NYC 9/11 Public Portal Document
OCT-29-2002 1449 NYCDEP BANHM ASB/LEAD TRU 718 595 3648 P.13
SUPPLY and SERVICE CONTRACT Page 2 of 4
SCHEDULE„A
nsurance Indicated by (x) will be required under this•contrast Insurance cerUiloates, Pa8cles and endarsemento must be ant
D the New York City Department of Environmental Protection, Agcy Chief Conhscting Officer,
kTTN: Contract Management Office (INSURANCE), 17th I?Loor, 59-17 Junction Boulevard. Corona, New York 11368.
Article 6 of Agreement •
'"°°
(x) Workers Cor Jpeneat on: Section' Stuory per NW Yak $rase Lavvwtthcutiegad sour ctn
U.S t$ f.000.000__ accident
(x) Employes kiabUlty Section -
IID
O Jaters Act:*
11.5
()U.S. Harbor Workers & Longaharemans .
Compensation Aar` Section
• As rsepaets use as begs. barges or other menses ape as mdw 5ds
aontrae3.
(X) Commercial General Liability CO 0001 (ed.10193) or $ 'Q9O; 00Q. per occurrence:
equivalent. Combined Single Limit-Bodily InJury and $ .000,80oo pnodu otwcompieted operations mate
Property Damage: Seddon ILA U.aO,O.000 personal kitay
• 00C.000 general.aggrsgate
$ , , 25,000 per claim maximum deductible, except as
Others to be added as additional insureds: Addibormt . Nand Addis Insureds
red status using ISO endorsement 002010
Section u 9rs ~ ~n~~s i~lh h WArir Ta Tn
.• lt 3 . . _. .
8e' Doaef
$ 10Q0000 Each Occurrence
(x) : CA 00 01 (ad. 06(92) or
equivalent Combined Single Limit. Bodily lnjuiy and
Property Damage
(x) Owned (x) Hired (x) Nan-Owned
The following coverage must be provlded
() Business Auto Coverage Form: Section I!J
DEP Form SCHED A SUPPLY & SERVICE Mardi 26,2002 (PIN BWTCR0OF1)
NYC-WTC 000134030
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