Insurance_Checklist_-_WSAFCA_.pdf
PDF 666 KB Posted
- Attached to
- UPRR Closure Structure A/E Services State and local contract opportunity
- Solicitation number
- 26-055-RFP
- Issued by
- Yolo County, California
About this file
This is an Insurance Checklist document issued by the West Sacramento Area Flood Control Agency (WSAFCA) that establishes certificate of insurance requirements for all contractors and vendors engaged in WSAFCA contracts. The document specifies mandatory insurance coverage levels and endorsement requirements that must be included in all certificates of insurance submitted by contractors. All insurance policies, except Workers' Compensation, must name the City as an additional insured, with copies of Additional Insured Endorsements attached to verify policy endorsement. Certificates must provide for thirty days' written notice to the Certificate Holder prior to cancellation or material changes to any referenced insurance. Contractors are required to submit a copy of the Declarations and Policy Endorsements pages for the General Liability policy along with the Certificate of Liability Insurance. The Certificate Holder is listed as the West Sacramento Area Flood Control Agency (WSAFCA) officers, officials, employees, agents, and volunteers at 1110 West Capitol Avenue, West Sacramento, California 95691.
Required minimum insurance coverage includes Commercial General Liability 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 in accordance with statutory requirements, and Professional Liability (Errors & Omissions) of $1,000,000 per claim if applicable. Additional required endorsements include Additional Insured Endorsements equivalent to CG 2010 0714, Primary and Non-Contributory Endorsements, and Separation of Insureds provisions for both General Liability and Automobile Liability policies. For Workers' Compensation, a Waiver of Subrogation Endorsement must be provided in favor of WSAFCA and its officers, agents, and employees, or a Workers Compensation Waiver if the contractor is self-employed with no employees. The checklist was last revised on December 15, 2023.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| UPRR_Closure_Structure_A_E_Services_(Addendum_#2_Revision).pdf | ||
| UPRR_Closure_Structure_A_E_Services_(Addendum_#1_Revision).pdf | ||
| UPRR_Closure_Structure_A_E_Services.pdf | ||
| Contract_for_Services_(WSAFCA)_Boilerplate_(Revised_6.18.26).docx | DOCX document | |
| Exhibit_X.pdf | ||
| Contract_for_Services_(West_Sacramento)_-_Federal_Boilerplate_for_RFP_5.1.24.docx | DOCX document | |
| Federal_Award_Requirements_Appendix_II_to_Part_200_Contract_Provision_Language.docx | DOCX document |
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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 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.
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 (WSAFCA) 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 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 .