NYC 9/11 Public Portal Document
SUPPLY and SERVICE CONTRACT Page 2 if 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
II.B $_1.000.000 each accident
(x) Employers Liability: Section
11.0
() 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 $r5; 000, 000 products/completed operations aggregate
Property Damage: Section II.A $ 5, 0 Q0, 000 personal injury
0, 000 , 000 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 0waiers of Buildings on Which Wnrk Ts . To
ILK3 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 I
(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)
I
NYC-WTC 000113064
OCR can misread numbers and units. Confirm readings against the page image before using them.