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← Document results/DEP Box 37/114 CHAMBERS STREET; Block: 136 Lot: 25 BIN: 1079160 112 Chambers St
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Emergency contractor work authorization form, 114 Chambers Street

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Time and materials emergency contractor form authorizing work scope for repairs or cleanup at a property in the 114 Chambers Street vicinity.

NYC-WTC_000106170–000106171

Folder label: “114 CHAMBERS STREET; Block: 136 Lot: 25 BIN: 1079160 112 Chambers St

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NYC 9/11 Public Portal Document

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Time & Materials Contrae&IWork Aut horiyatiion Page -2-

START A COMPLETION DATES

Approximate Worx Commencement Date: Appro4drnats Work Completion Date:

NO TES • During the course of pads rn nce of the work, MAXON$ may add additional labor and/or above at rates to be determined by material classifications To the schedule MAXONS. The (`,ompensation paid MAXONS for performance of ttte work which are not listed in any materials Utilized by MAXONS in RATE SCHEDULE above shall be equal to MAXONS' twenty-iNe percent (25%) MAXONS' mark-up on such cost for such services plus costs, • For those items of equipment for which rental is expressed as a daily rate, the daily during Which the equipment is in poseosrfion rental rate shall apply to each 26-hour period of MAXONS' personnel pettormina work, such equipment is util'¢ed during such 24-hour regardless of the number of shifts on which period_ The minimum rental period for daily rental equipment Lc one (1) day. • MPJGONS shall be eornpensated for costs Incurred for the the transportation back of equipment and transportation of equipment and materials any remaining supplies and materials, Upon completion to the site of the work and for MAXONS' cost for such transpottaaon plus twenty-five of the work, on the basis of percent (25%), MAXONS mask-up thereon. • Any alteration or deviation from the above specifcatons will be binding only wtwn executed representative or profact manager of MAXONS. in writing and signed by a

• All agreements are contingent upon strikes, accidents or delays beyond our control. • Contractor will furnish Certificate of Liability Insurance work on the contract and Certificate of worker's Compensation insurance prior to beginning the

• Contractor will procure all permits required by law

• Contractor and/or its subcontractor may have claim against the owner, which may be enforced under Now York Lien Law • Contractor is legally required to deposit all payments received prior to completion and that. Instead of making contractor may post a bond or contract the indemnity these deposits, the With the owner guaranteeing the return of proper payment under the oonoact • Any controversy or claim arising out of or relating to the work performed by Maxons shall be settled by Now York under the Rules then obtaining of the In the City of American Arbitration Association. MaXons shall have arbitration all rights to provisional remedies, which it would have at taw or equity notwithstanding this agreemern to arbitrate. • In the event it becomes necessary to place this contract for Collection, the undersigned costs of collection including reasonable attorney fees accepting this contract agrees to pay all and court costs. MAXONS RESTORATIONS, INC.

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$C_CEPTANCEs OF CONTRACT The above specifications and conditions are satisfactory and are hereby accepted. MA~(ONS do work as specified. Pa manta wilt be outlined above. RESTORATIONS, INC. is authorized to

Accepted try u~e Q~ 4ate• JO/1S"f~ Notes: You, the sayer, y w^c ns tra er/en rt i rfo to 1idnIght of the third nosiness day after Me date of this tranaacuon

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NYC-WTC 000106171

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NYC-WTC_000106171Source: NYC Law Department, mirrored locally

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