Volume 118

OCTOBER 2016

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PF&M ANALYSIS:

BASIC, BROAD, AND SPECIAL CAUSES OF LOSS FORMS ANALYSIS

CP 10 30–CAUSES OF LOSS–SPECIAL FORM

B. EXCLUSIONS

2. Limited Exclusions

There is no coverage for loss or damage caused by the following exclusions. Note that the lead-in language is not as strong or inclusive for these exclusions as the language in 1. Broad Exclusions.

Editorial note: ISO does not give titles to these exclusions. To assist in the analysis, we have provided a title to help identify the exclusion’s main intent.

k. Collapse

Collapse is initially totally excluded but limited coverage is added back in Section D. as Additional Coverage–Collapse.

Collapse is excluded. This means the following property conditions are also excluded:

(1) Any type of sudden caving in or falling down

(2) When the structural integrity of the building is lost or compromised. The evidence of this could be parts of the property that separate from the rest of the building or the building appearing to be in danger of caving in or falling down.

(3) Cracking, sagging, expanding, settling, shrinking, bulging, or bending, but only as they relate to items (1) and (2) above

 

SaggingBuilding

 

A collapse can trigger another cause of loss. When that other cause of loss is covered and damages covered property, the portion of the loss that is due to the covered cause of loss is covered.

 

Example: The bookshelf suddenly collapses. A lit candle was sitting on top of the bookshelf when it collapsed. The lit candle ignited the books and papers that had fallen to the floor during the collapse. The collapse damage is not covered but the resulting fire damage is covered.

 

There are two exceptions to this exclusion.

  • The coverage provided in Section D., Additional Coverage–Collapse is not excluded. This exception prevents a conflict between that Additional Coverage and this exclusion.
  • When a collapse is caused by specified causes of loss, building glass breaking, weight of rain on a roof, or weight of people or personal property loss or damage from that collapse is covered.

D. ADDITIONAL COVERAGE–COLLAPSE

This additional coverage is necessary because the coverage form specifically excludes collapse. Policies and coverage forms once provided collapse coverage. However, broad legal interpretations forced rewriting collapse coverage as a named cause of loss.

1. Collapse coverage applies to abrupt collapse. As used in this coverage, abrupt collapse means that the building or part of the building must abruptly fall down or cave in. As a result of such falling down or caving in, the building or part of the building cannot be occupied for its intended purpose.

2. Payment for such abrupt collapse as described in item 1. is for only direct physical damage to the collapsed building or the business personal property that is inside the building. However, payment is made only if any of the following cause the collapse:

a. Hidden decay. This applies only if the insured was not aware of the hidden decay prior to the collapse.

Related Court Case: Support Beam Failure Excluded Under the Policy

b. Hidden insect or vermin damage. This applies only if the insured was not aware of the hidden insect or vermin damage prior to the collapse.

c. Defective construction material or construction methods. This applies only if the collapse occurs while the building is being built, remodeled, or renovated.

d. Defective construction material or construction methods. This applies only if the collapse occurs after a building has been built, remodeled, or renovated and depends on one of the following contributing to the collapse:

  • Items a. or b. of this paragraph

  • Specified cause of loss

  • Glass breakage

  • Weight of people or personal property

  • Weight of rain that collects on a roof

  • 3. There is no coverage for any of the following:

    • A building or any part of a building that is in danger of falling down or caving in
    • A part of a building that remains standing even if it has separated from another part of the building
    • A building or part of a building that is standing but shows evidence that it may collapse due to bulging, sagging, cracking, bending, leaning, settling, shrinking, or expanding

     

    Example: The Good Shepherd Church was built 90 years ago in a small rural area next to the main road. It is now in the suburbs of a town along a major highway. The church never moved but the town grew out to it. During choir practice one evening, a few tiles in the sanctuary ceiling loosened and fell. The next day, the building inspector who had been called to evaluate the situation, condemned the building. He opined that over the years, the building had shifted on its foundation and was now in imminent danger of collapse. Collapse coverage does not apply to this situation.

     

    Related Court Case: Policy Is Ambiguous About Collapse

    4. The following property is covered only if it is considered covered property, the loss or damage is due to collapse of a covered building, and items 2.a through 2d above cause the building to collapse:

    • Outdoor radio or television antennas
    • Awnings, gutters, and downspouts
    • Yard fixtures
    • Outdoor swimming pools
    • Fences
    • Pier, wharves, and docks
    • Beach or diving platforms or appurtenances
    • Retaining walls
    • Roadways, walks, and paved surfaces

    5. There is coverage if personal property abruptly falls down but the building in which it is situated does not but only if all of the following apply:

    • The collapse was due to a cause of loss listed in 2.a through 2.d. above.
    • The personal property that collapsed is in a building.
    • The personal property is not one of the types listed in 4. above.

    Coverage does not apply if the only damage to the personal property is marring or scratching.

    6. Any cracking, bulging, sagging, leaning, settling, expanding, or shrinking of personal property is not treated as collapse. Coverage applies only if the personal property either abruptly fell down or caved in.

    7. This additional coverage does not increase the coverage part limit of insurance.

    8. Whenever the term "covered cause of loss" is used throughout this coverage form, this Additional Coverage–Collapse is included, subject to the description and limitations this additional coverage provides.