Insurance*
The provider shall purchase and maintain coverage with limits of liability not less than those stated below: **
Commercial General Liability: Occurrence Form
Policy shall include bodily injury, property damage, personal and advertising injury and broad form contractual liability coverage.
| General Aggregate | $ | 2,000,000 |
| Products: Completed Operations Aggregate | $ | 1,000,000 |
| Personal and Advertising Injury | $ | 1,000,000 |
| Blanket Contractual Liability: Written and Oral | $ | 1,000,000 |
| Damage to Rented Premises | $ | 50,000 |
| Each Occurrence | $ | 1,000,000 |
Automobile Liability
Bodily injury and property damage for any owned, hired and/or nonowned vehicles used in the performance of this agreement.
| Combined Single Limit (CSL) | $ | 1,000,000 |
Workers' Compensation and Employers' Liability
- Workers' Compensation Statutory
- Employers' Liability
| Each Accident | $ | 500,000 |
| Disease: Each Employee | $ | 500,000 |
| Disease: Policy Limit | $ | 1,000,000 |
*Note: Additional requirements such as indemnity clauses, endorsements and notices apply
**Note: The above requirement does not apply to a governmental agency that is not open to the public; instead, a Certificate of Self-Insurance may be submitted to the department.