37-39 JOHN STREET

NYC 9/11 Public Portal Document

• SUPPLY and SERVICE CONTRACT Page 2 of 4 GENERAL CONDITIONS SCHEDULE A

nsurance indicated by (X) will be required under this contract. Insurance certificates, policies, and endorsements must be sent o the New York City Department of Environmental Protection, Agency Chief Contracting Officer, kTTN' Contract Management Office (INSURANCE), 17th Floor, 59-17 Junction Boulevard, Corona, New York 11368.

Article 6 of Agreement Insurance

(x) Workers Compensation: Section Statutory per New York State Law without regard to jurisdiction II.B $ 1.000.000 each accident (x) Employers Liability: Section II.D ().Jones Act:* Section II.E () U.S. Harbor Workers & Longshoremans Compensation Act: Section II:G ' As respects use of tugs, barges or other marine operations under this contract.

(X) Commercial General Liability CG 00 01 (ed.10/93) or $5 00 ; 000 per occurrence: equivalent. Combined Single Limit-Bodily Injury and $, 5,000,000 products/completed operations aggregate Property Damage: Section ILA $ 5, 0. 0 000 personal injury .. t160_000,000 general aggregate $ _ 25 , 000 per claim maximum deductible, except as • approved by the CONTRACT MANAGEMENT OFFICE Others to be added as additional insureds: Additional . Named Additional Insureds 0

s red status using ISO endorsement CG 20 10. . . Section 0whirs of .Buildings on Which Work' Ts. Tn .5 :' IlA3 5

Be' Done'

$ 1.000.000 Each Occurrence (x) Business Auto Coverage: CA 00 01 (ed. 06/92) or equivalent Combined Single Limit - Bodily Injury and. 0 .

Property Damage (x) Owned (x) Hired (x) Non-Owned The following coverage must be provided: () Business Auto Coverage Form: Section 11.1

DEP Form SCHED A SUPPLY & SERVICE: March 28, 2002 (PIN#826WTCROOFI)

NYC-WTC 000092852