NYC 9/11 Public Portal Document
OCT-08-2002 09:55 NYCDEP BANHM ASB✓LEAD TRU 718 595 3648 P.13
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• .ePP YandSERVICE C T
GENERAL ONDITIONS
SCHCDU! EA
sent
(X) will be required under this •contract. Insurance certificates, policies, and endorsements must be
nsurance indicated by Officer,
Protection, Agency Chiefctio
o the New York City Department of Environmental 59-17 on Boulevard,O
acting Coro a, New York 11368.
%TTN: Contract Management Office (INSURANCE),17th Floor,
insurance
Article 6 of Agreement
Statutory per New York we Law without rogerd to jurisdiction
Section
(x) Workers Compensation: g I _oo g4_ each accident
11.8
(x) Employers Liability: Section
• ILD
().Jones Act' Section
II.E
( ) U.S. Harbor Workers & Longshoreman
Compensation Act:' Section
'ILG
• As respects use of tugs. banes or other marine operat;cns under Oft
mntracL
$5~ 00 00 per occurrence:
(X) Commercial General Uability CG 00 01 (ed.10/93) or $;,5 ; 000, _00Q products/compieted operations aggregate
equivalent. Combined Single Limit-Bodily Injury and
Property Damage: Section I I.A $' 5 Q_Q0 ,00 personal Injury
0,000,000 genera[ aggregate
$ 25, 000 per claim maximum deductible, except as
t,v rise CnWITRAGT MANAGEMENT OFFICE
Others to be added as additional insureds: Additional Named Additional Insureds
s red status using ISO endorsement CG 20 10. W irk Tie Te
Section 0c zB s of Bull st tt onWMk
1LXS•• Be ]one•
$~01_ 0.000 Each Occurrence
(x) Business AutoCoierage: 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 ILl
DEP Form SCHED A SUPPLY & SERVICE: March 28, 2002 (PIN#826WTCROOFI)
NYC-WTC 000116378
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