(June 2020)
This document is a repository of articles and analyses that relate to earlier editions of the Insurance Services Office (ISO) Boiler and Machinery or ISO Equipment Breakdown Protection Coverage Form.
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ISO Equipment Breakdown Protection Coverage Form Analysis (07 01 edition) |
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ISO EQUIPMENT BREAKDOWN PROTECTION COVERAGE
FORM ANALYSIS (09 11 edition)
Menu Introduction A. Coverage B. Exclusions C. Limits of Insurance D. Deductibles E. Conditions F. Definitions |
INTRODUCTION
The Insurance Services
Office (ISO) Boiler and Machinery Coverage Form was revised with the 07 01
edition and renamed Equipment Breakdown Protection Coverage Form. This name
more accurately and completely responds to the coverage needs of the 21st
century. This change resulted in the development of completely new forms,
provisions and endorsements. The forms have been updated twice since the name
change. This analysis is based on the 09 11 edition. Changes from the 09 07 edition
to the 09 11 edition are in bold print.
EB 00 20 EQUIPMENT BREAKDOWN
PROTECTION COVERAGE FORM ANALYSIS
The coverage form opens by stating that certain provisions in the form
restrict coverage and encourages a careful reading of the entire policy in
order to understand rights and duties as well as to determine what is covered.
It also points out that the insurance company uses the terms you and your to
refer to the named insured and the terms we, us and our refer to the insurance
company providing the coverage. It also directs attention to Section
F–Definitions.
A. COVERAGE
1.
Covered Cause of Loss
The only covered cause of loss is a breakdown to covered equipment. Both breakdown and covered equipment are defined terms that are explained in great detail in Section F. Definitions.
2.
Coverages Provided
Insurance applies only to the coverages having a limit or the word INCLUDED next to them on the declarations. If an entry is not made, that coverage is not provided.
The limit of insurance provided for each coverage is the primary limit. If INCLUDED appears next to a coverage, that coverage is included in the total limit per breakdown.
Each coverage provided applies only to the part of any loss that results directly from the covered cause of loss. Ten coverages are available.
a.
Property Damage
This coverage pays for direct damage to covered property but only while that property is at the premises on the declarations.
b.
Expediting Expenses
This coverage is available to help the named insured return to full operations as quickly as possible. Following a direct damage loss, payment is made for the extra costs that are incurred to make temporary repairs. Payment is also made for costs incurred to make permanent repairs or replace the damaged property faster than standard.
Example: A production boiler at Perfection
Products breaks down. The damage is too extensive for repair and a new boiler
must be ordered. Delivery and installation will take three months. Ready
Helper, Inc. has the identical boiler and is willing to immediately sell and
ship it to Perfection at its cost plus 10%. Expediting Coverage will pay that
10% extra cost so that the boiler can be installed and operations resumed immediately
instead of in three months. |
c.
Business Income and Extra Expense or Extra Expense Only
The insured can choose to purchase combined business income and extra expense coverage or only extra expense coverage. There is no option to purchase only business income coverage.
If the insured purchases combined business income and extra expense coverage, the insurance company pays the insured’s actual loss of business income during the period of restoration, as well as the extra expenses necessarily incurred to operate the business during the period of restoration. If coverage for only extra expense is purchased, there is no coverage for business income.
The company determines payment by analyzing how the business was doing prior to the loss and then estimating how the business would have fared had the loss not occurred.
The period of restoration ends five days after the covered equipment is back in service but another number of days can be entered on the declarations to extend this time period.
If ordinance or law coverage is provided, the period of restoration is extended to include the additional time needed to demolish, remove, repair, remodel or rebuild in accordance with the ordinance or law.
If media is damaged or data is lost or corrupted there is coverage for the actual loss of business income and/or extra expense for the period of time needed to research, replace or restore the media or data and also to reprogram the computer equipment. There is no coverage for media or data that is not replaced or restored or that cannot be replaced or restored.
This media coverage is limited to the actual loss of business income and/or extra expense for a maximum of 30 days following the period of restoration, or $25,000, whichever is less. A higher limit can be entered on the declarations.
Example: The computer at
Perfection Productions is damaged and half of its data is destroyed.
Perfection estimates it will take two months to totally restore the lost
records. As the work is being done it is determined that many of the files
can’t be restored. This reduced the amount of down time to one month. This
coverage applies only for the one month time period, not the two months that
would have been needed if all files had been restored. |
d.
Spoilage Damage
Coverage applies for the spoilage of raw materials, property being processed and finished products. In order for there to be coverage all of the following must apply:
· The covered items must either be in storage or in the manufacturing process
· There must be a written contract making the named insured legally liable for the nonowned items or the named insured must actually own the items.
· Lack of or excess of power, light, heat, steam or refrigeration must cause the spoilage.
Example: Perfection
Products' bad luck continues. This time a boiler breakdown causes a
refrigerated line to go down for almost two hours. As a result, the raw milk
product being processed spoils and must be discarded. This coverage applies
to the value of the spoiled milk. |
|
If the named insured incurs expenses in order
to reduce the spoilage loss, there is coverage for those expenses but only up
to the amount those expenses reduce the loss.
e.
Utility Interruption
This protection is available only if one or more of the following coverages is in force:
· Business Income And Extra Expense
· Extra Expense
· Spoilage Damage
The purchased coverage is extended to include loss or damage when utility services are interrupted. However, all of the following conditions must be met in order for this extension of coverage to apply:
(1) A breakdown to covered equipment belonging to the utility that supplies the named insured’s utility services must occur and directly cause the interruption
(2) The covered equipment that breaks down must supply electric power, communication services, air conditioning, heating, gas, sewer, water or steam to the insured’s premises
(3) The interruption of utility service must last longer than the waiting period number of days on the declarations. Coverage starts once that waiting period ends but payment is still subject to other deductibles in the coverage form.
Example: Using the previous situation above, if the
refrigerated line had gone down because of an offsite utility failure,
coverage would have been denied. Instead the loss could have been covered
under Utility Interruption. |
f. Newly Acquired Premises
Coverage applies automatically at premises the insured newly purchases or leases during the policy period. As soon as the property is leased or purchased and for as many days as are on the declarations for this item, there is coverage.
The broadest coverage provided at any insured premises applies to the newly acquired property, subject to the terms, and conditions in the coverage form. The limits and deductibles for the newly acquired premises are the highest amounts that apply to an existing premises. The insured must inform the insurance company of the acquisition in writing as soon as practicable and pay the appropriate additional premium.
Example; Perfection Products has four locations. The limits are
$200,000, $300,000, $400,000 and $500,000, respectively. Each location is
subject to a 5% deductible. Perfection purchases a new premises and before it
can notify the company, a loss occurs. The limit for that location is $500,000
subject to a 5% deductible. |
g. Ordinance or Law Coverage
The Ordinance or Law exclusion eliminates coverage for any increase in loss due to enforcement of ordinances or laws regulating repair, replacement or reconstruction of a building or structure. This coverage pays such costs, within certain guidelines, if the increase in the amount of loss is necessary due to the enforcement of any laws or ordinances in force at the time of the breakdown that regulate demolition, construction, repair or use of the building or structure.
(1) Coverage is provided for the following when necessitated by the enforcement of ordinances or laws that require the undamaged portions of a building damaged by a covered loss to be demolished:
· Loss in value of the undamaged part of the building or structure
· Costs to demolish and clear the site of such undamaged parts but only if actually incurred
Also the increased costs to repair and reconstruct the building's damaged portions and reconstruct or remodel undamaged portions with similar property, either on the same premises or another are covered.
(2) Coverage does not apply for any of the following:
· Any costs to demolish and clear the site until the building is demolished and cleared
· Any increases in loss until the damaged building or structure is actually rebuilt and approved by the appropriate government agency
· Any ordinance or law cost increase if the ordinance or law should have been complied with prior to the loss
· Costs for changes that exceed the minimum requirements of ordinances or laws in effect at the time of the breakdown
· Increases in loss because of a hazardous substances declaration by any government agency
· Costs associated with the enforcement of any ordinance or law the requires demolition or reconstruction because of the presence or activity of fungus, wet rot or dry rot
· Costs associated with enforcement of any ordinance requiring testing, monitoring, clean up or other responses by the insured or others to the effects of fungus, wet rot or dry rot
(3) The insurance company does not pay the full amount of loss under this coverage when both covered and uncovered losses are sustained by the building. If the total building damage results in ordinances or laws being enforced, this coverage pays only the proportion of such loss that the covered breakdown portion of the loss bears to the total of all physical damage.
Example: A covered building is valued at $500,000. It sustains $300,000 in damage from equipment breakdown and a fire. A local ordinance requires installation of special upgrades any time building damage is 50% or more of its value. Enforcement of this ordinance results in an additional loss of $80,000. The breakdown portion of the loss is $75,000, or 25% of the total, and the fire portion of the loss is $225,000, or 75% of the total. Since the breakdown portion of the loss is 25%, only 25% of the additional loss due to enforcement of the ordinance, or $20,000, is covered. If the insured
purchased Ordinance or Law Coverage under its Commercial Property Coverage
Form, it would respond to the remaining $60,000 of the additional loss due to
enforcement of the ordinance. |
If building damage that is not covered under this form is the reason the ordinance or law provision was triggered, this coverage does not apply even when there is covered damage from a breakdown. The commercial property coverage form insuring the damaged building is responsible for the entire amount due under ordinance or law coverage.
Example: A fire damaged a five story building in the downtown
area. It was a brick building and due to local ordinance, because it was over
50% damaged, it was required to be torn down. If rebuilt, the construction
would need to be masonry noncombustible or better. The fire also caused a covered
breakdown loss to the building’s boilers. The breakdown loss is covered but
not this ordinance or law coverage because the fire to the building is what
triggered the enforcement of the ordinance. |
h. Errors and Omissions
This unusual coverage is really forgiveness for forgetfulness. If the insurance company has the right to deny coverage because of any of the following:
· The description or the location of the property was omitted or was in error
· An location that was owned or occupied as of the coverage inception date is not included
· Coverage is cancelled at an insured premises
it won’t exercise that right.
Forgiveness occurs only if the situations are due to unintentional errors or omissions by the named insured. As soon as the named insured is aware of such error or omission, it must be reported to the insurance company and premium paid back to the date when the item property or premises should have been added to the policy.
Note: Coverage does not apply as a result of the insured's error or unintentional omission in reporting of values or the coverage it requested.
Example: Perfection
Products 2nd location runs the same product line as its 4th
location. Perfection accepts an offer from a competitor to purchase the 2nd
location and therefore leaves that location off the renewal application.
Unfortunately, the sale falls through. Even more unfortunately, Perfection
completely forgets to notify the insurance company that coverage on that
location should continue. Even worse, a significant loss occurs at the
location after the policy renews that suddenly reminds Perfection of its
oversight in this matter. However, the story has a happy ending because this
coverage pays for Perfection's unintentional omission of this location from
its renewal specifications. |
i.
Brands and Labels
If the insurance company decides to take the named insured’s property as part of a claim settlement, the named insured can perform the following actions on that property prior to relinquishing it to the insurance company:
· Stamp SALVAGE on the merchandise or its container. This option is available only if doing so will not physically damage the merchandise.
· Remove the brands or labels. The items must be relabeled in a way that complies with applicable laws. This option must be handled in such a manner that the merchandise is not damaged.
The insurance company pays reasonable costs that are incurred to perform either of these tasks but the combination of these costs plus the values of the merchandise cannot be more than the applicable limit of insurance for the property.
Example: Perfection
Products manufactures and sells a line of action figures under its own name.
An accident occurs that causes smoke damage to the packaged actions figures.
Perfection and its insurer agree on a settlement for the damaged merchandise.
The insurer plans on selling all items as salvage. Perfection agrees but
before relinquishing the inventory it arranges to have all packaging stamped
with the word SALVAGE. The insurer must accept the salvage as marked and also
pay for the stamping costs. |
j.
Contingent Business Income and Extra Expense or Extra Expense Only Coverage
This coverage is subject to the same terms and conditions as Business Income and Extra Expense or Extra Expense Only coverage.
Coverage applies to any loss sustained by the named insured because of a breakdown of covered equipment at a premises the insured neither owns nor operates. The loss must negatively affect the insured's ability to deliver its products or services, or must result in lower sales at any insured location on the declarations.
Coverage applies only for contingent locations scheduled on the declarations and only for loss of income and extra expense or extra expense for the scheduled sales, services or materials.
The named insured must do everything it can to influence the contributing or recipient business to resume its operations. The named insured is to cooperate with contributing or recipient properties in every way possible, except for providing financial assistance not authorized by the insurance company.
Example: The demand for Perfection’s action figures is exceeding its ability to produce them internally. They contract with Teeter Totter Toys to produce additional action figures under Perfection’s label in order to meet demand. Unfortunately, Teeter's production line's primary power train breaks down under the strain of the additional demands and all production ceases. Perfection tries to influence Teeter to spend additional sums to expedite replacing the drive train and resuming production, but to no avail. Replacement parts are simply not available outside normal distribution channels and time frames. Perfection has to
swallow hard and suffer the loss of unmet sales. The good news is that,
because of this contingent BI coverage, the loss of expected business income
from the products Teeter Totter would have produced is covered. |
B. EXCLUSIONS
This coverage form has 21 exclusions. They apply whether the loss event results in widespread damage or affects a significant geographical area or not and are 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.
Note: Several of the exclusions are similar to exclusions found in commercial property coverage forms.
1.
Ordinance or Law
If the enforcement of ordinances or laws that regulate the repair, use, operation, installation, clean up or disposal of covered property increase the loss amount, there is no coverage for that increase.
There is one exception. If the ordinance or law applies to the use or operation of the electrical supply or emergency generating equipment located at a hospital and damaged by a breakdown, there is coverage.
2. Earth Movement
Loss or damage due to earth movement is
excluded. Earthquake, landslide, land or mine subsidence and volcanic action
are examples of earth movement but the exclusion is not limited to these.
3. Water
a. All damage from flood, surface water, waves,
tides, tidal water, overflow of a body of water is excluded. This applies to
not only the water on the ground but also any spray from them. It applies even
if the water is driven by the wind or even if considered a storm surge. The
term waves includes tidal waves and tsunamis.
b. Mudslide or mudflow related damage is not covered.
c. Damage caused when water is discharged from a
sewer, drain, sump, sump pump, or other similar equipment is not covered. The
discharge could be an overflow or back up or any other type of discharge.
d. Sprinkler
system or domestic water piping discharge that causes water damage is not covered.
e. Water damage from underground water seeping
into doors, windows, floors, surfaces, foundations and basements is not
covered.
f. Damage caused by this material carried by
waters described in items a., c, and
e.
above, or by any material moved or carried by mudslides or mudflow
described in item b. above, is not
covered.
Example: The river was moving fast and picked up
trees, docks and more. Mavis was relieved that the flood did not enter her
warehouse but was upset that a waterborne tree crashed against her foundation
and caused an opening that allowed water into her air conditioning units.
Because of this exclusion the breakdown of the air conditioning unit is not
covered. |
There is no coverage if the water damage is due to an act of nature or is
caused in any other manner. An example is given that if a seawall is breached
and allows water in, this exclusion continues to apply.
4. Nuclear Hazard
The insurance company does not pay for loss or damage from nuclear reaction, radiation or radioactive contamination. The exclusion applies regardless how such incidents are caused.
5. War or Military Action
This exclusion lists three specific types of warlike activity that are not covered. War can be undeclared or a civil war. It is important to determine who can declare war. In any action that constitutes war, coverage does not apply. In addition, any action involving military forces and/or military agents is not covered. Finally, rebellions, revolution, usurped power, insurrection and any government response to any of them are not covered.
Note:
Terrorism is not listed.
6. Explosion
There is no coverage for loss or damage caused by explosion. However, coverage does apply to explosions of covered equipment of steam boilers, piping, turbines or engines; electric steam generators; or gas turbines. There is also coverage if centrifugal force or mechanical breakdown causes an explosion in moving or rotating machinery.
7. Fire or Combustion Explosion
Loss or damage caused by a fire or combustion
explosion. There is no coverage even if the fire or combustion causes a
breakdown. Coverage is excluded even if the fire or explosion occurs at the
same time as or ensues from a breakdown.
Note: These events are insured under the insured's Commercial Property Coverage Form. This exclusion prevents the Equipment Breakdown Protection Coverage Form from responding to a fire loss, resulting in duplicate coverage.
8.
Fungus, Wet Rot and Dry Rot
Coverage does not apply to loss or damage
caused because of the presence or any activity of fungus, wet rot or dry rot.
However, if such activity or presence causes a covered breakdown, that covered
breakdown loss or damage is covered.
In part C. Limits Of Insurance, Item 6.
Limited Coverage for Fungus, Wet Rot and Dry Rot, some coverage is provided and
this exclusion does not preclude such coverage. However, even that coverage
applies only for the portion of loss or damage caused by the presence or
activity of fungus, wet rot or dry rot resulting from a covered breakdown.
9.
Virus, Bacterium or Other Microorganism
There is no coverage for any loss because of
any virus, bacterium or other microorganism that causes or could cause physical
distress, illness or disease. However, if these items cause a breakdown, that
loss or damage is covered. Also, if an item could be considered excluded in
this exclusion or in exclusion 8. above, the terms of exclusion 8. prevail.
This exclusion does not create coverage so any item that is excluded throughout the policy continues to be excluded even after the addition of this exclusion.
10. Furnace Explosion
Loss or damage caused by or resulting from an
explosion within the furnace of a chemical recovery boiler or its piping to the
atmosphere is not covered.
Note: These explosions are covered under the Commercial Property Coverage Form.
11. Pressure or Electrical Testing
When covered equipment becomes damaged during
either pressure or electrical testing, there is no coverage.
12. Fire Extinguishing Agents
When water or any other agents are used to
extinguish a fire there is no coverage for damage regardless whether the
extinguishing attempt was successful.
13. Depletion, Deterioration, Corrosion,
Erosion, Wear or Tear
Depletion, deterioration, corrosion, erosion,
wear and tear losses are excluded unless a breakdown occurs and then only for
the damage caused by the breakdown.
14. Other Insurance
Loss or damage resulting in a breakdown is not covered if the breakdown was caused by aircraft, vehicles, freezing, lightning, sinkhole collapse, smoke, riot, civil commotion, vandalism, or the weight of ice, sleet or snow.
This exclusion applies only if coverage against these causes of loss is provided by other insurance coverage carried by the named insured and applies whether or the named insured can collect it.
Example: Vandals break into the boiler room at Mendleton Apartments because they are angry at their landlord. They destroy piping and rip out control panels. Because of this activity the boiler overheats and suffers a mechanical breakdown. Mendleton has vandalism coverage under a businessowners policy with Acme Insurance Company. The claim is presented to Acme. Acme refuses to pay because Mendleton violated the conditions of his policy. Because other insurance
would have been in effect except for Mendleton’s own actions, there is no
coverage under this coverage for the boiler’s mechanical breakdown. |
15. Windstorm or Hail
When windstorm or hail causes a breakdown,
there is no coverage.
Note: This is covered under a commercial property
coverage form.
16. Delay or Interruption
There is no coverage for delays or
interruptions of any business, manufacturing or processing activities.
However, this type of loss can be covered in Business Income And Extra Expense, Extra Expense Only or Utility Interruption coverages available under this coverage form.
17. Business Income and Extra Expense, Extra Expense Only and Utility
Interruption Coverages
The following additional exclusions apply to
these coverages.
18.
Power, Light, Heat, Steam or Refrigeration
If
covered equipment breaks down and because of that breakdown loss or damage
occurs to property because of too much or too little power, light, heat, steam
or refrigeration there is no coverage for that damaged property.
However, this type of loss can be covered in Business Income and Extra Expense, Extra Expense Only, Spoilage Damage or Utility Interruption coverages available under this coverage form.
19. Utility Interruption Coverage
With respect to only Utility Interruption
Coverage, there is no coverage for any loss that is a result of any of the
following.
This exclusion applies whether or not coverage for any of these causes of loss is provided by other insurance coverage.
Note: Load shedding is the intentional reduction or cutting off of service to control overall power requirements.
20. Indirect Breakdown Damage
The only coverage for indirect loss or damage that result from a breakdown to covered equipment available is that provided under Business Income And Extra Expense, Extra Expense Only, Spoilage Damage or Utility Interruption coverages within this coverage form. All others are excluded.
21. Neglect
There is no coverage for loss or damage that results from the named insured failing to take reasonable measures in order to save and protect covered property from further damage during and after a loss.
C. LIMITS OF INSURANCE
Note: This section is called Limits of Insurance but this is much more than the typical limit for an insurance section. A unique condition for public utility entities is in part of this section plus eight additional coverages.
1. The most the insurance company pays for any loss or damage from a single breakdown event is the limit of insurance on the declarations.
2. Payments are not increased if more than one insured is named on the declarations.
3. A limit of insurance or the word INCLUDED must be entered on the declarations for each coverage provided. If INCLUDED appears next to a particular coverage, the limit for that coverage is part of the limit per breakdown, not in addition to it. If a dollar limit appears next to a particular coverage, the insurance company pays up to, not more than, the limit of insurance for that particular coverage.
It is important to note that when a limit is entered for a coverage it is not an additional limit but instead is a sublimit within the per breakdown limit described in Item 1. Using the term INCLUDED provides the named insured with the most flexibility in any settlement.
Example: Responsible
Business, Inc. has $1,000,000 per Breakdown coverage and schedules the limits
as follows: |
|||||
Coverage |
Scenario 1 |
Scenario 2 |
|||
Limit Per Breakdown |
$ 1,000,000 |
$ 1,000,000 |
|||
Property Damage |
$ 1,000,000 |
$ 1,000,000 |
|||
Expediting Expense |
$ INCLUDED |
$ 25,000 |
|||
Business Income/Extra Expense |
$ |
$ |
|||
Extra Expense Only |
$ INCLUDED |
$ 50,000 |
|||
Extended Period Of Restoration (Number Of Days Of Coverage) |
_______ Days |
_______ Days |
|||
Data Or Media ($25,000 Limit of Insurance) or |
$ |
$ |
|||
Spoilage Damage |
$ INCLUDED |
$ 25,000 |
|||
Utility Interruption |
$ INCLUDED |
$ 10.000 |
|||
Coverage applies only if services are interrupted at least |
24 Hours |
24 Hours |
|||
Newly Acquired Premises |
INCLUDED |
INCLUDED |
|||
Number Of Days Of Coverage |
_______ Days |
_______ Days |
|||
Ordinance Or Law |
$ INCLUDED |
$ 25,000 |
|||
Errors And Omissions |
$ INCLUDED |
$ 10,000 |
|||
Brands And Labels |
$ INCLUDED |
$ 10,000 |
|||
Contingent Business Income/Extra Expense |
$ INCLUDED |
$ 50,000 |
|||
Covered Premises: |
$ |
$ |
|||
Sales, Services Or Materials: |
$ |
$ |
|||
Responsible has a covered breakdown loss and submits the following loss
amounts: |
|||||
Coverage |
Actual loss |
Available
Coverage |
|||
Scenario 1 |
Scenario 2 |
||||
Property damage |
850,000 |
850,000 |
850,000 |
||
Extra Expense |
75,000 |
75,000 |
25,000 |
||
Spoilage |
50,000 |
50,000 |
25,000 |
||
Ordinance or Law |
35,000 |
35,000 |
25,000 |
||
Brands and Labels |
15,000 |
15,000 |
10,000 |
||
Total settlement amount |
$1,000,000 |
$935,000 |
|||
The total amount of the loss is $1,025,000 so the Scenario # 1 loss
payment is capped at $1,000,000. Because of the use of sublimits, in scenario
# 2 only $ 935,000 of the $1,000,000 is paid. |
|||||
4. If covered equipment is for the exclusive use of supplying utility services to the insured's premises, is owned by a private or public utility, is not in the insured's possession or for which it is legally liable, and insured under this coverage form, the Property Damage limit on the declarations is deleted. It is replaced by the sum of one dollar. A slightly different provision applies if the insured is a public or private utility. If the insured is a public or private utility, this provision applies only when the covered equipment is owned by a public or private utility other than that the named insured.
Note: The nominal one-dollar limit exists as a technicality. Providing this limit permits the coverage form to provide indirect damage protection for consequential loss to the named insured as a result of damage to this non-owned utility equipment.
5. This coverage form automatically includes five additional coverages. Each is subject to a $25,000 limit, unless a higher limit or INCLUDED is entered on the declarations. These limits are part of the Limit of Insurance for Property Damage or the Limit Per Breakdown, not in addition to them.
a. Ammonia Contamination
This applies when ammonia contamination spoils covered property. Any salvage expense is part of this coverage and the limit provided.
b. Consequential Loss
When a product becomes unmarketable because a separate part of that product is damaged this coverage applies for the reduction in the undamaged product.
c. Data and Media
Costs incurred by the named insured to research, replace or restore damaged data or media. The costs to reprogram instructions used in any computer equipment are included.
d. Hazardous Substance
Additional expenses incurred by the named insured to clean-up, repair, replace or dispose of covered property damaged, contaminated or polluted by a hazardous substance. Ammonia is not considered a hazardous substance. This coverage is not subject to the Ordinance or Law exclusion.
The covered expenses are those additional costs incurred over and above what would have been paid had no hazardous substance been present.
e. Water Damage
Covered property damaged by water unless the damage is because a sprinkler system or domestic water piping leaked. Salvage expense is part of the coverage and limit.
If fungus, wet rot or dry rot results from
such water damage, loss or damage from those substances is limited as described
in 6. Limited Coverage For Fungus, Wet Rot And Dry Rot below and is part of the
Water Damage limit, not in addition to it.
6.
Limited Coverage for Fungus, Wet Rot and Dry Rot
This coverage and limit is added:
a.
Property damage
Loss or damage caused by fungus, wet rot and
dry rot is covered but only if it is a direct result of a breakdown to covered
equipment that occurs in the same policy period. This coverage includes the
cost to tear out and replace covered property in order to access the fungus,
wet or dry rot and also any testing after property restoration but only if
there is a reasonable suspicion that the fungus, wet or dry rot are present.
The limit is $15,000 for all occurrences that take place during any 12-month
period and does not increase the limit of insurance for covered property. The
limit doesn’t increase even if the fungus, wet or dry rot manifest in another
policy period. A higher limit for this coverage can be shown on the
declarations.
b.
Business Income and Extra Expense Or Extra Expense Only
This coverage also applies to Business Income
and Extra Expense or Extra Expense Only if these coverages are provided. The
loss of business income or extra expense must be due solely to loss or damage
to covered property caused by fungus, wet rot or dry rot. It is limited to the
loss or expense sustained in a period not exceeding 30 days. The 30 days are a
maximum amount of time in a year and are not required to be consecutive. A
different number of days can replace the 30 days if entered on the
declarations.
c.
Ordinance or Law
Any coverage purchased for ordinance or law does not extend to coverage for enforcing ordinances related to the demolition, destruction, reconstruction, remodeling or remediation of property because of fungus, wet rot and dry rot presence or activity. There is also no coverage for any type of mandated response to or assessment of fungus, wet rot or dry rot effects.
7. Increased Cost of Loss and Related Expenses for Green Updates (09 11
update)
a. Property Damage
When equipment is damaged and must be replaced, one of the
considerations in replacing it is the environmental impact plus energy
efficiencies. The owner might decide that the energy and environmental savings
from using more efficient or green items more than offsets its higher upfront
cost. This coverage provides for some of those upgrades. The insurance company
pays for:
· The additional expense to provide green upgrades in the repair or replacement of damaged covered property. Raw materials, property in process, finished goods and stock are not included as covered property receiving this expense.
· Additional expenses that relate to:
o Reusing or salvaging the damaged property
o
Making
sure the recyclable damaged property and construction waste is taken to an
appropriate site
o
Using
vegetated roof section in place of damaged roof section but only if installed
following recommendation of a green standards-setter
· Additional costs in hiring an accredited architect or engineer in order repair or replace damaged areas of a building
· Reasonable additional expenses:
o To pay for green standard-setter certification
or recertification fees
o
To pay
equipment testing fees required as part of the certification or recertification
process
o
To flush
out the air in renovated areas and then to test the air quality. This applies
if recommended by the green standards-setter following repair or renovation of
covered property
The items described above are only those above what the insurance
company would have paid if not for the green upgrades.
The insurance company does not pay for further modifications following
the failure of a covered property to gain certification or recertification.
It also does not pay these green additional costs in repairing or
replacing damaged property if it is merely a way to gain points towards
certification or recertification.
The amount payable is 25% of the total property damage loss without the
green updates but the maximum payment is $100.000. These payment limitations
apply only if nothing is entered on the declarations for this coverage.
Note: This may not be how the coverage is intended to apply but the opening line of a policy paragraph states “Unless a different limit or INCLUDED are shown in the declaration” and then describes the percentage limitation and the dollar limitation. This would mean that when the word INCLUDED is shown, there is no percentage or other cap on this coverage other than the One Breakdown limit on the policy.
b. Business Income and Extra Expense Or Extra Expense Only
Coverage for business income and extra expense or extra expense only
must be in place for this coverage to apply. All conditions for that coverage
must be met before this applies.
If using green updates to repair or replace the damaged coverage
property lengthens the period of restoration, this coverage pays for no more
than an additional 30 days. The days are not required to be consecutive. The 30
days can be changed by an entry on the declarations.
c. Green Updates Conditions
This coverage:
· Does not increase any limits of insurance
· Is an exception to the ordinance or law exclusion
· Cannot be used to reduce coverage to repair or replace property that was green prior to the loss or damage.
Example: Fit
and
The
one breakdown limit is $350,000. The amount paid without the green upgrades
is $275,000 so $75,000 is available to pay for all of these green upgrades. |
D. DEDUCTIBLES
1.
Application of Deductibles
Payment for loss or damage resulting from a breakdown does not begin until the amount of loss or damage exceeds the deductible shown in the declarations for the particular coverage. Payment is then made but not for more than the limit of insurance.
Note: Deductibles are applied by coverage with two exceptions:
2.
Determination of Deductibles
This coverage form has five different deductibles:
a. Dollar Deductible
In this case the flat dollar amount shown on the declaration is deducted from any loss settlement to determine the payment amount.
b.
Time Deductible
A time deductible can also be referred to as a waiting period. The insurance company does not pay until the number of hours or days on the declarations after the occurrence of a covered loss have passed. Loss amounts incurred between the time of the occurrence and the end of the designated time or waiting period are the insured's financial responsibility.
Note: A day equals 24 hours.
Example: Lizzie owns a laundry. She has a five-day waiting period
on her Business Income And Extra Expense Coverage. A critical item of equipment
breaks down at 3:20 p.m. on 8/03/11. The breakdown results in the laundry
being shut down until the equipment is repaired. Repairs are finished on
8/08/11 at 1:45 p.m. Business does not resume until the fifth day after the
accident but the repairs are made before five 24-hour periods pass. As a
result, Lizzie receives no payment under the Business Income And Extra
Expense coverage. |
c. Multiple of Daily Value Deductible
A time deductible can be quite disadvantageous to the insured. The initial period after a loss frequently involves significant loss of income and extra expense. Subsequent periods involve less because often arrangements have been made for the business activity to continue and contracts are renegotiated or cancelled. This front loaded deductible disadvantage can be mitigated by developing a more equitable time deductible. It is called the Multiple of Daily Value Deductible and is calculated as follows:
Step 1. Determine the business income that would have been earned for the entire premises where the breakdown loss occurred during the period of restoration if there had been no loss.
Step 2. Divide Step 1 by the number of days the business would have operated during the period of restoration. The result is the daily value.
Step 3. Multiply Step 2 by the number of days shown on the declarations for this deductible.
Step 4. The insurance company subtracts Step 3. from the amount of loss for which it is liable. It then pays the amount of loss or damage that exceeds this deductible amount up to the applicable limit of insurance.
d. Percentage of Loss Deductible
Percentage-of-loss deductibles are often used
in place of dollar deductibles but the application in this coverage form is
different than the way percentage deductibles are applied in other forms. In
this form, the percentage is applied to the amount of the loss instead of to
the value of the covered property.
Example: Major Manufacturing Company has a $1,000,000 Property Damage limit on its Equipment Breakdown Protection Coverage Form. Major sustains a $300,000 loss when its primary assembling equipment breaks down. Here is what Major recovers under three different deductible approaches: |
||
$50,000 Flat
Deductible |
5% Deductible used
in other property forms |
5% Percentage of
Loss Deductible |
$300,000 loss |
$300,000 loss |
$300,000 loss |
–$50,000 deductible |
–$50,000 deductible |
–$15,000 deductible |
$250,000 payment |
$250,000 payment |
$285,000 payment |
e.
Minimum or Maximum Deductibles
This deductible is used with both the Multiple of Daily Value Deductible and the Percentage Of Loss Deductible. It allows the insured to have a definite range of payment.
If the insured selects the Multiple of Daily Value Deductible or the Percentage of Loss Deductible, the deductible amount is calculated and then compared to the minimum and maximum deductible on the declarations. If the calculated deductible falls between the minimum and the maximum, the insured is responsible for the calculated deductible. If the calculated deductible is less than the minimum, the insured is responsible for the minimum deductible. If the calculated deductible is more than the maximum, the insured’s responsibility is for the maximum deductible.
Example: Lizzie chooses a 10% Percentage of Loss Deductible for Property Damage and a five-day Multiple of Daily Value Deductible for Business Income and Extra Expense. Both coverages are subject to a $500 minimum and $5,000 maximum deductible. Lizzie's boiler breakdown causes $60,000 in covered property damage and $15,000 loss of income for the 30 days her operation is shut down. Her daily value is $500. The Property Damage deductible is $60,000 X .10 (10%) = $6,000. Since $6,000 is more than the $5,000 maximum, she is responsible for only $5,000. The Business Income
deductible is $500 X 5 (days) = $2,500. Since $2,500 falls between $500 and
$5,000, Lizzie is responsible for $2,500. |
These conditions are in addition to the Common Policy Conditions.
Note: Many of these loss conditions are similar to those found in commercial property coverage forms.
1.
Loss Conditions
a. Abandonment
The insured cannot surrender or turn over property to the insurance company without its permission.
Example: |
b. Appraisal
If the insured and the insurance company cannot agree on the value of property or the amount of loss, either may request an appraisal of the loss. Each party selects its own competent and impartial appraiser who, in turn, selects an umpire or has one appointed for them. Differences in value or amount that cannot be resolved are submitted to the umpire. A decision by any two parties is binding on all parties. Each party pays its own appraiser and shares the cost of the umpire equally.
Note: Even if there is an appraisal, the insurance company retains its right to deny the claim.
Example: Jane's
production boiler breaks down. Jane and Cheapskate Mutual, her insurance
company, cannot agree on its value. They agree to submit the dispute
to appraisal. Jane selects an experienced appraiser who just happens to be
her brother. Cheapskate selects a totally impartial party who has no
appraisal credentials. Both "appraisers" are rejected because
Jane’s selection is biased and Cheapskate's selection is not qualified. |
c. Defense
If owners of property sue the named insured because of claims, the insurance company has the option to defend the named insured. If the insurance company does provide defense, it does so at its own expense which means it will not lower the amount of insurance available to pay losses.
d. Duties In The Event Of Loss Or Damage
The named insured
has a number of duties to perform if a claim or demand for coverage occurs. It
must:
·
Inform the insurance company of the loss or damage
as soon as possible, including a description of the property involved. As a
minimum, the notice should include information concerning how, when and where
the loss or damage took place.
·
Give the insurance company a reasonable amount of
time and ample opportunity to examine the damaged property before repairs begin
and the physical damage of the breakdown is removed. The insured must also do
whatever is needed to protect covered property from further loss or damage.
·
Allow the insurance company to inspect the property
proving the loss or damage. This includes taking samples of both damaged and
undamaged property for inspection, testing and analysis. The company must also
be permitted to examine the insured's books and records and make copies of any
information needed.
·
Send the insurance company a properly executed proof
of loss on its forms within 60 days of its request to do so.
·
Cooperate with the insurance company as it
investigates or settles the claim.
The insurance company has the right to
examine any insured under oath at reasonable times concerning the claim or the
insurance coverage provided. This includes questions regarding the named
insured's books and records. The insured must acknowledge any examination by
its signature.
Note: The insurance company has the option of examining anyone alone and not in
the presence of any other insured.
e. Insurance under Two or More Coverages
When more than one coverage applies to a single loss, payment is limited to the actual amount of loss or damage, subject to any applicable deductible. No duplicate payments are made.
f. Legal Action against Us
No legal action can be brought against the insurance company until the insured complies with all the terms of the coverage form. In addition, the legal action must commence within two years after the date of the breakdown.
If an obligation to a third party is involved, the insurance company must agree that the obligation exists. This agreement may be the result of arbitration. However, a third party cannot include the insurance company in a legal action to establish the insured’s obligation to that third party.
g. Loss Payable Clause
The insurance company pays any loss to the named insured and the loss payee as their interests may appear. The named insured is paid provided the loss is not caused by conversion, secretion or embezzlement by the named insured. If a cancellation notice is mailed to the named insured, a similar notice must also be mailed to the loss payee. When payment is made to the loss payee, all of its rights that apply to that loss pass to the insurance company.
Note: An important right that passes to the insurance company is the right to subrogate against third parties possibly responsible for the loss.
h. Other Insurance
If other coverage identical to that provided under this coverage form applies to the same loss, this coverage form pays on a proportional basis.
If other coverage on a different basis applies to the same loss, this coverage is excess over that other coverage (subject to the limit of coverage that applies to the given loss).
Note: Refer to General Condition 3. Joint or Disputed Loss Agreement for claim situations where a commercial property coverage form and this coverage cover the same loss.
i. Privilege to Adjust With Owner
If loss or damage occurs to property of
others in the insured's care, custody or control, the insurance company has the
right to settle the claim directly with the property owner. Documentation of
the payment to that party satisfies the named insured's claim against the
company.
j. Reducing Your Loss
The named insured must resume business, either partially or completely, within a reasonable period of time after a covered breakdown loss. It must also attempt to make up for lost business within a reasonable period of time that may not necessarily end when operations resume.
The insured must use all reasonable means to minimize or avoid a business income loss. This includes:
·
Working extra time or overtime to continue
operations at the same or another owned or acquired premises
·
Working with and/or sharing property or services of
other business
·
Using other owned equipment, property or merchandise
on hand or readily available
·
Using the salvage from damaged covered property.
k. Transfer of Rights of Recovery against
Others to Us
The rights to recover from a third party of
anyone for whom the insurance company has paid a claim are transferred to the
insurance company. Such a transfer is for no more than the payments made by the
insurance company. Those rights must be secured and nothing done after a loss
that negatively affect them. The named insured can waive its rights against
others in writing under two situations:
·
Before a loss to covered property or income
·
After a loss to covered property or income but only
if the other party is another insured under this coverage form, is a business
the insured owns, is a business that owns the insured or is a tenant of the
named insured.
l. Valuation
The value of covered property is the cost to repair, rebuild or replace the damaged property with similar property. While the meaning of "similar" is subject to debate, it usually refers to property of same kind, capacity, size or quality. The value of damaged property may be determined to be the actual cost to repair, rebuild or replace it. The restoration of the covered property must be done at a location where the work can be performed for the lowest cost. For this reason, it could take place at the original location or a new one. The insurance company does not pay for damage to obsolete property or to property that is useless to the insured.
·
Improved Equipment (09 11 change)
·
The insurance company pays up to an additional 25%
of the property damage loss amount to repair or replace the damaged equipment
with equipment that enhances safety. Two limitations apply. The 25% increase cannot
exceed the limit of insurance on the declarations and the function of the
equipment must be the same after the repair as it was before the loss occurred.
Note: The 09 11 edition changed this item by removing efficiency and environmental impact as reasons for improving equipment. Those items are now considered in C. Limits of Insurance, Item 7. Increased Cost of Loss and Related Expenses for Green Updates. This item now applies only for improvements that enhance safety.
Example: Maypole Metalmakers is insured under an Equipment
Breakdown Protection Coverage Form with a $500,000 limit for property damage.
Maypole's insurance adjuster tells Maypole's owner that its recent loss to a
hydraulic press is covered. The owner is concerned about safety and decides to
replace the current model with replacement cost of $42,000 with a much safer
one that costs $51,000. |
·
Extended
Warranty
If an extended warranty or service contract is voided due to a covered loss, the insurance company reimburses the insured for the unused costs of non-refundable or non-transferable warranties or contracts.
·
Time
Limit on Replacement Cost
Repairs or replacement must take place within 24 months of the date of loss. If not, the insurance company pays the lesser of the cost required to repair or replace or the actual cash value of the property at the time of the breakdown.
·
Selling
Price
Property held by the insured for sale is valued at its selling price. For the purpose of this coverage, selling price means the sales price reduced by any discounts and expenses that would have been incurred. This provision only applies to property that was manufactured by the named insured, could not be replaced before its anticipated sale and is valued at more than its replacement cost.
·
Data
and Media Damage or Loss
Loss involving mass-produced data and media is adjusted according to its replacement cost. Other data and media losses are paid based on the cost to research, assemble and reproduce the data and media onto blank material. However, the insurance company does not pay for any data or media, either mass-produced or custom made, that cannot be replaced with data or media of similar kind and quality or property having similar functional use.
·
Spoilage
With respect to this coverage, the insurance company determines the value of covered property according to the type of property. Raw materials are valued at their replacement cost. Property in process is valued at the replacement cost of the raw materials, adjusted by the related labor overhead charges.
Note: This provision only refers to overhead. Profit is not mentioned.
Finished products are valued at their selling price, adjusted for any discounts offered and expenses the named insured otherwise would have had.
·
Salvage
Value of Property
If property is used for temporary repairs or other valid uses after a breakdown, its value is considered in the adjustment of any loss. This property may be purchased as expediting expenses but that continues to be useful after repairs are completed. The salvage value of this property is deducted from the insurance valuation at settlement since it is a new asset the named insured did not have before the loss.
m. Business Income and Extra Expense
Coverage Conditions
These additional conditions apply only to Business Income and Extra Expense Coverage:
·
Annual
Reports
The insured must complete an Annual Report of Values Form once each year. The form must be approved by the insurance company and the first report must reach the company within three months of the annual report date on the declarations. It is then due on each anniversary date.
Note: It is not clear if it is due on the anniversary date of the three months due date or the anniversary date of the reporting form date on the declarations.
·
Adjustment
Of Premium
After receiving the reports of value, the insurance company calculates the earned premium for the past year. If it is more than the premium already charged, the insured pays the difference. If it is less, the insurance company refunds the difference to the insured. The return premium is never more than 75% of the premium originally charged.
·
Coinsurance
If a covered business income and extra expense loss occurs and the insured did not submit the reports of value as required above, this coinsurance condition applies.
The insurance company does not pay the full value of any loss if the actual business income annual value is more than the estimated business income annual value, the report is received more than three months after its due date, or the report is overdue. The amount paid is determined by the following formula:
Step 1. Divide the estimated business income annual value by the actual business income annual value at the time of the breakdown. The result is a multiplier factor
Step 2. Multiply the total business income loss amount by Step 1
Step 3. Subtract any applicable deductible from the amount determined Step 2
Note 1: The insurance company pays the lesser of the amount determined in the Step 3 above or the business income and extra expense limit of insurance. Any remaining amount must be paid by other insurance or from the insured's own financial resources.
Note 2: It seems unnecessary to include a statement that the insured would have to rely on some other, specified source to take care of any unpaid loss. It should be sufficient to state the maximum that would be handled by the policy and leave it at that.
Important: The penalty applies separately to each location when coverage applies to more than one location.
2.
General Conditions
Many of the Equipment Breakdown Protection Coverage Form general conditions are similar to those found in commercial property coverage forms.
a. Additional Insured
Persons or organizations designated as
additional insureds are considered insureds under the Equipment Breakdown
Protection Coverage Form but only to the extent of their interest.
b. Bankruptcy
The insurance company's obligations under
this coverage form are not
affected or changed by the bankruptcy or insolvency of the named insured or his
or her estate.
c. Concealment, Misrepresentation Or Fraud
Coverage
is void in the event of fraud or if any insured at any time intentionally
conceals or misrepresents material facts with respect to this coverage form,
covered property, the named insured’s interest in covered property or a claim
under this coverage form.
d. Liberalization
If the insurance company adopts coverage form revisions that broaden this coverage without making an additional premium charge any time up to 45 days before this policy’s inception date or during its term, the broadened coverage automatically applies to this coverage form.
e. Mortgageholder
·
The insurance company pays the mortgageholder for
direct damage to covered property caused by or resulting from a breakdown to
covered equipment in their order of precedence and as their interests may
appear.
Note: Trustees are also mortgageholders.
·
Foreclosure or similar proceedings on covered
property does not void the mortgageholder's rights under this condition.
·
If the insurance company refuses to pay the named
insured's claim because of its acts or failure to comply with coverage terms,
mortgageholders are still entitled to receive claim payments but must assume
additional responsibilities. If the named insured did not pay the premium, the
mortgageholder must do so if requested. If the named insured did not submit a
proof of loss, the mortgageholder must do so within 60 days after the company
requests. Mortgageholders must also notify the insurance company of any
ownership change or change in material hazard at the risk they become aware of.
·
If the insurance company refuses to pay the named
insured's claim because of its acts or failure to comply with coverage terms,
the mortgageholder is paid. In that case, the mortgageholder's mortgage rights
are transferred to the insurance company to the extent of the amount paid and
the mortgageholder's right to recover the full amount of its claims is not
impaired.
Note: The insurance company has the option to pay the mortgageholder the entire
principal and accrued interest on the mortgage. In that case, the mortgage and
note is transferred to the insurance company and the named insured pays any
remaining mortgage debt to the company.
·
If the insurance company cancels or does not renew
coverage, it must give notice to the mortgageholder at least 10 days’ notice
before the expiration date for nonpayment of premium and 30 days for all other
reasons. Notice of nonrenewal must be at least 10 days before the expiration
date.
Note: Statutes in many states supersede these notice periods.
·
If the insurance company suspends coverage, it is
suspended for both the named insured and the mortgageholder. The mortgageholder
must receive written notice of any such suspension.
f. No Benefit to Bailee
This insurance is for the benefit of the named insured. Parties entrusted with covered property belonging to the named insured do not receive that benefit.
g. Policy Period,
The
coverage provided under the Equipment Breakdown Protection Coverage Form applies
to loss or damage that occurs during the policy period and in the coverage
territory. The coverage territory is limited to the
h. Premium and Adjustments
The named insured must report the full 100% insurable values at each location to the insurance company every year as of the anniversary date. The value for each coverage must be reported separately. The renewal premium is determined based on the rates in effect as of the renewal date for all values at risk.
The named insured must also maintain the records needed to complete these reports and have those records available for examination by the insurance company or its representatives. The examination can take place only within normal business hours but can be conducted during the policy year and also for up to 12 months following the coverage expiration or cancellation.
i. Suspension
This feature is unique to the Equipment Breakdown Protection Coverage Form. If covered equipment is determined to be in or exposed to a dangerous condition, any insurance company representative may immediately suspend coverage with respect to that equipment by delivering or mailing written notice of suspension to the insured's last known address or to the location of the suspended equipment.
Example: Practically Perfect Property Insurance Company insures
Kim's Kandee Kitchen. Practically's senior equipment inspector notices
certain insured equipment operating at considerably higher temperatures than
their rating allows. The inspector enters the shift manager's office and
issues a written order to shut down the equipment within 30 minutes or have
coverage on that equipment suspended. Kim ignores the order. Three days
later, the equipment identified by the inspector breaks down and starts a
fire. With a copy of the inspector's written order in hand, Practically
notifies Kim that coverage was and still is suspended and that the equipment
loss is not covered. |
Suspended coverage can only be reinstated by issuance of an endorsement for that covered equipment.
Note: Oral statements authorizing resumption of operations are unacceptable and do not reinstate coverage.
If coverage is suspended, the insured receives a pro rata refund of premium paid to insure that equipment. However, the suspension takes place as soon as announced, even before any applicable is offered or issued.
3.
Joint or Disputed Loss Agreement
This condition keeps the insured from being a victim of insurance company disagreement. Under this provision, the loss is paid after which the insurance companies determine their portion of the loss payment.
a. This provision applies only if all of the following items are met:
·
A commercial property policy and this policy are in
effect.
·
Property considered covered under both policies is
damaged.
·
The insurance companies disagree as to the amount of
coverage each should pay.
b. This provision does apply if both agree there is no coverage or if there are no disagreements between the insurers.
c. The following conditions must be met in
order for the terms of this provision to apply:
·
The commercial property coverage form must have a
Joint or Disputed Loss Agreement similar to the one in this coverage form.
·
The damage to covered property can be caused by a
loss where both carriers admit to some liability for payment under their
respective policies. It can also be caused by a loss for which one carrier
contends the other carrier is totally responsible or both carriers decline coverage
but contend that the other carrier's coverage applies to all or part of the
loss.
·
Both the named insured and the insurance companies
agree as to the total amount of the loss.
d. If these requirements are met and the named insured requests payment under this provision, each company pays its entire undisputed amount and half of the disputed amount to the insured.
Note: This condition does not modify or waive any rights that any insurer has against another insurer or any rights an insured holds against the insurer.
The disputed amount of loss paid by the equipment breakdown carrier is not more than the same loss agreement in the commercial property coverage form or the amount it would have paid if property coverage had not been in force at the time of the loss. In any event, the carrier's liability does not exceed the applicable limit of insurance on the declarations. Amounts paid and accepted by the named insured do not alter, waive or surrender any other rights it has against the insurance company.
e. Arbitration
The arbitration section of the Joint or Disputed Loss Agreement is similar to the Appraisal loss condition in commercial property coverage forms. If both insurers agree they have some liability for the loss and both agree to submit their differences to arbitration, each pays its entire undisputed amount and half of the disputed amount to the insured within 90 days. Arbitration then takes place within 90 days after the insured receives these payments.
If one insurer does not agree it has liability but does believe others do, all parties must submit differences to arbitration within 90 days of the payments made to the insured in accordance with this endorsement.
The insured agrees to cooperate with all arbitration procedures. Three arbitrators are involved. The commercial property carrier(s) appoints one and the equipment breakdown carrier(s) appoints one. These two arbitrators mutually agree on and select a third. If they cannot agree, either may request that a judge of a court having jurisdiction select the third arbitrator. Any decision agreed to by two of the three arbitrators binds both parties. Judgment on any award can be entered in any court having jurisdiction.
f. Final Settlement between Insurers
The carrier determined to be responsible for the larger portion of the ultimate loss returns the excess contribution to the other insurer(s). It must also pay liquidated damages to the other insurer(s) on the amount of its excess contribution.
Liquidated damages are interest that accrues on the disputed amount from the date the Joint or Disputed Loss Agreement is invoked until the excess amount is reimbursed. It is calculated at 1.5 times the highest prime rate from the Money Rates column of the Wall Street Journal that appears during the period of the Liquidated Damages.
Arbitration expenses are not part of the excess contribution used for the liquidated damages calculation. They are paid by the insurers on the same proportion that applies to the ultimate loss payment.
Example: Old Hotel, Ltd. uses a low-pressure steam boiler to provide heat for the premises. It has a monoline Equipment Breakdown Protection Coverage Form written with Boiler Coverage Inc. and a commercial property coverage form written with Fire Insurance, Inc. A small fire and explosion occurs but all of the damage is confined to the boiler room. The entire loss is valued at $100,000. Some of the damage is clearly a boiler loss while other damage is clearly a commercial property loss. However, a problem arises from a significant part of the loss that may be covered by either coverage form. Each carrier points out the parts of its coverage form that exclude coverage and suggests that the other carrier's coverage applies instead. Old Hotel wants to resume operations quickly but cannot do so because the two carriers cannot agree on the amount each should pay and neither insurer is willing give the hotel permission to proceed with the repairs. Old Hotel, Ltd writes to each carrier requesting payment in accordance with the Joint or Disputed Loss Agreement. Boiler Coverage Inc. pays $10,000 as its undisputed amount and Fire Insurance, Inc. pays $15,000 as its undisputed amount. Each then pays $37,500 as their ½ of the disputed amount. Old Hotel, Ltd is able to repair the damage. The carriers agree to
arbitration. The arbitrators determine that Fire Insurance, Inc. is
responsible for 75% of the disputed amount so it must pay Boiler Coverage,
Inc. $18,750 plus the interest owed on that amount starting with the date of
the payment made to Old Hotel, Ltd. and ending on the date Fire Insurance
Inc. reimburses Boiler Coverage, Inc. |
F. DEFINITIONS
Defined words are used throughout the coverage form. Restricting their
meaning to those definitions provides the means for all parties involved with
the policy to have a clearer understanding of the coverage intended. EB 00
20–Equipment Breakdown Protection Coverage Form has 15 defined terms.
1. Breakdown is direct physical loss that causes such damage to covered equipment that must be repaired or replaced.
a. The direct physical loss must be one
or more of the following except as excluded elsewhere is this coverage form:
·
Pressure or vacuum equipment failure
·
Rupture or bursting caused by centrifugal force and
other types of mechanical failure
·
Arcing and other types of electrical failure
b. The following situations are not covered as breakdown:
·
Adjustment, alignment, calibration, cleaning,
modification of equipment that results in malfunction
·
Computer equipment and programs defects, erasures,
errors, limitations or viruses. An inability to process date or time or to
provide instructions to covered equipment is considered a defect.
·
Leaking from valves, connections, joints, shaft
seals, fittings or gland packing
·
Vacuum tubes, gas tubes or brushes damage
·
Structures or foundations damage even if the
structures or foundations support covered equipment or its parts.
·
Any safety or protective device function
·
Cracking of any part of an internal combustion gas
turbine exposed to the products of combustion.
Note: Despite this exhaustive definition, disputes arise concerning the policy’s coverage intent.
2. Business Income is the sum of the net income that would have
been earned plus continuing normal operating expenses. Net income is net profit
or loss before income taxes. Payroll is considered a continuing expense.
3. Business Income Actual Annual Value is the sum of net income that would have been
earned plus continuing normal operating expenses incurred (including payroll
that would have been earned) if an equipment breakdown loss had not occurred.
Note: This figure is used to calculate the coinsurance penalty.
4. Business Income Estimated Annual Value is the insured's estimated business income,
as defined above, reported on the most recent Annual Report of Values Form filed
with the insurance company.
Note: This figure is also used to calculate the coinsurance penalty.
5. Computer Equipment is programmable electronic equipment owned by the named insured that is used to store, retrieve and process data. It is also peripheral equipment that provides communication, printing and data transmission and would include such items as printers, keyboards and monitors.
Note: Computer equipment does not mean data and media.
6. Covered Equipment
a. Covered equipment is the following:
·
Equipment designed and intended to operate under
internal pressure or in a vacuum. It does not include equipment that operates
only under the pressure of contents within it.
·
Equipment that is electrical or mechanical and used
to generate, transmit or use energy
·
Communication equipment
·
Computer equipment
·
Equipment described above owned by a utility that is
used exclusively to supply utility services to only the insured. If Utility
Interruption coverage is provided, this equipment is not considered covered
equipment.
Note: Covered equipment must be at a location on the declarations and be owned, leased or operated by the named insured. This requirement does not apply to Utility Interruption, Contingent Business Income and Extra Expense or Extra Expense Only coverages.
b. Covered equipment does not mean or
include:
·
Media
·
Any part of pressure or vacuum equipment not under
internal pressure of its contents or internal vacuum
·
Insulating or refractory material except that the
glass lining of covered equipment is covered.
·
Non-metallic pressure or vacuum equipment unless
constructed and used according to appropriate and approved regulating codes is
covered.
·
Catalysts
Note: A catalyst, as used in chemistry, is a substance that modifies and increases the rate of a reaction without being consumed in the process.
·
Below ground vessels, piping and equipment when
excavation is required in order to inspect, remove, repair or replace them
·
Structures, foundations, cabinets or compartments
that support or contain parts or all of covered equipment (also extends to
penstock, draft tube or well casing part of this grouping).
·
Vehicles, aircraft, self-propelled equipment or
floating vessels, including covered equipment mounted on or used exclusively
with any of these
Note: Equipment otherwise covered and occasionally used on vehicles, aircraft, self-propelled equipment or floating vessels is covered.
·
Dragline, excavation or construction equipment. This
includes any covered equipment mounted on or used exclusively with any of
these.
Note: Equipment otherwise covered and occasionally used on dragline, excavation or construction equipment is covered.
·
Maintenance property such as felt, wire, screens,
dies, extrusion plates, swing hammers, grinding discs, cutting blades, non-electrical
cable, chains, belts, ropes, clutch plates and brake pads. This also includes
non-metal parts or any parts or tools subject to periodic replacement.
Note: The Equipment Breakdown Protection Coverage Form is not intended to insure relatively minor kinds of maintenance-type property.
·
Machines or apparatus used solely for research,
diagnosis, medication, surgical, therapeutic, dental or pathological purposes.
This includes any covered equipment mounted on or used exclusively with any of
these. Coverage can be provided for these items when Diagnostic Equipment is
shown as included on the declarations.
·
Equipment or equipment parts manufactured by the
named insured with the intent to sell it.
7. Covered Property is property the named insured owns or property of others in its care, custody or control and for which it is legally liable.
8. Data is programmed and recorded material stored on media. It is also programming records used for electronic data processing or electronically controlled equipment.
9. Extra Expense are the additional costs the named insured incurs to operate its business during the period of restoration. These costs are in addition to its normal costs of operations during the same period had equipment breakdown loss not occurred.
10.
Fungus is any type or form of
fungus. It includes mold, mildew, mycotoxins, spores, scents or the byproducts
produced or released by fungi.
Note: Mycotoxins are toxins or poisons produced by fungi.
11. Green is enhanced energy efficiency. It
is also the use of sustainable materials or products. It is also when
sustainable methods are used in construction, design, manufacturer or
operations. In this form, any of these must be recognized as green by a green
standards-setter. (09 11 addition)
12. Green standards-setter can be a
governmental agency or another recognized organization that establishes,
maintains and communicates standards for what is considered green in both
products and practices. The following are currently considered green standards-setters
but organizations similar to them can also be considered as such:
13. Hazardous Substance is anything determined by a government agency
to be a health hazard. Ammonia is an exception.
14. Media is electronic data processing or storage media. Examples are films, tapes, discs, drums or cells.
15. One Breakdown refers to an instance of an initial breakdown causes additional breakdowns, all are considered one breakdown. In addition, all breakdowns at a single location that occur at the same time as a direct result of the same event are treated as a single breakdown.
Note: This is important in the application of limits and deductibles. One breakdown means one deductible and one limit of insurance. Multiple breakdowns mean more than one deductible and multiple limits of insurance. This is similar to the 168-hour rule in earthquake and volcanic eruption.
16. Period of Restoration is a time period. It begins either when a breakdown occurs or 24 hours before the insurance company is notified of the breakdown, whichever is later.
Note: As a result, prompt loss reporting is extremely important to the insured. If notification is delayed, business income coverage does not begin until 24 hours before the notice is received.
Example: Jacklow International's equipment breaks down on
08/01/11. The insurance company is notified on 08/15/11. The period of
restoration begins at the later of 08/1/11 or 08/14/11. In this case,
coverage begins on 08/14/11. The delay in reporting the breakdown costs
Jacklow 13 days of coverage. |
It ends five days after the date that the damaged property is repaired or replaced with property of similar quality and on a timely basis.
Note: Even if unforeseen delays occur, coverage still ends when the damaged property could have been repaired or replaced on a timely basis.
17. Stock is merchandise held in storage or for sale. Raw materials, property in process and finished products are all considered stock. Supplies used to pack and ship the merchandise are also stock.
The Insurance Services Office (ISO) Boiler And Machinery Coverage Form was revised with the 07 01 edition and renamed Equipment Breakdown Protection Coverage Form. This name more accurately and completely responds to the coverage needs of the 21st century.
The Equipment Breakdown Protection Coverage Form is more compact and easier to read. It includes provisions to include ten basic coverages, each of which is triggered by the appropriate entry on the declarations. This form was revised in 09 07 and again in 08 08.
Changes from the 09 07 edition are in bold print.
Equipment Breakdown Protection Coverage is needed because standard commercial property forms typically exclude loss or damage caused by machinery or equipment breakdowns.
The coverage form opens by stating that certain provisions in the form
restrict coverage and encourages the insured to carefully read the entire
policy to determine its rights and duties and to determine what is covered and
not covered. It also points out that the insurance company uses the terms you
and your to refer to the named insured and the terms we, us and our refer to
the insurance company providing the coverage. It also directs attention to
Section F–Definitions because understanding the definitions is critical to
understanding the coverage form, along with the Coverage and Exclusions sections.
1. Covered Cause Of
Loss
The only covered cause of loss is a breakdown to covered equipment. Breakdown is a defined term, as is covered equipment, and these definitions should be examined carefully.
2. Coverages Provided
Insurance applies only to the coverages having a limit or the word INCLUDED indicated next to them on the declarations. If an entry is not made, that coverage is not provided.
Note: The limit of insurance provided for each coverage, if any, is the primary limit. If INCLUDED appears next to a coverage, that coverage is included in the total limit per breakdown.
Note: Each coverage provided applies only to the part of any loss that result directly from the covered cause of loss.
Ten coverages are available.
a. Property Damage
This coverage pays for direct damage to covered property located at the premises indicated on the declarations.
b. Expediting Expenses
This coverage applies to additional costs the insured incurs to make temporary repairs and expedite or hasten permanent repairs or replacement of the damaged property.
Example: Perfection Products incurs a covered loss to one of its production boilers. The damage is such that it cannot be repaired and a new boiler must be ordered. Delivery and installation normally takes three months but one of Perfection's customers has an identical boiler on hand if it needed to replace one of its units. The customer makes it available to Perfection at its cost and with an allowance for its storage costs. Perfection jumps at the opportunity because it will be operating again in two weeks instead of three months. Coverage applies to the additional costs because this enabled Perfection to resume operations sooner than expected.
c. Business Income And
Extra Expense Or Extra Expense Only
The insured can choose to purchase combined business income and extra expense coverage or extra expense coverage only. There is no option to purchase business income coverage only.
If the insured purchases combined business income and extra expense coverage, the insurance company pays the insured’s actual loss of business income during the period of restoration, as well as the extra expenses necessarily incurred to operate the business during the period of restoration. If coverage for extra expense only is purchased, there is no coverage for business income.
The company determines its payment by analyzing the insured's operations before the loss and estimating the effect on continuing operations of the equipment breakdown.
The period of restoration ends five days after the covered equipment is back in service, unless a different number of days are indicated on the declarations.
If ordinance or law coverage is provided, the period of restoration also includes the additional time needed to demolish, remove, repair, remodel or rebuild.
If media is damaged or data is lost or corrupted, coverage applies to the actual loss of business income and/or extra expense during the period of time needed to research, replace or restore the media or data and to reprogram any instructions used with any computer equipment. Coverage does not apply to media or data not replaced or restored.
Example: Perfection Products sustains a covered loss that destroys half of its computer data. While restoring its records, Perfection decides that a business documents archive destroyed in the loss is no longer needed. The adjuster reduces the settlement to reflect that the obsolete records will not be replaced.
The insurance company pays the actual loss of business income and/or extra expense for a maximum of 30 days after the period of restoration, or $25,000, whichever is less.
d. Spoilage Damage
Coverage applies to loss or damage caused by spoilage to raw materials, property being processed and finished products. However, the insured must meet the following conditions:
Note: Any expenses the insured incurs to reduce the amount of loss are covered, subject to the spoilage damage limit.
Example: Perfection Products' bad luck continues. This time a brownout causes a refrigerated line to go down for almost two hours. As a result, the raw milk product being processed spoils and must be discarded. This coverage applies to the value of the spoiled milk.
e. Utility
Interruption
Note: This coverage is not available unless the insured purchases Business Income And Extra Expense, Extra Expense Only or Spoilage Damage coverage. That coverage then extends to include loss or damage resulting from utility services being interrupted at the insured's premises, subject to the insured meeting each of the following conditions:
Example: Continuing Perfection's bad luck story above, the production line cannot resume operations until it is cleaned thoroughly, inspected and approved by the Board of Health. This takes four days. Perfection's Spoilage Damage deductible is 24 hours. Perfection recovers three days of lost business income, after application of the deductible.
f. Newly Acquired Premises
This coverage extends insurance to automatically apply at premises the insured purchases or leases. It begins when the insured purchases or leases the property and lasts for the number of days indicated on the declarations for Newly Acquired Premises. The broadest coverage provided at any insured premises applies to the newly acquired property, subject to the terms, conditions and deductibles that apply. The insured must inform the insurance company of the acquisition in writing as soon as practicable and pay the appropriate additional premium.
g. Ordinance Or Law Coverage
The Ordinance Or Law exclusion eliminates coverage for any increase in loss due to enforcement of ordinances or laws regulating repair, replacement or reconstruction of a building or structure. This coverage pays such costs, within certain guidelines, if the increase in the amount of loss is necessary due to the enforcement of any laws or ordinances in force at the time of the breakdown that regulate demolition, construction, repair or use of the building or structure. It pays:
It does not pay:
The insurance company does not pay the full amount of loss under this coverage if the building is damaged by a breakdown insured under this coverage form and simultaneously sustains physical damage not insured by this coverage form. If the total building damage results in ordinances or laws are enforced, this coverage pays only the proportion of such loss that the covered breakdown portion of the loss bears to the total of all physical damage.
Example: A covered building is valued at $500,000. It sustains $300,000 in damage from equipment breakdown and a fire. A local ordinance requires installation of special upgrades any time building damage is 50% or more of its value. Enforcement of this ordinance results in an additional loss of $80,000. The breakdown portion of the loss is $75,000, or 25% of the total, and the fire portion of the loss is $225,000, or 75% of the total. Since the breakdown portion of the loss is 25%, only 25% of the additional loss due to enforcement of the ordinance, or $20,000, is covered.
If the insured purchased Ordinance Or Law Coverage under its Commercial Property Coverage Form, it would respond to the remaining $60,000 of the additional loss due to enforcement of the ordinance.
Note: If the building damage not insured by this coverage form was the reason the ordinance or law provision was triggered, the insurance provided by this coverage form does not apply. The commercial property coverage form insuring the damaged building is responsible for the entire amount due under ordinance or law coverage.
h. Errors And Omissions
This coverage pays for loss or damage not otherwise payable because of:
Errors and unintentional omissions must be corrected and reported to the insurance company as soon as they are discovered and the premium adjusted accordingly.
Note: Coverage does not apply as a result of the insured's error or unintentional omission in reporting of values or the coverage it requested.
Example: Perfection Products has a second, much smaller, location that runs the same product line as its main location. Perfection accepts an offer from a competitor to buy it on the same date that its coverage renews and leaves that location off the renewal application. Unfortunately the sale falls through. Even more unfortunately, Perfection completely forgets to notify the insurance company that coverage on that location should continue. Even worse, a significant loss occurs at the location after the policy renews that suddenly reminds Perfection of its oversight in this matter. However, the story has a happy ending because this coverage pays for Perfection's unintentional omission of this location from its renewal specifications.
i. Brands And Labels
If covered property, consisting of branded or labeled merchandise, is damaged by a breakdown, the insurance company has the option to take all or part of it at either an agreed or appraised value. In that case, the insured may:
The insurance company pays reasonable costs the insured incurs to perform either of these tasks but the costs incurred and values of the merchandise cannot be more than the applicable limit of insurance on such property.
Example: Perfection Products manufactures and sells a line of action figures under its own name. It packages these in sealed metal containers, with a code stamped on the bottom of the container that identifies the figure inside. A covered breakdown in the sealing and labeling machine causes the wrong labels to be affixed to the wrong containers and also causes the containers to be dented, although the contents themselves are not damaged. Perfection and its insurer agree to a salvage value on the damaged merchandise and Perfection stamps SALVAGE on each container. Fortunately for Perfection, the value of this additional work added to the value of the merchandise is less than the limit of insurance and is covered.
j. Contingent Business
Income And Extra Expense Or Extra Expense Only Coverage
This coverage is subject to the same terms and conditions as Business Income And Extra Expense or Extra Expense Only coverage. It applies to any loss sustained by the insured that results from a breakdown of covered equipment at a premises the insured does not own or operate that negatively affects the insured's ability to deliver its products or services, or results in lower sales at any insured location indicated on the declarations. Coverage applies only to locations the insured does not own as indicated on the declarations.
The insured must do everything it can to influence the contributing or recipient business to do everything it can to resume operations and resume delivery of products or services to the insured or to accept the insured's products or services. The insured is encouraged to cooperate with contributing or recipient properties in every way possible, except for providing financial assistance not authorized by the insurance company.
Example: Teeter Totter Toys manufactures additional action figures for Perfection to meet seasonal and holiday demands that exceed Perfection's manufacturing capabilities. Unfortunately, Teeter's production line's primary power train breaks down under the strain of the additional demands on it and all production ceases. Perfection, sensing its huge sales and enormous profits slipping away, tries to influence Teeter to spend additional sums to expedite replacing the drive train and resuming production, but to no avail. Replacement parts are simply not available outside normal distribution channels and time frames. Perfection has to swallow hard and watch the holiday sales of its enormously popular line of toys dry up.
This coverage form has 21 exclusions. They apply whether the loss event results in widespread damage or affects a significant geographical area or not and are 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.
Note: Several of the exclusions are similar to exclusions found in commercial property coverage forms.
1. Ordinance Or Law
Coverage does not apply to any increase in loss due to enforcement of any ordinance or law regulating repair, use, operation, installation, clean up or disposal of covered property. This exclusion has one exception. It does not apply to a covered breakdown to electrical supply and emergency generating equipment situated on the premises of a hospital.
2. Earth Movement
Loss or damage due to earth movement is excluded. This includes
earthquake, landslide, land or mine subsidence and volcanic action but is not
limited to these.
Note: This exclusion is more restrictive than the same exclusion in the Commercial Property Coverage Form. Since it has no exceptions, all earth movement is excluded.
3. Water
a. The first part of this exclusion has four terms
that are unchanged, three terms that are modified and one new term compared to
the exclusion being replaced. The terms that are unchanged are
"flood," "surface water," "tides," and
"overflow of any body of water." The new term is ‘’tidal water."
The modified terms are:
Note: "Tsunami"
and "storm surge" are new terms. Since neither is defined, judicial
interpretation will be based on common usage and definitions in the dictionary.
b. The second part of this exclusion is unchanged.
Mudslide or mudflow are not covered and were not covered previously.
c. The third part of the exclusion is broadened in two
ways. The first is the how and the second is the what. In the version being
replaced, water had to back up or overflow. In this new version, the water can
be discharged in other ways and those other ways are not described. In the
version being replaced, the water came from a sewer, drain or sump. In this new
version, it can also come from a sump pump or related equipment, and the
related equipment is also not described.
d. The fourth part is unchanged and sprinkler
system or domestic water piping discharge that causes water damage is not
covered.
e. The fifth section is new and excludes water damage
from underground water seeping into doors, windows, floors, surfaces, foundations
and basements.
f. The sixth section is also new. This section
introduces the term "waterborne material." Damage caused by this
material carried by waters described in sections a., c, and e. above, or by any material moved or carried by
mudslides or mudflow described in section b. above, is not covered.
Example: The river was moving fast and picked up
trees, docks and more. Mavis was thrilled that the flood did not enter her
warehouse but was upset that a tree pushed against her foundation and caused an
opening that allowed water into her air conditioning units. Because of this
exclusion the breakdown of the air conditioning unit is not covered. |
There is no coverage if the water damage is due to
an act of nature or is caused in any other manner. An example is given that if
a seawall is breached and allows water in, this exclusion continues to apply.
4. Nuclear Hazard
The insurance company does not pay for loss or damage arising out of nuclear reaction, radiation or radioactive contamination, however caused.
5. War Or Military Action
This exclusion lists three specific types of warlike activity. War can be undeclared or a civil war. It is important to determine who can declare war. In any action that constitutes war, coverage does not apply. In addition, any action involving military forces and/or military agents is not covered. Finally, rebellions, revolution, usurped power, insurrection and any government response to any of them are not covered.
Note: Terrorism is
not listed.
6. Explosion
There is no coverage for loss or damage caused by explosion. However,
coverage does apply to explosions of covered equipment involving steam boilers,
piping, turbines or engines, electric steam generators, gas turbines and moving
or rotating machinery when an explosion is caused by centrifugal force or
mechanical breakdown.
7. Fire Or Combustion Explosion
Loss or damage caused by a fire or combustion explosion that results in a
breakdown or that occurs at the same time as or ensues from a breakdown is
excluded.
Note: These events are insured under the insured's Commercial Property Coverage Form. This exclusion prevents the Equipment Breakdown Protection Coverage Form from responding to a fire loss, resulting in duplicate coverage.
8. Fungus, Wet Rot And
Dry Rot
Coverage does not apply to loss or damage caused by the presence or any
activity of fungus, wet rot or dry rot. However, loss or damage resulting from
a covered breakdown is covered.
Note: This exclusion does not apply with respect
to any other coverage provided for fungus, wet rot or dry rot by this coverage
form. Even then, coverage only applies for the portion of loss or damage caused
by the presence or activity of fungus, wet rot or dry rot resulting from a
covered breakdown.
9. Virus, Bacterium Or
Other Microorganism
There is no coverage for any loss arising out of or resulting from any
virus, bacterium or other microorganism that causes physical distress, illness
or disease. This exclusion does not apply to loss or damage resulting from a
breakdown or loss or damage caused by or resulting from fungus, wet rot or dry
rot.
Note: If this exclusion is applied to a particular loss, its provisions do not create coverage for any loss otherwise excluded by the coverage form.
10. Furnace Explosion
Loss or damage caused by or resulting from an explosion within the
furnace of a chemical recovery boiler or its piping to the atmosphere is not
covered.
Note: These explosions are covered under the Commercial Property Coverage Form.
11. Pressure Or Electrical Testing
Coverage does not apply to loss or damage to covered equipment being
tested by pressure or electrical means.
12. Fire Extinguishing Agents
The insurance company does not pay for any loss or damage caused by or
resulting from water or any other agents used to extinguish a fire.
Note: This exclusion
applies even when such attempts are unsuccessful.
13. Depletion, Deterioration, Corrosion, Erosion, Wear Or Tear
Loss or damage caused by
depletion, deterioration, corrosion, erosion, wear and tear is excluded.
Note: The loss or damage resulting from a covered breakdown is covered.
14. Other Insurance
Loss or damage resulting in a breakdown caused by aircraft, vehicles, freezing, lightning, sinkhole collapse, smoke, riot, civil commotion, vandalism, weight of ice, sleet or snow is not covered. This exclusion applies only if coverage against these causes of loss is provided by other insurance coverage.
Note: This applies whether the insured can collect on the other insurance or not.
15. Windstorm Or Hail
Loss or damage resulting from a breakdown caused by windstorm or hail is
excluded.
Note: Breakdowns due to these causes of loss are excluded, regardless of whether other coverage is available.
16. Delay Or Interruption
There is no coverage for delays or interruptions of any business, manufacturing or processing activities except as provided by Business Income And Extra Expense, Extra Expense Only or Utility Interruption coverages available under this coverage form.
17. Business Income And Extra
Expense, Extra Expense Only And Utility Interruption Coverages
The following additional exclusions apply to these coverages.
18. Power, Light,
Heat, Steam Or Refrigeration
Indirect loss after covered equipment breaks down due to too much or too little power, light, heat, steam or refrigeration is excluded except for the coverage provided by Business Income And Extra Expense, Extra Expense Only or Utility Interruption coverages available under this coverage form.
19. Utility Interruption Coverage
With respect to this coverage, any loss or damage caused by or resulting from acts of sabotage, collapse, deliberate acts of load shedding by the supplying utility, freezing caused by cold weather, impact of aircraft, missile or vehicle or objects falling from an aircraft or missile, lightning, riot, civil commotion, vandalism, sinkhole collapse, smoke, and weight of ice, sleet or snow is excluded. This exclusion applies whether coverage against these causes of loss is provided by other insurance coverage or not.
Note: Load shedding is the intentional reduction or cutting off of service to control overall power requirements.
20. Indirect Breakdown Damage
Indirect loss or damage caused by or resulting from a breakdown to covered equipment is excluded except for the coverage provided under Business Income And Extra Expense, Extra Expense Only, Spoilage Damage or Utility Interruption coverages available under this coverage form.
21. Neglect
There is no coverage for loss or damage that results from the insured failing to use every reasonable means to save and keep covered property from further damage during and after a loss.
1. The most the insurance company pays for any loss or damage from a single breakdown event is the applicable limit of insurance indicated on the declarations.
2. Payments are not increased if more than one insured appears on the declarations.
3. A limit of insurance or the word INCLUDED must be entered on the declarations for each coverage provided. If INCLUDED appears next to a particular coverage, the limit for that coverage is part of the limit per breakdown, not in addition to it. If a dollar limit appears next to a particular coverage, the insurance company pays up to, not more than, the limit of insurance for that particular coverage.
Example: These are the
entries made on two different declarations:
Coverage |
Declarations A |
Declarations B |
Limit Per Breakdown |
$ 1,000,000 |
$ 1,205,000 |
Property Damage |
$ 1,000,000 |
$ 1,000,000 |
Expediting Expense |
$ INCLUDED |
$ 25,000 |
Business Income/Extra Expense |
$ |
$ |
Extra Expense Only |
$ INCLUDED |
$ 50,000 |
Extended Period Of Restoration (Number Of Days Of Coverage) |
_______ Days |
_______ Days |
Data Or Media ($25,000 Limit of Insurance) or |
$ |
$ |
Spoilage Damage |
$ INCLUDED |
$ 25,000 |
Utility Interruption |
$ INCLUDED |
$ 10.000 |
Coverage applies only if services are interrupted at least |
24 Hours |
24 Hours |
Newly Acquired Premises |
INCLUDED |
INCLUDED |
Number Of Days Of Coverage |
_______ Days |
_______ Days |
Ordinance Or Law |
$ INCLUDED |
$ 25,000 |
Errors And Omissions |
$ INCLUDED |
$ 10,000 |
Brands And Labels |
$ INCLUDED |
$ 10,000 |
Contingent Business Income/Extra Expense |
$ INCLUDED |
$ 50,000 |
Covered Premises: |
$ |
$ |
Sales, Services Or Materials: |
$ |
$ |
4. If covered equipment is for the exclusive use of supplying utility services to the insured's premises, is owned by a private or public utility, is not in the insured's possession or for which it is legally liable, and insured under this coverage form, the Property Damage limit indicated on the declarations is deleted. It is replaced by the sum of one dollar. A slightly different provision applies if the insured is a public or private utility. If the insured is a public or private utility, this provision applies only when the covered equipment is owned by a public or private utility other than that insured.
Note: The nominal one-dollar limit exists as a technicality. Providing this limit permits the coverage form to provide indirect damage protection for consequential loss to an insured as a result of damage to this non-owned utility equipment.
5. This coverage form automatically includes five additional coverages. Each is subject to a $25,000 limit, unless a higher limit or INCLUDED is entered on the declarations. These limits are part of the Limit Of Insurance for Property Damage or the Limit Per Breakdown, not in addition to them.
a. Ammonia Contamination
This coverage applies to spoilage to covered property contaminated by ammonia. It also applies to any salvage expense.
b. Consequential Loss
This coverage applies to the reduction in value of undamaged stock parts of a product that is unmarketable.
Note: The reduction in value must be caused by physical loss or damage to another part of the product.
c. Data And Media
These are the costs incurred by the insured to research, replace or restore damaged data or media. They include the costs to reprogram instructions used in any computer equipment.
d. Hazardous Substance
Coverage applies to the additional expenses incurred by the insured to clean-up, repair, replace or dispose of covered property damaged, contaminated or polluted by a hazardous substance as defined in the coverage form. This coverage is an exception to the Ordinance Or Law exclusion.
Note: The covered expenses are additional costs incurred over and above the amount payable if no hazardous substance was involved with the loss.
e. Water Damage
Coverage applies to loss or damage to covered property damaged by water, except for damage resulting from leakage from a sprinkler system or domestic water piping.
If fungus, wet rot or dry rot results from such water damage, loss or
damage from those substances is limited as described in 6. Limited Coverage For
Fungus, Wet Rot And Dry Rot below and is part of the Water Damage limit, not in
addition to it.
6. Limited Coverage
For Fungus, Wet Rot And Dry Rot
This coverage and limit is added:
a. Property damage
The insurance company pays for loss or damage caused by fungus, wet rot
and dry rot that is a direct result of a breakdown to covered equipment that
occurs during the policy period. The limit is $15,000 for all occurrences that
take place during any 12-month period and does not increase the limit of
insurance for covered property. A higher limit for this coverage can be
indicated on the declarations.
b. Business Income And
Extra Expense Or Extra Expense Only
This coverage also applies to Business Income And Extra Expense or Extra
Expense Only if these coverages are provided. The loss of business income or
extra expense must be due solely to loss or damage to covered property caused
by fungus, wet rot or dry rot. It is limited to the loss or expense sustained
in a period not exceeding 30 days, unless a different number of days is
indicated on the declarations.
1. Application Of
Deductibles
The insurance company pays for loss or damage resulting from a breakdown when the amount of loss or damage exceeds the deductible for the applicable coverage indicated on the declarations, up to its limit of insurance.
Note: Deductibles apply to each applicable coverage separately, with two exceptions:
2. Determination Of
Deductibles
This coverage form has five different deductibles:
a. Dollar Deductible
This is a flat deductible the insured must pay before the insurance company makes any payment.
b. Time Deductible
A time deductible can also be referred to as a waiting period. The insurance company does not pay until the number of hours or days indicated on the declarations after the occurrence of a covered loss have passed. Loss amounts between the time of the occurrence and the end of the designated time or waiting period are the insured's financial responsibility.
Note: A day equals 24 hours.
Example: Lizzie owns a laundry. She has a five-day waiting period
on her Equipment Breakdown Protection Coverage Form Business Income And Extra
Expense Coverage. A critical item of equipment breaks down at
3:20 p.m. on 04/01/08. The breakdown results in the laundry being shut down
until the equipment is repaired. Repairs are finished on 04/06/08 at 1:45 p.m.
While business does not resume until the fifth day after the accident, the
repairs are made before five 24-hour periods pass. As a result, Lizzie receives
no payment under the Business Income And Extra Expense coverage.
c. Multiple Of Daily Value Deductible
A time deductible can be quite disadvantageous to the insured. The initial period after a loss frequently involves the most loss or expense. Subsequent periods involve less loss or expense because some business activity can begin or contracts can be cancelled in some cases. The consequences of such a loss can be mitigated by use of the Multiple Of Daily Value Deductible. It is calculated as follows:
1. Determine the business income that would have been earned for the entire premises where the breakdown loss occurred during the period of restoration if there was no loss.
2. Divide the figure in 1 above by the number of days the business would have operated during the period of restoration. The result is the daily value.
3. Multiply the daily value in 2 above by the number of days indicated on the declarations. The insurance company subtracts this deductible amount from the amount of loss for which it is liable. It then pays the amount of loss or damage that exceeds this deductible amount up to the applicable limit of insurance.
d. Percentage Of Loss Deductible
Percentage-of-loss deductibles are often used in place of dollar
deductibles but the application in this coverage form is different than the way
percentage deductibles are applied in other forms. In this form, the percentage
is applied to the amount of the loss instead of to the value of the covered
property.
Example: Major Manufacturing Company has a $1,000,000 Property Damage limit on its Equipment Breakdown Protection Coverage Form. Major sustains a $300,000 loss when its primary assembling equipment breaks down. Here is what Major recovers under three different deductible approaches:
$50,000 Flat
Deductible |
Regular 5%
Deductible |
5% Percentage of
Loss Deductible |
$300,000 loss |
$300,000 loss |
$300,000 loss |
–$50,000 deductible |
–$50,000 deductible |
–$15,000 deductible |
$250,000 payment |
$250,000 payment |
$285,000 payment |
e. Minimum Or Maximum
Deductibles
This deductible is used with the Multiple Of Daily Value Deductible or the Percentage Of Loss Deductible. It allows the insured to have a definite range of payment.
If the insured selects the Multiple Of Daily Value Deductible or the Percentage Of Loss Deductible, the deductible amount is calculated and then compared to the minimum and maximum deductible indicated on the declarations. If the calculated deductible falls between the minimum and the maximum, the insured pays the calculated deductible. If the calculated deductible is less than the minimum, the insured pays the minimum deductible. If the calculated deductible is more than the maximum, the insured pays the maximum deductible.
Example: Lizzie chooses a 10% Percentage Of Loss Deductible for Property Damage and a five-day Multiple Of Daily Value Deductible for Business Income And Extra Expense. Both coverages are subject to a $500 minimum and $5,000 maximum deductible. Lizzie's boiler breakdown causes $60,000 in covered property damage and $15,000 loss of income for the 30 days her operation is shut down. Her daily value is $500.
The Property Damage deductible is $60,000 X .10 (10%) = $6,000. Since $6,000 is more than the $5,000 maximum, she is responsible for only $5,000.
The Business Income deductible is $500 X 5 (days) = $2,500. Since $2,500 falls between $500 and $5,000, Lizzie is responsible for $2,500.
These conditions are in addition to the Common Policy Conditions.
Note: Many of these loss conditions are similar to those found in commercial property coverage forms.
1. Loss Conditions
a. Abandonment
The insured cannot surrender or turn over property to the insurance company without its permission.
Example:
b. Appraisal
If the insured and the insurance company cannot agree on the value of property or the amount of loss, either may request an appraisal of the loss. Each party selects its own competent and impartial appraiser and they, in turn, select an umpire or have one appointed for them. Differences in value or amount that cannot be resolved are submitted to the umpire. A decision by any two parties is binding on all parties. Each party pays its own appraiser and shares the cost of the umpire equally.
Note: Even if there is an appraisal, the insurance company retains its right to deny the claim.
Example: Jane's production boiler breaks down. Jane and Cheapskate Mutual, her insurance company, cannot agree on its value. They both agree to submit the dispute to appraisal. Jane selects an experienced appraiser who just happens to be her brother. Cheapskate selects a totally impartial party who has no appraisal credentials. Both "appraisers" are rejected because Jane’s selection is biased and Cheapskate's selection is not qualified.
c. Defense
At its option, the insurance company can choose to defend the insured against suits resulting from claims by the property owners. If it does, it does so at its own expense.
d. Duties In The Event Of Loss Or Damage
The named insured has a number of duties to
perform if a claim or demand for coverage occurs. It must:
The insurance company has the right to examine any insured under oath at
reasonable times concerning the claim or the insurance coverage provided. This
includes the insured's books and records. The insured must acknowledge any
examination by its signature.
Note: The insurance company
has the option of examining anyone alone and not in the presence of any other
insured.
e. Insurance Under Two Or More Coverages
When more than one coverage applies to a single loss, payment is limited to the actual amount of loss or damage, subject to any applicable deductible. No duplicate payments are made.
f. Legal Action Against Us
No legal action can be brought against the insurance company until the insured complies with all the terms of the coverage form. In addition, the legal action must commence within two years after the date of the breakdown.
If an obligation to a third party is involved, the insurance company must agree that the obligation exists. This agreement may be the result of arbitration. However, a third party cannot include the insurance company in a legal action to establish the insured’s obligation to that third party.
g. Loss Payable Clause
The insurance company pays any loss to the insured and the loss payee as their interests may appear, subject to it not being caused by the insured's conversion, secretion or embezzlement. If a cancellation notice is mailed to the insured, a similar notice must also be mailed to the loss payee. When payment is made to the loss payee, all of its rights that apply to that loss pass to the insurance company.
Note: An important right that passes to the insurance company is the right to subrogate against third parties possibly responsible for the loss.
h. Other Insurance
If other coverage identical to that provided under this coverage form applies to the same loss, this coverage form pays on a proportional basis.
If other coverage on a different basis applies to the same loss, this coverage is excess over that that other coverage.
Note: In the event of other identical coverage, the insured's obligation is on a proportional basis, not on an equal shares basis.
i. Privilege To Adjust With Owner
If loss or damage occurs to property of others in the insured's care,
custody or control, the insurance company has the right to settle the claim
directly with the property owner. Documentation of the payment to that party
satisfies the insured's claim against the company.
j. Reducing Your Loss
The insured must resume business, either partially or completely, within a reasonable period of time after a covered breakdown loss. It must also attempt to make up for lost business within a reasonable period of time that may not necessarily end when operations resume.
The insured must also use every reasonable means to reduce or avoid a business income loss. This includes:
Example: Sharing or leasing space and/or equipment.
k. Transfer Of Rights Of Recovery Against Others To Us
Any rights of the insured to recover damages from others are transferred
to the insurance company to the extent of payments it makes. The insured must
secure those rights and do nothing after a loss that negatively affects them.
The insured can waive its rights against others in writing in two situations:
l. Valuation
The value of covered property is the cost to repair, rebuild or replace the damaged property with similar property. While the meaning of "similar" is subject to debate, it usually refers to property of same kind, capacity, size or quality. The value of damaged property may be determined to be the actual cost to repair, rebuild or replace it. The restoration of the covered property must be done at a location where the work can be performed for the lowest cost. For this reason, it could take place at the original location or a new one. The insurance company does not pay for damage to obsolete property or to property that is useless to the insured.
The insurance company pays up to an additional 25% of the property damage loss amount to repair or replace the damaged equipment with equipment that improves the environment, increases efficiency or enhances safety. Two limitations apply. The 25% increase cannot exceed the limit of insurance indicated on the declarations and the function of the equipment must be the same after the repair as it was before the loss occurred.
Example: Maypole Metalmakers is insured under an Equipment Breakdown Protection Coverage Form with a $500,000 limit for property damage. Maypole's insurance adjuster tells Maypole's owner that its recent loss to a hydraulic press is covered. The adjuster goes on to say that he was initially going to offer to replace it with a used machine of the same model and amount of use for $42,000. However, he decides to handle the loss by buying a new model of the same press for $53,000 because it is a cleaner operating model and uses 35% less power than the old model.
If an extended warranty or service contract is voided due to a covered loss, the insurance company reimburses the insured for the unused costs of non-refundable or non-transferable warranties or contracts.
Repairs or replacement must take place within 24 months of the date of loss. If not, the insurance company pays the lesser of the cost required to repair or replace or the actual cash value of the property at the time of the breakdown.
Property held by the insured for sale is valued at its selling price. For the purpose of this coverage, selling price means the sales price reduced by the insured's discounts and adjusted for expenses that would have been incurred. This provision only applies to property that was manufactured by the insured, could not be replaced before its anticipated sale and is valued at more than its replacement cost.
Loss involving mass-produced data and media is adjusted according to its replacement cost. Other data and media losses are paid based on the cost to research assemble and reproduce the data and media on blank material. However, the insurance company does not pay for any data or media, either mass-produced or custom made, that cannot be replaced with data or media of similar kind and quality or property having similar functional use.
With respect to this coverage, the insurance company determines the value of covered property according to the type of property. Raw materials are valued at their replacement cost. Property in process is valued at the replacement cost of the raw materials, adjusted by the related labor overhead charges.
Note: This provision only refers to overhead. Profit is not mentioned.
Finished products are valued at their selling price, adjusted for any discounts offered and expenses the insured otherwise would have had.
· Salvage Value of Property
If property is used for temporary repairs or other valid uses after a breakdown, its value is considered in the adjustment of any loss. This property may be purchased as expediting expenses but the insured continues to have use of it after repairs are completed. The salvage value of this property is deducted from the insurance valuation at settlement since it is a new asset the insured did not have before the loss.
m. Business Income And Extra Expense Coverage Conditions
These additional conditions apply only to Business Income And Extra Expense Coverage:
The insured must complete an Annual Report of Values Form approved by the insurance company once each year. The report must reach the company within three months of the annual report date indicated on the declarations and annually afterwards.
After receiving the reports of value, the insurance company calculates the earned premium for the past year. If it is more than the premium already charged, the insured pays the difference. If it is less, the insurance company refunds the difference to the insured. The return premium is never more than 75% of the premium originally charged.
If a covered business income and extra expense loss occurs and the insured did not submit the reports of value indicated above within three months of the due date, this coinsurance condition applies. The insurance company does not pay the full value of any loss if the actual business income annual value is more than the estimated business income annual value, the report is received more than three months after its due date, or the report is otherwise overdue. The amount paid is determined by the following formula:
1. Divide the estimated business income annual value by the actual business income annual value at the time of the breakdown. The result is a multiplier factor.
2. Multiply the total business income loss amount by the multiplier factor calculated in 1 above.
3. Subtract any applicable deductible from the amount determined in 2 above.
Note: The insurance company pays the lesser of the amount determined in the last step above or the business income and extra expense limit of insurance. Any remaining amount must be paid by other insurance or from the insured's own financial resources.
Note: The penalty applies separately to each location when coverage applies to more than one location.
2. General Conditions
Many of the Equipment Breakdown Protection Coverage Form general conditions are similar to those found in commercial property coverage forms.
a. Additional Insured
Persons or organizations designated as additional insureds are considered
insureds under the Equipment Breakdown Protection Coverage Form to the extent
of their interest.
b. Bankruptcy
The insurance company's obligations under this coverage form are not affected or changed by the
bankruptcy or insolvency of the insured or the insured's estate.
c. Concealment, Misrepresentation Or Fraud
Coverage is void in the
event of fraud or if any insured at any time intentionally conceals or
misrepresents material facts with respect to this coverage form, covered
property, its interest in covered property or a claim under this coverage form.
d. Liberalization
If the insurance company adopts coverage form revisions that broaden this coverage without making an additional premium charge any time up to 45 days before its inception date or during the policy term, the broadened coverage automatically applies to this coverage form.
e. Mortgageholder
Note: Trustees are also mortgageholders.
Note: The insurance company has the option to pay the mortgageholder the entire
principal and accrued interest on the mortgage. In that case, the mortgage and
note is transferred to the insurance company and the insured pays any remaining
mortgage debt to the company.
Note: Statutes in many states supersede these notice periods.
f. No Benefit To Bailee
This insurance is for the benefit of the insured. Parties entrusted with an insured's covered property do not receive that benefit.
g. Policy Period,
The coverage provided
under the Equipment Breakdown Protection Coverage Form applies to loss or
damage that occurs during the policy period and in the coverage territory,
consisting of the
h. Premium and Adjustments
The insured must report the full 100% insurable values at each location to the insurance company every year as of the anniversary date. The value for each coverage must be reported separately. The renewal premium is determined based on the rates in effect as of the renewal date for all values at risk.
The insured must maintain the records needed to complete these reports and have them available for examination by the insurance company or its representatives during normal business hours during the policy year and for 12 months after coverage expires or is cancelled.
i. Suspension
This feature is unique to the Equipment Breakdown Protection Coverage Form. If covered equipment is determined to be in or exposed to a dangerous condition, any insurance company representative may immediately suspend coverage with respect to that equipment by delivering or mailing written notice of suspension to the insured's last known address or to the location of the suspended equipment.
Example: Practically Perfect Property Insurance Company insures Kim's Kandee Kitchen. Practically's senior equipment inspector notices certain insured equipment operating at considerably higher temperatures than their rating allows. The inspector enters the shift manager's office and issues a written order to shut down the equipment within 30 minutes or have coverage on that equipment suspended. Kim ignores the order. Three days later, the equipment identified by the inspector breaks down and starts a fire. With a copy of the inspector's written order in hand, Practically notifies Kim that coverage was and still is suspended and that the equipment loss is not covered.
Suspended coverage can only be reinstated by issuance of an endorsement for that covered equipment.
Note: Oral statements authorizing resumption of operations are unacceptable and do not reinstate coverage.
If coverage is suspended, the insured receives a pro rata refund of premium paid to insure that equipment. However, the suspension is effective even if a refund has not been offered or made.
3. Joint Or Disputed
Loss Agreement
This agreement is intended to facilitate payment of insurance proceeds when two different carriers for the property and the equipment breakdown coverage disagree about the amount of loss each pays. This condition keeps the insured from being a victim of insurance companies that disagree as to whether coverage exists or the amount of loss each is obligated to pay. Under this provision, the insured's loss is paid and the insurance companies then determine their portion of the loss payment.
Note that this condition applies only when the insurers cannot decide or determine whether coverage applies at all or the amount each owes. It does not apply if there is no dispute between the insurers or when both insurers deny any liability whatsoever.
The following conditions must be met in order for the terms of this provision to apply:
If these requirements are met, each company pays its entire undisputed amount and half of the disputed amount to the insured.
Note that this condition does not modify or waive any rights that any insurer has against another insurer or any rights an insured holds against the insurer.
The disputed amount of loss paid by the equipment breakdown carrier is not more than the same loss agreement in the commercial property coverage form or the amount it would have paid if property coverage had not been in force at the time of the loss. In any event, the carrier's liability does not exceed the applicable limit of insurance indicated on the declarations. Amounts paid and accepted by the insured do not alter, waive or surrender any other rights it has against the insurance company.
The arbitration section of the Joint Or Disputed Loss Agreement is similar to the Appraisal loss condition in commercial property coverage forms. If both insurers agree to submit their differences to arbitration, each pays its entire undisputed amount and half of the disputed amount to the insured within 90 days. Arbitration then takes place within 90 days after the insured receives these payments. The insured agrees to cooperate with all arbitration procedures. Three arbitrators are involved. Each carrier appoints one and these two arbitrators mutually agree on and select a third. If they cannot agree, either may request that a judge of a court having jurisdiction select the third arbitrator. Any decision agreed to by two of the three arbitrators binds both parties. Judgment on any award can be entered in any court having jurisdiction.
The carrier determined to be responsible for the larger portion of the ultimate loss returns the excess contribution to the other insurer(s). It must also pay liquidated damages to the other insurer(s) on the amount of its excess contribution.
Note: Liquidated damages are interest that accrues on the disputed amount from the date the Joint Or Disputed Loss Agreement is invoked until the excess amount is reimbursed. It is calculated at 1.5 times the highest prime rate from the Money Rates column of the Wall Street Journal that appears during the period of the Liquidated Damages.
Note: Arbitration expenses are not part of the excess contribution used for the liquidated damages calculation. They are apportioned between insurers on the same basis that the ultimate loss is apportioned.
Example: Old Hotel, Ltd. uses a low-pressure steam boiler to provide heat for the premises. It has a monoline Equipment Breakdown Protection Coverage Form written with one insurance company and a commercial property coverage form written with a different carrier. A small fire and explosion occurs but all of the damage is confined to the boiler room. Some of the damage is clearly a boiler loss while other damage is clearly a commercial property loss. However, a problem arises from a significant part of the loss that may be covered by either coverage form. Each carrier points out the parts of its coverage form that exclude coverage and suggests that the other carrier's coverage applies instead. Old Hotel wants to resume operations quickly but cannot do so because the two carriers cannot agree on the amount each should pay and neither insurer is willing give the hotel permission to proceed with the repairs. Fortunately, the carriers agree to arbitration, the insured is paid according to the formula in the arbitration clause, the needed repairs are made and operations resume. In addition, the arbitration proceedings resolve the carriers' differences relatively quickly.
Defined words are used throughout the coverage form. Restricting their
meaning to those definitions provides the means for all parties involved with
the policy to have a clearer understanding of the coverage intended. EB 00
20–Equipment Breakdown Protection Coverage Form has 15 defined terms.
1. Breakdown is direct physical loss that causes damage to covered equipment requiring its repair or replacement. Direct physical loss includes failure of pressure or vacuum equipment, mechanical failure, including rupture or bursting caused by centrifugal force, or electrical failure, including arcing, unless the loss or damage is excluded elsewhere in the coverage form.
It does not mean or include loss or damage arising from inadequate or improper care and maintenance of the equipment. As a result, breakdown does not include:
Note: Despite this exhaustive definition, disputes arise from time to time concerning the coverage intended.
2. Business Income is the
total of the net income that would have been earned and continuing normal
operating expenses. It includes payroll.
Note: Net income is net
profit or loss before income taxes.
3. Business Income Actual Annual Value is the total of net income that would have been earned and continuing
normal operating expenses if an equipment breakdown loss had not occurred.
Note: This figure is used
to calculate the coinsurance penalty.
4. Business Income Estimated Annual Value is the insured's estimated business income, as defined above, reported on
the most recent Annual Report Of Values Form filed with the insurance company.
Note: This figure is also
used to calculate the coinsurance penalty.
5. Computer Equipment is the insured's programmable electronic equipment used to store, retrieve and process data. It includes peripheral equipment that provides communication, printing and data transmission, such as printers, keyboards and monitors.
Note: Computer equipment does not include data and media.
6. Covered Equipment
a. Covered equipment means or includes the following:
Note: Covered equipment not owned by the utility must be at a location indicated on the declarations and be owned, leased or operated by the named insured. This requirement does not apply to Utility Interruption, Contingent Business Income And Extra Expense or Extra Expense Only coverages.
b. “Covered equipment” does not mean or include:
Note: The glass lining of covered equipment is covered.
Note: Such equipment constructed and used according to appropriate and approved
regulating codes is covered.
Note: A catalyst, as used in chemistry, is a substance that modifies and increases the rate of a reaction without being consumed in the process.
Note: This includes penstock, draft tube or well casing.
Note: Equipment otherwise covered and occasionally used on vehicles, aircraft, self-propelled equipment or floating vessels is covered.
Note: Equipment otherwise covered and occasionally used on dragline, excavation or construction equipment is covered.
Note: The Equipment Breakdown Protection Coverage Form is not intended to insure relatively minor kinds of maintenance-type property.
7. Covered Property is property the named insured owns or property of others in its care, custody or control and for which it is legally liable.
8. Data is programmed and recorded material stored on media and programming records used for electronic data processing or electronically controlled equipment.
9. Extra Expense represents the additional costs the insured incurs to operate the business during the period of restoration. These costs are in addition to the insured's normal costs of operations during the same period if an equipment breakdown loss had not occurred.
10. Fungus is any type or form of fungus. It
includes mold, mildew, mycotoxins, spores, scents or the byproducts produced or
released by fungi.
Note: Mycotoxins are toxins or poisons produced by fungi.
11. Hazardous Substance is
anything determined by a government agency to be a health hazard.
Note: This does not include
ammonia.
12. Media is electronic data processing or storage media. Examples are films, tapes, discs, drums or cells.
13. One Breakdown. If an initial breakdown causes additional breakdowns, all are considered one breakdown. In addition, all breakdowns at a single location that occur at the same time as a direct result of the same event are considered one breakdown.
Note: This is important in the application of limits and deductibles. One breakdown means one deductible and one limit of insurance. Multiple breakdowns mean more than one deductible and multiple limits of insurance.
14. Period Of Restoration is a time period. It begins either when a breakdown occurs or 24 hours before the insurance company is notified of the breakdown, whichever is later.
Note: As a result, prompt loss reporting is extremely important to the insured. If notification is delayed, business income coverage does not begin until 24 hours before the notice is received.
Example: Jacklow International's equipment breaks down on 08/01/08. The insurance company is notified on 08/15/08. The period of restoration begins at the later of 08/1/08 or 08/14/08. In this case, coverage begins on 08/14/08. The delay in reporting the breakdown costs Jacklow 13 days of coverage.
It ends five days after the date that the damaged property is repaired or replaced with property of similar quality and on a timely basis.
Note: Even if unforeseen delays occur, coverage still ends when the damaged property could have been repaired or replaced on a timely basis.
15. Stock is merchandise held in storage or for sale. It also includes raw materials, property in process or finished products, including supplies used to pack and ship them.
The Insurance Services Office (ISO) Boiler And Machinery Coverage Form was revised with the 07 01 edition and renamed Equipment Breakdown Protection Coverage Form. This name more accurately and completely responds to the coverage needs of the 21st century. This change resulted in the development of completely new forms, provisions and endorsements. Coverages under the Equipment Breakdown Protection Coverage Form can be added to the Commercial Package Policy or be written on a monoline basis.
The Equipment Breakdown Protection Coverage Form is more compact and easier to read. It includes provisions to include ten basic coverages, each of which is triggered by the appropriate entry on the declarations.
Changes from the 07 01 edition are in bold print.
Equipment Breakdown Protection Coverage is needed because standard commercial property forms typically exclude loss or damage caused by machinery or equipment breakdowns.
The coverage form opens by stating that certain provisions in the form
restrict coverage and encourages the insured to carefully read the entire
policy to determine its rights and duties and to determine what is covered and
not covered. It also points out that the insurance company uses the terms you
and your to refer to the named insured and the terms we, us and our refer to
the insurance company providing the coverage. It also directs attention to
Section F–Definitions because understanding the definitions is critical to
understanding the coverage form, along with the Coverage and Exclusions
sections.
1. Covered Cause Of
Loss
The only covered cause of loss is a breakdown to covered equipment. Breakdown is a defined term, as is covered equipment, and these definitions should be examined carefully.
2. Coverages Provided
Insurance applies only to the coverages having a limit or the word INCLUDED indicated next to them on the declarations. If an entry is not made, that coverage is not provided.
Note: The limit of insurance provided for each coverage, if any, is the primary limit. If INCLUDED appears next to a coverage, that coverage is included in the total limit per breakdown.
Note: Each coverage provided applies only to the part of any loss that results directly from the covered cause of loss.
Ten coverages are available.
a. Property Damage
This coverage pays for direct damage to covered property located at the premises indicated on the declarations.
b. Expediting Expenses
This coverage applies to additional costs the insured incurs to make temporary repairs and expedite or hasten permanent repairs or replacement of the damaged property.
Example: Perfection Products incurs a covered loss to one of its production boilers. The damage is such that it cannot be repaired and a new boiler must be ordered. Delivery and installation normally takes three months but one of Perfection's customers has an identical boiler on hand if it needed to replace one of its units. The customer makes it available to Perfection at its cost and with an allowance for its storage costs. Perfection jumps at the opportunity because it will be operating again in two weeks instead of three months. Coverage applies to the additional costs because this enabled Perfection to resume operations sooner than expected.
c. Business Income And
Extra Expense Or Extra Expense Only
The insured can choose to purchase combined business income and extra expense coverage or extra expense coverage only. There is no option to purchase business income coverage only.
If the insured purchases combined business income and extra expense coverage, the insurance company pays the insured’s actual loss of business income during the period of restoration, as well as the extra expenses necessarily incurred to operate the business during the period of restoration. If coverage for extra expense only is purchased, there is no coverage for business income.
The company determines its payment by analyzing the insured's operations before the loss and estimating the effect on continuing operations of the equipment breakdown.
The period of restoration ends five days after the covered equipment is back in service, unless a different number of days are indicated on the declarations.
If ordinance or law coverage is provided, the period of restoration also includes the additional time needed to demolish, remove, repair, remodel or rebuild.
If media is damaged or data is lost or corrupted, coverage applies to the actual loss of business income and/or extra expense during the period of time needed to research, replace or restore the media or data and to reprogram any instructions used with any computer equipment. Coverage does not apply to media or data not replaced or restored.
Example: Perfection Products sustains a covered loss that destroys half of its computer data. While restoring its records, Perfection decides that a business documents archive destroyed in the loss is no longer needed. The adjuster reduces the settlement to reflect that the obsolete records will not be replaced.
The insurance company pays the actual loss of business income and/or extra expense for a maximum of 30 days after the period of restoration, or $25,000, whichever is less.
d. Spoilage Damage
Coverage applies to loss or damage caused by spoilage to raw materials, property being processed and finished products. However, the insured must meet the following conditions:
Note: Any expenses the insured incurs to reduce the amount of loss are covered, subject to the spoilage damage limit.
Example: Perfection Products' bad luck continues. This time a brownout causes a refrigerated line to go down for almost two hours. As a result, the raw milk product being processed spoils and must be discarded. This coverage applies to the value of the spoiled milk.
e. Utility Interruption
Note: This coverage is not available unless the insured purchases Business Income And Extra Expense, Extra Expense Only or Spoilage Damage coverage. That coverage then extends to include loss or damage resulting from utility services being interrupted at the insured's premises, subject to the insured meeting each of the following conditions:
Example: Continuing Perfection's bad luck story above, the production line cannot resume operations until it is cleaned thoroughly, inspected and approved by the Board of Health. This takes four days. Perfection's Spoilage Damage deductible is 24 hours. Perfection recovers three days of lost business income, after application of the deductible.
f. Newly Acquired Premises
This coverage extends insurance to automatically apply at premises the insured purchases or leases. It begins when the insured purchases or leases the property and lasts for the number of days indicated on the declarations for Newly Acquired Premises. The broadest coverage provided at any insured premises applies to the newly acquired property, subject to the terms, conditions and deductibles that apply. The insured must inform the insurance company of the acquisition in writing as soon as practicable and pay the appropriate additional premium.
g. Ordinance Or Law Coverage
The Ordinance Or Law exclusion eliminates coverage for any increase in loss due to enforcement of ordinances or laws regulating repair, replacement or reconstruction of a building or structure. This coverage pays such costs, within certain guidelines, if the increase in the amount of loss is necessary due to the enforcement of any laws or ordinances in force at the time of the breakdown that regulate demolition, construction, repair or use of the building or structure. It pays:
It does not pay:
The insurance company does not pay the full amount of loss under this coverage if the building is damaged by a breakdown insured under this coverage form and simultaneously sustains physical damage not insured by this coverage form. If the total building damage results in ordinances or laws are enforced, this coverage pays only the proportion of such loss that the covered breakdown portion of the loss bears to the total of all physical damage.
Example: A covered building is valued at $500,000. It sustains $300,000 in damage from equipment breakdown and a fire. A local ordinance requires installation of special upgrades any time building damage is 50% or more of its value. Enforcement of this ordinance results in an additional loss of $80,000. The breakdown portion of the loss is $75,000, or 25% of the total, and the fire portion of the loss is $225,000, or 75% of the total. Since the breakdown portion of the loss is 25%, only 25% of the additional loss due to enforcement of the ordinance, or $20,000, is covered.
If the insured purchased Ordinance Or Law Coverage under its Commercial Property Coverage Form, it would respond to the remaining $60,000 of the additional loss due to enforcement of the ordinance.
Note: If the building damage not insured by this coverage form was the reason the ordinance or law provision was triggered, the insurance provided by this coverage form does not apply. The commercial property coverage form insuring the damaged building is responsible for the entire amount due under ordinance or law coverage.
h. Errors And Omissions
This coverage pays for loss or damage not otherwise payable because of:
Errors and unintentional omissions must be corrected and reported to the insurance company as soon as they are discovered and the premium adjusted accordingly.
Note: Coverage does not apply as a result of the insured's error or unintentional omission in reporting of values or the coverage it requested.
Example: Perfection Products has a second, much smaller, location that runs the same product line as its main location. Perfection accepts an offer from a competitor to buy it on the same date that its coverage renews and leaves that location off the renewal application. Unfortunately the sale falls through. Even more unfortunately, Perfection completely forgets to notify the insurance company that coverage on that location should continue. Even worse, a significant loss occurs at the location after the policy renews that suddenly reminds Perfection of its oversight in this matter. However, the story has a happy ending because this coverage pays for Perfection's unintentional omission of this location from its renewal specifications.
i. Brands And Labels
If covered property, consisting of branded or labeled merchandise, is damaged by a breakdown, the insurance company has the option to take all or part of it at either an agreed or appraised value. In that case, the insured may:
The insurance company pays reasonable costs the insured incurs to perform either of these tasks but the costs incurred and values of the merchandise cannot be more than the applicable limit of insurance on such property.
Example: Perfection Products manufactures and sells a line of action figures under its own name. It packages these in sealed metal containers, with a code stamped on the bottom of the container that identifies the figure inside. A covered breakdown in the sealing and labeling machine causes the wrong labels to be affixed to the wrong containers and also causes the containers to be dented, although the contents themselves are not damaged. Perfection and its insurer agree to a salvage value on the damaged merchandise and Perfection stamps SALVAGE on each container. Fortunately for Perfection, the value of this additional work added to the value of the merchandise is less than the limit of insurance and is covered.
j. Contingent Business
Income And Extra Expense Or Extra Expense Only Coverage
This coverage is subject to the same terms and conditions as Business Income And Extra Expense or Extra Expense Only coverage. It applies to any loss sustained by the insured that results from a breakdown of covered equipment at a premises the insured does not own or operate that negatively affects the insured's ability to deliver its products or services, or results in lower sales at any insured location indicated on the declarations. Coverage applies only to locations the insured does not own indicated on the declarations.
The insured must do everything it can to influence the contributing or recipient business to do everything it can to resume operations and resume delivery of products or services to the insured or to accept the insured's products or services. The insured is encouraged to cooperate with contributing or recipient properties in every way possible, except for providing financial assistance not authorized by the insurance company.
Example: Teeter Totter Toys manufactures additional action figures for Perfection to meet seasonal and holiday demands that exceed Perfection's manufacturing capabilities. Unfortunately, Teeter's production line's primary power train breaks down under the strain of the additional demands on it and all production ceases. Perfection, sensing its huge sales and enormous profits slipping away, tries to influence Teeter to spend additional sums to expedite replacing the drive train and resuming production, but to no avail. Replacement parts are simply not available outside normal distribution channels and time frames. Perfection has to swallow hard and watch the holiday sales of its enormously popular line of toys dry up.
This coverage form has 21 exclusions. They apply whether the loss event results in widespread damage or affects a significant geographical area or not and are 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.
Note: Several of the exclusions are similar to exclusions found in commercial property coverage forms.
1. Ordinance Or Law
Coverage does not apply to any increase in loss due to enforcement of any ordinance or law regulating repair, use, operation, installation, clean up or disposal of covered property. This exclusion has one exception. It does not apply to a covered breakdown to electrical supply and emergency generating equipment situated on the premises of a hospital.
2. Earth Movement
Loss or damage due to earth movement is excluded. This includes
earthquake, landslide, land or mine subsidence and volcanic action but is not
limited to these.
Note: This exclusion is more restrictive than the same exclusion in the Commercial Property Coverage Form. Since it has no exceptions, all earth movement is excluded.
3. Water
Loss or damage caused by the action of water is not covered. This includes flood, waves, tides and overflow of bodies of water, including their spray, all whether wind-driven or not. This also applies to mudflow, mudslide and backup of sewers and drains.
Note: In addition,
this exclusion also applies to water damage from sprinkler systems and domestic
water pipes.
4. Nuclear Hazard
The insurance company does not pay for loss or damage arising out of nuclear reaction, radiation or radioactive contamination, however caused.
5. War Or Military Action
This exclusion lists three specific types of warlike activity. War can be undeclared or a civil war. It is important to determine who can declare war. In any action that constitutes war, coverage does not apply. In addition, any action involving military forces and/or military agents is not covered. Finally, rebellions, revolution, usurped power, insurrection and any government response to any of them are not covered.
Note: Terrorism is
not listed.
6. Explosion
There is no coverage for loss or damage caused by explosion. However,
coverage does apply to explosions of covered equipment involving steam boilers,
piping, turbines or engines, electric steam generators, gas turbines and moving
or rotating machinery when an explosion is caused by centrifugal force or
mechanical breakdown.
7. Fire Or Combustion Explosion
Loss or damage caused by a fire or combustion explosion that results in a
breakdown or that occurs at the same time as or ensues from a breakdown is
excluded.
Note: These events are insured under the insured's Commercial Property Coverage Form. This exclusion prevents the Equipment Breakdown Protection Coverage Form from responding to a fire loss, resulting in duplicate coverage.
8. Fungus, Wet Rot And
Dry Rot
Coverage does not
apply to loss or damage caused by the presence or any activity of fungus, wet
rot or dry rot. However, loss or damage resulting from a covered breakdown is
covered.
Note: This exclusion
does not apply with respect to any other coverage provided for fungus, wet rot
or dry rot by this coverage form. Even then, coverage only applies for the
portion of loss or damage caused by the presence or activity of fungus, wet rot
or dry rot resulting from a covered breakdown.
9. Virus, Bacterium Or
Other Microorganism
There is no coverage
for any loss arising out of or resulting from any virus, bacterium or other
microorganism that causes physical distress, illness or disease. This exclusion
does not apply to loss or damage resulting from a breakdown or loss or damage
caused by or resulting from fungus, wet rot or dry rot.
Note: If this exclusion is applied to a particular loss, its provisions do not create coverage for any loss otherwise excluded by the coverage form.
10. Furnace Explosion
Loss or damage caused by or resulting from an explosion within the
furnace of a chemical recovery boiler or its piping to the atmosphere is not
covered.
Note: These explosions are covered under the Commercial Property Coverage Form.
11. Pressure Or Electrical Testing
Coverage does not apply to loss or damage to covered equipment being
tested by pressure or electrical means.
12. Fire Extinguishing Agents
The insurance company does not pay for any loss or damage caused by or
resulting from water or any other agents used to extinguish a fire.
Note: This exclusion
applies even when such attempts are unsuccessful.
13. Depletion, Deterioration, Corrosion, Erosion, Wear Or Tear
Loss or damage caused by
depletion, deterioration, corrosion, erosion, wear and tear is excluded.
Note: The loss or damage resulting from a covered breakdown is covered.
14. Other Insurance
Loss or damage resulting in a breakdown caused by aircraft, vehicles, freezing, lightning, sinkhole collapse, smoke, riot, civil commotion, vandalism, weight of ice, sleet or snow is not covered. This exclusion applies only if coverage against these causes of loss is provided by other insurance coverage.
Note: This applies whether the insured can collect on the other insurance or not.
15. Windstorm Or Hail
Loss or damage resulting from a breakdown caused by windstorm or hail is
excluded.
Note: Breakdowns due to these causes of loss are excluded, regardless of whether other coverage is available.
16. Delay Or Interruption
There is no coverage for delays or interruptions of any business, manufacturing or processing activities except as provided by Business Income And Extra Expense, Extra Expense Only or Utility Interruption coverages available under this coverage form.
17. Business Income And
Extra Expense, Extra Expense Only And Utility Interruption Coverages
The following additional exclusions apply to these coverages.
18. Power, Light, Heat,
Steam Or Refrigeration
Indirect loss after covered equipment breaks down due to too much or too little power, light, heat, steam or refrigeration is excluded except for the coverage provided by Business Income And Extra Expense, Extra Expense Only or Utility Interruption coverages available under this coverage form.
19. Utility Interruption Coverage
With respect to this coverage, any loss or damage caused by or resulting from acts of sabotage, collapse, deliberate acts of load shedding by the supplying utility, freezing caused by cold weather, impact of aircraft, missile or vehicle or objects falling from an aircraft or missile, lightning, riot, civil commotion, vandalism, sinkhole collapse, smoke, and weight of ice, sleet or snow is excluded. This exclusion applies whether coverage against these causes of loss is provided by other insurance coverage or not.
Note: Load shedding is the intentional reduction or cutting off of service to control overall power requirements.
20. Indirect Breakdown Damage
Indirect loss or damage caused by or resulting from a breakdown to covered equipment is excluded except for the coverage provided under Business Income And Extra Expense, Extra Expense Only, Spoilage Damage or Utility Interruption coverages available under this coverage form.
21. Neglect
There is no coverage for loss or damage that results from the insured failing to use every reasonable means to save and keep covered property from further damage during and after a loss.
1. The most the insurance company pays for any loss or damage from a single breakdown event is the applicable limit of insurance indicated on the declarations.
2. Payments are not increased if more than one insured appears on the declarations.
3. A limit of insurance or the word INCLUDED must be entered on the declarations for each coverage provided. If INCLUDED appears next to a particular coverage, the limit for that coverage is part of the limit per breakdown, not in addition to it. If a dollar limit appears next to a particular coverage, the insurance company pays up to, not more than, the limit of insurance for that particular coverage.
Example: These are the
entries made on two different declarations:
Coverage |
Declarations A |
Declarations B |
Limit Per Breakdown |
$ 1,000,000 |
$ 1,205,000 |
Property Damage |
$ 1,000,000 |
$ 1,000,000 |
Expediting Expense |
$ INCLUDED |
$ 25,000 |
Business Income/Extra Expense |
$ |
$ |
Extra Expense Only |
$ INCLUDED |
$ 50,000 |
Extended Period Of Restoration (Number Of Days Of Coverage) |
_______ Days |
_______ Days |
Data Or Media ($25,000 Limit of Insurance) or |
$ |
$ |
Spoilage Damage |
$ INCLUDED |
$ 25,000 |
Utility Interruption |
$ INCLUDED |
$ 10.000 |
Coverage applies only if services are interrupted at least |
24 Hours |
24 Hours |
Newly Acquired Premises |
INCLUDED |
INCLUDED |
Number Of Days Of Coverage |
_______ Days |
_______ Days |
Ordinance Or Law |
$ INCLUDED |
$ 25,000 |
Errors And Omissions |
$ INCLUDED |
$ 10,000 |
Brands And Labels |
$ INCLUDED |
$ 10,000 |
Contingent Business Income/Extra Expense |
$ INCLUDED |
$ 50,000 |
Covered Premises: |
$ |
$ |
Sales, Services Or Materials: |
$ |
$ |
4. If covered equipment is for the exclusive use of supplying utility services to the insured's premises, is owned by a private or public utility, is not in the insured's possession or for which it is legally liable, and insured under this coverage form, the Property Damage limit indicated on the declarations is deleted. It is replaced by the sum of one dollar. A slightly different provision applies if the insured is a public or private utility. If the insured is a public or private utility, this provision applies only when the covered equipment is owned by a public or private utility other than that insured.
Note: The nominal one-dollar limit exists as a technicality. Providing this limit permits the coverage form to provide indirect damage protection for consequential loss to an insured as a result of damage to this non-owned utility equipment.
5. This coverage form automatically includes five additional coverages. Each is subject to a $25,000 limit, unless a higher limit or INCLUDED is entered on the declarations. These limits are part of the Limit Of Insurance for Property Damage or the Limit Per Breakdown, not in addition to them.
a. Ammonia Contamination
This coverage applies to spoilage to covered property contaminated by ammonia. It also applies to any salvage expense.
b. Consequential Loss
This coverage applies to the reduction in value of undamaged stock parts of a product that is unmarketable.
Note: The reduction in value must be caused by physical loss or damage to another part of the product.
c. Data And Media
These are the costs incurred by the insured to research, replace or restore damaged data or media. They include the costs to reprogram instructions used in any computer equipment.
d. Hazardous Substance
Coverage applies to the additional expenses incurred by the insured to clean-up, repair, replace or dispose of covered property damaged, contaminated or polluted by a hazardous substance as defined in the coverage form. This coverage is an exception to the Ordinance Or Law exclusion.
Note: The covered expenses are additional costs incurred over and above the amount payable if no hazardous substance was involved with the loss.
e. Water Damage
Coverage applies to loss or damage to covered property damaged by water, except for damage resulting from leakage from a sprinkler system or domestic water piping.
If fungus, wet rot or
dry rot results from such water damage, loss or damage from those substances is
limited as described in 6. Limited Coverage For Fungus, Wet Rot And Dry Rot
below and is part of the Water Damage limit, not in addition to it.
6. Limited Coverage
For Fungus, Wet Rot And Dry Rot
This coverage and
limit is added:
a. Property damage
The insurance company
pays for loss or damage caused by fungus, wet rot and dry rot that is a direct
result of a breakdown to covered equipment that occurs during the policy period.
The limit is $15,000 for all occurrences that take place during any 12-month
period and does not increase the limit of insurance for covered property. A
higher limit for this coverage can be indicated on the declarations.
b. Business Income And
Extra Expense Or Extra Expense Only
This coverage also
applies to Business Income And Extra Expense or Extra Expense Only if these
coverages are provided. The loss of business income or extra expense must be
due solely to loss or damage to covered property caused by fungus, wet rot or
dry rot. It is limited to the loss or expense sustained in a period not
exceeding 30 days, unless a different number of days is indicated on the
declarations.
1. Application Of
Deductibles
The insurance company pays for loss or damage resulting from a breakdown when the amount of loss or damage exceeds the deductible for the applicable coverage indicated on the declarations, up to its limit of insurance.
Note: Deductibles apply to each applicable coverage separately, with two exceptions:
2. Determination Of
Deductibles
This coverage form has five different deductibles:
a. Dollar Deductible
This is a flat deductible the insured must pay before the insurance company makes any payment.
b. Time Deductible
A time deductible can also be referred to as a waiting period. The insurance company does not pay until the number of hours or days indicated on the declarations after the occurrence of a covered loss have passed. Loss amounts between the time of the occurrence and the end of the designated time or waiting period are the insured's financial responsibility.
Note: A day equals 24 hours.
Example: Lizzie owns a laundry. She has a five-day waiting period
on her Equipment Breakdown Protection Coverage Form Business Income And Extra
Expense Coverage. A critical item of equipment breaks down at
3:20 p.m. on 04/01/08. The breakdown results in the laundry being shut down
until the equipment is repaired. Repairs are finished on 04/06/08 at 1:45 p.m.
While business does not resume until the fifth day after the accident, the
repairs are made before five 24-hour periods pass. As a result, Lizzie receives
no payment under the Business Income And Extra Expense coverage.
c. Multiple Of Daily Value Deductible
A time deductible can be quite disadvantageous to the insured. The initial period after a loss frequently involves the most loss or expense. Subsequent periods involve less loss or expense because some business activity can begin or contracts can be cancelled in some cases. The consequences of such a loss can be mitigated by use of the Multiple Of Daily Value Deductible. It is calculated as follows:
1. Determine the business income that would have been earned for the entire premises where the breakdown loss occurred during the period of restoration if there was no loss.
2. Divide the figure in 1 above by the number of days the business would have operated during the period of restoration. The result is the daily value.
3. Multiply the daily value in 2 above by the number of days indicated on the declarations. The insurance company subtracts this deductible amount from the amount of loss for which it is liable. It then pays the amount of loss or damage that exceeds this deductible amount up to the applicable limit of insurance.
d. Percentage Of Loss Deductible
Percentage-of-loss deductibles are often used in place of dollar
deductibles but the application in this coverage form is different than the way
percentage deductibles are applied in other forms. In this form, the percentage
is applied to the amount of the loss instead of to the value of the covered
property.
Example: Major Manufacturing Company has a $1,000,000 Property Damage limit on its Equipment Breakdown Protection Coverage Form. Major sustains a $300,000 loss when its primary assembling equipment breaks down. Here is what Major recovers under three different deductible approaches:
$50,000 Flat
Deductible |
Regular 5% Deductible
|
5% Percentage of
Loss Deductible |
$300,000 loss |
$300,000 loss |
$300,000 loss |
–$50,000 deductible |
–$50,000 deductible |
–$15,000 deductible |
$250,000 payment |
$250,000 payment |
$285,000 payment |
e. Minimum Or Maximum
Deductibles
This deductible is used with the Multiple Of Daily Value Deductible or the Percentage Of Loss Deductible. It allows the insured to have a definite range of payment.
If the insured selects the Multiple Of Daily Value Deductible or the Percentage Of Loss Deductible, the deductible amount is calculated and then compared to the minimum and maximum deductible indicated on the declarations. If the calculated deductible falls between the minimum and the maximum, the insured pays the calculated deductible. If the calculated deductible is less than the minimum, the insured pays the minimum deductible. If the calculated deductible is more than the maximum, the insured pays the maximum deductible.
Example: Lizzie chooses a 10% Percentage Of Loss Deductible for Property Damage and a five-day Multiple Of Daily Value Deductible for Business Income And Extra Expense. Both coverages are subject to a $500 minimum and $5,000 maximum deductible. Lizzie's boiler breakdown causes $60,000 in covered property damage and $15,000 loss of income for the 30 days her operation is shut down. Her daily value is $500.
The Property Damage deductible is $60,000 X .10 (10%) = $6,000. Since $6,000 is more than the $5,000 maximum, she is responsible for only $5,000.
The Business Income deductible is $500 X 5 (days) = $2,500. Since $2,500 falls between $500 and $5,000, Lizzie is responsible for $2,500.
These conditions are in addition to the Common Policy Conditions.
Note: Many of these loss conditions are similar to those found in commercial property coverage forms.
1. Loss Conditions
a. Abandonment
The insured cannot surrender or turn over property to the insurance company without its permission.
Example:
b. Appraisal
If the insured and the insurance company cannot agree on the value of property or the amount of loss, either may request an appraisal of the loss. Each party selects its own competent and impartial appraiser and they, in turn, select an umpire or have one appointed for them. Differences in value or amount that cannot be resolved are submitted to the umpire. A decision by any two parties is binding on all parties. Each party pays its own appraiser and shares the cost of the umpire equally.
Note: Even if there is an appraisal, the insurance company retains its right to deny the claim.
Example: Jane's production boiler breaks down. Jane and Cheapskate Mutual, her insurance company, cannot agree on its value. They both agree to submit the dispute to appraisal. Jane selects an experienced appraiser who just happens to be her brother. Cheapskate selects a totally impartial party who has no appraisal credentials. Both "appraisers" are rejected because Jane’s selection is biased and Cheapskate's selection is not qualified.
c. Defense
At its option, the insurance company can choose to defend the insured against suits resulting from claims by the property owners. If it does, it does so at its own expense.
d. Duties In The Event Of Loss Or Damage
The named insured has a number of duties to
perform if a claim or demand for coverage occurs. It must:
The insurance company has the right to examine any insured under oath at
reasonable times concerning the claim or the insurance coverage provided. This
includes the insured's books and records. The insured must acknowledge any
examination by its signature.
Note: The insurance company
has the option of examining anyone alone and not in the presence of any other
insured.
e. Insurance Under Two Or More Coverages
When more than one coverage applies to a single loss, payment is limited to the actual amount of loss or damage, subject to any applicable deductible. No duplicate payments are made.
f. Legal Action Against Us
No legal action can be brought against the insurance company until the insured complies with all the terms of the coverage form. In addition, the legal action must commence within two years after the date of the breakdown.
If an obligation to a third party is involved, the insurance company must agree that the obligation exists. This agreement may be the result of arbitration. However, a third party cannot include the insurance company in a legal action to establish the insured’s obligation to that third party.
g. Loss Payable Clause
The insurance company pays any loss to the insured and the loss payee as their interests may appear, subject to it not being caused by the insured's conversion, secretion or embezzlement. If a cancellation notice is mailed to the insured, a similar notice must also be mailed to the loss payee. When payment is made to the loss payee, all of its rights that apply to that loss pass to the insurance company.
Note: An important right that passes to the insurance company is the right to subrogate against third parties possibly responsible for the loss.
h. Other Insurance
If other coverage identical to that provided under this coverage form applies to the same loss, this coverage form pays on a proportional basis.
If other coverage on a different basis applies to the same loss, this coverage is excess over that that other coverage.
Note: In the event of other identical coverage, the insured's obligation is on a proportional basis, not on an equal shares basis.
i. Privilege To Adjust With Owner
If loss or damage occurs to property of others in the insured's care,
custody or control, the insurance company has the right to settle the claim
directly with the property owner. Documentation of the payment to that party
satisfies the insured's claim against the company.
j. Reducing Your Loss
The insured must resume business, either partially or completely, within a reasonable period of time after a covered breakdown loss. It must also attempt to make up for lost business within a reasonable period of time that may not necessarily end when operations resume.
The insured must also use every reasonable means to reduce or avoid a business income loss. This includes:
Example: Sharing or leasing space and/or equipment.
k. Transfer Of Rights Of Recovery Against Others To Us
Any rights of the insured to recover damages from others are transferred
to the insurance company to the extent of payments it makes. The insured must
secure those rights and do nothing after a loss that negatively affects them.
The insured can waive its rights against others in writing in two situations:
l. Valuation
The value of covered property is the cost to repair, rebuild or replace the damaged property with similar property. While the meaning of "similar" is subject to debate, it usually refers to property of same kind, capacity, size or quality. The value of damaged property may be determined to be the actual cost to repair, rebuild or replace it. The restoration of the covered property must be done at a location where the work can be performed for the lowest cost. For this reason, it could take place at the original location or a new one. The insurance company does not pay for damage to obsolete property or to property that is useless to the insured.
The insurance company pays up to an additional 25% of the property damage loss amount to repair or replace the damaged equipment with equipment that improves the environment, increases efficiency or enhances safety. Two limitations apply. The 25% increase cannot exceed the limit of insurance indicated on the declarations and the function of the equipment must be the same after the repair as it was before the loss occurred.
Example: Maypole Metalmakers is insured under an Equipment Breakdown Protection Coverage Form with a $500,000 limit for property damage. Maypole's insurance adjuster tells Maypole's owner that its recent loss to a hydraulic press is covered. The adjuster goes on to say that he was initially going to offer to replace it with a used machine of the same model and amount of use for $42,000. However, he decides to handle the loss by buying a new model of the same press for $53,000 because it is a cleaner operating model and uses 35% less power than the old model.
If an extended warranty or service contract is voided due to a covered loss, the insurance company reimburses the insured for the unused costs of non-refundable or non-transferable warranties or contracts.
Repairs or replacement must take place within 24 months of the date of loss. If not, the insurance company pays the lesser of the cost required to repair or replace or the actual cash value of the property at the time of the breakdown.
Property held by the insured for sale is valued at its selling price. For the purpose of this coverage, selling price means the sales price reduced by the insured's discounts and adjusted for expenses that would have been incurred. This provision only applies to property that was manufactured by the insured, could not be replaced before its anticipated sale and is valued at more than its replacement cost.
Loss involving mass-produced data and media is adjusted according to its replacement cost. Other data and media losses are paid based on the cost to research assemble and reproduce the data and media on blank material. However, the insurance company does not pay for any data or media, either mass-produced or custom made, that cannot be replaced with data or media of similar kind and quality or property having similar functional use.
With respect to this coverage, the insurance company determines the value of covered property according to the type of property. Raw materials are valued at their replacement cost. Property in process is valued at the replacement cost of the raw materials, adjusted by the related labor overhead charges.
Note: This provision only refers to overhead. Profit is not mentioned.
Finished products are valued at their selling price, adjusted for any discounts offered and expenses the insured otherwise would have had.
· Salvage Value of Property
If property is used for temporary repairs or other valid uses after a breakdown, its value is considered in the adjustment of any loss. This property may be purchased as expediting expenses but the insured continues to have use of it after repairs are completed. The salvage value of this property is deducted from the insurance valuation at settlement since it is a new asset the insured did not have before the loss.
m. Business Income And Extra Expense Coverage Conditions
These additional conditions apply only to Business Income And Extra Expense Coverage:
The insured must complete an Annual Report of Values Form approved by the insurance company once each year. The report must reach the company within three months of the annual report date indicated on the declarations and annually afterwards.
After receiving the reports of value, the insurance company calculates the earned premium for the past year. If it is more than the premium already charged, the insured pays the difference. If it is less, the insurance company refunds the difference to the insured. The return premium is never more than 75% of the premium originally charged.
If a covered business income and extra expense loss occurs and the insured did not submit the reports of value indicated above within three months of the due date, this coinsurance condition applies. The insurance company does not pay the full value of any loss if either the actual business income annual value is more than the estimated business income annual value, the report is received more than three months after its due date, or the report is otherwise overdue. The amount paid is determined by the following formula:
1. Divide the estimated business income annual value by the actual business income annual value at the time of the breakdown. The result is a multiplier factor.
2. Multiply the total business income loss amount by the multiplier factor calculated in 1 above.
3. Subtract any applicable deductible from the amount determined in 2 above.
Note: The insurance company pays the lesser of the amount determined in the last step above or the business income and extra expense limit of insurance. Any remaining amount must be paid by other insurance or from the insured's own financial resources.
Note: The penalty applies separately to each location when coverage applies to more than one location.
2. General Conditions
Many of the Equipment Breakdown Protection Coverage Form general conditions are similar to those found in commercial property coverage forms.
a. Additional Insured
Persons or organizations designated as additional insureds are considered
insureds under the Equipment Breakdown Protection Coverage Form to the extent
of their interest.
b. Bankruptcy
The insurance company's obligations under this coverage form are not affected or changed by the
bankruptcy or insolvency of the insured or the insured's estate.
c. Concealment, Misrepresentation Or Fraud
Coverage is void in the
event of fraud or if any insured at any time intentionally conceals or
misrepresents material facts with respect to this coverage form, covered
property, its interest in covered property or a claim under this coverage form.
d. Liberalization
If the insurance company adopts coverage form revisions that broaden this coverage without making an additional premium charge any time up to 45 days before its inception date or during the policy term, the broadened coverage automatically applies to this coverage form.
e. Mortgageholder
Note: Trustees are also mortgageholders.
Note: The insurance company has the option to pay the mortgageholder the entire
principal and accrued interest on the mortgage. In that case, the mortgage and
note is transferred to the insurance company and the insured pays any remaining
mortgage debt to the company.
Note: Statutes in many states supersede these notice periods.
f. No Benefit To Bailee
This insurance is for the benefit of the insured. Parties entrusted with an insured's covered property do not receive that benefit.
g. Policy Period,
The coverage provided
under the Equipment Breakdown Protection Coverage Form applies to loss or
damage that occurs during the policy period and in the coverage territory,
consisting of the
h. Premium and Adjustments
The insured must report the full 100% insurable values at each location to the insurance company every year as of the anniversary date. The value for each coverage must be reported separately. The renewal premium is determined based on the rates in effect as of the renewal date for all values at risk.
The insured must maintain the records needed to complete these reports and have them available for examination by the insurance company or its representatives during normal business hours during the policy year and for 12 months after coverage expires or is cancelled.
i. Suspension
This feature is unique to the Equipment Breakdown Protection Coverage Form. If covered equipment is determined to be in or exposed to a dangerous condition, any insurance company representative may immediately suspend coverage with respect to that equipment by delivering or mailing written notice of suspension to the insured's last known address or to the location of the suspended equipment.
Example: Practically Perfect Property Insurance Company insures Kim's Kandee Kitchen. Practically's senior equipment inspector notices certain insured equipment operating at considerably higher temperatures than their rating allows. The inspector enters the shift manager's office and issues a written order to shut down the equipment within 30 minutes or have coverage on that equipment suspended. Kim ignores the order. Three days later, the equipment identified by the inspector breaks down and starts a fire. With a copy of the inspector's written order in hand, Practically notifies Kim that coverage was and still is suspended and that the equipment loss is not covered.
Suspended coverage can only be reinstated by issuance of an endorsement for that covered equipment.
Note: Oral statements authorizing resumption of operations are unacceptable and do not reinstate coverage.
If coverage is suspended, the insured receives a pro rata refund of premium paid to insure that equipment. However, the suspension is effective even if a refund has not been offered or made.
3. Joint Or Disputed
Loss Agreement
This agreement is intended to facilitate payment of insurance proceeds when two different carriers for the property and the equipment breakdown coverage disagree about the amount of loss each pays. This condition keeps the insured from being a victim of insurance companies that disagree as to whether coverage exists or the amount of loss each is obligated to pay. Under this provision, the insured's loss is paid and the insurance companies then determine their portion of the loss payment.
Note that this condition applies only when the insurers cannot decide or determine whether coverage applies at all or the amount each owes. It does not apply if there is no dispute between the insurers or when both insurers deny any liability whatsoever.
The following conditions must be met in order for the terms of this provision to apply:
If these requirements are met, each company pays its entire undisputed amount and half of the disputed amount to the insured.
Note that this condition does not modify or waive any rights that any insurer has against another insurer or any rights an insured holds against the insurer.
The disputed amount of loss paid by the equipment breakdown carrier is not more than the same loss agreement in the commercial property coverage form or the amount it would have paid if property coverage had not been in force at the time of the loss. In any event, the carrier's liability does not exceed the applicable limit of insurance indicated on the declarations. Amounts paid and accepted by the insured do not alter, waive or surrender any other rights it has against the insurance company.
The arbitration section of the Joint Or Disputed Loss Agreement is similar to the Appraisal loss condition in commercial property coverage forms. If both insurers agree to submit their differences to arbitration, each pays its entire undisputed amount and half of the disputed amount to the insured within 90 days. Arbitration then takes place within 90 days after the insured receives these payments. The insured agrees to cooperate with all arbitration procedures. Three arbitrators are involved. Each carrier appoints one and these two arbitrators mutually agree on and select a third. If they cannot agree, either may request that a judge of a court having jurisdiction select the third arbitrator. Any decision agreed to by two of the three arbitrators binds both parties. Judgment on any award can be entered in any court having jurisdiction.
The carrier determined to be responsible for the larger portion of the ultimate loss returns the excess contribution to the other insurer(s). It must also pay liquidated damages to the other insurer(s) on the amount of its excess contribution.
Note: Liquidated damages are interest that accrues on the disputed amount from the date the Joint Or Disputed Loss Agreement is invoked until the excess amount is reimbursed. It is calculated at 1.5 times the highest prime rate from the Money Rates column of the Wall Street Journal that appears during the period of the Liquidated Damages.
Note: Arbitration expenses are not part of the excess contribution used for the liquidated damages calculation. They are apportioned between insurers on the same basis that the ultimate loss is apportioned.
Example: Old Hotel, Ltd. uses a low-pressure steam boiler to provide heat for the premises. It has a monoline Equipment Breakdown Protection Coverage Form written with one insurance company and a commercial property coverage form written with a different carrier. A small fire and explosion occurs but all of the damage is confined to the boiler room. Some of the damage is clearly a boiler loss while other damage is clearly a commercial property loss. However, a problem arises from a significant part of the loss that may be covered by either coverage form. Each carrier points out the parts of its coverage form that exclude coverage and suggests that the other carrier's coverage applies instead. Old Hotel wants to resume operations quickly but cannot do so because the two carriers cannot agree on the amount each should pay and neither insurer is willing give the hotel permission to proceed with the repairs. Fortunately, the carriers agree to arbitration, the insured is paid according to the formula in the arbitration clause, the needed repairs are made and operations resume. In addition, the arbitration proceedings resolve the carriers' differences relatively quickly.
Defined words are used throughout the coverage form. Restricting their
meaning to those definitions provides the means for all parties involved with
the policy to have a clearer understanding of the coverage intended. EB 00
20–Equipment Breakdown Protection Coverage Form has 15 defined terms.
1. Breakdown is direct physical loss that causes damage to covered equipment requiring its repair or replacement. Direct physical loss includes failure of pressure or vacuum equipment, mechanical failure, including rupture or bursting caused by centrifugal force, or electrical failure, including arcing, unless the loss or damage is excluded elsewhere in the coverage form.
It does not mean or include loss or damage arising from inadequate or improper care and maintenance of the equipment. As a result, breakdown does not include:
Note: Despite this exhaustive definition, disputes arise from time to time concerning the coverage intended.
2. Business Income is the
total of the net income that would have been earned and continuing normal
operating expenses. It includes payroll.
Note: Net income is net
profit or loss before income taxes.
3. Business Income Actual Annual Value is the total of net income that would have been earned and continuing
normal operating expenses if an equipment breakdown loss had not occurred.
Note: This figure is used
to calculate the coinsurance penalty.
4. Business Income Estimated Annual Value is the insured's estimated business income, as defined above, reported on
the most recent Annual Report Of Values Form filed with the insurance company.
Note: This figure is also
used to calculate the coinsurance penalty.
5. Computer Equipment is the insured's programmable electronic equipment used to store, retrieve and process data. It includes peripheral equipment that provides communication, printing and data transmission, such as printers, keyboards and monitors.
Note: Computer equipment does not include data and media.
6. Covered Equipment
a. Covered equipment means or includes the following:
Note: Covered equipment not owned by the utility must be at a location indicated on the declarations and be owned, leased or operated by the named insured. This requirement does not apply to Utility Interruption, Contingent Business Income And Extra Expense or Extra Expense Only coverages.
b. Covered equipment” does not mean or include:
Note: The glass lining of covered equipment is covered.
Note: Such equipment constructed and used according to appropriate and approved
regulating codes is covered.
Note: A catalyst, as used in chemistry, is a substance that modifies and increases the rate of a reaction without being consumed in the process.
Note: This includes penstock, draft tube or well casing.
Note: Equipment otherwise covered and occasionally used on vehicles, aircraft, self-propelled equipment or floating vessels is covered.
Note: Equipment otherwise covered and occasionally used on dragline, excavation or construction equipment is covered.
Note: The Equipment Breakdown Protection Coverage Form is not intended to insure relatively minor kinds of maintenance-type property.
7. Covered Property is property the named insured owns or property of others in its care, custody or control and for which it is legally liable.
8. Data is programmed and recorded material stored on media and programming records used for electronic data processing or electronically controlled equipment.
9. Extra Expense represents the additional costs the insured incurs to operate the business during the period of restoration. These costs are in addition to the insured's normal costs of operations during the same period if an equipment breakdown loss had not occurred.
10. Fungus is any type
or form of fungus. It includes mold, mildew, mycotoxins, spores, scents or the
byproducts produced or released by fungi.
Note: Mycotoxins are toxins or poisons produced by fungi.
11. Hazardous Substance is
anything determined by a government agency to be a health hazard.
Note: This does not include
ammonia.
12. Media is electronic data processing or storage media. Examples are films, tapes, discs, drums or cells.
13. One Breakdown. If an initial breakdown causes additional breakdowns, all are considered one breakdown. In addition, all breakdowns at a single location that occur at the same time as a direct result of the same event are considered one breakdown.
Note: This is important in the application of limits and deductibles. One breakdown means one deductible and one limit of insurance. Multiple breakdowns mean more than one deductible and multiple limits of insurance.
14. Period Of Restoration is a time period. It begins either when a breakdown occurs or 24 hours before the insurance company is notified of the breakdown, whichever is later.
Note: As a result, prompt loss reporting is extremely important to the insured. If notification is delayed, business income coverage does not begin until 24 hours before the notice is received.
Example: Jacklow International's equipment breaks down on 08/01/08. The insurance company is notified on 08/15/08. The period of restoration begins at the later of 08/1/08 or 08/14/08. In this case, coverage begins on 08/14/08. The delay in reporting the breakdown costs Jacklow 13 days of coverage.
It ends five days after the date that the damaged property is repaired or replaced with property of similar quality and on a timely basis.
Note: Even if unforeseen delays occur, coverage still ends when the damaged property could have been repaired or replaced on a timely basis.
15. Stock is merchandise held in storage or for sale. It also includes raw materials, property in process or finished products, including supplies used to pack and ship them.
Insurance Services Office's (ISO) Boiler and Machinery program was revised with the 2001 edition. The traditional name of Boiler and Machinery was eliminated and replaced by Equipment Breakdown Protection. The new name reflects the coverage needed in the 21st century. New forms, provisions and endorsements were developed. Coverages under the latest edition can be added to the Commercial Package Policy, or written on a monoline basis.
The new program is more compact. The base policy form contains language for ten popular coverages. Three of the coverages, Errors and Omissions, Brand and Labels, and Contingent Business Income and Extra Expense, were not available under the old program. These various coverages are options that must be triggered by entry on the declarations page.
The need for Equipment Breakdown Protection Coverage arises from limitations found in the commercial property forms. These forms typically exclude losses caused by machinery or equipment breakdowns.
The Equipment Breakdown Protection Coverage Form BM 00 20 has only one covered cause of loss. That cause of loss is the “breakdown” of “covered equipment.”
There are ten coverages that can be provided by the Equipment Breakdown Protection Coverage form. The application of each coverage is shown by a limit of insurance or the word “INCLUDED” in the declarations.
1. Property Damage
This coverage pays for direct damage to “covered
property” located at the premises described in the declarations. The limit of
insurance shown under this coverage is the primary limit of insurance. Whenever
"included" appears next to another coverage, it means it is part of
the PD limit.
2. Expediting Expenses
This coverage applies to extra costs the insured incurs to make temporary repairs and expedite (speed up) the permanent repairs or replacement of the damaged property.
3. Business Income and Extra Expense – Extra Expense Only
The insured has the option of purchasing business income and extra expense coverage together or extra expense coverage alone. There is no option for purchasing just business income coverage.
If both coverages are purchased, the company will pay the insured’s actual loss of "business income" during the "period of restoration.” It will also pay the "extra expense" necessarily incurred to operate the business during that “period of restoration.” If the Extra Expense Only coverage is purchased, there is no coverage for business income.
The company will determine payment analyzing an insured's pre-loss operation and estimating the impact of the equipment breakdown.
The period of restoration ends five days after the covered equipment is back in operation. However, this period is replaced by any number that may appear next to "Extended Period of Restoration Coverage" on the policy's Declarations.
Also, if Ordinance or Law coverage is selected in the Declarations, the added time needed for the coverage is included in the period of restoration.
If media is lost or corrupted, the company will pay the actual loss of business income and/or extra expense during the time necessary to research, replace or restore that data. The coverage also obligates the insurer to pay to reprogram instructions used in covered computer equipment. However, there is no coverage for media or data that is not or cannot be replaced or restored. Coverage is limited to the insured’s actual loss of business income and/or extra expense up to 30 days after the period of restoration or $25,000, whichever is less. Higher limits are available.
Example: An insured suffers a covered loss that destroys nearly half of their computer data. While restoring their records, they decide that an archive of business documents that was part of the loss was no longer needed. The adjuster reduces their settlement to account for the fact that the obsolete records will not be replaced.
4. Spoilage Damage
Spoilage damage to raw materials, property in process or finished products is covered but only if the insured meets all three of the following conditions:
a. The raw materials, property in process or finished products are either in storage or in the course of being manufactured.
b. The insured owns or is legally liable under written contract for the spoiled property.
c. A lack of or excess of power, light, heat, steam or refrigeration caused the spoilage.
If the insured incurs expenses to reduce the amount of the loss, those expenses are covered. The expense payment is subject to the spoilage damage limit.
5. Utility Interruption
Before this coverage can be selected, the insured must purchase coverage for Business Income and Extra Expense – Extra Expense Only or Spoilage Damage. Coverage is contingent upon all of the following conditions being met:
a. The interruption must be the direct result of a breakdown to covered equipment owned, operated or controlled by the local private or public utility or distributor that directly generates, transmits, distributes or provides utility services received by the insured.
b. The covered equipment must supply electric power, communication services, air conditioning, heating, gas, sewer, water or steam to the insured’s premises.
c. The interruption of utility service must last more than the number of hours shown on the Declarations for this coverage. Once this waiting period is met, coverage will be provided as of the initial time of the interruption.
The base rates anticipate the limit of insurance is 25% of the business income annual value but higher limits are permitted.
6. Newly Acquired Premises
This feature automatically covers newly acquired premises purchased or leased by the insured. This coverage begins at the time the property is acquired and continues for a period not exceeding the number of days indicated in the declarations for Newly Acquired Premises. Coverage is subject to the broadest policy provisions that apply to the policy's described premises. The insured must inform the company, in writing, of the newly acquired premises as soon as practicable, and agree to pay an additional premium determined by the company.
7. Ordinance or Law Coverage
The Ordinance or Law Exclusion eliminates coverage for loss created by the imposition of ordinance or laws that restrict or regulate the rebuilding of the damaged property. This coverage pays such costs, within guidelines in the coverage, provided any increase in the loss amount is necessary due to the enforcement of any laws or ordinances in force at the time of the breakdown which regulate the demolition, construction, repair or use of the building or structure. Coverages are similar to those provided in the commercial property coverage forms for the loss in value of the undamaged portion of the building, demolition cost, and increased cost of construction.
A separate provision applies if the covered building experiences simultaneous damage from breakdown and from an ineligible source of loss and this incident results in enforcement of an ordinance or law. In this situation, the company will pay only that proportion of loss that the covered breakdown loss bears to the total physical damage.
Example: A covered building, valued at $500,000, suffers $300,000 in damage from equipment breakdown and fire. A local ordinance requiring special upgrades is enforced whenever building damage equals or exceeds 50% of its value. Ordinance enforcement results in an additional loss of $80,000. The portion of loss due to breakdown is $75,000 and the portion of loss due to fire is $225,000. Since the portion of the loss by breakdown is 25% of the total loss [$75,000 ¸ $300, 000, 25% of the ordinance-related loss is covered. In this case, $20,000 [$80,000 x .25%].
If the insured purchased Ordinance or Law Coverage under its Commercial Property form, that policy would respond to the remainder of the $80,000 loss.
8. Errors and Omissions
This coverage pays for loss or damage that would have been covered except for one of the following:
a. The insured’s error or unintentional omission in the description or location of property.
b. The insured’s failure to include any premises owned or occupied at the coverage inception date. The failure must be due to an error on the insured's part - not an intentional act.
c. The insured’s error or unintentional omission that results in the company canceling coverage at one of the insured's premises.
The coverage requires the insured to report and correct any errors or unintentional omissions when they are discovered. The policy premium will be adjusted accordingly. This coverage does not apply to any error or unintentional omission the insured makes in reporting values or requesting coverage.
9. Brands and Labels
If property (intended for sale) is damaged, the insurance company agrees to allow the insured to remove labels and branding providing the removal does not harm the salvaged property. The insured may even require that the property be clearly labeled as SALVAGE. The insured must re-label the merchandise or its containers to comply with any law. The company will pay reasonable costs incurred by the insured to do this, but the total paid for these costs and the value of the damaged property will not exceed the applicable Limit of Insurance.
10. Contingent Business Income and Extra Expense – Extra Expense Only Coverage
This coverage is subject to the same terms and conditions as the Business Income and Extra Expense or Extra Expense Only Coverage. This Protection applies to the insured’s loss resulting from a breakdown of covered equipment at a premises the insured does not own or operate (typically a party located elsewhere in the distribution chain). The premises must be shown in the declarations. The loss must prevent the delivery of services or materials shown in the declarations to the insured, or result in the loss of sales by the insured to the premises shown in the declarations. The insured must encourage the contributing or recipient business to take any necessary effort to resume operations and delivery of services or materials to the insured, or to accept products or services from the insured. However, the insured is barred from giving financial assistance unless authorized to do so by the company.
There are nineteen exclusions in the Equipment Breakdown Protection Coverage form. They apply whether loss is caused directly or indirectly, regardless of any other cause or event that contributes concurrently or in any sequence to the loss. They also apply whether or not the loss event results in widespread damage or affects a substantial area.
Several of the exclusions are similar to exclusions found in the commercial property forms. Some of the form’s exclusions apply only to equipment breakdown coverage (as that is the only eligible peril).The exclusions are:
1. Ordinance or Law.
An exception is made for the use and operation of electrical supply and emergency generating equipment located on the premises of a hospital.
2. Earth Movement
This exclusion is more restrictive than a similar exclusion in the Commercial Property form. There are no exceptions, so all volcanic action is excluded.
3. Water
In addition to the
standard flood, mudflow and backup or sewers and drains, the exclusion also
applies to water damage from sprinkler systems and any domestic water pipes.
4. Nuclear Hazard
This exclusion applies to all nuclear activity, including radioactive contamination.
5. War or Military Action
Damages from war, insurrection and similar activities are excluded.
6. Explosion
This peril is excluded under the Equipment Breakdown policy except for the important exceptions of loss involving an explosion of covered steam boilers, electric steam generators, steam piping, steam turbines, steam engines, or gas turbines. Moving or rotating machinery is covered if the explosion is caused by centrifugal force or mechanical breakdown.
7. Fire or combustion explosion
This clarifies that if a fire or combustion explosion occurs; creating a breakdown, there is no coverage under this policy. If the fire or combustion explosion happens simultaneously with the breakdown there is no coverage. Even if the breakdown causes a fire or combustion explosion, there is no coverage under this policy.
Note: These instances should be insured under an operation's Commercial Property Coverage Form. This exclusion prevents the Equipment and Breakdown policy from responding to a fire loss.
8. Internal Furnace Explosions
The policy bars coverage for explosions that take place within the furnace of any type of chemical recovery boiler or in the passageway between the furnace and the atmosphere. Again, this explosion is better covered under the Commercial Property Coverage Form.
9. Pressure or Electrical Testing
If damage occurs to an insured's equipment during a pressure or electrical test, there is no coverage.
10. Any damage caused when water or other extinguishing methods are used is not covered regardless whether the attempt to control a fire is successful.
11. There is no coverage for depletion,
deterioration, corrosion, erosion, or wear and tear BUT if a breakdown results from these causes the company will pay for
the resulting loss or damage.
12. Other Insurance
If another source of protection responds to breakdowns caused by aircraft, vehicles, freezing, lightning, sinkhole collapse, smoke, riot, civil commotion, vandalism, weight of snow, ice or sleet, there is no coverage under this policy. Even if the insured is unable to collect the insurance coverage under the other policy, this exclusion still applies.
13. Windstorm or hail
Breakdowns by these perils are excluded, regardless whether other sources of coverage are available.
14. There is no coverage for business, manufacturing or processing interruption unless the insured purchases Business Income And Extra Expense, Extra Expense Only or Utility Interruption Coverage.
15. Business Income and
Extra Expense - Extra Expense Only and/or Utility Interruption Coverage
There provisions bar coverage under the following situations:
a. If business operations were ceasing, regardless of a breakdown's occurrence
b. The insured does not attempt to get the
business up and running in a timely fashion.
c. If a contract is suspended, lapses or cancels following a breakdown and that event lengthens the down time, there is no coverage for that extended time.
16. Power, light, heat, steam or
refrigeration
If damage is caused by either insufficient or excess light, heat, steam or refrigeration, there is no coverage.
Note: Coverage provided by the Business Income And Extra Expense, Extra Expense Only, Spoilage Damage and Utility Interruption Coverage, if purchased, would apply.
17. Utility Interruption Coverage Exclusions
No coverage is provided for breakdowns related to acts of sabotage, collapse, deliberate act(s) of load shedding (intentionally reducing or cutting off service to control overall power requirements) by the supplying utility, freezing caused by cold weather, impact of aircraft, missile or vehicle, impact of objects falling from an aircraft or missile, lightning, riot, civil commotion or vandalism, sinkhole collapse, smoke, and weight of snow, ice or sleet.
18. Indirect Breakdown Damage
While such loss is excluded under the basic equipment breakdown form, an insured can purchase coverage for some indirect acts with the Business Income and Extra Expense, Extra Expense, Spoilage Damage or Utility Interruption Coverages.
19. Insured Post-Loss Neglect
If an insured does not take reasonable steps to protect and preserve property after a loss, there is no coverage for any additional damage that occurs.
The most the company will pay for any loss or damage from a single incidence of breakdown is the applicable Limit of Insurance shown in the declarations.
A limit of insurance or the word INCLUDED must be shown in the declarations for each of the ten coverages purchased by the insured. If "included" is shown next to the coverage, the limit for that coverage is part of, not in addition to, the limit per breakdown. If a dollar limit is shown next to the coverage, the company will pay up to, but not more than, the limit of insurance for that specific coverage.
Example: Here are two policy declarations entries:
Coverage |
Policy A Entry |
Policy B Entry |
Property Damage |
$1,000,000 |
$1,000,000 |
Expediting Expenses |
"Included" |
$25,000 |
Business Income and Extra Expense – Extra Expense Only |
"Included" |
$50,000 |
Spoilage Damage |
"Included" |
$25,000 |
Utility Interruption |
"Included" |
$10,000 |
Newly Acquired Premises |
"Included" |
$100,000 |
Ordinance or Law Coverage |
"Included" |
$25,000 |
Errors and Omissions |
"Included" |
$10,000 |
Brands and Labels |
"Included" |
$10,000 |
Contingent Bus. Inc. & Extra Expense – Ext. Expense Only Coverage |
"Included" |
$50,000 |
Total Possible
Coverage For A Single Occurrence |
$1,000,000 |
$1,305,000 |
The equipment breakdown policy establishes a special, nominal limit of $1 for certain equipment. This limit applies to equipment used solely to supply utility services to the insured’s premises. Eligible equipment must:
be owned by a public or private utility
not be in the insured’s care, custody or control (except for that which the insured is legally liable)
Note: If the insured is a public or private utility, this provision applies only when the covered equipment is owned by a public or private utility other than that insured.
This nominal limit exists as a technicality. Providing the limit permits the policy to provided indirect damage protection for consequential loss to an insured as a result of damage to this non-owned utility equipment.
Five additional coverages are automatically included in the Equipment Breakdown Protection Coverage form. Unless a higher limit or "included" appears next to these coverage, the most the company will pay is $25,000 for each supplemental coverage. The limits are part of, not in addition to, the Limit of Insurance for Property Damage or limit per breakdown.
1. Ammonia Contamination
This coverage applies to spoilage to covered property contaminated by ammonia. The coverage also applies to any salvage expense.
2. Consequential Loss
This coverage applies to
the reduction in value of undamaged "stock" parts of a product that
is unmarketable due to loss or damage to another part of the product.
3. Data and Media
The insured’s cost to research, replace or restore damaged data or media, including the cost to reprogram instructions used in any computer equipment is covered.
4. Hazardous Substance
Additional expenses the insured incurs for the clean-up, repair or replacement or disposal of covered property that is damaged, contaminated or polluted by a "hazardous substance” is covered. The covered expenses are the additional cost incurred over and above the amount payable had no hazardous substance been involved with the loss. This coverage is an exception to the Ordinance or Law exclusion.
5. Water Damage
Damage to covered property by water, including any salvage expenses, is covered unless the damage was caused by leakage of a sprinkler system or domestic water piping.
The insured must pay the deductible listed in the Declaration before the insurance company starts paying for any damage.
Deductibles apply separately for each coverage unless the word COMBINED, rather than an amount, appears in the Declarations. When the latter is the case, all losses from a single breakdown are combined and a single, combined deductible applies. If more than one covered piece of equipment is involved in a loss and the pieces have different deductibles, only the highest, applies per coverage.
The Equipment Breakdown form includes several types of deductibles. If the deductible is shown in the declarations as a:
Dollar Deductible
This is a flat deductible that must be paid before the insurance company begins payment.
Time Deductible
A time deductible is often called a waiting period. The company does not begin paying until a certain number of hours or days after a covered loss have passed. All loss prior to the end of the waiting period is the insured's financial responsibility.
Note: A day equals 24 hours.
Example: Lizzie owns a laundry. She has a 5 day waiting period on her Equipment Breakdown Business Income coverage. A critical piece of equipment breaks down at 3:20 p.m., 04/01/05. The breakdown meant that the laundry had to shut down until the equipment could be restored. The equipment was restored on 04/06/06 at 1:45 p.m. While business did not resume until the fifth day after the accident, the repairs were made before the passage of five, 24-hour periods. Lizzie received no payment under the Business income Coverage.
Multiple of Daily Value deductible
A deductible using elapsed days can hurt an insured. The first days after a loss often are the most expensive. Later days, when some business activity can begin or contracts can be cancelled, are less expensive. This consequence of a loss can be addressed by using the Multiple Daily Value deductible. It is calculated as follows:
Step 1. The Business Income loss amount is determined.
Step 2. The number of days lost during the period of restoration are calculated and divided into the Business Income loss amount. The result is the daily value.
Step 3. Multiply the daily value by the number of days shown in the Declarations. The company will subtract this deductible amount from any loss amount otherwise payable.
Percentage of Loss Deductible
Instead of a flat dollar deductible, a percentage deductible is used. This type is different from typical percent deductibles. Under an Equipment Breakdown Policy, a given loss is multiplied by the deductible percent to determine the dollar deductible.
Example: Major Manufacturer Ltd. has a $1,000,000 limit on its Equipment Breakdown Policy. Major suffers a huge loss when its main array of assembling equipment breaks down, creating a $300,000 loss. Here's what major recovers under three different deductibles:
$50,000 Flat Deductible |
Regular 5% Deductible |
5% Percentage of Loss Deductible |
$300,000 Loss |
$300,000 Loss |
$300,000 Loss |
- $50,000 |
- $50,000 |
- $15,000 |
$250,000 payment |
$250,000 payment |
$285,000 payment |
This deductible can be used in conjunction with the Multiple of Daily Value Deductible or the Percentage Deductible. It allows the insured to have a definite range of payment.
If the insured has selected the Percentage of Loss Deductible or the Multiple of Daily Value Deductible, the amount of the deductible is computed and then compared to the minimum and maximum deductible indicated on the Declarations. If the calculated deductible is between the minimum and the maximum, the insured will pay the calculated deductible. However, if the calculated deductible is less than the minimum, the insured must pay the minimum deductible. If the calculated deductible is more than the maximum, the insured only pays the maximum.
Example: Lizzie chooses a 10% Percentage of Loss deductible for property damage and a 5 day Multiple of Daily value deductible for Business Income and makes both subject to $500 minimum and $5,000 maximum. Her boiler breaks down causing $60,000 in covered property damage and $15,000 loss of income for the 30 days her operation is shut down. Lizzie’s daily value is $500.
Her Property Damage deductible is $60,000 X .10 = $6,000. Since it is more than the maximum of $5,000, she is responsible for only $5,000.
Her Business Income Deductible is $500 X 5 = $2,500. Since that falls between the $500 and $5,000, she is responsible for $2,500.
Conditions are presented here by letter as shown in the Equipment Breakdown Protection Coverage form.
Many of the loss conditions are similar to those found in the commercial property forms.
a. Abandonment
The insured cannot give property to the insurance company without its permission.
b. Appraisal
If the insured and the insurance company cannot agree on the amount of the loss, either party can request that an appraisal be conducted. Each party then selects an appraisal and their appraisers select an umpire. The agreement of any two is binding on both parties. Each party pays its own appraiser and shares the cost of the umpire.
c. Defense
The insurance company has the right to defend the insured if other parties bring suit against the insured for property claims covered by this policy.
d. Duties In The Event Of Loss or Damage
An insured must let the insurance company know about a loss promptly. The notification must include a description of the involved property. The initial notice must be followed up with a complete loss description including how, when and where, as soon as possible. The insurance company must be allowed access to the premises and to any damaged property prior to any repairs or removal of that property. The insured is still required to take measures to protect the property from further damage even while waiting for the insurance company to show up.
The insurance company may need to inspect the property, examine an insured's financial records and take samples of damaged and undamaged property. The insured cannot refuse cooperating with any of these actions as long as the requests are considered reasonable.
Within 60 days of the insurance company’s request, the insured must subject a signed and sworn proof of loss using forms supplied by the insurance company.
The insurance company must be allowed to interview any and all insureds separately.
e. Insurance under Two or More Coverages
When a single loss is covered under more than one part of the policy, payment is still subject to the applicable limit and the amount of eligible loss, minus any deductible. No duplicate payments will be made.
f. Legal Action against Us
Legal action cannot be brought against the insurance company until the insured has complied with the terms of the policy. Further, if an insured does file a lawsuit, there's a time limit to do so. Legal actions must be taken no later than two years after the breakdown (loss).
If a third party is involved, there must be an agreement by the insurance company that such obligation exists. This agreement may be the result of arbitration. However, under the policy, no third party can include the insurance company in a legal action to establish the insured’s obligation to that third party.
g. Loss Payable Clause
The insurance company pays any loss to the insured and the loss payee as their interests may appear. The insurance company honors the interest of the loss payee unless the loss is caused by an insured that is guilty of conversion, secretion or embezzlement. If a cancellation notice is mailed to the insured, a similar notice must also be mailed to the loss payable. When payment is made to the loss payable, all of their rights that apply to that loss (particularly the right to subrogate), are passed to the insurance company.
h. Other Insurance
If there is identical coverage for the same loss, this policy pays on a proportionate basis.
Note: The insured's obligation is on a proportional, not an equal share basis.
If there is coverage available under another, not identical, coverage, this policy is considered excess over that that other coverage.
i. Privilege To Adjust With Owner
If there is a loss involving property of others that is in the insured’s care, custody or control, the company has the right to settle the loss (directly) with the owner of the property. A receipt for payment from the property’s owner will satisfy the claim of the insured.
j. Reducing Your Loss
The insured must resume business, either partially or completely, and make up for lost business within a reasonable period of time following a breakdown. This reasonable period could continue beyond the time when operations are resumed. The insured must also make use of every reasonable means to prevent business income loss including:
(1) Working extra time or overtime wherever possible to carry on the same operations especially if there is undamaged space on the same premises or if the insured owns other premises
(2) Working with other business (example, sharing or leasing space and/or equipment)
(3) Taking equipment out of storage and use merchandise that is at hand including reserve stock
(4) Using the salvage from the damaged property
k. Transfer of Rights of Recovery against Others to Us
All rights of recovery that belong to the insured following a loss are transferred to the insurance company unless:
· The insured waives rights before any loss occurs.
· The insured waives rights to a party after the loss. However, a post-loss transfer of rights is valid only if the party that receives the rights is also insured by this insurance or if the party is a business firm. An eligible firm is one that is owned or controlled by the insured, that owns or controls the insured or the business is an insured's tenant.
l. Valuation
The value of covered property is the cost to repair, rebuild or replace the damaged property with similar property. Though what constitutes "similar" can be debated, it usually refers to property of same kind, capacity, size or quality. Damaged property may also have its value determined as the actual cost to repair, rebuild or replace that property. The restoration of the covered property must be done at a location where the job can be performed at the lowest expense. Therefore, it could occur either at the original site or a new site. The company will not pay for damaged property that is obsolete and useless to the insured.
·
Improved Equipment
The insurance company will pay up to an additional 25% of the property damage loss amount to repair or replace the damaged equipment in a manner that improves the environment, increases efficiency, or enhances safety. The two limitations are that the 25% increase can't exceed the limit of insurance on the Declarations and the function of the equipment must be the same after the repair as when the loss occurred.
Example: Maypole Metalmakers is insured by an Equipment Breakdown policy with a $500,000 limit for property damage. An adjuster from their insurer reports back to Maypole's owner that the policy will handle their recent loss, a broken hydraulic press. The adjuster reports that, at first they were going to offer replace it with a used machine of the same model and amount of use for $42,000. However, the adjuster later says that they will handle the loss by buying a new model of the same press for $53,000. The adjuster explains that the new press will be bought because it operates more cleanly and uses 35% less power than the old model.
·
Extended Warranty
If an extended warranty or service contract is voided due to a covered loss, then the insurance company will reimburse the insured for the unused costs of non-refundable, non-transferable warranties or contracts.
·
Time Limit on Replacement Cost
Repairs or replacement must take place within 24 months of the date of loss. If not, the company will pay only the smaller of the cost it would have taken to repair or replace or the actual cash value of the property at the time of the breakdown.
·
Selling Price
Property
held by the insured for sale will be valued at the selling price. For the
intent of coverage, selling price means the sales price that is reduced by an
insured's discounts. Sales price is also adjusted for expenses that would have
been incurred. This latter provision only applies to property that was
manufactured by the insured, could not be replaced before its anticipated sale
and is valued at more than the replacement cost.
·
Data and
Media Damage or Loss
Loss involving data and media that is mass-produced
is adjusted according to its replacement cost. Other data and media are paid
based on the cost to research, assemble and reproduce the data and media on to
blank material. However, the company will not pay for data or media (either
mass produced or customized) that cannot be replaced with data or media of like
kind and quality or property of similar functional use.
·
Spoilage
For Spoilage Damage coverage, the company will determine the value of covered property according to the type of property. Raw materials are valued at replacement cost; Property in process is valued at replacement cost of the raw materials, adjusted by the related labor overhead charges.
Note; This provision only makes reference to overhead and profit is not mentioned.
Finished products are valued at their selling price. The selling price is adjusted for any discounts offered and expenses the insured otherwise would have had.
·
Salvage Value of Property
If property is used for temporary repairs or other valid use following a breakdown, its value is considered in the adjustment of any loss. These items might be purchased as expediting expenses but the insured continues to have use of the property once the property is repaired. The salvage value of these items is deducted from the insurance valuation at settlement since it is a new asset that the insured did not have prior to the loss.
m. Business Income and Extra Expense Coverage Conditions
The following additional conditions apply only to the Business Income and Extra Expense Coverage:
(1) Annual Reports
The insured must complete an Annual
Report of Values Form approved by the insurer once each year. Form BM 15 31 may
be used for this purpose. The report must reach the company within three months
of the annual report date shown in the declarations.
(2) Adjustment of Premium
When the value reports are received, the company determines the amount of premium earned for the past year. If the amount determined is more than the premium already charged, the insured must pay the difference. If the amount determined is less than the premium originally charged, the company must refund the difference. Under no circumstance will the return be more than 75% of the original premium.
(3) Coinsurance
If the company does not receive the insured’s report on values within three months of the due date, the coverage becomes subject to a coinsurance clause. The coinsurance penalty is calculated as follows:
· Divide the "business income estimated annual value" by the "business income actual annual value" at the time of the breakdown. This results in a multiplier factor.
· Multiply the total amount of the covered loss of business income by the multiplier factor to determine the initial coinsurance figure.
· Subtract any applicable deductible from the coinsurance figure.
The company will pay the amount determined in step two of the coinsurance calculation or the Business Income and Extra Expense limit of insurance, whichever is less. The coinsurance penalty applies separately to each covered premises.
Many of the Equipment Breakdown Protection general conditions are similar to those found in the commercial property forms.
a. Additional Insured
If a person or organization is designated as an additional insured, the company will consider that party as an insured to the extent of their insurable interest.
b. Bankruptcy
If the insured or the
insured’s estate becomes insolvent, the insurance company must still meet its
obligation under this coverage.
c. Concealment, Misrepresentation or Fraud
If any insured commits fraud or intentionally conceals or misrepresents material facts about the coverage part, the covered property, the named insured’s interest in the property or any clam under the coverage part, the policy's protection becomes void.
d. Liberalization
If the insurance company broadens coverage on this coverage part 45 days prior to the policy inception date or during the policy term and there is no additional cost for the broadened features, this policy automatically receives the feature.
e. Mortgageholder
Under Condition I, the insurance company can immediately suspend coverage on a piece of equipment that is deemed unsafe. This suspension applies to the mortgageholder too. The mortgageholder must receive written notice of the suspension but the written notice does not delay the suspension order from taking effect.
f. No Benefit to Bailee
This insurance is meant to benefit an insured. Even if an insured has entrusted covered property with another party, the coverage will not operate in a manner that provides protection to that party.
g. Policy Period,
Coverage is for the time
shown on the declarations and within the
h. Premium and Adjustments
The insured must report 100% of the total insurable values at each premises to the company every year as of the anniversary date. Form BM 99 53, Report of Total Insurable Value, can be used for this purpose. The values must be reported separately for each of the coverages provided. Premium for each anniversary will be developed for the renewal period on the basis of rates in effect at the anniversary date and for all values at risk.
The insured must keep the
applicable records for each policy year available for inspection by company
representatives at all times during business hours, during the respective policy
year, and for a period of twelve months after the end of the respective policy
year or after cancellation of the coverage.
i. Suspension
This is a unique feature of the Equipment Breakdown Protection Coverage form. If a company representative discovers a dangerous condition, that representative can immediately suspend coverage. The notice of suspension can be delivered or mailed to the named insured’s last address or the address where the equipment is located.
Example: Practically Perfect Property Insurance's senior inspector was touring Kim's Kandee Kitchen and Industrial Grease Corp. The inspector noticed that several pieces of insured equipment were operating at intensely high temperatures. The inspector went to the shift manager's office, wrote out an order to shut the machinery down within 30 minutes of receiving the notice or the coverage would be suspended. The company ignored the order. A couple of days later, the equipment cited by the inspector broke down and started a fire. Practically Perfect, having a copy of the letter from the inspector, notifies Kim's Kandee that the coverage was still suspended.
Once coverage is suspended, the coverage can be reinstated only by an endorsement for that covered equipment. This means that an oral statement that the equipment is now safe to operate is useless toward reinstating coverage.
If coverage is suspended, the insured will get a pro rata refund of premium for that covered equipment. But the suspension will be effective even if the company has not yet made or offered a refund.
This condition is designed to keep the insured from being victimized by arguing insurance companies. Under this provision, the insured is compensated for a loss and then the insurance companies must determine their respective share of the loss payment.
It is very important to understand that this provision only applies when the insurers have an open issue about coverage or coverage amount. If there is no dispute between the insurers, this provision is inapplicable. It is also inapplicable when both insurers reject any liability.
This condition can only be used when all of the following requirements are met:
1. Both coverage forms must have a similar Joint or Disputed Loss Agreement provision
2. The damage must be caused by a loss where:
· Both insurers admit to bearing some liability under their respective policies,
· One of the insurers contends that all liability exists under the other insurer’s policy or
· Both insurers deny liability for payment but contend that some or all liability exists under the other’s policy.
3. The total amount of the loss is agreed to by the insured and both insurers.
If all these requirements are met, each company pays their entire undisputed amounts along with one-half of the disputed amount to the insured.
It is important to note that this condition does not modify, or waive any rights that any insurer holds against another insurer or any rights an insured holds against the insurer.
There is no increase in an insurer’s liability limit as the disputed amount paid by the equipment breakdown insurer is limited to the maximum amount provided by the applicable commercial property insurer’s policy. Further, even when this provision applies, any total payment is still subject to the applicable Limit of Insurance shown in the Declarations.
If both insurers agree to submit their differences to arbitration, each will pay the insured within 90 days. Arbitration will then take place within 90 days after payments are made to the insured. The insured must cooperate with all arbitration procedures. There will be three arbitrators: each insurer will appoint one, and those two arbitrators will select a third arbitrator. If they cannot agree, either may request that selection be made by a judge of a court having jurisdiction. A decision agreed to by two of the three arbitrators binds both parties. Judgment on any award can be entered in any court that has jurisdiction.
The insurer found responsible for the greater percentage of the ultimate loss must return the excess contribution and pay all related, Liquidated Damages to the other insurer. Liquidated Damages are interest that accrues on the disputed amount from the date the Agreement is invoked until the excess amount is reimbursed. The interest is calculated at 1.5 times the highest prime rate from the Money Rates column of the Wall Street Journal that appears during the period of the Liquidated Damages.
Note: Arbitration expenses are not part of the Liquidated Damages calculation. They are apportioned between insurers on the same basis that the ultimate loss is apportioned.
Definitions
The BM 00 20, Equipment Breakdown Protection contains a number of defined terms that take precedence over any common understanding of terms.
1. "Breakdown" – is defined in three ways. Breakdown has occurred if pressure or vacuum equipment fail, if there is a mechanical failure (including rupture or bursting caused by centrifugal force) or if there is an electrical failure (including arcing). Coverage applies unless excluded elsewhere in the form.
The Equipment Breakdown Protection Coverage form is broad, but is not intended to cover routine maintenance items. To clarify this, the definition of “breakdown” states that it does not include any of the following:
· Malfunction - the policy explains that malfunction, includes adjustment, alignment, calibration, cleaning or modification of the equipment. Other instances may also qualify as malfunction.
·
Computer
equipment and program defects, erasures, errors, limitations or viruses,
including processing problems involving dates and times.
· Valve, connections, joints, shaft seals, fittings and gland packing leaks
· Vacuum tubes, gas tubes, or brushes damaged by any source
·
Damage to structures or foundations supporting
the covered equipment or any of its parts
· Damage to safety or protective devices that help protect, but are not components of, the covered equipment
· Cracks to internal combustion gas turbine parts caused by exposure to the products of combustion
Of course, even with specific wording, there are still disputes over intended coverage.
2. "Business Income” refers to a covered firm's pre-tax income and ongoing operating expenses.
3. "Business Income Actual Annual Value” refers to "Business Income" that would have been realized, except for the occurrence of an eligible loss. This figure is used to calculate any coinsurance penalty.
4.“Business Income Estimated Annual Value” refers to "Business Income" that, using the insured's latest business income annual value report, is a guess of what may have been realized, except for the occurrence of an eligible loss. This figure is also used to calculate any coinsurance penalty.
5."Computer equipment,” means programmable electronic equipment used to store, retrieve and process data that belongs to the named insured. The term also refers to peripherals (printers, mice, keyboards, monitors, etc.). Data and media DO NOT qualify as computer equipment.
6. “Covered equipment” means:
· Equipment that is built to operate under internal pressure or vacuum other than weight of contents. A key word is ‘built’ – it may not be operating this way at the time of loss but it is designed to do so.
· Mechanical or electrical equipment used to generate, transmit or utilize energy
· Communication equipment (without further clarification, but likely refers to non-computer items, such as independent phones, faxes, etc.) and “computer equipment”
The property just
described as eligible equipment is assumed to be either owned or controlled by
the insured. However, if such equipment is owned by a utility service and that
property is only used to provide power, heat, light or communications to the
insured, it is also protected by the equipment breakdown policy.
Other requirements for equipment breakdown is that the eligible
equipment be located at a premises
owned, leased or operated under the insured’s control and that it be described
in the declarations. The policy makes exceptions for the following:
· Equipment owned by a public or private utility used solely to supply utility services to the insured’s premises
· Protection provided under Utility Interruption Coverage
· Contingent Business Income and Extra Expense - Extra Expense Only Coverage
“Covered equipment” does not include any of the following:
·
Media
· Parts of pressure or vacuum equipment that is not under internal pressure of its contents or internal vacuum
· Insulating or refractory material
Note: The glass lining of any covered equipment IS protected
· Non-metallic pressure or vacuum equipment
Note: An exception exists for such equipment that is made and used according to the American Society of Mechanical Engineers (A.S.M.E.) or similar code
· Any form of catalyst
· Vessels, piping and other equipment when it is accessible only via excavation
· Structure, foundation, cabinet or compartment supporting or containing all or part of covered equipment, including penstock, draft tube or well casing.
· Vehicle, aircraft, self-propelled equipment or floating vessel along with any covered equipment mounted upon or used solely with any of these. If equipment is otherwise covered and is occasionally used on a vehicle, aircraft, self-propelled equipment or floating vessel, it is covered.
· Dragline, excavation, or construction equipment, including any covered equipment mounted upon or used solely with any of these. However, equipment that is used occasionally with this type of equipment and is otherwise covered equipment is covered.
· Maintenance property such as felt, wire, screen, die, extrusion plate, swing hammer, grinding disc, cutting blade, non-electrical cable, chain, belt, rope, clutch plate, brake pad.
Note: The viability and intent of the Equipment Breakdown policy would be compromised if it were called upon to insure relatively minor types of property.
· Machine or apparatus used solely for research, diagnosis, medication, surgical, therapeutic, dental or pathological purposes, including any covered equipment mounted upon or used solely with any of these.
Note: Such items can be included if an insured pays the additional premium and if they are fully described on the Declarations page.
·
This coverage is for the named insured’s equipment;
therefore it does cover items that the insured holds for sale.
7. "Covered Property” means property the insured owns, or property of others that is in the care, custody or control of the insured and for which the insured is legally liable.
8. "“Data” means programmed and recorded material stored on media and programming records used for electronic data processing or electronically controlled equipment.
9. "Extra expense” is the non-routine, additional cost the insured incurs to operate the business during the period of restoration.
10. "Hazardous Substance” means any substance other than
ammonia (ammonia is handled elsewhere) that a government agency has declared to
be hazardous to public health.
11. " Media” means electronic data processing or storage media such as films, tapes, discs, drums or cells.
12. “One Breakdown.” If an initial breakdown causes additional breakdowns, all are considered as a single event. Also, all breakdowns at one premises that arise at the same time and from the same cause are considered to be a single breakdown. This is important in the application of limits and deductibles. One breakdown means a single deductible and a single limit. Multiple breakdowns mean applying multiple limits (and respective deductibles).
13. “Period of restoration” – The period of restoration starts at the time of the breakdown or 24 hours before the insurance company receives notice of the breakdown, whichever is later. This makes the report of loss vital to the insured. If the insured delays notification, then the business income coverage does not start until 24 hours before the notice was made.
Example: Jacklow International has an equipment breakdown on 8/1/06. They contact the insurance company on 8/15/06. In this case, the period of restoration starts on 8/1/06 or 8/14/06 whichever is later – so coverage starts on 8/14/06. By waiting to report, Jacklow loses 13 days of coverage.
The period ends five days after the date when the damaged property is repaired or replaced with reasonable speed and with property of similar quality. This means that if delays occur, the coverage still ends when the damaged property could have been repaired or replaced if the insured had used reasonable speed.
14. “Stock” means merchandise that is held in storage or for sale, raw materials, property in process or finished products including the supplies to be used for packing or shipping.
A variety of endorsements designed to tailor the coverage for certain options, exclusions, limitations and changes are available under the older Boiler and Machinery program. The forms reflect the differences between it and the 2001 edition program. The following is a list and brief description of each endorsement.
BM 15 25 – Business Interruption – Valued Coverage
Modifies the form to apply a schedule of locations and daily limits of loss to described objects. A deductible in time (days/hours) or dollar limit is declared.
BM 15 26 - Business Interruption – Actual Loss Sustained Coverage
Changes business interruption coverage to actual loss sustained for loss to described locations and objects. A deductible, either time or dollar or multiple of daily value, applies.
BM 15 27– Extra Expense
Covers additional extra expense to operate the business during the period of restoration following an accident to an object. The limit of extra expense coverage is further subject to a maximum monthly payment, for up to eight months of coverage.
BM 15 28 - Consequential Damage
Provides consequential damage to scheduled property caused by an accident to an object.
Consequential damage means loss due to spoilage from lack of power, light, heat, steam, or refrigeration. The coverage is subject to a coinsurance penalty and a dollar deductible selected.
BM 15 29 - Combined Business Interruption and Extra Expense
Provides additional coverage above amounts in the basic form. The total limit of liability described in the declarations is subject to a monthly limit and a time or dollar deductible. Coverage is for scheduled locations and covered objects.
BM 15 30 - Business Interruption – Ordinary Payroll Expense
Modifies insurance under the Business Interruption -- Actual Loss Sustained endorsement to include ordinary payroll expense.
BM 15 31 - Business Interruption – Report of Values
Provides a work sheet to report values of net sales and earnings for a declared number of working days in period reported.
BM 15 32 - Conditional Suspension of Coinsurance
Is used when the coinsurance clause of actual loss sustained business interruption form is deleted and report of values endorsement is attached.
BM 15 33 - Combined Business Interruption and Extra Expense Actual Loss
Modifies coverage to provide for combined business interruption and extra expense on actual loss sustained rather than a monthly limit basis.
BM 15 34 -Extra Expense Values Work Sheet
Provides a work sheet of estimated extra expenses needed.
BM 15 35 - Utility Interruption
Applies boiler and machinery policy to scheduled objects owned, operated or controlled by a public or private utility that insured has contracted with to provide a specified utility service. Endorsement is subject to a specified limit per interruption and waiting period in hours or dollar deductible.
BM 15 36 - Business Interruption – Gross Earnings Coverage
Provides gross earnings business interruption coverage subject to a time limit, dollar or multiple value deductible.
BM 15 37 - Objects Owned by a Utility
Is used to limit insurance coverage on any object owned by a public utility.
BM 15 38 - Extended Business Interruption
Provides specified number of days of interruption coverage extension beyond the date operations are resumed until business is restored completely.
BM 99 25 - Boilers, Fired Vessels and Electric Steam Generators – Limited Coverage
Limits coverage to sudden and accidental tearing asunder of an object.
BM 99 26 - Chemical Recovery Boiler Exclusion
Excludes loss or damage from an explosion within the furnace of a chemical recovery type boiler.
BM 99 28 - Actual Cash Value
Modifies basic policy to provide actual cash value coverage to property damage as a result of an accident to scheduled objects.
BM 99 29 - Premium Adjustment Rating Plan
Provides a premium adjustment plan to boiler and machinery insurance over a three year period. Subject to a minimum and maximum premium as a percentage of the standard premium.
BM 99 32 - Furnace Explosion
Provides coverage for sudden and accidental explosion of gas or unconsumed fuel within the furnace of the boiler or fired vessel.
BM 99 33 - Mortgage Holders
Adds scheduled mortgage holders interests to coverage under the policy.
BM 99 36 - In Use or Connected Ready for Use
Amends object definition to cover objects being dismantled, reassembled, transported or in storage.
BM 99 37 - Turbine Units – Combined Coverage
Provides coverage for accidents to any gas turbines and driving turbines; driven compressors, auxiliary turbines, electric generators or electric conductors of the object.
BM 99 38 - Coverage Limitations Changes
Provides changes in limits of insurance for expediting expenses, hazardous substance, ammonia contamination and water damage extensions. Addition Exclusion (BM 99 39) adds exclusions of windstorm or hail, smoke, aircraft or vehicles, riot and civil commotion, and vandalism to coverage forms.
BM 99 40 - Explosion Coverage Extension
Provides for additional named coverages under explosion for contain types of objects previous excluded.
BM 99 41 - Machinery and Equipment Value Worksheet
Provides a worksheet to determine machinery and equipment values at described location.
BM 99 42 - Loss Adjustment Endorsement
Is added to the boiler and machinery policy to facilitate payments of insurance proceeds for losses covered on commercial property coverage and boiler and machinery on the same policy.
ISO
EQUIPMENT BREAKDOWN PROTECTION COVERAGE FORMS COMPARISON: EB 00 20: 09 07
EDITION TO THE 09 11 EDITION
INTRODUCTION
The changes from the 09 07 edition to the 09 11 include a change made in the 08 08 edition. A number of editorial changes have also been made such as changing twenty four to 24, but they have no impact on the coverage and are not discussed in this comparison.
COMPARISON: 09 07 EDITION TO
EB 09 11 EDITION
1. Water Damage
Exclusion
The 08 08 edition of the EB 00 20 revised the Water Exclusion. This change
is significant but it is the same water damage exclusion being used in all ISO
commercial property lines of insurance.
a. Compared to the exclusion being replaced; the first part
of this exclusion has four terms that are unchanged, three terms that are
modified and one new term. The terms that are unchanged are "flood,"
"surface water," "tides" and "overflow of any body of
water." The new term is ‘’tidal water." The modified terms are:
Note: "Tsunami" and "storm
surge" are new terms. Since neither is defined, judicial interpretation
will be based on common usage and definitions in the dictionary.
b. The second part of this exclusion is
unchanged. Mudslide or mudflow remain ineligible sources of loss.
c. The third part of the exclusion is broadened
in two ways.
Old Version |
New Version |
Water had to
back up or overflow. |
Water can be
discharged in other ways and those other ways are not described. |
Water came from
a sewer, drain or sump. |
Water may
also come from a sump pump or related equipment. No description of related
equipment is provided. |
d. The fourth
part is unchanged and sprinkler system or domestic water piping discharge that
causes water damage is not covered.
e. The fifth section is new and excludes water
damage from underground water seeping into doors, windows, floors, surfaces,
foundations and basements.
f. The sixth section is also new. This section
introduces the term "waterborne material." Damage caused by this
material carried by waters described in sections a., c, and e. above, or by any material moved or carried by
mudslides or mudflow described in section b. above, is not covered.
There is no coverage if water damage is due to an act of nature or is
caused in any other manner. An example is given that if a seawall is breached
and allows water in, this exclusion continues to apply.
2. Increased Cost of Loss and Related Expenses for Green Updates (09 11
update)
The 09 11 edition introduces this item. Section C. Limits of Insurance is revised by the addition of item 7. Increased Cost of Loss and Related Expenses for Green Updates. It covers the additional expense of replacing damaged items with green or sustainable items. If Business Interruption coverage is provided, up to 30 days are added to the period of restoration for green related issues.
The amount of green related property damage coverage is 25% of the total, non-green property damage loss. The maximum green coverage available is $100.000. These payment limitations apply when no specific amount appears on the declarations for this coverage.
Note: This may not be how the coverage is intended to apply but the opening line says that “unless a different limit or INCLUDED are shown in the declaration” and then describes the percentage limitation and the dollar limitation. This would mean that when the word INCLUDED is shown, there is no percentage or other cap on this coverage other than the One Breakdown limit on the policy.
3. E. Conditions, 1. Loss Condition, l. Valuation
l. Valuation
Paragraph (2) in the 09 11 edition was changed by the removal of the terms “efficiency” and “environmental impact” as reasons for improving equipment. Those items are now considered in C. Limits of Insurance, Item 7. Increased Cost of Loss and Related Expenses for Green Updates. This item now applies only to improvements that enhance safety.
4. F. Definitions
The following two definitions were added in the 09 11 edition:
o The U. S. Building Council Leadership in Energy and Environmental Design Program called LEED
o A joint program of the U.S. Environmental Protection Agency and the U.S. Department of Energy called ENERGY STAR
o
A program of the
Note: Other, similar organizations may also qualify as standards-setters
ISO Equipment Breakdown Protection Coverage Form EB 00 20 07 01, as its name suggests, represented a major change in providing Boiler and Machinery Coverage by insuring all equipment, not just boilers and related machinery. It also removed the limited liability coverage provided in previous forms and became a strictly property coverage form. It replaced the following previous coverage forms:
The Boiler and Machinery Coverage Form required use of numerous endorsements to customize coverage to meet the needs of a given account. Many of the provisions of these endorsements were incorporated into EB 00 20 and separate endorsements were no longer needed.
The coverage provided, while extending to additional classes of property, is still the same. The language was updated to reflect the changes. For example:
Some wording was changed to be consistent with other commercial property coverage forms. Some wording was added to the form due to including language that previously appeared in separate, optional endorsements. The additional provisions included Annual Report, Adjustment of Premium, Coinsurance, and Mortgageholder conditions.
ISO Equipment Breakdown Protection Coverage Form EB 00 20 09 07 completes the transition by changing the BM prefix that was still a reference to Boiler and Machinery to EB, representing Equipment Breakdown. This change also applies to some editorial changes made to the various endorsements available for use with this coverage form. In addition, the text of some forms are incorporated into EB 00 20. This edition is largely unchanged from the previous edition except for adding specific language and provisions with respect to Fungus, Wet Rot and Dry Rot. The changes in the 09 07 edition, compared to the 07 01 edition, are summarized below.
A. Coverage, 2.
Coverages Provided, g. Ordinance Or Law Coverage, under (2) We will not pay for
any; subparagraphs (f) and (g) are added:
(f) The
insurance company does not pay any loss or expense due to enforcement of any
ordinance or law relating to the existence or any activity of fungus, wet rot and
dry rot.
(g) The
insurance company does not pay any costs associated with enforcement of any
ordinance or law requiring any response to or assessment of the effects of
fungus, wet rot or dry rot.
B. Exclusions. 8.
Fungus, Wet Rot And Dry Rot is added:
Unless provided for elsewhere, the insurance company does not pay for loss or damage caused directly or indirectly by the existence or any activity of fungus, wet rot and dry rot. However, the exclusion has an exception. If the fungus, wet rot or dry rot causes a breakdown, the insurance company pays the loss or damage resulting from the breakdown.
B. Exclusions, 9.
Virus, Bacterium Or Other Microorganism is added:
Unless provided for elsewhere, the insurance company does not pay for loss or damage caused directly or indirectly by the existence or any activity of any virus, bacterium or other microorganism that causes physical illness or disease. However, the exclusion has an exception. If the virus, bacterium or other microorganism causes a breakdown, the insurance company pays the loss or damage resulting from the breakdown.
B. Exclusions, 18:
Exclusion 16 is changed to Exclusion 18. It clarifies that it applies to indirect loss that follows a covered breakdown loss.
C. Limits Of
Insurance, under 5. e. Water Damage, the following is added:
Loss or damage from fungus, wet rot or dry rot resulting from water damage is limited as described in Limited Coverage For Fungus, Wet Rot And Dry Rot and is part of, not in addition to, the Water Damage limit.
C. Limits Of
Insurance, 6. Limited Coverage For Fungus, Wet Rot And Dry Rot is added:
a.
Property damage
The insurance company pays for loss or damage caused by fungus, wet rot and dry rot that is a direct result of a breakdown to covered equipment that occurs during the policy period. The limit is $15,000 for all occurrences that take place during any 12-month period and does not increase the limit of insurance for covered property. A higher limit for this coverage can be indicated on the declarations.
b.
Business Income And Extra Expense Or Extra Expense Only
This coverage also applies to Business Income And Extra Expense or Extra Expense only if these coverages are provided. The loss of business income or extra expense must be due solely to loss or damage to covered property caused by fungus, wet rot or dry rot. It is limited to the loss or expense sustained in a period not exceeding 30 days, unless a different number of days is indicated on the declarations.
F. Definitions
A definition for fungus is added.
The BM 00 20 07 01 represents a major change in providing Boiler Machinery Coverage. The name says it all – instead of just Boiler and Machinery, it is now Equipment Breakdown Coverage. In addition, it makes the final break from liability coverage. There is NO liability coverage provided in this form. This moves it from the original design of a mixture of liability and property coverages to strictly a property coverage form.
This section reviews the major changes in the latest form and compares it to the prior edition.
The new ISO Equipment
Breakdown Protection Coverage Form BM 00 20 replaces the following:
The old program required numerous endorsements in order to handle a given account. Many provisions of the older endorsements were incorporated into the new Equipment Breakdown Protection Coverage form BM 00 20, so they are no longer needed.
The coverage intent of the newer form appears to be the same. However, the language has been updated, resulting in different terms such as:
Policy Language Changes |
|
Boiler and Machinery |
Equipment Breakdown |
Object |
Covered Equipment |
Accident |
Breakdown |
Business Interruption |
Business Income |
Subsidence |
Land and Mine Subsidence |
Some wording was changed so the form would be consistent with other commercial property forms. Some wording was added due to the form language now including parts that previously appeared in separate, optional endorsements. The additional provisions include the Annual Report, Adjustment of Premium, Coinsurance, and Mortgageholder conditions.
The following items result in broader coverage in the newer program:
1. Errors and Omissions, Brand and Labels,
and Contingent Business Income and Extra Expense
These coverages are now available as options.
2. Spoilage Damage coverage
The previous boiler and machinery program referred to this as consequential damage. Coverage has been expanded to include damage due to excessive power, light, heat, steam or refrigeration.
3. Newly Acquired Premises Coverage
Under the newest program the coverage granted to new acquisitions will be according to the broadest basis available to any premises on the policy.
4. Ordinance or Law exclusion
An exception has been added. It will allow coverage for hospitals for their use and operation of electrical supply and emergency generating equipment.
5. Sewer, service water, and sprinkler
pipes
Coverage
for this property has been added.
6. Property Damage Limit on Utility-owned
Equipment
A $1.00 property damage limit was added to the Limits of Insurance section. It applies to covered equipment that while used solely to supply services to the insured’s premises, is owned by a public or private utility. This nominal insurance limit permits indirect damage coverage to be triggered if there is a loss to that equipment. Since the intent was to provide an insured with contingent loss protection, it may have been more prudent to create more appropriate policy language.
7. Valuation condition
This provision was amended to include:
· An additional 25% of the property damage limit for repairing or replacing covered equipment in a manner that improves the environment, increases efficiency, or enhances safety while maintaining its existing function.
· Reimbursement for the unused costs of non-refundable, non-transferable extended warranties, or maintenance or service contracts resulting from a breakdown.
· Selling price valuation for property held for sale (which recognizes sales value, a fairer basis for handling loss of such property).
8.
This
condition has been expanded to include
9. “Breakdown”
The definition has been changed so it no longer requires a breakdown to be sudden and accidental.
Example: Errant Enclosement Corp. is insured under an Equipment Breakdown policy. They turn in a loss involving their largest plastic seal oven. It caught fire and was totally destroyed and the flames were confined to the oven. The loss investigation shows that some wiring became crossed, causing a heat buildup that probably went unnoticed for days. Though the starting point of the fire was far from "sudden," it still qualified as a covered incident.
10. “Covered equipment”
Under the latest edition, this term:
· No longer requires that the equipment be in use or be connected and ready for use.
· Includes computer equipment, data and media (which were previously excluded) for property damage and time element coverages.
· May have its meaning expanded to include research and diagnostic equipment. This is accomplished by selecting “included” next to this property on the declarations.
Note: See the “Reductions” comment regarding this term.
1. Expediting Expenses
While coverage for such expenses was automatically included in the old forms, it’s available only as an optional coverage in the new form.
2. Supplementary Payments
This coverage has been removed since Equipment Breakdown Protection Coverage is basically a first party coverage form.
3. Exclusions, overall
The Equipment Breakdown policy includes a statement. It specifies that the form's exclusions apply even when a loss is caused by a catastrophic event.
4. Water Exclusion
This
limitation was revised in two ways. First, since coverage for sewer piping,
service water piping, and sprinkler piping was added, it was amended to specify
the types of piping loss that remain ineligible. Second, mudflow has been added
to the water exclusion for consistency with property forms.
5. Fire and Combustion Explosion Exclusion
This was modified so that it applied uniformly to all property. In the older forms, three separate exclusions were used, each barring coverage for a different set of property.
6. Furnace Explosion Exclusion
Under the earlier program, this was a separate form. It was attached to risks with chemical recovery type boilers. Under the 2001 Equipment Breakdown program, the limitation is included in the basic form so that it applies to all accounts.
7. Riot, Civil Commotion or Vandalism
Exclusion
This has been added to eliminate duplicate coverage. Such losses are generally covered by property forms.
8. Neglect Exclusion
This provision complements the Duties in the Event of Loss or Damage condition. It now, also, excludes damage resulting from an insured’s post-loss neglect to save or preserve covered property.
9. Defense Condition
While there may be some limited third party coverage for property of others in the insured’s care, custody or control, the revised condition recognizes that Equipment Breakdown Protection Coverage is a first party coverage form.
10. “Covered equipment”
The definition of “covered equipment” was amended to provide a detailed description of ineligible property. This may result in a reduction of coverage for some insureds.
ISO
EQUIPMENT BREAKDOWN PROTECTION COVERAGE FORM AVAILABLE ENDORSEMENTS AND THEIR
USES (09 07 EDITION)
INTRODUCTION
The following listing identifies endorsements available to modify the
Insurance Services Office (ISO) Equipment Breakdown Protection Coverage Form.
The list is arranged by form number and title and includes a brief explanation
of the use of each form. This section does not include any state specific
endorsements, changes or amendments. New endorsements are shown in bold print.
FORM NUMBERING
The ten-digit numbering sequence of ISO forms and endorsements has a
very specific meaning.
Note: Endorsements previously identified as "BM" are now identified
as "EB."
ENDORSEMENTS
EB 15 39–Refrigeration Interruption Coverage
This endorsement provides coverage on the insured's refrigerated property that spoils because of lack of or excess refrigeration due to a breakdown to covered equipment (occurring at either owned or non-owned locations). It includes coverage of expenses that reduce the loss. The coverage provided is subject to receipt of an annual report of values and a coinsurance condition that is triggered if the annual report of values is late or is not submitted. The form has its own limit and deductible or waiting period.
EB 99 51–Amendment of Declarations (09 11 change)
This endorsement is used to change the original entries on the declarations to reflect changes in limits, coverages, deductibles and conditions. This has been updated to match the current declarations.
EB 99 52–Turbine Units Explosion Coverage
This endorsement restricts coverage to turbine units of the kind and at
the premises described on the endorsement schedule. It redefines and narrows
the definitions of Breakdown and Covered Equipment specifically to turbine
units.
Note: Use of this endorsement results in a lower premium because the breakdown coverage is not as broad and applies only to turbines.
EB 99 55–Pressure Or Vacuum Equipment
This very restrictive endorsement replaces the definition of covered
equipment to include only equipment intended to operate under internal pressure
or vacuum. This equipment must be subject to mandatory inspection by state or
municipal entities which authorized insurance company inspection personnel can
conduct.
Note: Use of this endorsement results in a lower premium because the breakdown
coverage provided is so limited.
EB 99 56–Limited Coverage for Specified Equipment
This endorsement allows
separate, restricted coverage for certain equipment while maintaining broader
coverage for other equipment and premises. A limit of loss for the equipment
along with a complete description of the equipment and premises must be
scheduled on the endorsement.
Note: This endorsement changes coverage from a blanket to a scheduled basis for the premises listed.
EB 99 57–Production Machinery Exclusion
This endorsement restricts coverage. It amends the definition of covered
equipment to exclude production or process machinery and related equipment.
EB 99 58–Spare Equipment and Parts
This endorsement allows the insured to separately cover spare parts and equipment that are not functioning or that are not available for use. Such property is subject to the details scheduled on the endorsement. This permits the named insured to fully cover equipment and parts that are important to its operation while still allowing for limited coverage for spare items.
Note: Read the endorsement very carefully and make sure all scheduling matches the wording in the endorsement.
EB 99 59–Actual Cash Value
This endorsement changes the Property Damage Valuation from replacement
cost to actual cash value, but only for the equipment shown on the schedule.
This is a significant reduction of coverage so any scheduling should describe
the particular equipment in detail in order to prevent confusion.
EB 99 60–Suspension/Reinstatement of Coverage
The insurance company can immediately suspend coverage on any equipment it considers unsafe. This endorsement identifies the suspended equipment and the date the suspension commenced. It can also be used to reinstate suspended coverage.
Note: Suspension is immediate but equipment is not reinstated until the coverage form is endorsed.
EB 99 61–Valuation of Specified Property
This endorsement is used to change the valuation for the covered property
listed on the endorsement schedule. The new valuation is its fair market value,
reduced by any salvage obtained and labor, materials or expenses not incurred
in its sale.
EB 99 62–Covered
Equipment Deductible Waiver (09 11 addition)
If covered equipment sustains a second loss within two years of the first
loss, the deductible for the second loss is waived. The waiver is for the
equipment only. The waiver does not apply to any related property damage caused
by the breakdown. Also, if the deductible for the first loss is less than the
deductible for the second loss, only the amount of the first deductible is
waived.
EB 99 63–Off-Premises
Equipment Coverage (09 11 addition)
Coverage is extended off premises but only while the equipment is at a
fixed location, is ready for use and is under the control of the named insured.
There is no in-transit coverage.
EB 99 64–Optional
Valuation Coverage (09 11 addition)
This endorsement replaces paragraph (1) of the Valuation condition and
then only for items less than five years old. It allows the named insured to
replace equipment that is considered a total loss with equivalent-in-purpose
equipment rather than same kind of equipment. If the equipment is not replaced,
only actual cash value is paid. This permits the named insured to carry a lower
amount of coverage on equipment that will not be replaced with identical
equipment.
FB 99 65–Product
Withdrawal Coverage (09 11 addition)
The expense to replay or repair defective covered product is covered if
the defect happened in the course of production and because of equipment
breakdown. Additional withdrawal related expenses can be covered if
selected in the schedule. A separate limit deductible applies to this
endorsement.
EB 99
66–Solidification Coverage (09 11 addition)
The damage that occurs because items solidify following a covered
breakdown is covered by this endorsement. This does not cover the loss of value
to the solid item but just the damage caused when it occurs. Examples are
molten metal that cools and adheres to processing equipment or concrete that
hardens and adheres to a mixer when agitation ceases.
EB 99 67–System
Installation Coverage (09 11 addition)
The installation of some equipment can take many months. This coverage
applies for damage to equipment while it is being installed and during testing.
It also covers loss of income because of such damage. Coverage options are
available. Once the installation is complete, the value for this equipment
should be added to the per breakdown coverage for the policy.
The Equipment Breakdown program offers a variety of endorsements designed to tailor coverage for certain options, exclusions, limitations and changes. The following provides a brief description of each endorsement.
Note: This section does not address state-specific endorsements, changes or amendments.
Optional Equipment
Breakdown Endorsements
BM 15 31 – Business Income – Report of Values
Business Income coverage is available in the Equipment Breakdown Protection Coverage Form BM 00 20. That form's Valuation Condition requires the insured to provide information on equipment values each year. Failure to comply with this condition can result in a coinsurance penalty being applied to a covered loss. BM 15 31 may be used for this purpose. The form requests the information on actual values for the preceding 12-month period, and a value estimate for the coming 12-month period.
BM 15 39 – Refrigeration Interruption Coverage
This endorsement covers the insured's refrigerated property that spoils because of a disruption to the refrigeration or contamination by a refrigerant. The refrigeration disruption must be due to a breakdown of covered equipment. The covered property must be owned by or in the control of the insured. Property also qualifies for protection if it is under the control of a utility. Reimbursement of expenses to reduce the loss is included in the coverage. An annual report of values is required for this coverage with a coinsurance penalty imposed if the reports are not timely. Use of the endorsement includes a coverage schedule and a waiting period (deductible).
BM 15 40 – Refrigeration Interruption – Report of Values
An insurer can supply this form for clients to use to report values as required by the Refrigeration Interruption Coverage form (see above). The form requires a monthly breakdown of total insurable values. Insurable values must be calculated using the property's current selling price. Such reports must include complete information for eligible property at each covered premises. The form should be signed by one of the insured’s company officials.
BM 99 51 - Amendment of Declarations
This endorsement can be used to alter the original Declarations to reflect the provisions/coverage options that apply to a given insured. The form may be used to modify coverage amounts, exclusions, deductibles and other provisions.
BM 99 52 – Turbine Units Explosion Coverage
This limiting endorsement allows the insured to restrict coverage at the designated premises to turbine units only. For the indicated premises, the definitions in the Equipment Breakdown Protection Coverage form are replaced with turbine specific terms.
Note: A considerable premium reduction applies to this endorsement since the modified policy only responds to losses involving turbines.
BM 99 53 – Report of Total Insurable Value
This form helps to meet the Equipment Breakdown Protection Coverage value reporting requirement. The report identifies the insurer, the insured, covered premises, the type of occupancy, and the class code. It must indicate the total insurable values for property at the covered premises (excluding stock) valued at its replacement cost. The form should be signed by one of the insured’s company officials. An insured will be held accountable for the values it lists in this form since the insurer bases its coverage and premiums on this information.
BM 99 54 - Limited Coverage For Fungus, Wet Rot, Dry Rot and Bacteria
This endorsement
is structured to strip out and then add back a limited amount of coverage for
Fungus, Wet Rot, Dry Rot and Bacteria. The modified coverage is limited to
$15,000 aggregate over the annual policy term for Property Damage and 30 days
aggregate for Business Income and Extra Expense. This is NOT extra coverage. It
is a restriction of coverage that must be carefully
reviewed with the insured prior to adding.
Note: The $15,000 limit can be modified for an additional charge. The modification may apply to all locations or a specified location.
BM 99 55 – Pressure or Vacuum Equipment
This endorsement does not require specific premises or equipment to be shown in a schedule, so it can apply to all covered premises and equipment. The BM 99 55 changes the covered equipment definition. The modified term includes any equipment operating under internal pressure or a vacuum. But such equipment must be subject to mandatory state or municipal inspection. Further, such inspection requirements can be conducted by an authorized insurance company inspector. The form does not impose any obligation on the insurer to conduct such inspections.
BM 99 56 - Limited Coverage for Specified Equipment
This endorsement restricts coverage by creating a sublimit for specified equipment and premises. The limit is NOT extra coverage, it is an amount that is carved out of the total policy limit and reserved for the listed property. This endorsement changes the policy from a blanket policy to a scheduled policy for any premises listed.
BM 99 57 – Production Machinery Exclusion
This endorsement is a restriction of coverage. All production or process machinery is ineligible property. There is a significant premium reduction for using the form. The insured should review the definition of production equipment before agreeing to the change in coverage.
BM 99 58 - Spare Equipment and Parts
This restriction of coverage allows the insured to decide what spare parts to include in the limit of insurance and then to reduce the limit accordingly. Since the spare parts may already be covered under the commercial property coverage form, duplicate protection is unnecessary.
Example: Prudent Processors, Inc. is insured under a Commercial Package and an Equipment Breakdown Protection Policy. The latter policy has a $425,000 policy limit that was carefully determined after submitting detailed information on the value of their equipment. One of Prudent's managers discovers that its package policy covers possible loss to many of its parts. After determining the amount of duplicate coverage, Prudent sends a request to its insurer to reduce their Equipment Breakdown Protection policy limit to $340,000.
The form's schedule provides options for the insured to select different coverage limits to apply at different premises. An insured may also choose whether different coverages, such as Business Income, apply according to location.
BM 99 59 – Actual Cash Value
When this form is attached, the Equipment Breakdown Protection Coverage form's Valuation condition is replaced. Under the BM 99 59, the company will pay the amount the insured spends to repair or replace the policy with property of the same kind, capacity, size or quality, or the actual cash value of the damaged property, whichever is less. The insured may repair or replace the damaged property at the same site or on another site, whichever is less costly. The company will not pay for damaged property that is obsolete and useless to the insured. There is a schedule, so the insured can choose which premises property to settle according to Replacement Cost and which to adjust at Actual Cash Value.
BM 99 60 - Suspension/Reinstatement of Coverage
The insurance company can immediately suspend coverage on any piece of equipment that is considered unsafe. This endorsement states which items are under suspension and the date of suspension. The same endorsement can be used to reinstate suspended coverage. It is important to note that suspension is immediate but reinstatement only takes place when the endorsement of reinstatement is received.
BM 99 61 - Valuation of Specified Property
The insured can choose to value specified property on a fair market value rather than the replacement cost basis used under the BM 00 20. Fair market is defined as the price that the property could be sold for as of the date of the loss. The value must be based on the item being used for the same purpose used by the insured.