NYC 9/11 Public Portal Document
05/30/2002 16:23 2124838895 CRG PAGE 16
• SUPPLY acid SERVICE CONTRACT Page 2 of 4
GENERAL CONDmTIQNS
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 Insurance
(x) Workers Compensation: Section Status y Per New York State Law without regard to jurisdiction
tl,B $ _1.000.000 each accident
(x) Employers Liability: Section
II.D
( ). Jones Act:* Section
II,E
() U.S. Harbor Workers & Longshoremans
Compensation Act:* Section
•II:G
As respects use of tugs, barges or other marine operations under this
contract.
(X) Commercial General Liability CG 00 01 (ed.10/93) or $ Q0'•000 per occurrence:
equivalent. Combined Single Limit-Bodily Injury and $,• 5, 000 , 000 products/completed operations aggregate
Property Damage: Section ILA $' 5 000 , 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
ns d status using ISO endorsement CG 20 10.
Section Owners of Buildings on Which Work i n
fl
=s
ILA:3 Ee Doi
$ 1.000(00 Each Occurrence
(x) Business A.tto Coverage: CA 00 01 (ed. 06/92) 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 1Ll
DEP' Form SCHED A SUPPLY & SERVICE: March 28, 2002
(PIN#a2SWT.CROOFt)
NYC-WTC 000118422
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