The Texas 1560 form, officially known as the Certificate of Insurance Form 1560, is a critical document for contractors and agents conducting business with the Texas Department of Transportation (TxDOT). It certifies that insurance policies are in place and meet the state's requirements, detailing specific coverages such as Workers' Compensation, Commercial General Liability Insurance, Business Automobile Policy, and potentially an Umbrella Policy. Ensure your compliance and smooth operations by accurately completing and submitting this form as required. Click the button below to fill out your Texas 1560 form.
In the vast and intricate world of insurance and legal compliance, the Texas 1560 form plays a critical role, especially for contractors and businesses engaged in projects with the Texas Department of Transportation (TxDOT). This Certificate of Insurance, last revised in January 2012, goes beyond a mere procedural formality; it is a testament to a business's adherence to the stringent insurance requirements set forth by TxDOT. By providing comprehensive details regarding Workers' Compensation, Commercial General Liability, Business Automobile Policy, and, if applicable, Umbrella Policy, the form ensures that all parties involved are adequately protected. Not only does it specify the minimum required limits of liability but it also mandates the inclusion of a Waiver of Subrogation in favor of TxDOT under the Workers' Compensation Insurance Coverage. The directive that the certificate must be faxed or mailed directly before the expiration of the preceding coverage underscores its importance in maintaining continuous protection. Furthermore, the form uniquely binds the sender to the authenticity of the faxed signature, thereby streamlining the process while upholding its legitimacy. Insights into the form’s stipulations reveal a meticulous approach towards ensuring that the contractual obligations regarding insurance are not only met but clearly documented and accessible to the Texas Department of Transportation, thereby safeguarding all parties involved in state projects.
CERTIFICATE OF INSURANCE
Form 1560 (Rev. 01/12)
Previous editions of this form may not be used. Page 1 of 2
Agents should complete the form providing all requested information then either fax or mail this form directly to the address listed on page two of this form. Copies of endorsements listed below are not required as attachments to this certificate.
This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not confer any rights or obligations other than the rights and obligations conveyed by the policies referenced on this certificate. The terms of the policies referenced in this certificate control over the terms of the certificate.
Insured:
Street/Mailing Address:
City/State/Zip:
Phone Number: (
)
-
WORKERS' COMPENSATION INSURANCE COVERAGE:
Endorsed with a Waiver of Subrogation in favor of TxDOT.
Carrier Name:
Carrier Phone #: (
Address:
City, State, Zip:
Type of Insurance
Policy Number
Effective Date
Expiration Date
Limits of Liability:
Workers' Compensation
Not Less Than: Statutory - Texas
COMMERCIAL GENERAL LIABILITY INSURANCE:
Type of Insurance:
Policy Number:
Effective Date:
Expiration Date:
Commercial General
Not Less Than:
Liability Insurance
$ 600,000 each occurrence
BUSINESS AUTOMOBILE POLICY:
Business Automobile Policy
$ 600,000 combined single limit
Bodily Injury
Property Damage
UMBRELLA POLICY (if applicable):
Umbrella Policy
Should any of the above described policies be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy provisions.
THIS IS TO CERTIFY to the Texas Department of Transportation acting on behalf of the State of Texas that the insurance policies named are in full force and effect. If this form is sent by facsimile machine (fax), the sender adopts the document received by TxDOT as a duplicate original and adopts the signature produced by the receiving fax machine as the sender's original signature.
Agency Name
Address
City, State, Zip Code
(
Authorized Agent's Phone Number
Authorized Agent Original Signature
Date
The Texas Department of Transportation maintains the information collected through this form. With few exceptions, you are entitled on request to be informed about the information that we collect about you. Under §§552.021 and 552.023 of the Texas Government Code, you also are entitled to receive and review the information. Under §559.004 of the Government Code, you are also entitled to have us correct information about you that is incorrect.
Fax completed form to: 512/416-2536
Form 1560 (Rev. 01/12) Page 2 of 2
NOTES TO AGENTS:
Agents must provide all requested information then either fax or mail this form directly to the address listed below.
Pre-printed limits are the minimum required; if higher limits are provided by the policy, enter the higher limit amount and strike-through or cross-out the pre-printed limit.
To avoid work suspension, an updated insurance form must reach the address listed below one business day prior to the expiration date. Insurance must be in force in order to perform any work.
Binder numbers are not acceptable for policy numbers.
The certificate of insurance, once on file with the department, is adequate for subsequent department contracts provided adequate coverage is still in effect. Do not refer to specific projects/contracts on this form.
List the contractor's legal company name, including the DBA (doing business as) name as the insured. If a staff leasing service is providing insurance to the contractor/client company, list the staff leasing service as the insured and show the contractor/client company in parenthesis.
The TxDOT certificate of insurance form is the only acceptable proof of insurance for department contracts.
List the contractor's legal company name, including the DBA (doing business as) name as the insured or list both the contractor and staff leasing service as insured when a staff leasing service is providing insurance.
Over-stamping and/or over-typing entries on the certificate of insurance are not acceptable if such entries change the provisions of the certificate in any manner.
This form may be reproduced.
DO NOT COMPLETE THIS FORM UNLESS THE WORKERS' COMPENSATION POLICY IS ENDORSED WITH A WAIVER OF SUBROGATION IN FAVOR OF TXDOT.
The SIGNATURE of the agent is required.
CERTIFICATE OF INSURANCE REQUIREMENTS:
WORKERS' COMPENSATION INSURANCE:
The contractor is required to have Workers' Compensation Insurance if the contractor has any employees including relatives.
The word STATUTORY, under limits of liability, means that the insurer would pay benefits allowed under the Texas Workers' Compensation Law.
GROUP HEALTH or ACCIDENT INSURANCE is not an acceptable substitute for Workers' Compensation.
MANUFACTURERS' or CONTRACTOR LIABILITY INSURANCE is not an acceptable substitute for Comprehensive General Liability Insurance or Commercial General Liability Insurance.
If coverages are specified separately, they must be at least these amounts:
$500,000 each occurrence
$100,000 each occurrence
$100,000 for aggregate
PRIVATE AUTOMOBILE LIABILITY INSURANCE is not an acceptable substitute for a Business Automobile Policy.
MAIL ALL CERTIFICATES TO:
Texas Department of Transportation
CST Contract Processing Unit (RA/200 1st Fl.) 125 E. 11th Street
Austin, TX 78701-2483 512/416-2540 (Voice), 512/416-2536 (Fax)
Completing the Texas 1560 form is essential for ensuring your compliance with requirements set by the Texas Department of Transportation (TxDOT) regarding insurance policies for contractors. It serves as a verification of the insurance coverage you hold or offer. The filling process is straightforward and requires attention to detail to ensure all the information provided is accurate and matches the insurance policies exactly.
After submitting the form, it's crucial to monitor the expiration dates of the policies and update the information with TxDOT accordingly. This proactive approach ensures there's no work suspension due to insurance coverage lapses. Remember, maintaining accurate and current insurance documentation with TxDOT is not just a compliance issue but also a matter of professional integrity and responsibility towards the projects undertaken.
The Texas 1560 form is a Certificate of Insurance required by the Texas Department of Transportation (TxDOT). It serves as proof that an insurance policy is in place and complies with the minimum requirements set by TxDOT for contractors working on state projects. This form outlines the limits of liability and types of coverage, including Workers' Compensation, Commercial General Liability, Business Automobile Policy, and Umbrella Policy (if applicable).
This form must be completed by insurance agents representing contractors who intend to undertake work for the Texas Department of Transportation. It is the agent's responsibility to provide all requested information accurately and to ensure the form is submitted properly, either by fax or mail, directly to TxDOT.
The form outlines several insurance requirements, which include:
No, Group Health or Accident Insurance policies are not acceptable substitutes for Workers' Compensation Insurance. The Texas 1560 form specifically requires Workers' Compensation Insurance to cover benefits allowed under the Texas Workers' Compensation Law for any employees of the contractor, including relatives.
If any of the insurance policies listed on the Texas 1560 form are cancelled before the expiration date noted on the certificate, notice of cancellation will be delivered in accordance with the policy provisions. It is essential for contractors to maintain continuous coverage to avoid work suspension or termination of their contract with TxDOT.
The completed Texas 1560 form must be either faxed or mailed directly to the address provided by TxDOT. To avoid any work suspension, updated insurance information must reach TxDOT one business day before the insurance coverage's expiration date. Once on file, the certificate of insurance is considered adequate for subsequent contracts as long as the coverage remains in effect and meets TxDOT's requirements.
When filling out the Texas 1560 form, a Certificate of Insurance, individuals often make common errors that can lead to delays or complications. Being aware of these mistakes can help ensure the process is completed smoothly. Here are nine frequent mistakes:
Avoiding these common mistakes can streamline the process of submitting the Texas 1560 form, ensuring compliance with TxDOT’s requirements and avoiding unnecessary delays or complications in your contract fulfilment.
When working with the Texas 1560 form, which serves as a certificate of insurance, it's essential to ensure that all necessary documentation is in order to maintain compliance and facilitate smooth operations. Alongside the Texas 1560 form, several other forms and documents are often required to provide a comprehensive view of the insured party's coverage and to meet regulatory or contract-specific requirements. Understanding each of these documents can assist individuals and businesses in navigating the complexities of insurance verification and compliance.
Collectively, these documents support the Texas 1560 form in painting a complete picture of an entity's insurance landscape. They are instrumental in ensuring that all contractual and legal requirements are met, providing peace of mind and protection to all parties involved in a contractual relationship. By understanding and properly managing these forms, individuals and businesses can better navigate the intricacies of insurance requirements, ensuring compliance and fostering trust among partners.
The ACORD 25 Certificate of Liability Insurance is similar to the Texas 1560 form as both serve as proof of insurance coverage for businesses. Like the 1560 form, the ACORD 25 enables organizations to provide information on various coverages, such as general liability and automobile policies, along with the insured's details, the insurance company's details, coverage limits, and policy effective dates. However, the ACORD 25 is more widely recognized across various states and sectors, providing a standardized format for evidencing insurance information.
The Workers' Compensation Certificate of Insurance closely aligns with the 1560 form's section dedicated to Workers' Compensation Insurance. This document also confirms an employer's compliance with state laws requiring coverage for employee work-related injuries or illnesses. It specifies the policy number, effective dates, and coverage limits, ensuring the policy adheres to statutory requirements. Both documents act to verify that an entity is carrying the necessary workers' compensation insurance, with distinctions primarily in format and specific informational requirements.
The Automobile Insurance Identification Card shares similarities with the Business Automobile Policy section of the Texas 1560 form. Both identify the insured party, the insurance provider, and policy specifics such as policy numbers, effective dates, and types of covered autos. Additionally, they detail coverage amounts, specifically minimum liability limits required by law, ensuring that the entity possesses adequate insurance for its vehicles. The primary purpose of both documents is to provide proof of insurance coverage for vehicles used in business operations.
An Umbrella Policy Certificate of Insurance is analogous to the Umbrella Policy section on the Texas 1560 form, as both document the existence of umbrella liability coverage over and above the limits of the underlying liability policies. They specify the insurer, the policy's effective and expiration dates, and importantly, the coverage limits that serve to protect the insured against significant claims. While detailing comprehensive liability coverage, both seek to confirm that an entity has sufficient insurance protection beyond standard policy limits.
Completing the Texas 1560 form accurately is crucial for ensuring your insurance documentation meets the Texas Department of Transportation's requirements. Here are nine important dos and don'ts to keep in mind:
Following these guidelines will help ensure that your form 1560 submission is compliant, accurate, and processed efficiently by the Texas Department of Transportation.
When navigating the requirements and implications of the Texas 1560 form, several misconceptions commonly arise. Understanding these misconceptions is crucial for ensuring compliance and accurately managing expectations regarding insurance coverage and requirements for projects involving the Texas Department of Transportation (TxDOT).
The form clearly states that copies of endorsements listed are not required as attachments to this certificate, focusing instead on the accurate completion of information on the form itself.
Contrary to what some might assume, the certificate is issued as a matter of information only and does not confer any rights upon the certificate holder beyond the policies referenced.
In fact, the policies referenced in the certificate control over the terms of the certificate itself, ensuring that existing policy terms remain paramount.
The instructions specifically state that binder numbers are not acceptable for policy numbers, emphasizing the need for actual policy details.
There is a clear directive not to refer to specific projects/contracts on this form, aligning with the requirement for general applicability.
While the certificate, once on file, is adequate for subsequent department contracts, this is predicated on the coverage being in effect and relevant to the specific work being conducted.
If a staff leasing service is providing insurance to the contractor/client company, it can be listed as the insured, correctly showing the relationship between parties.
Such modifications are not acceptable if they change the provisions of the certificate in any manner, ensuring the integrity of the originally provided information.
Group health or accident insurance is explicitly not an acceptable substitute for Workers' Compensation Insurance, underscoring the specific insurance requirements for contractors working with TxDOT.
Clearing up these misconceptions helps facilitate smoother interactions with TxDOT, ensuring that contractors are adequately insured and compliant with state requirements. Always refer to the most current guidance from TxDOT and consult with a professional if in doubt about specific insurance requirements or form instructions.
Filing the Texas 1560 form correctly is crucial for contractors and agents to ensure compliance with insurance requirements for projects involving the Texas Department of Transportation (TxDOT). Here are key takeaways to consider:
Ensuring all conditions and requirements are met on the Texas 1560 form is vital for contractors to maintain eligibility and compliance with TxDOT's insurance requirements. Accurate and timely submission of this form helps in the seamless continuation of contracted work.
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