NYC 9/11 Public Portal Document
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SUPPLY and SERVICE CONTRACT Page 2 of 4
GENERAL CONDITIONS
SCHEDULE A
isurance indicated by (X) will be required under this contract. Insurance certificates, policies, and
endorsements must be sent
the New York City Department of Environmental Protection, Agency Chief Contracting Officer, .
,TT Contract Management Office (INSURANCE), 17th Floor, 59-17 Junction Boulevard, Corona, New York 11388.
Article 6 of Agreement Insurance
(x) Workers Compensation; Section StatutorY per New York State talc vrfthout regard tojudsdlctlon
ILB $1.000.000 each accident
(x) Employers Liabliity: Section -
liD -
( - Jones Act:* '' Sermon
II.E •
-() U.S. Harbor Workers & Longshoreman
Compensation Act' Section
•II:G
• As respects use of tugs, barges or Other marine operations under this
000 .
(X) Commercial General Liability CG 00 01 (ed.10/93) or S; QO
$' "0; 000 per occurrence:
equivalent. Combined Single Limit-Bodily Injury and $;5,000,000 products/completed operations aggregate
Property Damage: Section IIA $- 5,00,Q personal Injury
0, 000 00 general.aggregate
$ , 25,000 per claim maximum deductible, except as. :
approved by the CONTRACT MANAGEMENT,OFFICE,. ..
~~;L io be added as additional insureds:Additional
tus using iS0 endorsement CG 2010.
•11.
Section
. Named Additional Insureds
Work 'Ts. Tn •
Owdiers of Buildings on Which ..
Be Done`
_. ... .
$ 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 8.l
DEP Form SCHED A SUPPLY & SERVICE: March 28, 2002 (PIN#826WTCROOFI)
NYC-WTC 000102422
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