NYC 9/11 Public Portal Document
• 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 Stagy per New York State Law without regard to Jul
II.B $1.000.000 each accident
(x) Employers Liability: Section
• ILO
( )• Jones Act:• Section
11.E
() U.S. Harbor Workers & Longshoreman
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 $j., 900; 000 per occurrence:
equivalent. Combined Single Limit-Bodily Injury and $, 5 ; 000,000 products/completed operations aggregate
Property Damage: Section ILA $ 5 , 0.09, 000 personal injury
0 000 00 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
Jred status using ISO endorsement CG 2010. .
Section .. 0i rs of . Buildings on Which Wnrk_....T-w Tn
..
_. >,
lLA 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:
O Business Auto Coverage Form: Section 11.1
DEP Form SCHED A SUPPLY & SERVICE: March 28, 2002 (PIN#826WTCROOFI)
NYC-WTC 000115271
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