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.

Insurance is to be placed with insurers with a current A.M. Best's rating of no less than A:VII.

Sample Insurance Forms–See Contract or Permit Requirements for specified forms.
  • General Certificate of Insurance w/Provisions
  • Endorsement for Designated Person or Organization-ISO CG 20 26 11 85
  • Endorsement for Owners, Lessees or Contractors-ISO CG 20 10 11 85
  • Endorsement for Permits (Special Events & Encroachments)-ISO CG 20 12 07 98
  • Endorsement for Managers or Lessors of Premises-ISO CG 20 11 01 96