NYC 9/11 Public Portal Document
nsurance indicated by (X) will be required under this contract Insurance mo tes, policies, and rndorsements must be sent
o the New York City Department of Environmental Protection, Agency Chief Contracting Officer,
VTTN. Contract Management Office (INSURANCE), 17th Floor, 59-17 Junction Boulevard, Corona, New York 11368.
Article 6 of Agreement Insurance
(x) Workers Compensation: Section Statubay per New York State Law without regard to jurisdiction
II.B $1.000.000 each accident
(x) Employers Liability: Section
11.D
().Jones Act:* Section
II.E
( ) U.S. Harbor Workers & Longshoreman
Compensation Act:* Section
I1:G
As respects use of tugs. barges or other marine operations under this
contract.
(X) Commercial General Liability CO 00 01 (ed.10/93) or $j,000;000 per occurrence:
equivalent. Combined Single Limit-Bodily Injury and $ 5000,Q00 products/completed operations aggregate
Property Damage: Section IIA $ 5 0_Q0, Q00 personal injury
6000,Q00 general aggregate
$ 25,000 per claim maximum deductible, except as
approved by the CONTRACT MANAGEMENT OFFICE
01Others to be added as additional Insureds: Additional Named Additional insureds
s ir
In
ked status using ISO endorsement CO 2010.
Section .. ® hers of .Buildings on Wh{ch We k Ts•. Tn
IA) ssvL • Be Done •
44
I~Iy1 1~1y1 c r • r ► r c
(x) Business Auto Coverage: CA 00 01 (ed. 06/92) or
equivalent Combined Single Limit - Bodily Injury and
Properly Damage
(x) Owned (x) Hired (x) Non-Owned
The following coverage must be provided:
() Business Auto Coverage Form: Section 11.1
PEP Form SCHED A SUPPLY & SERVICE: March 28, 2002 (PIN#82SWTCROOFI)
NYC-WTC 000115785
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