(February 2018)
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The American
Association of Insurance Services (AAIS) Cold Storage Locker Coverage Forms
provide coverage for loss to perishable food belonging to others while in a
rented locker within the named insured’s cold storage facility.
The coverage can be provided on a direct damage or
legal liability basis. Damage while processing coverage can
be used with either option. Two versions of the coverage form are
available with the only difference between the two being the covered perils.
The IM 7315–Cold Storage Locker Coverage–Special Perils Form is analyzed first. The differences between it and the–Cold Storage Locker Coverage–Named Perils Form will follow.
Any commercial
business that offers cold storage lockers for rent to the public is eligible.
AAIS Cold Storage Locker coverage requires at least these four forms:
Related Article: CL 0100–AAIS Commercial Lines Common Policy Conditions
This Schedule of Coverages is used with IM 7315–Cold Storage
Locker Coverage–Special Perils Form or
IM 7316–Cold Storage Locker Coverage–Named Perils Form. IM 7317 contains the
following information:
The 01 12 edition added a space to enter the policy number.
The premises number
and location address or description is entered in the
space provided.
Note: IM 7318–Additional Covered Premises
Schedule–Cold Storage Locker Coverage is used to
schedule additional premises.
The 01 12 edition added quotation marks
around the word Limits (“Limits”) because Limit is a defined word.
Three different coverages are available for the premises listed on the schedule of coverages.
Only one of the
following two can be selected:
o One limit is the most paid for covered property in a single cold storage locker at the designated location(s).
o The other limit is the most paid for a single loss to covered property in all cold storage lockers at the designated location(s).
o One limit that is the most paid for covered property in a single cold storage locker at the designated location(s).
o The other limit that is the most paid for a single loss to covered property in all cold storage lockers at the designated location(s).
This coverage can be used with either of the above selections:
The deductible amount must be entered in the space provided.
If Change in Temperature or Humidity Coverage is selected, the limit entered in the space provided is the most paid for a single loss that results from change in temperature or humidity.
The limit on the Schedule of Coverages for this coverage
applies to all covered locations:
The limit is $5,000 unless a different limit is entered.
There is no limit in the coverage form. As a result, policy limits apply
but defense costs reduce the amount available to pay for the loss. A limit
entered restricts the amount of defense costs coverage available. The previous edition had the word “covered”
in the space provided. The 01 12 edition has the words “See Form” in that
space.
The number of days is 365 unless a different number of days is entered.
This coverage provides additional coverage and limits.
The limit is $10,000 unless a different limit is entered.
This section of the schedule of coverages lists endorsements and forms included when the policy is issued.
The previous edition referred to this
section as Optional Coverages and Endorsements.
This analysis is of
the 10 06 edition.
The insurance company agrees to provide the coverage described in the coverage form and in the schedule of coverages. The named insured agrees to pay the premium. The agreement is subject to all the coverage form's terms, conditions, endorsements, and definitions.
Defined terms are used throughout the coverage form. Restricting their meaning to the definition in it is how all parties have a clearer understanding of the coverage intended. Thirteen terms are defined:
1. You and your
The party(ies) named on the declarations as the insured.
2. We, us, and our
The insurance company that has agreed to provide the coverage.
3. Earth movement
Earthquake is earth
movement as is any landslide or mine subsidence. A volcano eruption, explosion or effusion is also earth movement. The earth
shifting, rising, eroding, expanding, freezing, or thawing is earth movement as
is any compacting of soil that is handled incorrectly.
Any movement of water that causes foundation, building, or structures to crack,
settle, or shift is also considered earth movement.
Mine subsidence is
earth movement regardless of whether the mine is a natural mine or a man-made one.
The only exception
in this definition is that sinkhole collapse is not
considered earth movement.
4. Flood
A general but
temporary condition where normally dry land becomes at least partially
inundated. The cause of the inundation can be due to an overflow of inland
or tidal waters, waves, tidal waves, or tsunamis. It may also be due to spray from
these that may be wind-driven or not.
Surface water
runoff or unusually rapid accumulation is also flood, regardless of the source
of the water.
Mudslide or mudflow
is considered flood only when the cause is either surface
water runoff or unusually rapid accumulation or waves or because water exceeded
cyclical levels that would be expected.
5. Limit
The
amount of coverage that applies to the insured property.
6. Perishable food
Food
that must be stored or maintained under specific controlled conditions. When those specific controlled conditions
fail, the food is subject to loss or damage.
Note: Common controlled conditions include
heating, refrigeration, and humidity control but are not limited to just these.
7. Pollutant
This is a broad and
expansive term. It is solids, liquids, thermal or radioactive contaminants, and
irritants. It includes, but is not limited to, acids, alkalis, chemicals,
fumes, smoke, soot, vapor, and waste. Waste includes materials intended for
recycling, reclamation, and reconditioning, as well as for disposal. Visible
and invisible electrical or magnetic emissions and sound emissions are also considered pollutants.
Any page labeled as
such that contains coverage information. Declarations or supplemental
declarations are included.
9. Sinkhole collapse
The earth’s surface
suddenly settling or collapsing into an underground opening that was created by water acting on limestone or some other rock
formation. The value of the collapsing land or the cost of filling the sinkhole
is not included in this definition.
10. Specified perils
The named perils of
aircraft, civil commotion, explosion, falling objects, fire, hail, fire
extinguishing equipment leakage, lightning, riot, sinkhole collapse, smoke,
sonic boom, vandalism, vehicles, volcanic action, water damage, weight of
sleet, snow or ice and windstorm. Two terms need further explanation.
Falling objects
does not include loss to personal property that is stored in the open. Damage
to the interior of buildings or personal property stored in buildings that is damaged by a falling object is not included unless that falling
object first breaches the building's exterior.
The cracking or
breaking of part of a system or appliance that holds water or steams the causes
the sudden or accidental discharge or leakage of the water or steam is water
damage.
11. Suit
Any type of
judicial proceeding that is used to determine the named insured’s
liability along and to establish damages to covered property of others that were
in the named insured's care, custody, or control. Arbitration is one of the proceedings but only when the named insured is required to
participate.
12. Terms
All policy
provisions, limitations, exclusions, conditions, and definitions that apply to
this coverage.
13. Volcanic action
An airborne
volcanic blast or shock waves, ash, dust, and particulate matter. The cost to
remove that ash, dust, and particular matter is paid
only if the covered property sustained direct damage from it.
Lava flow is also considered volcanic action.
Coverage applies to
the property described below, subject to any exclusions or limitations.
Note: The coverage can be either legal liability or direct damage and that
selection is made on the schedule of coverages. Item 3. Processing is an option available if either 1 or 2 was selected. Item 3 is not available as a stand-alone
coverage.
1. Legal Liability
Coverage
A box must be marked
on the schedule of coverages to select this coverage.
a. The named insured is covered for only its legal liability for damage to perishable food of customers in its rented
cold storage lockers. The only damage covered is direct physical loss to that
food by a covered peril. The legal obligation is established
by a cold storage receipt, contract, or agreement the named insured issued.
b. The perishable food must be in a rented
locker at a covered premises in order for this
coverage to apply. The cold storage locker must be owned
by the named insured.
c. If costs, fines, expenses, fees, penalties, or
damages are assessed against the named insured because
it violated claims-related laws or statutes, this coverage will not pay.
Example: Reginald’s Family Farm Storage provides
cold storage lockers to members of the Amish and Mennonite community in his
county. He purchases only the legal liability coverage that his warehouse
receipt requires because he knows his customers will not pay for any
additional coverage and would not expect him to respond to any losses that
are not his legal liability. However, Reginald has gotten very lax on how he
responds to claims. A non-Amish client, David, is furious with Reginald and
notifies the state agency to get their help. The agency accesses a
significant fine and Reginald must pay it himself. The insurance company will
pay David’s actual claim once Reginald submits it to them though. |
2. Direct Coverage
A box must be
marked on the schedule of coverages to select this coverage.
a. The named insured is covered for damage to perishable food of customers in its rented cold storage lockers. The only
damage covered is direct physical loss to that food by a covered peril.
b. The perishable food must be in a rented
locker at a covered premises in order for this
coverage to apply. The cold storage locker must be owned
by the named insured.
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Example: Cecil's Cold n' Chilled Warehouse has a
broad variety of customers. They range from large institutional businesses
with large amounts of refrigerated property to much smaller "Mom and
Pop" operations with limited quantities of refrigerated goods. Cecil has
the facilities to respond to their needs as well as of others that fall
somewhere between the two. Cecil decides to purchase direct coverage because
he knows he will lose customers if losses are not covered –even losses that
are not his fault! |
3. Processing
Coverage
A box must be
marked on the schedule of coverages to select this coverage. If this coverage is not selected, all processing-caused losses are excluded
in Exclusion 2.h. Processing Work.
a. Perishable food of customers is covered for direct physical damage by a covered peril.
The cold storage associated with that processing is also covered.
Note: When the Processing coverage is selected on the
schedule of coverages, the exclusion regarding processing work is removed so
that loss caused by processing becomes a covered peril.
b. Coverage does not
extended off site so the perishable
food must be at a covered premises in order for this
coverage to apply.
Example: Reginald was flash freezing product
brought to him by his customers when a small fire started in the processing
area. The food had to be destroyed because of smoke
damage. Because Reginald had purchased this addition coverage, all product being processed was covered. |
Five specific types of property are excluded:
1. Contraband
Property that is
illegal to possess is not covered. Property that is legal to possess but that is being used as part of an illegal trade or that is being
transported illegally is also not covered.
2. Furs
If a garment has any fur on it, that entire garment is not
covered.
3. Live Animals
There are no exceptions. Live animals are not covered.
4. No Charge for
Service
This applies to only Processing Coverage.
Coverage does not apply to any property of others that is accepted for processing or storage but for which no charge is not made.
Note: This essentially excludes gratuitous work or service.
Example: Reginald was also flash freezing produce that had been brought from a local community garden that was being processed free of charge when the small fire occurred. This food was also ruined but Reginald is not paid for this because he was processing without making a charge. |
5. Property Not Under
Receipt
This applies to
only Legal Liability Coverage and Direct Damage Coverage.
When a rental locker receipt has not been issued, there is no coverage for property of others in that locker.
When Optional Coverage–Change
in Temperature or Humidity Coverage is selected on the
schedule of coverages and a limit is entered in the space provided, it is
separate from and not part of the applicable limit under Property Covered. This
limit is not added to or combined with limits for any other coverage extension
or supplemental coverage and is not subject to any coinsurance provisions that
apply elsewhere in the coverage form.
Change in Temperature
or Humidity Coverage
This coverage
applies only if it is selected on the schedule of
coverages.
Coverage applies to
direct physical loss to covered property that is due to a change in temperature
or humidity. The change must be due to one or more of the
following three situations below and only when the described situation is the
result of a covered peril.
The most paid is
the limit shown for Change in Temperature or Humidity Coverage on the schedule
of coverages.
The deductible for
this coverage is shown on the schedule of coverages
and applies only to it.
The Temperature/Humidity
exclusion is in the Perils Excluded section is deleted
but only for the coverage provided within this Coverage.
Provisions That Apply
To Coverage Extensions
There are three coverage extensions. The limit for each is either the limit on the schedule of coverages or the default limit included in the coverage form. These limits are part of the applicable limit for covered property and not in addition to it, unless otherwise indicated. These limits are not added to or combined with limits for any other coverage extension or supplemental coverage and are not subject to any coinsurance provisions that apply elsewhere in the coverage form.
1. Debris Removal
When a covered
peril damages or destroys covered property, the cost to remove any created
debris is covered under this extension.
Debris removal does not include any costs for removing, restoring, replacing polluted land or water or to extract pollutants.
There are two parts
of the Limit section. The first is restricting any debris removal payment to no
more than 25% of the amount paid for the actual direct physical loss. The
second part is that when the debris removal and the physical damage loss are added together, no more than the limit of insurance is
paid.
An additional $5,000 (or a higher amount
entered on the schedule of coverages) is available if the debris removal
expense is more than 25% of the loss amount or if the combined cost of loss and
debris removal is more than the limit of insurance for the covered property.
The named insured
must report debris removal expenses to the insurance company within 180 days of
the loss date in order for this coverage extension to apply.
2. Defense Costs
Note: This coverage form is providing third party coverage for the
benefit of the named insured. Because of this, the insurance company takes
control of the loss and negotiates with the third party that sustained damage.
This section explains how the insurance company and the named insured are to
work together on any such claim.
The insurance company decides when to defend suits brought against the named insured that result from covered loss or damage to covered property. This is not the decision of the named insured. This means that the insurance company is in control of the investigation and the manner in which suits or claims are handled.
Once the insurance company has exhausted its limits based on a judgment or written settlement, the insurance company is no longer under an obligation to defend the named insured.
The named insured’s only involvement in the claim is to act within the written approval of the insurance company.
Once the insurance company agrees to defend a suit, it also agrees to
pay seven specific expenses related to it. These expenses are not part of the
limit of insurance and no deductible applies to any of them:
3. Emergency Removal
This covers direct
physical loss to covered property
that is moved or stored in order to avoid loss or damage from
an impending covered peril. The loss can occur while in transit to the
sanctuary location or while being stored there. This coverage is unique in that
the property that is being moved is not subject to any exclusion while in
transit or at a sanctuary location. However, the reason for moving the property
must be due to covered peril.
Coverage applies
for up to 365 days after the property is first moved
but does not extend past the policy’s expiration date.
Note: Coverage does not extend past the expiration
date, which means that if the insured has property at a sanctuary location when
coverage renews, the sanctuary location must be listed
as a premises or coverage no longer applies.
Provisions That Apply
To Supplemental Coverages
There is one supplemental coverage.
It has its own default limit that can be increased by entering a higher limit on the schedule
of coverages. Limits for any supplemental coverage are separate from the
applicable limit for covered property, not part of it.
The limit available for coverage described under a supplemental coverage is the only limit available for it. It is not the total of the limit for a supplemental coverage and the limit for covered property. The limits are not added to or combined with limits for any other supplemental coverage or coverage extension and are not subject to any coinsurance provisions that apply elsewhere in the coverage form.
Pollutant Cleanup and
Removal
The insurance company pays the named insured's expenses to extract pollutants from land or water if a covered peril that occurred during the policy period caused the pollutants to be released or discharged.
This is immediate coverage so any expenses to extract pollutants are paid only when reported to the insurance company within 180 days of the date of loss.
Costs related to testing, evaluating, observing, or recording pollutants are excluded except for those costs that are part of the extraction process.
The most
paid at any one location is $10,000 for all such expenses that a covered peril
that occurs at that location during each separate 12-month policy period
causes. This limit can be increased.
Coverage applies to risks of direct physical loss unless the loss is limited or caused by an excluded peril.
1. Primary Exclusions
The first group of
exclusions is essentially absolute. Subject to specific exceptions, loss or
damage by each is totally excluded, regardless of any
other cause or event that contributes to a loss, either concurrently or in any
other sequence. The insurance company does not pay for any direct or indirect
loss or damage caused by or that results from any of these events.
Related Article:
Concurrent Causation and Anti-Concurrent Causation Clauses–A
Discussion
a. Civil
Authority
There
is no coverage for loss that results from an order any civil or government
authority issues. These
orders may include seizure, confiscation, destruction, or quarantine of
property but this exclusion is not limited to only these. The only exception is
when the loss or damage is caused by a civil authority
destroying property as a means of controlling a fire. This exception
applies only if the fire is the result of a covered peril.
b. Earth
Movement
Earth movement is not covered except for the following three exceptions:
c. Flood
The insurance
company does not pay for loss or damage caused by flood. There is one exception
.If fire, explosion or sprinkler leakage result from a
flood, the loss, or damage from the fire, explosion, or sprinkler leakage is
covered but not the flood damage.
d. Nuclear
Hazard
The insurance
company does not cover loss or damage caused by or that results from any
nuclear reaction, radiation, or contamination. This is absolute and applies
whether the nuclear incident was controlled or not, and by whatever means
caused. Any loss the nuclear hazard causes is not treated
as a loss that fire, explosion, or smoke causes. The only exception is when a
fire results from the nuclear fire, direct loss or damage from that fire is covered but the damage from the nuclear hazard remains
excluded.
e. Sewer Backup and Water below the Surface
Loss that is due to
water backing up through a sewer or drain is not covered. Loss that occurs
because water below the ground’s surface exerts pressure on covered buildings
or structures is also not covered. There is one exception. Fire, explosion, and
theft losses that are the result of such backup or hydrostatic pressure are
covered. f. War and Military Action
The insurance
company does not pay for loss or damage caused by any act of war. Undeclared
and civil war or warlike action by a military force is all considered war. All
actions taken to hinder or defend against an actual or expected attack by any
government or sovereign authority that uses military personnel or other agents are also considered war and excluded. In addition, acts of
insurrection, rebellion, revolution, or unlawful seizure of power and any
action any government authority takes to prevent or defend against any such
acts are excluded. If any action within the terms of
this exclusion involves nuclear reaction, radiation, or contamination, this
exclusion applies in place of the nuclear hazard exclusion.
Note: This means that the exception for resulting fire under the nuclear
hazard is not covered when it is the result of war.
2. Secondary
Exclusions
The second group of
exclusions applies to loss or damage caused by or that
result from any of the following loss events. Some of these exclusions have
exceptions, conditions, or limitations that should be noted
and reviewed carefully. The insurance company does not pay for any loss
or damage caused by or that results from any of these events.
a. Contamination
or Deterioration
Loss or damage that
is caused by contamination or deterioration is
excluded. This applies to corrosion, decay, fungus, mildew, mold, rot, and rust.
It also applies to any quality, fault, or weakness in covered property that
causes it to damage or destroy itself. However, this exclusion is not limited
to only these described causes.
b. Criminal,
Fraudulent, Dishonest, or Illegal Acts
Coverage does not
apply to loss caused by or that results from criminal, fraudulent, dishonest,
or illegal acts that any of the following commit alone or in collusion with
another:
Coverage applies if
employees destroy property. It does not apply if employees steal.
This exclusion does
not apply to covered property in the custody of carriers for hire.
Note: Crime coverages should be used to cover this
type of loss. However, because the property being covered
is property of others, the CR 04 01–Client’s Property will need to be attached
in order for employee dishonesty coverage to apply.
Related Article: CR 04 01–Clients’ Property
c. Electrical Currents
Loss caused by electrical arcing or currents is excluded, unless the electrical is from lightning. The exception is when the excluded arcing or currents result in a specified peril, then any loss or damage from that specified peril causes is covered.
d. Loss of Use
There is no coverage for loss caused by or that results from delay, loss of use, or loss of market.
e. Mechanical Breakdown
When mechanical, structural, or electrical breakdown or malfunction causes a loss, it is excluded. The loss is excluded even if a breakdown is the result of a structural, mechanical, or reconditioning process. However, if a specified peril occurs as a result of any of these, coverage applies to the loss or damage that the specified peril causes.
f. Missing
Property
Unexplained or
mysterious disappearance of covered property is excluded
when there is no physical evidence to suggest what happened to it and the only
proof that a loss occurred is based on an audit or physical inventory. This exception
is that covered property that is in the custody of carriers for hire is covered.
g. Pollutants
There is no
coverage for loss caused by or that results from any release, discharge,
seepage, migration, dispersal, or escape of pollutants. There are three
exceptions:
h. Processing
Work
The insurance company does not pay for loss to covered property of others caused by processing or other work performed on it. There are two exceptions:
i. Temperature/Humidity
Any loss that that is caused dryness, dampness, humidity, changes in, or extremes of temperature is excluded. The only exception is when a specified peril occurs as a result of any of these, coverage applies to the loss or damage that specified peril causes.
j. Voluntary
Parting
There is no
coverage for loss or damage to covered property when it is voluntarily
given to others, even if the surrender was due to a fraudulent scheme,
trick, or false pretense.
Example: Paula received a call from Friendly Foods
explaining that a new employee would be picking up items from the cold
storage unit. Paula greeted the new employee when she arrived and showed her
how to access the items and move them to her truck. The
regular employee from Friendly Foods arrived later in the day and was shocked
to learn that somebody else had already taken the product. Friendly Foods
sued Paula for the stolen goods because it did not make such a phone call and
there was no “new employee.” Paula submitted the claim to the insurance
company as a theft claim. However, as the details emerged, the company refused
to pay the claim because Paula voluntarily parted with the product. |
k. Wear and Tear
Loss or damage
caused by wear, tear, marring, or scratching is excluded.
1. Notice
The named insured
must give prompt notice of a loss to the insurance company or its agent. The
notice must include a description of the property lost or damaged. If a
criminal act caused the loss, the appropriate law enforcement agency must also be notified. The insurance company has the right
to require that the notice be in writing.
2. You Must Protect
Property
During and after a
loss, the named insured must take all reasonable steps to protect covered
property from further loss. The insurance company pays reasonable costs the
named insured incurs but to do so the named insured must maintain accurate records to substantiate the
costs. Paying these costs is not in addition to the policy limits. There is no
coverage for any repairs or emergency measures performed on property not
already damaged by a covered peril.
Note: It is important to
realize that any such costs
incurred will reduce the amount available to pay the actual loss.
3. Proof of Loss
The named insured
must complete and return the insurance company's prescribed proof of loss forms
within 60 days after the company requests it. The information provided must
include the time, place, and circumstances involved with the loss and
information on any other insurance coverage that may apply. It must also
include the named insured’s interest and the interest of others with respect to
the property involved, including lienholders, loss payees, and mortgagees. Any
changes in title to the property during the policy period must
be disclosed, in addition to providing any other reasonable information
the company may require to adjust and settle the loss.
4. Examination
Examination under
oath may be required in matters that relate to the loss. The insurance company
may request these examinations more than once but such requests must be reasonable.
If multiple persons are examined, the company has the
right to examine each individual separately.
5. Records
The named insured
must produce any records related to the loss. The insurance company must be allowed to make copies and take extracts of them as
often as it reasonably requests. Records include tax returns and bank
microfilms of all related cancelled checks but records are not limited to just
these.
6. Damaged Property
Both damaged and
undamaged property must be made available for the insurance
company's inspection as often as reasonably necessary. It must
also be allowed to take samples of the property to the extent necessary
to adjust and settle the loss.
7. Volunteer Payments
The named insured
may not voluntarily make payments, assume obligations, pay or offer rewards, or
incur other expenses without the insurance company's express approval. If it
does, it does so at its own expense. The only exceptions are those costs
incurred to protect property as item 2. above
describes.
8. Abandonment
The named insured does
not have the right to turn over ownership of property to the insurance company
unless that insurance company agrees to accept it. Any such agreement must be
in writing.
9. Cooperation
The named insured
must cooperate with the insurance company. Any actions required of the named
insured within this policy must be performed.
1. Actual Cash Value
The value of covered property is based
on the actual cash value at the time of loss. Actual cash is replacement cost
new minus depreciation.
2. Pair or Set
The value of a loss
that involves damage to or loss of one part of a pair or set is
based on a reasonable proportion of the value of the entire pair or set.
However, the loss of one part of a pair or set is not
considered a total loss.
Note: This recognizes that the value of the whole
is greater than the value of individual parts but that the remaining parts
still have value as separates.
3. Loss to Parts
The value of a lost
or damaged part of property that consists of several parts is the cost to
repair or replace only the lost or damaged part.
1. Insurable Interest
The insurance
company does not pay more than the named insured's insurable interest in the
covered property at the time of loss.
Note: This
coverage form insures only property of others. The named insured has little, if
any, financial insurable interest in the covered property. It would be better
if this condition was written to limit coverage to the
property owner’s insurable interest.
2. Deductible
The insurance
company pays only the amount of loss that exceeds the deductible amount on the
schedule of coverages.
3. Loss Settlement
Terms
The insurance
company pays the least of the following:
Example: Kimberly
purchased a cow that Paula butchered, froze, and then placed in the cold
storage locker that Kimberly rented from Paula. A fire occurred that ruined
all of Kimberly’s meat. The cost to replace the meat was $1,000, which is
also its actual cash value. The earned charges for Paula’s processing were
$250. As long as the limit was sufficient, Kimberly should receive $1,000 and
Paula should receive $250. |
4. Insurance under More Than One Coverage
Two or more coverages in the coverage form may apply to the same loss. In
that case, the insurance company does not pay more than the value of the actual
claim, loss, or damage sustained.
5. Insurance under
More Than One Policy
a. Proportional
Share
The named insured
may have other coverage subject to the same terms as this coverage form. In
that case, this coverage form pays only its share of the covered loss. That
share is the proportion that its limit of insurance bears to the limits of
insurance of all insurance that covers on the same basis.
b. Excess Amount
There may be other coverage available to pay for the loss other than as described in 5. a. above. In that case, this coverage form pays on an excess basis. It pays only the amount of covered loss that exceeds the amount due from the other coverage, whether collectible or not. Any payment is subject to the limit of insurance that applies.
1. Loss Payment
Options
a. Our Options
The insurance
company has the following four loss payment options if a covered loss occurs.
b. Notice of Our
Intent to Rebuild, Repair, or Replace
The insurance
company has the right to decide how it wants to settle the loss but it is
required to notify the named insured within 30 days of receiving a property
completed proof of loss when the decision is to rebuild, repair, or replace.
Note: This could
be upsetting to the named insured’s customers but it is the right of the
insurance carrier to decide.
2. Your Losses
a. Adjustment
and Payment of Loss
The insurance
company adjusts all losses with and pays the named insured, unless another loss
payee named in the policy is involved.
b. Conditions
for Payment of Loss
The insurance
company pays a covered loss within 30 days after it receives a properly
prepared proof of loss and the amount of loss is established. The amount of loss is determined through either a written
agreement between the company and the named insured or after an appraisal award
is filed with the company.
3. Property of Others
a. Adjustment
and Payment of Loss to Property of Others
The insurance
company has the option to adjust and pay losses that involve property of others
either to the named insured acting on the property
owner’s behalf or to the property owner.
b. We Do Not
Have to Pay You if We Pay the Owner
The insurance
company is not obligated to pay the named insured when it pays the property
owner. In addition, if the property owner sues the named insured, the company
has the option to defend the named insured in that suit.
1. Appraisal
The insurance
company and the insured may not always agree on a covered claim’s value. This
condition provides one method to resolve disputed claims.
Either party can
request an appraisal to determine a disputed claim’s value. Once requested, the
parties have 20 days to obtain their own independent and competent appraisers
and give their appraiser's name to the other party. The two appraisers then
have 15 days to select a competent impartial umpire. If they cannot agree on an
umpire within that time period, either can request
that a judge in the court of record in the state where the property is located
appoint one.
The appraisers then
determine the claim’s value. They submit any differences to the umpire. Once
any two of the three parties agree, the amount of loss is set.
Each party pays its
own appraiser. Both parties share the umpire’s cost and other expenses equally.
2. Bankruptcy of an
Insured
The insurance
company's obligations under the coverages provided are not
changed if an insured becomes bankrupt or insolvent.
3. Benefit to Others
The insurance
provided does not directly or indirectly benefit any
party that has custody of the named insured's property.
Note: This does not appear to apply because the named insured’s property is
not covered.
4. Conformity with
Statute
Any condition in
this coverage form that conflicts with any applicable law is
amended to conform to that law.
5. Estates
Note: This condition applies only if the named
insured is an individual.
a. Your Death
If the named
insured dies, the person who has custody of the named insured's property is an
insured until a qualified legal representative is appointed. The named
insured’s legal representative becomes an insured once he or she is appointed.
Both are insureds but only with respect to the property
this coverage form insures.
b. Policy Period
is not Extended
This coverage does
not extend past the policy’s expiration date.
6. Misrepresentation,
Concealment, or Fraud
This coverage is
void if any insured at any time willfully concealed or misrepresented a material
fact that relates to the insurance provided, the property covered, or its
interest in the property. It is also void if fraud or false swearing by any
insured took place concerning the insurance provided or the property covered.
Note: The named insured must deal with the
insurance company honestly. Its rights of recovery may be
voided if it intentionally misrepresents or conceals a material fact or
information. This means that the insurance is treated
as simply having never existed versus denying a particular claim.
7. Policy Period
Only covered losses
that occur during the policy period are paid.
8. Recoveries
Paying the loss
does not end the obligations of the named insured and the insurance company
toward one another. Additional provisions apply if the insurance company pays a
loss and the lost or damaged property is subsequently
recovered or the parties responsible for the loss pay for it.
Either party that
recovers property or payment must inform the other. Recovery expenses that
either party incurred are reimbursed first. If the
named insured keeps the recovered property, it must refund the amount of the
claim the insurance company paid, unless the company agrees to a different
amount. If the claim paid is less than the agreed loss due to applying a
deductible or another limitation, any recovery is prorated
between the named insured and the insurance company based on the company's
respective interest in the loss.
9. Restoration of
Limits
Payment of a claim
does not reduce the limit available for future claims.
10. Subrogation
The insurance
company acquires the named insured's rights of recovery from third parties
after it pays a loss. The named insured must help the insurance company secure
those rights. The company is not obligated to pay a loss if the named insured
hinders or impairs the company's rights of subrogation. However, the named
insured can agree in writing to waive recovery rights from others before a loss
occurs.
11. Suit against Us
The insurance
company cannot be sued by anyone for any coverage
until all the terms of the coverage form are met and the amount of the
insured’s liability has been determined. The determination can
be based on either a trial’s final judgment or a settlement agreed to by
the insurance company, the claimant, and the named insured.
The insurance
company is not to be joined with the insured while the
liability of the insured is being determined.
|
Example: Casey is visibly upset because his frozen
ice sculpture melted while stored in a locker at Finest Cold Storage, Inc. Scenario 1: He
sues Finest and Finest’s insurance company. This coverage form does not respond
to the suit against the insurance company. Scenario 2: Finest
is upset because the insurance company does not move fast enough to settle Casey’s
lawsuit and decides to sue the insurance company. This suit is in violation
of the contract and is not honored. Scenario 3: The
trial determines that Finest is liable. The insurance company pays the amount
of the claim. Finest then sues the insurance company because of the way it handled
the case. This suit is acceptable, based on this provision. |
12. Territorial
Limits
Covered property
must be located in the United States, its territories and possessions, Canada,
or Puerto Rico in order for coverage to apply.
This analysis is of the 10 06 edition.
This coverage form is identical to IM 7315–Cold Storage Locker Coverage–Special Perils Form analyzed above the Perils Covered Section. This analysis addresses only the one section that is different.
Risks of direct physical loss caused by only designated perils are covered, unless the loss is limited or caused by an excluded peril. The designated perils covered are:
Both explosion and
theft perils have additional wording stating that they apply except when they are excluded.
Note: The explosion exclusion is found in the Earth
Movement exclusion and the theft exclusion is in the Criminal, Fraudulent, Dishonesty,
or Illegal Acts exclusion.
AAIS has developed the following schedule for use with these coverage forms:
IM 7318–Additional Covered Premises Schedule–Cold Storage
Locker Coverage This schedule is used with either coverage form to list and
describe additional locations and to enter the coverages, limits, and
deductibles that apply.
Note: Additional company specific endorsements may be available and used. Each should be examined to determine its effect on policy coverage, especially when some may impose restrictions or controls that may be minimum requirements or prerequisites for the company to provide coverage or to accept a particular exposure.
There are two
general types of cold storage locker facilities. The most common is what might be called limited service type that offers only locker
facilities. Its customers prepare their foods elsewhere or have others do it
for them and simply bring the packaged products to the cold storage locker
facility to store. The other type is sometimes called
a complete service facility. It offers one or more additional services, such as
purchasing commodities at wholesale, dressing, chilling, and cutting meat,
blanching and packaging vegetables, and flash-freezing incoming products. Some
purchase and freeze fruits and vegetables in quantity and later resell them to
locker patrons and others. Some also distribute commercially frozen foods and
serve as local storage facilities for retail businesses in the local area.
The most significant loss factors that affect perishable food in cold
storage locker facilities are fluctuations in temperature or complete loss of
refrigeration due to equipment breakdowns, refrigeration leaks, leaks in seals,
and electrical power interruptions. Proper and intensive routine, periodic and preventive maintenance, backup generators, and
comprehensive emergency plans are the most important factors in anticipating
and being prepared if any loss of refrigeration occurs.
Many of the
underwriting considerations that relate to warehouses also relate to cold
storage lockers but cold storage lockers are a more clearly defined and limited
form of warehousing. In addition to the specific areas outlined above, several
general factors are important to effectively and successfully
underwrite cold storage locker risks.
Legal liability
does not include most catastrophic perils, such as flood, earthquake,
windstorm, and the like. Commonly referred to as acts of God, these perils are
outside a warehouse operator's responsibility but it still has responsibilities
related to these perils that could involve it in a legal liability loss
situation. Because the coverage form insures these perils, the insurance
company must be certain that the cold locker operator takes a common sense
approach to conduct its business to minimize the effects of one of these perils
if it occurs. Where flood might be a factor, goods susceptible to water damage
should be stored above grade or basement levels. Where earthquake is a factor,
construction should be earthquake resistant or the goods stored inside should
not be as susceptible to damage if a building collapses because of an
earthquake event. Construction should be such that the building can withstand a
strong windstorm or rainstorm. Depending on the location, some external
exposures to loss are more significant than others and the
building's construction and the way business is conducted should reflect
it and as much as possible minimize or eliminate the chances of loss.
Coverage depends on
the language in the receipt. These should be completed
in a structured and consistent manner and follow prescribed procedures to
guarantee uniformity and accuracy. There is no coverage on the food stored in
the cold locker without a rental receipt for that locker. Receipts should be duplicated and the duplicates stored off premises
so that losses can be handled accurately and promptly if the copy kept at the
warehouse location is itself lost or destroyed. Both the customer and the named
insured should be able to produce their copies of the storage receipt if a loss
occurs.