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Bond requirements form for 55 [name], undated

Machine-extracted title · confidence 90%

Form listing bond and payment requirements for exterior cleanup work at 55 [name].

NYC-WTC_000119657–000119660

Folder label: “55 Ann Street BN# 1001271

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Scanned page image, NYC-WTC_000119658
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NYC 9/11 Public Portal Document

SUPPLY and SERVICE CONTRACT S Page 2 of 4 ONS 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, kTTN Contract Management Office (INSURANCE), 17th Floor, 59-17 Junction Boulevard, Corona, New York 11368.

Article 6 of Agreement S Insurance

(x) Workers Compensation: Section Statutory per New York State law without red to jurisdiction Id.B $1.000.000 each accident (x) Employers Liability: Section ILD ( )' Jones Act* Section II.E () U.S. Harbor Workers & Longshoreman Compensation Act' Section .II:G ' As respects use of tugs, barges or other marine operations under this coiitract. . (X) Commercial General Liabilty CG 00 01 (ed.10193) or $5; 00 00 per occurrence: equivalent. Combined Single Limit-Bodily Injury and $r 5 000, 000 products/completed operations aggregate Property Damage: Section II.A $' 5 Q.QO, Q00 personal injury • 0, 000 00 general aggregate $ 25000 per claim maximum deductible, except as approved by the CONTRACT MANAGEMENT OFFICE.

X=Lt added as additional insureds: Additional sing wost. ISO endorsement CG 2010. . Section :ILAi3 ., . Named Additional Insureds

t . +prs of .Buildings on Which Work Ts. Tn Be* Done . y.

$ 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 (PlN#826WTCROOFI)

NYC-WTC 000119658

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NYC-WTC_000119658Source: NYC Law Department, mirrored locally

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