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Rigger (Master & Special) Insurance Requirements

The Department accepts the following forms:

General Liability
  • 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
Insurance Guidelines
Rigger License Information
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