DEP Enforcement Fax Cover Sheet, Sep 5 2002

NYC 9/11 Public Portal Document

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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.B $1.000.000 each accident (x) Employers Liability: Section II.D (} Jones Act* Section ILE () 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 $4)0Q ; 000 per occurrence: equivalent. Combined Single Limit-Bodily Injury and $ 5, 000, 000 products/completed operations aggregate Property Damage: Section IIA $ 5, 0.00 , 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 n red status using 1SO endorsement CG 2010. Section 6wers of Buildings on Which Work Ts To llX3 Be Done _.

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• $ 1.000.000 Each Occurrence (x) Business Auto Coverage: CA 00 01 (ed. 06/92) or equivalent Combined Single Limit - Body 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 000115140