Sample_Insurance_Endorsement.pdf
PDF 106 KB Posted
- Attached to
- PLAYGROUND POUR IN PLACE PROJECT
- Solicitation number
- PK-26-901-15167
- Issued by
- Santa Cruz County, California
About this file
This file is a Commercial General Liability Insurance Endorsement for the City of Watsonville, California, related to a playground pour-in-place surface replacement project at Marinovich Park. The endorsement designates the City of Watsonville, its appointed and elected officials, and its employees as additional insureds under the contractor's Commercial General Liability Coverage Part. The project scope requires the contractor to remove and replace the existing poured-in-place (PIP) rubber surface with FlexGround EnduraFlex material (or approved equal) installed using Aliphatic Urethane. The work includes removal and replacement of all existing PIP layers—base layer, top layer, and black buffing material—across approximately 1,380 square feet at an anticipated depth of 3.5 inches, with the contractor responsible for matching existing depth and ensuring seamless transitions between new and existing materials through angle-cutting and shelf-like edge preparation.
The insurance endorsement establishes that coverage provided is primary to any insurance or self-insurance programs maintained by the City of Watsonville, meaning the contractor's insurance shall be the first to respond to covered losses without contribution from the City's coverage. This provision protects the municipality by ensuring contractor liability is the initial source of recovery, shifting financial risk appropriately to the performing contractor. The endorsement does not address specific pricing terms, payment schedules, bid amounts, contract duration, or renewal options, as these details would typically appear in the primary contract documents rather than the insurance endorsement.
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Text version
Policy Number: Commercial General Liability
THIS ENDORSEMENT CHANGES THE POLICY - PLEASE READ
IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS (FORM B).
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
SCHEDULE
Name of Person or Organization:
City of Watsonville, its appointed and elected officials, and its employees
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.)
WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for you.
The insurance provided herein is primary coverage to the certificate holder with respects to any insurance or self insurance programs maintained by the certificate holder, and no insurance held or owned by the certificate holder shall be called upon to contribute to a loss.
CG 20 10 11 85
SAMPLE
File details come from the government source that posted it. Updated .