Insurance_Checklist_-_1Million_2Million.pdf
PDF 153 KB Posted
- Attached to
- CFD Sidewalk Replacement 2026
- Solicitation number
- 26-027-ITB
- Issued by
- Yolo County, California
About this file
This is an Insurance Checklist document issued by the City of West Sacramento, California, establishing certificate of insurance requirements for standard city contracts valued between $1 million and $2 million. The document outlines mandatory insurance coverage specifications that all contractors and vendors must obtain and provide to the City prior to contract execution. The required coverage includes Commercial General Liability at $1,000,000 per occurrence/$2,000,000 aggregate, Commercial Automobile Liability at $1,000,000 per accident, Workers' Compensation per statutory requirements, and Professional Liability (Errors & Omissions) at $1,000,000 per claim if applicable. All policies except Workers' Compensation must name the City of West Sacramento, its officers, officials, employees, agents, and volunteers as additional insureds. Certificates of Insurance must be submitted to the City at 1110 West Capitol Avenue, West Sacramento, CA 95691, and shall provide for thirty days' written notice prior to cancellation or material change of coverage.
Additional Insured Endorsements required include those equivalent to CG 2010 0714, Primary and Non-Contributory Endorsements, and Separation of Insureds endorsements for both General Liability and Automobile Liability policies. Workers' Compensation policies must include a Waiver of Subrogation Endorsement in favor of the City and its representatives, or a Workers' Compensation Waiver if the contractor is self-employed with no employees. Contractors must submit a copy of the Declarations and Policy Endorsements pages for the General Liability policy along with the Certificate of Insurance, and copies of all Additional Insured Endorsements must be attached to verify proper policy endorsement. The document was last revised on December 15, 2023, and applies to the CFD Sidewalk Replacement 2026 project, which involves removal and replacement of damaged sidewalk panels at multiple Community Facilities Districts locations with a sealed bid response deadline of Friday, September 4, 2026 at 2:00 pm.
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Text version
Vendor Name:
Date of Review: Approved:
CERTIFICATE OF INSURANCE REQUIREMENTS FOR STANDARD CITY CONTRACTS
REQUIRED INSURANCE: Below are the insurance requirements on all Standard City Contracts.
CONTRACTORS/VENDORS: Please forward this list to your insurance agent/broker.
All policies except Workers’ Compensation shall name the City as an additional insured.
A copy of the Additional Insured Endorsement must be attached to the Certificate verifying that the Insured’s policy(s) has been endorsed as required or certificate will be considered incomplete.
All certificates shall provide for thirty (30) days’ written notice to Certificate Holder prior to cancellation or material change of any insurance referred to in the certificate.
A copy of the Declarations & Policy Endorsements pages for the GL policy
Certificate of Liability Insurance (COI)
Certificate Holder: City of West Sacramento officers, officials, employees, agents, and volunteers (Please do not list any specific departments or individuals) City Address unless otherwise stated: 1110 West Capitol Avenue, West Sacramento, CA 95691
Required Insurance Coverage *City Contract Minimum*
☐ Commercial General Liability $1,000,000 Per Occurrence / $2,000,000 Aggregate*
☐ Commercial Automobile Liability $1,000,000 Per Accident*
☐ Workers’ Compensation and Employers’ Liability Per statutory requirements
☐ Professional Liability (Errors & Omissions) if applicable $1,000,000 Per Claim*
General Liability – Additional Insured Endorsements
☐ Additional Insured Endorsement equivalent to CG 2010 0714 naming the City, its officers, officials, employees, agents, and volunteers as additional insureds
☐ Primary and Non-Contributory Endorsement stating insurance is primary and non-contributory
☐ Separation of Insureds stating that the insurance shall apply separately to each insured
Automobile Liability – Additional Insured Endorsements
☐ Additional Insured Endorsement equivalent to CG 2010 0714 naming the City, its officers, officials, employees, agents, and volunteers as additional insureds
☐ Primary and Non-Contributory Endorsement stating insurance is primary and non-contributory
☐ Separation of Insureds stating that the insurance shall apply separately to each insured
Workers Compensation Endorsements
Waiver of Subrogation Endorsement (Waiver of Transfer of Rights of Recovery) on Worker’s Compensation policy in favor of the City, its officers, agents, and employees or Workers Comp Waiver if self-employed with no employees
Internal Notes:
Rev 12/15/23
File details come from the government source that posted it. Updated .