NYC 9/11 Public Portal Document
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CLEANING REQUEST FORM
PII
On behalf of myself and any other residents of apartment .----.-.-.-.1,125 Cedar
Street, Manhattan (the "Residence"), I hereby request that the New York City
Department of Environmental Protection (DEP) perform the cleaning and
monitoring work specified in the attached documents entitled "Cleaning Procedures
for 125 Cedar Street" and "Monitoring Contractor - Scope of Work for 125 Cedar
Street, Manhattan" (the "Cleaning Work") in said apartment.
The Cleaning Work is to be performed by DEP in accordance with DEP's role under
the Federal Response Plan and pursuant to the authority of the Robert T. Stafford
Disaster Relief and 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 agree to the following:
1. Employees, authorized representatives, and contractors of DEP shall have access
to all areas of the Residence and all personal property in the Residence for as long
as necessary to perform the Cleaning Work.
2. I will inform DEP as to any considerations which would affect the Cleaning Work,
including, for example, time restrictions and appropriate means to access the
Residence.
3. The Cleaning Work will be performed by contractors retained by DEP. Said
contractors are required to maintain, 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 compensation received by the
Resident(s) which have been or will be received for 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 security of fragile or valuable
objects located in the Residence, including but not limited to jewelry, silverware,
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NYC-WTC 000108020
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