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This document serves to provide information on the insurance coverage maintained by a mine operator for employees as required by law in Pennsylvania.

How to fill out statement of insurance maintained

How to fill out STATEMENT OF INSURANCE MAINTAINED BY OPERATOR

1. Obtain the STATEMENT OF INSURANCE MAINTAINED BY OPERATOR form from your insurance provider or regulatory agency.
2. Fill in the name of the operator or business that holds the insurance.
3. Provide the insurance policy number associated with the coverage.
4. Include the effective date the insurance policy starts.
5. List the coverage amounts for each type of insurance required.
6. Fill in the name of the insurance company that provides the coverage.
7. Sign and date the statement to certify that the information is accurate.

Who needs STATEMENT OF INSURANCE MAINTAINED BY OPERATOR?

1. Any individual or business that operates a vehicle or equipment for commercial purposes.
2. Operators of vehicles that are legally required to have insurance.
3. They may need it for compliance with local laws, contracts, or regulations.

People Also Ask about

What does "operative" mean in insurance?

In insurance, an operative clause is a specific provision or condition that outlines the scope of coverage or limitations of an insurance policy. It is an essential component of an insurance policy that defines what the insurer will and will not cover.

What is the meaning of operative clause?

Definition of operative clause It is the part of the document that contains the actual instructions or actions to be taken. Enacting Clause: The part of a statute that states the legislative authority by which it is made and often the date when it will take effect.

What is a clause in insurance?

An insurance clause is a provision in a contract that specifies the insurance requirements for one or both parties involved. These clauses are designed to allocate and mitigate risks effectively, protecting both parties from potential liabilities arising from their business relationship.

What is D&O insurance for?

Directors and officers (D&O) liability insurance protects the personal assets of corporate directors and officers, and their spouses, in the event they are personally sued by employees, vendors, competitors, investors, customers, or other parties, for actual or alleged wrongful acts in managing a company.

What is the operative clause of an insurance policy?

Operative Clause This contains the promise of insurance company to compensate for any loss or damage suffered due to the operation of the peril insured under the policy. The detailed list of perils covered under the policy is captured to ensure that both parties are on the same page regarding the coverage offered.

What is an example of an operative clause?

An example of an operative clause: "2. Urges nations to institue a penalty for citizens who use mobile phones when driving, this will mean that there will be fewer accidents,"

What is the document which mentions the terms and conditions of insurance called?

Policy document is the evidence of the insurance contract. and is a detailed document which mentions all the terms and. conditions of the insurance.

How to read policy wording?

How to Read Your Policy Wordings Damage To The Vehicle Insured. While reading your policy, pay special attention to the items mentioned in this list. IDV (Insured Declared Value) The sum insured depends on your Insured's Declared Value (IDV). Liability To Third Parties. Injury & Compensation. No Claim Bonus. Add-ons.

For pdfFiller’s FAQs

What is STATEMENT OF INSURANCE MAINTAINED BY OPERATOR?

The STATEMENT OF INSURANCE MAINTAINED BY OPERATOR is a formal document that verifies the insurance coverage of an operator involved in regulated activities, ensuring compliance with legal requirements.

Who is required to file STATEMENT OF INSURANCE MAINTAINED BY OPERATOR?

Typically, operators of regulated entities, such as transportation services, are required to file the STATEMENT OF INSURANCE MAINTAINED BY OPERATOR to demonstrate their insurance coverage.

How to fill out STATEMENT OF INSURANCE MAINTAINED BY OPERATOR?

To fill out the STATEMENT OF INSURANCE MAINTAINED BY OPERATOR, operators must provide details such as the name of the insurance provider, policy number, coverage limits, and the effective dates of the policy.

What is the purpose of STATEMENT OF INSURANCE MAINTAINED BY OPERATOR?

The purpose of the STATEMENT OF INSURANCE MAINTAINED BY OPERATOR is to ensure that operators have adequate insurance to cover liabilities and comply with regulatory requirements.

What information must be reported on STATEMENT OF INSURANCE MAINTAINED BY OPERATOR?

The information that must be reported includes the operator's name, insurance company details, policy number, coverage types, and the effective period of the insurance coverage.