NYC 9/11 Public Portal Document
05/3.0/2002 16:23 2124838895 CRG
PAGE 16
• SUPPLY and SERVICE CONTRACT Page 2 of
GENERAL CONDITIONS
SCHEDULE A
nsurance indicated by(X) will be required under this •contract. Insurance
o the New York City Department of Environmental Protection, certificates, policies, and endorsements must be sent
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 to jurisdiction
11,8 $1,QQQ1OQO each accident
(x), Employers Liability: Section
ILD
() Jones Art:* Section
II,E
() U.S. Harbor Workers & Longshorremans
Compensation Act:* Section
•IIG
' A respects use of tugs, barges or other marine operations under
this
contract.
(X) Commercial General Liability CG 00 01 (ed.10193) or $., 5 •000,000 per occurrence:
equivalent. Combined Single Limit-Bodily Injury and 5.5,000.000 products/completed operations aggregate
Properly Damage: . Section ILA $ 5 OQ0.000 personal injury
0, 000, 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
:red status using ISO endorsement CG 20 S0.
Section
IILA
(x) Business ,Auto $_ 14 000.QQO Each Occurrence
rape; CA 00 01 (ed. 06/92) or
Qov
equivalent Combined Single Limit - Bodily Injury and,
Property Damage
The following coverage must be provided: (x) Owned (x) Hired (x) Non-Owned
() Business Auto Coverage Form:
Section ILI
DEP Form SCHED A SUPPLY & SERVICE:
March 28, 2002 (PIN#826WTCROOF1)
NYC-WTC 000118372
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