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,
%TTN: Contract Management Office (INSURANCE),17th Floor, 59-17 Junction Boulevard, Corona, New York 11388.
Article 6 of Agreement Insurance
(x) Workers Compensation: Section Statutory per New York State Law without regard to lur sdlction
11.8 $1.000.000 each accident
(x) Employers Liability: Section
(} Jones Act:* Section
11.E
() U.S. Harbor Workers & Longshoreman
Compensation Act:' Section
JIG
• As respects use of tags, barges or offer marine operations under this
contract.
(X) Commercial General Liability CG 00 01 (ed.10/93) or $5, QO0; 000 per occurrence:
equivalent Combined Single Limit-Bodily Injury and $ 5,000,000 products/completed operations aggregate
Property Damage: Section IiA $ 5 00"00, Q00 personal Injury
0,00Q,Q00 general aggregate
$ 25,000 per claim maximum deductible, except as
approved by the CONTRACT MANAGEMENT OFFICE
thers to be added as additional insureds: Additional Named Additional Insureds
*red status using ISO endorsement CG 2010.
Section t criers of .Buildings on Which Work Ts Tn
• - _. .. _. .
ILA3 Be Done
$ 1.000.000 Each Occurrence
(x) Business Auto Coveraoe: 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 Iii •.
DEP Form SCHED A SUPPLY & SERVICE: March 28, 2002 (PI 1)
NYC-WTC 000127474
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