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12 JOHN STREET 1001103, 65/20

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000094165–000094180
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NYC 9/11 Public Portal Document SEP-11-2002 11:34 NYCDEP BANHM ASB/LEAD TRU 718 595 3648 P.14

Page 2 of 4

QNERAL CONDITIONS e~+HEDULE e

must be sent be required under this •contract. Insurance certificates, policies, and endorsements nsurance indicated by (X) will Environmental Protection, Agency Chief Contracting Officer- o the New York City Department of (INSURANCE), 17th Floor, 59-17 Junction Boulevard, Corona, New York 11368. VTTN: Contract Management Office Insurance Article 6 of Agreement jurisdMM Section Sfatutflry Per New York State Law without regard to (x) Workers Compensation: $1..000.000___ each accident II.B Section (x) Employers Liability: ilb Section () Jones Act:' II.E () U.S. Harbor Workers & Longshoreman Compensation Act* 11.0 Section

'AS respects use Of tugs. binges or Other nti9rfne cpor8BOR8 under this eontraeL or $,,5900;Q00 per occunrence: cial General Liabflity CG 0001 (ed.10193) 000 0 products/Completed operations aggregate Injury an d (X)equivalent. Combined Single Limit-Bodily Section ILA $• 5 00,000 personal Injury Property Damage: 0 000 ,QQQ general aggregate $ 25.000 per claim maximum deductible, except as

dkional Named Additional Insureds to be added as additional staWs rs X~r~ede using ISO endorsement CG 2010. Section ~. ItX3' ae Done'

$ 1.000.010— Each Occurrence (x) Business AutoCoverage: CA 00 01 (ed. 06/92) or equivalent Combined Single Limit - Bodily injury and. Property Damage (x) Owned (x) Hired (x) Non-Owned The following coverage must be provided: () Business Auto Coverage Form: Section Il.l

(PIN#826WTCRO0F1) DEP Form SCHED A SUPPLY & SERVICE: Maich 28,2002

NYC-WTC 000094178

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NYC-WTC_000094178Source: NYC Law Department, mirrored locally

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NYC-WTC_000094144 · Box DEP Box 01

Invoice from Benjamin Kurz & Son for shipping materials to the Department of Environmental Protection on October 23, 2002.

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