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AGREEMENT INSURANCE REQUIREMENTS FOR SCHOOLS <br />1 <br />GENERAL LIABILITY <br />$1,000,000 per occurrence and $2,000,000 aggregate. <br />2. <br />WORKERS' COMPENSATION <br />I <br />$1,000,000 per occurrence <br />AND EMPLOYERS' LIABILITY <br />Sole Proprietor: If you are a Sole Proprietor, have no employees, and your <br />company is not required to carry Workers' Compensation Coverage in <br />accordance with California State statute, a Sole Proprietor Waiver should <br />be utilized. Please complete the City's Workers' Compensation Declaration <br />form. <br />3, <br />ADDITIONAL INSURED and <br />The City of Santa Ana, its officers, officials, employees, and volunteers are I <br />PRIMARY & NOW <br />to be covered as additional insureds on the CGL policy with respect to j <br />CONTRIBUTORY Language <br />liability arising out of work or operations performedby or on behalf of the <br />Contractor including materials, parts, or equipment furnished in <br />connection with such work or operations. <br />General liability coverage can be provided in the form of an endorsement <br />I to the Vendor/Contractor's insurance (at least as broad as ISO Form CG 20 i <br />10 1185 or if not available, through the addition of both CG 2010, CG 20 <br />26, CG 20 33, or CG 20 38; and. CG 20 37 if a later edition is used). ,. <br />PRIMARY & NOW <br />For any claims related to this contract, the Contractor's insurance I <br />4' <br />CONTRIBUTORY <br />coverage shall be primary coverage at least as broad as ISO CG 20 0104 13 <br />kENDORSEMENT <br />as respects the Entity, its officers, officials, employees, and volunteers. <br />Any insurance or self-insurance maintained by the Entity, its officers, <br />officials, employees, or volunteers shall be excess of the Contractor's <br />i insurance and shall not contribute with it. <br />5. <br />CERTIFICATE HOLDER must <br />City of Santa Ana <br />be addressed as follows: <br />I Risk Management Division' <br />20 Civic Center Plaza <br />f <br />Santa Ana, CA 92702 <br />6, <br />NOTICE OF CANCELLATION <br />Each insurance policy required above shall provide that coverage shall not <br />be canceled, except with notice to the Entity. City will be mailed 30 days l <br />written notice of policy cancellation. I <br />Additional Requirements , <br />•Certificates of Insurance must be accompanied by a list of all excluded <br />coverages under the general liability and excess/umbrella liability policies. <br />• The general liability and excess/umbrella liability documents must list <br />the corresponding policy numbers referenced on the Certificate of <br />_„� RIAMuagemmtDMebn <br />if t� REVIEWED&APPROVMBY: <br />A-JU AaY44 <br />�� Risk Management Speaa6st <br />