NYC 9/11 Public Portal Document
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 Craw without regard to linen
ll.B $1.000.000 each accident
(x) Employers Liability: Section
• ILD
Q. Jones Act:* Section
ILE
{) U.S. Harbor Workers & Longshoreman
Compensation Act.* Section
JIG
' 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 ,p00 ;000 per occurrence:
equivalent. Combined Single UmitBodily Injury and $, 5 000, 000 products/completed operations aggregate
Property Damage: Section ILA $ 5,00,000-personal injury
0, 00 00 general aggregate
$ 25, 000 _ per claim maximum deductible, except as
• approved by the CONTRACT MANAGEMENT OFFICE
X= ers to be added additional Insureds: Additional
as
status using ISO endorsement CG 2010. .
dt:A3
Section
Named Additional Insureds
•
8 iers of Buildings on Which ,.
1 e Done . . . . .. . .
......
Work - Ts•. Tom_
$ 1.000.000 Each Occurrence
(x) Business Auto Coverage: 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 111
DEP Form SCHED A SUPPLY & SERVICE: March 28, 2002 (PIN6828WTCROOF1)
NYC-WTC 000102115
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