Laserfiche WebLink
SUPPLEMENTAL INSURANCE CHECKLIST <br />oF, <br />e?a <br />TO: CLERK OF THE COUNCIL OFFICE - <br />M <br />FROM: CONTRACT ADMINISTRATOR: Sergeant Sergio Enriquez EXT.: 8020 <br />NAME OF CONSULTANT/ PARTY: Affordable Engineering Services dba K2 Unmanned Syste <br />AGREEMENT NUMBER (IF APPLICABLE): <br />Please review the insurance section of the agreement to ensure all necessary certificates of insurance are <br />submitted to the Clerk's Office. Please provide ALL documents listed to fully execute the agreement and <br />avoid payment delay to the vendor. <br />Please check all boxes below that apply to your agreement. <br />BUSINESS AUTOMOBILE LIABILITY <br />NON -OWNED ❑ <br />HIRED ❑ <br />OWNED ❑ <br />GENERAL LIABILITY ❑ <br />PROFESSIONAL LIABILITY ❑ <br />WORKER'S COMPENSATION ` ❑ <br />REVISED', 9/19/2018 <br />