NYC 9/11 Public Portal Document
OCT-29-2002 14 49 NYCDEP BANHM ASB/LEAD TRU 718 595 3648 P.13
• SUPPLY and SERVICE COPJTRCT pass z of 4
NFBAL CONQIT1ONS
SCHEDULE„A
nsurance Indicated by (X) will be required under this•oonhaat Insurance ceriileates. Palloies, and ettdaraemento must be sent
o the New York City Deparbrient of Environmental Protean, Agency Chief Conbaating Officer,
.TTN: Contract Management Office (INSURANCE), 17th Imo, 59-17 Junction Boulevard. Corona. New York 11368.
Article 6 of Agreement
(x) Workers Compensation: Sect morn per N York 8teae Lavv without wed tajur ctln
51.8 $1.000.OO0__ each accident
•
(x) Employees klabllity Section
ILD
( ) Janes Act:*
11.E
( ) US. Harbor Workers & Longshor rts .
Compensation Arm* Section
II;G
• As rsepoem us of W. barges orother rpobw apse as rmderV s
aor~trac3. .
(X) Commercial General Liability CO 0001 (ed.10193) or $. Q9Q 000. per occurrence:
equivalent. Combined Single Limit-Bodily !r1(c,gy and $:5 ; 000.000 products/completed operations aggregate
Property Damage: Section II.A $' Q0 00 persona! lnjuay
0 0 00 general.aggre9ate
$ , , 25,000 per claim maximum deducible, except as
Others to be added as additional insureds: Additional . Named Additional Insureds
statrs using ISO endorsement CO 2010.
.. Section . "ere af" ~e i~th1 C Wi rk To-. +rn
1t 3 . .
-inr$~ _. ..
•
Be' Doaef r
$, __L ..0Q0.1Q0 Each Occurrence
(x)Bulqçs 4uCo a : CA 0001 (ed. 06(92) or
equivalent Combined Single Limit • Bodily Uljtuy and
Pmpa
(x) Owned (x)Ind (x) Non-Owned '
The following coverage must be provided:
( ) BusIness Aubo Coverage Form: Section LI
DEP Form SCHED A SUPPLY & : Mwch 252502 (PINA~BWTCROOF1)
NYC-WTC 000134030
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