NYC 9/11 Public Portal Document
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SUPPLY and SERVICE CONTRACT Page 2 of 4
GENERAL CONDITIONS
SCHEDULE A
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 $1.000.000 each accident
(x) Employers Liability: Section
II.D
().Jones Act* Section
ILE
() U.S. Harbor Workers & Longshoreman
Compensation Act:* Section
JIG
* As respects use of tugs, barges or other marine operations under this
contract.
(X) Commercial General Liability CG 00 01 (ed.10/93) or $.A,000 ; 000 per occurrence:
equivalent. Combined Single Limit-Bodily Injury and $' 5,000,000 products/completed operations aggregate
Property Damage: Section II.A $ 5, O~QO, Q00_ personal injury
0,000, 00 general aggregate
$ 25,000 per claim maximum deductible, except as
approved by the CONTRACT MANAGEMENT OFFICE
XZLL to be added as additional insureds: Additional
tus using ISO endorsement CG 2010.
lLA3
Section
Named Additional Insureds
0whirs of . Buildings on Which Work
Be- Done
_. _.
is . Te
• $ 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 000127531
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