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DocuSign Envelope ID: 85813D13-C988-407D-B813-593168504340 <br />Coverage <br />Minimum Limits <br />Commercial General Liability <br />$1,000,000 per occurrence <br />$2,000,000 aggregate <br />Automobile Liability including coverage for <br />owned non -owned and hired vehicles <br />$1,000,000 per occurrence <br />Workers' Compensation <br />Statutory <br />Employers' Liability Insurance <br />$1,000,000 per occurrence <br />Required Coverage Forms: <br />The Commercial General Liability coverage shall be written on Insurance Services Office (ISO) <br />form CG 00 01, or a substitute form providing liability coverage at least as broad. <br />The Business Auto Liability coverage shall be written on ISO form CA 00 01, CA 00 05, CA 0012, <br />CA 00 20, or a substitute form providing coverage at least as broad. <br />Required Endorsements: <br />The Commercial General Liability policy shall contain the following endorsements, which shall <br />accompany the Certificate of insurance: <br />1) An Additional Insured endorsement using ISO form CG 20 26 04 13or a form at least as <br />broad naming the County of Orange its elected and appointed officials, officers, agents <br />and employees as Additional Insureds, or provide blanket coverage, which will state AS <br />REQUIRED BY WRITTEN CONTRACT. <br />2) A primary non-contributing endorsement using ISO form CG 20 01 04 13, or a form at <br />least as broad evidencing that the Contractor's insurance is primary and any insurance or <br />self-insurance maintained by the County of Orange shall be excess and non-contributing. <br />The Workers' Compensation policy shall contain a waiver of subrogation endorsement waiving all <br />rights of subrogation against the County of Orange, its elected and appointed officials, officers, <br />agents and employees or provide blanket coverage, which will state AS REQUIRED BY <br />WRITTEN CONTRACT. <br />All insurance policies required by this Contract shall waive all rights of subrogation against the <br />County of Orange, its elected and appointed officials, officers, agents and employees when acting <br />within the scope of their appointment or employment. <br />Contractor shall notify County in writing within thirty (30) days of any policy cancellation and ten <br />(10) days for non-payment of premium and provide a copy of the cancellation notice to County. <br />Failure to provide written notice of cancellation may constitute a material breach of the Contract, <br />upon which the County may suspend or terminate this Contract. <br />The Commercial General Liability policy shall contain a severability of interest's clause also known <br />as a "separation of insured" clause (standard in the ISO CG 0001 policy). <br />Coun 3l <br />.o <br />OC �l' a"InG fries BRODARTCAAany 7 10/171M00887 <br />Printed Library Materials <br />