OCEAN BLUE ENVIRONMENTAL SERVICES, INC. 1C -2013

Home Browse Search

OCEAN [SLUE ENVIRONIVIEN FAA A-2013-115-02 REVIEWED BY EUNICE i IEREDIA (PG 9 OF '16) Public Burden sla�tament DMB NO: 2120-0008 A Federal Agency may riot conduct or sponsor� . and a person is not required to respond to, nor shall a. person be subject to a penalty for failure to comply with a mtectinn of information, subject to the requirements for the Paperwork. Reduction Act unless that callectwn of infarmotian displays a current valid CMlg Contmf Number,. The OMB Control Number For this information collection is. 21'25 -6040. Public reparting for this collection of information is estimated to be approximately 2 rnpnutcs per response, Including the time for rmievaing instructions, gathering Ilia data needed, and completing and reviewing fire collection of nifocmati'on. All responses to this Wlecilon of infunnation are mandatory. Send rommanis rogard'ing this burden estimate or any other aspoct of this collection or Information, Inr.Iuding', suggestions, for reducing this hnrmeh to: Infarmalfan U0110clion C;lenrance Officer. Federal Motor Carrier Safety Administration, MC -RRA, Washington, D.C. 20590 -,INV ENDORSEMENT FOR MOTOR. CARRIER POLICIES OF INSURANCE FOR PUBLIC U.S, Department of Transportation LIABILITY UNDER SECTIONS 29 AND 30 OF THE MOTOR. Federal Motor Carrier CARRIER. ACT OF 1980 Safety Administration Issued to I cean Blue Environmental Services, Inc of 925 West Ester Street, Long Beach, _ A 9_0813 Dated at New York, New Y.p. rk this 139 day of,luly. 2015 Amending Policy f ter. SIS 13C'A08268415 ..._ Name of Insuraance Company Starr Indemnity & Liability Company Countersigned by y Y f Autftori' ed representative Effective Date 7/1 /2015 The policy to which this endorsement is attached provides primary or excess insurance, as indicated by "[X]," for the limits shown; [X t This insurance is primary and the company shall not be liable for amounts in excess of $1.0 0 0000 for each accident. j, J This insurance is excess and the co¢npany shall not he liable for arnouIILs iri excess of 3$ for each accident in cxccss of the underlying Iintit of S for each accident. Wheat ver required by tfee Federal Motor Carrier Safety Administration (F'MCSA), the company uprees to furnish (lie FMC:SA a duplicate of said policy and all its endorsements. The company also agrees, upon telephone request by in authorized representative of the FMCSA, to verify that the policy is in force as of a particular date. The telephone number to call is; (215) 39r3- .2939 Canc €:llaetion of this endorsement may be effected by the eolupany of the insured by giving: (1) thirty -five (35) days notice in writing to the other party (said 35 days noti" to cornmerice from the date the notice is mailed, proof of mailing shall be sufficient proof of notice), and (2) if the insured is subject to the FMCSA's registration requirements under 49 U.,S,C. 13901, by providing thirty (30) days notice to the FMCSA, (said 30 days notice to rominence frorn the date the notice is received by the 1%tvICSA ,rat its office in Washington, D.C.). Porni MCS -90 (page l of3 )