NYC 9/11 Public Portal Document
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 Insurance
(x) Workers Compensation: Section Statutory per New York state Law without regard to jurisdiction
Il.B $ 1.000.000 each accident
(x) Employers Liability: Section
• II.D
().Jones Act* Section
II.E
O U.S. Harbor Workers & Longshoreman .
Compensation Act* Section
•HG
• As respects use of tugs, barges or other marine operations under this
contract.
(X) Commercial General Liability CG 00 01 (ed.10/93) or $..& Q00; 000 per occurrence:
equivalent Combined Single Limit-Bodily Injury and $ 5,000,000 products/completed operations aggregate
Property Damage: Section IIA $ 5, 0. 99, Q00.. personal Injury
0, 000 000 general aggregate
$ 25, 000 per claim maximum deductible, except as
approved by the CONTRACT MANAGEM T OFFICE
Others to be added as additional insureds: Additional . Named Additional Insureds
fr s1jred status using ISO endorsement CG 2010.
Section 8whirs of Buildings on Whieh Work' 7.s•. Ta
_. e. ~.. .
ILA3 Be Done
• $ 1.000.000 Each Occurrence
(x) Business Auto Coverage: CA 00 01 (ed. 06192) 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 (PIN8826WTCROOFI)
NYC-WTC 000128065
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