Insurance_Checklist_-_2Million_5Million.pdf
PDF 281 KB Posted
- Attached to
- Washington District Infrastructure Upgrade Project State and local contract opportunity
- Solicitation number
- 26-023-ITB
- Issued by
- Yolo County, California
About this file
This is an Insurance Checklist document from the City of West Sacramento outlining Certificate of Insurance requirements for standard city contracts, specifically addressing insurance coverage minimums between $2 million and $5 million. The Washington District Infrastructure Upgrade Project, for which sealed bids are due no later than Thursday, April 30, 2026 at 2:00 pm, involves construction focusing on water main improvements, sewer system improvements, and installation of fiber optic conduit and utility boxes. The project scope includes removal and replacement of existing pipelines, new pipeline installation, service tie-ins, trenching, backfill, sewer main rehabilitation using Cured-In-Place Pipe (CIPP) technology, sewer manhole installations, surface restoration, and coordination with Union Pacific Railroad (UPRR). All construction work must comply with SACOG Green Means Go Grant requirements and must be completed before December 31, 2026. The project presents significant logistical challenges due to its location within active public rights-of-way in close proximity to residences, businesses, and transportation corridors, requiring strong field coordination, effective traffic control, clear public communication, and thoughtful sequencing.
Required insurance coverage includes Commercial General Liability of $2,000,000 per occurrence and $5,000,000 aggregate, Commercial Automobile Liability of $1,000,000 per accident, Workers' Compensation and Employers' Liability per statutory requirements, and Professional Liability (Errors & Omissions) of $2,000,000 per claim if applicable. The City of West Sacramento must be named as an Additional Insured on all policies except Workers' Compensation and Professional Liability, with copies of Additional Insured Endorsements required. All certificates must include thirty days' written notice to the Certificate Holder prior to cancellation or material change, Primary and Noncontributory Endorsements, and Separation of Insureds endorsements. Workers' Compensation policies must include a Waiver of Subrogation Endorsement in favor of the City, its officers, agents, and employees, or a Workers' Comp Waiver if the contractor is self-employed with no employees.
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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 $2,000,000 Per Occurrence / $5,000,000 Aggregate*
☐ Commercial Automobile Liability $1,000,000 Per Accident*
☐ Workers’ Compensation and Employers’ Liability Per statutory requirements
☐ Professional Liability (Errors & Omissions) if applicable $2,000,000 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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