The DMV 65 MCP form is a Certificate of Insurance specifically designed for motor carriers of property in California. This form ensures that motor carriers meet the insurance requirements set forth by the California Vehicle Code and federal regulations. Properly completing and submitting this form is essential for compliance and operational legitimacy.
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The DMV 65 MCP form is a crucial document for motor carriers operating in California, serving as a certificate of insurance that verifies compliance with state regulations. This form is specifically designed for motor carriers of property, ensuring that they maintain adequate insurance coverage as mandated by California law. It requires detailed information about the motor carrier, including their name and address, as well as the insurance provider's details. The form outlines the types of insurance coverage needed, such as primary liability, bodily injury, property damage, and workers' compensation, along with their respective limits. Additionally, it confirms that the insurance policy covers all vehicles used in the carrier's operations, regardless of whether those vehicles are explicitly listed in the policy. The insurer must also provide assurances regarding the policy's compliance with various legal requirements, including the Motor Carriers of Property Permit Act and the Risk Retention Act of 1991. Importantly, the form stipulates that any cancellation of the insurance must be communicated to the DMV with a minimum notice period, ensuring that there is no lapse in coverage. By signing this document, the insurer affirms the truthfulness of the information provided, reinforcing the accountability that underpins the insurance process for motor carriers.
DATE RECEIVED BY DMV
CERTIFICATE OF INSURANCE
Motor Carriers of Property
MOTOR CARRIER (CA) #
INSURER (INSURANCE COMPANY) NAME AND ADDRESS
NAIC #
Status:
Licensed to write insurance in the State of California
SURPLUS LINE BROKER #
(Admitted Insurer)
Nonadmitted Insurer subject to Section 1763 of the
OTHER #
California Insurance Code. ______________________
Charitable Risk Pool
SURPLUS LINE BROKER NAME
Risk Retention Group
INSURED (MOTOR CARRIER) NAME AND ADDRESS
Filed with the:
California Department of Motor Vehicles
Motor Carrier Services Branch
P. O. Box 932370
MS G875
Sacramento, CA 94232-3700
(916) 657-8153
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
LIMITS
DATE (MM/DD/YY)
PRIMARY LIABILITY
COMBINED SINGLE LIMIT
$
Coverage below statutory minimum
BODILY INJURY OR DEATH
limits.
(ONE PERSON)
Coverage equal to or exceeding
(MORE THAN ONE PERSON)
statutory minimum limits.
PROPERTY DAMAGE
COMBINED SINGLE
EXCESS LIABILITY
LIMIT
$ _______ in excess of $ _____________
Coverage between primary cover-
BODILY INJURY
age and statutory minimum limits.
BODILY INJURY OR
Coverage provided at or above
DEATH (MORE THAN
ONE PERSON)
WORKERS’ COMPENSATION
WC Statutory Limits
Insurer certifies to each of the following:
•that the motor carrier of property (Insured) identified herein is covered by an insurance policy providing bodily injury or death liability, property damage liability insurance, or workers’ compensation insurance within the coverage limits identified above as required by California Vehicle Code (CVC) Section 34630, 34631.5, and 34640, and by Part 387 of Title 49 of the Code of Federal Regulations.
•that this insurance policy covers all vehicles used in conducting the service performed by the Insured for which a motor carrier permit is required whether or not said vehicle is listed in the insurance policy.
•that a fully executed Endorsement, on a form authorized by the Department of Motor Vehicles (DMV), is attached to the referenced policy to conform to the requirements of the Motor Carriers of Property Permit Act, CVC Section 34600 and following, and the rules and regulations of the DMV. (This provision does not apply to Workers’ Compensation Insurance.)
•that for the purposes of Charitable Risk Pool coverage, this policy meets the requirements of the CVC Section 34631 (d).
•that for the purposes of Risk Retention Group coverage, this policy meets the requirements of the Risk Retention Act of 1991, California Insurance Code Section 125 and following, and is authorized to do business in California.
Insurer agrees to each of the following:
•that this Certificate of Insurance shall not be canceled on less than thirty (30) days notice from the Insurer to the DMV and written on a Notice of Cancellation form authorized by the DMV, and that the thirty (30) day period commences to run from the date the Notice of Cancellation form was actually received at the office of the California Department of Motor Vehicles, Motor Carrier Services Branch, in Sacramento, California.
•that a duplicate original of the referenced policy, a DMV authorized endorsement, and all other related endorsements and documentation, shall be furnished to DMV upon request.
By signing this form, the Insurer certifies under penalty of perjury under the laws of the State of California that all information contained in this Certificate of Insurance is true and correct.
PRINTED NAME OF INSURER’S AUTHORIZED REPRESENTATIVE
TELEPHONE NUMBER
EMAIL ADDRESS
(
)
SIGNATURE OF INSURER’S AUTHORIZED REPRESENTATIVE
EXECUTED AT (CITY AND STATE)
DATE
X
DMV 65 MCP (REV. 2/2005)
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Filling out the DMV 65 MCP form is essential for ensuring that your motor carrier is properly insured. Follow these steps carefully to complete the form accurately. Once filled out, submit the form to the California Department of Motor Vehicles to comply with state regulations.
After completing these steps, review the form for accuracy. Ensure all necessary signatures are in place. Once confirmed, submit the form to the California DMV Motor Carrier Services Branch for processing.
What is the DMV 65 MCP form used for?
The DMV 65 MCP form serves as a Certificate of Insurance for motor carriers of property in California. It verifies that a motor carrier has the necessary insurance coverage as mandated by California law. This form is crucial for ensuring that the motor carrier meets the legal requirements for operating vehicles for commercial purposes. It confirms coverage for bodily injury, property damage, and workers’ compensation, thereby protecting both the carrier and the public.
Who needs to file the DMV 65 MCP form?
Any motor carrier operating in California that requires a motor carrier permit must file the DMV 65 MCP form. This includes businesses that transport goods or property for hire. The form must be completed by the insurance provider to demonstrate that the carrier holds an active insurance policy that meets the state's minimum coverage requirements. Failure to file this form could result in penalties or the revocation of the motor carrier's permit.
What information is required on the DMV 65 MCP form?
The DMV 65 MCP form requires several key pieces of information. This includes the motor carrier's name and address, the insurer's name and address, and details about the insurance policy such as the policy number, effective dates, and coverage limits. Additionally, the form must indicate whether the insurer is licensed to operate in California and include any relevant endorsements that conform to state regulations. Accurate and complete information is vital to ensure compliance and avoid potential legal issues.
How does cancellation of the insurance policy affect the DMV 65 MCP form?
If the insurance policy is canceled, the insurer must provide at least thirty days' notice to the DMV. This notice must be submitted using a specific form authorized by the DMV. The thirty-day period begins from the date the DMV receives the cancellation notice. It is crucial for motor carriers to maintain continuous coverage, as any lapse could lead to legal repercussions and affect their ability to operate legally in California.
Filling out the DMV 65 MCP form can be a straightforward process, but several common mistakes can lead to delays or complications. One frequent error is failing to provide complete and accurate information about the motor carrier. This includes the name and address of the insured, as well as the motor carrier number. Incomplete details can result in the form being rejected, requiring the submitter to start the process over.
Another mistake involves the insurance policy details. Individuals often overlook the necessity of including the correct policy number and effective dates. Missing or incorrect policy information can create confusion and may lead to a lapse in coverage, which is critical for compliance with state regulations.
Many people also neglect to attach the required endorsements. The DMV requires a fully executed endorsement that conforms to the Motor Carriers of Property Permit Act. Failing to include this documentation can delay processing and may result in penalties for the motor carrier.
Additionally, some submitters mistakenly assume that any insurance policy will suffice. It is essential to ensure that the policy meets the specific coverage limits outlined in California Vehicle Code sections. Providing coverage that does not meet the statutory minimum can lead to serious legal implications for the motor carrier.
Lastly, a common oversight is the lack of a signature from the insurer’s authorized representative. The form must be signed to certify that all information is accurate. Without this signature, the form is considered incomplete, further complicating the submission process.
When dealing with the DMV 65 MCP form, several other documents often accompany it to ensure compliance with regulations and proper coverage. Understanding these forms can help streamline the process and avoid potential issues. Here are four commonly used documents:
Being familiar with these forms can ease the administrative burden and help ensure that you meet all necessary requirements. Always keep copies of your documents organized and readily accessible to facilitate a smooth interaction with the DMV.
When filling out the DMV 65 MCP form, it is essential to follow certain guidelines to ensure accuracy and compliance. Here is a list of things you should and shouldn't do:
Following these guidelines will help ensure that your form is processed smoothly and efficiently by the DMV.
Understanding the DMV 65 MCP form can be challenging, and several misconceptions often arise. Here are eight common misunderstandings to clarify the purpose and requirements of this important document.
By addressing these misconceptions, motor carriers can ensure compliance and maintain safe operations on California roads. Understanding the requirements of the DMV 65 MCP form is crucial for the success of any motor carrier business.
When filling out and using the DMV 65 MCP form, there are several important points to keep in mind:
Completing this form accurately is crucial for compliance with California regulations governing motor carriers of property. Ensure all sections are filled out completely and correctly to avoid delays or issues with your application.