Insurance_Checklist_-_WSAFCA_(1).pdf
PDF 1 MB Posted
- Attached to
- Phase 1 Environmental Site Assessments for the West Sacramento Levee Improvement Program
- Solicitation number
- 26-084-RFP
- Issued by
- Yolo County, California
About this file
This is an insurance requirements checklist issued by the West Sacramento Area Flood Control Agency (WSAFCA) applicable to all contractors and vendors engaged on WSAFCA contracts, including the Phase 1 Environmental Site Assessments for the West Sacramento Levee Improvement Program. The checklist establishes mandatory insurance coverage minimums and endorsement requirements that all contractors must maintain throughout the contract term. Contractors are required to provide Commercial General Liability coverage of $1,000,000 per occurrence and $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 must name WSAFCA as an additional insured, with a copy of the Additional Insured Endorsement attached to the Certificate of Insurance.
All required insurance policies must include specific endorsements naming WSAFCA, its officers, officials, employees, agents, and volunteers as additional insureds using endorsements equivalent to CG 2010 0714. Certificates must provide Primary and Non-Contributory Endorsements stating that the insurance is primary and non-contributory, Separation of Insureds endorsements, and Waiver of Subrogation Endorsements on Workers' Compensation policies in favor of WSAFCA and its personnel. All certificates of insurance must provide thirty days' written notice to the Certificate Holder prior to cancellation or material change. Contractors must submit a copy of the Declarations and Policy Endorsements pages for the General Liability policy along with the Certificate of Liability Insurance to WSAFCA at 1110 West Capitol Avenue, West Sacramento, California 95691.
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Text version
WSAFCA CONTRACTS - CERTIFICATE OF INSURANCE REQUIREMENTS
REQUIRED INSURANCE: Below are the insurance requirements on all West Sacramento Area Flood Control Agency (WSAFCA) Contracts.
CONTRACTORS/VENDORS: Please forward this list to your insurance agent/broker.
All policies except Workers’ Compensation shall name WSAFCA 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.
A copy of the Declarations & Policy Endorsements pages for the GL policy
Certificate of Liability Insurance (COI) ☐ Certificate Holder: West Sacramento Area Flood Control Agency
Address: 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 WSAFCA, 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 WSAFCA, 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 WSAFCA, its officers, agents, and employees or Workers Comp Waiver if self-employed with no employees
Internal Notes:
Rev 12/15/23
File details come from the government source that posted it. Updated .