Insurance_Checklist_2023.pdf
PDF 174 KB Posted
- Solicitation number
- 26-037-ITB
- Issued by
- Yolo County, California
About this file
This is an Insurance Checklist document issued by the City of West Sacramento, California, outlining certificate of insurance requirements for standard city contracts. The document serves as a mandatory reference for contractors and vendors bidding on city projects, including the Fire Station 45 Kitchen and Appliance Improvements project with a sealed bid response deadline of Tuesday, July 28, 2026 at 2:00 pm. Contractors must obtain and submit certificates of insurance that comply with the specified coverage requirements and endorsements, with all policies except Workers' Compensation and Professional Liability naming the City as an additional insured.
The required insurance coverage includes Commercial General Liability of $1,000,000 per occurrence/$2,000,000 aggregate, Commercial Automobile Liability of $1,000,000 per accident, Workers' Compensation and Employers' Liability per statutory requirements, and Professional Liability (Errors & Omissions) of $1,000,000 per claim if applicable. All certificates must include specific endorsements: General Liability and Automobile Liability policies require Additional Insured Endorsements equivalent to CG 2010 0714, Primary and Noncontributory Endorsements, and Separation of Insureds provisions. Workers' Compensation policies must include a Waiver of Subrogation Endorsement in favor of the City and its officers, agents, and employees. All certificates must provide thirty days' written notice to the Certificate Holder prior to cancellation or material change, and copies of Additional Insured Endorsements must be attached to verify proper policy endorsement. 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.
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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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