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← Document results/DEP Box 52/94 FULTON STREET 1079210, 77/21 BN# 1079210
Document / 16 pages

License Agreement, 94 Fulton Street, Oct 2002

Machine-extracted title · confidence 100%

Document page displaying raw analytical data or charts related to asbestos testing for 92 Fulton Street.

NYC-WTC_000127626–000127641

Folder label: “94 FULTON STREET 1079210, 77/21 BN# 1079210

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Scanned page image, NYC-WTC_000127639
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NYC 9/11 Public Portal Document

OCT-02-2802 1443 NYCDEP BANHM ASB/LEAD TRU 718 595 3648 P.13

Page 2 of 4 f '

rtstarence Indicated by (X) will be tequlreed under tits contract, insurance fi e$, policies, and endorsements mu be scent Conactbtg WOW, o the New York City Department of Environmental Protection, Agency Chief Boulevard, Corona, Now York 11388. VTTN: Contract Management Olctt (INSURANCE), 1'71h Floor, 69-17 Junctoon

Article 6 of Agent InautwnCB

Section S' y per New Ytalc Stale Law without regard to Jude radon (x) Workers Compensation: $ i.000.0flQ each accident II.B (X) mployers Liability: Section ILD ( )Jones Alt` Seddon II.E U.S. Harbor Workers & l ongshor$men$ Can>pensat1on Act' Sec on •II.G ' As reset 'me Of , bad or other mere OWROcna under this carts►a~- (X) Commercial General Usbility CO 00 01 (ed.1W98) or $.;&'QoQ : 000 per occurrence: equivalent. Combined WOO Limit-Bodily , QQQ products/completed operations aggregate Property Damage: InjurySeeotitd II.A $ 5 9.20, 000 personal Injury 0 00 QO general.aggregate $ 25.000 per Jm maximum deductible, except as approved by lice CONTRACT MaNAasMjjr OFFICE

i3fhears to be added as additional Insureds: Addltl*nsl Named Mdltional Insureds status u&ftg ISO endorsement CG 2010. Section t1 e .. e Aortó

(x)PusinaeaAuh : CA 00 01(ed. p 2) or equivalent Combined Single Limit . Soddy Ir#u y and. Prope r Damage (x) Owned (x) Aired (x) Nowt-Owned The foibwing coverage must be provided: () Business Auto Coverage Form: Section 11.1

Will Foram SCH b A SUPPLY & SERVICE: March 28, 2002 (PIf SWTCROOFI )

NYC-WTC 000127639

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NYC-WTC_000127639Source: NYC Law Department, mirrored locally

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