NYC 9/11 Public Portal Document
1 y
SUPPLY and SERVICE CONTRACT Page 2 of 4
GENERAL ONS co
•SCHEOULE A
nsur nce indicated by (X) will be required under this •contrail. Insurance certificates, policies, • endorsements must be sent
and
o the New York City Department of Environmental Protection, Agency Chief Contracting Officer, ,
kTTN Contract Management Office (INSURANCE), 17th Poor, 69-17 Junction Boulevard, Corona, New York 11368.
Article 6 of Agreement Insurance
(x) Workers Compensation: Section StatutoY pr New York State Law without regard to won
ti.B $1 0.000 each accident
j
(x). Employers LlabiIltr:
•
Section
ILD
(} Jones Act" Section
II.E •
{) u.s. Harbor Workers & Longshoremans
Compensation Act" S Section
•II:C3
• As respects use of tugs, barges or other matins operaHans under this
(X) Commercial General Liability CO 00 01 (ed.10/93) or $.,90O;000 per occurrence:
equivalent. Combined Single Umft-Bodily Injur and $30O0.00O products/completed operations aggregate
Property Damage: Section PIA $' 0.QO Q personal injury ,
50.000,Q00 geeral.aggragate
•
$
2, 000 per claim maximum deductible. except as ••
the GOM C't
Others to be added as additional Insureds: Additional Named Additional Insureds
status using ISO endorsement CG 2010.
Section fh ra of .Bz{?d{ngs on Wch# rk T- :'Pc ._
.. M . r ..
ILA 3 Be' Done
$ 1000.000 Each Occurrence
(x) Business Auto Coverage: CA 0001 (ed. 06/92) or •
equivalent Combined Single Limit • Bodily Injury and •
Property Damage • • •• • . 5
(x)Owned ' (x) Hired (x) Non-Owned
The following coverage must be provided:
Business Auto Coverage Form: • Section 11.l. •
DEP Form SCHED A SUPPLY & SERVICE: March 28,:2002 (PIN*B28WPCROOF!)
NYC-WTC 000115574
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