Liability & Insurance

Sample Form 18 - Additional Insured - Construction

 Section II - Who Is An Insured
Additional insured status must be required in our agreement.
For ongoing operations only. A separate endorsement is needed for Additional Insured - Completed Operations.
 This endorsement is acceptable only if the contractor is doing work FOR US.

Contact Information

Jamie Bloom, Insurance Manager

Reesha Ruel, Liability Manager

Risk Management Division

Human Resources Department

Business Hours
Monday – Friday
8:00 AM – 5:00 PM
Contact us by Phone
575 Administration Drive
Room 116 B
Santa Rosa, CA 95403
38.465237, -122.725363

Sample Form

Sample Form 18 Additional Insured Construction

Sample Form

Image of sample form with field definitions and explanations.