NYC 9/11 Public Portal Document
SUPPLY and SERVICE CONTRACT Page 2 of 4
GENERAL CONDITIONS • •
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 Office (INSURANCE), 17th Floor, 59-17 Junction Boulevard, Corona, New York 11368.
Article 6 of Agreement Insurance
(x) Workers Compensation: Section Statutory per New York State Law without regard to jurisdiction
11.8 $_1.000.000 each accident
(x) Employers Liability: Section
11.0
().Jones Act: Section
II.E
() U.S. Harbor Workers & Longshoremans •.
Compensation Act:` Section
As respects use of tugs, barges or other marine operations under this
contract.
(X) Commercial General Liability CG 00 01 (ed.10/93) or $_S ; 000 ; 000 per occurrence:
equivalent. Combined Single Limit-Bodily Injury and $5, 000,000 products/completed operations aggregate
Property Damage: Section IIA $' 5, 0. 0 000 personal injury
0 , 000,O00 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
ns red status using ISO endorsement CG 20 10. . .
Section Owners of Buildings on Which Work'Ts7.Tn
Il A3 Be Done'
$ 1.000.000 Each Occurrence
(x) Business Auto Coverage: CA 00 01 (ed. 06/92) or .
equivalent Combined Single Umit - Bodily Injury and.
Property Damage
(x) Owned (x) Hired (x) Non-Owned
The following coverage must be provided: .
() Business Auto Coverage Form: Section III
DEP Form SCHED A SUPPLY & SERVICE: March 28, 2002 (PIN#826WTCROOFI )
NYC-WTC 000112221
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