Insurance_Checklist_2023.pdf
PDF 174 KB Posted
- Attached to
- 2026 Pavement Rehabilitation Project
- Solicitation number
- 25-087-RFP
- Issued by
- Yolo County, California
About this file
This is an Insurance Checklist document issued by the City of West Sacramento establishing certificate of insurance requirements for all standard city contracts. The document specifies mandatory insurance coverage for contractors and vendors, including Commercial General Liability of $1,000,000 per occurrence/$2,000,000 aggregate, Commercial Automobile Liability of $1,000,000 per accident, Workers' Compensation per statutory requirements, and Professional Liability (Errors & Omissions) of $1,000,000 per claim if applicable. All policies except Workers' Compensation and Professional Liability must name the City as an additional insured, with required endorsements including Additional Insured Endorsement equivalent to CG 2010 0714, Primary and Non-Contributory Endorsement, and Separation of Insureds endorsement. Workers' Compensation policies must include a Waiver of Subrogation Endorsement in favor of the City, its officers, agents, and employees, or a Workers' Compensation Waiver for self-employed individuals with no employees. All certificates must provide thirty days' written notice to the Certificate Holder prior to cancellation or material change of any insurance. The Certificate Holder is identified as the City of West Sacramento officers, officials, employees, agents, and volunteers, with the city address listed as 1110 West Capitol Avenue, West Sacramento, CA 95691.
This insurance checklist applies to the 2026 Pavement Rehabilitation Project, a design consulting contract for roadway improvements across ten identified street segments in Yolo County, California. The project scope includes determining appropriate pavement treatment options and developing plans, specifications, and estimates. The Request for Proposals was released October 13, 2025, with proposals due November 3, 2025, at 2:00 pm, and a non-mandatory pre-proposal meeting scheduled for October 21, 2025. The contract term is three years with options to extend for up to two additional one-year terms. The project is locally funded through Measure O with no specific set-aside designations. The comprehensive nature of the work, covering approximately 132,931 square yards of roadways with Pavement Condition Index ratings between 35 and 51, combined with extensive insurance and contractual requirements, indicates a significant municipal infrastructure investment.
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Text version
Vendor Name:
Date of Internal Review:
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 & Professional Liability 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.
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:
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