Risk Management Division's Forms

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Mailing Address:

City Manager's Office
City Hall North
1600 Truxtun Avenue - 5th Floor
Bakersfield, California 93301
[Locate City Hall North]

Office Hours:
8:00 a.m. - 5:00 p.m.
Monday - Friday except Holidays
Phone: (661) 326-3751
FAX: (661) 324-1850

E-mail:
City Manager
AdmMgr@bakersfieldcity.us

Rhonda Smiley,
Public Information Officer
E-mail:PIO@bakersfieldcity.us

Risk Management Division - Online Forms

General Forms:

Insurance Requirements for Vendors & Construction Projects:

Basic Insurance Requirements
Certificate of Liability Insurance Sample
Additional Insured Sample
Waiver of Subrogation Endorsement
- Sample One
- Sample Two

For additional information you may contact the Risk Management Division at:

City Of Bakersfield
Risk Management Division
City Hall
1600 Truxtun Avenue
Bakersfield, Ca 93301

Ralph Korn, CPCU, Risk Manager
661- 326-3096