Indiana Administrative Code
Title 329 - SOLID WASTE MANAGEMENT DIVISION
Article 3.1 - HAZARDOUS WASTE MANAGEMENT PERMIT PROGRAM AND RELATED HAZARDOUS WASTE MANAGEMENT
Rule 14 - Financial Requirements for Owners and Operators of Interim Status Hazardous Waste Treatment, Storage, and Disposal Facilities
Section 14-36 - Wording of instrument; hazardous waste facility certificate of liability insurance
Current through September 18, 2024
Authority: IC 13-14-8; IC 13-22-2; IC 13-22-8-1; IC 13-22-9-7
Affected: IC 13-22
Sec. 36.
A certificate of liability insurance, as required in section 24 of this rule or 329 IAC 3.1-15-8 (see 329 IAC 3.1-15-10(j)) , must be worded as follows except that the instructions in brackets are to be replaced with the relevant information and the brackets deleted:
Hazardous Waste Facility Certificate of Liability Insurance
1. [Name of Insurer], [the "Insurer"], of [address of Insurer] hereby certifies that it has issued liability insurance covering bodily injury and property damage to [name of Insured], [the "Insured"], of [address of Insured] in connection with the Insured's obligation to demonstrate financial responsibility under 329 IAC 3.1-14-24 or 329 IAC 3.1-15-8. The coverage applies at [list U.S EPA identification number, name, and address for each facility] for [insert "sudden accidental occurrences", "nonsudden accidental occurrences", or "sudden and nonsudden accidental occurrences". If coverage is for multiple facilities and the coverage is different for different facilities, indicate which facility(ies) are insured for sudden accidental occurrences, which are insured for nonsudden accidental occurrences, and which are insured for both]. The limits of liability are [insert the dollar amount of the "each occurrence" and "annual aggregate" limits of the Insurer's liability], exclusive of legal defense costs. The coverage is provided under policy number _______, issued on [date]. The effective date of said policy is [date].
2. The Insurer further certifies the following with respect to the insurance described in Paragraph 1:
I hereby certify that the wording of this instrument is identical to the wording specified in 329 IAC 3.1-14-36 as such rule was constituted on the date first above written, and that the Insurer is licensed to transact the business of insurance, or eligible to provide insurance as an excess or surplus lines insurer, in one (1) or more states.
[Signature of authorized representative of Insurer]
[Type name]
[Title], Authorized representative of [name of Insurer]
[Address of representative]