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to explain any negative financial information in its financial statements and are encouraged to provide documentation supporting those explanations. All financial information, statements and /or documents provided in response to this Invitation to Submit Applications requirement shall be kept confidential, IF THE APPLICANT COMPLIES WITH PARAGRAPH 13 OF THE GENERAL INFORMATION ON SUBMITTING APPLICATIONS BY MARKING THE FINANCIAL INFORMATION, STATEMENTS AND /OR DOCUMENTS CONFIDENTIAL. 5. Insurance Certificates The applicant must provide certificates demonstrating insurance coverage for each of the following policies with coverage NOT LESS than the amounts specified below: — Workers' Compensation and Employer's Liability Coverage must cover all the subcontractor's employees who are engaged in work under the contract; minimum limit of $500,000. — Commercial General Liability Coverage on a Comprehensive Broad Form on a on an occurrence basis in the minimum amount of $1,000,000 Combined Single Limit. Defense cost shall be in excess of the limit of liability. — Automobile Liability shall cover all owned, hired and non -owned vehicles used in the performance of this contract. The minimum combined single limit shall be $500,000 for bodily injury and property damage, $500,000 for uninsured /under - insured motorist, and $25,000 for medical payment. — Pollution Occurrence Liability Insurance to protect against incidental disturbances of environmental pollutants like lead -based paint dust. The policy must provide three basic limits: $500,000 per occurrence, $500,000 aggregate for the policy term and $2,500 deductible per occurrence. — Workmen's Compensation Insurance must include an employer's liability coverage endorsement with a minimum limit of $100,000. The insurer must be bound to notify both the company and the subcontractor at least ten (10) days prior to termination of such insurance, or any portion thereof. 6. Corporate Conflict of Interest Policy The applicant must provide a copy of the company's policy on Conflicts of Interest. At a minimum, the policy must require that: — No subcontract or procurement will be made with any organization in which any person in an administrative capacity may benefit unless specifically authorized in writing by the contracting agency. — No subcontract or procurement will be made with any organization in which the immediate family of a person in an administrative capacity with the Subcontractor may benefit unless authorized in writing to do so by the contracting agency. — No employee or official of the subcontractor shall solicit or accept gratuities, favors or anything of monetary value from contractors, providers or potential subcontractors. 7. Other Attachments In this section, the applicant may provide additional information to support their Application, such as resumes or training certificates for its employees. This section is optional. Note that no new information should be included in this section since it is not required to be reviewed as part of the evaluation. APPLICATION FORMAT SPECIFICATIONS 1. All paper copies should be printed double -sided and on recycled paper with a minimum post - consumer content of 30 percent. 2. All pages /sections must be numbered for easy reference. Solicitation No. 2011WXSSP Pape 15 of 53 Attachment number 1 F -4 Page 127