Sample_Insurance_Endorsement.pdf

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Attached to
PLAYGROUND POUR IN PLACE PROJECT
Solicitation number
PK-26-901-15167
Issued by
Santa Cruz County, California

About this file

This is a Commercial General Liability Insurance Endorsement document for the City of Watsonville's Playground Pour in Place Project at Marinovich Park in Santa Cruz County, California. The endorsement designates the City of Watsonville, its appointed and elected officials, and employees as additional insureds under the contractor's Commercial General Liability policy with respect to liability arising from the contractor's work. The project involves removal and replacement of approximately 1,380 square feet of existing Poured-in-Place (PIP) rubber surfacing at an anticipated depth of 3.5 inches, including base layer, top layer, and black buffing material. The replacement material must be FlexGround EnduraFlex or approved equal, installed with Aliphatic Urethane primer and UV-stable TPV granules in 50% Hunter Green and 50% Black colors. Finished surfaces must meet ADA requirements, IPEMA certification, and ASTM F1292 standards with a dry static coefficient of friction of 1.0 and wet static coefficient of friction of 0.9. Electronic bids were due by 5:00 p.m. on Friday, March 27, 2026, with contract award to the lowest responsive and responsible bidder within 72 hours of bid opening. The contractor must complete all work within thirty (30) working days from Notice to Proceed, operating between 7:30 a.m. and 4:30 p.m., Monday through Friday, with liquidated damages of $500 per calendar day for delays beyond the 30 working day schedule.

Bidders must hold a valid California Contractor's License (Class General A or C61/D12) and be registered with the Department of Industrial Relations. Insurance requirements include Commercial General Liability with $1,000,000 per person/occurrence and aggregate limits, Automobile Liability with matching limits, and Worker's Compensation Insurance, with the City designated as primary coverage and additional insured. The contractor is responsible for all mobilization costs, temporary facilities, material removal and disposal, site security, permits, and Best Management Practices implementation. All bidders must comply with prevailing wage requirements per the Santa Cruz County Union Wage Scale and California Labor Code provisions regarding certified payroll records. No bid bond or performance bond is required. Pricing is based on two lump sum line items: Mobilization and General Requirements, and Scope of Work for Marinovich Park, with successful bidders required to submit detailed cost breakdowns within five working days of receipt of Notice to Proceed.

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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 .