Insurance Forms

Prior to the beginning of and throughout the duration of any work, contract, permit, facility rental, event or use of property with the City of Arcata, the person, contractor, group or organization must maintain insurance and endorsements in conformance with all requirements as set forth in the signed contract or permit with the City of Arcata.

Sample Insurance Forms
See contract or permit requirements for specified forms.

Insurance is to be placed with insurers with a current A.M. Best Company rating of no less than A:VII. For sample insurance forms, please see Contract or Permit Requirements for the specified form.
  • Endorsement for Designated Person or Organization - ISO CG 20 26 11 85
  • Endorsement for Managers or Lessors of Premises - ISO CG 20 11 01 96
  • Endorsement for Owners, Lessees or Contractors - ISO CG 20 10 11 85
  • Endorsement for Permits (Special Events and Encroachments) - ISO CG 20 12 07 98
  • General Certificate of Insurance with Provisions