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X. Transportation of people in buses, vans or station wagons requires $5,000,000 excess liability. XI. Workers Compensation: State Workers' Compensation / Disability Benefits Law --- Use Applicable Certificates Below: Workers Compensation Forms DBL (Disability Benefits Law) Forms CE-200 Exemption CE-200 Exemption C105.2 Commercial Insurer DB-120.1 Insurers SI-12 Self Insurer DB-155 Self Insured GSI-105.2 Group Self Insured U-26.3 New York State Insurance Fund XII. The "ACORD" form certificate may be used in place of the County of Erie Standard Insurance Certificate, provided that all of the above referenced requirements are incorporated into the "ACORD" form certificate. 14