RFQ_250175_Exhibit_C_Insurance.pdf

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Attached to
Request For Quotes (RFQ) Paint Supplies
Solicitation number
250175
Issued by
Orange County, California

About this file

This is an Insurance Requirements Exhibit (Exhibit C) for Request for Quotes (RFQ) 250175 issued by the Orange County Transportation Authority (OCTA) for paint supplies. The RFQ is for a two-year term with a budget of $50,000.00. An award will be made to the lowest responsive and responsible firm on a lump-sum basis. Firms must bid on all line items in the pricing proposal to be considered responsive. Written questions or clarifications must be submitted by 4:00 p.m. on January 30, 2026, with responses issued by written addendum no later than February 3, 2026. All firms must certify compliance with Ukraine/Russia-related economic sanctions imposed by the State of California and the United States Government.

The contractor must procure and maintain full insurance coverage throughout the contract term, with no self-insurance provisions permitted. Required coverage includes: Commercial General Liability with minimum limits of $1,000,000 per occurrence and $2,000,000 general aggregate; Automobile Liability Insurance with a combined single limit of $1,000,000 per accident covering owned, hired, and non-owned vehicles; Workers' Compensation as required by California law with Waiver of Subrogation in favor of OCTA; and Employers' Liability with minimum limits of $1,000,000 per accident and $1,000,000 policy limits for disease. Proof of insurance in the form of certificates and blanket additional insured endorsements must be submitted to InsureTrack at octa@instracking.com within ten calendar days of the Agreement's effective date and prior to work commencement. All certificates must identify PO Number C250175 and Buyer Carolyn Baltazar. The insurer must provide thirty days' notice of cancellation or material coverage modifications and ten days' notice for non-payment of premium.

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Text version

RFQ 250175

EXHIBIT C

INSURANCE

Contractor shall procure and maintain insurance coverage during the entire term of the Agreement. Coverage shall be full coverage and not subject to self-insurance provisions.

The bidder shall provide the following insurance coverage:

1. Commercial General Liability, to include Products/Completed Operations, Independent Contractors', contractual Liability, Personal Injury Liability, and Property Damage with a minimum limit of $1,000,000 per occurrence and $2,000,000 general aggregate.;

2. Automobile Liability Insurance to include owned, hired and non-owned autos with a minimum combined single limit of $1,000,000 for each accident;

3. Workers’ Compensation with limits as required by the State of California, including

Waiver of Subrogation in favor of AUTHORITY, its officers, directors, employees or agents; and

4. Employers’ Liability with minimum limits of $1,000,000 per accident, $1,000,000 policy limit-disease, and $1,000,000 policy limit employee-disease.

Proof of such coverage, in the form of a certificate of insurance and an insurance policy blanket additional insured endorsement, designating the Authority, its officers, directors and employees as additional insureds on general liability and automobile liability, as required by contract. Proof of insurance coverage must be received by Authority within ten (10) calendar days from the effective date of the Agreement and prior to commencement of any work. Such insurance shall be primary and non-contributive to any insurance or self-insurance maintained by the Authority. Furthermore, Authority reserves the right to request certified copies or review all related insurance policies, in response to a related loss.

Contractor shall include on the face of the Certificate of Insurance the Purchase Order

Number C250175; and, the Buyer’s Name, Carolyn Baltazar.

Contractor shall also include in each subcontract, the stipulation that subcontractors shall maintain insurance coverage in the amounts required of Contractor as provided in the Agreement.

Insurer must provide Authority with at least thirty (30) days’ prior notice of cancellation or material modification of coverage, and ten (10) days’ prior notice for non-payment of premium.

RFQ 250175

EXHIBIT C

Contractor shall submit required insurance certificates to AUTHORITY’s insurance tracking contractor, InsureTrack. Contractor shall respond directly to InsureTrack’s request for updated insurance certificates and other insurance-related matters by email to octa@instracking.com.

Contractor shall include on the face of the certificate of insurance, the following information:

1. The Blanket Purchase Order Number C250175 and, the Buyer’s Name, Carolyn Baltazar.

2. For Certificate Holder: The Orange County Transportation Authority, its officers, directors, employers and agents, c/o InsureTrack, P.O. Box 60840 Las Vegas, NV 89160.

mailto:octa@instracking.com

INSURANCE
1. Commercial General Liability, to include Products/Completed Operations, Independent Contractors', contractual Liability, Personal Injury Liability, and Property Damage with a minimum limit of $1,000,000 per occurrence and $2,000,000 general aggrega...
2. Automobile Liability Insurance to include owned, hired and non-owned autos with a minimum combined single limit of $1,000,000 for each accident;
3. Workers’ Compensation with limits as required by the State of California, including Waiver of Subrogation in favor of AUTHORITY, its officers, directors, employees or agents; and
4. Employers’ Liability with minimum limits of $1,000,000 per accident, $1,000,000 policy limit-disease, and $1,000,000 policy limit employee-disease.
Proof of such coverage, in the form of a certificate of insurance and an insurance policy blanket additional insured endorsement, designating the Authority, its officers, directors and employees as additional insureds on general liability and automobi...
Contractor shall include on the face of the Certificate of Insurance the Purchase Order Number C250175; and, the Buyer’s Name, Carolyn Baltazar.
Contractor shall submit required insurance certificates to AUTHORITY’s insurance tracking contractor, InsureTrack. Contractor shall respond directly to InsureTrack’s request for updated insurance certificates and other insurance-related matters by ema...
Contractor shall include on the face of the certificate of insurance, the following information:
1. The Blanket Purchase Order Number C250175 and, the Buyer’s Name, Carolyn Baltazar.
2. For Certificate Holder: The Orange County Transportation Authority, its officers, directors, employers and agents, c/o InsureTrack, P.O. Box 60840 Las Vegas, NV 89160.

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