Fax transmission record, 15 Maiden Lane, Oct 2002

NYC 9/11 Public Portal Document

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• 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, VTTN: 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 & Longshoreman Compensation Act:` Section fiG * As respects use of tugs, barges or outer marine operations under Us contract.

(X) Commercial General Liability CG 00 01 (ed.10/93) or $5; QO0; 000 per occurrence: equivalent. Combined Single Limit-Bodily Injury and $-' 5, 000, 000 products/completed operations aggregate Property Damage: Section ILA $ 5, OQO, Q00 personal injury 0 000 000 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 red status using ISO endorsement CG 2010. Section Ow,uers of .Buildings on Which Work Ts Tn ltX3 Be Done .

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$ 1.000.000 Each Occurrence (x) Business Auto Coverage: CA 00 01 (ed. 06192) 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 11.1

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

NYC-WTC 000102054