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

  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