(June 2019)
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This analysis is of the 10 12 edition of CP 00 17–Condominium Association
Coverage Form. Changes from the 06 07 edition are in bold print.
Insuring condominium property is difficult. This is why the Insurance Services Office (ISO) developed two different coverage forms. One insures condominium associations. The other insures individual commercial condominium unit-owners. Both explicitly refer to condominium bylaws and agreements and the interrelationships between the various parties. This provides maximum flexibility while maintaining the Commercial Property Policy’s structure.
CP 00 17–CONDOMINIUM ASSOCIATION COVERAGE FORM ANALYSIS
INTRODUCTION
This coverage form opens by defining the terms "you or your" as the named insured and "we, us and our" as the company that provides coverage. Named insured is not defined. As a result, it means only entities listed or named on the declarations. If a given entity is not listed, there is no coverage for its property, even if the property is described on the declarations.
Related Court Case: Cancellation Held Not Effective When Notice Addressed to Previous Insured
This coverage form has other words that have special meanings. They are defined in H. Definitions.
A. COVERAGE
The coverage form obligates the insurance company to pay for direct physical loss or damage to certain types of property. The property must be at a premises that is listed or described on the declarations. However, this is not open-ended coverage. The loss or damage must be caused by a cause of loss described in the causes of loss form attached to the policy in order for coverage to apply.
Related Article: Basic, Broad, and Special Causes of Loss Forms Analysis
Coverage applies to only loss or damage that occurs at a definite place and time. There is no coverage for a loss event that is not tangible or that cannot be measured.
Only property located in or on the premises listed or described on the declarations is covered. For this reason, the declarations is a very important document. Coverage only applies at the location and for the type of property for which a limit of insurance is entered on the declarations.
1. Covered Property
Covered Property is defined in two ways. In the first, by listing what is covered. Next, Property Not Covered lists what is not covered. This means that to be covered the property must be listed as Covered Property and must not be listed as Property Not Covered.
a. Building
Building is the first type of covered property. The following property is covered in addition to the actual building or structure listed on the declarations:
This means that any addition to the described structure during the policy term is covered even though it did not exist at policy inception.
This includes outdoor fixtures and fixtures outside individual units. Light poles, fences, satellite dishes, and similar property are considered fixtures. Indoor light fixtures, cabinets, and permanently installed items are also considered fixtures but only if in common areas.
Note: The key word is permanently. Machinery or equipment placed permanently is considered building. It is considered personal property if it is not placed permanently. This is a very important distinction when rating and pricing the exposure as well as at the time of loss or damage. In most cases, the premium charge for building property is significantly lower than the charge for personal property. The difference is because permanently installed property is usually considered less vulnerable to loss. This distinction is also important with respect to coinsurance issues.
Some property in this category that
appears to be personal property because it is portable is treated as building
property because of its relationship to the building. Property such as fire
extinguishing equipment, outdoor furniture, floor coverings, and appliances
used for refrigerating, ventilating, cooking, dishwashing, or laundering is not
personal property. It is classified and treated as building property and should
be listed as such. However, such listings are not necessarily inclusive. Other
property used to service and maintain the premises not included on a list of
property may still be treated as building property. However, this does not
include any similar property kept in individual units.
Related Court Case: Fixtures Pertaining to the
Service of Building Defined by Court
Alterations and repairs to the building or structure are also covered.
These are building only if they are used to make additions, alterations, or repairs to the specifically described building or structure.
Note: This coverage is provided because of the way most building owners work on their buildings. Repairs and alterations are often handled as time and money permits. The materials and property may be obtained early and kept on site until the repairs or alternations can be made. These materials would be considered business personal property without this item.
Related Court Case: Condo Association and Condo Owner Dispute Liability for Burst Pipe Damage
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Example: When the Good Neighbor Condominium project was
built, an alarm system was installed in each unit. Because the systems were
part of each unit, the condominium agreement added them as property the
association insured. Cary had a fire in his unit and the association insurance
paid for the damage to both the building and the alarm system. Cary’s
insurance paid for damage to his owned property. |
Personal property that is owned by an individual unit owner is not
covered under this policy. This also applies to personal property that is not
owned by the unit owner but is in his or her care, custody or control. The only
exceptions are the items in the paragraph above that are described in the
condominium bylaws or agreement as insured by the condominium association.
b. Your Business
Personal Property (10 12 change)
Business Personal Property is the next type of covered property. There are three distinct conditions to meet in order for coverage to apply:
Note: A premises is not the same as a building. A premises is the land where the building is situated. This means personal property can be off the premises and still be covered. An example is personal property in a vehicle on the street in front of the premises. However, there is no coverage if it is parked down the street and over 100 feet away.
The following property is considered personal property in this coverage form. However, consult certain provisions in 2. Property Not Covered that limit this otherwise inclusive listing.
Property that an
individual unit-owner owns is never covered as your personal property.
c. Personal Property of Others (10 12 change)
Your Business Personal Property covers personal property of others that is in the named insured's care, custody, or control while located or situated at any of the following:
Any loss settlement is with the personal property's owner, not with the named insured. This coverage is not the same as Bailees Coverage.
Related Article: Property
of Others
Note: When a limit is entered for Personal Property
of Others the limit for all items for which the named insured is contractually
obligated to insure should be moved out of Your Business Personal Property and
added to this limit because only this coverage will respond if a loss occurs.
This is important for coverage and also for coinsurance.
2. Property Not Covered
The expansive list of Property Covered is narrowed by this listing of property that is not covered. If coverage on any listed property item is needed, separate coverage options are often available for an additional premium charge.
The following property is not covered:
a. Accounts, bills, currency, deeds, food stamps, other evidences of debt, money, notes, or securities. Lottery tickets are a unique type of property. They are considered covered property only if they are held for sale. Otherwise, they are excluded. Crime and inland marine coverage forms and policies are available to cover some property excluded under this item.
Related Article: ISO Commercial Crime Coverage Forms Overview
b. Animals are excluded except for animals owned by others that the named insured boards.
Note: It is important to review the causes of loss form animal limitation because even when an animal is covered, the coverage applies only if the animal is killed or must be destroyed. Veterinary services are not covered.
Related Article: Basic, Broad, and Special Causes of Loss Forms Analysis
c. Automobiles are excluded but there is a limitation. This exclusion applies only to automobiles held for sale. However, this is not the only automobile exclusion. Exclusion p. below also applies to automobiles.
d. Bridges, roadways, walks, patios, or other paved surfaces
Note: This property would be considered building property if
covered. Most condominium associations do not insure this type of property
because of the comparatively high cost to do so and the low probability that it
will sustain loss or damage. However, this property can be covered by attaching
CP 14 10–Additional Covered Property and increasing the property limits.
e. Contraband. Legal property in the course of illegal transportation or trade is also not covered
f. Costs to excavate, grade, backfill, or fill
Note: This is because these expenses are usually associated with
new construction and are not usually part of existing construction. Most
condominium associations do not want to pay the premiums required to cover these
costs as part of building. However, these costs can be covered by attaching CP
14 10–Additional Covered Property and increasing the property limits.
g. Foundations of buildings or structures at or below ground level.
This exclusion also applies to foundations of machinery and equipment.
Note: This property is excluded because it usually does not sustain loss or damage. However, this property can be covered by attaching CP 14 10–Additional Covered Property and increasing the property limits.
h. Land, water, lawns, and crops not yet harvested. Lawns that are part of a vegetated roof are exceptions to this exclusion and are covered. (10 12 change)
Note: Growing crops can be covered under farm or agricultural
coverage forms and policies.
i. Personal property in transit by air or water conveyances
Note: Coverage on this property is available under Inland Marine coverage forms.
Related Articles:
AAIS Transportation Coverage Forms
ISO Annual Transit Coverage Form
j. Bulkheads, pilings, piers, wharves, and docks
Note: This property is excluded because most condominium associations do not have it. However, this property can be covered by attaching CP 14 10–Additional Covered Property and increasing the property limits.
Ocean Marine coverage forms may be more appropriate in some cases.
Related Article: Ocean Marine Insurance Overview
k. If coverage under this or any other policy more specifically describes property that this coverage form insures, this coverage form treats that other coverage or policy as primary and responds to losses on an excess basis.
Note: This coverage form responds on only an excess basis over that other insurance, even if the other coverage is used up, is not available, or cannot be collected for any reason.
Example: Grand’s Construction Company purchased a builders risk policy to cover the addition to the association’s clubhouse. An arsonist burned down the addition and the rest of the building. The association’s insurance paid the cost of the clubhouse but looked to Grand’s builders’ risk policy for the building addition. Grand’s insurance company went into receivership before the claim was paid and neither company reimbursed the association for the new portion of the building. |
l. Retaining walls, other than retaining walls that are part of the building
Note: This property is usually excluded because it is unique and unusual. However, it can be covered by attaching CP 14 10–Additional Covered Property and increasing the property limits.
m. Underground pipes, flues, or drains
Note: This property is not usually subject to loss or damage. However, it can be covered by attaching CP 14 10–Additional Covered Property and increasing the property limits.
n. Electronic data is excluded, except for the nominal limit Additional Coverage f. Electronic Data provides. Electronic data is defined as all programs, information, and data stored, created, transmitted, or used on computers. The data can be in the form of floppy disks, hard disks, CD-ROMS, tapes, and similar storage media even when not on the computer.
Electronic data that is an integral part of the building’s heating, ventilating, air conditioning, elevator, lighting, or security systems is an exception to this exclusion and is covered. (10 12 change)
Coverage for all other electronic data can be provided on electronic data processing coverage forms or policies.
Related Articles:
AAIS Electronic Data Processing Equipment and Business Computer Coverage Forms
ISO Computer Systems Coverage Form
o. The cost to restore information on valuable papers and records. This exclusion applies regardless of how the papers or records are stored. Coverage Extension c. Valuable Papers and Records (Other Than Electronic Data) provides a limited amount of coverage.
Valuable papers and records include proprietary information such as accounts, books, deeds, card index systems, drawings, abstracts, and manuscripts but it is not limited to just these.
This exclusion applies to
only the cost to restore information. Valuable papers and records themselves
are covered. However, without restoration, the coverage is very limited.
Related Articles:
ISO Valuable Papers and Records Coverage
Form
AAIS Valuable Papers and Records
Coverage
p. Vehicles and self-propelled machines licensed for use on public roads or operated primarily away from the described premises. This includes aircraft and watercraft. However, the following items are considered covered property:
Note: This property should be covered under automobile, inland
marine, ocean marine, or aviation coverage forms designed for their specific
exposures.
q. Grain, hay, straw, and other crops
Note: This property should be covered under farm or agricultural coverage forms or policies.
Related Article: Overview of the ISO Farm Program Coverage Forms
Fences, outdoor radio and television broadcasting and receiving equipment, and shrubs, plants, and trees (other than stock held for sale) are excluded, except for the limited coverage provided under Coverage Extensions e. Outdoor Property. Trees, shrubs, and plants that are part of a vegetated roof are exceptions to this exclusion and are covered. (10 12 change)
Note: Coverage Extensions e. Outdoor Property insures against specified perils for nominal limits of insurance. Other endorsements are available to provide additional coverage on this property. CP 14 10–Additional Covered Property can be used to extend coverage on fences. CP 14 30–Outdoor Trees, Shrubs, and Plants can be used to extend coverage for that property. CP 14 50–Radio or Television Antennas extends coverage for antennas, satellite dishes, and supporting equipment.
3. Covered Causes of Loss
This coverage form requires that one or more of the causes of loss forms be attached. Different types of property may have different causes of loss forms. The cause of loss form(s) that apply is/are entered on the declarations.
Related Article: Basic, Broad, and Special Causes of Loss Forms Analysis
a. Debris Removal (10
12 changes)
After a loss that involves physical loss or damage, debris must be removed. Coverage to pay for the removal costs is needed. Over the years, this relatively simple concept has become a hotly debated issue under commercial property coverage forms as insurance buyers search for alternate sources for pollution coverage. Debris removal coverage was never intended to be environmental clean-up coverage but in various court decisions prior policy language was found to cover such losses. Efforts to eliminate any misunderstanding have made this coverage much more complicated but the concept remains the same.
This coverage is explained as follows:
(1) Actual expenses to remove debris are paid if all of the following apply:
Example: The Canterbury Condominium is vandalized. The damage to the office and the pool building is significant and requires extensive debris removal before replacement property can be brought in. Canterbury pays the removal costs immediately and notifies Condos Dun Rite Insurance Company just as quickly. The debris removal expense is covered because it involved debris from property that the coverage form insured, the loss occurred during the policy period, and Canterbury incurred and reported the expense within 180 days of the date of loss. |
(2) The 10 12 edition broadens this paragraph significantly. The 06 07
edition limited itself to only pollutant-related items. This paragraph is
needed because paragraph (1) is broadened to include debris of certain types of
property that is not considered covered property. This paragraph limits that
broadening of debris coverage. Although these items appear to be limiting, they
actually establish the boundaries for the broadened coverage in paragraph (1).
The costs to remove the following items are excluded:
o
The named
insured is contractually obligated to insure the landlord’s property.
o
The
landlord’s property is insured under this policy.
Note: This limitation does not mention debris of such property. It applies to the property itself.
Note: This limitation does not mention
debris of such property. It applies to the property itself.
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Example: The vandals at Canterbury took the pool chemicals and poured them into the pond on the premises. The local authorities determined that the pond must be tested, treated, and monitored. There is coverage for the lost chemicals. There is no coverage for damage to the pond or to remove the pollutants from the surrounding land. |
(3) This paragraph explains the amount of coverage provided under the basic limits. There are two distinct limitations:
(a) The total amount paid for a direct loss PLUS the debris removal is the lesser of:
· The actual physical loss or damage PLUS the debris removal expense
· The limit of insurance for the covered property that was damaged
(b) The total amount paid for debris removal is the lesser of:
· The sum of the amount paid for the direct physical loss PLUS any applicable deductible amount multiplied by a factor of .25. The formula is:
(Paid Loss Amount + Deductible Amount) x .25 = Debris Removal Coverage Amount
· The actual debris removal expense
·
If
covered property does not sustain direct physical damage, the most paid to
remove the debris of other property is $5,000 per location, subject to other
items in this additional coverage.
Example: Lakeside Condominium has a small fire. The actual physical loss is $5,000. The limit of insurance is $50,000. The deductible is $500. The insurance company pays $4,500 ($5,000 loss - $500 deductible) for the physical loss. The maximum debris removal expense it pays is $1,250 ($4,500 + $500 X .25). Because the sum of $5,000 + $1,250 is less than the $50,000 limit, the sum ($6,250) is the maximum amount available to handle the direct loss and debris removal expense. |
(4) This paragraph provides an additional amount of insurance to remove debris if one of the limitations in paragraph (3) above applies. The additional amount of coverage is $25,000, subject to the following:
(a) The total amount paid for a direct loss PLUS the debris removal is the lesser of:
· The actual physical loss or damage PLUS the debris removal expense
· The limit of insurance for the damaged covered property PLUS $25,000 Debris Removal Additional Coverage
Example: We’ll change the Lakeside example above to be a $47,000 loss where the company pays $46,500 after the deductible. The debris removal expense is $5,000. Using the formula in paragraph (3), this means that up to $11,750 is available for debris removal expense and this would cover the cost. However, because the limit of insurance is $50,000, the most available to pay for the debris removal expense is $3, 500 ($50,000 – $46,500). Lakeside faces an additional $1,500 expense. However, the $25,000 Additional Coverage is used providing Lakeside with full coverage. |
b) The total payment for debris removal is the lesser of:
· The total of the amount paid for the direct physical loss plus any applicable deductible amount multiplied by a factor of .25 PLUS $25,000. The formula is [(Paid loss amount + deductible amount) x .25] + $25,000 = Debris Removal Coverage Amount.
· The actual debris removal expense
The last point to make with respect to this coverage is that the maximum amount of insurance available for direct physical loss and debris removal expense does not exceed the coverage limit of insurance plus $25,000.
Example: Perfect Home Condominiums has a commercial property limit of $4,000,000. A windstorm strikes and destroys the complex. The wind loss is $3,885,000 and the cost to remove the debris is $50,000. In this case, the association has the following out of pocket loss:
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CP 04 15–Debris Removal Additional Limits is used to provide higher debris removal limits.
Related Article: Debris Removal Concerns
Related Court Case: Debris Removal Obligation Was Paid
b. Preservation of
Property
If it is necessary to move covered property from an insured location in order to avoid it being damaged by a covered cause of loss, the insurance company pays for any direct loss or damage that property sustains during the move. In addition, coverage applies at the location where the property is stored for up to 30 days after the date it was moved there.
There are several important points to consider:
Example: The Waters Overlook Condominium Association’s office manager moves the business furniture from the office to protect it from rising floodwaters. Several items of furniture are dropped while they are loaded on a rented truck and sustain a total of $3,000 in damages. This damage is not covered because the cause of loss that threatened the property (flood) is not a covered cause of loss. |
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Example: Redwoods Condominiums is located in a rural area adjacent to a national forest. Wild fires are in full force and winds are pushing the flames toward Redwoods. The Association members realize that their property is in the path of the fires and start moving property to a safe location on the other side of the river. A heavy rain begins before the fire reaches the condominium property. The rain douses the fires but brings a new problem. A flash flood flows over the river’s banks and destroys the property that was relocated. The Redwoods policy excludes flood but the property that was destroyed is covered because it was moved to protect it from the wild fires. |
Note: The property removed must be moved back to the covered location or the temporary location must be added to the policy within 30 days from the date of the move. Otherwise, all coverage ends after 30 days.
c. Fire Department
Service Charge (10 12 change)
This additional coverage responds to situations where the named insured must pay for the expense of a fire department that responds to an emergency. The old maxim: "He who hesitates is lost" applies to this coverage. The sooner a fire is reported, the faster it is controlled. Taking the time to consider the cost of fire department response is time lost in fighting the fire.
This coverage pays only
if the named insured is contractually obligated to pay for the expense of a
fire department that responds to an emergency or is required to pay because of
a local ordinance. It provides up to $1,000 per premises to apply to the service charge and is not subject to a
deductible. Higher limits are available.
The $1,000 is a premises limit that applies regardless of the number of
departments that respond or the number of services provided. (10 12 change)
Note: This could be a significant reduction in
coverage for certain enterprises. Higher limits should be recommended in such
circumstances.
Example: Lakeside Leisure Condominiums is located in a
rural area. Three different volunteer departments are within 50 miles of the
community so Lakeside contracts with each to supply fire and EMT services. A
fire call results in all three departments responding. All fight the fire. In
addition, two provide EMT services. Only $1,000 is available to pay for all
fire services rendered. There is no coverage for the EMT services provided. |
d. Pollutant Clean Up
and Removal
The second paragraph of 4. Additional Coverages a. Debris Removal specifically excludes expenses to extract pollutants from land or water. This additional coverage provides a limited amount of coverage for those expenses. Each of the following requirements must be met in order for coverage to apply:
The $10,000 limit for this additional coverage is unusual because it is an aggregate limit and not an occurrence limit. It is the total amount available to a premises during a single annual coverage period. As a result, any and all losses that involve eligible expenses at the premises reduce the available $10,000 aggregate limit at that premises.
Note: CP 04 07–Pollutant Clean Up and Removal Additional Aggregate Limits of Insurance is used to increase the limit.
Related Court Case: Pollution Cleanup Coverage Inapplicable
e. Increased Cost of
Construction (10 12 changes)
This is welcome protection for any company subject to the Americans with Disabilities Act (ADA) or many local, state, and federal ordinances that are not enforced until a building requires significant renovations or repairs. These ordinances and codes are helpful to many people and their cost is relatively easily absorbed in new construction. However, updating an existing structure after a partial loss can add substantially to the costs to rebuild it and the basic coverage form does not insure them.
Related Articles:
Basic, Broad, and Special Causes Of Loss Forms Analysis
CP 04 05–Ordinance Or Law Coverage
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Example: Foley Condominiums was converted from a hospital to
condominiums 35 years ago. The masonry building is over 100 years old and has
plaster walls. Some of the hallways are very narrow. A fire nearly destroys
the community room. Permits are obtained for repairs and Foley is told that
the hallways must be widened to meet ADA standards. Without this additional
coverage, there is no coverage for any of the expense to move the walls that
were not damaged. |
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This additional coverage is explained in nine paragraphs.
(1) This paragraph states that coverage is conditional and not automatic. It applies only when the basic policy includes G. Optional Coverages 3. Replacement Cost. While it is unusual to require including an optional coverage as a condition of an additional coverage, it is necessary in this case.
(2) This paragraph explains the coverage. It responds to additional costs that must be incurred to bring the building up to the existing minimum standards of the ordinances or codes. The coverage is subject to modifications in paragraphs e. (3) through (9). This coverage applies when all of the following events occur:
Example: Besides covered property being damaged by fire (a covered cause of loss), Foley faces some additional costs it incurs while making repairs. They are directly due to it having to comply with town council ordinances. Because Foley’s coverage includes G. Optional Coverages 3. Replacement Cost. some of its additional costs may be covered. |
(3) This paragraph states that the law or code in (2) above must meet two requirements before increased costs are covered:
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Example: Continuing the example above, the town council was considering an ordinance to require installing sprinkler systems in all habitational properties more than two stories high when Foley’s loss occurred. The council voted and passed the ordinance two weeks after the loss. The building inspector informed Foley of this change. Because the ordinance was not in force at the time of the loss, this additional coverage does not cover the costs to add the sprinkler system. |
(4) This paragraph relieves the insurance company of any costs due to ordinances or laws the named insured should have complied with before the loss but did not.
Example: Foley’s Association Board and the town argued over the fire escape ordinance for years. Foley believed its evacuation procedure was more than adequate and that the town was being unfair. After the fire loss, the town required that Foley either comply with the ordinance or not reopen. Foley turns to this additional coverage, but the insurance company refuses to pay the additional cost because Foley ignored an existing ordinance. |
(5) This coverage form is
not designed to cover pollutants. This item clearly states that
pollution is excluded. This additional coverage does not pay when local
ordinances or laws force the named insured to take actions because of pollutant
contamination or the presence of fungus in a building. It also does not pay any
costs associated with enforcing or
complying with ordinances or laws that require the named insured or others
to test for, monitor, clean up, remove, contain, treat, detoxify, neutralize,
respond to, or assess the effects of pollutants, fungus, wet rot, dry rot, or
bacteria.
(6) This paragraph states that the limit of insurance for this additional coverage is the lesser of $10,000, or 5% of the damaged building’s limit of insurance. If the damaged building is part of a blanket limit, the coverage is limited to the lesser of $10,000 or 5% of the damaged building’s value at the time of loss multiplied by the coinsurance percentage that applies.
Note: The blanket provision is important because it keeps the 5% from being applied to the blanket limit. Doing so would allow each building within the blanket to receive the maximum limit for this additional coverage even if the specific building was worth less than $10,000.
(7) This paragraph outlines the insured's options under this additional coverage after a loss.
Example: Foley Condominium’s Board is unhappy with the loss settlement and the amount it must pay to repair the building and bring it up to code. After looking at all of the options, it determines that a new building will cost less than repairing the old one and it will enhance the condominium’s overall appearance. The good news is that the company still pays the $10,000 limit to meet the standards. |
(8) A conflict could arise between this coverage and the Ordinance or Law Exclusion in any of the Causes of Loss forms. However, there is no conflict since this paragraph states that this Additional Coverage is not subject to that exclusion.
(9) The Valuation Condition and Replacement Cost Optional Coverage exclude the increased costs of construction due to enforced ordinances or laws. Only this Additional Coverage provides such coverage. As an attempt to clarify issues, this paragraph states that those increased costs of construction limitations stated in the Valuation Condition and Replacement Cost Optional Coverage do not apply to this Additional Coverage. The intent of this paragraph is to eliminate any confusion over the coverages and limitations that exist under these three separate policy provisions.
Note: CP 04 05–Ordinance or Law Coverage should be used if higher limits or broader coverage is needed.
Related Article: CP 04 05–Ordinance or Law Coverage
f. Electronic Data (10 12 changes)
Electronic data is considered property not covered except for the small
limit this additional coverage provides. If a covered cause of loss damages or
destroys electronic data, this additional coverage covers the cost to replace
or restore it but only on a very limited basis. This item does not apply to
prepackaged stock or to electronic
data that is an integral part of the building heating, ventilating, air
conditioning, elevator, lighting or security systems because they are
exceptions to the property not covered, electronic data item, and therefore are
already covered under the coverage form.
(10 12 addition)
This additional coverage has two unusual features. The first is that the
covered cause of loss that applies varies by the cause of loss form that
applies to business personal property at the location where the loss occurs. If
CP 10 30–
Causes of Loss–Special Form applies, the covered causes of loss for
electronic data are only the specified causes of loss plus collapse. If CP 10
20–Causes of Loss–Broad Form applies, collapse and the other causes of loss
that are part of the broad form apply.
Loss or damage caused by virus, harmful code, and similar attacks on the
computer system is covered, regardless of the causes of loss form that applies.
However, normal computer entry problems or problems related to manipulation of
dates are excluded.
The second unusual feature is that the $2,500 limit is an aggregate
amount and is the most paid over all locations for an entire year. If a loss
begins in one year and continues into a second year, the only limit available
is the aggregate limit from the first year. The limit can be increased but
it remains an aggregate limit. (10 12 addition)
This is extremely limited coverage. As a result, condominium associations that have electronic data exposures should consider an Electronic Data Processing coverage form or policy.
Related Articles:
AAIS Electronic Data Processing Equipment and Business Computer Coverage Forms
ISO Computer Systems Coverage Form
5. Coverage Extensions
There are several coverage extensions that apply to covered property if 80% or higher coinsurance applies. They insure property located in or on buildings listed on the declarations. They also insure property in the open or in or on vehicles but only when the property is within 100 feet of the described premises. Any exceptions to the opening paragraph requirements are stated in the specific extension of coverage.
Note: The 10 12 edition changes to the building, business personal property and personal property of others were not added to this opening paragraph so the definition of property in the open or in a vehicle is slightly different.
Each extension provides additional limits of insurance. None of them are subject to the coinsurance condition.
a. Newly Acquired or
Constructed Property
Contacting an insurance agent to report a new acquisition is not automatic behavior. For this reason, this extension gives the named insured some peace of mind coverage for new purchases. However, this coverage is not free. The property acquired must be reported and an additional premium paid from the date of acquisition.
If building coverage is provided, this extension applies to new buildings the insured owns and that are being constructed at a premises described on the declarations. Buildings the insured purchases at other premises are also covered but only if they are intended for use similar to other scheduled buildings or as a warehouse. The maximum limit for any newly built or purchased building is $250,000.
Note: As stated above, the newly purchased building's use must be similar to that of existing buildings or be used as a warehouse. The insurance company accepts risks based on occupancy and should not be expected to automatically add a new location with a dramatically different occupancy than what is already on the policy.
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Example: Century Condominium Association is landlocked. It wants to expand its community building to enhance the value of the individual units and jumps at the chance to purchase the restaurant next door when it is put up for sale. A fire occurs two days after it completes the acquisition. Century asks its insurance company for coverage and is denied because the occupancy at the time of the loss was not similar to other scheduled buildings. |
If the named insured’s business personal property is covered, this extension applies to any and all the following:
Note:
Unlike the requirement under newly acquired building, there is no
requirement that newly acquired business personal property be the same as or
similar to existing business personal property. However, it must qualify as
eligible business personal property. Newly
acquired business personal property coverage at described locations is no
longer provided automatically. This should not be a significant change for
condominium associations. (10 12 removal of coverage)
The maximum limit per building is $100,000.
This coverage extension does not apply to certain types of personal property of others that are in the named insured's custody on a temporary basis. If the reason the personal property is with the named insured is because the insured is installing or performing work on it, there is not coverage under this extension. In addition, if the personal property is part of the named insured’s wholesaling or manufacturing activities there is no coverage under this extension.
Coverage is provided on a very limited time frame. It ends on whichever of the following is earliest:
Note: This provision is occasionally applied with unfortunate and undesirable results.
Example: If the named insured acquires a building on 12/31/19 and the policy renews on 01/01/20, coverage no longer applies to the newly acquired building as of 01/01/17. |
This is especially important for the named insured that requests that the 30-day time period be increased to 180 days. Even then, coverage still ends on the earliest of the dates indicated above.
The construction date is the date the named insured begins constructing a new building. Because covered property does not usually include foundations, coverage and the 30-day limitation do not begin until construction above grade level begins.
The date that building and/or personal property was acquired is reported to the insurance company so that premium can be charged for the entire period it was covered. This extension is provided for the named insured's convenience, but coverage requires a premium charge. It is better to owe premium than to have an uninsured loss.
Related Court Case: Newly Acquired Property Held Not Covered After the Automatic 90 Day Period Expired
b. Personal Effects
and Property of Others
Coverage for business personal property can be extended to include personal effects that belong to the named insured, its partners, officers, members, employees, or managers. An important restriction of this part of the extension is that it does not include theft regardless of the cause of loss form attached. Coverage also extends to property of others in the named insured’s care, custody, or control. This part of the extension does not have a theft limitation which means that whatever cause of loss applies to the business personal property would also apply to this extension.
The most paid at a described location is $2,500. This is the most available, regardless of the number of persons involved and the value of the property lost. Loss adjustments that involve such claims are handled directly with the property's owner.
c. Valuable Papers and
Records (Other Than Electronic Data)
The coverage form does not insure the cost to restore and replace information on valuable paper and records. This coverage extension provides a small limit of insurance to pick up this cost but only for valuable papers and records that are not considered electronic data.
The covered cause of loss that applies varies by the specific cause of
loss form that applies to business personal property at the location where the
loss occurs. If CP 10 30–Causes of Loss–Special Form applies, the covered
causes of loss are only the specified causes of loss plus collapse. If CP 10
20–Causes of Loss–Broad Form applies, collapse and the other causes of loss
that are part of the broad form apply.
The limit is $2,500 at each location. Higher limits are available. The cost of research and duplication is considered additional coverage, but the blank material used for the process is covered under business personal property coverage and is NOT additional coverage.
Note: There are two options if the named insured requires higher limits. One is to increase the limits for this coverage extension. The second is to use a separate Inland Marine Valuable Papers and Records coverage form. While increasing this coverage form's limits for this exposure may be simpler and less expensive, doing so may mean losing valuable coverage enhancements and the portable nature of a floater form in a stand-alone policy. Both coverage forms should be compared carefully before recommending one or the other.
Related Articles:
ISO Valuable Papers and Records Coverage Form
AAIS Valuable Papers and Records Coverage
d. Property Off-Premises
Most business personal property tends to move around. This extension recognizes this fact and provides up to $10,000 when property is off premises. However, this coverage applies only to property usually situated at a described location and that is away from the premises for only a short period. The personal property can be temporarily:
If storage space leased during the policy period is still leased when the policy renews, it must be added to the policy as a separate covered location. Otherwise, coverage at that leased storage space ends when the policy expires.
This extension has two important limitations. It does not apply to property in or on a vehicle. It also does not apply to property with the named insured’s salespersons except when both the property and the salespersons are at a fair, trade show, or exhibition.
Inland marine coverage forms are available to cover property off premises, property in transit, or property at the premises of others for storage, service, or repair.
Related Article: Who Needs Inland Marine Coverage?
e. Outdoor Property (10
12 changes)
Property Not Covered, q. (2) lists the following as not covered:
This coverage extension
insures this property, but only for loss or damage from the aircraft,
explosion, fire, lightning, riot, or civil commotion causes of loss. The limit
of insurance is $1,000 in any one occurrence, subject to a maximum of $250 for
any one tree, shrub, or plant. The limit
must cover not only the replacement or restoration of the damaged items but also
their debris removal.
Note: The 10 12 edition debris removal revision specifically states that it does not apply to removing any item that this coverage extension insures.
The expense to remove the debris of any tree, shrub, or plant owned by
others is also covered unless the named insured is a tenant and the landlord
owns the tree, shrub, or plant and it is located on the premises the named
insured occupies. (10 12 addition)
An endorsement is
available to include or schedule additional coverage for outdoor trees, shrubs,
and plants.
CP 14 30–Outdoor Trees, Shrubs, and Plants allows the named insured to increase
these coverage extension limits and schedule specific coverage for this
property. CP 14 50–Radio or Television Antennas can be used to increase limits
on that property. In addition, inland marine coverage forms are available that
provide both higher limits and broader coverage.
Related Articles:
ISO Commercial Property Program Available Endorsements and Their Uses
Who Needs Inland Marine Coverage?
f. Non-owned Detached
Trailers (10 12 change)
Personal Property coverage can extend to include coverage for non-owned trailers that meet all of the following conditions:
Note: Using the phrase "contractually responsible" is unusual and may be a preview of things to come in other areas of insurance that have been murky or unclear in the past.
However, there is no coverage for loss or damage that occurs:
The most paid under this extension is $5,000. Higher limits are available. This coverage is excess over any other insurance that covers such property, whether that insurance can be collected or not.
Note: The limit could be per-trailer or per premises. However, because there is no such statement, the limit should be applied per occurrence. If the named insured uses a number of non-owned trailers, the limit should be increased to reflect those values.
g. Business Personal Property Temporarily in Portable Storage Units (10
12 addition)
Business personal property stored in a portable storage unit is covered
subject to the following criteria:
Business personal property is covered for not more than 90 days once it
is placed in the storage unit.
A $10,000 sub-limit is available for this Coverage Extension. It does
not increase the amount of business personal property coverage. This sub-limit
can be increased.
There is no coverage for the storage unit.
This is not duplicative or excess coverage so if a damaged item is
covered elsewhere under this coverage form or by endorsement, there is no coverage
under this extension for that item.
B. EXCLUSIONS AND
LIMITATIONS
Exclusions and limitations are in the Causes of Loss Forms that apply. More than one causes of loss form may be attached based on entries on the declarations.
Related Article: Basic, Broad, and Special Causes Of Loss Forms Analysis
C. LIMITS OF INSURANCE
This section states the
maximum limits the insurance company pays in any one loss. In most cases, the
limit on the declarations is the total amount that can be recovered for a
single loss. If an outdoor sign, whether attached to the building or not, is
damaged or destroyed, coverage applies for up to $2,500 per sign in each
occurrence.
The limits for the following coverages are in addition to the limits of insurance for other coverages listed on the declarations:
Payments made under 4. Additional Coverages b. Preservation of Property does not increase the limit of insurance that applies.
D. DEDUCTIBLE
The deductible is the amount of a loss that the named insured must pay. However, the amount of loss must be reduced by any coinsurance or agreed amount condition penalty before the deductible is applied. This becomes the adjusted loss amount.
The adjusted loss amount is compared to the deductible amount. If it is less than the deductible, the named insured is responsible for the entire loss amount.
Example: Mystic Visions Condominiums is insured for a
$3,000,000 limit on Building and a $50,000 limit on Business Personal
Property. It has a $1,000 deductible. The police interrupt an attempted
break-in but not before the criminals damage the door and the safe, causing a
total loss of $988. Mystic Visions pays for the repairs because the amount of
damage is less than the deductible. |
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If the adjusted loss amount exceeds the deductible, the insurance company pays the lesser of the amount of loss above the deductible or the limit of insurance.
Example: Continuing the example above, the criminals return two nights later and are much more successful. They succeed in stealing computers, sound equipment, furniture, and cash. They are concerned about getting caught and decide to set a fire to cover their crime. The loss totals $63,000. The amount of loss minus the deductible is $62,000 ($63,000 - $1,000) but the Business Personal Property Limit is $50,000. As a result, the total payment is $50,000. |
If the occurrence that causes the loss involves two or more items of covered property and each has its own separate limit of insurance, the occurrence deductible is applied only once.
Example: The fire also damages the building. In addition to the main building, a garage behind the main building is insured for a $15,000 limit. The loss amount at the main building is $125,000 and at the garage it is $5,000. The insurance company pays $125,000 for the main building and $5,000 for the garage because the deductible was already applied to the business personal property loss. |
An optional deductible endorsement is available. CP 03 20–Multiple Deductible Form applies different deductibles to different coverages or types of property.
Related Article: Deductible Plan
Note: Many associations select a fairly high deductible and then make assessments against the unit owners following a loss to cover the deductible. The unit-owner can add an endorsement to its unit-owner’s policy to cover that deductible assessment.
Related Article:
CP 04 18–Condominium Commercial Unit-Owners Optional Coverages
E. LOSS CONDITIONS
These Loss Conditions apply in addition to IL 00 17–Common Policy Conditions and CP 00 90–Commercial Property Conditions.
Related Articles:
CP 00 90–Commercial Property Conditions Form Analysis
IL 00 17–Common Policy Conditions Analysis
1. Abandonment
The named insured still owns the property after a loss and is responsible for all expenses associated with it, unless or until the insurance company agrees to accept ownership of the property.
2. Appraisal
The insurance company and the named insured may occasionally disagree on the value of property or on the amount of loss. The appraisal condition is designed to resolve these disagreements in a way that does not involve a lawsuit. In the first step, one of the parties decides it has reached an impasse with the other party and makes a written request for an appraisal. Each party then hires an independent appraiser. Each appraiser must be both competent and impartial.
The appraisers then choose an umpire. If they cannot agree on one, they can request that a judge of a court that has jurisdiction over the matter select one. Once all parties are selected and in place, each appraiser states the value of the property and the amount of loss. If both parties agree, the amount of loss is settled. Only disputed amounts are submitted to the umpire. Any decision made by any two of the three is binding on both the insurance company and the named insured.
The expenses associated with this process fall outside the category of expenses the coverage form pays. The named insured pays the following costs or expenses. The insurance company does not reimburse it for them:
The insurance company pays the following costs and expenses. None of these expenses reduce the limit of insurance:
Related Court Case: Insurer Must Accept Decision of Its Approved Umpire
3. Duties in the Event of
Loss or Damage
The named insured is expected to act reasonably after a loss occurs. If not, the company’s obligation to pay the loss may end. The named insured must:
There are cases where the insurance company has the right to refuse to pay the loss. It needs this requirement to protect its interests, which include being certain that the claim is legitimate as well as making sure there is a chance that the responsible parties are found and punished. When theft of property is involved, police involvement increases the chances that the property will be recovered.
This condition states that the insurance company must be reasonable in its requests. The term “reasonable” is not defined, so there may be disagreements as to what is and is not reasonable. For example, the company may send multiple individuals to visit the property in order to be thorough while the named insured may consider these visits as intrusive, time consuming and merely delaying tactics to slow down the settlement. While the essence of this condition is to prevent the company from harassing the named insured, it also benefits the insurance company. Because of the way it is written, an uncooperative named insured cannot claim that a single visit is sufficient for the company to adjust and settle a loss.
Related Court Case: Uncooperative Insured Can't Seek Arbitration (Classic)
Note: If the company's requests are unclear and the named insured is confused, any delay in providing the information cannot be used as an excuse to deny coverage.
In addition to the points outlined above, the insurance company has the right to examine any insured under oath. The examination can take place without another insured being present. The examinations can be done as often as necessary with respect to anything related to either the insurance coverage or the claim itself. They can include examinations of the named insured's books and records. In all examinations, the written document used to record the insured's answers must be signed.
Related Court Case: Insured Fails to Produce Required Documents Following Fire Loss
Note: Loss investigation is a serious part of the insurance claims process. The insurance company must have complete access to information as necessary to investigate and settle the claim. This may include information the named insured would rather not to disclose. Claims adjusters want to believe their insurance customers are honest but the sheer number of incidents of fraud makes them cautious. While the insurance company cannot use intimidation or harassment, it must still be diligent in order to protect its assets and to prevent or limit fraud.
4. Loss Payment (10 12
change)
a. and b. The insurance company must use one of the four options below to settle a claim:
The value of damaged or destroyed property or the cost to repair or replace it is based on the terms of the valuation condition of the coverage form or any other provision that amends or replaces the valuation condition.
Related Court Case: Appraisal Had To Address Ordinance and Law Enforcement for Roof Damage Repairs
c. The insurance company must tell the named insured the option it plans to use within 30 days after receiving a properly prepared, signed, and sworn proof of loss.
d. Insurance is meant to indemnify, not reward. As a result, the insurance company does not pay more than the named insured's financial interest in the covered property at the time of loss up to the actual cash value of the damaged property.
e. The insurance company has the right to adjust claims for loss or damage to property the named insured does not own directly with that property owner. The settlement will satisfy all claims for that damaged property against the insurance company. The most paid is the property owner’s financial interest in the property
f. The insurance company that provides the property coverage may decide to defend the named insured against suits due to claims the property's owner brings. In such cases, the insurance company covers the expense.
g. The insurance company must pay a covered loss within 30 days of receiving the named insured's signed and sworn proof of loss. This obligation depends on the named insured meeting all policy conditions as well as any of the following determining the value of the loss:
If the named insured names an insurance trustee, the insurance company continues to adjust the loss with the named insured and then pays the trustee. Once the trustee is paid, the named insured’s claims are considered satisfied.
h. Buildings that abut one another often share a party wall. This wall separates the two buildings but is also part of each building. Loss settlements are not affected if the same insured owns all buildings. However, loss settlements may be more difficult if different insureds own the shared party wall.
When both building owners plan to repair and rebuild, the insurance company pays its insured’s proportional share of the damage to the party wall. However, the insurance company pays the full value of the party wall if its insured wants to rebuild but the other building owner does not. The paying insurance company then has the right to subrogate against the adjoining building’s owner.
5. Recovered Property
Either the named insured or the insurance company may recover property after a loss is paid. In that case, the recovering party must promptly notify the other and inform it of the recovery. The named insured has the right to decide whether to return the claim payment and keep the recovered property or allow the insurance company to keep the recovered property. The insurance company is responsible for recovery expenses and any repairs to the recovered property, subject to the limit of insurance.
If any unit-owner has insurance that covers the same property as this coverage form, this coverage form is primary insurance. This item goes on to say that because it is primary it is not intended to contribute with any other insurance.
Example: The Valley View Condominium bylaws state that it must provide insurance coverage for all kitchen appliances. Mavis owns a condominium and has HO-6 coverage that provides full coverage for her kitchen appliances. There is a fire and the appliances are destroyed. This loss condition requires that Valley View’s coverage pay for the appliances – not Mavis’s HO-6. |
Insurance companies are interested in insuring successful and ongoing businesses. Risk pricing contemplates an active occupancy. As a result, rates on vacant properties are heavily surcharged. Because vacancy is often discovered only after a loss occurs, the loss conditions dramatically limit coverage if the insurance company was not informed of the vacancy in advance.
This condition has harsh penalties. As a result, it is very important to understand the definition of vacancy. The definition depends on whether the named insured is a tenant or a building owner. If the named insured is a tenant, the only part of the building considered when analyzing vacancy is the portion it occupies. That portion is considered vacant when the business personal property on premises is not sufficient for the tenant to conduct its customary operations.
If the named insured is the building owner or a general lessee, the entire building is considered in determining vacancy.
Note: Vacancy is determined building by building – not premises by premises.
The building is vacant unless at least 31% of the total square foot area is:
The key word is customary.
Example: Industrial Showplace is a commercial condominium. It is one building with multiple unit-owners all of whom are retailers. A loss occurs and the insurance company’s adjuster discovers that due to a sudden economic downturn, 90% of the building is being used for storage. The company denies the claim because the building is vacant according to the coverage form’s wording. |
Buildings under construction or being renovated are not considered vacant. Questions could arise as to how long a project can be considered under construction and under renovation. If a building is being renovated but the renovation is moving slowly because the condominium association is not allocating funds for the renovation because the board is aware that no buyers are currently interested in purchasing the open units, how long will it be before that building is considered vacant?
Example: The Retail Condominium Community consists of four separate buildings. Building # 1 has three units and is fully occupied. Building # 2 also has three units but two are in foreclosure and vacant. The one remaining unit accounts for only 20% of the space. The two foreclosed units have been vacant for more than 6 months. Building #3 consists of five units. One that represents 15% of the building is currently vacant and for sale. Building #4 is a single unit that has just transferred ownership but is undergoing major renovation work before the new owner moves in. A major storm comes through and damages all four buildings. Based on the definition of vacancy, Buildings # 1 and # 3 are not vacant and are fully covered. Building # 2 is vacant and is subject to the vacancy penalty. Building # 4 is being renovated, is not considered vacant, and is not subject to the vacancy penalty. |
Having defined vacancy, the vacancy condition can be stated. If the building damaged by a covered cause of loss has been vacant as defined above more than 60 consecutive days before the date of loss the following apply:
Example: Building #3 in the Retail example above is penalized only 15% because storm damage caused the loss, not one of the Causes of Loss above. |
Related Court Case: Vacancy Exclusion Held Applicable When Building Was Devoid of Substantial Warehouse Contents
Related Article: Vacancy
The value of covered property at the time of covered loss or damage is determined as follows:
a. Actual cash value at the time of loss except as described below. This coverage form does not define actual cash value, but court decisions refer to it as replacement cost new minus accumulated depreciation.
Note: G. Optional Coverage 3. Replacement Cost, described later in this analysis, replaces actual cash value valuation with replacement cost valuation.
b. The insurance company pays the building loss at full replacement cost value if the building limit of insurance meets the requirements of F. Additional Conditions 1. Coinsurance and the cost to repair or replace it is $2,500 or less. This is a bonus to the named insured for carrying a limit of insurance that satisfies the coinsurance requirement.
This cost does not include any increased costs due to any ordinance or law that affects construction or use being enforced or complied with.
This item has exceptions. The following property remains valued at its actual cash value, whether or not attached to the building.
c. Damaged glass that is required by law to be replaced with safety glass and is replaced with safety glass, even when the damaged glass was not safety glass.
This important loss condition waives rights of recovery against individual unit-owners. This is because the unit-owner is actually one of the condominium’s owners and subrogating against a unit-owner is like the named insured subrogating against itself. The insurance company voluntarily waives any right to recover payment from any unit-owner of the covered condominium described on the declarations.
Note: This provision does not prevent the insurance company from subrogating against tenants who rent a unit from a unit-owner and similar examples.
Example: Phil is careless. He leaves the stove’s burner on while he goes to the store and winds up burning down his condominium unit and three others. The Fairfax Condominium Association insurance company pays the building loss but does not subrogate against Phil due to the waiver of rights of recovery loss condition in the coverage form. However, the company could have subrogated against Phil if Fairfax wrote its coverage under CP 00 10–Building and Personal Property Coverage Form or if Phil had been a renter instead of an owner of the unit. |
F. ADDITIONAL CONDITIONS
These two additional conditions are extremely important. Mistakes in either can be extremely costly.
1. Coinsurance
This condition applies only if there is a coinsurance percentage on the declarations. The insurance company does not pay the full amount of any loss if the value of the covered property at the time of loss multiplied by the coinsurance percentage on the declarations exceeds the property's limit of insurance.
It is important to understand that coinsurance is not required or mandatory. However, it is recommended because pricing is surcharged significantly when coinsurance is not selected. The lower premium is provided on the condition that the named insured maintains a limit of insurance equal to the selected 80%, 90%, or 100% of the value of the covered property. If a coinsurance percentage is agreed to and the insured does not meet its limit of insurance obligation, a coinsurance penalty is applied to any loss sustained.
Note: The named insured can select the Agreed Value option and not be subject to coinsurance or the coinsurance penalty. This option is analyzed in G. Optional Coverages.
The coinsurance penalty is calculated as follows:
Step 1. Determine the value of the covered property at the time of loss. The value of the property as of the policy inception date is irrelevant.
Example: Skyview Condominiums’ policy covers its buildings. The total appraised value was $1,000,000 on the inception date. Skyview decides to use the 80% coinsurance and purchases an $800,000 limit. The Board does not change the limit for three years. A fire occurs during the third policy period and the building is appraised at $1,200,000. The value of the loss is $500,000. The appraised value used to determine the coinsurance penalty will be the $1,200,000 value at the time of loss, not the $1,000,000 value at policy inception. |
Step 2. Multiply Step 1. by the coinsurance percentage on the declarations. There is no penalty if the result is greater than the limit of insurance. However, if the result is less than the limit of insurance, go to step 3.
Options available are 80%, 90%, 100%, or none. The premium is surcharged if the no coinsurance option is selected. Property rates are developed assuming 80% coinsurance and are not surcharged or credited. Limits that reflect 90% coinsurance are credited 5% and those that reflect 100% coinsurance are credited 10%.
The limit of insurance does not have to be the value multiplied by the coinsurance. It should be based on the maximum value expected during the policy period. If fluctuating values are expected, the named insured should consider writing coverage on a reporting form or using the peak season endorsement.
Related Articles:
In some cases, the named insured may decide to insure at 100% value of the property but keep the coinsurance at 80% or 90% so the limit is adequate in case of unanticipated value increases and to avoid a coinsurance penalty.
Step 3. Divide the limit on the declarations by Step 2 to develop
the coinsurance penalty factor.
Step 4. Multiply the loss amount by Step 3 before applying the deductible.
Step 5. Subtract the deductible from step 4.
The insurance company pays the lesser of the amount determined in Step 5. or the limit of insurance. The named insured pays any difference.
Example: Skyview Condominiums’ limit is $800,000 with an 80% coinsurance clause and a $1,000 deductible. The loss amount is $500,000. The property’s value on the date of loss is $1,200,000. Skyview sustains a coinsurance penalty as follows: Step 1. The value on the date of loss is $1,200,000. Step 2. $1,200,000 X .8 = $960,000 Step 3. $800,000/$960,000 = .833 Step 4. $500,000 X .833 (penalty) = $416,500 Step 5. $416,500 - $1,000(deductible) = $415,500 The insurance company pays $415,500. Skyview is responsible for the remaining $84,500. |
This coverage form includes three useful examples that explain how the coinsurance condition applies. The coinsurance condition may be suspended by selecting G. Optional Coverages 1. Agreed Value which is analyzed later in this article.
Related Article: Coinsurance Clause
2. Mortgageholders
Mortgageholder is not defined in this coverage form except to state that trustees are included as mortgageholders. The insurance company pays for covered loss or damage to buildings or structures to each listed mortgageholder in the order of precedence and as its respective interest appears. The mortgageholder must prove its interest at the time of loss.
The mortgageholder retains the right to receive loss payments even when foreclosure proceedings or similar actions are being taken against the insured. However, it loses those rights after the foreclosure is complete because at that point the named insured no longer has any interest in the property. Instead, the bank is the owner and its policy should respond.
If the insured’s claim is denied because of actions taken by the insured, or because it failed to comply with any of the coverage form's terms and conditions, the mortgageholder retains its right to receive loss payments but only if it has done all of the following, as applicable:
Once the mortgageholder takes such intervening action, the terms of the coverage form apply to the mortgageholder because it assumed the named insured's position.
If the insurance company pays the mortgageholder for a covered loss or damage but refuses to pay the named insured because of its actions or because it did not comply with the terms and conditions of the coverage form both of the following apply:
The insurance company has the option to pay off the entire mortgage, including accrued interest. If it does, it owns the mortgage and the named insured must pay the remaining mortgage debt to the insurance company.
If the insurance company cancels the policy for non-payment of premium, it must give at least 10 days prior written notice to the mortgageholder before the cancellation takes effect. It must give at least 30 days written notice to the mortgageholder for any other reason.
If the insurance company decides to not renew the policy, it must give at least 10 days written notice to the mortgageholder prior to the expiration date.
Related Court Case: Payment of Policy Proceeds to Insured Did Not Relieve Insurer of Obligation to Mortgagee
G. OPTIONAL COVERAGES
This coverage form has four optional coverages. They are optional because they apply only if there are entries for them on the declarations that indicate they have been selected. The optional coverage may apply to one type of coverage but not another. As a result, the entries on the declarations must be very precise.
1. Agreed Value
The coinsurance condition includes serious penalties if the value of covered property at the time of loss is less than the value the coinsurance clause requires. While the agreed value option gives the named insured an alternative valuation technique, it is also subject to certain conditions and requirements.
The coinsurance condition does not apply when the named insured selects this optional coverage. Instead, the insurance company does not pay more for covered loss or damage to covered property than the proportion that the limit of insurance bears to the agreed value on the declarations.
An expiration date for the agreed value option must be entered on the declarations. If its expiration date is before the policy expiration date and is not extended by endorsement, the coinsurance condition is reinstated, and the option no longer applies. This optional coverage applies only to loss or damage that occurs on or after the effective date of this optional coverage and before the expiration date of the agreed value option date on the declarations or the policy expiration date, whichever is earlier.
Note: This option is called agreed value because the insurance company and the named insured agree that the value is adequate based on documentation submitted to substantiate the values. Before extending the option, updated documentation must be submitted so that a new agreed value can be determined.
2. Inflation Guard
This option gives the named insured a certain degree of flexibility. It is used primarily on real property, not personal property. The named insured selects an annual inflation rate. The insurance limit automatically increases by the inflation rate selected during the course of the year. As a result, if a loss occurs, the new limit as of the date of loss is determined before any loss calculation is done.
The new limit is calculated as follows:
Step 1. Determine the limit of insurance that applies to the loss.
Step 2. Multiply the limit in Step 1 by the decimal version of the annual increase percentage selected on the declarations.
Step 3. Determine the number of days since the limit was last changed.
Step 4. Divide Step 3 by 365
Step 5. Multiply Step 2 by Step 4 to determine the increase.
Step 6. Add Step 5 to Step 1 to determine the limit of insurance that applies to the loss.
Example: Kingsway Condominium was issued on January 1 with a building limit of $2,000,000 and a 6% inflation guard factor. The limit is increased to $2,350,000 on June 1. A loss occurs on July 1. The revised limit of insurance is calculated as follows: Step 1: $2,350,000 is the limit because the loss occurred after June 1. Step 2: $2,350,000 X .06 = $141,000 Step 3: There are 30 days between June 1 and July 1. Step 4: 30/365 = .082 Step 5: $141,000 x .082 = $11,562 Step 6: $11,562 + $2,350,000 = $2,361,562 |
Note: When G. Optional Coverages 2. Inflation Guard is included; the renewal limit should be reviewed carefully. If the inflation guard factor is 8%, the limit at renewal should be at least 8% higher or the renewal limits are actually a reduction in limits from the prior term.
Example: · Policy term: 01/01/19 to 01/01/20 · Limit of insurance: $3,000,000 · Inflation guard factor: 8% · Limit of insurance as of 12/31/19: $3,000,000 X .08 = $3,240,000 The named insured that wants the policy renewed "as is" should be reminded that this means a renewal limit of $3,240,000. This reflects the original limit increased by the annual inflation guard factor. Renewing for the $3,000,000 limit would be a reduction in limits. |
3. Replacement Cost (10 12
change)
a. The Valuation Loss Condition is amended by replacing Actual Cash Value with Replacement Cost. This means that there is no deduction for depreciation of property when determining payment for property damaged or destroyed by a covered cause of loss.
b. Replacement cost valuation does not apply to:
With respect to this optional coverage, personal property of others does not include property that all unit-owners own indivisibly, or property covered under Paragraph A. 1. a. (6).
c. The insurance company does not force the named insured to accept replacement cost valuation. It can accept a settlement based on actual cash value. The named insured can later make a claim based on replacement cost as long as it notifies the insurance company within 180 days after the date of loss that it wants to exercise the replacement cost option. The reason to accept an actual cash value settlement and then revert to replacement cost is to obtain initial funds to begin the process to repair or replace the loss or damage.
d. The insurance company does not pay on a replacement cost basis until the property damaged or destroyed is actually repaired or replaced. Replacement cost may not apply if the arrangements for repairs or replacement are not made as soon as possible after the date of loss.
Related Court Case: Building Not Repaired: Replacement Cost Value Denied
Note: The longer the named insured takes to begin to make repairs, the more expensive the loss becomes because of deterioration and general exposure to the elements. Water damage is always a concern, especially in warm climates.
e. The insurance company is obligated to pay only the least of the following amounts:
Note: There is no requirement that the property be replaced with comparable property that is used for the same purpose only that the cost for whatever replacements are made will not exceed the cost of comparable property used for the same purpose.
The named insured has the option to rebuild at a different location. When that option is selected, the amount paid is limited to how much it would have cost to rebuild at the original site with comparable value property that is used for the same purpose.
f. The cost of repair or replacement does not include any increase caused by enforcing or complying with any ordinance or law that applies to the construction, use, or repair of the property.
Related Article: Ordinance or Law Coverage
4. Extension of Replacement
Cost to Personal Property of Others
This extension can be used only when Replacement Cost is selected because it simply modifies it. This coverage removes the exclusion for personal property of others from the above Replacement Cost Optional coverage.
There is one limitation. If personal property of others is subject to a written contract that establishes the named insured's liability for loss or damage to it, valuation of that property is based on the least of:
This coverage form has three defined terms.
This term includes any and all forms of fungus. Mold, mildew, spores, scents, mycotoxins, or by-products that the fungus releases or produces are examples of items considered fungus, but the term is not limited to only them.
Note: 4. Additional Coverages e. Increased Cost of Construction uses this term to restrict coverage.
2. Pollutants
This term refers to any solid, liquid, gaseous, or thermal irritant or contaminant. It includes smoke, vapor, soot, fumes, acids, alkalis, chemicals, and waste. Waste includes materials to be recycled, reconditioned, or reclaimed.
3. Stock (10 12 addition)
This is merchandise held for sale or in storage. Raw materials, goods in process, and finished goods are all considered stock. In addition, supplies that that will be used in the packing or shipping of stock is stock.
CP 00 18 is similar to CP 00 17 except for the following eight sections:
This analysis addresses only the differences between these two coverage forms.
CP 00 18 does not cover buildings.
CP 00 18 considers business personal property to be:
· In or on the building listed on the declarations
·
In or on
a structure listed or described on the declarations
· In the open within either 100 feet of the building or 100 feet of the premises, whichever is greater
·
In or on a vehicle within either 100 feet of building or 100 feet of the premises, whichever is greater
The following is considered Business Personal Property:
Property in the open or
in or on a vehicle is covered when it is within
100 feet of the building or structure or within 100 feet of the premises. The
greater of the two distances determines coverage.
The main difference in this section is that six types of property not covered in CP 00 17 are not specified in CP 00 18. This is because they all relate to building coverage that CP 00 18 does not provide. They are the following:
CP 00 17 and CP 00 18 differ only slightly on the following three items:
CP 00 18 adds one item that applies only to unit-owners. It directly relates to item A. 1. a. (6) under Covered Property.
l. Fixtures, improvements, and alterations that are part of the building/structure and any appliances used for refrigerating, ventilating, cooking, dishwashing, laundering, security, or housekeeping are excluded ONLY if the condominium agreement or bylaws require that the association insure them. Ownership of this property does not have any bearing on whether the items are covered or not.
CP 00 18 does not have Additional Coverage–Increased Cost of Construction because that coverage applies only to buildings.
The Coverage Extensions are identical in both coverage forms. However, Newly Acquired Property in CP 00 18 does not refer to buildings because buildings are not covered property.
The loss conditions in CP 00 17 and CP 00 18 are identical except as follows:
The Mortgageholders Condition in CP 00 17 is not in CP 00 18.
Note: This could significantly affect unit-owners and should be pointed out. CP 12 18–Loss Payable Provisions should be attached to CP 00 18 if a mortgageholder must be named. The Lenders Loss Payable section in CP 12 18 is similar to the wording in the Mortgageholders Condition in CP 00 17 and includes the important notice of cancellation requirement.
Related Article:
Commercial Property Program Available Endorsements and Their Uses
CP 00 17 has three definitions. CP 00 18 has two definitions. Both define pollutants and stock the same way.
CP 00 17 also defines fungus.