Risk Management Insurance Certificates

The preferred form of evidence of insurance is an insurance industry ACORD certificate submitted electronically via Track4LA^TM at http://track4la.lacity.org, the City's online insurance compliance system. For additional information on City of Los Angeles evidence of insurance submission requirements, please refer to the instructions for City Insurance Requirements.

ACORD 25 Certificate of Liability Insurance

 

Risk Management Insurance Forms

Request for Waiver of Workers' Compensation Insurance Requirement

Applicant's Declaration of Self-Insurance