NYC 9/11 Public Portal Document
X05/3812002 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
certificates, policies, and endorsements must be sent
o the New York City Department of Environmental Protection,
Agency Chief Contracting Officer,
~.TTN: Contract Management Office (INSURANCE), 17th Floor, 59-17 Junction
Boulevard, Corona, New York 11368.
Article 6 of Agreement 1 Insurance
(x) Workers Compensation: Section Stat ry per New York State taw without regard to jurisdiction
11.8 $_1_QQO.00Q each accident
(x). Employers Liability: Section
'ID
( )- Jones Act:` Section
II,E
() U.S. Harbor Workers & Longshoremans .
Compensation Act:* Section
JIG
As respects use of tugs, barges or other marine operations under this
contract.
(X) Commercial General Liability CG 00 01 (ed.10/93) or
$L5,, 000;-000 per occurrence:
equivalent. Combined Single Limit-Bodily Injury and $ __5, 000,000 products/completed operations aggregate
Properly Damage: • Section ILA $. 5 0.00,000 personal injury
0, 000 , 000 general.aggregate
$ 25 ,ago per claim maximum deductible, except as
approved by the CONTRACT MANAGEMENT OFFICE
K Others to be added as additional insureds: Additional
red status using ISO endorsement CG 20 10.
Named Additional Insureds
Section OW±lers of Dui1ding~ on T7bich Work TTh
Re' Done
$_ 1.000.000 Each Occurrence
(x) Business Auto Coverage: CA 00 01 (ed. 06/92)
or
equivalent Combined Single Limit - Bodily Injury and
Property Damage
The foflowincl coverage must be provided: (x) Owned (x) Hired (x) Non-Owned
() Business Auto Coverage Form:
Section III
DEPT Form SCHED A SUPPLY & SERVICE: March
28,2002 (PIN#826WTCROQF1)
NYC-WTC 000118398
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