Insurance_Checklist_2023.pdf
PDF 174 KB Posted
- Attached to
- City Hall Second Floor Door Replacements
- Solicitation number
- 26-097-ITB
- Issued by
- Yolo County, California
About this file
This is an Insurance Checklist document for Standard City Contracts issued by the City of West Sacramento, California. The document outlines mandatory insurance requirements that all contractors and vendors must obtain and maintain throughout the contract term. The checklist serves as a reference guide for vendors to provide to their insurance agents or brokers to ensure compliance with the City's insurance specifications prior to contract execution.
The City of West Sacramento requires contractors to obtain Commercial General Liability insurance with minimum limits of $1,000,000 per occurrence and $2,000,000 aggregate, Commercial Automobile Liability insurance with minimum limits of $1,000,000 per accident, Workers' Compensation and Employers' Liability insurance per statutory requirements, and Professional Liability (Errors & Omissions) insurance with minimum limits of $1,000,000 per claim if applicable to the contract scope. All insurance policies except Workers' Compensation and Professional Liability must name the City as an additional insured. Required endorsements include Additional Insured Endorsements equivalent to CG 2010 0714, Primary and NonContributory Endorsements, and Separation of Insureds clauses for both General and Automobile Liability coverage. Workers' Compensation policies must include a Waiver of Subrogation Endorsement in favor of the City. All certificates of insurance 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 policy endorsements, or the certificate will be deemed incomplete. The Certificate Holder is designated as the City of West Sacramento officers, officials, employees, agents, and volunteers at 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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