COMMERCIAL OUTPUT PROGRAM SAMPLE INSURANCE PROPOSAL LANGUAGE
(August 2019)
REPRINT PERMISSION
All PF&M subscribers are permitted to reprint the following
insurance proposal sample language when preparing insurance presentations for
their commercial insurance customers. Other uses require permission by The
Rough Notes Company, Inc.
PROPOSAL DISCLAIMER
The following paragraph or similar language needs to be included in all
insurance proposals:
Consult the policy for definitions and limitations. The terms of this
proposal do not represent contract terms. The policy is subject to company
underwriting practices.
TIPS FOR USING THIS PROPOSAL LANGUAGE
This proposal language is not intended to be an entire insurance
proposal. A client specific section including the name and address of the
insured, the insurance company(s) and the agent, and information about them, a
list of locations, limits, deductibles, and similar customer specific items are
not included and should be prepared.
The intent of any insurance proposal is not to be a reproduction of the
insurance policy, but to give a summary of possible coverages.
Paragraphs explaining coverages unique to this policy form may be the
most important addition to your insurance proposal and sales effort. Coverage
examples can be tailored to your individual customer. Be careful when altering
any proposal language not to expand coverage beyond what the policy intends.
This proposal should be combined with proposals for other lines of
business, such as general liability, workers compensation and umbrella
liability, for a complete account proposal. A checklist of recommended
endorsements could also be helpful as long as you can explain the endorsement
and how it is to be used.
Related Articles:
AAIS Commercial Output Program Available Endorsements and Their
Uses
AAIS Commercial Output Program Endorsements Checklist
SAMPLE PROPOSAL LANGUAGE FOR THE AAIS COMMERCIAL OUTPUT PROGRAM COVERAGE
FORM
Introduction
The American Association
Insurance Services, Inc. (AAIS) Commercial Output Program is the AAIS version
of a Manufacturer’s Output Policy. CO
1000–Commercial Output Program–Property Coverage Part must be included on every
AAIS Commercial Output Program policy because it contains the conditions,
definitions and other universal elements that apply to the coverage.
CO 1000–Commercial Output Program–Property Coverage Part provides
extremely broad coverage on buildings and business personal property. It has
seven coverage extensions, 13 supplemental coverages and 11 supplemental marine
coverages. The coverages provided are listed on CO 1050 or CO
1051–Schedules of Coverages. These forms have spaces for changing the policy
default limits for any coverage provided. The Schedules of Coverages also list
the coverage parts and have spaces in which to enter limits, along with a list
of coverage extensions and supplemental coverages. Spaces are also available to
identify the coverage parts excluded or to which coverage does not apply.
COVERAGE
The insurance company
pays for direct physical loss of or damage to covered property situated at a
covered location. The loss or damage must be caused by or result from the
occurrence of a covered peril during the policy period.
PROPERTY COVERED–BUILDINGS
When there is a limit of insurance for building on the schedule of
coverages, the building or structure listed and described is covered. The
following is also considered covered building:
- Completed
additions
- Fixtures.
This includes outdoor fixtures.
- Permanently
installed machinery and equipment
- Personal
property the insured owns and uses to service or maintain the building or
premises
- Additions
under construction, alterations, and repairs that other insurance does not
cover. The materials, equipment, supplies, and temporary structures used
to make the additions, alterations, or repairs are also building. If any
or all are contractor’s property, it is still covered if the insured is
contractually obligated to insure it.
- Signs and foundations for buildings, structures,
boilers and machinery are also considered building.
PROPERTY COVERED–BUSINESS PERSONAL PROPERTY
- Business
personal property inside a building at a covered location or within
1,000 feet of the building in either the open or in a vehicle is covered. If
the insured is a tenant, coverage also applies to its use interest in
improvements made to or acquired at its own expense at the covered
location. Improvements coverage applies to fixtures, installations,
additions and other changes made or added by an insured to a building it
occupies but does not own and the value lost because it is damaged or if
it not damaged but because of a loss, the lease is voided and the named
insured no longer has use of it.
- Business personal property also includes leased
property the insured is contractually responsible to insure and business
personal property of others while in the named insured’s care, custody,
and control. It also includes its labor, material and services investments
in property of others. Personal property intended to become part of an
installation, fabrication or erection project is also covered when at
either the job site or while in temporary storage pending delivery to the
job site. Computers that are not protected by other insurance are also
covered.
- Business personal property includes mobile equipment
but only if it is not insured elsewhere. Also, property sold under an
installation agreement where the insured's responsibility continues is covered
until the purchaser accepts the property.
PROPERTY NOT COVERED
- Airborne or waterborne property, unless transported by
regularly scheduled air or ferry service.
- Aircraft and watercraft,
including related equipment and accessories. This doesn’t apply to
aircraft or watercraft manufactured, processed, or stored by the
named insured. It also doesn’t apply while being held for sale. Rowboats
and canoes on land at a covered location are also covered.
- Animals, except
for animals owned by others and boarded by the insured. Animals owned as
stock are covered but only when such animals are inside a covered
building.
- Automobiles and vehicles designed for highway use, including
motor vehicles held for sale, lease, loan or rental are not covered. Motor
vehicles manufactured, processed, or stored by the insured are covered as
is all mobile equipment.
- Laptops, palmtops, notebook personal computers or any portable
computer while in transit as checked luggage are not covered but only for
the peril of theft.
- Contraband, illegal
property or covered property traded or transported illegally.
- Costs of excavating,
grading, filling or backfilling, unless required to rebuild, repair
or replace a covered loss to covered property below the surface of the
ground.
- Crops while outside
buildings including, but not limited to, hay, grain and straw. The same
property inside buildings is covered.
- Export and import
property while covered by an ocean marine cargo or similar policy.
- Land, water and growing
crops
- Money and securities, accounts, bills and the cost to
reproduce, replace or restore valuable papers and other lost information.
- Outdoor trees, shrubs, plants, and lawns, except for stocks of
this property held for sale. Limited coverage for these items is provided
under Supplemental Coverages.
- Property better or more
specifically insured under another policy or coverage form. This insurance
will respond as excess over the other insurance.
- Property of others for which the insured is legally responsible
as a carrier for hire or an arranger of transportation for the property.
- Property sold and
delivered, except property sold subject to an installation agreement.
COVERAGE EXTENSIONS
The following items are covered as a sublimit of the limit
of insurance. When a limit is provided it is subject to the policy limits of
insurance and not in addition to it.
- Consequential Loss. This is the loss of value to undamaged
personal property because other property has been damaged by a covered
peril.
- Debris Removal Costs. These are the costs to remove debris
caused by an insured loss to covered property.
The payment is limited to 25% of the amount of the loss plus $50,000. The
maximum payout for debris removal plus the actual loss amount is the limit
of insurance plus $50,000.
- Emergency Removal. This provides coverage at another location
when covered property is moved because of an impending covered peril. No
exclusions apply while the property is located at the emergency location.
Coverage applies until the policy expires or 365 days whichever time frame
is less.
- Emergency Removal Expenses. This pays for the expenses incurred
by the insured to move property to the emergency location in order to protect
it from an impending covered peril. The $5,000 sub-limit is separate from,
and not part of, the coverage limit described under Property Covered.
- Fraud and Deceit. If covered property is lost because it is
given to any persons who represent themselves as authorized persons or
present fraudulent bills of lading or receipts this coverage applies but
only for $5,000.
- Damage from Theft. This applies only if the named insured is a
tenant. It covers the contractual obligation that tenant has to the
building owner for damage to the building when caused by theft or
attempted theft.
- Off Premises Utility Service Interruption. This provides up to
$50,000 for direct physical loss or damage when caused by an off premises utility interruption. It applies only if the interruption
damages covered property and the damage at the utility is caused by a
covered peril.
SUPPLEMENTAL COVERAGES
The following items are covered in addition to the limit of
insurance for building and business personal property. If no limit is provided,
the limit is the full limit for the applicable coverage.
- Brands or Labels
Expense. A payment of up to $50,000 in any one occurrence is made
to cover the costs an insured incurs to stamp salvage on merchandise and also
to remove brands or labels from property when damaged in a covered loss.
The removal cannot physically damage the merchandise. Re-labeling is also
covered but only when required by law.
- Expediting Expenses. The costs incurred by the insured to speed
up permanent or temporary repairs to or replacement of covered property
after an insured loss are covered for up to $50,000 in any one occurrence.
- Fire Department Service Charges. Charges the insured is
contractually bound to pay for fire department services are covered up to
$25,000. These charges are paid only if the contract was in place before
the loss and services provided were to save or protect insured property
from loss or damage by a covered peril.
- Inventory and Appraisal Expenses. These are expenses incurred by
the insured to satisfy insurance company’s request for inventory detail
and value of the loss are covered up to $50,000.
- Ordinance or Law (Undamaged Parts of a Building). This covers
the value of the undamaged building that must be torn down because a
covered loss has damaged part of the structure and an ordinance requires
the remaining portion to be torn down.
- Ordinance or Law (Increased Costs to Repair and Cost to
Demolish and Clear Site). This covers the cost to remove the debris
resulting from the undamaged portion of the building being torn down. It
also covers the increased cost to rebuild the structure in accordance with
current building ordinances.
- Personal Effects owned by the insured, its officers, partners
and employees are covered for up to $15,000.
- Pollutant Cleanup and Removal covers the insured's expense to
extract pollutants from land or water if the pollution event is caused by
a covered peril and is reported to the insurance company within 180 days
after it occurs. Coverage does not apply to the expenses to test for,
monitor or assess the effects of pollutants, except for the costs of
testing necessary to extract pollutants from the land or water. The
$50,000 aggregate limit applies at each site or covered location during
each separate 12-month policy period.
- Recharge of Fire Extinguishing Equipment pays up to $50,000 to
cover expenses incurred to recharge automatic fire extinguishing equipment
or fire extinguishers but only when discharged to fight a fight or done so
accidentally. It is also covered if necessitated by a covered peril.
- Rewards coverage pays up to $10,000 for information leading to
the conviction of a person or persons that caused a covered theft,
vandalism or arson loss.
- Sewer Backup and Water Below the Surface coverage pays up to
$25,000 per occurrence for direct physical loss or damage to covered
property when due to water backing up through a sewer or drain or a
subsurface water exerting pressure on or flowing through or into covered
property.
- Trees, Shrubs and Plants pays up to $50,000 in a single occurrence
for direct physical loss or damage, including debris removal expenses, to
outdoor trees, shrubs, plants and lawns. The only perils covered are fire,
lightning, explosion, riot, civil commotion, falling objects and
vandalism.
- Underground Pipes, Pilings, Bridges and Roadways pays up to
$250,000 in a single occurrence or at any one covered location, for direct
physical loss or damage due to a covered peril to pilings, piers, wharves,
docks, retaining walls, underground pipes, flues or drains, bridges,
walkways, roadways and other paved surfaces.
SUPPLEMENTAL MARINE COVERAGES
The following items are covered in addition to the limit of
insurance for building and business personal property. If no limit is provided,
the limit is the full limit for the applicable coverage.
- Accounts Receivable coverage applies up to $50,000 for losses
and expenses the insured incurred because of a direct physical loss or
damage by a covered peril to records of accounts receivable. It covers not
only the money that cannot be collected but also the expenses incurred to
recreate financial records; interest charges on loans taken to offset the
loss; collection expenses, and other related expenses.
- Electrical or Magnetic Disturbance of Computers covers direct
physical loss or damage to computers caused by electrical or magnetic
disturbance.
- Power Supply Disturbance of Computers covers direct physical
loss or damage to computers when due to disturbances in the power supply,
including interruption, power surge, blackout or brownout.
- Virus and Hacking Coverage provides coverage for direct
physical loss or damage to covered computers, networks and web sites due
to a computer virus or by computer hacking. The limit of coverage is
$25,000 per occurrence and a $50,000
12-month policy period aggregate
- Fine Arts coverage applies for up to $100,000 in a single
occurrence or at any one covered location for direct physical loss or
damage by a covered peril to fine arts at a covered location, while
temporarily on display or exhibit at other than a covered location and
while in transit between such locations.
- Off Premises Computers covers up to $25,000 in a single
occurrence for direct physical loss or damage caused by a covered peril to
computers in the custody of the insured, its officers, partners and
employees when away from a covered location and while in transit between where
the individual carrying the computer is located and a covered location.
- Property on Exhibition coverage applies for up to $50,000 in a
single occurrence for direct physical loss or damage due to a covered
peril to business personal property temporarily on display or exhibit at
locations other than a covered location.
- Property in Transit covers up to $50,000 in a single occurrence
for direct physical loss or damage due to a covered peril to business
personal property while in transit, regardless of the number or types of
vehicles involved in the loss. This coverage is extended to business
personal property sold and being shipped at the owner's risk if and when the
owner rejects the shipment because the shipment is damaged and the owner
refuses to pay for it.
- Sales Representative Samples provides coverage up to a $50,000
limit in a single occurrence for direct physical loss or damage due to a covered
peril to samples of the insured's stock in trade, including containers and
similar property of others. Coverage applies only if the samples are in
the custody of sales representatives or are in transit between a covered
location and a sales representative.
- Software Storage provides coverage up to a $50,000 limit in a
single occurrence to duplicate and back-up software as the result of
direct physical loss or damage by a covered peril to duplicate and back-up
software stored at a software storage location.
- Valuable Papers coverage pays up to $100,000 for the cost of
research and other expenses needed to reproduce, replace or restore lost
information caused by or resulting from direct physical loss or damage by
a covered peril to valuable papers.
PERILS COVERED
Coverage applies to risks
of direct physical loss or damage, unless the loss is limited or is caused by
an excluded peril.
PERILS EXCLUDED
The first group of exclusions is essentially absolute. Subject to
specific exceptions, 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 resulting from any of these events.
- Ordinance Or
Law excludes any increased cost of construction due to the
enforcement of any building code, ordinance or law regulating the
construction, use or repair of any building or structure, its demolition
or removal of its debris. The only exception is coverage provided in under
Supplemental Coverages.
- Earth Movement excludes
any loss or damage caused by any earth movement, other than sinkhole
collapse, or caused by eruption, explosion or effusion of a volcano. Examples
of earth movement are earthquake, landslide, mudflow, mudslide,
mine subsidence or the sinking, rising or shifting of the earth. Coverage
does apply to direct loss by fire, explosion or volcanic action due to earth
movement or the eruption, explosion or effusion of a volcano. This exclusion
does not apply to computers, mobile equipment or any of the Supplemental
Marine Coverages.
- Civil
Authority ordered acts that cause loss or damage are excluded. Seizure,
confiscation, destruction and quarantine are examples of civil authority
actions. An exception is when destruction is ordered by the civil
authority as a means to prevent the spread of a fire.
- Nuclear
Hazard excludes any loss caused by nuclear reaction, nuclear
radiation or radioactive contamination. Loss caused by the nuclear hazard
is not considered loss caused by fire, explosion or smoke but direct loss
by fire resulting from the nuclear hazard is covered.
- War and
Military Action excludes loss or damage caused by war, undeclared
war and civil war, warlike action by a military force. Actions taken by
the government to prevent or defend against an expected or actual attack
by any government or other authority using military personnel or agents
and rebellion, revolution, insurrection or unlawful seizure of power is
also excluded. If any of these actions involves nuclear reaction, nuclear
radiation or radioactive contamination, this exclusion applies in place of
the Nuclear Hazard exclusion.
- Flood losses
of any kind, as defined in the coverage form, are excluded. Coverage
does apply to loss or damage caused by fire, explosion or sprinkler
leakage as a result of flood. This exclusion does not apply to damage to
computers, mobile equipment or any of the Supplemental Marine Coverages.
- Utility
Failure to supply electrical power or other utility service to a
covered location is excluded if the failure occurs away from the covered
location. However, if the failure to provide utility services to a covered
location results in the occurrence of a covered peril, coverage applies to
the loss or damage caused by that peril. This exclusion does not apply to
computers, mobile equipment or any of the Supplemental Marine Coverages. Some
other coverage is also provided in the Coverage Extensions.
- Sewer Backup
and Water Below the Surface that causes loss or damage is not covered. If
such an event results in fire, explosion or sprinkler leakage, the loss or
damage from those events is covered. This exclusion does not apply to
computers, mobile equipment or the Supplemental Marine Coverages. There is
also some coverage provided under Supplemental Coverages.
The second group of exclusions applies to loss or damage caused by or
resulting 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 resulting from any of these events.
- Animal
Nesting, Infestation or Discharge loss or damage is excluded. If any
of the above results in breakage of building glass or a specified peril,
coverage applies to the loss or damage caused by those events.
- Loss or
damage caused by collapse is excluded, except as provided under
Other Coverages–Collapse. If the collapse results in the occurrence of a
covered peril, coverage applies to the loss or damage caused by that
covered peril. This exclusion does not apply to computers, mobile
equipment or the Supplemental Marine Coverages.
- Computer
Virus or Computer Hacking that causes loss or damage, whether direct, indirect
or resulting from loss of access, use or functionality is not covered,
except as provided under Supplemental Marine Coverages–Virus and Hacking
Coverage.
- Contamination or Deterioration
that causes loss or damage is excluded. If contamination or deterioration
results in a specified peril or breakage of building glass, coverage
applies to the loss or damage caused by any resulting damage. If a covered
loss causes the air conditioning system that services the insured’s
computer to fail, the resulting contamination or deterioration to the
insured’s computer system because of the air conditioning failure is
covered.
- Criminal,
Fraudulent Or Dishonest Acts committed alone or in collusion by the
named insured, any party having an interest in the property, any party
entrusted with the property, partners, officers, directors, trustees and
joint venturers or employees or agents of any of the above, whether at
work or not are not covered. Acts of destruction by the insured's
employees are covered but not if caused by theft. Covered property when in
the custody of a carrier for hire is not subject to this exclusion.
- Defects,
Errors and Omissions are excluded. Land use, design, specification,
construction, installation, or maintenance of property, planning, zoning,
development, siting, surveying, grading or compaction or maintenance of
property defect, errors or omissions are excluded regardless if on or off
location. When the loss is due to defective, weak, inadequate, faulty or
unsound construction materials, there is not coverage and the costs of
making good on a design error or loss due to data processing or
programming errors or giving improper instructions is also excluded. Business
personal property losses because of defects or deficiencies in design,
specifications, materials or workmanship, or that result from inherent or
latent defects, are not covered. If any of the above causes a covered
peril to occur, loss caused by that covered peril remains covered.
- Loss or
damage due to electrical arcing or electrical currents of any kind
other than lightning is excluded. This exclusion does not apply to
computers. If the excluded arcing or currents start a fire, coverage
applies to the fire damage. Any direct loss by a covered peril that occurs
at a covered location because of any interruption or power or other
utility services is also covered.
- Steam Boiler
Explosion exclusion applies to loss or damage caused by the
explosion of steam boilers, steam pipes, steam turbines or steam engines but
only if they are owned, leased or operated by the named insured. If an
explosion in one of these objects causes a fire or a combustion explosion,
the resulting loss or damage is covered. Loss or damage caused due to the
explosion of gas or fuel that accumulates in a firebox, combustion chamber
or flue also covered.
- Increased
Hazard excludes coverage when a hazard materially increases, the named
insured is aware of the increase, and a loss occurs. The increase in
hazard is not required to be the cause of the loss.
- Loss of Use
means any consequential loss caused by loss of use, delay or loss
of market and all are excluded.
- Mechanical
Breakdown or the rupturing or bursting of moving machinery parts caused by
centrifugal force that results in loss or damage is excluded.
However, if any of these events causes a specified peril, breakage of
building glass or elevator collision to occur, coverage applies to the
loss or damage resulting from those events. This exclusion does not apply
to computers.
- Neglect on
the part of the insured to use every reasonable means available to save
covered property during and after a covered loss is not acceptable so any
resulting loss because of the neglect is not covered. When an insured does
not use every reasonable means available to save and preserve
covered property endangered by a covered peril there is also no coverage.
- Pollutants. There
is no coverage for loss caused by any action of pollutants unless the
event is caused by a specified peril. Limited coverage is provided under
Supplemental Coverages–Pollutant Cleanup and Removal.
- Damage caused
by the seepage or continuous leakage of water or steam for 14 days or more
is not covered.
- Settling,
Cracking, Shrinking, Bulging or Expanding loss or damage to pavement,
footings, foundation, walls, ceilings or roofs is excluded. If any of
these events results in the occurrence of a specified peril or breakage of
building glass, coverage applies to the loss or damage caused by those
events. This exclusion does not apply to computers or mobile equipment.
- Agricultural
smudging or industrial operations Smoke, Vapor or Gas that causes loss or
damage is excluded. This exclusion does not apply to computers and mobile
equipment.
- Smog damage or loss
caused by or resulting from smog is excluded. If the smog causes a
specified peril or breakage of building glass to occur, the loss or damage
due to those events is covered. This exclusion does not apply to computers
and mobile equipment.
- Temperature
extremes, humidity, dryness or dampness causing loss or damage to
perishable stock is excluded, except as provided under Coverage
Extensions–Off Premises Utility Service Interruption. If any of these
conditions results in the occurrence of a specified peril or the breakage
of building glass, coverage applies to the loss or damage due to those
events. Coverage does apply to loss or damage to computers due to direct
physical loss or damage by a covered peril to the air conditioning system
that services the computers.
- When the only
loss or damage is wear and tear, marring or
scratching, there is no coverage. If any of these cause a specified
peril or the breakage of building glass, there is coverage for any
resulting damage.
- Weather
conditions that cause or contribute in any way with a peril excluded in
the first group of exclusions to produce loss or damage is excluded. If
weather conditions result in a covered peril, coverage applies to the loss
or damage caused by that covered peril.
- Voluntary Parting with
title to or possession of covered property that results in loss or damage
is excluded. Coverage does not apply even if the party receiving
the property was part of a fraudulent trick or scheme and no value was
gained by parting with the property. Some coverage is provided under
Coverage Extensions–Fraud and Deceit.
ADDITIONAL PROPERTY NOT COVERED OR SUBJECT TO LIMITATIONS
- Accounts receivable losses as a result of
bookkeeping, accounting, or billing errors are not covered. If the only
proof of loss is from an audit or physical inventory, there is no
coverage.
- Only animals held for sale are covered. Birds and
fish are considered animals. Loss or damage to covered animals is covered only
when caused by a specified peril or breakage of building glass. This is
further limited to apply only if the animal dies or must be destroyed.
- Loss or damage to steam boilers, pipes, turbines and
engines caused by a condition or event inside this equipment is not
covered. Coverage does apply to loss or damage to this equipment caused by
an explosion of gas or fuel in its firebox, flue or combustion chamber. No
coverage applies to loss or damage to hot water boilers or heaters caused
by any condition or event inside this equipment such as bursting, cracking
or rupturing. Explosion in the water heater or boiler is covered.
- Contamination of Perishable Stock Due to Release of
Refrigerant is not covered. Ammonia is specifically mentioned as a refrigerant,
but it is not the only one excluded.
- Furs are covered for their full value except for the
peril of theft. The sub-limit of insurance for theft coverage on furs is
$10,000.
- Glassware and Fragile Articles are not covered for
loss or damage due to breakage unless the breakage results from a
specified peril or breakage of building glass. This limitation does not
apply to glass making up part of a building, bottles, or containers held
for sale, photographic and scientific instrument lenses. It also does not
apply to fine arts that are covered under Supplemental Marine Coverages.
- Jewelry, Watches, Jewels, Pearls, Precious Stones and
Metals, including watch movements, jewels, pearls and semi-precious stones,
are covered under this policy except for the peril of theft. A sub-limit of
$10,000 applies to this for any theft loss. This limitation does not apply
to any item valued at $100 or less.
- Missing Property is not covered if the only proof of
loss is a shortage discovered while taking inventory, as an accounting or
bookkeeping transaction or by any other circumstance where no physical
evidence is present to suggest what happened to it. This limitation does
not apply to property in the possession of carriers for hire.
- Damage to Personal Property in the Open caused by rain,
snow, sleet, or ice is not covered. This limitation does not apply to
mobile equipment or to property in the possession of carriers for hire.
- Stamps, Tickets, and/or Letters of Credit are covered
under this policy except for the peril of theft. A sub-limit of $5,000
applies to this for any theft loss. Lottery tickets held for sale are part
of the limitation.
- When covered property is transferred via the computer
or is delivered to a person or place there is no coverage for any loss or
damage to the property if the transaction was the result of unauthorized
or false instructions no matter how the instructions were transmitted. The
only exception is the limited coverage provided Coverage Extension–Fraud
or Deceit.
- Valuable Papers losses as a result of errors or
omissions in copying or processing them are not covered.
OTHER COVERAGES
- Collapse of a building, structure, or personal
property is covered if caused by the specified perils, hidden decay,
hidden insect, or vermin damage, weight of people or business personal
property, or weight of rain that collects on a roof. Collapse caused by
use of defective construction material is also covered but only if the
collapse occurs during the course of construction, remodeling, or
renovation. Collapse must be sudden and unexpected. A building in imminent
danger of collapse is not covered until is actually collapses.
- Tearing Out and Replacing coverage applies when a
covered loss caused by water, other liquids, powder, or molten material
occurs and undamaged building must be destroyed in order to repair or
replace the system causing the flow. The cost of the undamaged building
destruction and its repair is provided by this coverage. The repair of the
system itself is not covered. However, if a fire extinguishing system is
damaged by its discharge or by freezing this coverage will pay for its
repair or replacement.
WHAT MUST BE DONE IN CASE OF LOSS
- Notice of a claim must be given to the insurance company
by the insured or its agent promptly. A description of the property
involved must be part of the notice. The insurance company must state when
it requires a written notice be provided. If the loss is the result of the
commission of a crime, the police must be notified. In the event of a loss
involving a credit card, the credit card company must also be notified.
- Protect Property means the insured must take steps to
protect covered property from further damage during and after an insured
loss. The insured must keep accurate records of these costs and expenses
and will be reimbursed for reasonable emergency repairs and expenses. The
insurance company does not pay for any anticipatory repairs or emergency
measures against an insured peril that has not yet occurred. Emergency
repair costs do not increase the limit of insurance.
- Proof of Loss, sworn to and signed by the insured and
including the required information, must be submitted to the insurance
company within 60 days after the company requests it.
- Examination means that the insured must agree to be
examined under oath and give sworn statements of the answers as often as
reasonably requested by the insurance company. The company can request
that all involved persons be questioned separately and not in the presence
of any others, as a means of preventing collusion.
- Records means that the insured must produce any and
all records that relate to the loss, value or expense and permit the
insurance company to make copies or extracts of them as often as it reasonably
requires.
- Damaged Property and undamaged property must be shown
to the insurance company by the insured as often as the insurance company
requires. The insurance company must be reasonable it is requests. The
company is permitted to take samples of both to determine the extent of
loss to certain property where the amount of loss may not be obvious.
- Volunteer Payments can be made the insured but not
with any anticipation that the insurance company will reimburse the
payment. The only payments the insured can make and expect reimbursement are
those for which the insurance company has given written permission. The
costs to protect property from further damage, as described above, are the
only voluntary payment that will be reimbursed. Any unapproved
expenditures are at the insured's own expense.
- Abandonment means the insured is not permitted to
abandon property to the insurance company without its consent. Because the
company decides what property it takes, the insured remains responsible
for the damaged property until and if the insurance company decides what
it will or will not take.
- Cooperation means the insured must cooperate with the
insurance company in performing all acts required by the policy. If it
does not, the claim may be denied.
VALUATION
- Replacement
cost valuation applies unless actual cash value is selected on the
Schedule of Coverages. Replacement cost is the cost to repair or
replace damaged property with similar materials on the same site and used
for the same purpose but cannot be more than the amount actually spent for
the repairs or replacement. The property is not required to be replaced at
the same site.
- When Actual Cash Value is selected on the Schedule of
Coverages, the value of covered property is its actual cash value on the
date of loss. Actual cash value is not defined but common usage of the
term is replacement cost with a deduction for physical depreciation.
- Separate valuation terms apply separately to Fine
Arts, Glass, Hardware, Software, Merchandise Sold, Manufactured Stock,
Pairs or Sets, Loss to Parts, Tenant's Improvements, Valuable Papers and
Accounts Receivable.
HOW MUCH WE PAY
- Insurable Interest. Payment will not be made for more
than the insured's insurable interest in the property.
- Deductible. Payment is only for the amount of loss
exceeding the deductible listed on the Schedule of Coverages. The
deductible applies to each occurrence and is applied before any
coinsurance or reporting provisions.
- Earthquake Period. All loss at a building from earthquakes
and volcanic eruptions events during a 168 consecutive hour period is
treated as a single occurrence even if the 168 hours extends beyond the policy
expiration date.
- Loss Settlement Terms means the insurance company
pays the least of the amounts determined under Valuation, the actual cost
to repair, replace or rebuild with similar materials to the extent
possible or the limit that applies to the covered property. This is
subject to the other provisions in How Much We Pay.
- Insurance Under More Than One Coverage means that if
two or more coverages provided by the form apply to the same loss, the
insurance company pays no more than the actual amount of the claim, loss
or damage incurred.
- Insurance Under More Than One Policy. If the insured
has other coverage identical to that provided in this form, the insurance
company pays only its proportion or share of a covered loss, based on the
proportion that the limit for the coverage under this policy bears to the
limits for all coverages provided on the same basis. If a different kind
of coverage applies to a covered loss, the insurance company pays only the
amount of loss that exceeds the amount due from the other coverage,
whether it can be collected or not, up to the limit that applies.
- Automatic Increase. The limit on the Schedule of
Coverages increases automatically every year by the Automatic Increase
percentage shown on the Schedule of Coverages.
LOSS PAYMENT
- Our Options gives the insurance company four options
to use in paying covered losses. It can pay the insured the value of the
lost or damaged property, as determined in Valuation and How Much We Pay
or pay the insured the cost to repair or replace the lost or damaged
property. It can actually rebuild, repair or replace the property with
similar property within a reasonable time, to the extent possible, or pay
the insured the appraised or agreed value for the property and then take
the property. It is entirely the insurance company’s decision.
- Your Losses means the insurance company adjusts
losses with the insured or any loss payee named and pays them within 30
days after receiving a satisfactory proof of loss. This is after the
amount of loss is established by either a written agreement between the
insured and the company or by an appraisal award.
- Property of Others means the insurance company can
adjust losses directly with the insured or with the party that owns the
property. If the owner of the property sues the insured, the insurance
company has the option to defend the insured at its own expense.
OTHER CONDITIONS
- Appraisal is a condition found in all policies and
forms that cover property. It establishes a simple method to resolve
valuation disputes on covered property between the insured and the
insurance company.
- Benefit to Others means that insurance coverage does
not directly or indirectly benefit anyone having custody of the insured’s
property.
- Conformity with Statute means if any part of the
policy or coverage form conflicts with a law that applies, the form is
amended to conform to that law.
- Control of Property means the coverage provided by
the form is not affected by any act or neglect beyond the control of the
insured.
- The Death condition applies if the named insured dies.
The rights and duties of the named insured pass to the party acting as the
deceased’s legal representative. If no legal representative is appointed,
the party having proper temporary custody of the property is treated as
the insured for the property.
- Liberalization means that, if the coverage provided
by the form is broadened, without an additional premium charge, during the
policy term or within the six months before the coverage effective date,
the broadened coverage applies to this form.
- Misrepresentation, Concealment or Fraud means that
coverage is void if, before or after a loss, any insured willfully
concealed or misrepresented a material fact or circumstance relating to
the insurance or the interest of the insured party in the insurance or
engaged in fraud or false swearing concerning any matter relating to this
insurance.
- Policy Period means losses must occur during the
policy period on the declarations.
- Recoveries deals with lost property being recovered
after loss payment has been made and the procedures, requirements and
steps to follow on the part of both the insured and the insurance company
when it occurs.
- Restoration of Limits means that payments made for
covered loss or damage do not reduce the limit of insurance that applies,
and the limit is reinstated. This condition does not apply to Supplemental
Coverages–Pollutant Cleanup and Removal and Supplemental Marine
Coverages–Virus and Hacking Coverage.
- Subrogation means the insurance company has the right
to require the insured to assign its rights of recovery against others to
the company if it has paid a loss that the others may have caused. The
insured must do everything it can to secure those rights for the company
and do nothing to impair them or the company has the right to deny
payment. However, the insured can waive its rights of recovery against
others in writing before a loss occurs.
- Suit Against Us means the insured cannot sue the
insurance company unless it has complied with all the terms of the
coverage form and unless the action is brought within two years of the
date the insured first has knowledge of the loss, or within the shortest
period permitted by any law that invalidates this condition.
- Territorial Limits for covered property is the United States, its territories and
possessions, Canada and
Puerto Rico.
- Mortgage Provisions means the insurance company has
specific obligations to the mortgagee named on the policy. If more than
one mortgage is involved, losses are paid in the order of precedence.
Insurance for the benefit of the mortgagee continues, regardless of any
actions by the insured that may void coverage. It does not continue if the
mortgagee was aware of changes in ownership or increases in hazard and did
not notify or inform the insurance company of them.
- Vacancy–Unoccupancy clause restricts coverage by not
paying losses caused by theft, attempted theft, glass breakage and
sprinkler leakage if the building or structure is vacant or unoccupied
more than 60 consecutive days or longer than the normal incidental period
of unoccupancy for seasonal property. The amount paid is reduced by 15%
for any loss by a covered peril not otherwise excluded. Vacancy means the
occupants have moved and the building is empty or contains only limited
personal property. Unoccupancy means customary activities are suspended
but business personal property is still present in the building and has
not been removed. Buildings or structures under construction are not
considered vacant or unoccupied.