NYC 9/11 Public Portal Document
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SUPPLY and SERVICE CONTRACT Paget of 4
GENERAL co oNS
.SCHEDULE A
nsurance indicated by (X) *111 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 Ofticer, .
kTTN Contract Management Office (INSURANCE), 17th Poor, 69-17 Junction Boulevard, Corona, New Yost 11368.
Article 6 of Agreement Insurance
(x) Workers Compensation: Section Stutoy per New York State taw without regard bwon
t1.B $ 1.000.000 'etch accident
(x). Employers Uabilltr. Section
I1.D
( } ;tones Act:' Section
ILE
( ) U.S. Harbor Workers & Longshorerrtans .'
Compensation Act:" S Section
• •I1.0
• As respects use of tugs, barges or other maw operatlans ceder this
odtbacs. •
Q() Commercial General Liability CO 00 01 (ed.10/93) or $,9oo; aoo per occurrence:
equivalent Combined Single Limit-Bodily-lnjur and $,;5000O, 00 Products/completed operations aggregate
,
Property Damage: Section IIA $' 0.Q0 Q0 personal injury .
5'0.00Q,Q00 general.aggregeth
• $..•
52 _. ,000 per claim maximum deductible, except as ••
the Coxmkc T
Others to be added as additional insurers: Additional . Named Addiftonai insureds
status using ISO endorsement CO 2010.
Section; eatfie± of .Bz{?dings0 on Wh#c r
. r.. '~n~
tt 3' . . Be• Done M
$ 1:000.000 Each Occurrence
(x) CA 00.01 (ed. 06/92) or .
equivatent Combined Single Limit • Bodily Injury and '
Property Damage •
•
(x) Owned ' (x) Hired .(x) Nan-Owned
The following coverage must be provided:
( ) Business Auto Coverage Form: Section 11.1. S
DEP Form SCHED A SUPPLY & SERVICE: Mardi 28,:2002 (01N#8,28W1'CROOFI )
NYC-WTC 000115574
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