2C EXHIBIT A – STATEMENT OF WORK Name of program – Name of contracting organization, hereinafter referred to as shall, pursuant “CONTRACTOR” to the provisions of this Contract and the (SSA Department), provide (type of services) for the Alameda County (SSA Department) (Program name) SYSTEM OVERVIEW II. CONTRACTOR OBLIGATIONS III. PROGRAM SERVICES IV. FISCAL COMPLIANCE 2D EXHIBIT B – 2E - EXHIBIT C COUNTY OF ALAMEDA MINIMUM INSURANCE REQUIREMENTS Without limiting any other obligation or liability under this Agreement, the Contractor, at its sole cost and expense, shall secure and keep in force during the entire term of the Agreement or longer, as may be specified below, the following minimum insurance coverage, limits and endorsements: TYPE OF INSURANCE COVERAGES MINIMUM LIMITS A Commercial General Liability $1,000,000 per occurrence (CSL) Bodily Injury and Property Damage Premises Liability; Products and Completed Operations; Contractual Liability; Personal Injury and Advertising Liability B Commercial or Business Automobile Liability $1,000,000 per occurrence (CSL) All owned vehicles, hired or leased vehicles, non-owned, Any Auto borrowed and permissive uses. Personal Automobile Bodily Injury and Property Damage Liability is acceptable for individual contractors with no transportation or hauling related activities C Workers’ Compensation (WC) and Employers Liability WC: Statutory Limits EL: $1,00,000 per accident for bodily injury or (EL) disease Required for all contractors with employees D Employee Dishonesty and Crime $1,000,000 per occurrence E Endorsements and Conditions: 1. ADDITIONAL INSURED: All insurance required above with the exception of Commercial or Business Automobile Liability, Workers’ Compensation and Employers Liability, shall be endorsed to name as
2C – EXHIBIT A STATEMENT OF WORK – Name of program Name of contracting organization, hereinafter referred to as “CONTRACTOR” shall, pursuant to the provisions of this Contract and the (SSA Department), provide (type of services) for the Alameda County (SSA Department) (Program name) SYSTEM OVERVIEW II. CONTRACTOR OBLIGATIONS III. PROGRAM SERVICES IV. FISCAL COMPLIANCE 2D – EXHIBIT B 2E - EXHIBIT C COUNTY OF ALAMEDA MINIMUM INSURANCE REQUIREMENTS Without limiting any other obligation or liability under this Agreement, the Contractor, at its sole cost and expense, shall secure and keep in force during the entire term of the Agreement or longer, as may be specified below, the following minimum insurance coverage, limits and endorsements: TYPE OF INSURANCE COVERAGES MINIMUM LIMITS A Commercial General Liability Premises Liability; Products and Completed Operations; Contractual Liability; Personal Injury and Advertising Liability $1,000,000 per occurrence (CSL) Bodily Injury and Property Damage B Commercial or Business Automobile Liability All owned vehicles, hired or leased vehicles, non-owned, borrowed and permissive uses. Personal Automobile Liability is acceptable for individual contractors with no transportation or hauling related activities $1,000,000 per occurrence (CSL) Any Auto Bodily Injury and Property Damage C Workers’ Compensation (WC) and Employers Liability (EL) Required for all contractors with employees WC: Statutory Limits EL: $1,00,000 per accident for bodily injury or disease D Employee Dishonesty and Crime $1,000,000 per occurrence E Endorsements and Conditions: 1. ADDITIONAL INSURED: All insurance required above with the exception of Commercial or Business Automobile Liability, Workers’ Compensation and Employers Liability, shall be endorsed to name as
AJCC-Attachment-2.docx