Supply and Service Schedule A terms, 12 Platt Street, 2002

NYC 9/11 Public Portal Document

SUPPLY and SERVICE CONTRACT S Paget of 4 GENERAL CONDITIONS S 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, VTTN: 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 11.E () U.S. Harbor Workers & Longshoremans Compensation Act:* Section ILG ' 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 QO0 ; 000 per occurrence: equivalent. Combined Single Limit-Bodily Injury and $~; 5, 000, 000 products/completed operations aggregate Property Damage: Section IIA $ 5, 0. 0Q, 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 s red status using ISO endorsement CG 20 10. .. Section Owaiers of . Buildings on Which Work is'. To . ~. II:A: 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 000114350