Permit application correspondence, 14 Wall Street, September 2002

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