Permit Application Cover Letter, 94 Chambers Street, Sept 2002

NYC 9/11 Public Portal Document

Page 3 of 4

( ) Marine Protection and Indemnity, SP-23 or equivalent: * $ per occurrence # Section $ aggregate per year II.F $ max deductible * As respects use of tugs, barges or other marine operations under this contract # City as insured by endorsement to each relevant policy.

( ) Collision Liability/Towers Liability: Section $ per occurrence • ILC $ aggregate per year • $ max deductible Collision Clauses Lines 158-184 inclusive [Endorsed to cover dredges and dredging operations.] as respects tugs: Collision Towers Liability Clauses 78-111 inclusive American Institute Tug Form - 2/1./76

( ) Ship Repairers Liability: $ Section American Institute Clauses II.H

( ) Water Quality Syndicate

( ) Builders Risk: Section All-Risk/Completed Value II.J $ % of Total contract amount $ % of contract store off site $ % of contract in transit/anyone storage $ % Property of City and others

( ) Garage PoIicYC . y 00 A5 01/87 Section 11& 111' $ _ occurrence oer (See Form 25)..- $ oer aggregate 11: Auto & General Liability $ per location Ill: Garage Keeper's Liability $ oer vehicle maximum deductible, except as approved by the CONTRACT MANAGEMENT OFFICE

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'Evidence of insurance as described herein shall be provided by the insurer or duly authorized agent of the garage providing maintenance on the vehicle(s).provided to the Departments Contract Management Office. It Is the Contractors responsibility to insure compliance with this provision by the garage.

DEP Form SCHED A SUPPLY & SERVICE: March 28, 2002 (PIN#826WTCR00FI)

NYC-WTC 000122142