NEW TRUCKER INFORMATION


Prior to hauling materials for Buckeye Industrial Mining Co., all of the following information and certificates must be in our possession.   Several of these items are required by our insurance company and will be forwarded to them.


FORM 1099 INFORMATION SHEET

You are required by the Federal Government to provide this information.


NEW TRUCKING COMPANY INFORMATION

PUCO NUMBER

Your current PUCO ID number.  If you do not have one you may apply for a number at:

Public Utilities Commission of Ohio
Transportation Department
5th Floor
Columbus, 0H  43215-3793
1-800-686-8277

MSHA ID NUMBER

Your current MSHA ID NUMBER. If you do not have a MSHA number you may apply for one at:

U.S. Department of Labor
Mine Safety & Health Administration   
Morgantown District Office
604 Cheat Road
Morgantown, WV  26508
304-225-6800

WORKERS' COMPENSATION CERTIFICATE

Provide a photo copy of your current certificate.   An updated copy is required every six months.   You may apply for an Ohio Workers' Compensation number at 1-800-644-6292.

EMERGENCY SOP

INDEMNITY AGREEMENT

Sign and return two (2) copies of the indemnity agreement to our office.  When you have met all of the requirements, a completed copy will be returned to you.


MINIMUM INSURANCE REQUIREMENTS

General Liability: 
Each Occurrence 1,000,000
Personal & Adv Injury 1.000,000
General Aggregate 1,000,000
Products, comp/OP Agg 1,000,000
Including Contractual Liability

Automotive:
Combined Single Limit 1,000,000

Buckeye Industrial Mining Co. must be named as an additional insured on General Liability and Automobile Liability.  A certificate of insurance from your insurance company evidencing that the proper coverage is in place must be on file.  It should also provide for a 60-day notice of cancellation, non-renewal or material change in coverage.


QUESTIONS

If you have any questions concerning this information, contact Vicki Search at (330)424-1649 or vicki@buckeyeindustrial.com.