Permit application exhibit, 212 Pearl Street, 2002

NYC 9/11 Public Portal Document

SUPPLY and SERVICE CONTRACT Page 3of4 GENERAL CONDITIONS SCHEDULEA

( ) Marine Protection and Indemnity, SP23 or equivalent * $ per occurrence # Section $ aggregate per year lI.F $ max deductible * As respects use of tugs, barges or other marine operations under this contract # City as Insured' by endorsement to each relevant policy.

( ) Collision'Liablifty/Towers Liability: •' Section $ per occurrence II.C $ aggregate per year $ max deductible Collision Clauses Lines 158-184 inclusive {Endorsed to cover dredges and dredging operations.] as respects tugs: Collision Towers Liability Clauses 78-111 inclusive American Institute Tug Form - 21476

( ) Ship Repairers Liability: $ Section American Institute Clauses Il.H.

( ) Water Quality Syndicate

( ) Builders Risk: Section 'All-Risk/Completed Value II.11 $ % of Total contract amount • $ % of contract store off site $ % of contract in transit/anyone storage • $ % Property of City and others

:( ) Garage Policy U0... O5 01/87 Sevin ll& Ill' :$_- per occutreiics3 (See Form 25)' $ per aggregate ' ii: Auto & General Liability $ per location III: Garage Keeper's Liability $ per vehicle maximum deductible, except as approved by the CONTRAc•T MANAGEMENT OFFICE

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'Evidence of Insurance as described herein shall be provided by the Insurer or duly authorized agent of the garage providing maintenance on the vehicle(s).providedto the Department's Contract Management Office, It Is the- Contractors responsibility to Insure compliance with this provision by the garage.

DEP Form SCHED A SUPPLY & SERVICE: March 28, 2002 (PIN#826WTCROOFI )

NYC-WTC 000115272