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(2009 CSBG) <br /> EXHIBIT C <br /> (Standard Agreement) <br /> adequacy of the governmental entity's ability to cover any potential losses under this <br /> Agreement. <br /> 2) Subcontractor shall specify in writing a list of which coverages) will be self-insured under <br /> this Agreement and shall list all applicable policy numbers, expiration dates, and coverage <br /> amount. <br /> 3) In the case that the Subcontractor's self-insurance coverage does not contain any changes <br /> from the prior year, CSD will accept a certified letter signed by authorized personnel stating <br /> that no changes have occurred from last year. This letter is due at the time of contract <br /> execution or within 30 days of expiration of insurance. <br /> 4) Should Subcontractor utilize a subcontractor(s) to provide services under this Agreement, <br /> Subcontractor shall indemnify and hold the State harmless against any liability incurred by <br /> that subcontractor(s). <br /> C. Workers' Compensation Insurance <br /> 1) Subcontractor shall have and maintain for the term of this Agreement workers' <br /> compensation insurance issued by an insurance carrier licensed to underwrite workers' <br /> compensation insurance in the State of California. <br /> 2) Subcontractor shall submit either an applicable Certificate of Insurance or a Certificate of <br /> Consent to Self-Insure issued by the Director of the Department of Industrial Relations to <br /> the State as evidence of compliance with the workers' compensation insurance requirement <br /> prior to issuance of an initial cash advance. <br /> <br /> 13. AGREEMENT CHANGES <br /> A. Amendment <br /> Formal Amendments are required for changes to the term, total cost or Maximum Amount of this <br /> Agreement, scope of work, and formal name changes. No amendment to this Agreement shall be <br /> valid unless made in writing, signed by the parties and approved as required. No oral understanding <br /> or Agreement not incorporated in the Agreement is binding on any of the parties. <br /> B. Modification <br /> 1) Changes involving alterations such as changes to program activities and/or delivery <br /> strategies will be considered modifications. <br /> 2) A modification to the projected budget is not required as long as the maximum amount <br /> payable does not change. Any increase to out-of--state travel costs or changes to major <br /> equipment purchases will require a modification. <br /> 3) If a Subcontractor intends to request a contract modification, the modification shall be <br /> submitted no later than 30 calendar days prior to the expiration date of this Agreement. <br /> 25~-29 <br /> <br />