Common use of Statutory Compensation Coverage Clause in Contracts

Statutory Compensation Coverage. Except as provided below, Contractor must provide Workers’ Compensation insurance for all its employees and, in case any work is subcontracted, Contractor will require the subcontractor to provide Workers’ Compensation insurance in accordance with the statutory requirements of the State, including Coverage B, Employer’s Liability. Insurance minimum limits are as follows: $100,000 – Bodily Injury by Disease per employee $500,000 – Bodily Injury by Disease aggregate $100,000 – Bodily Injury by Accident If Minn. Stat. § 176.041 exempts Contractor from Workers’ Compensation insurance or if the Contractor has no employees in the State, Contractor must provide a written statement, signed by an authorized representative, indicating the qualifying exemption that excludes Contractor from the Minnesota Workers’ Compensation requirements. If during the course of the contract the Contractor becomes eligible for Workers’ Compensation, the Contractor must comply with the Workers’ Compensation Insurance requirements herein and provide the State with a certificate of insurance. Property of Others Insurance (or equivalent). The Contractor shall maintain a Property insurance policy covering “All Risk” of direct physical loss or damage, or equivalent, including the perils of theft, flood, transit, earthquake, and pollution clean‐up expense for property owned by the state that is in the Contractor’s care, custody, and control. Any deductible shall be the sole responsibility of the Contractor. Insurance minimum limits are as follows: The Contractor is solely responsible for the coverage equal to that of the actual cash value of state‐ owned property in the Contractor’s care, custody, and control at any given point in time. The Facility Maps show the Minnesota National Guard facilities by aerial view and address(es). The Facility Map defines the installation boundary (outlined in red); “Snow Removal” area (blue diagonal lines); and if applicable for the facility, “On Demand Snow Removal” area (yellow diagonal lines).

Statutory Compensation Coverage. Except as provided below, Contractor must provide Workers’ Compensation insurance for all its employees and, in case any work is subcontracted, Contractor will require the subcontractor to provide Workers’ Compensation insurance in accordance with the statutory requirements of the State, including Coverage B, Employer’s Liability. Insurance minimum limits are as follows: $100,000 – Bodily Injury by Disease per employee $500,000 – Bodily Injury by Disease aggregate $100,000 – Bodily Injury by Accident If Minn. Stat. § 176.041 exempts Contractor from Workers’ Compensation insurance or if the Contractor has no employees in the State, Contractor must provide a written statement, signed by an authorized representative, indicating the qualifying exemption that excludes Contractor from the Minnesota Workers’ Compensation requirements. If during the course of the contract the Contractor becomes eligible for Workers’ Compensation, the Contractor must comply with the Workers’ Compensation Insurance requirements herein and provide the State with a certificate of insurance. Property In General. Prices listed take into consideration all inherent costs of Others Insurance (or equivalent)providing the requested goods and services. The Contractor agrees to pay any and all fees, including, but not limited to: duties, custom fees, permits, brokerage fees, licenses and registrations, government taxes, overhead, profit, parking permits, proper disposal of materials, insurance payments. The State will not pay any additional charges beyond the price(s) listed, unless otherwise provided for by law or expressly allowed by the Contract. Prices listed within Exhibit D are maximum prices. These maximum prices shall maintain remain firm for the initial term of the Contract. The Price List may not include any additional terms or conditions. A unit price and a Property insurance policy covering “All Risk” of direct physical loss or damagetotal for the quantity must be stated for each item quoted. Prices must be quoted in United States currency. Any increase to Contract pricing requires a duly executed amendment to this Contract. Contractor may provide lower pricing at its discretion without requiring a duly executed amendment to the Contract. SWIFT Line Description Unit Price 1 Astrophysics XIS-100DXV, or equivalent, including the perils Approved Equal EA $1.00 2 1 meter entry and exit roller tables EA $1.00 3 Disposal of theft, flood, transit, earthquake, and pollution clean‐up expense for property owned by the state that is in the old system EA $1.00 4 Training EA $1.00 Contractor’s carepayment terms are [to be completed based on response to the solicitation and any negotiations, custody(i.e., and control. Any deductible shall be the sole responsibility of the Contractor. Insurance minimum limits are as follows: The Contractor is solely responsible for the coverage equal to that of the actual cash value of state‐ owned property Net 30, 1% in the Contractor’s care30 Net 31, custody, and control at any given point in time. The Facility Maps show the Minnesota National Guard facilities by aerial view and address(es). The Facility Map defines the installation boundary (outlined in red); “Snow Removal” area (blue diagonal lines); and if applicable for the facility, “On Demand Snow Removal” area (yellow diagonal linesetc.).]

Statutory Compensation Coverage. Except as provided below, Contractor must provide Workers’ Compensation insurance for all its employees and, in case any work is subcontracted, Contractor will require the subcontractor to provide Workers’ Compensation insurance in accordance with the statutory requirements of the State, including Coverage B, Employer’s Liability. Insurance minimum limits are as follows: $100,000 – Bodily Injury by Disease per employee $500,000 – Bodily Injury by Disease aggregate $100,000 – Bodily Injury by Accident If Minn. Stat. § 176.041 exempts Contractor from Workers’ Compensation insurance or if the Contractor has no employees in the State, Contractor must provide a written statement, signed by an authorized representative, indicating the qualifying exemption that excludes Contractor from the Minnesota Workers’ Compensation requirements. If during the course of the contract the Contractor becomes eligible for Workers’ Compensation, the Contractor must comply with the Workers’ Compensation Insurance requirements herein and provide the State with a certificate of insurance. Property of Others Insurance (or equivalent). The Contractor shall maintain a Property insurance policy covering “All Risk” of direct physical loss or damage, or equivalent, including the perils of theft, flood, transit, earthquake, and pollution clean‐up clean-up expense for property owned by the state that is in the Contractor’s care, custody, and control. Any deductible shall be the sole responsibility of the Contractor. Insurance minimum limits are as follows: The Contractor is solely responsible for the coverage equal to that of the actual cash value of state‐ state- owned property in the Contractor’s care, custody, and control at any given point in time. The Facility Maps show MN Lottery participates in the MN State Fair event, we have a location at the Fairgrounds to accommodate the event activities. In this space we need to have a tent and subsequent materials indicated in this solicitation. Goal of this solicitation is to award a contract/purchase order to a vendor for providing the rental of a Tent & Floor Rental, Installation (Assembly/Disassembly) of products as well as Annual Storage for the lottery own materials. Delivery is for the vendor location to the Minnesota National Guard facilities by aerial view State Fairgrounds and address(es)pick up from the Minnesota State Fairgrounds delivering back to vendor location. The Facility Map defines the installation boundary o Rental components • Tent • Floor • Tracking system, • Lighting, • Fans, • Extension cords (outlined in red)banner frame) o Includes: o Transport to/from fairgrounds, o Assembly/disassembly; “Snow Removal” area o Minnesota State Lottery (blue diagonal lines); MSL)-owned plywood wall components and if applicable for the facilityt-shirt bins to include: • Transport to/from fairgrounds, “On Demand Snow Removal” area (yellow diagonal lines)• Assembly/disassembly, and • Annual storage throughout contract period o Other items: • Install & uninstall MSL-provided signs, banners & logo stickers.

Statutory Compensation Coverage. Except as provided below, Contractor must provide Workers’ Compensation insurance for all its employees and, in case any work is subcontracted, Contractor will require the subcontractor to provide Workers’ Compensation insurance in accordance with the statutory requirements of the State, including Coverage B, Employer’s Liability. Insurance minimum limits are as follows: $100,000 – Bodily Injury by Disease per employee $500,000 – Bodily Injury by Disease aggregate $100,000 – Bodily Injury by Accident If Minn. Stat. § 176.041 exempts Contractor from Workers’ Compensation insurance or if the Contractor has no employees in the State, Contractor must provide a written statement, signed by an authorized representative, indicating the qualifying exemption that excludes Contractor from the Minnesota Workers’ Compensation requirements. If during the course of the contract the Contractor becomes eligible for Workers’ Compensation, the Contractor must comply with the Workers’ Compensation Insurance requirements herein and provide the State with a certificate of insurance. Professional Liability, Errors, and Omissions. This policy will provide coverage for all claims the contractor may become legally obligated to pay resulting from any actual or alleged negligent act, error, or omission related to Contractor’s professional services required under the contract. Insurance minimum limits are as follows: $2,000,000 - per claim or event $2,000,000 - annual aggregate Any deductible will be the sole responsibility of the Contractor and may not exceed $50,000 without the written approval of the State. If the Contractor desires authority from the State to have a deductible in a higher amount, the Contractor shall so request in writing, specifying the amount of the desired deductible and providing financial documentation by submitting the most current audited financial statements so that the State can ascertain the ability of the Contractor to cover the deductible from its own resources. The retroactive or prior acts date of such coverage shall not be after the effective date of this Contract and Contractor shall maintain such insurance for a period of at least three (3) years, following completion of the work. If such insurance is discontinued, extended reporting period coverage must be obtained by Contractor to fulfill this requirement. Network Security and Privacy Liability Insurance (or equivalent). [Include this insurance requirement when there are technology-related risks (e.g., software licenses, subscription services, maintenance and support services). Also, use when Contractor has access to not public data on state’s network or on Contractor’s network.] The coverage may be endorsed on another form of liability coverage or written on a standalone policy. Contractor shall maintain insurance to cover claims which may arise from failure of Contractor’s security resulting in, but not limited to, computer attacks, unauthorized access, disclosure of not public data including but not limited to confidential or private information, transmission of a computer virus or denial of service. Insurance minimum limits are as follows: $2,000,000 per occurrence $2,000,000 annual aggregate The following coverage shall be included: State of Minnesota named as an Additional Insured unless the coverage is written under a Professional Liability policy. Privacy Liability Insurance (or equivalent). [Include this insurance requirement when there are no technology- related risks but Contractor has access to not public data that is not on a network (e.g., paper records).] The coverage may be endorsed on another form of liability coverage or written on a standalone policy. The Contractor shall maintain insurance to cover claims which may arise from failure of the Contractor to ensure the security of not public data stored on the State’s documents, including but not limited to paper, microfilms, microfiche, magnetic computer tapes, cassette tapes, photographic negatives, photos, hard disks, floppy disks, and carbon sheets, while in the Contractor’s care, custody, and control. Insurance minimum limits are as follows: $2,000,000 - Per Occurrence $2,000,000 - Annual Aggregate The following coverage shall be included: State of Minnesota named as an Additional Insured unless the coverage is written under a Professional Liability policy. Property of Others Insurance (or equivalent). [Include this insurance requirement when there is property owned by the state that is or may be in the Contractor’s care, custody, and control. Please note this coverage should be used if the Contractor is removing the state property from state grounds.] The Contractor shall maintain a Property insurance policy covering “All Risk” of direct physical loss or damage, or equivalent, including the perils of theft, flood, transit, earthquake, and pollution clean‐up clean-up expense for property owned by the state that is in the Contractor’s care, custody, and control. Any deductible shall be the sole responsibility of the Contractor. Insurance minimum limits are as follows: The Contractor is solely responsible for the coverage equal to that of the actual cash value of state‐ state-owned property in the Contractor’s care, custody, and control at any given point in time. [If Contractor’s duties are fully described in Contract Section 2, indicate this page is “Intentionally Left Blank.”] [If payment is fully described in Contract Section 5, indicate this page is “Intentionally Left Blank.”] [Add sample invoice here as part of Exhibit D, Supplement 1.] Attached is a sample invoice and quote. Contractor is required to use the sample quote and sample invoice for all transactions under this Contract. Contractor may not materially change either document unless the change has been approved in writing by the State’s Authorized Representative. Contractor may not modify the sample quote or sample invoice to provide less detail regarding purchases under this Contract. Contractor hereby waives the right to enforce any term in either sample which contradicts or modifies any term of the solicitation or any Contract that may result, including subsequent amendments to the Contract, or would result in an unencumbered expense if enforced against the state or its CPV members. The Facility Maps show State anticipates the sample quote and sample invoice will contain, at a minimum: [review invoice requirements and modify to fit scope of the project.] o Customer name o State Contract number field o Service description o Explanation of work performed per charge indicated on the invoice [this could address number of hours worked or deliverables completed – customize as appropriate] This Attachment sets forth the terms and conditions in which STATE will share data with and permit CONTRACTOR to use or disclose Protected Information that the parties are legally required to safeguard pursuant to the Minnesota National Guard facilities by aerial view Data Practices Act under Minnesota Statutes, chapter 13, the Health Insurance Portability and address(es)Accountability Act rules and regulations codified at 45 C.F.R. Parts 160, 162, and 164 (“HIPAA”) and other applicable laws. The Facility Map defines parties agree to comply with all applicable provisions of the installation boundary Minnesota Data Practices Act, HIPAA, and any other state and federal statutes that apply to the Protected Information. General Description of Protected Information That Will Be Shared: CONTRACTOR(S) will have access to private student data that includes transcripts and grades as well as Special Education documents and information submitted by third party agencies and providers. Purpose for Sharing Protected Information and Expected Outcomes: To assist participating CONTRACTOR(S) in decision making for recommendations to staff and parents regarding the provision of student services. STATE is permitted to share the Protected Information with CONTRACTOR pursuant to: Minnesota Government Data Practices Act, Chapter 13 of Minnesota Statutes and the Federal Educational Rights Privacy Act, 34 C.F.R. §§ 99.1-99.67, Minn. Stat. § 13.32, Subd. 3; 34 C.F.R. §§ 99.3 and 99.30-31, 34 C.F.R. §§ 99.30 and 99.31(a)(1)(i)(A), 34 C.F.R. § 99.31(a)(1)(ii), cmts. at 73 FR 74817 (outlined in red2008), 34 C.F.R. § 99.31(a)(1)(B)(3)(ii); 34 C.F.R. § 99.31(a)(1)(ii), cmts. at 73 FR 74817 (2008) It is expressly agreed that CONTRACTOR is a “Snow Removalbusiness associate” area of STATE, as defined by HIPAA under 45 C.F.R. § 160.103. The disclosure of protected health information to GRANTEE that is subject to the Health Insurance Portability Accountability Act (blue diagonal lines); and if applicable for the facility, “On Demand Snow Removal” area (yellow diagonal linesHIPAA) is permitted by 45 C.F.R. § 164.502(e)(1)(i).

Statutory Compensation Coverage. Except as provided below, Contractor must provide Workers’ Compensation insurance for all its employees and, in case any work is subcontracted, Contractor will require the subcontractor to provide Workers’ Compensation insurance in accordance with the statutory requirements of the State, including Coverage B, Employer’s Liability. Insurance minimum limits are as follows: $100,000 – Bodily Injury by Disease per employee $500,000 – Bodily Injury by Disease aggregate $100,000 – Bodily Injury by Accident If Minn. Stat. § 176.041 exempts Contractor from Workers’ Compensation insurance or if the Contractor has no employees in the State, Contractor must provide a written statement, signed by an authorized representative, indicating the qualifying exemption that excludes Contractor from the Minnesota Workers’ Compensation requirements. If during the course of the contract the Contractor becomes eligible for Workers’ Compensation, the Contractor must comply with the Workers’ Compensation Insurance requirements herein and provide the State with a certificate of insurance. Property Furnish and install EditShare ARK System, and new EditShare VBoxHD 4 Channel for MnDOT Video Services, and provide associated product support services as specified. No substitutions for the specified EditShare products will be accepted or considered. Furnish and install the following EditShare ARK System products to replace the existing EditShare ARK system. Installation includes all labor, engineering, on-site commissioning, travel expenses, products, equipment, tools, and materials to fully install the specified EditShare products.  EditShare Ark System o Ark Disk Director o Ark Disk Expansion o Ark Tape Gateway  Compatible with EditShare’s tape libraries and with LTO tape libraries from manufacturers including, but not limited to, HP, Quantum, and SpectraLogic.  Facilitates creation of Others Insurance any number of “Tape Pools.”  Copy or migrate media and related files from “online” to “offline storage.  Verify backed up data.  Receive notifications when transfers are completed.  24 slots and one (1) LTO-7 SAS drive installed.  Includes Ark Master software and 24 Ark Tape license.  Ark SAS Connection Kit.  Includes SAS HBA and 1m SAS cable.  Ark Small Tape Library Platform perpetual license.  Unlocks Ark platform for 24 slot tape libraries. o Server Hardware  Intel Quad Core Xeon CPU, Intel chipset  12GB XXX0-0000 XXx XXX highspeed RAM  Mirrored 2.5" 320GB SATA 3 Gb/s OS drives, rear accessible  6Gb/s Hardware RAID Controllers with SATA/SAS ports  3.5" enterprise-class 7200rpm SATA or equivalent). The Contractor shall maintain a Property insurance policy covering “All Risk” of direct physical loss or damageSAS 6Gb/s media drives in 1TB, 2TB, or equivalent4TB capacities (16 per Ark Disk Director or Expansion Chassis, including the perils 4 per Ark Tape Gateway)  RAID 6 as standard, configurable to other RAID standards such as RAID 5 o Warranty  Five (5) year warranty covering all products specified in this. o Annual Support  Provide one year of theft24 hour telephone, flood, transit, earthquakeportal, and pollution clean‐up expense for property owned by the state that is in the Contractor’s careemail support, custodywhich also covers Software and includes full version software upgrades. Furnish and install EditShare VBOX In/Out 4 Channel HD multichannel distributed video server to replace existing EditShare GEEVs. Installation includes all labor, engineering, on-site commissioning, travel expenses, products, equipment, tools, and controlmaterials to fully install the specified EditShare product. Any deductible shall be the sole responsibility  EditShare VBOX model o VBOX-I/O-HD-LT-4 Channel HD  4x HD-SDI configurable channels  Ingest and playback platform with maximum four (4) channels in any combination of the ContractorIn/Out with manual, gang, or scheduled recording. Insurance minimum limits are as follows: The Contractor is solely responsible for the coverage equal to that of the actual cash value of state‐ owned property in the Contractor’s careSDI (BMD) and NDI. Flow and EFS connection license included. o Capabilities  Capture and playback SRT, custodyNDI, SDI, and control at any given point in time. The Facility Maps show the Minnesota National Guard facilities by aerial view ST2110 baseband video streams  Allows for scheduled recording, metadata management, ganged recording, and address(es). The Facility Map defines the installation boundary (outlined in red); “Snow Removal” area (blue diagonal lines); and if applicable for the facility, “On Demand Snow Removal” area (yellow diagonal lines)shotbox compatibility.