Cleaning request form, 125 Cedar Street, P11

NYC 9/11 Public Portal Document

CLEANING REQUEST FORM On behalf of myself and any other residents of PII 125 Cedar street, Manhattan (the "Residence"), Iapartments hereby that the New York City Department of Environmental request Protection (DEP) perform the cleaning and monitoring work specified in attached documents entitled "Cleaning Procedures for 125 Cedarthe street" and "Monitoring Contractor - scope of work for 125 Street, Manhattan" (the "Cleaning work") in said apartment. cedar

The Cleaning work is to be performed by DEP in accordance DEP's role under the Federal Response Plan and pursuant towith authority of the Robert T. Stafford Disaster Relief and the Emergency Assistance Act. The United States Environmental Protection Agency (EPA) will act in an oversight capacity with regard to said work. To facilitate the performance of the Cleaning work, I the following: agree to

1. Employees, authorized representatives, and contractors shall have access to all areas of the Residence and all of DEP personal property in the Residence for as long as necessary to perform Cleaning work. the

2. I will inform DEP as to any considerations which would the Cleaning work, including, for example, time affect appropriate means to access the RP_Si dPncP restrictions and

3. The Cleaning Work will be performed by contractors DEP. Said contractors are required to maintain, retained by at all times during the Cleaning work, insurance coverage for commercial general liability, workers compensation, environmental impairment liability, and employee dishonesty related to the cleaning Work. 4. The cleaning Work may require use of the Residence's electricity and water. 5. Insurance payments or any other form of by the Resident(s) which have been or will compensation be received for received activities covered by the Cleaning work and which have not been spent for such purposes will be paid to DEP. 6. I will use best efforts to ensure the safety and fragile or valuable objects located in the Residence,security of but not limited to jewelry, silverware, fine china, including decorative objects and works of art. Such efforts will include, at a minimum, either the removal of such items from the Residence prior to the beginning of the Cleaning work or the securing such items in sealed containers. I will identify of in DEP all fragile or valuable objects which cannot be writing to secured as described above so that provision removed or their protection. The estimated value of such may be made for objects shall be indicated.

NYC-WTC 000096968