DTSC Form 1309 "Supplemental Information on Insurance Coverage" - California

What Is DTSC Form 1309?

This is a legal form that was released by the California Department of Toxic Substances Control - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 7, 2007;
  • The latest edition provided by the California Department of Toxic Substances Control;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of DTSC Form 1309 by clicking the link below or browse more documents and templates provided by the California Department of Toxic Substances Control.

ADVERTISEMENT
ADVERTISEMENT

Download DTSC Form 1309 "Supplemental Information on Insurance Coverage" - California

716 times
Rate (4.8 / 5) 36 votes
State of California-California Environmental Protection Agency
Department of Toxic Substances Control
SUPPLEMENTAL INFORMATION ON INSURANCE COVERAGE
Insurance coverage required pursuant to Health and Safety Code section 25169 must cover “public
liability” which includes bodily injury, property damage, and environmental restoration. Environmental
restoration includes restitution for the loss, damage, or destruction of natural resources arising out of the
accidental discharge, dispersal, release, or escape into or upon the land, atmosphere, watercourse, or
body of water of any commodity transported by a motor carrier. This liability includes the cost of removal
and the cost of necessary measures taken to minimize or mitigate damage or potential for damage to
human health, the natural environment, fish, shellfish, and wildlife.
The terms of the insurance policy or bond must conform to the federal Form MCS-90 or Form MCS-82 as
defined in 49 Code of Federal Regulations (CFR) sections 387.7 to 387.15 for hazardous materials and
hazardous substances, which includes hazardous waste. Waste petroleum in bulk shipments and
vehicles weighing less than 10,000 Gross Vehicle Weight Rating (GVWR) are exceptions. The limits of
liability are outlines below.
Please give this instruction sheet to your insurance company as they can issue the necessary
endorsement to your insurance policy and send us proper documentation. Attached is a Certificate of
Insurance for Public Liability Coverage form (DTSC 8038), which may be completed and signed by your
insurance company. Alternately, your insurance company can issue an insurance endorsement to your
insurance policy, Form MCS-90 or surety bond, Form MCS-82.
Commodity Transporter
Combined Single Limit Coverage
A.
Transporters of petroleum and/or petroleum products in bulk, including waste
$1,200,000
petroleum and/or waste petroleum products, in tank or vacuum-type trucks or
trailers. [Vehicle Code § 34631.5(a)(3)]
B.
Transporters whose vehicles have GVWR of 10,000 pounds or more.
[Vehicle Code § 34631.5(a)(4)]
1.
Oil listed in 49 CFR § 172.101 not mentioned in B. 2.; hazardous waste,
$1,000,000
hazardous materials and hazardous substances defined in 49 CFR § 171.8
but not mentioned in B. 2.; hazardous waste as defined in Health and Safety
Code § 25117 and the California Code of Regulations, Title 22, Chapter 11,
Article 1 but not mentioned in B.
2.
Hazardous substances, as defined in 49 CFR § 171.8, transported in cargo
$5,000,000
tanks, portable tanks, or hopper-type vehicles with capacities in excess of
3,500 water gallons; or any quantity of class 1.1, 1.2, or 1.3 explosives; any
quantity of poison gas (Poison A); or highway route controlled quantity
radioactive materials as defined in 49 CFR § 173.403.
C.
Transporters of hazardous wastes whose vehicles have GVWR of less than
$600,000
10,000 pounds [Health and Safety Code § 25169(c)(1)], except from item A
above, please sign and submit the certification below attached to the
certificate of insurance.
APPLICANT CERTIFICATION
I certify under penalty of law that all vehicles to be certified under my hazardous waste transporter
registration have a gross vehicle weight rating of less than 10,000 pounds and that I do not transport
waste petroleum products in bulk.
Signature
Business Name
Typed/Printed Name
Date
Title
DTSC 1309 (12/07/07)
State of California-California Environmental Protection Agency
Department of Toxic Substances Control
SUPPLEMENTAL INFORMATION ON INSURANCE COVERAGE
Insurance coverage required pursuant to Health and Safety Code section 25169 must cover “public
liability” which includes bodily injury, property damage, and environmental restoration. Environmental
restoration includes restitution for the loss, damage, or destruction of natural resources arising out of the
accidental discharge, dispersal, release, or escape into or upon the land, atmosphere, watercourse, or
body of water of any commodity transported by a motor carrier. This liability includes the cost of removal
and the cost of necessary measures taken to minimize or mitigate damage or potential for damage to
human health, the natural environment, fish, shellfish, and wildlife.
The terms of the insurance policy or bond must conform to the federal Form MCS-90 or Form MCS-82 as
defined in 49 Code of Federal Regulations (CFR) sections 387.7 to 387.15 for hazardous materials and
hazardous substances, which includes hazardous waste. Waste petroleum in bulk shipments and
vehicles weighing less than 10,000 Gross Vehicle Weight Rating (GVWR) are exceptions. The limits of
liability are outlines below.
Please give this instruction sheet to your insurance company as they can issue the necessary
endorsement to your insurance policy and send us proper documentation. Attached is a Certificate of
Insurance for Public Liability Coverage form (DTSC 8038), which may be completed and signed by your
insurance company. Alternately, your insurance company can issue an insurance endorsement to your
insurance policy, Form MCS-90 or surety bond, Form MCS-82.
Commodity Transporter
Combined Single Limit Coverage
A.
Transporters of petroleum and/or petroleum products in bulk, including waste
$1,200,000
petroleum and/or waste petroleum products, in tank or vacuum-type trucks or
trailers. [Vehicle Code § 34631.5(a)(3)]
B.
Transporters whose vehicles have GVWR of 10,000 pounds or more.
[Vehicle Code § 34631.5(a)(4)]
1.
Oil listed in 49 CFR § 172.101 not mentioned in B. 2.; hazardous waste,
$1,000,000
hazardous materials and hazardous substances defined in 49 CFR § 171.8
but not mentioned in B. 2.; hazardous waste as defined in Health and Safety
Code § 25117 and the California Code of Regulations, Title 22, Chapter 11,
Article 1 but not mentioned in B.
2.
Hazardous substances, as defined in 49 CFR § 171.8, transported in cargo
$5,000,000
tanks, portable tanks, or hopper-type vehicles with capacities in excess of
3,500 water gallons; or any quantity of class 1.1, 1.2, or 1.3 explosives; any
quantity of poison gas (Poison A); or highway route controlled quantity
radioactive materials as defined in 49 CFR § 173.403.
C.
Transporters of hazardous wastes whose vehicles have GVWR of less than
$600,000
10,000 pounds [Health and Safety Code § 25169(c)(1)], except from item A
above, please sign and submit the certification below attached to the
certificate of insurance.
APPLICANT CERTIFICATION
I certify under penalty of law that all vehicles to be certified under my hazardous waste transporter
registration have a gross vehicle weight rating of less than 10,000 pounds and that I do not transport
waste petroleum products in bulk.
Signature
Business Name
Typed/Printed Name
Date
Title
DTSC 1309 (12/07/07)