NYC 9/11 Public Portal Document
i t 11d1á:1
nsurance indicated by (X) will be required under this contract. Insurance certificates, policies, anc ndorsements must be sent
o the New York City Department o€ Environmental Protection, Agency Chief Contracting Officer, ~r
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 to jurisdiction
II.B $ 1.000.000 each accident
(x) Employers Liability: Section
lI.D
( ). Jones Act:* Section
ILE
( ) U.S. Harbor Workers & Longshoremans
Compensation Act:* Section
• lG
• As respects use of tugs, urges or other marine operations under this
contract
(X) Commercial General Liability CG 00 01 (ed.10/93) or $5; QO0; 000 per occurrence:
equivalent Combined Single LimitBodily Injury and $ ,000, 000 products/completed operations aggregate
Property Damage: Section IIA $ 5, 0. 09, 00 personal Injury
0-0O,000 general aggregate
$ 25,000 per claim maximum deductible, except as
approved by the CONTRACT MANAGEMENT OFFICE
Others to be added as additional insureds: Additional Named Additional Insureds
hs1jred status using ISO endorsement CG 2010. .
Section Owa rs of .Buildings on Whfh War k ' T,a. Tn
b _. w.. .
• Be Done
$ 1.000.000 Each Occurrence
(x) Business Auto Coverage: CA 00 01 (ed. 06192) 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 11.1
DEP Form SCHED A SUPPLY & SERVICE: March 28, 2002 (P1 81NTCROOFI )
NYC-WTC 000115783
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