NYC 9/11 Public Portal Document
OCT-29-2002 14:54 NYCDEP BANHM ASB/LEAD TRU 718 595 3648 P.13
Page a of 4
• $LiPPLY and SERVICE CONTRACT
GENERAL CONDITIONS
SCHEDULE A
nsurance indicated by ()A will be required under this•contract. Insurance mo tes, polloIes, and endorsenents must be sent
o the Now York City Department of Environmental Prot, Agency Chief Contrscting Officer,
kTTN: Conbaat Management Office (INSURANCE), 17th Floor, 58-17 Junction Boulevard, Corona, New York 11388.
Article 6 of Agreement Insurance
(x) Workers Compensation: $Odor lylmkPay per P Yod $ts*e Law wllhoud rspsd eo jurfeodefbn
11.8 $1 each accident
(x) Employers Lability: Section
• ILD
( ). ;lens Act.- $cordon
11.E
( ) U.S. Harbor Workers & Lorsgshoremans
Compensation Mt' Section
• •ILG
• As rsspec use or We, bias ar other assns aperalkes imderWs
(x) Commercial General Uabiligr CO 0001 (ed.10183) or W09 - 00 per ocaur'ren0e:
equivalent. Combined Single Llrrdt-Bodlly 14tay and $5,.000.000 producteFcomplet ed options aggregate
Property Damage: Section II.A $j 0Q0000 personal injury
000 general.aggrogate
00
$ .. 21mot ..,per claim maxdmum deductible, except as
approved by the C0I RACT MANAGeMENT Ott
oMers to be added as additional ineeuede: Addltinal Hamad Adlfiat'a®l Insureds
status using ISO endorsement 03 2010.
Station i cthrpf1uf 1 d3
ig en .Which Muk r'
- . . - ' Itx • Be Doae'
(x) : CA 0001 (ad. 0W92) e
equivalent Combined Sim Limit - Bodily injury and
Property Damage
(x) C)snned (x) Hid (x) Non-Owned
The lbllowing coverage must be provided:
( ) Business Auto Coverage Form: Sect 11.1
DBP Finn SCHWA SUPPLY a SERVICE Wmh 250002 (PINN2$WTTROOFI)
NYC-WTC 000134027
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