NYC 9/11 Public Portal Document
SUPPLY and SERVICE CONTRACT Page 2 of 4
GENERAL CONDITIONS
SCHEDULE A
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 Insurance
(x) Workers Compensation: ' Section Statutory per New York State Law without regard bjudsdlction
11.5 $1.000.00.0 each accident
(x) Employers Liabflty: Section
II.D
( ) Jones Act:* Section
Il.E
{ ) U.S. Harbor Workers & Longshoreman .
Compensation Act* Section
hG
' As respects use of tugs, barges or other marine operaflons under this
contract.
(X) Commercial General Liabiilty CG 00 01 (ed.10/93) or ' $ .,900Q00; per occurrence:
equivalent. Combined Single Limit-Bodily Injury and 15. 000, 000 products/completed operations aggregate
Property Damage: Section ILA 0ga, 000 personal injury
000 000 general.aggregate
$ 25,000 per claim maximum deductible, except as :
approved by the CONTRACT MANAGEMENT OFFICE
4Z;Ltt0u::sIngadded as additional Insureds: Additional Named Additional Insureds
ISO endorsement CG 2010.
Section Oscars of Buildings on Which Fork.-Ts•. Tn
'![:J~C3 Be' Done
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$ 1.000.000 Each Occurrence
(x) Business Auto Coverage: 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 11.I
DEP Form SCHED A SUPPLY & SERVICE: March 28, 2002 (PIN#82SWTCROOFI)
NYC-WTC 000115730
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