Fax cover sheet regarding DEP asbestos matter, Nov 2002

NYC 9/11 Public Portal Document NOV.13.2002 4:25PM ROSS HPRDIES NO.979 P.15

~~ C~hlTli~i~T Page Z et 4 aE pALcONpmp I QUA neumnce Indloeted by (X) will be required under this 'contract. Insurance 2rttficeites, policies, and endorsements must be sent a the New York City De p rtment of Environmentei Protection, Agency Ch V ContractIng Offlceiy ~►TTNi Contract Management Office (INSURANCE), t7th Floor, 89-fl Junction Boulevard, Coruna, New York 11368.

*rni. 6 of Agreement Insurance

{at) Workers Compensation; section St++t►per dm Yost BUIS F. ►wIt o,4 regard b 11.8 $_4.OM;Obd eeeh a~idant (x). Employers Uabltiy: Section tI.O {} Jw" Amp Sactlon lt.E t) U.S. Harbor Workers & Lonpshoremant Compensation Act* Becton • As specie uee ar loge, rouges of amer Psrdns apePatlons under this

()) Commercial Oeneml Liability CO 00 01 (ed.10/9$) or . $;, per equivalent Combined Single Umft-Bodlly Injury' end $ ° ; Q00 g 0QQ„ pmdutWaompIated operations aggregate Property Damage: Section It.A • $ O.G. personal injury, eggr+egete • $ per claim ms datum deductible, except as e the ca Others to b added as additional tr undo., Additional Nand Addttianat insureds et t us u g Ism endorsement CO 2010, . •

. Section i rs_99 . B'•r '41d v Qzr vac dr., qua itslte

VS

x— Each Oocurenoe (* In *ace: CA 00.01 (ed. 061 ) or Al g i '' ®Op ;~ aqulvralant Combined Single Umlt - Bodily Injury and, Property Damage (x).t ed ' (x) Hired (x) Non-Owned The fcl1owkip cowragq must be provided: V • (} Buetneas Auto Covsraipe Form: section ii.I. V

DEN Form SCHLD A SUPPLY & SERVILE: March 28, 2002 (PIN1$*8WrCI Ff) •

NYC-WTC 000115614