CHAPTER 3

INSURANCE REQUIREMENTS

Section 1. Authority. These rules of practice and procedure are promulgated by authority of W.S. 24-2-105 and 31-18-104.

Section 2. Purpose of Rules. These rules are intended to provide uniform and understandable interpretation of the undefined portion of W.S. 31-18-209 and 31-18-210.

Section 3. Definitions

1. (a) Department means Wyoming Department of Transportation
2. (b) All terms used in these rules and regulations shall be construed as defined in Wyoming Statutes and the rules and regulations of the Department.

3. (c) The following combinations will be regarded as one motor vehicle for the purpose of these insurance rules only:

   1. (i) a tractor and trailer or semitrailer when the tractor is engaged solely in drawing the trailer or semitrailer; and
   2. (ii) a truck and trailer when both together bear a single load.

Section 4. Insurance Policies, Surety Bonds, Etc.

1. (a) Bodily Injury and Property Damage Liability Insurance: No common and/or contract motor carrier subject to the provisions of the Wyoming Commercial Vehicle Act, shall engage in Wyoming intrastate commerce, and no certificate or permit shall be issued to such motor carrier, or remain in force unless and until there shall have been filed and approved by the Department a policy of insurance (or certificate of insurance in lieu thereof), or other securities or agreements in not less than the amounts prescribed in Section 5 hereof, conditioned to pay, within the amount of such policy of insurance, (or certificate of insurance in lieu thereof), or other securities or agreements, any final judgment recovered against such motor carriers for bodily injuries to or the death of any person resulting from the negligent operation, maintenance, or use of motor vehicles subject to this Act, or for loss of or damage to property of others.
2. (b) Cargo Insurance: No common and/or contract motor carrier subject to the provisions of this Act shall engage in Wyoming intrastate commerce, and no certificate or permit shall be issued to such carrier, or remain in force unless and until there shall have been filed with and approved by the Depart- ment a policy of insurance (or certificate of insurance in lieu thereof) or other securities or agreements in not less than the amounts hereinafter prescribed in Section 5 hereof, conditioned upon such carriers making compensation to shippers or consignees for all property belonging to shippers or consignees and coming into possession of such carrier in connection with the transportation thereof; provided, however, that this requirement shall not apply to carriers transporting raw agricultural products except livestock, sand (not in pneumatic trailers), rock, dirt, gravel or other commodities which have no appreciable salvage value.

Section 5. Insurance, Minimum Amounts. The minimum amounts referred to in Section 4 hereof are hereby prescribed as follows:

1. (a) Motor Carrier; Motor Carrier Bodily Injury and Property Damage Liability. *

   1. (i) Column 1 - Kind of equipment.

   2. (ii) Column 2 - Minimum Insurance Coverage.

      Column Column

      1 2

      1. Passenger Equipment

   3. (a) Taxi Cabs (Not more than 7 passengers) Combined Single Limit (CSL) of $500,000

   4. (b) Buses and Vans

      (Seating capacity 1 to 48 passengers) Combined Single Limit (CSL) of $500,000

      2. Freight Equipment - All motor Combined Single Limit (CSL) of $500,000 vehicles used in the transportation of property, including petroleum and petroleum products, in bulk, in tank vehicles

2. (b) Cargo Insurance: Common security required to compensate shippers or consignees for loss of or damage to property, coming into the possession of common and contract motor carriers in connec- tion with their transportation service. Cargo insurance, in the amount of 10,000, is required by all common motor carriers. Cargo insurance, in the amount of 10,000, is required by all contract motor carriers, except those carriers transporting commodities that do not require cargo insurance.
3. (c) House Trailer/Mobile Home Cargo: Security required to compensate owners, shippers or consignees for loss of or damage to each house trailer or mobile home coming into the possession of a contract motor carrier in connection with its transportation service - $10,000 (comprehensive, collision, including contents).

Section 6. Other Securities or Agreements. The Department will consider applications for approval of other securities or agreements, and after a study of or hearing on the application, may ap- prove such application if fully satisfied that the security or agreement offered will afford the security for the protection of the public contemplated by W.S. 31-18-209 and 31-8-210.

*Notice is given that additional federal requirements may exist for transporting certain commodities.

Section 7. Expiration Date of Insurance Coverage. Certificates of insurance to be filed “continu- ous until cancelled” with only the effective date set forth.

Section 8. Effective Date of Insurance Coverage. Certificates of insurance must show an effec- tive date. There can be no lapse of time between the expiration date of previous insurance coverage and the effective date of the new coverage as long as the carrier is operating under the authority issued by the Department as set out in Section 9 of these insurance rules.

Section 9. Period of Insurance Coverage. Common and contract motor carriers are required to have the prescribed certificates of insurance on file and approved by the Department during the entire period of time they operate under Department authority. The failure to provide the prescribed insurance coverage during the entire period of time the carrier has authority to operate will result in action to suspend or cancel the common and/or contract motor carrier authority issued by the Department.

Section 10. Motor Vehicles Covered by Insurance Certificates. Certificates of insurance filed for common and contract motor carriers automatically cover all single motor vehicles or multiple unit combinations, as soon as they are qualified to operate under the carrier’s operating authority, during the period of time the coverage remains in force.

Section 11. Information on Insurance Claims. Any insurance company making insurance filings with the Department pursuant to the requirements of the Wyoming Commercial Vehicle Act and the rules and regulations of the Department will furnish the Department, upon request made by the Depart- ment or an authorized representative thereof, with any information which is requested concerning any claim filed against a carrier or the insurance company by reason of insurance filings made with the Department.

Section 12. Limits of Insurance Policies. Each certificate or policy of insurance filed with the Department for approval must be for not less than the full limits of liability required under these rules.

Section 13. Forms and Procedure

1. (a) Endorsements for policies of insurance, certificates of insurance, applications for the ap- proval of other securities or agreements, and notices of cancellation all must be in the forms prescribed and approved by the Department.
2. (b) Certificates of insurance and notices of cancellation must be filed with the Department in duplicate. Upon receipt and approval of the filing by the Department, one copy will be stamped “re- ceived and approved” and returned to the insurance company or its agency issuing same. Telefaxed copies of insurance forms will be accepted for a period not to exceed 15 days pending the arrival of the original, signed forms.
3. (c) Insurance policies, certificates, endorsements and notices shall be written in the full and correct legal name of the individual, partnership, corporation or association and d/b/a, if any, to whom the certificate or permit is or is to be issued. In case of a partnership, all partners shall be named on the filing. Filings made in a name other than the exact name by which the carrier was issued operating authority will not be considered an insurance filing for that carrier under these rules and regulations.
4. (d) The Department may refuse to accept any certificate of insurance, endorsement or notice of cancellation if not filed on the form prescribed and approved by the Department.

Section 14. Notice of Cancellation. Policies of insurance, endorsements or certificates of insur- ance and other securities and agreements shall not be cancelled or withdrawn until after thirty (30) days’ notice in writing by the insurance company, motor carrier or other party thereto, as the case may be, has first been given to the Department at its office in Cheyenne, Wyoming, which period of thirty (30) days shall commence to run from the date such notice is actually received at the office of the Department.

Once notice of cancellation of an insurance filing is received by the Department a new certificate of insurance must be filed to replace the one cancelled.

Section 15. Prescribed Forms, Reproduction. The Department has adopted uniform and stan- dard forms for insurance endorsements, certificates and cancellation notices as follow herein. The use of the word “Commission” thereon shall mean “Department of Transportation” in Wyoming. Insurance companies may print or reproduce these forms to their own size and printing specifications.

Section 16. Signatures of Authorized Agents. In accordance with standard insurance industry practice, an insurance company may elect to allow certificates of insurance to be filed on behalf of their company by any person signing such certificates, in which case the insurance company shall be bound by all certificates filed with the Department under their company name. Failure by any insurance company to honor this standard insurance industry practice may result in a Department decision to disallow all certificates of insurance from such an insurance company in order to protect the public interest served by having required insurance in effect for carriers who rely upon such a practice.

Section 17. Insurance Companies; Authorized. No policy of insurance (or certificate of insur- ance in lieu thereof) will be approved by the Department under these rules and regulations unless the same is written or issued by an insurance company either authorized to do business in Wyoming or is lawfully able to transact insurance without a certificate of authority pursuant to Title 26 of the Wyoming statutes as determined by the insurance commissioner of this state.

Section 18. Refusal to Accept or Revocation by the Department of Policies of Insurance. The Department may, at any time, refuse to accept or may revoke its approval of any policy of insurance (or certificate of insurance in lieu thereof), or other securities or agreements if in its judgment, such security does not comply with these rules or, for any reason, fails to provide satisfactory or adequate protection for the public.

Section 19. Cancellation or Expiration of Insurance Policies, Effect on Certificates or Permit.

Certificate or permit holders are responsible for maintaining the prescribed insurance coverage. There- fore, in the event of cancellation or expiration of a policy of insurance or other form of security, the authority granted by the certificate or permit in question shall be suspended or revoked by Department order from the date such cancellation or expiration becomes effective.

WYOMING FORM MC61E CONTRACT MOTOR CARRIER HOUSE TRAILER OR MOBILE HOME CERTIFICATE OF INSURANCE Filed With WYOMING DEPARTMENT OF TRANSPORTATION REGULATORY SECTION Cheyenne, Wyoming

THIS IS TO CERTIFY, That the ___________________ (hereinafter called Company) of_________________________________________________________________ has issued to ________________________________ of _________________________

(Name of Motor Carrier) (Address of Motor Carrier)

the policy of Insurance herein described has been amended by the attachment of an endorsement, in the amount of $5,000.00 for physical damage coverage for each house trailer or mobile home transported and approved by the Wyoming Department of Transportation to provide compensation for loss of or damage to house trailers or mobile homes belonging to shippers or consignees and coming into the possession of the Insured in connection with its transportation service under a permit issued to the Insured by the Department under Title 31, Wyoming Statutes 1977, as amended, and the pertinent rules and regulations of the Department regardless of whether the house trailers or mobile homes themselves or the motor vehicles, and other facilities used in connection with the transportation of said house trailers or mobile homes are specifically described in the policy or not. The liability of the Company extends to such losses or damages whether occurring on the route or in the territory authorized to be served by the Insured or elsewhere within the State of Wyoming.

Whenever requested by the Department, the Company agrees to furnish to the Department a duplicate original of said policy and all endorsements thereon.

The endorsement described herein may not be cancelled without cancellation of the policy to which it is attached. Such cancellation may be effected by the Company or the Insured giving thirty (30) days’ notice in writing to the Department at its office in Cheyenne, Wyoming, said thirty (30) days’ notice to commence to run from the date notice is actually received at the office of said Department.

Policy No. ________ Effective from 12:01 A.M. standard time at the address of the Insured stated in said policy or policies and continuing until cancelled as provided herein.

Countersigned at ______________________________ this ___ day of ___________ , 19____.

________________________________ MC 61E Authorized Company Representative FORM E UNIFORM MOTOR CARRIER BODILY INJURY AND PROPERTY DAMAGE LIABILITY CERTIFICATE OF INSURANCE

(Executed in Triplicate)

Filed with ___________________________ (hereinafter called Commission) (Name of Commission)

This is to certify, that the ___________________________________________________ (Name of Company)

(hereinafter called Company) of____________________________________________________ (Home Office Address of Company)

has issued to____________________________________________________________________ (Name of Motor Carrier)

of ____________________________________________________________________________ (Address of Motor Carrier)

a policy or policies of insurance effective from ___________________ 12:01 A.M. standard time at the address of the insured stated in said policy or policies and continuing until cancelled as provided herein, which, by attachment of the Uniform Motor Carrier Bodily Injury and Property Damage Liability Insur- ance Endorsement, has or have been amended to provide automobile bodily injury and property damage liability insurance covering the obligations imposed upon such motor carrier by the provisions of the motor carrier law of the State in which the Commission has jurisdiction or regulations promulgated in accordance therewith.

Whenever requested, the Company agrees to furnish the Commission a duplicate original of said policy or policies and all endorsements thereon.

This certificate and the endorsement described herein may not be cancelled without cancellation of the policy to which it is attached. Such cancellation may be effected by the Company or the insured giving thirty (30) days’ notice in writing to the State Commission, such thirty (30) days’ notice to com- mence to run from the date notice is actually received in the office of the Commission.

Countersigned at_______________________________________________________________ (Street Address) (City) (State) (Zip Code)

This ________ day of ____________, 19____.

_________________________________ Authorized Company Representative Insurance Company File No. _______________ (Policy Number) ___________________

This form determined by the National Association of Regulatory Utilities Commissioners and promulgated by the Interstate Commerce Commission pursuant to the provisions of Section 202(b)(2) of the Interstate Commerce Act (49 U.S.C., Sec.

302(b)(2)).

FORM F

UNIFORM MOTOR CARRIER BODILY INJURY AND PROPERTY DAMAGE LIABILITY INSURANCE ENDORSEMENT

It is agreed that:

1.  The certification of the policy, as proof of financial responsibility under the provisions of any State motor carrier law or regulations promulgated by any State Commission having jurisdiction with respect thereto, amends the policy to provide insurance for automobile bodily injury and property dam- age liability in accordance with the provisions of such law or regulations to the extent of the coverage and limits of liability required thereby; provided only that the insured agrees to reimburse the company for any payment made by the company which it would not have been obligated to make under the terms of this policy except by reason of the obligation assumed in making such certification.

2.  The Uniform Motor Carrier Bodily Injury and Property Damage Liability Certificate of Insur- ance has been filed with the State Commission indicated on the reverse side hereof.

3.  This endorsement may not be cancelled without cancellation of the policy to which it is attached. Such cancellation may be effected by the Company or the insured giving thirty (30) days’ notice in writing to the State Commission with which such certificate has been filed, such thirty days’ notice to commence to run from the date the notice is actually received in the office of such Commis- sion.

Attached to and forming part of Policy No._________________________ issued by _____________________________, herein called Company, of___________________________ to___________________________________of________________________________________.

Dated at _________ this _____ day of ____________, 19____.

Countersigned by _________________________________________________________

Authorized Company Representative

_________________________

This form determined by the National Association of Regulatory Utilities Commissioners and promulgated by the Interstate Commerce Commission pursuant to the provisions of Section 202(b)(2) of the Interstate Commerce Act (49 U.S.C., Sec.

302(b)(2)).

Reverse Side of Uniform Motor Carrier Bodily Injury and Property Damage Liability Insurance Endorsement

Indicates State Commissions with whom uniform motor carrier bodily injury and property dam- age liability certificate of insurance has been filed.

Alabama Illinois Nebraska South Dakota Alaska Indiana Nevada Tennessee Arizona Iowa New Hampshire Texas Arkansas Kansas New Jersey Utah California Kentucky New Mexico Vermont Colorado Louisiana New York Virginia Connecticut Maine North Carolina Washington Delaware Maryland North Dakota West Virginia District of Massachusetts Ohio Wisconsin Columbia Michigan Oklahoma Wyoming Florida Minnesota Oregon Georgia Mississippi Pennsylvania Hawaii Missouri Rhode Island Idaho Montana South Carolina FORM G

UNIFORM MOTOR CARRIER BODILY INJURY AND PROPERTY DAMAGE LIABILITY SURETY BOND

(Executed in Triplicate)

KNOW ALL MEN BY THESE PRESENTS, That we,___________________________________ (Name of Motor Carrier Principal)

of _____________ , ________________ as Principal (hereinafter called

1. (City) (State)

   Principal), and __________________________________________________________________ (Name of Surety)

   a corporation created and existing under the laws of the State of_________, with principal office at__________ , ___________________ , as Surety),

2. (City) (State)

   (hereinafter called Surety) , are held and firmly bound unto the State of ______________ in the sum or sums hereinafter provided for which payment, well and truly to be made, the Principal and Surety hereby bind themselves, their successors and assigns, firmly by these presents.

   THE CONDITION OF THIS OBLIGATION IS SUCH THAT:

   WHEREAS, the Principal is or intends to become a motor carrier subject the laws of such State and the rules and regulations of____________________________ Name of Commission

   (hereinafter called Commission) , relating to insurance of other security for the protection of the public, and has elected to file with the Commission a surety bond conditioned as hereinafter set forth, and

   WHEREAS, This bond is written to assure compliance by the Principal as a motor carrier of passengers or property with the laws of such State and the rules and regulations of the Commission relating to insurance or other security for the protection of the public, and shall inure to the benefit of any person or persons who shall recover a final judgment or judgments against the Principal for any of the damages herein described.

   NOW, THEREFORE, if every final judgment recovered against the Principal for bodily injury to or the death of any person or loss of or damage to the property of others, sustained while this bond is in effect, and resulting from the negligent operation, maintenance, or use of motor vehicles in transporta- tion (but excluding injury to or death of the Principal’s employees while engaged in the course of their employment, and loss of or damage to property of the Principal and property transported by the Principal designated as cargo), shall be paid, then this obliga- tion shall be void, otherwise to remain in full force and effect.

   Within the limits hereinafter provided, the liability of the Surety extends to such losses, damages injuries, or deaths regardless of whether such motor vehicles are specifically described herein and whether occurring on the route or in the territory authorized to be served by the Principal or elsewhere.

   This bond is effective from _____________ (12:01 A.M., standard time, at the address of the Principal as stated herein) and shall continue in force until terminated as hereinafter provided. The Principal or the Surety may at any time terminate this bond by written notice to the Commission, such termination to become effective not less than thirty (30) days after actual receipt of said notice by the Commission. The Surety shall not be liable hereunder for the Payment of any judgment or judgments against the Principal for bodily injury to or the death of any person or persons or loss of or damage to property resulting from accidents which occur after the termination of this bond as herein provided, but such termination shall not affect the liability of the Surety hereunder for the Payment of any such judg- ment or judgments resulting from accidents which occur during the time the bond is in effect.

   The liability of the Surety on each motor vehicle shall be the limits prescribed in the laws of such State and the rules and regulations of the Commission governing the filing of surety bonds, which were in effect at the time this bond was executed, and will be a continuing one notwithstanding any recovery hereunder.

   IN WITNESS WHEREOF, the said Principal and Surety have executed this instrument on the _____ day of _____________ , 19____.

   ___________________________________ (Principal)

   By ________________________________

   (Affix Corporate Seal) (Surety)

   ___________________________________

3. (City) (State)

   By ________________________________

   Countersigned at _____ this ____ day of _______________ 19____.

   Bond No. _________________ ____________________________________ Registered Resident Agent

   _____________________________

   This form determined by the National Association of Regulatory Utilities Commissioners and promulgated by the Interstate Commerce Commission pursuant to the provisions of Section 202(b)(2) of the Interstate Commerce Act (49 U.S.C., Sec.

   302(b)(2)).

   FORM H UNIFORM MOTOR CARRIER CARGO CERTIFICATE OF INSURANCE

   (Executed in Triplicate)

   Filed with____________________________(hereinafter called Commission).

   (Name of Commission)

   This is to certify, that the__________________________________________________ (Name of Company)

   (hereinafter called Company) of___________________________________________________ (Home Office Address of Company)

   has issued to ___________________________ of ___________________________________

   (Name of Motor Carrier) (Address of Motor Carrier)

   a policy or policies of insurance effective from________________12:01 A.M., standard time at the address of the insured stated in said policy or policies and continuing until cancelled as provided herein, which, by attachment of the Uniform Motor Carrier Cargo Insurance Endorsement, has or have been amended to provide cargo insurance covering the obligation imposed upon such motor carrier by the provisions of the motor carrier law of the State in which the Commission has jurisdiction or regulations promulgated in accordance therewith.

   Whenever requested, the Company agrees to furnish the Commission a duplicate original of said policy or policies and all endorsements thereon.

   This certificate and the endorsement described herein may not be cancelled without cancellation of the policy to which it is attached. Such cancellation may be effected by the Company or the insured giving thirty (30) days’ notice in writing to the State Commission, such thirty (30) days’ notice to com- mence to run from the date notice is actually received in the office of the Commission.

   Countersigned at___________________________________________________________________ (Street Address) (City) (State) (Zip Code)

   This____________day of_________________, 19___.

   __________________________________ Authorized Company Representative

   Insurance Company File No.__________________ (Policy Number)

   _________________________

   This form determined by the National Association of Regulatory Utilities Commissioners and promulgated by the Interstate Commerce Commission pursuant to the provisions of Section 202(b)(2) of the Interstate Commerce Act (49 U.S.C., Sec.

   302(b)(2)).

   FORM I UNIFORM MOTOR CARRIER CARGO INSURANCE ENDORSEMENT

   It is agreed that:

   1.  The certificate of the policy, as proof of financial responsibility under the provisions of any State motor carrier law or regulations promulgated by any State Commission having jurisdiction with respect thereto, amends the policy to provide insurance for motor carrier cargo liability in accordance with the provisions of such law or regulations to the extent of the coverage and limits of liability re- quired thereby; provided only that the insured agrees to reimburse the company for any payment made by the company which it would not have been obligated to make under the terms of this policy except by reason of the obligation assumed in making such certification.

   2.  The Uniform Motor Carrier Cargo Certificate of Insurance has been filed with the State Commissions indicated on the reverse side hereof.

   3.  This endorsement may not be cancelled without cancellation of the policy to which it is attached. Such cancellation may be effected by the Company or the insured giving thirty (30) days’ notice in writing to the State Commission with which such certificate has been filed, such thirty (30) days’ notice to commence to run from the date the notice is actually received in the office of such Com- mission.

   Attached to and forming part of Policy No._____________________________issued by _______________________________, herein called Company, of________________________ to_______________________________of_____________________________________________.

   Dated at________________this_____day of ________________, 19___.

   Countersigned by_________________________________________________________

   Authorized Company Representative

   __________________________

   This form determined by the National Association of Regulatory Utilities Commissioners and promulgated by the Interstate Commerce Commission pursuant to the provisions of Section 202(b)(2) of the Interstate Commerce Act (49 U.S.C., Sec.

   302(b)(2)).

   Reverse Side of Uniform Motor Carrier Cargo Insurance Endorsement.

   Indicates State Commissions with whom uniform motor carrier cargo certificate of insurance has been filed.

   Alabama Illinois Nebraska South Dakota Alaska Indiana Nevada Tennessee Arizona Iowa New Hampshire Texas Arkansas Kansas New Jersey Utah California Kentucky New Mexico Vermont Colorado Louisiana New York Virginia Connecticut Maine North Carolina Washington Delaware Maryland North Dakota West Virginia District of Massachusetts Ohio Wisconsin Columbia Michigan Oklahoma Wyoming Florida Minnesota Oregon Georgia Mississippi Pennsylvania Hawaii Missouri Rhode Island Idaho Montana South Carolina FORM J UNIFORM MOTOR CARRIER CARGO SURETY BOND

   (Executed in Triplicate)

   KNOW ALL MEN BY THESE PRESENTS, That we,__________________________________ (Name of Motor Carrier Principal)

   of_________________,____________________ as Principal (hereinafter called

4. (City) (State)

   Principal), and__________________________________________________________________ (Name of Surety) corporation created and existing under the laws of the State of_________ with principal office at_________________,____________________, as Surety

5. (City) (State)

   (hereinafter called Surety) , are held and firmly bound unto the State of _________________in the sum or sums hereinafter provided for which payment, well and truly to be made, the Principal and Surety hereby bind themselves, their successors and assigns, firmly by these presents.

   THE CONDITION OF THIS OBLIGATION IS SUCH THAT:

   WHEREAS, The Principal is or intends to become a motor carrier subject to the laws of such State and the rules and regulations of the__________________________ (Name of Commission)

   (hereinafter called Commission) , relating to insurance or other security for the protection of shippers and consignees, and has elected to file with the Commission a bond conditioned as hereinafter set forth; and

   WHEREAS, this bond is written to assure compliance by the Principal as a motor carrier with the laws of such State and the rules and regulations of the Commission relating to insurance or other secu- rity for the protection of shippers and consignees, and shall inure to the benefit of any and all shippers or consignees to whom the Principal may be held liable for any of the damages herein described.

   NOW, THEREFORE, if the Principal shall make compensation to shippers and consignees for all losses or of damages to property belonging to them which shall, while this bond is in effect, come into the possession of the Principal in connection with its transportation service, regardless of whether such losses or damages occur while said property is in a motor vehicle, terminal warehouse or other place, for which losses or damages the Principal may be held legally liable, then this obligation shall be void, otherwise it shall remain in full force and effect.

   The liability of the Surety for the limits hereinafter provided shall be a continuing one notwith- standing any recovery hereunder, and extends to such losses or damages regardless of whether the motor vehicles, terminals, warehouses, and other facilities used in connection with the transportation service of the Principal are specifically described herein or not, and whether occurring on the route or in the terri- tory authorized to be served by the Principal or elsewhere.

   The liability of the Surety for any such loss or damage shall be the limits prescribed in the laws of such State and the rules and regulations of the Commission governing the filing of surety bonds, which were in effect at the time this bond was executed, and will be a continuing one notwithstanding any recovery hereunder.

   This bond is effective from_____________________(12:01 A.M., standard time, at the address of the Principal as stated herein) and shall continue in force until terminated as hereinafter provided.

   The Principal or the Surety may at any time terminate this bond by written notice to the Commission, such termination to become effective not less than thirty (30) days after actual receipt of said notice by the Commission.

   The Surety shall not be liable hereunder for the payment of any of the losses or damages herein- before described which arise on property coming into the possession of the Principal in connection with its transportation service after the termination of this bond as herein provided, but such termination shall not affect the liability of the Surety hereunder for the payment of any such losses or damages arising on property coming into the possession of the Principal in connection with its transportation service prior to the date such termination becomes effective.

   IN WITNESS WHEREOF, the said Principal and Surety have execute this instrument on the ______day of___________________, 19____.

   _________________________ (Principal)

   By________________________

   (Affix Corporate Seal) (Surety)

   __________________________

6. (City) (State)

   By________________________

   Countersigned at_______this______day of _____________________, 19____.

   Bond No._______________________ _______________________________________________

   (Registered Resident Agent)

   ____________________________

   This form determined by the National Association of Regulatory Utilities Commissioners and promulgated by the Interstate Commerce Commission pursuant to the provisions of Section 202(b)(2) of the Interstate Commerce Act (49 U.S.C., Sec.

   302(b)(2)).

   FORM K UNIFORM NOTICE OF CANCELLATION OF MOTOR CARRIER INSURANCE POLICIES

   (Executed in Triplicate)

   Check Type Cancelled: BI and PD_________________ Cargo_____________________

   Filed with_____________________________(hereinafter called Commission).

   (Name of Commission)

   This is to advise that under the terms of a policy or policies issued

   to____________________________________________________________________________ (Name of Motor Carrier)

   of____________________________________________________________________________ (Address of Motor Carrier)

   by____________________________________________________________________________ (Name of Company)

   of____________________________________________________________________________ (Address)

   said policy or policies, including any and all endorsements forming a part hereof or certificates issued in connection therewith, is (are) hereby cancelled effective as of the_______day of________________,19___, 12:01 A.M., standard time at the address of the Insured as stated in said policy or policies provided such date is not less than thirty (30) days after the actual receipt of this notice by the Commission.

   ________________________________ Signature of Insurer

   Insurance Company File No.________________ (Policy Number)

   ________________________

   This form determined by the National Association of Regulatory Utilities Commissioners and promulgated by the Interstate Commerce Commission pursuant to the provisions of Section 202(b)(2) of the Interstate Commerce Act (49 U.S.C., Sec.

   302(b)(2)).

   FORM L UNIFORM NOTICE OF CANCELLATION OF MOTOR CARRIER SURETY BONDS

   (Executed in Triplicate)

   Check Type Cancelled: BI and PD________________ Cargo____________________

   Filed with_____________________________(hereinafter called Commission).

   (Name of Commission)

   This is to advise that, under the terms of surety bond(s) executed in

   behalf of __________________________________________________________________________ (Name of Principal)

   of _______________________________________________________________________________ (Address)

   by ______________________________________________________________________________ (Name of Surety)

   of _______________________________________________________________________________ (Address)

   said bond(s), including any and all riders or certificates attached thereto or issued in connection there- with, is(are) hereby cancelled effective as of the_______day of_______________,19____, 12:01 A.M., standard time, at the address of the Principal as stated in said bond(s) provided such date is not less than thirty (30) days after the actual receipt of this notice by the Commission.

   ____________________________________ Signature of Principal or Surety

   Insurance Company File No.________________ (Policy Number)

   ________________________

   This form determined by the National Association of Regulatory Utilities Commissioners and promulgated by the Interstate Commerce Commission pursuant to the provisions of Section 202(b)(2) of the Interstate Commerce Act (49 U.S.C., Sec.

   302(b)(2)).