City of Ukiah - Risk Management

Risk Management

Insurance Requirements-$1 Million Limit
Insurance Requirements-$2 Million Limit
Certificate of Insurance and Endorsement Samples
Claims Against the City of Ukiah
Americans with Disabilities (ADA) Policies/Procedures

Insurance Requirements-$1 Million Limit
The Insurance Requirements are specific requirements based on type of work being performed on behalf of City.

	Contract Exhibit A Insurance Requirements-$1 Million (PDF* 28K)
	Insurance Requirements for Consultants (PDF* 30K)
	Insurance Requirements for Contractors (PDF* 27K)
	Insurance Requirements for Contractors (with Construction Risks) (PDF* 46K)
	Insurance Requirements for Environmental Contractors and/or Consultants (PDF* 29K)
	Insurance Requirements for Lessees (No Auto Risks) (PDF* 25K)
	Insurance Requirements for Suppliers (PDF* 24K)

Insurance Requirements-$2 Million Limit
The Insurance Requirements are specific requirements based on type of work being performed on behalf of City.

	Insurance Requirements for Contractors (with Construction Risks) (PDF* 35K)
	Insurance Requirements for Environmental Contractors and/or Consultants (PDF* 35K)

Certificate of Insurance and Endorsement Samples

	Certificate of Insurance - sample (PDF* 168K)
	Additional Insured -- Owners, Lessees or Contractors - preferred endorsement (PDF* 44K)
	Additional Insured Endorsement - Owners, Lessees or Contractors - Completed Operations (PDF* 44K)
	Additional Insured Endorsement - Owners, Lessees or Contractors - Schedule Person or Organization (PDF* 48K)
	Automobile Liability Special Endorsement (PDF* 44K)
	Additional Insured Endorsement - State or Policitcal Subdivisions - Permits (PDF* 48K)
	Workers Compensation and Employer's Liability Special Endorsement - Waiver of Subrogation (PDF* 52K)
	Workers Compensation Declaration (PDF* 48K)

Claims Against the City of Ukiah

	Claim for Money or Damages Against the City of Ukiah (PDF* 93K)

Americans with Disabilities (ADA) Policies/Procedures

	Public Complaint Claim Form (PDF* 16K)
	Public Complaint Procedure (PDF* 21K)
	Employee Complaint Claim Form (PDF* 16K)
	Employee Complaint Procedure (PDF* 24K)

*Requires Adobe® Acrobat Reader®

This page was updated on: December 9, 2008.

• Back to top