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5 2 WILLIAM STREET Bl. 40Lot: 16/1001006 52 WILLIAM STREET 1001006, 40/16

Label derived from the City's folder field. The City does not supply document titles.NYC-WTC_000110207–000110221
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Scanned page image, NYC-WTC_000110219
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NYC 9/11 Public Portal Document

DEP ECB Fax:212-361-1724 Aug 9 2002 04:00 P.14

SS! PPLYand SOMME CON`Spj Page 2 of4

,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, kTTN: Contract Management Offrto (INSURANCE).17.th Floor, 59-17 Junction Boulevard, Corona. New York 119611.

Article 6 of Agreement Insurance

(x) Workers Compensation; SAY per New Yale State Law wthaut regard to juisdidian II.B $1.000.000 each accident W. Employers Liability: Section • u.0 ( ) Jones Ate• Seaton II.E ( ) U.S. Harbor Workers & Longshoreman Compensation Act:• Section • As inspects use of tugs, barges or other nertne aperabPans under this

(X) Commercial General UabWty CG 00 01 (ed.10/93) or $ - 00 per occurrence: equivalent. Combined Single LimitEodliy Injury and $ ' S 000 , 000 products/completed operations aggregate Property Damage: . Section ILA $" 4.•Q0f 000 personal injury 0-000,090 general aggregate $ 25,000 Per claim maximum deductible, except as roved by the CONTRACTMANAGEMENT Ots'I

b( ethersto be added as additional insureds: Additional

• *red status using ISO endorsement CG 20 10. Section Named Additional Insureds

is 92 - .NJ 4 -OR an Whih w Z Be Done• , . -

$__I .000.000 Each Occurrence x) 6u ~ uA to Cove: CA 00 01 (ed. 06/92) or .quivalent Combined Single Limit - Bodily Injury and. 'roperty Damage (x) Owned (x) Hired (x) Non-Owned 'rte following coverage must be provided: ) Business Auto Coverage Form: Section Hi

DEP Form SCHED A SUPPLY & SERVICE: March 28, 2002 (PIN8826WTCROOF1)

NYC-WTC 000110219

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NYC-WTC_000110219Source: NYC Law Department, mirrored locally

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