Workers’ Compensation, Employer’s Liability, and Disability Benefits meeting all New York State statutory requirements are required. If coverage is obtained from an insurance company through an insurance policy, the policy shall provide coverage for all states of operation that apply to the performance of the contract. In addition, if employees will be working on, near or over navigable waters, coverage provided under the U.S. Longshore and Harbor Workers’ Compensation Act must be included. Also, if the contract is for temporary services, or involves renting equipment with operators, the Alternate Employer Endorsement, WC 00 03 01A, must be included on the policy naming the People of the State of New York as the alternate employer.
Proof of compliance with Workers' Compensation coverage requirements:
ACORD forms are NOT acceptable proof of workers’ compensation coverage.
In order to provide proof of compliance with the requirements of the Workers’ Compensation Law pertaining to workers’ compensation coverage, contractors shall:
or
or
Contractors seeking to enter into contracts with the State of New York shall provide one of the following forms to SUNY Cortland at the time of bid submission or shortly after the opening of bids:
or
1) Form C-105.2 (9/07) if coverage is provided by the contractor’s insurance carrier, contractor must request its carrier to send this form to SUNY Cortland;
or
2) Form U-26.3 if coverage is provided by the State Insurance Fund, contractor must request that the State Insurance Fund send this form to SUNY Cortland;
or
or
Proof of compliance with Disability Benefits coverage requirements:
In order to provide proof of compliance with the requirements of the Workers’ Compensation Law pertaining to disability benefits, contractors shall:
or
or
Contractors seeking to enter into contracts with the State of New York shall provide one of the following forms to SUNY Cortland at the time of bid submission or shortly after the opening of bids:
or
or
All forms must name the State University of New York, Professional Studies, Room 1131, PO Box 2000, Cortland NY 13045, as the Entity Requesting Proof of Coverage (Entity being listed as the Certificate Holder).