2016/2017 SHEA HOMES PARTNERSHIP INSURANCE PROGRAM (SHPIP) NEW ENROLLMENT PACKAGE

Size: px
Start display at page:

Download "2016/2017 SHEA HOMES PARTNERSHIP INSURANCE PROGRAM (SHPIP) NEW ENROLLMENT PACKAGE"

Transcription

1 2016/2017 SHEA HOMES PARTNERSHIP INSURANCE PROGRAM (SHPIP) NEW ENROLLMENT PACKAGE California - (Excluding: The Dunes (Surf House/Sea House/Beach House); Meadow Walk; RiverPark Legacy infrastructure; Baker Ranch infrastructure; Rice Ranch; The Polo Club; Vineyards) Dear TradePartner: Welcome to Shea Homes and the Shea Homes Partnership Insurance. SHPIP is administered by ORION Risk Management. Enclosed you will find the forms that must be completed in order to properly enroll in SHPIP. Enrollment is mandatory for all active TradePartners. Sub-tier contractors of all levels are also required to enroll and you must provide a copy of these forms to your subcontractors. Please note that your enrollment package is NOT complete until you have submitted enrollment forms 1-4 in addition to evidence of your Workers Compensation and Commercial Automobile Liability coverage as detailed in the attached Insurance Requirements. Your completed forms should be returned to your Shea Homes Contracting/Purchasing Associate. Upon completion of your SHPIP enrollment by ORION, we will provide you with a user name and password to access our website that will provide you with all the information you need in reference to the program (i.e. copy of SHPIP enrollment certificate, copy of the SHPIP Manual and the ability to report your monthly payroll online). If you have any questions regarding the program, please contact us. Sincerely, Trisha Engelhart, CIC, CRM, CISR, CRIS Program Director Main Line: FAX: tengelhart@orionrisk.com Avona Corser, CIC Sr. Program Administrator Direct Line: Fax: acorser@orionrisk.com Joe Prather Program Administrator Direct Line: Fax: jprather@orionrisk.com

2 2016/2017 Summary Shea Homes maintains an insurance and risk management program designed to protect the interests of all enrolled parties involved in the process of constructing a project. One overall program is intended to provide protection for Shea Homes, TradePartners, and sub-tier contractors of all levels involved in the construction process. Coverage The program in California includes Workers Compensation (for eligible TradePartners), General Liability and Excess Liability coverage. An individual Workers Compensation policy will be issued to each eligible TradePartner enrolled in SHPIP. The liability program is written on a master policy basis, with Certificates of Insurance provided to each enrolled TradePartner and their enrolled sub-tier contractors of all levels. [Sub-tiers must be enrolled.] Not included in SHPIP are coverages such as Automobile Liability and contractor s tools and equipment. Shea Homes requires evidence of conventional Workers Compensation with Employers Liability and Automobile Liability insurance, as described in the attached TradePartner Insurance Requirements document. Evidence of such coverage must be provided by a Certificate of Insurance. Below are some of the benefits of SHPIP: Higher limits for all enrolled TradePartners Consistent safety & loss prevention procedures for all TradePartners Broader coverage Management of claims coordinated by one insurer Reduced litigation expense Long-term insurer partnership Completed Operations coverage up to the statute of limitations Reduced TradePartner disputes

3 2016/2017 Summary (continued) SHPIP Costs SHPIP applies to all enrolled TradePartners. Workers Compensation and General Liability (GL) exposures (payroll or revenue) associated with Shea Homes should be excluded from conventional programs. This will prevent double-charges in premiums for exposures performed on Shea Homes jobsites. General Liability - SHPIP G/L costs are calculated using a flat rate. The California rate is 2.5%. The cost is applied to each payment for work vouchered in the same period. For example, work vouchered from the 1st through the 15th of the month will be paid on the 15th. At the same time, the SHPIP G/L cost will be withheld for the same time period from the check issued on the 15th of the month, thus, payments will be net of SHPIP credits. Workers Compensation - SHPIP W/C costs are determined by applying each TradePartner s current conventional modified rate, per class code. This modified rate is multiplied against the monthly payroll as reported by the TradePartner via the ORION website ( To eliminate a potential disparity in matching the expense with proper period of exposure, an insurance cost offset that is equal to the TradePartner s average monthly Workers Compensation cost will be applied during the initial enrollment month. This is a one-time offset, occurring at the inception of enrollment, by the issuance of a special debit memo. Upon completion of work for Shea Homes, the final month s SHPIP cost will be applied to this offset and should result in a small adjustment to clear out any outstanding balance. If re-enrollment occurs in the future, a new estimate will be generated. This initial estimated cost does not eliminate a TradePartner s obligation to timely report their first month s payroll by the 10th day of the following month.

4 TradePartner Responsibilities 1. Complete SHPIP Enrollment forms. 2016/2017 Summary (continued) 2. Notify Broker/Insurer of participation in SHPIP and remove all Shea Homes on-site payroll/revenue exposures from conventional policies that have coverage provided by SHPIP. 3. Comply with all applicable administrative procedures, including claim reporting and safety. 4. Include SHPIP provisions in all sub-tier contracts of all levels. 5. Maintain and provide evidence of appropriate insurance coverage for Shea Homes work performed away from project site locations. These are exposures not intended to be covered by SHPIP. 6. Maintain Workers Compensation payroll records for work performed on any Shea Homes jobsite, including allocation for each class code, for audit purposes. 7. No later than the 10 th day of each month, report payroll exposure for the previous month via the ORION website ( even if zero. 8. Notify Shea Homes of Workers Compensation conventional policy changes, by providing rate and declaration pages upon conventional policy renewal. It is imperative that the properly completed enrollment package be submitted once a bid has been awarded and prior to inception of the awarded contract so that each individual company is effectively enrolled in the program and issued a policy by the insurer. Under no circumstances will coverage be back-dated.

5 TradePartner Insurance Requirements California 2016/2017 Policy Year A Certificate of Insurance must be provided with SHPIP enrollment and upon each renewal of your conventional policies thereafter. The certificate must: 1) name Shea Homes LP/Shea Homes Inc/SHALC GC Inc as Certificate Holder 2) list all subsidiaries or DBA s covered by the policies shown on the certificate 3) show complete insurance carrier names, as listed in AM Best Property & Casualty Guide 4) include only carrier(s) rated not less than A-, VIII by AM Best & Co. 5) not be project or job-site specific 6) be completed in its entirety and signed 7) evidence the following coverage: Commercial Automobile Liability of at least $1,000,000 combined single limit to include o Any Auto or o Owned, Hired & Non-Owned Autos or o Scheduled, Hired & Non-Owned Autos or o If your company owns no commercial vehicles, you must provide evidence of coverage for Hired & Non-Owned Auto Liability. In addition, provide a signed statement on your company letterhead indicating that you do not have any company owned autos and do not have a business auto policy. Workers Compensation State Statutory Limits Employers Liability limits of at least o $1,000,000 Each Accident o $1,000,000 Disease - Policy Limit o $1,000,000 Disease - Each Employee Workers Compensation Declaration/Rate Pages must include: 1) your company name (insured); 2) insurance carrier name, policy # and policy term; 3) class codes, descriptions and base rates; 4) all credits and surcharges applicable to base rate. [Note: Binders are only acceptable for 60 days from effective date.] Certificate Holder Info: (ensure holder reads Shea Homes LP/Shea Homes Inc/SHALC GC Inc) Shea Homes LP/Shea Homes Inc/SHALC GC Inc c/o Orion Risk Management 1800 Quail Street, Suite 110 Newport Beach, CA92660 Attach certificate(s) and WC Dec/Rate pages to SHPIP Enrollment Package Note: Do not mail any renewal certificates. Renewal certificates must be uploaded onto the ORION website within 30 days of renewal date. WC Rate/Declaration pages must be uploaded onto the ORION website within 60 days of renewal date. The above requirements are for certificate tracking purposes only and do not alter the insurance obligations under your contract in any way.

6 Onsite Start Date: Enrollment Form (SHPIP1) All items must be completed in their entirety. Shea Homes Division: California No Cal So Cal San Diego (check one) TradePartner Name: Address: City: State: Zip: Main Phone: Description of Service (contracted for Shea Homes): Sub-tier contractor for (if applicable): Your Shea Homes Contact: Title: Primary Contact: Title: Primary Contact Direct Phone: Secondary Contact: Title: Secondary Contact Direct Phone: (Secondary should be different from primary and is required for automated notices and program updates.) Entity Type: Corporation Partnership Sole Proprietorship Limited Liability Corporation Limited Liability Partnership Other: Name of Owner(s): Federal Employer ID #: Current Experience Modification: Effective: Workers Compensation Ins. Rating Bureau #: TO BE COMPLETED BY ORION: Vendor No: Effective: Page 1 of 4

7 Workers Compensation Cost Worksheet (SHPIP2) TradePartner Name: Labor Description Class Code Rate/$100 Payroll Estimated Shea Homes Annual Payroll (by Class Code) Program Design: Guaranteed Cost Large Deductible Self-Insured Dividend Plan Paid Loss Plan Incurred Loss Plan Other: Does your firm currently participate in ADR? Yes No If Yes, a copy of the union contract must accompany this enrollment package. Manual rates will be applied in the absence of accurate rate information. Page 2 of 4

8 All Sub-tier & Labor Suppliers Disclosure Form (SHPIP3) TradePartner Name: Below, please list all sub-tier contactors and labor (not material) suppliers that will be used on any Shea Homes jobsite. Or indicate No sub-tiers and/or labor suppliers used. 1) SUB-TIER CONTRACTOR COMPANY: CONTACT NAME: TITLE: ADDRESS: PHONE: Federal Employer ID# DESCRIPTION OF SERVICE(S): THIS SUB-TIER WAS PROVIDED A BLANK SHPIP ENROLLMENT PACKAGE ON: 2) SUB-TIER CONTRACTOR COMPANY: CONTACT NAME: TITLE: ADDRESS: PHONE: Federal Employer ID# DESCRIPTION OF SERVICE(S): THIS SUB-TIER WAS PROVIDED A BLANK SHPIP ENROLLMENT PACKAGE ON: 3) SUB-TIER CONTRACTOR COMPANY: CONTACT NAME: TITLE: ADDRESS: PHONE: Federal Employer ID# DESCRIPTION OF SERVICE(S): THIS SUB-TIER WAS PROVIDED A BLANK SHPIP ENROLLMENT PACKAGE ON: Page 3 of 4

9 Enrollment Package Checklist (SHPIP4) TradePartner Name: Please verify that the following documents are complete and attached. Enrollment cannot be processed unless all items are present and accurate. SHPIP1: Enrollment Form (Page 1) SHPIP2: Workers Compensation Cost Worksheet (Page 2) SHPIP3: Sub-tier & Labor Supplier Disclosure (Page 3) SHPIP4: Enrollment Package Checklist (Page 4) W-9 (completed and signed by TradePartner) - not required from sub-tier contractors Certificate(s) of Insurance for: Workers Compensation with Employers Liability and Commercial Automobile Liability coverage as described in the Insurance Requirements included in this package with certificate holder shown as: Shea Homes LP/Shea Homes Inc/SHALC GC Inc c/o Orion Risk Management 1800 Quail Street, Suite 110 Newport Beach, CA Current Workers Compensation Declarations including Rate Pages Copy of Workers Compensation Deductible Endorsement with Retained Losses (if applicable) The information and statements contained in this enrollment package are true and correct: Completed by: Signature: Title: Date: PLEASE RETURN COMPLETED FORMS AND REQUIRED DOCUMENTS TO YOUR SHEA HOMES CONTRACTING/PURCHASING ASSOCIATE Page 4 of 4

10 Residential Wrap Insurance Policy Disclosure Form In compliance with California Civil Code Section , the following disclosures regarding the Wrap Insurance Program (commonly referred to as Shea Homes Partnership Insurance program, SHPIP ) applicable to the subject residential project are provided on behalf of Shea Homes Limited Partnership or Shea Homes, Inc. (as indicated in Section 1.2 of your Construction Contract). The terms of coverage are set forth in the Wrap Insurance Program policy form, and descriptions of such coverage terms herein do not alter, amend or supersede any terms contained in the Wrap Insurance Program policy or policies, if applicable. The Wrap Insurance Program provides coverage as specified below in connection with the performance of the work at the subject residential project: Key Wrap Insurance Program Terms: Scope of Coverage: Workers Compensation General Liability Excess Liability (1 st, 2 nd & 3 rd Layer) Carrier(s): Liberty Mutual Fire Insurance Company General Security Indemnity Co of Arizona Allied World Assurance Co Inc Starr Surplus Lines Insurance Co Policy Term: 8/1/2016 8/1/2017 (Property Damage and Bodily Injury coverage arising out of Completed Operations extends through applicable statute of repose. Completed Operations coverage applies only to homes that close escrow during the policy period but extends through applicable statute of repose.) Workers Compensation Limits of Liability: Coverage A Workers Compensation Statutory Coverage B Employers Liability Bodily Injury by Accident/each accident $1,000,000 Bodily Injury by Disease/each accident $1,000,000 Bodily Injury by Disease/each employee $1,000,000 Primary Policy Limits of Liability (Shared by All Insureds for All Projects): Coverage A Bodily Injury and Property Damage $3,000,000 Coverage B Personal and Advertising Injury Personal and Advertising Injury Limit $3,000,000 Bodily Injury and Property Damage General Aggregate Limit (other than Products Completed Operations) $6,000,000 Coverage D Construction Damage Products Completed Operations Aggregate Limit $NIL Self-Insured Retention for Coverage D Construction Damage: $15,000,000* *per occurrence or per claim. None allocated to contractors.

11 Residential Wrap Insurance Policy Disclosure Form (continued) 1st Excess Policy Limits of Liability (Shared by All Insureds for All Projects): Each Occurrence $10,000,000 General Aggregate $10,000,000 2nd Excess Policy Limits of Liability (Shared by All Insureds for All Projects): Each Occurrence $15,000,000 General Aggregate $15,000,000 3rd Excess Policy Limits of Liability (Shared by All Insureds for All Projects): Each Occurrence $25,000,000 General Aggregate $25,000,000 Wrap Insurance Credits Contractor cost for participation in the Wrap program will be calculated as follows: Workers Compensation: Contractor will only have insurance costs deducted for exposure developed on-site at Builder s projects where coverage applies. Inasmuch, Contractor must provide by the 10th each month its actual payroll developed on Builder s projects during the prior month. Builder will then calculate the insurance cost based upon Contractor s practice policy rates. Contractor must supply Builder or Builder s insurance representatives its in-force workers compensation rates within 30 days of each policy s effective date. Failure to supply rates in the required timeframe will result in Builder developing a rate for Contractor. Failure to supply payroll in the required timeframe will result in an estimation of payroll for insurance cost calculation purposes. General Liability: Contractor will be charged 2.5% of all payments from Builder as consideration for Builder providing liability coverage. Deductible Claim Retention Amount In the event of a Products/Completed Operations claim where Contractor is deemed by Builder to be responsible, Contractor is responsible for a $5,000 per occurrence deductible. In the event of a construction defect lawsuit the Deductible/Claim Retention Amount does not apply. Any deductible, co-pay, self-insured retention or claim retention amount for covered construction defect litigation is paid by Builder.

12 Residential Wrap Insurance Policy Disclosure Form (continued) Rolling Wrap Additional Terms: If the Wrap Insurance Program covers more than one work of improvement, the following additional disclosures are provided: Number of Units to be covered (as indicated by policy application): 2,478 Estimate of Available Remaining Limits: $ 6,000,000 General Aggregate $ NIL Products/Completed Operations Aggregate $ 3,000,000 Personal and Advertising Injury Limit $ 3,000,000 Each Occurrence Limit $ 50,000,000 Each Occurrence and Annual Aggregate-Excess Liability (various insurers) The Estimate of Available Remaining Limits is made based upon information available on the date of this disclosure and is made to the best of our knowledge. It may not accurately reflect the amount of insurance available, if any, subsequent to the date of this disclosure. The Available Remaining Limits specified above may not be accurate due to variations in the: Timing of claims, losses, occurrences, incidents or circumstances Reporting of claims, losses, occurrences, incidents or circumstances to broker or carrier Carrier and/or third party administrator response to reports or notices of claims, losses, occurrences, incidents or circumstances Coverage determinations by carriers and/or third party administrators Carriers reserve setting methodologies Inconsistency in carriers reserve settings Data or information available regarding SIR satisfaction

Bernards (Project Name) CCIP Insurance Manual

Bernards (Project Name) CCIP Insurance Manual Bernards (Project Name) CCIP Insurance Manual Policy Year: xxxx-xxxx Alliant Version 01 1 Table of Contents 1.1 INTRODUCTION... 3 1.2 Overview... 3 1.3 About this Manual... 4 2.0 PROJECT DIRECTORY... 5

More information

EXHIBIT F. Portland Public Schools Owner Controlled Insurance Program (OCIP) Portland Public Schools OCIP. Participant Guidebook/Manual.

EXHIBIT F. Portland Public Schools Owner Controlled Insurance Program (OCIP) Portland Public Schools OCIP. Participant Guidebook/Manual. Portland Public Schools Owner Controlled Insurance Program (OCIP) Participant Guidebook/Manual Program Name: Portland Public Schools OCIP Project Locations: Various project locations in School District

More information

PROJECT SPECIFIC INSURANCE MANUAL PROJECT LIABILITY PROGRAM FOR THE PROJECT NAME

PROJECT SPECIFIC INSURANCE MANUAL PROJECT LIABILITY PROGRAM FOR THE PROJECT NAME Arch PLP Insurance Manual - GL PROJECT SPECIFIC INSURANCE MANUAL PROJECT LIABILITY PROGRAM FOR THE PROJECT NAME Presented By: Swinerton Builders and Gallagher Construction Services Table of Contents Insurance

More information

Bid/Contract Insurance Requirements (Insurance Manual)

Bid/Contract Insurance Requirements (Insurance Manual) The Regents of the University of California University Controlled Insurance Program (UCIP) Bid/Contract Insurance Requirements (Insurance Manual) for the [CAMPUS] [PROJECT] Construction Project Need a

More information

Bid/Contract Insurance Requirements (Insurance Manual)

Bid/Contract Insurance Requirements (Insurance Manual) The Regents of the University of California (UCIP) Bid/Contract Insurance Requirements (Insurance Manual) for the University of California, San Francisco Medical Center Mission Bay Precision Cancer Medicine

More information

LAYTON RISK MANAGEMENT CONTRACTOR CONTROLLED INSURANCE PROGRAM MANUAL FOR THE PROJECT NAME. Layton Construction and Gallagher Construction Services

LAYTON RISK MANAGEMENT CONTRACTOR CONTROLLED INSURANCE PROGRAM MANUAL FOR THE PROJECT NAME. Layton Construction and Gallagher Construction Services LAYTON RISK MANAGEMENT CONTRACTOR CONTROLLED INSURANCE PROGRAM MANUAL FOR THE PROJECT NAME Presented By: Layton Construction and Gallagher Construction Services Table of Contents Insurance Coverages...

More information

EXHIBIT G. Insurance Requirements. [with CCIP]

EXHIBIT G. Insurance Requirements. [with CCIP] SECTION 1 GENERAL INSURANCE REQUIREMENTS EXHIBIT G Insurance Requirements [with CCIP] A. CCIP. Contractor has implemented a Contractor Controlled Insurance Program ( CCIP ) to furnish certain insurance

More information

EXHIBIT B. Insurance Requirements for Construction Contracts

EXHIBIT B. Insurance Requirements for Construction Contracts EXHIBIT B Insurance Requirements for Construction Contracts Contractor shall procure and maintain for the duration of the contract, and for 3 years thereafter, insurance against claims for injuries to

More information

SERVICELIVE INSURANCE REQUIREMENT GUIDE PROVIDER FIRM. Guide for completing insurance registration information for ServiceLive, Inc.

SERVICELIVE INSURANCE REQUIREMENT GUIDE PROVIDER FIRM. Guide for completing insurance registration information for ServiceLive, Inc. SERVICELIVE INSURANCE REQUIREMENT GUIDE PROVIDER FIRM Guide for completing insurance registration information for ServiceLive, Inc. TABLE OF CONTENTS I. INTRODUCTION... 3 II. PROVIDER FIRM INSURANCE RECOMMENDATIONS...

More information

SUBCONTRACTOR INSURANCE REQUIREMENTS Version 3/1/2018

SUBCONTRACTOR INSURANCE REQUIREMENTS Version 3/1/2018 SUBCONTRACTOR INSURANCE REQUIREMENTS Version 3/1/2018 The cornerstone of a successful contractual risk transfer program is a consistent approach to Subcontractor Insurance Compliance. Structuring the Subcontractor

More information

General Contract Comments The contract s Insurance Requirements should include the following terms or similar wording: It is understood and agreed tha

General Contract Comments The contract s Insurance Requirements should include the following terms or similar wording: It is understood and agreed tha Contractual Risk Transfer/Hold Harmless/Indemnification Best Practices to Consider Many contractors require other contractors and subcontractors with whom they work to sign written job contracts. However,

More information

UCIP Insurance Manual

UCIP Insurance Manual The Regents of the University of California University Controlled Insurance Program (UCIP) UCIP Insurance Manual UCIP Insurance Manual Revision 04/27/2012 UNIVERSITY CONTROLLED INSURANCE PROGRAM Insurance

More information

Thank you for choosing New Empire Group.

Thank you for choosing New Empire Group. UMBRELLA POLICY ISSUANCE LETTER ATTENTION: EMAIL: COMPANY: DATE: Named Insured: DBA: MAILING ADDRESS: EFFECTIVE DATE: UMBRELLA EXPIRATION DATE: Thank you for choosing New Empire Group. We are pleased to

More information

CCIP ADDENDUM. Blasting or any blasting operations;

CCIP ADDENDUM. Blasting or any blasting operations; CCIP ADDENDUM 1. Overview. The Contractor has arranged with Aon Risk Services South, Inc., (the CCIP Administrator ) to be insured under its Contractor Controlled Insurance Program ( CCIP ). The CCIP is

More information

Summary Description of Rail OCIP Coverage

Summary Description of Rail OCIP Coverage Rail OCIP Overview Package P for the Dulles Corridor Metrorail Phase 2 construction project will be insured under an Owner Controlled Insurance Program (Rail OCIP). The Rail OCIP insures contractors and

More information

INSURANCE EXHIBIT TO CONSTRUCTION AGREEMENT Insurance Requirements Owner Controlled Insurance Program

INSURANCE EXHIBIT TO CONSTRUCTION AGREEMENT Insurance Requirements Owner Controlled Insurance Program *THIS INSURANCE EXHIBIT IS SUBJECT TO FINAL UPDATE BASED ON QUOTE NEGOTIATIONS AND DECISION BY OWNER TO IMPLEMENT THE OCIP PROGRAM FOR THIS PROJECT IT IS BEING PROVIDED FOR INFORMATION ONLY, TO PROSPECTIVE

More information

INSURANCE REQUIREMENTS

INSURANCE REQUIREMENTS Exhibit C INSURANCE REQUIREMENTS ATTACH A COPY OF YOUR EVIDENCE OF INSURANCE MEETING ALL REQUIREMENTS 1.0 Mandatory Insurance Requirements Prior to commencing work, and until all obligations under this

More information

Strategies for Controlling your Cost of Risk

Strategies for Controlling your Cost of Risk Strategies for Controlling your Cost of Risk 1 controlling cost of risk is a learning process 2 which direction will you go to control your cost of risk 3 understanding your industry is crucial to creating

More information

Los Angeles Unified School District

Los Angeles Unified School District DR. JOHN E. DEASY Superintendent of Schools Los Angeles Unified School District Facilities Contracts MARK HOVATTER Chief Facilities Executive MICHELLE KING Senior Deputy Superintendent, School Operations

More information

Massport-LOGAN MODERNIZATION/CAPITAL PROGRAMS

Massport-LOGAN MODERNIZATION/CAPITAL PROGRAMS Introduction The Massachusetts Port Authority (Massport) has elected to provide and administer an Owner Controlled Insurance Program (OCIP) for the Logan Airport Construction Projects. This manual will

More information

Subcontractor Prequalification CA Contractor's License #86393 AB

Subcontractor Prequalification CA Contractor's License #86393 AB Subcontractor Prequalification CA Contractor's License #86393 AB www.oltmans.com COMPANY INFORMATION Company Name License # Year Established Address City State ZIP Office Phone Fax Website PRIMARY CONTACT

More information

SUBCONTRACTOR INFORMATION SHEET

SUBCONTRACTOR INFORMATION SHEET For KCS West Use: 250 East 1 st Street, Suite 600 Phone: (323) 269-0020 Fax: (213) 972-4076 Proof of Review (please initial): Estimating/PreConst. or Project Mgmt. and Safety Dept. (Must be reviewed by

More information

Exhibit. Owner Controlled Insurance Program. Insurance Requirements

Exhibit. Owner Controlled Insurance Program. Insurance Requirements Exhibit Owner Controlled Insurance Program Insurance Requirements 1. Owner Controlled Insurance Program. OWNER shall implement an Owner Controlled Insurance Program ( OCIP ) for the Project. The OCIP is

More information

EXHIBIT B. Insurance Requirements for Environmental Contractors and/or Consultants

EXHIBIT B. Insurance Requirements for Environmental Contractors and/or Consultants EXHIBIT B Insurance Requirements for Environmental Contractors and/or Consultants Contractor shall procure and maintain for the duration of the contract insurance against claims for injuries to persons

More information

SUBCONTRACTOR PRE-QUALIFICATION CHECKLIST

SUBCONTRACTOR PRE-QUALIFICATION CHECKLIST SUBCONTRACTOR PRE-QUALIFICATION CHECKLIST The following information is required by TWC Construction, Inc. in order to qualify your bid and/or enter into a Contract Agreement: Completed Subcontractor Pre-qualification

More information

PROFESSIONAL LIABILITY UPDATE

PROFESSIONAL LIABILITY UPDATE PROFESSIONAL LIABILITY UPDATE A Loss Prevention Newsletter for the Design Profession MSP PL 11/01: OCIPS: How Much Protection Do They Provide for a Design Professional? November, 2001 Owner-Controlled

More information

Exhibit. Owner Controlled Insurance Program. Insurance Requirements

Exhibit. Owner Controlled Insurance Program. Insurance Requirements Exhibit Owner Controlled Insurance Program Insurance Requirements 1. Owner Controlled Insurance Program. COUNTY shall implement an Owner Controlled Insurance Program ( OCIP ) for the Project. The OCIP

More information

SAMPLE FOR THE. <INSERT PROJECT NUMBER> IMPORTANT: When enrolling online insert 4 digit number above!! Presented By:

SAMPLE FOR THE. <INSERT PROJECT NUMBER> IMPORTANT: When enrolling online insert 4 digit number above!! Presented By: Attachment B Layton Construction CCIP LAYTON RISK MANAGEMENT CONTRACTOR CONTROLLED INSURANCE PROGRAM MANUAL FOR THE IMPORTANT:

More information

Subcontractor Prequalification Statement

Subcontractor Prequalification Statement Subcontractor Prequalification Statement NAME FAX WEBSITE IS THIS YOUR HEADQUARTERS? Yes No (if no, include below) FAX NUMBER OF YEARS YOU VE BEEN IN BUSINESS NUMBER OF YEARS UNDER YOUR CURRENT NAME DESIGNATED

More information

Wrap Portal. Your CCIP Management Portal Enrollment Instructions. 1

Wrap Portal. Your CCIP Management Portal Enrollment Instructions. 1 Wrap Portal Your CCIP Management Portal Enrollment Instructions. 1 Introducing your new CCIP Management Portal To make your enrollment into CCIP fast and easy, we are launching this new customized portal.

More information

DESIGN PROFESSIONAL SERVICES (Type) MASTER CONTRACT CONTRACT NO.

DESIGN PROFESSIONAL SERVICES (Type) MASTER CONTRACT CONTRACT NO. MARICOPA COUNTY SPECIAL HEALTHCARE DISTRICT dba MARICOPA INTEGRATED HEALTH SYSTEM Contracts Department 2611 East Pierce Street, 2nd Floor Phoenix, Arizona 85008-6092 Phone: 602-344-1403 DESIGN PROFESSIONAL

More information

responsibility of Tenant and/or Construction Contractors or Construction Subcontractors to pay.

responsibility of Tenant and/or Construction Contractors or Construction Subcontractors to pay. responsibility of Tenant and/or Construction Contractors or Construction Subcontractors to pay. (h) Primary Coverage. For claims arising out of or relating to work on the Specific Project, Tenant s insurance

More information

SUBCONTRACT (SHORT FORM)

SUBCONTRACT (SHORT FORM) SUBCONTRACTOR: PHONE SUBCONTRACT (SHORT FORM) PROJECT: LOCATION: This agreement is made and effective, by and between SUN CONSTRUCTION & FACILITY SERVICES, INC. (Contractor) and (Subcontractor) which are

More information

INDOOR BLEACHER SAFETY RAILS MANDATORY WALK-THRU ON MONDAY, MAY 16, 2016 AT 10:00 A.M. AT CENTRAL OFFICE ANNEX, 24 SCHOOL RD.

INDOOR BLEACHER SAFETY RAILS MANDATORY WALK-THRU ON MONDAY, MAY 16, 2016 AT 10:00 A.M. AT CENTRAL OFFICE ANNEX, 24 SCHOOL RD. SPECIFICATIONS AND BID FORMS FOR INDOOR BLEACHER SAFETY RAILS MANDATORY WALK-THRU ON MONDAY, MAY 16, 2016 AT 10:00 A.M. AT CENTRAL OFFICE ANNEX, 24 SCHOOL RD., WESTON, CT 06883 BID: #16-007- BOE Due on

More information

Or

Or SUBCONTRACTOR PRE QUALIFICATION COVER SHEET Thank you for your interest in working with TSA Contracting, Inc. We are a commercial building contractor specializing in ground-up and tenant improvement construction.

More information

Drexel University Independent Contractor Service Provider Agreement. Name: [ ] Limited Liability Company [ ] Professional Corporation

Drexel University Independent Contractor Service Provider Agreement. Name: [ ] Limited Liability Company [ ] Professional Corporation This is a form agreement for discussion purposes only. It does not constitute a binding offer or contract of Drexel University until all of the terms have been approved and this agreement is executed by

More information

SUBCONTRACTOR/SUPPLIER QUALIFICATION STATEMENT

SUBCONTRACTOR/SUPPLIER QUALIFICATION STATEMENT 35 S. 100 E. American Fork, UT 84003 PHONE: (801) 766-3233 FAX: (801) 766-3240 SUBCONTRACTOR/SUPPLIER QUALIFICATION STATEMENT We appreciate the recent interest you have expressed in being added to Acadian

More information

COACHELLA VALLEY WATER DISTRICT INSTRUCTIONS TO APPLICANT TEMPORARY ENCROACHMENT PERMIT

COACHELLA VALLEY WATER DISTRICT INSTRUCTIONS TO APPLICANT TEMPORARY ENCROACHMENT PERMIT COACHELLA VALLEY WATER DISTRICT INSTRUCTIONS TO APPLICANT TEMPORARY ENCROACHMENT PERMIT 1. Applicant shall submit a completed Temporary Encroachment Permit application and obtain an executed Temporary

More information

D.R. Horton, Inc. Vendor Insurance Requirements ALL STATES EXCEPT CA, WA, OR, ID, UT, AND HI

D.R. Horton, Inc. Vendor Insurance Requirements ALL STATES EXCEPT CA, WA, OR, ID, UT, AND HI D.R. Horton, Inc. Vendor Insurance Requirements ALL STATES EXCEPT CA, WA, OR, ID, UT, AND HI For NEW VENDORS, your certificate should be returned to the division with your subcontractor agreement. For

More information

COACHELLA VALLEY WATER DISTRICT INSTRUCTIONS TO APPLICANT PERMANENT ENCROACHMENT PERMIT

COACHELLA VALLEY WATER DISTRICT INSTRUCTIONS TO APPLICANT PERMANENT ENCROACHMENT PERMIT COACHELLA VALLEY WATER DISTRICT INSTRUCTIONS TO APPLICANT PERMANENT ENCROACHMENT PERMIT 1. Applicant shall provide one (1) set of approved CVWD Drawings. 2. Applicant shall submit a completed Permanent

More information

ADDENDUM A. Subcontractor Insurance Requirements

ADDENDUM A. Subcontractor Insurance Requirements ADDENDUM A Subcontractor Insurance Requirements Certificates and endorsements must be received and approved prior to the start of any work. No payments will be released until all insurance documents are

More information

CITY OF SACRAMENTO NONPROFESSIONAL SERVICES AGREEMENT LESS THAN $25,000

CITY OF SACRAMENTO NONPROFESSIONAL SERVICES AGREEMENT LESS THAN $25,000 PROJECT NAME: AGREEMENT TERM: AUTHORIZED RENEWALS: DEPARTMENT: DIVISION: CITY OF SACRAMENTO NONPROFESSIONAL SERVICES AGREEMENT LESS THAN $25,000 THIS AGREEMENT is made at Sacramento, California, as of,

More information

PROPOSAL DOCUMENTS FOR JANITORIAL SERVICES CONTRACT

PROPOSAL DOCUMENTS FOR JANITORIAL SERVICES CONTRACT West Valley Sanitation District PROPOSAL DOCUMENTS FOR JANITORIAL SERVICES CONTRACT 1. INTRODUCTION A. West Valley Sanitation District of Santa Clara County (District) is accepting proposals for janitorial

More information

EXHIBIT C CONSULTANT INSURANCE REQUIREMENTS SACRAMENTO AREA FLOOD CONTROL AGENCY

EXHIBIT C CONSULTANT INSURANCE REQUIREMENTS SACRAMENTO AREA FLOOD CONTROL AGENCY EXHIBIT C CONSULTANT INSURANCE REQUIREMENTS SACRAMENTO AREA FLOOD CONTROL AGENCY Revised: March 2016 INSURANCE REQUIREMENTS Without limiting Consultant s indemnification, Consultant shall procure and maintain

More information

Responsibility Determination for General Contractors Who May Desire to Submit Bid Proposals for the Construction of [PROJECT TITLE]

Responsibility Determination for General Contractors Who May Desire to Submit Bid Proposals for the Construction of [PROJECT TITLE] Responsibility Statement and Questionnaire CITY OF NAPA PUBLIC WORKS DEPARTMENT NAPA, CALIFORNIA [DATE] Responsibility Determination for General Contractors Who May Desire to Submit Bid Proposals for the

More information

2018 Cyber & Tech Liability Risk Transfer Update Part 2

2018 Cyber & Tech Liability Risk Transfer Update Part 2 2018 Cyber & Tech Liability Risk Transfer Update Part 2 For: PARMA February 15, 2018 (Revised 2.19.2018) Copy of handout at www./parma2.pdf By: Robert J. Marshburn, CRM, CIC, ARM, CRIS, CISC, CCIP R. J.

More information

WESTON HIGH SCHOOL BLEACHER REPAIRS MANDATORY WALK-THRU, MONDAY, JUNE 15, AT 10:30 A.M. AT CENTRAL OFFICE ANNEX, 24 SCHOOL RD., WESTON, CT

WESTON HIGH SCHOOL BLEACHER REPAIRS MANDATORY WALK-THRU, MONDAY, JUNE 15, AT 10:30 A.M. AT CENTRAL OFFICE ANNEX, 24 SCHOOL RD., WESTON, CT SPECIFICATIONS AND BID FORMS FOR WESTON HIGH SCHOOL BLEACHER REPAIRS MANDATORY WALK-THRU, MONDAY, JUNE 15, AT 10:30 A.M. AT CENTRAL OFFICE ANNEX, 24 SCHOOL RD., WESTON, CT 06883. BID: #15-013 BOE Due on

More information

WISCONSIN WORKERS COMPENSATION RETROSPECTIVE RATING PLAN PREMIUM ENDORSEMENT LARGE RISK ALTERNATIVE RATING OPTION

WISCONSIN WORKERS COMPENSATION RETROSPECTIVE RATING PLAN PREMIUM ENDORSEMENT LARGE RISK ALTERNATIVE RATING OPTION WISCONSIN WORKERS COMPENSATION RETROSPECTIVE RATING PLAN PREMIUM ENDORSEMENT LARGE RISK ALTERNATIVE RATING OPTION PLAN TYPE This endorsement changes the policy to which it is attached effective on the

More information

CONTRACTING OPPORTUNITY DESCRIPTION AND APPLICATION FORM

CONTRACTING OPPORTUNITY DESCRIPTION AND APPLICATION FORM CONTRACTING OPPORTUNITY DESCRIPTION AND APPLICATION FORM Title: Goods/Services to be Provided: RFP 31526 Construction Mapping Microsite PGW is seeking proposals from vendors to provide a mapping application

More information

LAS VEGAS 2018 INSURANCE REQUIREMENTS

LAS VEGAS 2018 INSURANCE REQUIREMENTS LAS VEGAS 2018 INSURANCE REQUIREMENTS September 24 30, 2018 YOU SHALL FURNISH A CERTIFICATE OF INSURANCE ( COI ) AND APPLICABLE ENDORSEMENT TO BARRETT- JACKSON PRIOR TO THE EVENT LISTING THE FOLLOWING

More information

West Ridge Park Ballfield Light Pole Structural Assessment

West Ridge Park Ballfield Light Pole Structural Assessment Request for Proposal Professional Services October 3, 2017 West Ridge Park Ballfield Light Pole Structural Assessment West Ridge Park 636 Ridge Rd. Highland Park, IL 60035 Submission Deadline: Tuesday,

More information

Subcontractor/Vendor Prequalification Questionnaire Completed Forms & Insurance Certificate To Be Submitted To:

Subcontractor/Vendor Prequalification Questionnaire Completed Forms & Insurance Certificate To Be Submitted To: Jul-16 Subcontractor/Vendor Prequalification Questionnaire Completed Forms & Insurance Certificate To Be Submitted To: prequalifications@berghammer.com Company Name Divisions of Work/CSI Number(s) Address

More information

Submission Type: New Renewal Conversion BROKER INFORMATION

Submission Type: New Renewal Conversion BROKER INFORMATION Proposed Effective Date Expiration Date of Current GL Policy GENERAL INFORMATION ADMITTED ARTISAN CONTRACTOR PROGRAM APPLICATION Submission Number: Submission Type: New Renewal Conversion BROKER INFORMATION

More information

SUBCONTRACTOR PREQUALIFICATION APPLICATION GENERAL INFORMATION

SUBCONTRACTOR PREQUALIFICATION APPLICATION GENERAL INFORMATION Date of Response: Company name: SUBCONTRACTOR PREQUALIFICATION APPLICATION GENERAL INFORMATION DBA: Phone: E-mail: Main Office Address: State: ZIP Code: Website: Sole Proprietorship: Partnership: Corporation:

More information

Performance CONTRACTORS, INC. HAULING TERMS AND CONDITIONS

Performance CONTRACTORS, INC. HAULING TERMS AND CONDITIONS Performance CONTRACTORS, INC. HAULING TERMS AND CONDITIONS The terms and conditions contained herein ( Terms and Conditions ) shall govern the Purchase Order issued to Hauler by Company ( Purchase Order

More information

Subcontractor Insurance Requirements Certificate Holder VCI Construction, LLC 1921 W. Eleventh Street, Upland CA 91786

Subcontractor Insurance Requirements Certificate Holder VCI Construction, LLC 1921 W. Eleventh Street, Upland CA 91786 Subcontractor Insurance Requirements Certificate Holder VCI Construction, LLC 1921 W. Eleventh Street, Upland CA 91786 Provide this document to your insurance agent along with all samples of endorsements

More information

Insurance Manual. Bradley West Gates Project. LAX Development Program Owner Controlled Insurance Program. Bradley West Gates Project

Insurance Manual. Bradley West Gates Project. LAX Development Program Owner Controlled Insurance Program. Bradley West Gates Project LAX Development Program Owner Controlled Insurance Program Bradley West Gates Project Insurance Manual 12-01-09 Insurance Manual Bradley West Gates Project LAX DEVELOPMENT PROGRAM OWNER CONTROLLED INSURANCE

More information

The Green Law Group, LLP Construction and Business Attorneys 1777 E. Los Angeles Ave. Simi Valley, CA 93065

The Green Law Group, LLP Construction and Business Attorneys 1777 E. Los Angeles Ave. Simi Valley, CA 93065 Understanding OCIP and CCIP Wrap Policies Owner-controlled insurance programs ( OCIP s ) and contractor-controlled insurance programs ( CCIP s ) are being used with increasing frequency and on smaller

More information

CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) Month//Year PRODUCER SIR and WRAP Programs THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Insurnce Agent/Broker Name AND CONFERS NO RIGHTS

More information

CITY OF SACRAMENTO PROFESSIONAL SERVICES AGREEMENT LESS THAN $25,000

CITY OF SACRAMENTO PROFESSIONAL SERVICES AGREEMENT LESS THAN $25,000 PROJECT NAME: AGREEMENT TERM: AUTHORIZED RENEWALS: DEPARTMENT: DIVISION: CITY OF SACRAMENTO PROFESSIONAL SERVICES AGREEMENT LESS THAN $25,000 THIS AGREEMENT is made at Sacramento, California, as of ( Effective

More information

CONTRACTOR-CONTROLLED INSURANCE PROGRAMS

CONTRACTOR-CONTROLLED INSURANCE PROGRAMS THE ESSENTIAL GUIDE TO CONTRACTOR-CONTROLLED INSURANCE PROGRAMS How general contractors can use CCIPs for savings and safety Contractor-Controlled Insurance Programs Contractor-controlled insurance programs,

More information

Insurance Issues for Mixed Use-Mixed Ownership Common Interest Developments

Insurance Issues for Mixed Use-Mixed Ownership Common Interest Developments Insurance Issues for Mixed Use-Mixed Ownership Common Interest Developments Mary Alexander, Robert Burton, David Van Atta 1 Introduction A mixed-use project, particularly one with multiple ownership interests,

More information

ITHACA COLLEGE EQUIPMENT LEASE MASTER AGREEMENT. 1. TERM: This Agreement is effective from (insert dates for a three year period).

ITHACA COLLEGE EQUIPMENT LEASE MASTER AGREEMENT. 1. TERM: This Agreement is effective from (insert dates for a three year period). ITHACA COLLEGE EQUIPMENT LEASE MASTER AGREEMENT This Master Agreement is hereby entered into between Ithaca College, a state of New York educational institution in Ithaca, New York, hereafter referred

More information

Exhibit E-1: Insurance Requirements

Exhibit E-1: Insurance Requirements Please produce separate Certificate(s) of Insurance for this project as detailed below: Certificate Holder: AllertonFox Construction LLC 110 W 40 th Street, Suite 1603 New York, NY 10018 CERTIFICATE# 1:

More information

The New Option. Visibly Different. Owner Controlled Insurance Programs

The New Option. Visibly Different. Owner Controlled Insurance Programs The New Option. Visibly Different. Owner Controlled Insurance Programs Airport Council International (ACI) San Diego 15 January 2015 SESSION PRESENTERS Jim Holobaugh Senior Vice President Construction

More information

Please ensure that the following information is enclosed in your subcontract package:

Please ensure that the following information is enclosed in your subcontract package: SUBCONTRACT PROCESS PLEASE READ ENTIRELY: CONTAINS IMPORTANT INFORMATION Please ensure that the following information is enclosed in your subcontract package: Preliminary Information Subcontract Agreement

More information

OCIP Contract Language

OCIP Contract Language Page 1 of 12 7. Insurance Requirements OCIP Contract Language 7.1 COUNTY Provided Insurance. COUNTY will provide an Owner Controlled Insurance Program ( OCIP ) for the Project. The OCIP will be administered

More information

Contractual Risk Transfer in Construction Contracts

Contractual Risk Transfer in Construction Contracts Contractual Risk Transfer in Construction Contracts Presented by: The Reschini Group 2008 Zywave Inc. All rights reserved. Contractual Risk Transfer Definition: Contractual Risk Transfer is the shifting

More information

DOMINION BUILDERS, LLC requires that allsubcontractors interested in working with us, complete this pre-qualification form.

DOMINION BUILDERS, LLC requires that allsubcontractors interested in working with us, complete this pre-qualification form. DOMINION BUILDERS, LLC requires that allsubcontractors interested in working with us, complete this pre-qualification form. Complete the form below and email or fax (both the form and all attachments)

More information

County of Riverside Human Resource Dept. Risk Management Div. Insurance Requirements In Contracts JEFFREY L. HUNTER SR RISK ANALYST

County of Riverside Human Resource Dept. Risk Management Div. Insurance Requirements In Contracts JEFFREY L. HUNTER SR RISK ANALYST County of Riverside Human Resource Dept. Risk Management Div. Insurance Requirements In Contracts JEFFREY L. HUNTER SR RISK ANALYST INSURANCE REQUIREMENTS IN CONTRACTS The County s insurance requirements

More information

Lane County Health & Human Services Youth Services Division Motivational Interviewing REQUEST FOR QUOTES

Lane County Health & Human Services Youth Services Division Motivational Interviewing REQUEST FOR QUOTES Lane County Health & Human Services Youth Services Division Motivational Interviewing REQUEST FOR QUOTES Introduction Lane County Health & Human Services, Division of Youth Services (DYS) is interested

More information

Understanding Insurance Requirements Disadvantaged Business Enterprise (DBE) Supportive Services Program

Understanding Insurance Requirements Disadvantaged Business Enterprise (DBE) Supportive Services Program Understanding Insurance Requirements Disadvantaged Business Enterprise (DBE) Supportive Services Program The contents of this training course reflect the views of the author who is responsible for the

More information

AUTHORIZED RECYCLER CERTIFICATE OF OPERATION BUSINESS RECYCLING REQUIREMENT PURSUANT TO SWA CODE TITLE IV

AUTHORIZED RECYCLER CERTIFICATE OF OPERATION BUSINESS RECYCLING REQUIREMENT PURSUANT TO SWA CODE TITLE IV SACRAMENTO REGIONAL SOLID WASTE AUTHORITY AUTHORIZED RECYCLER CERTIFICATE OF OPERATION BUSINESS RECYCLING REQUIREMENT PURSUANT TO SWA CODE TITLE IV Note: Certificate valid July 1 June 30 and must be renewed

More information

TRENTON AGRI PRODUCTS LLC INSURANCE & INDEMNIFICATION TERMS & CONDITIONS

TRENTON AGRI PRODUCTS LLC INSURANCE & INDEMNIFICATION TERMS & CONDITIONS TRENTON AGRI PRODUCTS LLC INSURANCE & INDEMNIFICATION TERMS & CONDITIONS These Insurance & Indemnification Terms & Conditions ( Terms ) are hereby incorporated in and made a part of each and every written

More information

Subcontractor Insurance Requirements

Subcontractor Insurance Requirements Subcontractor Insurance Requirements Project Name / #: Certificate Holder & Address: All Operations Back s Construction, Inc. 1602 Front Street, Suite 100 San Diego, CA 92101 Comprehensive General Liability

More information

Elements of Contractual Risk Transfer

Elements of Contractual Risk Transfer Elements of Contractual Risk Transfer DENISE SIMPSON JUNE 13, 2016 2016 ARTHUR J. GALLAGHER & CO. BUSINESS WITHOUT BARRIERS What is Risk? Risk- the uncertainty about outcomes that can either be negative

More information

Sample. Sub-Contractor Insurance & Indemnification Agreement

Sample. Sub-Contractor Insurance & Indemnification Agreement Sample Sub-Contractor Insurance & Indemnification Agreement This Agreement, as negotiated herein, is entered into by and between Subcontractor and Parish/School. For good and valuable consideration, the

More information

2018 Risk Transfer Update Part 1

2018 Risk Transfer Update Part 1 2018 Risk Transfer Update Part 1 For: PARMA February 15, 2018 By: Robert J. Marshburn, CRM, CIC, ARM, CRIS, CISC, CCIP R. J. Marshburn & Associates Laguna Beach, California Bob@ Disclaimer: This material

More information

Subcontractor Work Authorization Form

Subcontractor Work Authorization Form Subcontractor Work Authorization Form Date: Project Name and Address Project Owner and Address: Project Lender and Address: (if any - use address of branch) Direct Contractor Name and Address: (if direct

More information

VENDOR PREQUALIFICATION FORM

VENDOR PREQUALIFICATION FORM VENDOR PREQUALIFICATION FORM Date: Please complete this form and return to Rockford Construction via e mail (prequal@rockfordconstruction.com) or fax (1 616 285 6980 must include the 1 616). ALL AREAS

More information

I-94 N-S Corridor OCIP Materials

I-94 N-S Corridor OCIP Materials I-94 N-S Corridor OCIP Materials The Wisconsin Department of Transportation is providing an Owner Controlled Insurance Program (OCIP) on the above project. All Contractors and Subcontractors must enroll

More information

SUBCONTRACTOR PREQUALIFICATION FORM

SUBCONTRACTOR PREQUALIFICATION FORM SUBCONTRACTOR PREQUALIFICATION FORM All subcontractors are required to complete this questionnaire. The contents of this questionnaire will be considered and used solely to determine your firm s qualification

More information

Rail Owner Controlled Insurance Program Manual

Rail Owner Controlled Insurance Program Manual Rail Owner Controlled Insurance Program Manual Addendum No. 4 to June 2013 Edition (Updated 08-21-17) Update to Section 5 Enrolled and Excluded Contractor Required Coverage for Package P Contract Section

More information

Subcontract Agreement

Subcontract Agreement S THIS AGREEMENT made as of the day of, 2012 BETWEEN the Contractor: TCL Partners 5212 123 rd Place SE Everett, WA 98208 and the For the Following Project: The Architect for the Project: The Contractor

More information

SUBCONTRACTOR PRE-QUALIFICATION APPLICATION Please submit by to:

SUBCONTRACTOR PRE-QUALIFICATION APPLICATION Please submit by  to: I. General Information SUBCONTRACTOR PRE-QUALIFICATION APPLICATION Please submit by email to: ChristinaL@Citnalta.com A. Name and address of your business: This Company and address is the: Main Office

More information

Inspect Plus. Insurance Program. HUB International Ontario Limited. Addressing the needs of Canadian Home Inspectors

Inspect Plus. Insurance Program. HUB International Ontario Limited. Addressing the needs of Canadian Home Inspectors Insurance Program Addressing the needs of Canadian Home Inspectors 2265 Upper Middle Road, Suite 700, Oakville, Ontario L6H 0G5 Dear Home Inspector, You will find enclosed a package including an application

More information

AIA Document A101 TM 2007

AIA Document A101 TM 2007 AIA Document A101 TM 2007 Standard Form of Agreement Between Owner and Contractor where the basis of payment is a Stipulated Sum AGREEMENT made as of the day of in the year (In words, indicate day, month

More information

MEMORANDUM OF UNDERSTANDING EXCESS LIABILITY PROGRAM

MEMORANDUM OF UNDERSTANDING EXCESS LIABILITY PROGRAM Adopted: March 5, 1993 Amended: October 2, 1998 Amended: October 6, 2006 Amended: March 6, 2009 MEMORANDUM OF UNDERSTANDING EXCESS LIABILITY PROGRAM This Memorandum of Understanding is entered into by

More information

UCIP COVERAGE SUMMARY

UCIP COVERAGE SUMMARY Save As UCIP COVERAGE SUMMARY EXHIBIT 1A THE REGENTS OF THE UNIVERSITY OF CALIFORNIA UNIVERSITY CONTROLLED INSURANCE PROGRAM (UCIP) This Exhibit summarizes the UCIP Commercial General Liability, Workers

More information

Primer for Managing Airport Construction Risk

Primer for Managing Airport Construction Risk Primer for Managing Airport Construction Risk ACI Conference Nashville January 15, 2016 Agenda Contract Issues Project Insurance Considerations Controlled Insurance Programs (CIPs) Project Specific GL/Excess

More information

Submission Type: New Renewal Conversion BROKER INFORMATION

Submission Type: New Renewal Conversion BROKER INFORMATION Proposed Effective Date Expiration Date of Current GL Policy GENERAL INFORMATION ADMITTED ARTISAN CONTRACTOR PROGRAM APPLICATION Submission Number: Submission Type: New Renewal Conversion BROKER INFORMATION

More information

Purpose of Training. Disclaimer

Purpose of Training. Disclaimer Purpose of Training The Council of Contracting Agencies (CCA) Committee on Risk Management and Insurance recommends that public entities have a program of risk management and insurance so as to minimize

More information

REQUEST FOR PROPOSALS- INSURANCE BROKER AND CONSULTING SERVICES

REQUEST FOR PROPOSALS- INSURANCE BROKER AND CONSULTING SERVICES October 2, 2015 HUMAN RESOURCES DEPARTMENT 200 AVERY AVENUE MORGANTON, NORTH CAROLINA REQUEST FOR PROPOSALS- INSURANCE BROKER AND CONSULTING SERVICES GENERAL INFORMATION Burke County is located in western

More information

Subcontractor Partner Prequalification Form. Company Name: DBA (if applicable):

Subcontractor Partner Prequalification Form. Company Name: DBA (if applicable): Subcontractor Partner Prequalification Form Part 1 General Company Name: DBA (if applicable): Other names your company has operated under in the past (if applicable): Scope of Work: Cities/Counties/Areas

More information

MASTER SUBCONTRACT AGREEMENT

MASTER SUBCONTRACT AGREEMENT MASTER SUBCONTRACT AGREEMENT This Master Subcontract Agreement ( Subcontract ), made this day of, 20 by and between (hereinafter "Contractor"), with an office and principal place of business at and (hereinafter

More information

NEW VENDOR INFORMATION

NEW VENDOR INFORMATION NEW VENDOR INFORMATION ENROLLMENT INSTRUCTIONS When you become a BH Management Compliant Vendor you are approved to offer your services to all properties managed by BH Management Services, LLC anywhere

More information

2019 REGATTA LIABILITY INSURANCE PROGRAM

2019 REGATTA LIABILITY INSURANCE PROGRAM 2019 REGATTA LIABILITY INSURANCE PROGRAM REGATTA LIABILITY INSURANCE POLICY This provides coverage for your organization s officers, directors, committee members, judges and regional sailing association

More information

I SIGNED THAT? SCARY STORIES & SOLUTIONS

I SIGNED THAT? SCARY STORIES & SOLUTIONS I SIGNED THAT? SCARY STORIES & SOLUTIONS Contract Clauses and Practices That Impact Your Insurance Costs and Bottom Line Geoffrey S. Gavett Gavett, Datt & Barish, P.C. Presented by Chesapeake Region Safety

More information

AVIATION OWNER CONTROLLED INSURANCE PROGRAM MANUAL

AVIATION OWNER CONTROLLED INSURANCE PROGRAM MANUAL AVIATION OWNER CONTROLLED INSURANCE PROGRAM MANUAL NOVEMBER 2018 EDITION RISK MANAGEMENT DEPARTMENT This manual is a contract document METROPOLITAN WASHINGTON AIRPORTS AUTHORITY Aviation Owner Controiied

More information

BID DOCUMENTS FOR. WTP VFD Replacement Bid

BID DOCUMENTS FOR. WTP VFD Replacement Bid BID DOCUMENTS FOR WTP VFD Replacement Bid CITY OF OWOSSO 301 W. MAIN STREET OWOSSO, MICHIGAN 48867 September 18, 2018 NOTICE TO BIDDERS WTP VFD REPLACEMENT BID FOR THE CITY OF OWOSSO, MICHIGAN Sealed proposals

More information