Camas, WA · Clark County
Encroachment Permit Insurance Requirements
This document lists the insurance evidence and endorsement that applicants provide for an encroachment permit involving work in the City of Camas right-of-way.
What this form is
Applicants use this document to provide insurance information for encroachment permit work that may obstruct streets, highways, or public places, or take place in the city’s right-of-way. It specifies liability coverage limits, requires the City of Camas to be named as an additional insured, and requests an insurance certificate and endorsement. It also provides choices for annual certification or permit-specific coverage.
Who needs it
Applicants seeking an encroachment permit for work affecting streets, highways, public places, or the city’s right-of-way provide the requested insurance evidence.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is completed without a notary; it requests dates and insurance records, and does not identify any sworn or notarized attachment.
How to submit this form
- 1
Download The Document
Download the Encroachment Permit Insurance Requirements PDF.
- 2
Review The Coverage Requirements
Check the listed liability coverage limits and additional-insured requirements.
- 3
Gather Insurance Attachments
Provide a certificate of insurance and a copy of the required endorsement.
- 4
Complete The Document
Enter the dates and company or agency name, then indicate annual certification or permit-specific coverage and provide the permit number if applicable.
- 5
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Encroachment Permit Insurance Requirements?
- No. This document is completed without a notary; it requests insurance records and dates and does not identify any sworn or notarized attachment.
- How do I submit the insurance requirements?
- The document does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
- What insurance evidence does the document request?
- It requests a certificate of insurance showing the specified commercial general liability and automobile liability coverage, naming the City of Camas as an additional insured, plus a copy of an endorsement.
- Can I provide annual insurance certification?
- The document offers an annual certification option marked “Keep on File,” as well as a permit-specific option with a space for the permit number.
Need something notarized?
This Encroachment Permit Insurance Requirements doesn’t need a notary — but if you have another Camas form that does, a commissioned online notary can help.