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 is a Commercial General Liability Insurance Endorsement issued 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 policy with respect to liability arising from work performed for the City. The project involves the removal and complete replacement of approximately 1,380 square feet of 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 an approved equal, installed with Aliphatic Urethane primer and UV-stable TPV granules in 50% Hunter Green and 50% Black. Finished surfaces must meet ADA requirements, IPEMA certification, and ASTM F1292 performance standards. Electronic bids were due by 5:00 p.m. on Friday, March 27, 2026, through the City's OpenGov Procurement portal, 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 the Notice to Proceed, with liquidated damages of $500 per calendar day for delays.
The insurance endorsement establishes that the City's Commercial General Liability coverage is primary to any insurance maintained by the City, with no contribution required from the City's self-insurance programs. Bidders must hold a valid California Contractor's License (Class General A or C61/D12) and be registered with the Department of Industrial Relations for public work. Insurance requirements include Commercial General Liability with bodily injury and property damage limits of $1,000,000 per person and aggregate, Automobile Liability with matching limits, and Worker's Compensation Insurance. No bid bond or performance bond is required. 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.
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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 .