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Right-of-Way Ordinance No. 113 6 3. A certificate of insurance or self-insurance: 1. Verifying that an insurance policy has been issued to the permittee by an insurance company licensed to do business in the State of Minnesota, or a form of self-insurance acceptable to the City Engineer. 2. Verifying that the permittee is insured against claims for personal injury, including death, as well as claims for property damage arising out of the (1) use and occupancy of the right-of-way by the permittee, its officers, agents, employees and permittees, and (2) placement and use of facilities and equipment in the right-of-way by the permittee, its officers, agents, employees and permittees, including, but not limited to, protection against liability arising from completed operations, damage of underground facilities and collapse of property. 3. Naming the City as an additional insured as to whom the coverages required herein are in force and applicable and for whom defense will be provided as to all such coverages . 4. Requiring that the City Engineer be notified thirty (30) days in advance of cancellation of the policy or material modification of a coverage term . 5. Indicating comprehensive liability coverage, automobile liability coverage, workers compensation and umbrella coverage in amounts established by the City Engineer sufficient to protect the City and the public and to carry out the purposes and policies of this Section. 6. The City may require a copy of the actual insurance policies. 7. If the person is a corporation, a copy of the certificate required to be filed under Minnesota Statute § 300.03 as recorded and certified to by the Secretary of State. 8. A copy of the person’s order granting a certificate of authority from the Minnesota Public Utilities Commission or other applicable state or federal agency, where the person is lawfully required to have such certificate from said commission or other state or federal agency. 2. Payment of money due to the city for: 1. Permit fees, estimated restoration costs and other management costs. 2. Prior obstruction or excavations. 3. Any undisputed loss, damage, or expense suffered by the city because of applicant’s prior excavations or obstructions of the rights-of-way or any emergency actions taken by the city. 4. Franchise fees or other charges, if applicable. 3. Payment of disputed amounts due the city by posting security or depositing in an escrow account an amount equal to at least 110 percent of the amount owing. 4. Posting an additional or larger construction performance bond for additional facilities when applicant requests an excavation permit to install additional facilities and the city deems the existing construction performance bond inadequate under applicable standards.