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CITY OF SAN LEANDRO <br />Insurance Requirements Review Checklist. Term:404 <br />to / <br />. .................... 1, <br />L2Z <br />Reviewed by: 1.d Date: Approved by: Date: <br />ConsultantlContractor. At 67Ad-J1i&- ��A.6.2ryias Value: (04C -19.4n <br />Project/Service: A/M a/ <br />CRY contactlext.-AWAl-MA 4. 3352 <br />Account#. <br />Paquimd <br />Coverage <br />Limb <br />Additional <br />Insu <br />Waiver of <br />Subrogation <br />Primary <br />lnsuraPc8 <br />Acceptable <br />Yes/No <br />j$1,q <br />General Liability <br />411M <br />Automobile Liability <br />Workers' Comp Liability <br />MpAg*d <br />WA <br />Professional Liability/EO <br />t 1A'j <br />WA <br />WA <br />WA <br />Sexual Abuse/ <br />Molestation <br />WA <br />WA <br />WA <br />Environmental Liability <br />WA <br />WA <br />Pollution Liability <br />WA <br />WA <br />Excess Liability <br />WA <br />WA <br />WA <br />Builders Rh* <br />WA <br />WA <br />N/A <br />S <br />