114 LIBERTY 1 OF 2

NYC 9/11 Public Portal Document

CLEANING REQUEST FORM

As the owner of condominium unit at 114 Liberty Street, Manhattan (the "Residence"), I hereby request that the New York City Department of Environmenta 1 Protection (DEP) perform the cleaning and monitoring work specified in the attached scopes of work for the cleaning and monitoring contractors (the "Cleaning work") in said apartment. The Cleaning work is to be performed by DEP in accordance with PEP's role under the Federal Response Plan and pursuant to the authority of the Robert T. Stafford Disaster Relief and Emergency Assistance Act. The United States Environmental Protection Agency (EPA) will act in an oversight capacity with regard to said work.

To facilitate the performance of the Cleaning Work, I agree to the following: 1. Employees, authorized representatives, and contractors of DEP shall have access to a 77 areas of the Residence and a 7 7 personal property in the Residence for as long as necessary to perform the Cleaning work. 2. I will inform DEP as to any considerations which would affect the Cleaning work, including, for example, time restrictions and appropriate means to access the Residence. 3. The Cleaning work will be performed by contractors retained by DEP. said contractors are required to maintain, at all times during the Cleaning work, insurance coverage for commercial general liability, workers compensation, environmenta l impairment liability, and employee dishonesty related to the cleaning work. 4. The Cleaning work may require use of the Residence's electricity and water. S. Insurance payments or any other form of compensation received by the resident(s) which have been or will be received for activities covered by the cleaning work and which have not been spent for such purposes will be paid to DEP. 6. I will use best efforts to ensure the safety and security of fragile or valuable objects located in the Residence, including but not limited to jewelry, silverware, fine china, decorative objects and works of art. Such efforts wi17 include, at a minimum, either the remo va 7 of such items from the Residence prior to the beginning of the Cleaning work or the securing of such items in sealed containers. I will identify in writing to DEP a 17 fragile or valuable objects which cannot be removed or secured as described above so that provision may be made for their protection. The estimated value of such objects shall be indicated. 7. The Cleaning work will be performed in a77 areas of the

NYC-WTC 000155158