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


Affidavit of Exemption from Workers’ Compensation and Disability

  • CE-200 – Certificate of Attestation of Exemption from New York State Workers’ Compensation and/or Disability Benefits Insurance Coverage


New Certificates

Submit documents in person to:
NYC Department of Buildings
Attn: Licensing Unit
280 Broadway, 1st Floor
New York, NY 10007


Updating Certificates

Submit documents by Mail:
NYC Department of Buildings
Attn: Licensing Unit
280 Broadway, 1st Floor
New York, NY 10007

Submit documents by Email:
Electricianinsurance@buildings.nyc.gov

 

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