New York Codes, Rules and Regulations
Title 11 - INSURANCE
Chapter III - Policy and Certificate Provisions
Subchapter B - Property and Casualty Insurance
Part 75 - Standards For Insurance That Qualifies For The Environmental Remediation Insurance Tax Credit
Section 75.3 - Insurer certification form

(a) An insurer shall complete the Brownfield Tax Credit Certification Form. All fields must be completed and provided to the developer/insured upon request for use in submitting the information to the Department of Taxation and Finance in order to qualify for the tax credit for the insurance coverages provided pursuant to section 3447 of the Insurance Law. Such Brownfield Tax Credit Certification Form must be in the format contained in subdivision (c) of this section.

(b) Where a policy is issued on an excess line basis, the insurer shall cause the delivery of the completed form to the insured with a copy to the excess line broker.

(c) The format for the Brownfield Tax Credit Certification Form is as follows:

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