NYC 9/11 Public Portal Document
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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 Now York state Law without regard to jurisdiction
II.B $ 1.000.000 each accident
(x) Employers Liability: Section
II.D
O Jones Act:* Section
II.E
O U.S. Harbor Workers & Longshoremans
Compensation Act:* Section
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 ,Q00 ; 000 per occurrence:
equivalent. Combined Single Limit-Bodily Injury and $r5 a 000,000 products/completed operations aggregate
Property Damage: Section ILA $ 5 OQO, QOO personal injury
460-00Q400 general aggregate
$ 25,000 per claim maximum deductible, except as
approved by the CONTRACT MANAGEMENT OFFICE
Others to be added as additional insureds: Additional Named Additional Insureds
red status using ISO endorsement CG 20 10.
Section 0 ith rs of .BuidiT2gs on Which Work Ts To
s.
11X3 Be Done •
$ 1.000.000 Each Occurrence
(x) Business Auto Coverage: CA 00 01 (ad. 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 000126352
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