NYC 9/11 Public Portal Document
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SUPPLY and SERVICE CONTRACT Page 2 9f g
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, .
kTTN: 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 Low without regard to iu►isdidton
II.B $ 1.000.000 each accident
(x) Employers Liability: Section
• II.D
().Jones Act* Section
II.E
. U.S. Harbor Workers & Longshoremans
Compensation Act-* Section
Ii:G
As respects use of tugs, urges or other marine operations under this
contract.
(X) Commercial General Liability CG 00 01 (ed.10/93) or $'S; 000; 000 per occurrence:
equivalent. Combined Single Limit-Bodily Injury and $,• 5,000,000 products/completed operations aggregate
Property Damage: Section 11.A S. 5 0.Q, 000 personal injury
0 000 , 000 general aggregate
$ 25, 000 per claim maximum deductible, except as
• approved by the CONTRACT MANAGEMENT OFFICE
=e= ,be added as additional insureds: Additional . Named Additional Insureds
using ISO endorsement CG 2010.
Section 0wbers of .Buildings on Wh h Work - -c•. To
11.k3 Be' Doné S
$ 1.000.000 Each Occurrence
iness Auto Coverage: CA 00 01 (ed. 06/92) or
(x) Bus
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 ll.l
DEP Form SCHED A SUPPLY & SERVICE: March 28, 2002 (PIN#826WTCROOFI)
NYC-WTC 000127574
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