NYC 9/11 Public Portal Document
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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 S Insurance
(x) Workers Compensation: Section Statutory per Now York State Law without regard to jurisdiction
II.B $ 1.000.000 each accident
(x) Employers Liability: Section
• II.D
( )• Jones Act* Section
II.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 ;.000; 000 per occurrence:
equivalent. Combined Single Limit-Bodily Injury and $,, 53000,000 products/completed operations aggregate
Property Damage: Section IIA $* 5, 0QO, QOO personal injury
• 0, 000 00 general aggregate
$ 25 , 000 per claim maximum deductible, except as
• approved by the CONTRACT MANAGEMENT OFFICE
'b(Others to be added as additional Insureds: Additional Named Additional Insureds
red status using ISO endorsement CG 2010. . . •
Section ©wliers of Buildings on Which Work Tsz•. To
.. . a:
I[A 3 Be Done
$ 1.000.000 Each Occurrence
(x) Business Auto Co _erase: 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 III
DEP Form SCHED A SUPPLY & SERVICE: March 28, 2002 (PIN#826WTCROOFI)
NYC-WTC 000115288
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