PURPOSE: This rule describes the requirements for use of insurance or risk retention group coverage for financial responsibility.

1. (1) An owner or operator may satisfy financial responsibility requirements in 10 CSR 26-3.093 by obtaining liability insurance that conforms to the requirements of this section from a qualified insurer or risk retention group. This insurance may be in the form of a separate insurance policy or an endorsement to an existing insurance policy.
2. (2) Each insurance policy shall be amended by an endorsement worded as specified in Form 3, included herein, or evidenced by a certificate of insurance worded as specified in Form 4, included herein.
3. (3) Each insurance policy shall be issued by an insurer or a risk retention group that, at a minimum, is licensed to transact the business of insurance or eligible to provide insurance as an excess or surplus lines insurer in this state. Form 3—Endorsement

The following text should be used to comply with the requirements of 10 CSR 26-3.097(2) as follows, except that the instructions in brackets are to be replaced by the relevant information and the brackets deleted:

1. (A) Endorsement Name: [name of each covered location] Address: [address of each covered location] Policy Number: [number] Period of Coverage: [current policy period] Name of [Insurer or Risk Retention Group]: Address of [Insurer or Risk Retention Group]: Name of Insured: Address of Insured: Endorsement:
2. 1. This endorsement certifies that the policy to which the endorsement is attached provides liability insurance covering the following underground storage tanks: [List the number of tanks at each facility and the name(s) and address(es) of the facility(ies) where the tanks are located. If more than one

1. (1) instrument is used to assure different tanks at any one (1) facility, for each tank covered by this instrument, list the tank identification number provided in the notification submitted for 10 CSR 26-2.022 and the name and address of the facility.] for [insert: “taking corrective action” and/or “compensating third parties for bodily injury and property damage caused by” either “sudden accidental releases” or “non-sudden accidental releases” or “accidental release”; in accordance with and subject to the limits of liability, exclusions, conditions, and other terms of the policy; if coverage is different for different tanks or locations, indicate the type of coverage applicable to each tank or location] arising from operating the underground storage tank(s) identified above. The limits of liability are [insert the dollar amount of the “each occurrence” and “annual aggregate” limits of the Insurer’s or Group’s liability; if the amount of coverage is different for different types of coverage or for different underground storage tanks or locations, indicate the amount of coverage for each type of coverage and/or for each underground storage tank or location], exclusive of legal defense costs which are subject to a separate limit under the policy. This coverage is provided under [policy number]. The effective date of said policy is [date].

   1. 2. The insurance afforded with respect to such occurrences is subject to all of the terms and conditions of the policy; provided, however, that any provisions inconsistent with subparagraphs A through E of this paragraph are hereby amended to conform with subparagraphs A through E:

      1. A. Bankruptcy or insolvency of the insured shall not relieve the [“Insurer” or “Group”] of its obligations under the policy to which this

endorsement is attached.

1. B. The [“Insurer” or “Group”] is liable for the payment of amounts within any deductible applicable to the policy to the provider of cor-

rective action or a damaged third party, with a right of reimbursement by the insured for any such payment made by the [“Insurer” or “Group”]. This provision does not apply with respect to that amount of any deductible for which coverage is demonstrated under another mechanism or combination of mechanisms as specified in 10 CSR 26-3.095 through 10 CSR 26-3.102.

1. C. Whenever requested by the director, the [“Insurer” or “Group”] agrees to furnish to the director a signed duplicate original of the pol-

icy and all endorsements.

1. D. Cancellation or any other termination of the insurance by the [“Insurer” or “Group”], except for non-payment of premium or mis-

representation by the insured, will be effective only upon written notice and only after the expiration of sixty (60) days after a copy of such written notice is received by the insured. Cancellation for non-payment of premium or misrepresentation by the insured will be effective only upon written notice and only after expiration of a minimum of ten (10) days after a copy of such written notice is received by the insured. [Insert for claims-made policies]

1. E. The insurance covers claims otherwise covered by the policy that are reported to the [“Insurer” or “Group”] within six (6) months of

the effective date of cancellation or non-renewal of the policy except where the new or renewed policy has the same retroactive date or a retroactive date earlier than that of the prior policy and which arise out of any covered occurrence that commenced after the policy retroactive date, if applicable and prior to such policy renewal or termination date. Claims reported during such extended reporting period are subject to the terms, conditions, limits, including limits of liability, and exclusions of the policy. I hereby certify that the wording of this instrument is identical to the wording in 10 CSR 26-3.097(2)(A) and that the [“Insurer” or “Group”] is [“licensed to transact the business of insurance or eligible to provide insurance as an excess or surplus lines insurer in this state”].

[Signature of authorized representative of Insurer or Risk Retention Group]

[Name of person signing]

[Title of person signing]

Authorized Representative of [Name of Insurer or Risk Retention Group]

[Address of Representative] Form 4—Certificate of Insurance

The following text should be used to comply with the requirements of 10 CSR 26-3.097(2) as follows, except that the instructions in brack-

ets are to be replaced by the relevant information and the brackets deleted: Certificate of Insurance Name: [name of each covered location] Address: [address of each covered location] Policy Number: [number] Endorsement (if applicable): Period of Coverage: [current policy period] Name of [Insurer or Risk Retention Group]: Address of [Insurer or Risk Retention Group]: Name of Insured: Address of Insured: Certification:

1. 1. [Name of Insurer or Risk Retention Group], [the “Insurer” or “Group”], as identified above, hereby certifies that it has issued liability insurance covering the following underground storage tank(s): [List the number of tanks at each facility and the name(s) and address(es) of the facility(ies) where the tanks are located. If more than one

1. (1) instrument is used to assure different tanks at any one (1) facility, for each tank covered by this instrument, list the tank identification number provided in the notification submitted pursuant to 10 CSR 26-2.022 and the name and address of the facility.] for [insert: “taking corrective action” and/or “compensating third parties for bodily injury and property damage caused by” either “sudden accidental releases” or “non-sudden accidental releases” or “accidental releases”; in accordance with and subject to the limits of liability, exclusions, conditions, and other terms of the policy; if coverage is different for different tanks or locations: indicate the type of coverage applicable to each tank or location] arising from operating the underground storage tank(s) identified above. The limits of liability are [insert the dollar amount of the “each occurrence” and “annual aggregate” limits of the Insurer’s or Group’s liability; if the amount of coverage is different for different types of coverage or for different underground storage tanks or locations, indicate the amount of coverage for each type of coverage and/or for each underground storage tank or location], exclusive of legal defense costs, which are subject to a separate limit under the policy. This coverage is provided under [policy number]. The effective date of said policy is [date].

   1. 2. The [“Insurer” or “Group”] further certifies the following with respect to the insurance described in Paragraph 1:

      1. A. Bankruptcy or insolvency of the insured shall not relieve the [“Insurer” or “Group”] of its obligations under the policy to which this

certificate applies.

1. B. The [“Insurer” or “Group”] is liable for the payment of amounts within any deductible applicable to the policy to the provider of cor-

rective action or a damaged third-party, with a right of reimbursement by the insured for any such payment made by the [“Insurer” or “Group”]. This provision does not apply with respect to that amount of any deductible for which coverage is demonstrated under another mechanism or combination of mechanisms as specified in 10 CSR 26-3.095 through 10 CSR 26-3.102.

1. C. Whenever requested by the director, the [“Insurer” or “Group”] agrees to furnish to the director a signed duplicate original of the pol-

icy and all endorsements.

1. D. Cancellation or any other termination of the insurance by the [“Insurer” or “Group”], except for non-payment of premium or mis-

representation by the insured, will be effective only upon written notice and only after the expiration of sixty (60) days after a copy of such written notice is received by the insured. Cancellation for non-payment of premium or misrepresentation by the insured will be effective only upon written notice and only after expiration of a minimum of ten (10) days after a copy of such written notice is received by the insured. [Insert for claims-made policies]

1. E. The insurance covers claims otherwise covered by the policy that are reported to the [“Insurer” or “Group”] within six (6) months of

the effective date of cancellation or non-renewal of the policy except where the new or renewed policy has the same retroactive date or a retroactive date earlier than that of the prior policy and which arise out of any covered occurrence that commenced after the policy retroactive date, if applicable and prior to such policy renewal or termination date. Claims reported during such an extended reporting period are subject to the terms, conditions, limits, including limits of liability, and exclusions of the policy. I hereby certify that the wording of this instrument is identical to the wording in 10 CSR 26-3.097(2)(B) and that the [“Insurer” or “Group”] is [“licensed to transact the business of insurance, or eligible to provide insurance as an excess or surplus lines insurer, in this state”]. [Signature of authorized representative of Insurer]

[Type name]

[Title]

Authorized Representative of [Name of Insurer or Risk Retention Group]

[Address of Representative] AUTHORITY: section 319.114, RSMo 2000.* This rule originally filed as 10 CSR 20- 11.097. Original rule filed Feb. 7, 1991, effective Aug. 30, 1991. Moved and amended: Filed April 15, 2011, effective Dec. 30, 2011. *Original authority: 319.114, RSMo 1989.