NYC 9/11 Public Portal Document
Page 2 of 4
• 1iJ1t[siI
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,
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
Ij g $1.000,000 each accident
(x) Employers Liability: Section
II.D
Q. Jones Act:* Section
ILE
O U.S. Harbor Workers & Longshoremans
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.10/93) or $~5 ;. 00 00 per occurrence:
equivalent. Combined Single Limit-Bodily Injury and $r5,000,000 products/completed operations aggregate
Property Damage: Section II.A $ 5, 000 , 000 personal injury
0 000 000 general aggregate
$ 25,000 per claim maximum deductible, except as
approved by the CONTRACT MANAGEMENT OFRCE
4 Others to be added as additional insureds: Additional
h red status using ISO endorsement CG 20 10.
Ii.A.3
Section
Named Additional Insureds
6wiier s of .Buildings on Which Work Is To
Be 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
(x) Owned (x) Hired (x) Non-Owned
The following coverage must be provided:
)Business Auto Coverage Form: Section 11.1
DEP Form SCHED A SUPPLY & SERVICE: March 28, 2002 (PIN#826WTCROOFI)
NYC-WTC 000119314
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