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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