NYC 9/11 Public Portal Document
SUPPLY-and SERVLCE 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,
¼TTN: 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
li.D
().Jones Act:' Section
11.E
() U.S. Harbor Workers & Longshoreman .
Compensation Act:* Section
SILO
' As respects use of tugs, barges or other marine operations under Us
contract.
(X) Commercial General Liability CO 00 01 (ed.10/93) or $5 ,90Q, 000 per occurrence:
equivalent Combined Single Limit-Bodily Injury and $ 5, 000,000 products/completed operations aggregate
Property Damage: Section IIA $* 5, 0.90, 000 personal injury
0, 000,Q00 general aggregate
$ 25, 000 per claim maximum deductible, except as
• approved by the CONTRACT MANAGEMENT OFFICE
K Others to be added as additional insureds: Additional
h red status using ISO endorsement CG 2010.
Section
Il:A3
Named Additional Insureds
hers
Be Done
of . Buildings on Which Work ' Ts . Tn
_.
>.
• $ 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:
O Business Auto Coverage Form: Section 11.1
DEP Form SCHED A SUPPLY & SERVICE: March 28, 2002 (PIN#626WTCR00F1)
NYC-WTC 000115168
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