NYC 9/11 Public Portal Document
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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 Roar, 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
11.B $1.000.000 each accident
(x) Employers Liability. Section
• II.D
() ,ones Act:* Section
II.E
() U.S. Harbor Workers & Longshoreman .
Compensation Act:* Section
• II:G
' As respects use of tugs, barges or other marine operations under this
con racL
(X) Commercial General Liability CG 00 01 (ed.10/93) or $ `5; QO0; Q00 per occurrence:
equivalent Combined Single Limit-Bodily Injury and $,, 5, 000 , 000 products/completed operations aggregate
Property Damage: Section llA $. 5, 0.Q0 , Q00 personal Injury
0 000 00 general aggregate
$ 25,000 per claim maximum deductible, except as
• approved by the CONTRACT MANAGEMENT OFFICE
~~;L tD be added ass additional Insureds: Additional
tus using ISO endorsement CG 2010. .
ll:%
Section
. Named Additional insureds
tiers
Be* Done
of Buildings on Which Work T- 77 To
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.
$ 1.000.000 Each Occurrence
(x) Business Auto Coverage: CA 00 01 (ed. 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 000128787
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