NYC 9/11 Public Portal Document
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,
\TTN. 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 Now York State Law without regard to jurisdiction
11.8 $ 1.000.000 each accident
(x) Employers Liability: Section
ILD
Jones Act:' Section
ILE
() U.S. Harbor Workers & Longshoreman
Compensation Act:* Section
II:G
• As respects use of tugs, barges or other marine operations urn this
re tract.
(X) Commercial General Uability CG 00 01 (ed.10/93) or $5, QO0;
000 per occurrence:
equivalent. Combined Single Limit-Bodily Injury and $ 5 i 000, 000 products/completed operations aggregate
Property Damage: Section IIA 000 personal injury
$.j. 0.00,
0 000 00 general aggregate
$ 25,000 per claim maximum deductible, except as
• approved by the CONTRACT MANAGEMENT OFFICE
be added as additional insureds: Additional . Named Additional insureds
s using ISO endorsement CG 2010.
4 =ttou 0 + rs of.. , Buildings on Which Work Ts. To
. Section _. >.
iLA 3 Be Done
• $ 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 (PlN#826WTCROOFI )
NYC-WTC 000135557
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