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Oil Burner Equipment Installer Insurance Requirements

The Department accepted the following documents:

General Liability 

  • Each occurrence must be a minimum of 1 million dollars.
  • Your insurance producer/broker must provide their business name, location and an office phone number
  • Accepted Forms:
    • Acord 25 (2009/01) – Certificate of Liability Insurance
    • Acord 25 (2009/09) – Certificate of Liability Insurance
    • Acord 25 (2010/05) – Certificate of Liability Insurance
Workers' Compensation
  • U26.3 – Certificate of Workers’ Compensation Ins (NYS Insurance Fund only)
  • C105.2 (9/07) – Certificate of Workers’ Compensation Insurance
  • GSI 105.2 (2/02) – Certificate of Participation in Workers’ Compensation
Disability
  • DB 120.1 (5/06) – Certificate of Compliance with Disability Benefits Law
Affidavit of Exemption from WC and Disability
  • CE-200 – Certificate of Attestation of Exemption from New York State Workers’ Compensation and/or Disability Benefits Insurance Coverage
Insurance Guidelines
Online Certificate of Attestation of Exemption Form (CE-200)
Oil Burning Equipment Installer License Information
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