•&EPA
United States
Environmental Protection
Agency
Solid Waste And
Emergency Response
5401G
EPA510-B-99-Q03
July 1999
www.epa.gov
List Of Known Insurance
Providers For Underground
Storage Tanks
Printed on Recycled Paper
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CONTENTS
Using This Booklet To Help Meet Financial
Responsibility Requirements
How Can You Get The Most Current List? 2
Need More General Information About USTs Or
Financial Responsibility? 2
List Of Insurance Companies 3
List Of Insurance Agents and Brokers 4
Model Of "Endorsement" Criteria ..11
Model Of "Certificate Of Insurance" Criteria T2
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USING THIS BOOKLET TO HELP MEET FINANCIAL
RESPONSIBILITY REQUIREMENTS
The U.S. Environmental Protection Agency (EPA) developed financial responsibility regulations
to ensure that underground storage tank (UST) owners and operators can pay the costs'of
cleaning up leaks from USTs and compensate third parties for bodily injury or property damage
resulting from leaks.
The financial responsibility regulations (40 CFR, Part 280,
Subpart H) allow UST owners and operators to choose from a
variety of financial mechanisms to comply with the regulations.
One of these financial mechanisms is the use of insurance.
In order to facilitate access to UST insurance, EPA developed this
booklet based on information we received from the listed
companies, agents, and brokers. The companies, agents, and
brokers listed may be able to help you—as an UST owner or
operator—find the UST insurance that can fulfil your financial .
responsibility obligation. See text box on the right for a description
of the roles of companies, agents, and brokers.
It is your responsibility to make sure the coverage you are
offered meets federal requirements and any state or local
requirements that may apply to your USTs.
If your insurer adds your UST coverage to an existing policy, your
insurer should provide you with an endorsement that conforms to
the "Endorsement" criteria described in §280.97 of the financial
responsibility rule (40 CFR, Part 280, Subpart H). If your insurer
provides you with a new policy, it should conform to the "Certificate
of Insurance" standard also described in §280.97 of the financial
responsibility rule. See pages 11 and 12 for these criteria or you
can read the rule at:
http://www.epa.gov/OUST/fedlaws/frrule.htmff280.97
PLEASE NOTE:
Who's Who?
Insurance Company or
Insurer
A corporation or association
engaged primarily in the
business of furnishing insurance
to the public. The party to the
insurance contract who
promises to pay losses or
benefits.
Insurance Agent
An insurance company
representative who solicits,
negotiates or effects contracts of
insurance, and provides service
to the policyholder for the
insurer.
Insurance Broker
A marketing specialist who
represents buyers of property
and liability insurance and who
deals with either agents or
companies in arranging for the
coverage required by the
customer.
»iaMa^
The following list is not an endorsement by EPA of the products or
services provided by these companies, agents, and brokers.
You are free to contact anyone you believe can meet your insurance
needs.
The following list is not necessarily comprehensive, because it captures
only those who have contacted us to date.
List Of Known Insurance Providers For USTs
Page 1
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HOW CAN YOU GET THE MOST CURRENT LIST?
The companies, agents, and brokers listed on the following pages have identified
themselves as willing to deal with UST insurance. The following is not a
comprehensive list, because there are doubtless other companies, agents, and
brokers who have not yet identified themselves to us.
1 " '" , ,' „!! " '','.' rt'i' ' !
We will periodically update the list found in this booklet. The most current version
will always be found at our Web site at:
http://www.epa.gov/OUST/pubs/index.htmSinsurance
» ,!! ,.!.. | ' , „.' , i| •
Although we will also update printed copies, it is not practical to update and
reprint them as often as we can update the version available at the Web site.
NEED MORE GENERAL INFORMATION ABOUT
31""
USTs OR FINANCIAL RESPONSIBILITY?
For additional information, call the EPA Hotline at 800-424-9346 or
703-412-9810. You can request from the Hotline a free copy of
Dollars And Sense; Financial Responsibility Requirements for Underground
Storage Tanks (EPA 510-K-95-004), a booklet which briefly and clearly
summarizes the financial responsibility requirements.
. • - , i •< • •, i
You can also obtain Dollars And Sense, other publications about underground
storage tank requirements, and compliance assistance information from EPA's
Office of Underground Storage Tanks Web site at the following Internet address:
http://www.epa.gov/OUST/
List Of Known Insurance Providers For USTs
Page 2
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LIST OF INSURANCE COMPANIES
Agricultural Excess and Surplus Insurance
Company
(Part of Great American Insurance Company)
49 East 4th St., Suite 300
Cincinnati, OH 45202
Phone: (513) 579-6316; Fax: (513) 579-6311
Contact: John Wheeler
Internet: Not Available
Area of Coverage: United States (Except DE)
Alliance Plus, Inc.
1050 Franklin Ave.
Garden City, NY 11530
Phone: (516) 742-3000; Fax: (516) 742-0070
Contact: Bob Mintz
Internet: Not Available
Area of Coverage: NY, NJ, and CT
American International Group (AIG)
1225 17th St., Suite 1700
Denver, CO 80202-5527
Phone: (303) 382-8549; Fax: (303) 295-7461
Contact: Judy Barnett
Internet: www.access.aig.com
Area of Coverage: United States
American Safety Insurance Group
1845 The Exchange, Suite 200
Atlanta, GA 30339
Phone: (800) 388-3647; Fax: (770) 955-8339
Contact: Craig Richardson
Internet: Not Available
Area of Coverage: NY, NJ, and TX
ECS Underwriting
520 Eagleview Blvd.
P.O. Box 636
Exton, PA 19341-0636
Phone: (800) 327-1414; Fax: (610) 458-8667
Contact: Bob McLucas
Internet: www.ecsinc.com
Area of Coverage: United States
Hartford Steam Boiler Inspection &
Insurance Company
One State St., P.O. Box 5024
Hartford, CT 06102-5024
Phone: (860) 722-1866; (800) 472-1866
Fax:(860)722-5106
Internet: www.hsb.com/Default.htm
Area of Coverage: United States
Kemper Environmental
Storage Tank Program
Princeton Forrestal Village
136 Main Street, Suite 320
Princeton, NJ 08540-5735
Phone: (800) 679-0025; Fax (609) 936-3051
Contact: Joe Valenza
Internet: www.kemperenvironmental.com
Area of Coverage: United States
Lloyds of London
Garage Service Equipment Dealers Liability
Association of America
P.O. Box 526148
Salt Lake City, UT 84152-6148
Phone: (801) 944-3218; Fax: (801) 944-3296
Contact: Jack Franchow
Internet: www.smallcompanyinsurance.
com/gsedla/default.htm
Area of Coverage: United States
Prime Insurance Company
8722 South, 300 West
Salt Lake City, UT 84070
Phone: (800) 257-5590; Fax: (801) 304-5525
Contact Rick Lindsey
Internet: www.primeis.com
Area of Coverage: United States
United Capitol Insurance Company
400 Perimeter Ctr. Terrace, Suite 345
Atlanta, GA 30346
Phone: (770) 677-0330; (800) 355-9429
Fax: (770) 399-0771
Contact: Laura Wolfe
Internet: www.unitedcapitolins.com
Area of Coverage: United States (only provide
coverage for 15+ tanks)
United Coastal Insurance Company
233 Main St.
New Britain, CT 06050-2350
Phone: (860) 223-5000; Fax: (860) 229-1111
Contact: Susan Deriso
* Internet: Not Available
Area of Coverage: United States
U.S. Risk Underwriters, Inc.
10210 North Central Expressway, Suite 500
Dallas, TX 75231
Phone: (214) 265-4965; (800) 232-5830
Fax: (214) 265-4958
Contact: John Holland
Internet: Not Available
Area of Coverage: LA, TX, TN , and NM
List Of Known Insurance Providers For USTs
Page3
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Zurich-American Insurance Company
301 Mac Ave., Suite 210
East Lansing, Ml 48826
Ph^ne: (517) 324;9420; (800) 713-1158
Fax; (517) 333-1884
Contact: Tim Walter
Internet: www.zurichamerican.com
Area of Coverage: United States
LIST OF INSURANCE AGENTS AND BROKERS
WANT TO ADD AN INSURER, AGENT, OR BROKER TO THE LIST?
NEED TO REMOVE A PROVIDER FROM THE LIST?
The list of insurers, agents, and brokers in this booklet will be periodically updated. If you are
an insurer, agent, or broker who can provide the insurance described in 40 CFR §280.97,
please call the RCRA, Superfund & EPCRA Hotline at 800-424-9346 or 703-412-9810.
Select to speak with a RCRA Information Specialist. The RCRA Information Specialist will
ask for your company's name, address, phone and fax number, Internet address, area of
coverage, and the name of a single point of contact within your company. Please be sure to
review the requirements in 40 CFR Part 280, Subpart H, specifically §280.97, to ensure that
your company can provide insurance that meets those specific requirements. If your
company is currently listed, but no longer provides this insurance, please contact the Hotline
noted above to report that your company should be removed from the list.
Accusure Insurance Agency
6 East Black Well St.
Dover, NJ 07801
Phone: (800) 878-9924; Fax: (973) 366-7852
Contact: Mike Pornarlin
Internet: vyww.accusure.com
Area of Coverage: NJ, NY, and PA
Allied Insurance Managers, Inc.
811 South Blvd., Suite 110
Rochester Hills, Ml 48307
Phone: (248) 853-0930; Fax: (248) 853-1512
Contact: Dennis Cieplak
Internet: vvww.alliedinsmgr.com/mi/allied/
Area of Coverage: Ml
All Risks Ltd. (Wholesaler)
1020 Cromwell Bridge Rd.
Towson, MO 21286
Phone: (800) 366-5810; Fax: (410) 828-8179
Contact: Nick Grace, Jr.
Internet: Not Available
Area of Coverage: United States
Ambassador Group Insurance Agency
10335 N. Scottsdale Rd., Suite A
Scottsdale, AZ 85253
Phone: (602) 443-5790; Fax: (602) 443-0275
Contact: George Dopp
Internet: www.ambassadorinsure.com
Area of Coverage: AZ, WA, OR, and NV
i
American Heritage Insurance Agency, Inc.
975 Elm St.
West Springfield, MA 01089
Phone: (413) 736-1400; Fax: (413) 736-0306
Contact: Ray Belden
Internet: www.aainsurance.com
Area of Coverage: MA
Anderson Insurance Services, inc.
933'Webster St.
Marshfield, MA 02050-3481
Phone: (800) 878-6578; Fax: (781) 837-3756
Contact: Peter Anderson
Internet: www.insuremass.com
Area of Coverage: New England
List Of Known Insurance Providers For USTs
Page 4
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Associated Insurance Agencies, Inc.
39 North State St.
Westerville, OH 43081
Phone: (614) 882-2335; Fax: (614) 882-2340
Contact: Tim Bowers
Internet: www.associated-ins.com
Area of Coverage: OH
Bain Insurance Agency
P.O. Box 659
Bandon, OR 97411
Phone: (541) 347-3211; Fax: (541) 347-9232
Contact: Joseph Bain
Internet: Not Available
Area of Coverage: TX
Bayrisk Insurance Brokers, Inc.
P.O. Box 567
Alameda, CA 94501
Phone: (510) 523-3435; Fax: (510) 523-7449
Contact: Kevin Milroy
Internet: www.bayrisk.com
Area of Coverage: CA, AZ, and OR
Beacon Hill Associates
P.O. Box 1532
Charlottesville, VA 22902
Phone: (800) 596-2156; Fax: (804) 979-8964
Contact: William Pritchard
Internet: www.b-h-a.com
Area of Coverage: United States
Beardsley, Brown & Bassett, Inc.
55 Walls Dr.
Fairfield, CT 06430
Phone: (203) 319-7638; Fax: (203) 254-7545
Contact: Preciosa Carneiro
Internet: www.bbandb.com
Area of Coverage: CT, MA, NY, and Rl
Berger Briggs Real Estate & Insurance, Inc.
215 3rd St., SW, P.O. Drawer K
Albuquerque, NM 87103
Phone: (505) 247-0444; Fax: (505) 243-1505
Contact: Martin Padilla
Internet: Not Available
Area of Coverage: Southwest
Bill Taylor & Associates
P.O. Drawer 2229
San Marcos, TX 78667-2229
Phone: (800) 606-6221; Fax: (512) 392-5443
Contact: Bill Taylor
Intenet: www.btainsurance.com
Area of Coverage: TX
Braley & Wellington Insurance Agency Corp.
P.O. Box 15127
Worcester, MA 01615-0127
Phone: (508) 754-7255; Fax: (508) 797-3507
Contact: Craig Stanovich
Internet: www.bandwins.com
Area of Coverage: CT, MA, NH, Rl, and VT
Brier Insurance Agency
30 Maple Dr.
Wexford, PA 15090
Phone: (724) 935-5924; Fax: (724) 935-1730
Contact: Dana Brier
Internet: Not Available
Area of Coverage: PA
C.W. Wright Insurance Services, Inc.
2400 22nd St., Suite 100
Sacramento, CA 95818
Phone: (916) 457-0444; Fax: (916) 457-4538
Contact: Jerry Wright
Internet: http://198.78.94.35/ca/cww/
Area of Coverage: CA
Caldwell & Moreland Insurance Services
P.O. Box6185
San Bernadino, CA 92412
Phone: (909) 889-0295; Fax: (909) 888-3422
Contact: John Terry
Internet: Not Available
Area of Coverage: United States
Cavalear Insurance Agency, Inc.
6444 Monroe Rd., Suite B
Sylvania, OH 43560
Phone: (419) 882-7296; (800) 882-7296
Fax:(419)885-7100
Contact: Brian Koehler
Internet: www.cavalear.com
Area of Coverage: OH
Central Insurance Agency, Inc.
6000 North Lamar Blvd., Suite 100
Austin, TX 78761-5427
Phone: (512) 451-6551; Fax: (512) 454-0183
Contact: Scott Raper
Internet: www.centralins.com
Area of Coverage: TX
Centrum Management, Inc.
Insurance Agency/Wholesaler
1320 Greenway Dr., #760
Irving, TX 75038
Phone: (972) 550-6161; (800) 577-6614
Fax:(972)550-6167
Contact: Phyllis Barnes
Internet: Not Available
Area Of Coverage: TX
List Of Known insurance Providers For USTs
Pages
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Chamberlin Insurance
764 Campbelj Ave.
West Haven, CT 06516
Phone: (203) 932-5877; Fax: (203) 932-9328
Contact: Roger Chamberlin
Internet: www.chamberiininsurance.com
Area of Coverage: CT
Oooney, Rikard & Curtin, Inc.
P. P, Box 59689
Birmingham, AL 35259-9689
Phone: (205) 870-7790; (800) 824-1709
Fax:(205)879-3739
Contact: Carol Darden
Internet: Not Available
Area of Coverage: United States
Connelly-Campion-Wright
704 Belrnar Plaza
Belrnar, NJ07719
Phone: (800) 924-2809; Fax: (732) 681-4951
Contact: Scott Newell
Internet: www.ocwinsurance.com
Area of Coverage: NJ
Conrad Insurance Agency
8518 Canton Center
Canton, MI 48322
Phone: (734) 416-8280; Fax: (734) 416-8287
Contact: Jerry Stevens
Internet www.conradinsurance.com
Area of Coverage: MI
Continental Agency of CT, Inc.
P.O. Box 187109
Hamden, CT 06518-0109
Phone: (800) 922-2563; Fax: (203) 288-2312
Contact: Brendan Mullally
Internet: Not Available
Area of Coverage: CT, MA, ME, NH, Rl, and VT
Continental/Marmorstein & Malone Insurance
305 Rt. 17 South
Paramus, NJ 07652
Phone: (800) 932-0849; Fax: (201) 261-8922
Contact: Michael Kane
Internet: www.ca-group.com
Area of Coverage: NJ, NY, and CT
Crawley Warren Insurance Services, Inc.
100 California, Suite 650
San Francisco, CA 94111
Phone: (415) 989-0792; Fax: (415) 362-0587
Contact: Cass Alimonti
Internet: Not Available
Area of Coverage: CA and HI
Crump E&S of California
100 W. Broadway, #750
Glendale, CA91210
Phone: (818) 637-3500; Fax: (818) 637-3551
Contact: Raymond C. Brown
Internet: Not Available
Area of Coverage: United States
Dakin Insurance Agency, Inc.
P.O. Box 89
Lebanon, OH 45036-0089
Phone: (513) 932-4010; Fax: (513) 932-4742
Contact: Vincent Fullan
Internet: www.dakin-ins.com
Area of Coverage: OH
Dana Insurance and Risk Management
9B Ridgely Rd., Suite 100
Timonium, MD 21093-5113
Phone: (800) 821-1990; Fax: (410) 821-1997
Contact: Dave Resch
Internet: www.dana-ins.com
Area of Coverage: DC, DE, FL, MD, NY, NJ, PA, VA,
and WV
"1 : I
Dean Insurance Agency, Inc.
P.O. Box 669
Bel Air, MD 21014-0669
Phone: (410) 838-3700; Fax (410) 893-3647
Contact: Norman Dean
Internet: www.deaninsurance.com
Area of Coverage: MD
Delaware Valley Underwriting Agency, Inc.
420 S. York Rd.
Hatboro, PA 19040
Phone: (215) 443-3500; (800) 388-0215
Fax:(215)672-7983
Contact: Joel Caplan
Internet: www.dvua.com
Area of Coverage: DE, MD, NJ, PA, NY, VA, OH, and
WV
•I
Dennis Insurance Agency
3525 Maysville Pike
P.O. Box 1819
Zanesville, OH 43701
Phone: (800) 450-7117; Fax: (740) 450-0203
Contact: Jeff Dennis
Internet: www.quickpage.com/d/dennisins
Area of Coverage: OH
Des Champs & Gregory, Inc.
1812 Manatee Ave. W.
Bradenton, FL 34205
Phone: (941) 748-1812; Fax: (941) 750-8455
Contact: Jeff Genter
Internet: www.deschampsgregory.com
Area of Coverage: FL
Ust Of Known Insurance Providers For USTs
Page6
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Dicks Insurance Agency, Inc.
1500 Sixth St., NW
Winter Haven, FL 33881
Phone: (941) 324-1234; (800) 476-1106
Fax: (941) 294-4243
Contact: Jim Green
Internet: Not Available
Area of Coverage: FL
The DJB Group
231 Chestnut St.
Meadville, PA 16335
Phone: (814) 724-1516; Fax: (814) 337-2793
Contact: DanielJ.Severe
Internet: www.djbgroup.com
Area of Coverage: OH, PA, and WV
Environmental insurance Agency
P.O. Box 23605
Portland, OR 97281
Phone: (503) 977-3333; Fax: (503) 977-3334
Contact: Jenn Hickey
Internet: Not Available
Area of Coverage: WA and OR
First American Insurance Agency, Inc.
625 Front St.
Chicopee, MA 01013
Phone: (413) 592-8118; Fax: (413) 592-0995
Contact: Remmy Nartens
Internet: www.faiagency.com
Area of Coverage: United States
Forsyth Insurance Group, Inc.
1201 S. Fourth
Springfield, IL 62705
Phone: (217) 525-9500; Fax: (217) 757-9610
Contact: Tom Smith
Internet: Not Available
Area of Coverage: Mid West
Four Star Insurance Agency, Inc.
3900 Snow Rd.
Parma, OH 44134-2595
Phone: (440) 888-4525; Fax: (440) 888-0320
Contact: Joe Germana
Internet: pages.prodigy.com/fourstar
Area of Coverage: OH
Fox and Fox Insurance Agency, Inc.
101 East 38th St.
Indianapolis, IN 46205
Phone: (317) 925-1456; Fax: (317) 927-5178
Contact: James Fox
Internet: Not Available
Area of Coverage: United States
Gallen Insurance
2237 Lancaster Pike
Shilington, PA 19607
Phone: (610) 777-4123; Fax: (610) 777-9957
Contact: Allen Convey
Internet: Not Available
Area of Coverage: PA
Garrett Insurance Company
P.O. Box 1425
Kerrville, TX 78029-1425
Phone: (830) 896-6600; Fax: (830) 896-1822
Contact: Bob Schmerbeck
Internet: www.garrettinsurance.com
Area of Coverage: TX
Golseth & Gregson Insurance
P.O. Box 13598
Tucson, AZ 85732-3598
Phone: (520) 571-7737; (800) 933-9646
Fax:(520)571-7737
Contact: Rick Gregson
Internet: Not Available
Area of Coverage: AZ
Greater Insurance Service
11417 Hanson Blvd.
Coon Rapids, MN 55433
Phone: (612) 767-1344; Fax: (612) 767-1345
Contact: Ray E. Cox
Internet: Not Available
Area of Coverage: MN
GST Group, Inc.
2291 Bristol Pike
Bensalem, PA 19020-5758
Phone: (800) 220-2088; Fax: (215) 245-0422
Contact: Mike Smith
Internet: www.gstgroup.com
Area of Coverage: DC, DE, MD, NJ, NY, PA, and VA
Highland Insurance, Inc.
P.O. Box 2487
Hunttngton, WV 25725-2487
Phone: (304) 529-3381; Fax: (304) 529-6623
Contact: Robert Cline
Internet: www2.iix.com/wv/highlandins
Area of Coverage: OH, KY, WV, and VA
Hometown Insurance of Smithtown
1461 Lakeland Ave., Suite 3
Bohemia, NY 11716
Phone: (516) 724-3030; Fax: (516) 589-0164
Contact: Eric Keiffert
Internet: Not Available
Area of Coverage: NY
List Of Known Insurance Providers For USTs
Page 7
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Hudson & Muma, Inc.
P.O. Box 669
Royal Oak, Ml 48068-0669
Phone: (248) 549-3519; Fax: (248) 549-6452
Contact: Jim Thurman
Internet: Not Available
Area of Coverage: United States
Independent Insurance Wholesalers, Inc.
722 Southwest 2nd Ave., Suite 340
Portland, OR 97204
Phone: (503) 224-1956; (800) 886-9235
Fax: (503) 224-3010
Contact: Tom Sawyer
Internet: Not Available
Area of Coverage: AK, CA, ID, OR, and WA
Jackson Ogren & Co., Inc.
6929 Hohmen Blyd.
Hammond, IN 46324-1496
Phone: (219) 933-0076; Fax; (219) 933:0080
Contact: Thomas Ogren
Internet: Not Available
Area of Coverage: AL, AZ, CO, FL, ID, IL, IN, MI, OH,
PA, TX, Wl, and VA
Kennedy Professional Insurance Agency
P.O. Box 847
Apple Valley, CA 92307
Phone: (760) 242-2345; Fax: (760) 242-2211
Contact: Kevin Kennedy
Internet: www.kpia.com
Area of Coverage: CA
Klinger Associates, Inc.
P.O. Box 26542
Indianapolis, IN 46226
Phone: (317) 542-9890; Fax: (317) 542-0685
Contact: Bob Klinger
Internet: Not Available
Area of Coverage: IN
Laginess Insurance Agency, Inc.
9357 General Dr., Suite 110
Plymouth, Ml 48170
Phone: (313) 455-5088; Fax: (313) 455-2750
Contact: Terry Laginess
Internet: Not Available
Area of Coverage: Ml
LIsuzzo Insurance Agency, Inc.
1535 Central Ave.
Albany, NY 12205-5033
Phone: (518) 869-4466; Fax: (518) 869-4296
Contact: Steve Lisuzzo
Internet: www.lisuzzo.com
Area of Coverage: PA, NY, and FL
The McCall Insurance Agency, Inc.
609 W. 15th St., Suite 200
Piano, TX 75075
Phone: (972) 423-3595; (800) 423-3595
Fax: (972) 578-9268
Contact: Suzanne Van Meter
Internet: www.mccallagency.com
Area of Coverage: TX
McElveen Insurance Agency, Inc.
700 West Prien Lake Rd.
Lake Charles, LA 70601-8397
Phone: (318) 475-7463 Fax: (318) 478-8660
Contact: Louis Tqdd
Internet: www.mcelveenins.com
Area of Coverage: United States
M.J. Kelly
P.O. Box 231
Turners, MO 65765
Phone: (800) 725-7211; Fax: (417) 883-7103
Contact: Mike Kram
Internet: Not Available
Area of Coverage: AR, FL, IL, IO, KS, MO, and OK
Morgan-Marrow Environmental Insurance
484 Viking Dr., Suite 140
Virginia Beach, VA 23452
Phone: (800) 683-8493; Fax: (757) 431-8256
Contact: Keith Cannon
Internet: www.mmenvironmental.com
Area of Coverage: United States
Worrell, Butz & Junker, Inc.
1405 McFarland Rd.
Pittsburgh, PA 15216-2343
Phone: (412) 571-1010; (888) 222-8891
Fax:(412)341-1822
Contact: Bill Kaiser
Internet: www.mbjinsurance.com
Area of Coverage: United States
,|
National Environmental Coverage Corporation
747 Chestnut Ridge Rd., Suite 305
Chestnut Ridge, NY 10977
Phone: (914) 425-2333; (800) 552-0230
Fax: (914) 425-2853
Contact: Joe Greenwald
Internet: www.necc.com
Area of Coverage: United States
New America Insurance
P.O. Box 366
Avon, OH 44011-0366
Phone: (440) 934-7766; Fax: (440) 934-1941
Contact: Lou Sukalski
Internet: Not Available
Area of Coverage: OH and WV
List Of Known Insurance Providers For USTs
Pages
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North Island Facilities, Ltd. (NIF) Services
30 Park Ave.
Manhasset, NY 11030-2444
Phone: (516) 365-7440; (800) 892-8892
Fax:(516)365-7392
Contact: Daphney Alvarado, ext. 42
Internet: Not Available
Area of Coverage: United States
Petra insurance Agency, Inc.
P.O. Box 936
Chehalis, WA 98532
Phone: (360) 748-8855; (800) 346-2519
Fax: (360) 748-8855
Contact: Kevin Thompson
Internet: www.localaccess.com/jmpetra .
Area of Coverage: WA
The Planning Corporation
11347 Sunset Hills Rd.
Reston, VA 20190-5224
Phone: (703) 481-0200; Fax: (703) 481-5667
Contact: Kathryn Martin
Internet: Not Available
Area of Coverage: United States
Professional Liability Brokers and Consultants
175 E. Hawthorn Pkwy, #310
Vernon Hills, IL 60061
Phone: (847) 816-4480; Fax: (847) 816-4484
Contact: Erv Kranberg
Internet: Not Available
Area of Coverage: United States
Professional Liability Brokers and Consultants
4432 East Mountain Sage Dr.
Phoenix, AZ 85044
Phone: (602) 961-3884; Fax: (602) 961-3874
Contact: Dave Kengott
Internet: Not Available
Area of Coverage: United States
Quaker Special Risk
P.O. Box 415
Sea Girt, NJ 08750
Phone: (732) 223-6666; (800) 447-4180
Fax: (732) 223-9072
Contact: Mike Walsh
Internet: www.qsr-insurance.com
Area of Coverage: United States
RISC
750 N. St. Paul, Suite 800
Dallas, TX 75201
Phone: (214) 954-0707; (800) 725-7472
Fax: (214) 954-0999
Contact: Jere Freel
Internet: Not Available
Area of Coverage: United States
Sedgewick James of Pennsylvania
Enviroguard Program
P.O. Box 1675
Harrisburg, PA 17105
Phone: (717) 234-3333; Fax: (717) 234-1400
Contact: James Titus
Internet: Not Available
Area of Coverage: United States
Sigel Insurance Group
P.O. Box 488
Schwenksville, PA 19473
Phone: (610) 287-8800; (800) 243-5041
Fax:(610)287-5348
Contact: Eric Sigel
Internet: Not Available
Area of Coverage: PA
SKAMCO International, Inc.
P.O. Box 4040
Scottsdale, AZ 85261
Phone: (602) 860-5555; (800) 475-2626
Fax: (602) 860-5561
Contact: Curtis Anderson
Internet: Not Available
Area of Coverage: AZ, CO, NM, NV, and UT
Sorg-Ehrman Insurance Agency, Inc.
1709 North Shadeland Ave.
Indianapolis, IN 46219
Phone: (317) 359-9621; (800) 272-6091
Fax:(317)352-1932
Contact: Mike Ehrman
Internet: www.sorg-ehrman-insurance.com/sei
Area of Coverage: IN, KY, OH and IL
Thomison Insorors, Inc.
Division of Rebsmen Insurance
P.O. Box 50810
Springfield, MO 65805
Phone: (417) 866-7222; Fax: (417) 866-0712
Contact: Nina Cogdill
Internet: www2.iix.com/mo/thomison/
Area of Coverage: United States
Tower Special Facilities Inc.
W229 N1433 Westwood Dr., Suite 102
Waukesha, Wl 53186-1153
Phone: (414) 513-6000 ext. 24; (800) 837-1525
Fax:(414)513-6010
Contact: Gary Kubesch
Internet: www.towerspecial.com
Area of Coverage: United States
United Assurance, Inc.
16-OOPollittDr.
Fair Lawn, NJ 07410
Phone: (800) 866-0161; Fax: (201) 797-4455
Contact: Leslie Romane
Internet: www.unitedassurance.com
Area of Coverage: North East
List Of Known Insurance Providers For USTs
Paged
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U.S. Risk, Inc.
1Q965 Granada Ln., Suite 104
Overland Park, KS 66211
Phone: (913) 338-0052; (800) 447-0052
Fax:(913)338-0177
Contact: Jay Dillon
Internet: www.usrisk.com
Area of Coverage: KS, MO, NE, and IA
Van American Insurance Services
2 Rtverchase Office Plaza, Suite 208
Birmingham, AL 35244-2810
Phone: (205) 985-7511; (800) 755-7647
Fax: (205) 403-0761
Contact: O. L Andrews
Internet: www.vanamerican.com
Area of Coverage: United States
Willis Corporation
26 Century Blvd.
Nashville, TN 37214
Phone: (615) 872-3295; Fax: (615) 872-3333
Contact: Ken Ayers
Internet: www.willis.com
Area of Coverage: United States
WISA, Inc.
P.O. Box 7568
Ewing, NJ 08628
Phone: (609) 883-4190; Fax: (609) 538-0274
Contact: Neil Wesley
Internet: Not Available
Area of Coverage: United States
Worldwide Facilities, Inc.
3530 Wilshire Blvd., Suite 1500
Los Angeles, CA 90010
Phone: (213) 380-4670; Fax: (213) 384-5180
Contact: Lorraine Clark
Internet: Not Available
Area of Coverage: United States
Zain Jeewanjee Insurance Agency
6501 Crown Blvd., Suite 106
San Jose, CA 95120
Phone: (408) 997-7718; (800) 257-7718
Fax (800) 246-0007
Contact: Zain Jeewanjee
Internet: www.jeewanjee.com
Area of Coverage: CA, VA, TX and AZ
Zutz Insurance/Professional Liability
P.O. Box 2287
Wilmington, DE19899
Phone: (302) 658-8000; (800) 441-9385
Fax: (302) 658-8015
Contact: Matthew Doyl
Internet: www.mdoyl@2utz-pli.com
Area of Coverage: United States
List Of Known Insurance Providers For USTs
Page 10
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Model Of "Endorsement" Criteria
Name: [name of each covered location]
Address: [address of each covered location]
Policy 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:
1. This endorsement certifies that the policy to which the
endorsement is attached provides 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 instrument is used to assure
different tanks at any one facility, for each tank covered by
this instrument, list the tank identification number provided
in the notification submitted pursuant to 40 CFR 280.22, or
the corresponding state requirement, 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 "nonsudden
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
"per 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].
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 subsections (a) through (e) of this
Paragraph 2 are hereby amended to conform with
subsection (a) through (e):
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.
b. The ["Insurer" or "Group"] is liable for the payment of
amounts within any deductible applicable to the policy to
the provider of corrective 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 40 CFR 280.95-280.102.
c. Whenever requested by [a Director of an Implementing
Agency], the ["Insurer" or "Group"] agrees to furnish to [the
Director] a signed duplicate original of the policy and all
endorsements.
d. Cancellation or any other termination of the insurance
by the ["Insurer" or "Group"], except for non-payment of
premium or misrepresentation by the insured, will be
effective only upon written notice and only after the
expiration of 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 10 days after a copy of such written
notice is received by the insured.
[Insert for claims-made policies:
e. The insurance covers claims otherwise covered by the
policy that are reported to the ["Insurer" or "Group"] within
six months of the effective date of the cancellation or non-
renewal of the policy except where the new or renewed
policy has the some 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 40 CFR 280.97(b)(1) 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 one or more states".]
[Signature of authorized representative of Insurer or Risk
Retention Group]
[Printed name of person signing]
[Title of person signing], Authorized Representative of
[name of Insurer of Risk Retention Group]
[Address of Representative]
List Of Known Insurance Providers For USTs
Page 11
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Model Of "Certificate Of Insurance" Criteria
Name: [name of each covered location]
Address: [address of each covered location]
p ' 'll'jii:,;1" -111 i, • :..: •
Policy 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:
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 instrument is used to assure
different tanks at any one facility, for each tank covered by
this instrument, list the tank identification number provided
in the notification submitted pursuant to 40 CFR 280.22, or
the corresponding state requirement, and the name and
address of the facility.]
for pnsert: "taking corrective action" and/or "compensating
third parties for bodily injury and property damage caused
by" either "sudden accidental releases" or "nonsudden
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
"per 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].
2. The ["Insurer" or "Group"] further certifies the following
with respect to the insurance described in Paragraph 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.
•lini f :i i" ' „ '
b. The [^Insurer" or "Group"] is liable for the payment of
amounts within any deductible applicable to the policy to
the provider of corrective 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 40 CFR 280.95-280.102.
c. Whenever requested by [a Director of an Implementing
Agency], the ["Insurer" or "Group"] agrees to furnish to [the
Director] a signed duplicate original of the policy and all
endorsements.
d. Cancellation or any other termination of the insurance
by the ["Insurer" or "Group"], except for non-payment of
premium or misrepresentation of insured, will be effective
only upon written notice and only after the expiration of 60
days after a copy of such written notice is received by the
insured. Cancellation for non-renewal of premium or
misrepresentation by the insured will be effective only
upon written notice and only after expiration of a minimum
of 10 days after a copy of such written notice is received
by the insured.
[Insert for claims-made policies:
e. The insurance covers claims otherwise covered by the
policy that are reported to the ["Insurer" or "Group"] within
six 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 arises 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 periods 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 40 CFR 280.97(b)(1) 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 one or more states".]
[Signature of authorized representative of Insurer or Risk
Retention Group]
[Printed name of person signing]
[Title of person signing], Authorized Representative of
[name of Insurer or Risk Retention Group]
[Address of Representative]
List Of Known Insurance Providers For USTs
Page 12
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&EPA
United States
Environmental Protection
Agency
5401G
Washington, DC 20460
Official Business
Penalty for Private Use
$300
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