Form with illegible text and reference number NYC-WTC_000155837

NYC 9/11 Public Portal Document

CLEANING REQUEST FORM As the authorized representative of 120 Liberty Street LLC, the owner of 125 Cedar Street, Manhattan (the “Building”), I hereby request that the New York City Department of Environmental Protection (DEP) perform the cleaning and monitoring work specified in the attached documents entitled “Cleaning Procedures for 125 Cedar Street” and “Monitoring contractor - scope of work for 125 Cedar Street” (the “Cleaning work”). To facilitate the performance of the Cleaning work, the Building Owner agrees to the following: 1. Employees, authorized representatives, and contractors of DEP shall have access to all common areas of the Building, including the heating, ventilation, and air conditioning (HVAC) system, for as long as necessary to perform the cleaning work. 2. The cleaning Work is to be performed in accordance with DEP’s role under the Federal Response Plan and pursuant to the authority of the Robert T. Stafford Disaster Relief and Emergency Assistance Act. 3. The Building Owner will inform DEP as to any applicable building rules which would affect the Cleaning Work, including, for example, time restrictions, appropriate entrances to the Building, and elevator usage. 4. 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 and environmental impairment liability related to the cleaning Work, and are bonded to cover loss by theft or destruction of property. 5. The Cleaning Work will require use of the Building’s electricity and water. 6. insurance payments or any other form of compensation received by the Building owner 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. SIGNATURE:

Authorized Representative, Date 120 Liberty LLC

Name and Title (Print)

draft NYC-WTC_000155838