Instructor Proposal Forms
Please read the contract instructor requirements below before submitting a contract instructor form.
For all Contract Instructors we require the following:
- Instructors and/or volunteers are Live Scan through the City of Burbank Contracted Instructor schedule.
- Complete a Payee Registration Form.
- Instructors/volunteers will need to provide proof of a current/valid Tuberculosis (TB) test.
- Instructors must provide an annual Certificate of Liability Insurance with the requirements below – the City of Burbank, 275 E Olive Ave, Burbank, CA 91502 as Certificate Holder
- Certificate of Liability Insurance/ Commercial General Liability and Property Damage Certificate (GL) (10.2)
- $1,000,000 combined single limit
- Insurance shall be primary (10.2 A.b)
- Waiver of Subrogation (or Transfer of Recovery of Rights Against Others) (10.2 A.c)
- Endorsement for Notice of Cancellation, at least 10 days (10.2)
- Endorsed to include affirmative coverage for sexual abuse or molestation. (10.3) $1,000,000 per occurrence
- Additional Insured Endorsement–- the City of Burbank, 275 E Olive Ave, Burbank, CA 91502
- City named as Additional Insured (10.2)
- Endorsement Form CG 20 11 01 96 (10.2 A.a)
- Workers’ Compensation – a letter stating that you are not subject because you are the sole proprietor and do not have employees.
- This portion is required if you do have employees.
- With Statutory Limits
- Employer’s Liability
- No less than $1,000,000 per accident for bodily injury or disease
- Waiver of Subrogation Endorsement (or Transfer of Recovery of Rights Against Others)
- Sexual abuse and molestation (SAM) Liability Certificate if applicable (10.3)– if you are teaching a class that includes minors.
- Required if ISA will include contact with minors
- Separate policy is required if not already included in GL
- $1,000,000 per occurrence or claim
- Waiver of Subrogation (or Transfer or Recovery or Rights Against Others)
All requirements must be completed prior to the start of the first registration period.