NYC 9/11 Public Portal Document
SEP-30-2002 12:35 NYCDEP 13Rt+f1 Rbk1/LtHD I t~U 11b 5 sb4u t'. 14
_ SUPPLY and SERVICE CONTRACT Page 2 of 4
GENERAL QQNDmONS
SCHEDULEA
and endorsements must be sent
nsurance indicated by ()Q will be required under this contract. Insurance certificates, Policies,
Chief Contracting Officer,
a the New York City Department of Environmental Protection, Agency Corona, New York 11368.
.TTN: Contract Management Office (INSURANCE), 17th Floor, 59-17 Junction Boulevard,
Article 6 of Agreement Insurance
Stsbiy P° New York Saes Law wWwut regard b jur s r
(x) Workers Compensation: Section
IB $J.aQQ0.000 such accident
(x) Employers Liabfi&y: Section
( ). Jones Act:* Section
II.E
() U.S. Harbor Workers tl, Longsharemans
Compensation Act* Section
•1l:G
• As reaped= use of bags, barges o►olhar msrfne cpmavans under oils
(X) Commercial General uabitriy CG 00 01 (ed.10/93) or $•5 ,• 00' 00 per occurrence:
equivalent. Combined single Limit-Bodily Injury and S;S000r 000 products/completed operations aggregate
Property Damage: Section IIA $., 00,Q00 personal Injury
0, 000, 00 general .aggregate
$ 25,000 per claim maximum deductible, except as
approved by the CONTRACT MANAGEMENT OFFICE
Others to be added as additional insureds: Additional Named Additional Insureds
status using ISO endorsement CG 2010.
Section Osrirers of.. Bu11dfngs on Whir. n T S • Tn
_. ..
:It 3 Be Done
169 Beekman Associates, L.P.
Jack Resnick & Sons, Inc.
$ 1.000.000 Each Occurrence
(x) Business Auto Con moe: 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 Ili
DEP Form SCHED A SUPPLY a SERVICE: March 25.no (PINa1626WRCROOF1)
SEP-30-2802 12:31 ?18 595 3648 99% P.14
NYC-WTC 000110867
OCR can misread numbers and units. Confirm readings against the page image before using them.