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• <br />• <br />ADDENDUM A <br />Contract Requirement Checklist <br />Project /contract: <br />Contract bid specifications include a requirement of workers' compensation <br />modifier of 1.1 or below, OR include language that weighs the contractors' safety <br />records. <br />City of Lino Lakes is named on the contractor's policy as an "Additional <br />Insured ". List coverage periods: <br />The contractor has provided a certificate of incur ' :;• City o mo Lakes for <br />both liability and workers' compensation. List coverage per <br />Contractor agrees to defend an <br />agents of the entity for any claims filed a. <br />actions. <br />emnify entity, and the employees, officers and <br />the entity arising from the contractor's <br />Y _. ino °Lakes with the following written safety <br />contractor has prove � -.• C' following ty <br />programs: <br />The contractor has provided City of Lino Lakes with the following safety training <br />records: <br />The contractor has attended an orientation session for working with City of Lino <br />Lakes. List date: <br />Recommendations and comments are provided for loss control and risk exposure improvement purposes only in <br />conjunction with the insurance program referenced above. What "insurance program'- is referenced above± They are not <br />made for the purpose of complying with the requirements of any law, rule or regulation. We do not infer or imply in the <br />makmp. of these recommendations and comments that all sits were reviewed or that all possible hazards were noted. The <br />final responsibility for conducting loss control and risk management programs must rest with the insured. <br />LC Form Contract 1 —33- <br />