NYC 9111 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,
VTTN: Contract Management Office (INSURANCE), 17th Floor, 59-17 Junction Boulevard, Corona, New York 11368.
Article 6 of Agreement Insurance
(x) Workers Compensation: Section Stay per New York State Law without fega tojudsdictbn
11.8 $ 1.000.000 each accident
(x) Employers Liability: Section
• ll.D
() Jones Act* Section
11.E
-() U.S. Harbor Workers & Longshoreman
Compensation Act:* Section
ILG
' As respects use of tugs, barges or other marine operations under this
contract.
(X) Commercial General Liability CG 00 01 (ed.10153) or $5 ; Q00 ; 000 per occurrence:
equivalent. Combined Single Limit-Bodily Injury and $. 5:000,000 products/completed operations aggregate
Property Damage: Section ILA $.j, 009, Qoo personal Injury
0 000 00 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
red status using ISO endorsement CG 2010.
Section f +prs of .Buildings on Which Work Tc To
_. b.
4a O-<04 1/e 60 E?"7— Be Done
~ y
$ 1.000.000 Each Occurrence
(x) Business Auto Coverage: CA 0001 (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: .
O Business Auto Coverage Form: Section 11.1 .
DEP Form SCHED A SUPPLY & SERVICE: March 28, 2002 (PIN882SWTCROOFI)
NYC-WTC 000117395
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