NYC 9/11 Public Portal Document
Page 2 of 4
• SUPPLY and SERVICE CONTRACT
GENERAL CONDITIONS . •
SCHEDULE A
endorsements must be sent
ice indicated by (X) will be required under this •contract. Insurance certificates, policies, and
Officer,
law York City Department of Environmental Protection, Agency Chief Contracting
Contract Management Office (INSURANCE), 17th Floor, 59-17 Junction Boulevard, Corona, New York 11368.
.le 6 of Agreement Insurance
Statutory per New York State without regard to Jurisdiction
Yorkers Compensation; Section Law
II.B $ 1.000.000 each accident
Employers Liability: Section •
II.D
mes Act* .' • Section
11.E •
.S. Harbor Workers & Longshoreman . .
)ensation Act:* Section
••IG
spects use of tugs, barges or other marine operations under this •
t.
:ommercial General Liability CG 00 01 (ed.10/93) or $5; 00 00 per occurrence:
iuivalent. Combined Single Limit-Bodily Injury and $5. 000,000 products/completed operations aggregate
3roperty Damage: V Section II.A $•;. 0.QOQ personal Injury
S0,00Q,Q00 general aggregate .
• $ ' 25, 000 per claim maximum deductible, except as
approved by the CONTRACT MANAGEMENT OFFICE
hers to be added as additional insureds: Additional . Named Additional Insureds
d status using ISO endorsement CG 2010. . . 'I'n
Section 6waiex s of BuildiflQs ea Which Work • 1
.. ••
-• ..II C3' Be Don
'
e
V • r c.
.
$ 1.000.000 Each Occurrence
sinessAuto Coverage: CA 00 01 (ed. 06/92) or .'
ilent Combined Single Limit - Bodily Injury and. •
rty Damage
(x) Owned (x) Hired (x) Non-Owned • V
flowing coverage must be provided: V •
;iness Auto Coverage Form: Section 11.1
DEP Form SCHED A SUPPLY & SERVICE: March 28, 2002 (PIN#826WTCROOFI)
NYC-WTC 000115352
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