Form MCS-90B Endorsement for Motor Carrier Policies of Insurance for

FORM MCS-90B

OMB No.: 2126-0008

Revised 02/14/2017

USDOT Number:

Expiration: 01/31/2020

Date Received:

A Federal Agency may not 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 collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current
valid OMB Control Number. The OMB Control Number for this information collection is 2126-0008. Public reporting for this collection of information
is estimated to be approximately 2 minutes per response, including the time for reviewing instructions, gathering the data needed, and completing and
reviewing the collection of information. All responses to this collection of information are mandatory. Send comments regarding this burden estimate or
any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal
Motor Carrier Safety Administration, MC-RRA, Washington, D.C. 20590.

United States Department of Transportation
Federal Motor Carrier Safety Administration

Endorsement for Motor Carrier Policies of Insurance for Public Liability
under Section 18 of the Bus Regulatory Reform Act of 1982

FORM MCS-90B
Issued to
Dated at

of

(Motor Carrier name)

12:00am
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pm
noon
pm
midnight
am

on this

Amending Policy Number:

31st
30th
29th
28th
27th
26th
25th
24th
23rd
22nd
21st
20th
19th
18th
17th
16th
15th
14th
13th
12th
11th
10th
9th
8th
7th
6th
5th
4th
3rd
2nd
1st

day of

December
November
October
September
August
July
June
May
April
March
February
January

American
Alberta
Alaska
Alabama
British
Arkansas
Arizona
District
Delaware
Connecticut
Colorado
California
Marshall
Manitoba
Maine
Louisiana
Kentucky
Kansas
Iowa
Indiana
Illinois
Idaho
Hawaii
Guam
Georgia
Florida
Nevada
Nebraska
Montana
Missouri
Mississippi
Minnesota
Micronesia
Michigan
Massachusetts
Maryland
New
Newfoundland
North
Northern
Northwest
Nova
Prince
Pennsylvania
Palau
Oregon
Ontario
Oklahoma
Ohio
Nunavut
Puerto
Rhode
Quebec
Saskatchewan
South
Virgin
Vermont
Utah
Texas
Tennessee
West
Washington
Virginia
Yukon
Wyoming
Wisconsin
Brunswick
Hampshire
Jersey
Mexico
Virginia
Scotia
Carolina
Dakota
Carolina
Dakota
Edward
Island
Islands
Columbia
Rico
ofIslands
Marianas
Samoa
Columbia
Territories
and
Labrador
(MotorYork
Carrier
stateIsland
or province)

,

Effective Date:

Name of Insurance Company:
Countersigned by:

(authorized company representative)

The policy to which this endorsement is attached provides primary or excess insurance, as indicated for the limits shown (check only one):
This insurance is primary and the company shall not be liable for amounts in excess of $
This insurance is excess and the company shall not be liable for amounts in excess of $
underlying limit of $
for each accident.

for each accident.
for each accident in excess of the

Whenever required by the Federal Motor Carrier Safety Administration (FMCSA), the company agrees to furnish the FMCSA a duplicate of
said policy and all its endorsements. The company also agrees, upon telephone request by an authorized representative of the FMCSA ,
to verify that the policy is in force as of a particular date. The telephone number to call is:
.
Cancellation of this endorsement may be effected by the company of the insured by giving (1) thirty-five (35) days notice in writing to
the other party (said 35 days notice to commence 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 commence from the date the notice is received by the FMCSA at its office in Washington, DC).

Filings must be transmitted online via the Internet at http://www.fmcsa.dot.gov/urs.

(continued on next page)
FORM MCS-90B Page 1 of 2

FORM MCS-90B

OMB No.: 2126-0008

Revised 02/14/2017

Expiration: 01/31/2020

DEFINITIONS AS USED IN THIS ENDORSEMENT
Accident includes continuous or repeated exposure to
conditions or which results in bodily injury, property damage, or
environmental damage which the insured neither expected nor
intended.

Motor Vehicle means a for-hire carrier of passengers by motor
vehicle.

Bodily Injury means injury to the body, sickness, or disease to any
person, including death resulting from any of these.

Public Liability means liability for bodily injury, property damage,
and environmental restoration.

The insurance policy to which this endorsement is attached
provides automobile liability insurance and is amended to assure
compliance by the insured, within the limits stated herein, as a
for-hire motor carrier of passengers with Section 18 of the Bus
Regulatory Reform Act of 1982 and the rules and regulations of
the Federal Motor Carrier Safety Administration.
In consideration of the premium stated in the policy to which this
endorsement is attached, the insurer (the company) agrees to pay,
within the limits of liability described herein, any final judgment
received against the insured for public liability resulting from
negligence in the operation, maintenance or use of motor vehicles
subject to the financial responsibility requirements of Sections 18
of the Bus Regulatory Reform Act of 1982 regardless of whether
or not each motor vehicle is specifically described in the policy
and whether or not such negligence occurs on any route or in
any territory authorized to be served by the insured or elsewhere.
Such insurance as is afforded, for public liability, does not apply
to injury to or death of the insured’s employees while engaged in
the course of their employment, or property transported by the
insured, designated as cargo. It is understood and agreed that no
condition, provision, stipulation, or limitation contained in the
policy, this endorsement, or any other endorsement thereon, or
violation thereof, shall relieve the company from liability or from

Property Damage means damage to or loss of use of tangible
property.

the payment of any final judgment, within the limits of liability
herein described, irrespective of the financial condition, insolvency
or bankruptcy of the insured.
However, all terms, conditions, and limitations in the policy to
which the endorsement is attached shall remain in full force
and effect as binding between the insured and the company.
The insured agrees to reimburse the company for any payment
made by the company on account of any accident, claim, or suit
involving a breach of the terms of the policy, and for any payment
that the company would not have been obligated to make under
the provisions of the policy except for the agreement contained in
this endorsement.
It is further understood and agreed that, upon failure of the
company to pay any final judgment recovered again the insured
as provided herein, the judgment creditor may maintain an action
in any court of competent jurisdiction against the company to
compel such payment.
The limits of the company’s liability for the amounts prescribed
in this endorsement apply separately to each accident and any
payment under the policy because of any one accident shall not
operate to reduce the liability of the company for the payment of
final judgments resulting from any other accident.

SCHEDULE OF LIMITS — PUBLIC LIABILITY
For-hire motor carriers of passengers
operating in interstate or foreign commerce
The Bus Regulatory Reform Act 1982 requires limits of financial responsibility according to
vehicle seating capacity, it is the Motor Carrier’s obligation to obtain the required limits of
financial responsibility. The schedule of limits shown below does not provide coverage.
The limits shown in the schedule are for information purposes only.
Vehicle seating capacity

Minimum limits

(1) Any vehicle with a seating capacity of 16 passengers or more.

$5,000,000

(2) Any vehicle with a seating capacity of 15 passengers or less.

$1,500,000

FORM MCS-90B Page 2 of 2