NYC 9/11 Public Portal Document
OCT-02-2802 1443 NYCDEP BANHM ASB/LEAD TRU 718 595 3648 P.13
Page 2 of 4
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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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