&.% | &.%'��� |
���&1�� ��(.1(���).-. '� (&%� (��-.%.-+-'�'( 4%�&�
| ��6� | (��$. | 3� |
| /�F&% | &�� | |
| %.�&���R+.��'�&%,�'(&))�����% | . | )�,� |
| � | (���� |
���&1��
| ��(.1(���).-. | '�-&.% | &.%�,��3� | (��$ |
| % | �&� |
���0%3�&�&.)&�)��.%'+�&%���*� ���&1��'(&))����&�&.)&�)��
| � | (��$. | 3� |
| /�F&% | &�� |
% &.%6� % &.%6� (��/ 4.%1�*�
| %'<�� �>��99��������!�����9�������D���(��$. | 3� |
| /�F&% | &�� |
| %.�&6�. | '� |
//.���'6� //.�.&)'6��-*) 3��'�&%,��
| %� | (��$HI�* | |
| ).�3�4. | (���'*�� | � |
| �).&�.). | 3�&�.'.%1� | |
| + | � |
/�4 �5� �-�,��3�
| % | �&� | |
| ��.%�)+,.%1�-& | ��.&)'6�*&� | '6� |
| ���R+.*-�% | �/+�%.'(�,�.%�� | |
| %%�� | . | |
| %�4. | (�'+�(�4 |
�5�
%'���$HI��
���&1���&%����*� �'�-�% �sh�s{k�nhqsirvshiml�tqluirqvk�N& �)�&' �&'��� &,�&'�E%'+�&%���F���.��'��//.���G �-�$H�
��������TO6�
| �&�&.)&�)�6� | (� | |
| +1(� | (��&,,. | . |
/�@����$H� ����6�$H� �6�$H� ����6� ��$H� ���T���9�$H� ����Q���
| ���� ��!�"#$���!� | �%� | |
| � | &"$�'(���#�� | )�*+,�-./*012*.034�"�$5������$&�!!����6�"#�� �� |
| ����(���$�!��$ | ��$��� |
�%��$�7�$5������8���"��$��99"����
| =�<���$���$6�� | $� | &��:" | � |
| 9�8�� | ��> | ||
| �"��?�" | $� |
99"���$?� 99"�"�!$?��#6!
| !5� | ���$��'� �"�$5������ | ||
| ��$�!9@"�$5������#�"� | �"��%�� � | &��:" | � |
| 9�8�� | ��> | ||
| �"��?�" | $� |
99"���$?� 99"�"�!$?��#6!
| !5� | ���$�$&�!!����A/�,B2,44�.C�*+,�-./*012*.034�A/4D01/2,�1/E�4+1FF�/.*�2./*0AGD*,�HA*+�A*I��J��K�L�J���M���NJ�OO�L��N���P��&�"�$5������6 | |||
| !"� ���Q5"��%�&���"��$&�!!�$ | � | �� | &� | �� |
| ���������!!�%��R��6 | ��9 | ���� | |
| "���&�$������("���� | |||
| � | &��:" | � | |
| 9�8�� | ��> |
�"�����S��T�������M�UV�����L��N���:
| � | ��� | |
| ��&���� �(��� | $� | |
| � | &��:" | � |
| 9�8�� | ��> |
�"�����W�"���� 9��� ��"(& � 9�$5�� ��W&"�&��� �"�$5���� 9�$�"%�:
| � | ��� | ||
| ��#� ���Q5"����(�"�$ | � | &��:" | � |
| 9�8�� | ��> | ||
| �"���� ��"� | 5�� | ||
| 9�6� #�� | � |
9��� �!
| � | �"���� ���% | ||
| �$�#�� | � | &� | �#� ��������$$�� � |
| ��99�� | � | &"$�W�"���� |
9�$5��
| (� | " | |
| �?��5 | � | &"$�6� |
���66!"�$���(��%!�$$� 9�W&� &���
| � | &��:" | � | |
| 9�8�� | ��> |
�"���&�$�����"��%���W�"���� 9�$5��
| �$�#�� | �9� |
| #� | &��"�$5�������X+,�Y.0Z,043�-.[\,/41*A./�\.FA2]�4+1FF�G,�,/E.04,E�HA*+�1�H1Â,0�.C�4DG0._1*A./�"��9�� |
| 9� | &��:" | � |
| 9�8�� | ��> |
�"���9 ���!!�W �̀�6��9
| �#�%�� � | &��: | |
| � | ��� | |
| �?�" | $��#6! | |
| ��$?��(�� | $���%�$5�� | |
| � | ��� | |
| �$���U�OMabNcV��S�d�L�NL��Nc��8�!9@"�$5��%��� | �� | " |
| �$�#5$ | ����%��!���%� |
���%��66�
| ��%�� � | &��:" | � |
| 9�8�� | ��> | |
| �"�����e&��:" | � | |
| 9�8�� | ��> | |
| �"���#� ���Q5"��� | &��: | |
| � | ��� |
�65��&�$���
| ����(��W" | &���! | |
| W����� | �� | " |
��6� �"%��$� "$9�� � �6�
9� 9���"!" � �6� �!
| $$�$���%���!� | �%�"���$ | "(� | " | |
| �$?��!�"#��%#"�"$ | �� | " | ||
| �?���%�%�9��$���R6��$�$�W" | &"�� | &���� | �� | " |
���e&��6 !"� �!��(5�(��$&�!!�6� �6�
| �"%�?� | &� | � | &��$�!9@"�$5��%��� | �� | " |
| ��#� ����$� | "$9"�%�� ��" | &��� | &����#��"�$5��%� | ||
| �� | &��:" | � | |||
| 9�8�� | ��> |
�"�����fJJ�gL���O�L���M�bNcV���c��7�$5������"$� ����6!���%�W" &�"�$5���$��5 & �"h�%�
| �%5� | ��5$"��$$�"��:�!"9 | |||
| ��"��W" | &����5���� | �'�>��i�$ | ��� | "�(� |
9��
| �!�$$� | &���'jk77?�5�!�$$� | |
| &��W"$������6 | ��!�� | |
| � | &��:" | � |
| 9�8�� | ��> |
�"�����l���M�J�L��N��M�����������:
| � | ��� | |
| ��$&�!!�95��"$&� | &��:" | � |
| 9�8�� | ��> | |
| �"���W" | &� | |
| �"("��!���� | "9"�� | �$���%��#��%� |
�$�#�� $�m 6"�$�
| 9� | &���66!"���!��6 |
| !"� �!��(5�(���99�� | "�(�� |
����(��6�
| �"%�%�� � | &"$��!�5$�n��'!!���� | "9"�� | �$���%���% |
| �$�#�� | $����� |
��������"��%���%��66�
| ��%�� � | &��:" | � |
| 9�8�� | ��> |
�"�����9 ���W ##����$���o W����?�9�"!5���
| � | �"����Q5"��%�E.2D[,/*4�\0A.0�*.�*+,�H.0Z�G,_A//A/_�4+1FF�/.*�H1Â,�*+,�-./*012*.034�.GFA_1*A./�*.�6� | |
| �"%�� | &�#���e&��:" | � |
| 9�8�� | ��> | |
| �"�����$����$� | &���"(& | � |
���Q5"���� #6!� �?���� "9"�%�� 6"�$� 9��!!���Q5"��%�"�$5������6
| !"�"�$?�"��!5%"�(� | &����% | ||
| �$�#�� | $���Q5"��%�&���"�?�� | ��� � | "#���� |
| �*$(# | $(#�(#'+�$#���� | |||
| ���$,��-.(�.�('���/+(��0�1+�'+$# | � | |||
| � | .('�2,���*�# | %� | .��'$*��'.$))����0��*�0�$�*$ | ��($)����$�.� |
| # | �$� | ���3.��"( | &� |
| !�4$# | $�5 | ||
| #(�$%�$ | �( | '�' |
| 1 | ( | |||
| #%�*$&� | ��*(#$ | �� | .('�2,���*�# | �$#0� |
| � | $(#�0$*$,�'�!� | |||
| *� | .��" | |||
| # | �$� | |||
| ����'+) | (#,�!� |
*�'$(0����$�.�����6�7�������������"
| # | �$� | ||||||
| ��'.$))���/+(���$#0����(!&� | .$ | �$))�'+�� | |||||
| # | �$� | ||||||
| �'�*$(# | $(#�(#'+�$#���*�� | (#,�$))� | .����/+(��*�# | '�' | $ | �0�.���(#���2))��8��1 | ( |
| #'�*+' | ����$11� | ||||||
| ��0�(#�-�( | (#,��&� | .���('9�5$#$,����������������:�;<��=>?@A?BC�D>EFAGBHIJ>G�JGBK?HGLA�L>MA?HNA�JB�G>I�?AOKJ?AP�JQ�IRA�D | |||||
| # | �$� |
��0 �.$����*1) &��'���3.��"
��EKBIS�R>TAMA?S�AUALKIA�IRA�DJIVCB�=>?@A?BC�"
*1�#'$ (
| ���$,��W8�*1 | ( |
| #�X��)$�$ | ( |
#�Y
File details come from the government source that posted it. Updated .