Response to DEP Final Notice, 86-90 Warren Street, Oct 2002

NYC 9/11 Public Portal Document

SUPPLY and SERVICE CONTRACT Page2 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 11,6 $_1.000.000 each accident (x) Employers Liability: Section • II.D ( ) Jones Act: Section II.E ( ) U.S. Harbor Workers & Longshoremans Compensation Act.' Section II:G • As respects use of tugs, barges or other marine operations under this contract.

(X) Commercial General Liability CG 00 01 (ed.10/93) or $5 , 000; 000 per occurrence: equivalent. Combined Single Limit-Bodily Injury and $; 5,000,000 products/completed operations aggregate Property Damage: Section ILA $5, 000 , 000 personal injury 000 000 general aggregate $_25,000 per claim maximum deductible, except as . approved by the CONTRACT MANAGEMENT OFFICE be added as additional insureds: Additional Named Additional Insureds s using ISO endorsement CG 20 10. 4 zsrtsattou Section 6saiers of .Buildings on Which Wnrk ' Ts Tn 1LA 3 Be Done'

$ 1.000.000 Each Occurrence (x) Business Auto Coverage: 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 11.1

DEP Form SCHED A SUPPLY & SERVICE: March 28, 2002 (PIN#826WTCROOFI)

NYC-WTC 000112904