AgdaPkt 2019-01-28 Joint SA PFA - Laserfiche WebLink

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6.D. - Page 33 of 170 Request for Qualifications: General Park Building Construction, Retrofit, Maintenance, and/or Repairs Additional Insured Endorsements DO NOT apply to the following: • Indication of compliance with statute, such as Workers' Compensation Law or the California Financial Responsibility Law for Automobile Liability. • Professional Liability insurance. Completed Insurance Industry Certificates of Insurance must be electronically submitted to TRACT4LA, (http://track4la.lacityorg). It is your responsibility to ensure that the insurance submissions are accepted and approved by the CAO, Risk Management Insurance and Bonds Section. If you any have problems with TRACT4LA insurance submission and approval, please call (213) 978-7475 or (213) 978- RISK for assistance. Verification of approved insurance and bonds may be obtained by checking the Office of the City Administrative Officer, Risk Management, Insurance & Bonds Compliance System at http://cao.lacity.org/risk/index.htm. 4. Renewal when an existing policy is renewed, have your insurance broker or agent submit a new Accord 25 Certificate or edit the existing Accord 25 Certificate through Track4LA® at http://track4la.lacily.org. If your policy number changes, you must submit a new Additional Insured Endorsement. Alternative Programs/Self-Insurance risk financing mechanisms such as Risk Retention Groups, Risk Purchasing Groups, off -shore carriers, captive insurance programs and self-insurance programs are subject to separate approval after the CITY has reviewed the relevant audited financial statements. To initiate a review for approval of your program, you should complete and submit the Applicant's Declaration of Self Insurance form (http://cao.lacity.org/risk/InsuranceForms.htm) to the Office of the City Administrative Officer, Risk Management for consideration. Please see Form Bin the back of this bid document. General Liability insurance covering your operations (and products, where applicable) is required whenever the CITY is at risk of third -party claims which may arise out of your work or your presence or special event on CITY premises. Sexual Misconduct coverage is a required coverage when the work performed involves minors. Fire Legal Liability is required for persons occupying a portion of CITY premises. (Information on two City insurance programs, the SPARTA program, an optional source of low-cost insurance which meets most minimum requirements, and PROMPT COVER, which provides liability coverage for short-term special events on CITY premises or streets, is available at www.2sparta.com, or by calling (800) 420-0555. Please see Form A in the back of this bid document. 7. Automobile Liability insurance is required only when vehicles are used in performing the work of your Contract or when they are driven off-road on CITY premises; it is not required for simple commuting unless CITY is paying mileage. However, compliance with California law requiring auto liability insurance is a contractual requirement. Please see Form A in the back of this bid document. 8. Errors and Omissions coverage will be specified on a project -by -project basis if you are working as a licensed or other professional. The length of the claims discovery period required will vary with the circumstances of the individual job. Workers' Compensation and Employer's Liability insurance are not required for single -person contractors. However, under state law these coverages (or a copy of the state's Consent to Self Insure) must be provided if you have any employees at any time during the period of this contract. Contractors with no employees must complete a Request for Waiver of Workers' Compensation Insurance Requirement form from http://cao.lacily.orp_/risk/InsuranceForms.htm. A Waiver of Subrogation on the coverage is required only for jobs where your employees are working on CITY premises under hazardous conditions, e.g., uneven terrain, scaffolding, caustic chemicals, toxic materials, power tools, etc. The Waiver of Subrogation waives the insurer's right to recover (from the CITY) any workers' compensation paid to an injured employee of CONTRACTOR/CONSULTANT. For a copy of the City's required Workers' Compensation Form A in the back of this bid document. IMPORTANT — RESPONDERS MUST SUBMIT ALL REQUIRED FORMS (COMPLETELY FILLED OUT) BY RFQ SUBMITTAL DEADLINE. Page 27 of 103 116