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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.15

Page 3of4 SUPPLY and SERVICE CONTRACT ; ENERAL CONQIT1ONS SCHED.ULE'A

• per occurrence • () Marine Protection and Indemnity, SP23 or equivalent $ # Section $_____________ aggregate per year II.F $ max deductible As respects use of tugs, barges or other marine operations under this contract, # City as insured by endorsement to each relevant policy.

() Collision Liability/Towers Liability: Section $ per occurrence II.0 $ aggregate per year S_______________max deductible Collision Clauses Lines 158-184 inclusive (Endorsed to cover dredges and dredging operations.] as respects tugs: Collision Towers Liability Clauses 78-111 inclusive American Institute Tug Form - 214/76

() Ship Repairers Liability: $ Section American Institute Clauses

() Water Quality Syndicate () Builders RisK: Section 1UI-RiskFCompleted Value II.J $ of Total contract amount $ % of contract store off site $ % of contract In transit/anyone storage • $ % Property of City and others

:() Garage Policy.gj,.OQ 06 01/87 Section II& Ill •• $- Per ooburreribe. jSee Form 25)" $ per aggregate It: Auto & General Liability $ per location III: Garage Keeper's Liability $,.,, . ,..____.oer vehicle maximum deductible, • except as• approved by the CONTRACT MANAGEMENT OFFICE

...CONTINUED ON NEXT PAGE

'Evidence of Insurance as described herein shall be provided by the Insurer or duly authort✓ted agent of the garage providing maintenance on the vehicle(s).providedto the Department's Contract Management Office. It is the Contractor's responsibility 10 insure compliance with this provision by the garage. . DEP Form SCHED A SUPPLY & SERVICE: Mph 28, 2002 (PIN#82MNTCROOF1)

NYC-WTC 000094179

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NYC-WTC_000094179Source: NYC Law Department, mirrored locally

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