WTC debris identification form, 15 Cliff Street

NYC 9/11 Public Portal Document

4.i.1 IIz~ • ■

O 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 6y endorsement to each relevant policy.

O 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/t/76

() Ship Repairers Liability: $ • Section American Institute Clauses II.H $ ()Water Quality Syndicate

()Builders Risk: Section Atl-Risk/Completed Value • ILJ $ % of Total contract amount $ % of contract store off site $ % of contract In transit/anyone storage $ % Property of City and others

O Garage Policy.C4.00 D5 01/87 Section II.& Itt' ••• oer occurrerioe (See Formi 25) $ per aggregate 11: Auto & General Liability $ oer location III: Garage Keeper's Liability 0 $ oer vehicle maximum deductible, except as approved by the CONTRACT MANAGEMENT OFFICE

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1Evidence of insurance as described herein shall be provided by the Insurer or duty authorized agent of the garage providing maintenance on the vehicle(s) provided to the Department's Contract Management Office. It is the Contractor's responsibility to insure comp1ance with this provision by the garage.

DEP Form SCHED A SUPPLY i SERVICE: March 28.2002 (PINP$26WTCROOFI)

NYC-WTC 000126444