Insurance_Checklist_2023.pdf
PDF 174 KB Posted
- Attached to
- Bridgeway Lakes Gate Opener Replacement
- Solicitation number
- 26-068-ITB
- Issued by
- Yolo County, California
About this file
This is an Insurance Checklist document for standard City of West Sacramento contracts that outlines mandatory certificate of insurance requirements for all contractors and vendors. The City of West Sacramento is the contracting authority, and this checklist applies to the Bridgeway Lakes Gate Opener Replacement project located at 4950 Jefferson Boulevard, which involves replacement of an operator and safety updates for a gate at the water pump station. Sealed responses for this project must be received no later than Thursday, September 10, 2026 at 3:00 pm. Bid specifications, instructions, standards for responsive bids, and project specifications are provided in project attachments.
All contractors and vendors must provide a Certificate of Liability Insurance naming the City of West Sacramento officers, officials, employees, agents, and volunteers as the certificate holder at 1110 West Capitol Avenue, West Sacramento, CA 95691. 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 policies except Workers' Compensation and Professional Liability must name the City as an additional insured with CG 2010 0714 endorsements, primary and noncontributory endorsements, and separation of insureds clauses. Workers' Compensation policies require a Waiver of Subrogation Endorsement in favor of the City. All certificates must provide thirty days' written notice to the Certificate Holder prior to cancellation or material change.
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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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File details come from the government source that posted it. Updated .