Insurance application and fees

Insurance application and fees. (1) General. A voluntary party seeking insurance under this chapter shall apply to the department on a form provided by the department and submitted to the following address: VPLE Coordinator - Bureau for Remediation and Redevelopment, P.O. Box 7921, Madison, WI 53707-7921. (2) Application contents. An insurance application form, shall include, but is not limited to: (a) Name, address and designated contact person. (b) Information on site conditions. (c) Groundwater monitoring data. (d) Alternative remedies that may be necessary if natural attenuation fails. (e) Such additional information required as necessary by the state’s insurance underwriter in order to provide insurance under s. 292.15 (2) (ae) , Stats. (3) Fee publication. The department shall establish and publish the insurance fees on an annual basis. (4) Fee calculation. The insurance fee shall be based on the following: (a) The cost of the insurance premium. (b) A contribution towards the state’s deductible. (c) Other direct expenses which are necessary to administer the program. (5) Fee payment. The insurance fee is non-refundable.