Guidelines for Submitting Evidence of Insurance

The following documents contain instructions and guidelines for submitting Evidence of Insurance to the LADWP:

Insurance Compliance System Memo 

LADWP Insurance Compliance System Platform

Insurance Compliance System Online Training

Required Insurance Endorsement Forms

• Automobile Liability
• Crime Insurance & Fidelity
• Excess Liability
• General Liability
• Pollution Liability
• Property Damage
• Workers’ Compensation & Employer’s Liability

1. Certificates of Insurance will be accepted as evidence of insurance for the following coverages with required endorsements identifying LADWP in the policy schedule:
   • General Liability
   • Automobile Liability
   • g Workers’ Compensation
   • Excess Liability
   • Professional Liability
   • Pollution Legal Liability
   • Aircraft Liability
   • Protection and Indemnity (Watercraft Liability)
   • Asbestos Liability
   • Railroad Liability (including Railroad Protective)
   • Property Damage
   • Crime/Fidelity
2. For the above coverages, only LADWP Additional Insured/Special Endorsements will be accepted as evidence of insurance.
3. In the unlikely case where it is not possible for LADWP Additional Insured/Special Endorsement Forms to be completed, then an Acord 25 Certificate of insurance with required endorsements identifying LADWP in the schedule may be an acceptable form of evidence of insurance.
   • LADWP endorsement forms may only be “Certified/Signed” by persons duly authorized by the insurance company to Certify/Sign same.
   • Persons certifying endorsement forms, must print their name, title, company, and phone number, next to the Certification.

Certified endorsement forms must have at a minimum the following insurance company endorsements included, as appropriate and required by the contract:

• Additional Insured
• Notice of Cancellation (30 days, 10 days for non-payment)
• Loss Payee Status as the Department’s Interest May appear
• Waiver of Subrogation