Coverage description
An Insurance Services Office (ISO) standard form. It lifts part of the pollution exclusion under the Owners and Contractors Protective Coverage Part for scheduled pesticide or herbicide operations done away from your premises that meet all government standards.
How the form has changed
The 04 13 edition retitles the endorsement and updates the form date. The coverage wording is the same as 10 01.
Editions
Edition dates as filed, newest first. Filing counts include every state submission that lists the edition.
| Edition | Filings | Companies | States | Filed |
|---|---|---|---|---|
| 04 13Apr 2013Latest | 88 | 48 | 23 | Nov 2021 to Oct 2026 |
| 10 01Oct 2001 | 4 | 3 | 4 | Feb 2023 to Mar 2024 |
Where filings record what this form replaced, they name earlier edition 10 01. Only some filings record replacements.
What the filings show
- Edition in use: in the past 12 months, 15 companies filed the 04 13 edition.
- CG 28 07 (Principals Protective Liability Coverage) is filed alongside it most often, in 88 of the same filings (96%).
Filed under
Data from admitted P&C filings with state insurance departments, submitted Oct 2021 to Oct 2026, excluding withdrawn and rejected filings. One filing can cover several affiliated companies.
Carriers filing this form
The 10 carrier groups with the most filings that include CG 28 12, out of 29 in total.
| Carrier | Filings | States | Editions, most filed first | Last filed |
|---|---|---|---|---|
| Cincinnati Financial Group3 group companies filed it, led by The Cincinnati Casualty Company and The Cincinnati Indemnity Company | 16 | 16 | 04 13 | Jan 4, 2023 |
| Nationwide Corporation Group7 group companies filed it, led by Allied Insurance Company of America and Nationwide Insurance Company of America | 8 | 3 | 04 13 | Feb 12, 2025 |
| Markel Corporation GroupState National Insurance Company, Inc. | 7 | 3 | 04 1310 01 | Oct 22, 2026 |
| Siriuspoint GroupSiriusPoint America Insurance Company | 7 | 3 | 04 13 | Jun 15, 2026 |
| Hastings Mutual Insurance Company | 5 | 4 | 04 13 | Mar 13, 2025 |
| Sompo GroupSompo America Insurance Company | 5 | 1 | 04 13 | Jun 18, 2026 |
| Tokio Marine Holdings Incorporated GroupSafety National Casualty Corporation | 5 | 1 | 04 13 | Feb 17, 2026 |
| Axis Capital GroupAXIS Insurance Company | 4 | 1 | 04 13 | Apr 11, 2025 |
| ACP Insurance Mgmt LLC GroupAccelerant National Insurance Company | 3 | 2 | 04 13 | Dec 8, 2025 |
| AU Holding Company Group2 group companies filed it, led by Continental Indemnity Company and Pennsylvania Insurance Company | 3 | 3 | 04 13 | May 3, 2024 |
How the largest insurers handle CG 28 12
Groups among the largest commercial general liability insurers that filed CG 28 12 or their own version in the past five years.
- WR Berkley Corporation GroupFiles its own version: EGL1219 Pesticide or Herbicide Applicator - Limited Pollution Coverage (2 states)
- Fairfax Financial GroupUses CG 28 12 in 1 filing
See more forms
Search related forms, compare editions, and research carrier filings with FilingFocus.
States
Number of filings that include CG 28 12 in each state, Oct 2021 to Oct 2026. Darker states have more filings.
Often filed with
Standard-style form numbers that appear in the same filings most often.
- CG 28 07Principals Protective Liability Coverage88 filings
- CG 21 51Amendment of Liquor Liability Exclusion - Exception for Scheduled Premises or Activities86 filings
- CG 22 70Real Estate Property Managed86 filings
- CG 31 15Construction Project Management Protective Liability Coverage84 filings
- CG 24 06Liquor Liability - Bring Your Own Alcohol Establishments83 filings
- CG 21 35Exclusion - Coverage C - Medical Payments82 filings
- CG 21 45Exclusion - Damage to Premises Rented to You82 filings
- CG 21 50Amendment of Liquor Liability Exclusion82 filings
- CG 21 66Exclusion – Volunteer Workers as Insureds82 filings
- CG 24 05Financial Institutions - Fiduciary Interest Only82 filings
Recent filings
Latest filings that include this form number. Filed copies open in FilingFocus.
| Submitted | Company | State | Editions | Tracking number |
|---|---|---|---|---|
| Oct 22, 2026 | State National Insurance Company, Inc. | CO | 04 13 | STNA-135128706 |
| Oct 6, 2026 | American Casualty Company of Reading, Pennsylvaniaand 5 more | CA | 04 13 | CNAB-135091690 |
| Jun 18, 2026 | Sompo America Insurance Company | CO | 04 13 | SMPJ-134985965 |
| Jun 17, 2026 | Atlantic Specialty Insurance Company | NM | 04 13 | BEAC-134983795 |
| Jun 15, 2026 | SiriusPoint America Insurance Company | CO | 04 13 | MRTN-134978899 |
| Jun 15, 2026 | SiriusPoint America Insurance Company | CO | 04 13 | MRTN-134978902 |
| Mar 20, 2026 | American Casualty Company of Reading, Pennsylvaniaand 5 more | CO | 04 13 | CNAB-134872676 |
| Feb 24, 2026 | American Casualty Company of Reading, Pennsylvaniaand 5 more | SC | 04 13 | CNAB-134851008 |
| Feb 17, 2026 | Safety National Casualty Corporation | CO | 04 13 | SFCC-134814522 |
| Feb 6, 2026 | Crum and Forster Indemnity Company | CA | 04 13 | CRUM-134831877 |
| Dec 9, 2025 | Universal North America Insurance Company | SC | 04 13 | UNAC-134760136 |
| Dec 8, 2025 | Accelerant National Insurance Company | CA | 04 13 | MRTN-134722366 |
Most filed ISO CG forms
- CG 40 32 Exclusion - Perfluoroalkyl and Polyfluoroalkyl Substances (PFAS)
- CG 21 06 Exclusion - Access Or Disclosure Of Confidential Or Personal Material Or Information
- CG 20 10 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization Endorsement
- CG DS 01 Commercial General Liability Declarations
- CG 20 26 Additional Insured - Designated Person or Organization Endorsement
- CG 00 01 Commercial General Liability Coverage Form
- CG 20 37 Additional Insured - Owners, Lessees or Contractors - Completed Operations Endorsement
- CG 40 28 Broad Abuse or Molestation Exclusion
- CG 20 28 Additional Insured - Lessor of Leased Equipment
- CG 20 11 Additional Insured - Managers or Lessors of Premises
- CG 21 47 Employment-Related Practices Exclusion
- CG 04 35 Employee Benefits Liability Coverage
See more carrier forms
Search forms by carrier, line of business, state, and wording with FilingFocus.