NYC 9/11 Public Portal Document
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,
VTTN: 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 regard to jurisdiction
II.B $1.00 .000 each accident
(x) Employers Liability: Section
• II.D
Q. Jones Act:* Section
11.E
() U.S. Harbor Workers & Longshoreman
Compensation Act:* Section
-1I.G
* As respects use of tugs, barges or other marine operations under this
contrail.
(X) Commercial General Liability CG 00 01 (ed.10/93) or $5; Q00; 000 per occurrence:
equivalent. Combined Single Limit-Bodily Injury and $y;5 000,000 productslcompleted operations aggregate
r
Property Damage: . Section IIA $ 5, 0.Q0, Q00 personal injury
0, 00 •
general .aggregate
,
oo
$ 25,000 per claim maximum deductible, except as
• approved by the CONTRACT MANAGEMENT OFFICt? .
Others to be added as additional Insureds: Additional . Named Additional Insureds
red status using ISO endorsement CG 2010.
Section f liens of Buildings on Which Work ' Tom •
_.
is
Be Done
. $ 1.000.000 Each Occurrence
(x) Business Auto COMM: CA 00 01 (ed. 06192) 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 000119688
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