(February 2024)
This document is a repository of articles and analyses that relate to earlier editions of the AAIS Non-filed Inland Marine Coverage Forms. Refer to the various Coverage Forms Analyses for information on the current edition.
Related Article: AAIS Non-filed Inland Marine Coverage Forms Overview
Archive Index |
|
Analysis |
AAIS Bailee Customers Floater Coverage–Dry Cleaners and Laundry Form (06 04 edition) |
Analysis |
AAIS Builders’ Risk Coverage Forms (04 04 edition) |
Analysis |
AAIS Builders’ Risk Coverage Forms (10 08 edition) |
Analysis |
IM 7060–Delay In Completion Coverage Part–Green Building Form (07 09 edition) |
Analysis |
IM 7061–Delay In Completion Coverage Part (07 09 edition) |
Analysis |
IM 7079–Delay In Completion Coverage Part–Includes Rental Income And Income Coverage (07 09 edition) |
Analysis |
AAIS Fine Arts Coverage Forms (04 04 edition) |
Analysis |
AAIS Renewable Energy Generating Equipment Coverage (11 10 edition) |
Comparisons |
Reserved for Future Use |
AAIS
BAILEE CUSTOMERS FLOATER COVERAGE–DRY CLEANERS AND LAUNDRY COVERAGE FORM
IM 7555–Schedule of Coverages–Bailee Customers Floater IM 7550–Bailee Customers Floater Coverage–Dry Cleaners and Laundry Form
Coverage Form Analysis |
The American
Association of Insurance Services (AAIS) Bailee Customers Floater Coverage–Dry
Cleaners and Laundry Form covers direct physical loss or damage to property of
others in the named insured's care, custody, and control. The property must be
at the location(s) on the schedule of coverages and must be there for the
purpose of being processed. Dry cleaning, laundering, dyeing, alterations, and
repairs are examples of processes. Coverage applies to direct damage to covered
property caused by a covered peril. Covered property is limited to only
garments, clothing, rugs, drapes, and similar items.
Coverage also
applies when the named insured stores items for a charge but only when there is
a storage limit and a location on the schedule of coverages. Only property for
which the named insured issued a storage receipt is covered.
This analysis
is of the 06 04 edition.
ELIGIBILITY
Any commercial dry cleaning operation is
eligible. This coverage form excludes furs or fur-trimmed garments but IM
7561–Fur Garment Endorsement can be added to provide this coverage.
Individual
insurance companies may further limit eligibility. Common limitations include
size of operations, commercial laundry operations, self-service laundries, and
fur or leather cleaning businesses.
POLICY
CONSTRUCTION
AAIS Bailee
Customers Floater Coverage–Dry Cleaners and Laundry Form requires at least these four forms:
IM
7555–SCHEDULE OF COVERAGES–BAILEE CUSTOMERS FLOATER
IM 7555–Schedule of Coverages–Bailee
Customers Floater contains the following information:
Covered
Premises
All covered premises must be listed.
Coverage does not apply to any premises not listed.
Limits
The following coverages have spaces for
limits at each premises:
Coverage
Extensions
The following
coverage extensions have spaces for limits at all covered premises:
Supplemental
Coverages:
Each of these coverages provides
additional limits of coverage or additional coverage. Required entries vary by
type of coverage.
Note:
It is important to note that
Earthquake, Flood, and Sewer Backup Coverages do not have default coverage.
Coverage applies only when the box is checked and a limit is entered.
Deductible
One deductible is entered that applies
to all covered premises.
Note: Under Supplemental Coverages, if earthquake, flood,
and/or sewer backup coverage boxes are checked, a deductible that applies
specifically to that selected coverage must be entered. This deductible applies
instead of the deductible that applies to all covered premises.
Reporting
Conditions
This section
of the schedule of coverages allows the reporting condition to be selected.
When selected, the reporting period, adjustment period, reporting rates, and
premiums must be entered.
Optional
Coverages and Endorsements
This section of the schedule of
coverages lists endorsements and forms included when the policy is issued.
IM-7550–BAILEE
CUSTOMERS FLOATER COVERAGE–DRY CLEANERS AND LAUNDRY FORM ANALYSIS
AGREEMENT
This section states that the insurance
company provides the coverage described in the coverage form and in the
schedule of coverages in return for the named insured's premium payment,
subject to all the coverage form's terms, conditions, endorsements, and
definitions.
DEFINITIONS
Defined terms
are used throughout the coverage form. Restricting their meaning to the
definition in it is how all parties have a clearer understanding of the
coverage intended. Twelve terms are
defined:
1. You and your
This is the person or organization on
the declarations named as the insured.
2. We, us and our
This is the insurance company that
provides the coverage.
3. Earth
movement
This is
earthquake, landslide, mudflow, mudslide, mine subsidence, sinking, rising, or
shifting of earth or any other movement of the surface of the earth. It does
not include sinkhole collapse.
4. Flood
This is
flood, surface water, waves, tidal water, or overflow of bodies of water. Spray
resulting from these, whether driven by wind or not, is also considered flood.
5. Limit
This is the
amount of coverage that applies to the insured property.
6.
Pollutant
This is a
broad and expansive term. It is solids, liquids, thermal, or radioactive
contaminants and irritants including, but not limited to, acids, alkalis,
chemicals, fumes, smoke, soot, vapor, and waste. Waste includes materials
intended for recycling, reclamation, and reconditioning, as well as for
disposal. Visible and invisible electrical or magnetic emissions and sound
emissions are also considered pollutants.
7.
Schedule of coverages
This is any
page labeled as such that contains coverage information, including declarations
or supplemental declarations.
8.
Sinkhole collapse
This is the
sudden settling or collapsing of the earth's surface into an underground
opening created by water that acts on limestone or some other rock formation.
Sinkhole collapse does not include either the value of the land or the cost to
fill sinkholes.
9.
Specified perils
These are the
named perils of aircraft, civil commotion, explosion, falling objects, fire,
hail, fire extinguishing equipment leakage, lightning, riot, sinkhole collapse,
smoke, sonic boom, vandalism, vehicles, volcanic action, water damage, weight
of sleet, snow or ice and windstorm.
Falling
objects must be explained further. It does not include loss to personal
property stored in the open. It also does not include damage to the interior of
buildings or personal property stored in buildings unless a falling object
first breaches the building's exterior.
Water damage
also requires further explanation. It is the sudden or accidental discharge or
leakage of water or steam. However, it must be a direct result of a part of the
system or appliance that holds the water or steam cracking or breaking.
10. Suit
This is a
judicial proceeding. It also includes arbitration proceedings. The proceeding’s
purpose must be to determine liability that relates to direct physical loss to
covered property of others while in the named insured's possession.
11. Terms
These are all
provisions, limitations, exclusions, conditions, and definitions that apply to
this coverage.
12.
Volcanic action
This is
airborne volcanic blast or shock waves, ash, dust, and particulate matter. It
includes lava flow but does not include the cost to remove dust, ash, or
particulate matter that does not directly damage covered property.
PROPERTY
COVERED
Only property
of others is covered. This property must be in the named insured's custody for
processing and/or storage. This property is covered for direct physical loss or
damage caused by a covered peril.
Not all
property of others is covered. There may be limitations or exclusions.
1.
Processing
The limit of
insurance on the schedule of coverage for processing coverage applies to
customer’s property that is at the scheduled location for dry cleaning,
laundering, dyeing, altering, repairing, and related work. Covered property
includes garments, clothing, rugs, drapes, and similar property.
2. Storage
The limit of
insurance on the schedule of coverage for storage coverage applies to
customers’ property at the scheduled location. It applies only to such property
for which the named insured issued a storage receipt.
Example: Martha stores her winter clothes at Action Dry Cleaners. A fire occurs
and the resulting smoke damages all stored property. Although Martha cannot
find her copy of the receipt, Action produces its copy and Martha is
reimbursed for the value of her ruined clothing. |
PROPERTY
NOT COVERED
Four types of property are specifically
excluded:
1.
Contraband
These are
goods that are illegal to possess or that are legal but in the course of
illegal transportation.
|
Example: Millie stores her
rhinoceros skin jacket with Ace Cleaning. The jacket was made from an
endangered animal and was not permitted in this country. This coverage form
did not compensate Millie when a loss occurred at Ace Cleaning. |
2. Furs
This also
includes garments trimmed with fur. This property is more correctly insured
under furriers customers coverage forms.
Note: A separate endorsement is available to cover this
type of property.
|
Example: Jim and Tammy take some of their winter garments to Davis Dry Cleaners
for laundering and dry cleaning. Several of Tammy's garments have fur trim on
the collar and cuffs. A small fire that an electrical short circuit causes
starts in one of the dry-cleaning machines and damages a number of articles
in it, including Tammy's fur-trimmed garments. Since the fur garment
endorsement was not added, the damage to those garments is not covered. |
3. Money
and Securities
This means a number of different types
of property. It includes accounts, bills, currency, food stamps, evidence of
debt and lottery tickets not held for sale, in addition to money, notes or
securities.
Note: This property should be insured under commercial
crime coverage forms.
4. No
Charge for Service
This means that coverage does not apply
to any property of others accepted for processing or storage when a charge is
not made.
Note: This basically excludes gratuitous work or service.
COVERAGE
EXTENSIONS
Provisions
That Apply To Coverage Extensions
There are three coverage extensions. The
limit for each is either the limit on the schedule of coverages or the default
limit included in the coverage form. These limits are part of the applicable
limit for covered property and not in addition to it, unless otherwise
indicated. These limits are not added to or combined with limits for any other
coverage extension or supplemental coverage and are not subject to any
coinsurance provisions that apply elsewhere in the coverage form.
1. Debris Removal
The insurance
company pays costs incurred to remove debris caused by a covered peril
occurring. The most paid is 25% of the amount paid for the actual direct
physical loss or damage. The combined value of the direct loss or damage and
the debris removal cannot exceed the limit of insurance for the covered
property.
An additional
$5,000 (or a higher amount entered on the schedule of coverages) is available
if the debris removal expense is more than 25% of the loss amount or if the
combined cost of loss and debris removal is more than the limit of insurance
for the covered property. Debris removal expenses must be reported to the
insurance company within 180 days of the loss date in order for this extension
to apply.
Note: This coverage extension
does not apply to any pollutant cleanup, extraction, removal, restoration, or
replacement involving either land or water.
2. Defense Costs
At its option, the
insurance company may defend suits brought against the named insured resulting
from loss or damage to covered property by a covered peril. This includes
investigating and settling such claims or suits. However, it is not obligated
to defend once it has paid the limit based on a judgment or written settlement.
In return, the named insured may not interfere with the insurance company's
actions or negotiations for a settlement or admit liability for a loss, settle
a claim, or incur any expense related to the claim without the insurance
company's written consent.
Once the insurance company agrees to defend a suit, it also agrees to pay
seven specific expenses related to it. No deductible applies to any of these
expenses:
Note: Defense costs are part of the limit of insurance. If
there is a limit on the schedule of coverages, it is a sub-limit to the
premises limit and is not in addition to that limit. This means any entry on
the schedule of coverages limits coverage and does not increase it.
3.
Emergency Removal
This covers
direct physical loss or damage to covered property while it is being moved or
stored elsewhere in order to avoid loss or damage caused by a covered peril at
a scheduled location. Coverage applies for up to ten days after the property is
first moved but does not extend past the policy expiration date. An entry can
be made on the schedule of coverages to increase the number of days.
Note: Coverage does not extend
past the expiration date. If the insured has property at an emergency location
when coverage renews, the emergency location must be listed as a premises or
coverage no longer applies.
Example: Action Dry Cleaners' owner knows the enormous summer storm forecast for
the next day could easily wipe out his less than well-maintained building. If
that happens, virtually all of the customer property he has for cleaning or
storage will be badly damaged if not completely destroyed. He packs up all
the customers' property, places it in a box truck, and drives to a business
associate's secure and well-built storage facility. He knows he can simply
drive the vehicle into the facility and wait out the storm. In the excitement of the moment, he leaves the keys in the truck. When
the owner returns, the truck is gone. Because the property was moved to
protect it from the property from the storm, the theft of the cargo is
covered even though property on or in unattended vehicles is normally
excluded. |
SUPPLEMENTAL
COVERAGES
Provisions
That Apply To Supplemental Coverages
There are eight supplemental coverages.
The limit for each is the limit for the supplemental coverage unless there is a
limit for that coverage on the schedule of coverages. Limits for any
supplemental coverage are separate from and not part of the applicable limit
for covered property.
The limit available for coverage
described under a supplemental coverage is the only limit available for it. It
is not the total of the limit for a supplemental coverage and the limit for
covered property. The limits are not added to or combined with limits for any
other supplemental coverage or coverage extension and are not subject to any
coinsurance provisions that apply elsewhere in the coverage form.
1. Earned Charges
When customer property is lost or
damaged by a covered peril, the customer normally refuses to pay for any
service the named insured performed on the property prior to the loss. This
coverage pays the earned charges the named insured is owed that it cannot
collect. The limit is $5,000. This limit can be increased.
Example: A tornado badly damages Action Dry Cleaning and ruins all the clothing
in the shop. Most of the items had already been processed. Since the
processing charges cannot be collected, Action is eligible to receive up to
$5,000 to cover its loss. |
2. Earthquake Coverage
The insurance company covers direct
physical loss or damage to covered property caused by earthquake and volcanic
eruption but only if the box on the schedule of coverages is checked and a
limit entered in the space provided.
Note:
Since there is no default limit for this coverage, coverage
applies only if there is a limit on the schedule of coverages. Because this
could be confusing, if earthquake coverage is not provided, the word
"none" should be entered in the limits space provided on the schedule
of coverages.
3. Flood Coverage
The insurance company covers direct
physical loss or damage to covered property caused by flood but only if the box
on the schedule of coverages is checked and a limit entered in the space
provided.
Note:
Since there is no default limit for this coverage, coverage
applies only if a limit is indicated on the schedule of coverages. Because this
could be confusing, if flood coverage is not provided, the word
"none" should be entered in the limits space provided on the schedule
of coverages.
4. Newly Acquired Premises
Coverage applies to direct physical loss
or damage caused by or resulting from a covered peril to covered property at a
location the named insured acquires during the policy period. The limit is
$5,000 (unless there is a different limit on the schedule of coverages) at each
such location for up to 60 days from the acquisition date or until reported to
the insurance company, whichever occurs first. Coverage does not extend past
the policy expiration date.
Note: Additional premium for the coverage must be paid
from the acquisition date.
5. Off-Site Property
Coverage applies to direct physical loss
or damage caused by or resulting from a covered peril to covered property
temporarily at an unscheduled offsite location. The most paid in any one
occurrence is $5,000, unless there is a different limit on the schedule of
coverages.
Example: Action Dry Cleaning’s owner detects a strange odor when he arrives in
the morning to open the business. He cannot find the source and notices that
the odor is getting stronger. Rather than taking a chance on garments that
are already cleaned being saturated with the odor, he removes them to another
dry cleaners premises (with whom he has a reciprocal agreement for such
events) until he locates the source of the odor and removes it. This
supplemental coverage insures the garments for up to $5,000. |
6. Pollutant Cleanup and Removal
a. The insurance company pays the named insured's expenses to extract pollutants from land or water if their release or discharge was caused in any way by a covered peril that occurred during the policy period.
b. The expenses to extract pollutants are paid only if reported to the insurance company within 180 days of the date of loss.
c. Costs related to testing, evaluating, observing, or recording pollutants are not covered but the costs of testing necessary to extract pollutants from land or water are covered.
d. The most paid
is $25,000 for all such expenses caused by a covered peril that occurs during
each separate 12-month policy period, unless there is a different limit on the
schedule of coverages.
7. Sewer Backup Coverage
Coverage applies to direct physical loss
or damage to covered property caused by water damage from the backup of a sewer
or drain. It also applies to loss from sub-surface water pressure on or leakage
through or into a covered building or structure. However, coverage does not
apply unless the box on the schedule of coverages for this coverage is checked
and a limit entered in the space provided.
Note:
Since
this coverage does not have a default
limit, coverage applies only if there is a limit on the schedule of coverages.
Because this could be confusing, if sewer backup coverage is not provided, the
word "none" should be entered in the limits space provided on the
schedule of coverages.
8. Transit
Coverage applies to direct physical loss
or damage by a covered peril to covered property while in transit. The most
paid in any one occurrence is $5,000, unless there is a different limit on the
schedule of coverages.
PERILS
COVERED
Coverage applies to risks of direct
physical loss or damage unless the loss is limited or caused by an excluded
peril.
PERILS
EXCLUDED
1. The first group of
exclusions is essentially absolute. Subject to specific exceptions, loss or
damage by each is totally excluded, regardless of any other cause or event that
contributes to a loss, either concurrently or in any other sequence. The insurance
company does not pay for any direct or indirect loss or damage caused by or
resulting from any of these events.
a. Civil
Authority
There is no
coverage for loss resulting from the order of any civil or government
authority. This includes (but is not limited to) seizure, confiscation,
destruction, or quarantine of property. Coverage does apply for loss or damage
caused when a civil authority destroys property in order to prevent the spread
of fire. However, that fire must be the result of a covered peril.
b. Earth
Movement or Volcanic Eruption
Coverage does
not apply to loss or damage caused by earth movement or eruption, explosion, or
effusion of a volcano. Coverage does apply to direct loss or damage by fire,
explosion, or volcanic action that results from any of these events. Coverage also applies for loss or damage caused by sinkhole collapse and to
covered property in transit.
Note: Earthquake coverage is for only one type of earth
movement and volcanic eruption. Coverage applies for these perils if the box is
checked on the schedule of coverages for Supplemental Coverages–Earthquake
Coverage and a limit entered. However, losses from other types of earth
movement are still excluded.
c. Flood
The insurance
company does not pay for loss or damage caused by flood. It does cover direct
loss or damage caused by fire, explosion, or sprinkler leakage that results
from a flood occurrence. However, this exclusion does not
apply to covered property in transit.
Note: Flood coverage applies if the box is checked and a limit entered on the schedule of coverages for the
Supplemental Coverages–Flood Coverage.
d. Nuclear
Hazard
The insurance
company does not insure against loss or damage caused by or resulting from any
nuclear reaction, radiation, or contamination, whether the nuclear incident was
controlled or not, or was caused by any means. Any loss caused by the nuclear
hazard is not treated as a loss caused by fire, explosion, or smoke. However,
coverage applies to direct loss or damage caused by fire that results from the
nuclear hazard.
e. Sewer
Backup and Water below the Surface
Coverage does
not apply to loss or damage caused by water backup from a sewer or drain. It
also does not apply when water below the surface of the ground that exerts
pressure on covered buildings or structures causes damage. However, fire,
explosion, and theft losses that result from such backup or hydrostatic
pressure are covered.
Note: Sewer backup coverage
applies when a check is placed in the
box for sewer backup coverage and a limit is entered on the schedule of
coverages for Supplemental Coverages–Sewer Backup Coverage.
f. War and
Military Action
The insurance
company does not pay for loss or damage caused by any act of war. This means
undeclared and civil war or warlike action by a military force is not covered.
All actions taken to hinder or defend against an actual or expected attack by
any government or sovereign authority that uses military personnel or other
agents are also not covered. Acts of insurrection, rebellion, revolution, or
unlawful seizure of power are not covered and any action any government
authority takes to prevent or defend against any such acts are also not
covered. If any action within the terms of this exclusion involves nuclear
reaction, radiation, or contamination, this exclusion applies in place of the
nuclear hazard exclusion.
2. The second group of
exclusions applies to loss or damage caused by or resulting from any of the
following loss events. Some of these exclusions have exceptions, conditions, or
limitations that should be noted and reviewed carefully. The insurance company
does not pay for any loss or damage caused by or resulting from any of these
events.
a.
Contamination or Deterioration
Loss or
damage caused by contamination or deterioration is excluded. This includes
corrosion, decay, fungus, mildew, mold, rot, rust, or any quality, fault, or
weakness in covered property that causes it to damage or destroy itself.
b.
Criminal, Fraudulent, Dishonest or Illegal Acts
Coverage does
not apply to loss caused by or that results from criminal, fraudulent,
dishonest, or illegal acts, committed alone or in collusion with another, by
any of the following:
This exclusion does not apply to covered property in the custody of
carriers for hire.
Coverage
continues to apply if employees destroy property but it does not apply if
employees steal.
c. Loss of Use
There is no coverage for loss that
results from delay, loss of use, or loss of market.
d. Missing
Property
Unexplained
or mysterious disappearance of covered property is excluded when there is no
physical evidence to indicate what happened to it and the only proof that a
loss occurred is based on an audit or physical inventory. This exclusion does
not apply to covered property in the custody of carriers for hire.
e.
Pollutants
There is no
coverage for loss or damage caused by or resulting from any release, discharge,
seepage, migration, dispersal, or escape of pollutants, unless the event is
caused by a specified peril, and except for the coverage provided under
Supplemental Coverages–Pollutant Cleanup and Removal. Coverage applies to the
resulting loss or damage to covered property caused by a specified peril.
f. Processing Work
The insurance company does not pay for
loss to covered property of others caused by processing or other work performed
on it. However, if the processing or work performed results in the occurrence
of a specified peril, coverage applies to the loss or damage caused by that
specified peril.
Example: Carl rips a dress he is pressing. Coverage does not apply because the damage occurs
during processing and ripping is not a specified peril. Coverage applies if
Carl leaves an iron on a dress, walks away to talk on the telephone, and then
returns to find the dress and pressing board on fire. |
g. Temperature/Humidity
Loss or
damage to covered property caused by dryness, dampness, humidity, changes in,
or extremes of temperature is excluded.
h. Theft from an Unattended Vehicle
Coverage does not apply to theft of
covered property from an unattended vehicle unless the vehicle was locked, its
windows securely closed, and there was visible evidence of forced entry into the
vehicle. This exclusion does not apply to covered property in the custody of
carriers for hire.
Example: Zachary is told to always close and lock the doors of the van when
making deliveries. He enters a client’s premises to deliver and pick up
cleaning and forgets to lock the vehicle. When he returns to it, he discovers
a full rack of processed uniforms is missing. The theft loss is not covered
because the van was not locked. |
i. Voluntary Parting
Loss or
damage to covered property voluntarily given to others is excluded. There is no
coverage even if the surrender was due to a fraudulent scheme, trick, or false
pretense.
j. Wear
and Tear
Loss or
damage caused by wear, tear, marring, or scratching is excluded. However, if
any of these events results in a covered peril occurring, the loss or damage caused by or resulting from that
peril is covered.
Note: Wear and tear is damage,
diminishment in value, or erosion due to long or hard use or exposure,
including breakdown over time and eventually becoming unusable because of
previous use. This includes the tendency of property to pull apart or break
down into pieces because of forces applied to it.
WHAT
MUST BE DONE IN CASE OF LOSS
1. Notice
The named
insured must give prompt notice of a loss to the insurance company or its
agent. The notice must include a description of the property lost or damaged.
If a criminal act caused the loss, the appropriate law enforcement agency must
also be notified.
Note: The insurance company has
the right to require that the notice be in writing.
2. You
Must Protect Property
During and
after a loss, all reasonable steps must be taken to protect covered property
from further loss. The insurance company pays reasonable costs incurred to do
so provided the named insured maintains accurate records
to substantiate the costs. Paying these costs is not in addition to the policy
limits. There is no coverage for any repairs or emergency measures performed on
property not already damaged by a covered peril.
Note: Such costs incurred
reduce the amount available to pay the actual loss.
Example: Let’s use Zachary again. A month after the uninsured theft loss, Zachary
is being much more careful. His first stop of the day on his route is a
restaurant. Zachary locks the van before he takes the clean aprons and
tablecloths inside. Unfortunately, he is forced to wait nearly 20 minutes
because a shift manager can’t find the key to the closet where the dirty
linen is kept. When Zachary finally goes out to the van with the dirty linen,
he discovers that thieves pried open the van’s doors with crowbars and removed
half of the cleaned items inside. Visibly upset, Zachary re-enters the
restaurant, telephones his supervisor, and informs him of the loss. When he
hears about the break-in, the restaurant manager gives Zachary a free
breakfast. When Zachary returns to the van, the remaining cleaned items are
also gone. The second loss is not covered because Zachary did not take any
steps to protect the rest of the cleaning. |
3. Proof
of Loss
The named
insured must complete and return the insurance company's prescribed proof of
loss forms within 60 days of its request to do so. The information provided
must include the time, place, and circumstances surrounding the loss and
information on any other insurance coverage that may apply. It must also
include the interest of the named insured and others with respect to the
property involved, including lienholders, loss payees, and mortgagees. Any
changes in title to the property during the policy period must be disclosed, in
addition to providing any other reasonable information the company may require
to adjust and settle the loss.
4.
Examination
Examination
under oath may be required in matters that relate to the loss. The insurance
company may request these examinations on multiple occasions but such requests
must be reasonable. If multiple persons are examined, the company has the right
to examine each individual separately.
5. Records
The named
insured must maintain and produce any records related to the loss. The
insurance company must be permitted to make copies and take extracts of them as
often as it reasonably requests. Records include (but are not limited to) tax
returns and bank microfilms of all related cancelled checks.
6. Damaged
Property
Both damaged
and undamaged property must be made available for the insurance company's
inspection as often as reasonably necessary. It must also be allowed to take
samples of the property to the extent necessary to adjust and settle the loss.
7.
Volunteer Payments
If the named
insured voluntarily makes any payments, assumes any obligations, pays or offers
rewards, or incurs any other expenses without the insurance company's express
approval, it does so at its own expense. The only exceptions are those costs
incurred to protect property as outlined in item 2. of this section.
8.
Abandonment
Abandoning
damaged property to the insurance company without its written consent is
prohibited.
9.
Cooperation
The named
insured must cooperate with the insurance company and perform all acts the
coverage form requires.
VALUATION
1. Actual Cash Value
The value of
covered property is its actual cash value at the time of loss. Actual cash is
replacement cost new minus depreciation.
2. Pair or Set
The value of
a loss that involves damage or loss of one part of a pair or set is based on a
reasonable proportion of the value of the entire pair or set. However, the loss
of one part of a pair or set is not considered a total loss.
Note: This recognizes that the
value of the whole is greater than the value of individual parts but that the
remaining parts still have value as separates.
3. Loss to Parts
The value of
a lost or damaged part of property that consists of several parts is the cost
to repair or replace only the lost or damaged part.
HOW
MUCH WE PAY
1.
Insurable Interest
The insurance
company does not pay more than the named insured's insurable interest in the
covered property at the time of loss.
2.
Deductible
The insurance
company pays only the amount of loss that exceeds the deductible amount on the
schedule of coverages.
3.
Earthquake Period
All
earthquakes, tremors, or volcanic eruptions that occur within a 168-consecutive
hour period are considered a single loss. This time period is not limited by
the policy expiration date.
4. Loss
Settlement Terms
Subject to
other items in this section, the insurance company pays the least of:
5.
Insurance under More Than One Coverage
If two or more coverages in the coverage form apply to the same loss, the
insurance company does not pay more than the value of the actual claim, loss,
or damage sustained.
6.
Insurance under More Than One Policy
a.
Proportional Share
If the named insured has other coverage subject to the same terms as this
coverage form, this coverage form pays only its share of the covered loss. That
share is the proportion that its limit of insurance bears to the limits of
insurance on all insurance that covers on the same basis.
Example: The Three Wize Guyz'
Dry Cleaning Plant has three partners. Each partner decides to buy his own
Bailee Customers Floater Coverage and each has a limit of $500,000. When a
$15,000 covered loss occurs, each pays $5,000. |
b. Excess
Amount
If other coverage is available that pays for the loss (other than as
described in item 7.a.), this coverage form pays on an excess basis. This means
that only the amount of covered loss that exceeds the amount due from the other
coverage (whether collectible or not) is paid. Any payment is subject to the
applicable limit of insurance.
Example: Continuing the example above, Partner # 1 purchased this coverage form. Partner #2
purchased identical coverage. However Partner #3 purchased considerably
different coverage. As a result, this coverage form was excess over Partner
#3’s coverage but proportional with Partner # 2’s coverage. |
LOSS
PAYMENT
1. Loss
Payment Options
a. Our
Options
The insurance
company has four loss payment options if a covered loss occurs.
b. Notice
of Our Intent to Rebuild, Repair, or Replace
The insurance
company must notify the named insured of its intent to rebuild, repair, or
replace within 30 days after receiving a properly completed proof of loss.
2. Your
Losses
a.
Adjustment and Payment of Loss
The insurance
company adjusts all losses with and pays the named insured, unless another loss
payee named in the policy is involved.
b.
Conditions for Payment of Loss
The insurance
company pays a covered loss within 30 days after it receives a properly
prepared proof of loss and the amount of loss is established. The amount of
loss is determined through either a written agreement between the company and
the named insured or after an appraisal award is filed with the company.
3.
Property of Others
a.
Adjustment and Payment of Loss to Property of Others
The insurance
company can adjust and pay losses that involve property of others to either the
named insured acting on behalf of the property owner or directly to the
property owner, at its discretion.
b. We Do
Not Have To Pay You if We Pay the Owner
When the
insurance company pays the property owner, it is not obligated to pay the named
insured. In addition, if the property owner sues the named insured, the company
has the option of defending the named insured in that suit.
REPORTING
CONDITIONS
The reporting conditions apply only if
there are entries for Reporting Conditions on the schedule of coverages. This
section includes details on the timing and content of the required reports,
provisions in the event of cancellation, how premium is calculated and
adjusted, and provisions that affect how losses are paid.
1. Reports
a. You Will Report To Us
All reports of the total receipts due
from processing operations (whether collected or not) for the reporting period
involved must be submitted to the insurance company within 30 days after the
end of the reporting period.
b. Cancellation
If coverage is cancelled, the reports of
total receipts from processing operations described above (whether collected or
not) must be for the period up to and including the cancellation date. Any
additional premium for that period must be paid.
2. Premium Computation and Adjustment
Premiums are calculated by multiplying
the value of the reported receipts by the reporting rate on the schedule of
coverages. The adjustment periods may be annual or for some other period.
a. Annual Adjustment
If the adjustment period on the schedule
of coverages is annual, the calculated premium is compared to the deposit
premium. If the calculated premium is more than the deposit, the named insured
pays the insurance company the difference. If it is less, the insurance company
refunds the difference to the named insured, subject to any applicable minimum
premium.
b. Other Adjustment Period
If the adjustment period is other than
annual, the calculated and reported premium is applied to the deposit until it
is exhausted. After that, the named insured pays the insurance company any
premiums that exceed the deposit. At expiration, if the calculated premium is
less than the deposit, the insurance company refunds the difference to the
named insured, subject to any applicable minimum premium.
3. Provisions That Affect How Much We
Pay
a. Failure to Submit Reports
If required reports are not submitted
and a loss occurs, the most that the insurance company pays for that loss is
90% of the limit at the designated location.
b. Reported Values Are Less than the
Full Value
If the
receipts reported are less than the actual receipts earned during the reporting
period, the insurance company pays only part of the loss. The proportion is the
receipts reported divided by the actual receipts. The loss is multiplied by the
proportion to determine the adjusted loss amount. The deductible is then
subtracted from that amount prior to payment.
c. We Will Not Pay More than the
Limit
The insurance company does not pay more
than the applicable limit at the designated location, regardless of the values
reported and used to calculate the premium.
OTHER
CONDITIONS
1.
Appraisal
The insurance
company and the insured may not always agree on the value of a covered claim.
This condition provides one method to solve disputed claims.
Either party
can request an appraisal to determine the value of a disputed claim. Once
requested, the parties have 20 days to obtain their own independent and
competent appraisers and supply the appraiser's name to the other party. The
two appraisers then have 15 days to select a competent impartial umpire. If
they cannot agree on an umpire within 15 days, either can request that a judge
in the court of record in the state where the property is located appoint one.
The
appraisers then determine the value of the claim. Any differences are submitted
to the umpire. Once any two of the three parties agree, the amount of loss is
set.
Each party
pays its own appraiser. Both parties share the cost of the umpire and other
expenses.
2. Benefit
to Others
The insurance
provided does not directly or indirectly benefit any party that has custody of
the named insured's property.
3.
Conformity with Statute
Any condition
in this coverage form that conflicts with any applicable law is amended to
conform to that law.
4. Estates
Note: This condition applies
only if the named insured is an individual.
a. Your
Death
If the named
insured dies, the person who has custody of the named insured's property is an
insured until a qualified legal representative is appointed. The named
insured’s legal representative becomes an insured once appointed. Both are
insureds but only with respect to the property insured under this coverage
form.
b. Policy
Period Is Not Extended
This coverage
does not extend past the policy expiration date.
5.
Misrepresentation, Concealment, or Fraud
This coverage
is void if any insured at any time willfully concealed or misrepresented a
material fact that relates to the insurance provided, the property covered, or
its interest in the property. It is also void if fraud or false swearing by any
insured took place concerning the insurance provided or the property covered.
Note: The named insured must
deal with the insurance company honestly. If it intentionally misrepresents or
conceals a material fact or information, its rights of recovery may be voided.
This means that the insurance is treated as simply having never existed versus
a particular claim being denied.
6. Policy
Period
Only covered
losses that occur during the policy period are paid.
7.
Recoveries
Payment of
the loss does not end the obligations of the insured and the insurance company
toward one another. If the insurance company pays a loss and the lost or
damaged property is subsequently recovered (or the parties responsible for the
loss pay for it), additional provisions apply.
Either party
that recovers property or payment must inform the other. Recovery expenses
incurred by either party are reimbursed first. If the insured keeps the
recovered property, it must refund the amount of the claim the insurance
company paid (unless the company agrees to a different amount). If the claim
paid is less than the agreed loss due to application of a deductible or other
limitations, any recovery is prorated between the named insured and the
insurance company, based on the company's respective interest in the loss.
8.
Restoration of Limits
Payment of a
claim does not reduce the limit available for future claims.
9.
Subrogation
The insurance
company acquires the named insured's rights of recovery from third parties
after it pays a loss. The named insured must assist the insurance company in
securing those rights. If it hinders or impairs the company's rights of
subrogation, the company is not obligated to pay the loss.
Note: The named insured can
agree in writing to waive recovery rights from others before a loss occurs.
10. Suit
against Us
The insurance
company cannot be sued by anyone for any coverage until all the terms of the
coverage form have been met. Suits must be brought within two years after the
insured first had knowledge of a loss. If a state law invalidates this
condition, any suit brought must comply with the provisions of that law and
begin within the shortest period of time allowed by law.
Note: It is normal for a basic
coverage form to be modified by mandatory state-specific endorsements that
address issues that relate to that specific state.
11.
Territorial Limits
Covered
property must be located in the United States, its territories and possessions,
Canada, or Puerto Rico in order for coverage to apply.
ENDORSEMENTS
AND SCHEDULES
AAIS has developed one endorsement for
use with this coverage form.
IM 7561 04 04–Fur Garment Endorsement
This
endorsement adds supplemental coverage for furs and fur-trimmed garments.
Coverage applies only if the named insured has the items for processing. There
is no coverage for fur and fur-trimmed items while in storage Coverage applies
when at premises listed on the endorsement schedule, in transit, or temporarily
off-site at unscheduled premises. Coverage applies for only the limits
scheduled on the endorsement and subject to the deductible in the schedule.
UNDERWRITING
CONSIDERATIONS
Bailment is
delivery of property by one party to another for some specific purpose. The
parties to the bailment are the property owner (the bailor) and the party that
receives the property in order to perform a service (the bailee).
Of the three
kinds of bailment, two do not involve exchanging money and are considered
gratuitous or reciprocal similar to the way that neighbors share property. The
third involves some service or work done in exchange for money and is the only
one covered by bailee's coverage.
Examples:
|
Dry cleaners,
launderers, and other types of bailees are actually liable by law only for loss
to customers' goods caused by their negligence. However, customers expect to be
reimbursed for loss regardless of negligence and it is customary for the bailee
to accept responsibility for any covered loss or damage to customers’ property
even though it may not be legally liable.
Bailee
Customers coverage does not require negligence on the part of the named insured
before the customer can collect for a loss. Purchasing Bailee Customers
coverage reflects a concern on the named insured's part for the goodwill of its
customers. It also addresses a customer’s expectation to be reimbursed for its
loss without regard to negligence on the part of a bailee entrusted with
property.
Underwriting
focuses on the bailee's business experience in the specific line of business as
well as its overall loss experience. Basic property underwriting at the
scheduled locations is the starting point because the property is normally on a
premises. Location exposures of concern that must be addressed involve fire,
theft, water damage, and pollution. Then off premises exposures including
transit exposures must be evaluated.
A given risk
should be evaluated carefully for its potential exposure at any one time and at
any one location. For a dry cleaner, value estimates can be made based on the
average and maximum number of bundles of laundry or dry cleaning received each
day or week. A further estimate should be made as to the average value per
bundle. Another method is to determine exposure by developing an estimate based
on the average value of each article. Since these values vary, depending on the
nature of the clientele, estimating values is always difficult.
The American Association of Insurance Services (AAIS) Builders' Risk Coverage Forms insure buildings or structures during construction, renovation or repair. The named insured may be the building owner, the builder/contractor or the party for whom the building is being constructed, renovated or repaired. Coverage may apply to either a single construction project or multiple jobsites. In general, non-reporting builders risk coverage is written for the full, completed value of the project but loss payment is based on the amount of construction actually completed at the time of loss. The premium is based on the full, completed value but is discounted by a mathematical formula, since the value of the building when construction begins is zero and does not reach the full value until construction is complete and the building released for occupancy. On the other hand, a number of reporting techniques or methods are available and used when builders' risk coverage is written on a reporting basis. It is important to understand the method a particular insurance company uses before arranging coverage since coverage form comparisons should include a comparison of the reporting method used and the premium payment arrangements available.
Builders risk coverage is
not a controlled line of insurance and no standard form is available for use. In the past, each insurance company designed
its own coverage form or policy and provided its own unique coverages and other
features. However, AAIS has a reputation for developing excellent inland marine
coverage forms used in whole or in part by its members and subscribers. AAIS
coverage forms are used here as the model to analyze, evaluate and explain the
various builders' risk coverage forms.
AAIS has developed five builders' risk coverage forms, each having its own corresponding schedule of coverages. This analysis outlines and discusses each of these forms. (04 04 edition)
Any builder or contractor, owner or purchaser with a financial interest in the building or structure under construction, renovation or repair is eligible for coverage using the scheduled locations or jobsite forms. Only builders or contractors can use the Builders Risk Coverage–Contractors' Reporting Form or the Builders' Risk Coverage–Builders Risk And Installation Floater Form.
AAIS Builders' Risk coverage requires at least these four forms:
The various Schedule Of Coverages forms do not have spaces in which to enter the name, mailing address or other named insured information. That and other information is indicated on IM 7900–Inland Marine Declarations.
This Schedule Of Coverages is used with IM 7050–Builders' Risk Coverage–Scheduled Jobsite Form–Broad Form.
Note: IM 7055–Schedule Of Coverages–Builders' Risk Broad Form does not have spaces in which to enter the name, mailing address or other named insured information. That and other information appear on IM 7900–Inland Marine Declarations. IM 7055 contains the following information:
Scheduled Locations
All covered locations
must be listed. Unlisted locations are not covered. IM 7087–Additional
Builders' Risk Schedule is used to indicate locations that cannot fit on IM
7055 because of space considerations.
Note: Do not list a location without indicating either a limit or the word "none."
Coverage Extensions
The limits on the Schedule Of Coverages for the following coverages apply to all covered locations:
Note: Each of these extensions applies. If a limit is not entered, the full policy limit applies, subject to any limitations in the coverage extension. Any entry under Additional Debris Removal Expenses reduces coverage. Emergency Removal coverage is limited to 10 days but the number of days can be increased.
Supplemental Coverages
Each of these coverages provides additional limits of coverage or additional coverage. Required entries vary by type of coverage.
Note: It must be noted that Earthquake and Flood coverages have no default coverage. Coverage applies only when the box is checked and a limit is entered.
Deductible
One deductible is entered that applies to all covered premises.
Note: Under
Supplemental Coverages, if earthquake, flood, and/or sewer backup coverage is
provided, a deductible that applies specifically to that selected coverage must
be entered. This deductible applies instead of the deductible that applies to
all covered premises.
Permission To Occupy
The permission to occupy granted box or the permission to occupy not granted box must be checked. If permission to occupy is granted, the date that the building or structure can be occupied is indicated in the spaces provided.
Optional Coverages And
Endorsements
This section of the schedule of coverages indicates coverage endorsements and forms included at the time of policy issuance.
This section states that the insurance company provides the coverage described in the coverage form and in the schedule of coverages in return for the insured's premium payment, subject to all the terms, conditions, endorsements and definitions of the coverage form.
Defined terms are used throughout the policy. Restricting their meaning to the definition in it provides the means for all parties involved with the policy to have a clearer understanding of the coverage intended. Thirteen terms are defined:
1. You and your are the parties indicated on the declarations as the insured.
2. We, us and our refer to the insurance company providing the coverage.
3. Earth movement includes, but is not limited to, earthquake,
landslide, mudflow, mudslide, mine subsidence, sinking, rising or shifting of
earth or any other movement of the surface of the earth. It does not include
sinkhole collapse.
4. Flood includes flood, surface water, waves, tidal water or overflow of bodies
of water. It also includes spray resulting from these, whether driven by wind
or not.
5. Fungus includes, but is not limited to, mold, mildew, protists, algae, slime mold, wet rot and dry rot. It also includes bacterium or a chemical, matter or compound produced or released by any of these elements including, but not limited to, toxins, spores, fragments and metabolites, such as microbial volatile organic compounds.
6. Jobsite is any location, project or work site at
which the insured is constructing, erecting or fabricating buildings or
structures.
7. Limit is the amount of coverage that applies to the insured property.
8. Pollutant is a broad and expansive term. It includes
solids, liquids, thermal or radioactive contaminants and irritants including,
but not limited to, acids, alkalis, chemicals, fumes, smoke, soot, vapor and
waste. Waste also includes materials intended for recycling, reclamation and
reconditioning, as well as for disposal. Visible and invisible electrical or
magnetic emissions and sound emissions are also considered pollutants and are
included.
9. Schedule of coverages is any page labeled as such that contains
coverage information, including declarations or supplemental declarations.
10. Sinkhole collapse is the sudden settling or collapsing of the
earth's surface into an underground opening created by water acting on
limestone or some other rock formation. It does not include similar collapse
into mines or other man-made voids, the value of the land or the cost to fill
sinkholes.
11. Specified perils are the named perils of aircraft, civil
commotion, explosion, falling objects, fire, hail, fire extinguishing equipment
leakage, lightning, riot, sinkhole collapse, smoke, sonic boom, vandalism,
vehicles, volcanic action, water damage, weight of sleet, snow or ice and
windstorm. Falling objects excludes loss to personal property stored in the
open or to the interior of buildings or personal property stored in buildings
unless the building's exterior is first damaged and opened by a falling object.
Water damage is sudden or accidental discharge or leakage of water or steam
directly resulting from the breaking or cracking of a part of the system or
appliance holding the water or steam.
12. Terms are all policy provisions, limitations, exclusions, conditions and
definitions that apply to this coverage.
13. Volcanic action is airborne volcanic blast or shock waves,
including ash, dust and particulate matter. It includes lava flow but does not
include the cost to remove dust, ash or particulate matter that does not
directly damage covered property.
Course Of Construction: Coverage applies to the property described
below, subject to any exclusions or limitations.
1. Coverage
Coverage applies to direct physical loss or damage to buildings or
structures in the course of construction, erection or fabrication caused by or
resulting from a covered peril, limited to:
2. Coverage Limitation
Coverage applies only to buildings or structures in the course of
construction at scheduled locations on the schedule of coverages.
Example: Carol is acting as her own general contractor for her new home and purchases builders risk coverage for the designated project. The supplies arrive and are kept in a storage shed on the jobsite, awaiting arrival of the construction crew. A sudden windstorm destroys the shed and $35,000 worth of building supplies. Coverage applies since the supplies were all intended to become part of the dwelling.
Six types of property are specifically listed as not covered:
1. Aircraft Or Watercraft are excluded. This property is more correctly insured under aircraft and watercraft coverage forms and policies.
2. Contraband is goods prohibited by law or treaty from
being imported or exported. It also includes legal property in the course of
illegal transportation or trade.
3. Land of any kind, including the land on which the covered property is located.
4. Money And Securities means a number of different types of property. It includes accounts, bills, currency, food stamps, evidence of debt and lottery tickets not held for sale, in addition to money, notes or securities.
Note: This property is more correctly insured under commercial crime coverage forms.
5. Standing Building
Or Structures or any parts of them are
not covered. A standing building or structure being repaired or altered is not
covered.
Note: A standing building
is also one that is totally or partially constructed. It includes all buildings
already being built as of the inception date of this particular policy. This is
very important because this policy is designed for buildings on which construction
commences on or after the policy inception date.
6. Vehicles are excluded. This includes automobiles or self-propelled vehicles intended for use on public highways.
Note: This property is more correctly insured under commercial automobile or truckers coverage forms.
Provisions That Apply To Coverage Extensions
There are six coverage extensions. The limit for each is either the limit indicated on the schedule of coverages or the default limit included in the coverage form if no limit is entered on the schedule of coverages. These coverages are part of the applicable limit for covered property and not in addition to it, unless otherwise indicated. These limits are not added to or combined with limits for any other coverage extension or supplemental coverage and are not subject to any coinsurance provisions that apply elsewhere in the coverage form.
1. Debris Removal
The insurance company pays costs incurred to remove debris caused by the occurrence of a covered peril but the amount is limited to 25% of the amount paid for the actual direct physical loss or damage. The combined value of the direct loss or damage and the debris removal cannot exceed the limit of insurance for the covered property. An additional $5,000 is available if the debris removal expense is more than 25% of the loss amount or if the combined cost of loss and debris removal is more than the limit of insurance for the covered property. Debris removal expenses must be reported to the insurance company within 180 days of the loss date in order for this extension to apply.
Note: This coverage extension does not apply to any pollutant cleanup, extraction, removal, restoration or replacement involving either land or water.
Note: Debris removal costs are part of the limit of insurance and the full limit of insurance is available to pay these costs, subject to the limitations indicated above. If a limit is indicated on the schedule of coverages, it is a sub-limit to the premises limit and is not in addition to that limit. This means increasing the limit on the schedule of coverages increases the $5,000 sub-limit but the total claim remains limited to the premises limit of insurance.
2. Emergency Removal
This covers direct physical loss or damage to covered property while
being moved or stored elsewhere to avoid loss or damage caused by a covered
peril. Coverage applies for up to ten days after the property is first moved
but does not extend past the expiration date.
Note: Coverage does not extend past the expiration date. If the insured has
property at an emergency location when coverage renews, the emergency location
must be indicated as a premises or coverage no longer applies.
Example: Cutting Corners Contractors' owner knows that tomorrow's predicted
tornado watches and warnings might wreak havoc on the incomplete apartment
building under construction as well as the assortment of building materials and
supplies scattered around the jobsite. Since the storage facility on the
jobsite is in generally poor condition, he packs up as much of it as he can fit
on a 26-foot box truck and drives it to a fellow contractor's warehouse that he
simply drives the vehicle into and keeps there until the watches and warnings
expire. Because of this coverage extension and his quick action, coverage
applies on his building materials and supplies at the temporary storage
location until the storm passes and he gets everything back to the jobsite the
next day. Amazingly, the building under construction sustained no damage.
3. Emergency Removal
Expenses
If the insured moves covered property to another location to protect it from loss or damage by a covered peril, this coverage extension pays the expenses to do so for up to ten days after the property is first moved, but not past the expiration date. The most paid for such expenses in any one occurrence is $10,000.
Note: This is additional coverage. As a result, all such expenses are paid in addition to the limit of insurance for this property.
4. Fraud And Deceit
The insurance company covers theft of covered property when the insured or its agents, consignees or customers part with it because of the fraudulent actions of persons falsely representing themselves as the proper persons to receive it. This includes accepting fraudulent bills of lading or other shipping receipts and such losses resulting from or directly related to use of any electronic data processing hardware or software. The most paid in any one occurrence is $50,000.
Note: This is a sub-limit. If the property limit at the location is less than $50,000, the property limit caps the amount available. The limit can be increased on the schedule of coverages but remains a sub-limit to the property limit.
Example: Ron is notified via email that the cabinets he just received are faulty and should be returned immediately. He dutifully sends the cabinets to the “Return Center” referred to in the notice and waits for the replacement cabinets. When Ron contacts the cabinetmaker ten days later, he discovers that he did not send the notice. By then, the cabinets are long gone and Ron sadly realizes that he has been swindled.
5. Limited Fungus
Coverage
This coverage extension applies to direct physical loss or damage to covered property caused by or resulting from the existence or any activity of fungus. Loss or damage caused by or resulting from fungus is covered only when it results form a covered peril, other than fire, lightning or flood that occurs during the coverage period. This is subject to the insured having taken all reasonable steps to protect the property from additional loss or damage at and after the time of loss. The limit can be increased on the schedule of coverages.
The most paid for all loss or damage at all buildings or structures is $15,000, regardless of the number of claims, locations, buildings or structures during any 12-month policy period or extensions of the policy period of less than 12 months, unless a different limit is indicated on the schedule of coverages. This limit also applies with respect to a specific occurrence of a loss that results in fungus, even if such fungus recurs or continues to exist during the current or future policy periods. The same limit also applies to cleanup, removal and testing activities and costs related to a fungus incident.
Note: If a covered loss or damage not caused by fungus occurs, that loss payment is not limited by the terms of this coverage extension. If fungus increases such losses, the increase is subject to the terms of this coverage extension.
6. Waterborne Property
The insurance company pays up to $10,000 in any one occurrence for direct physical loss or damage to covered property caused by or resulting from a covered peril while waterborne. The limit can be increased on the schedule of coverages.
Provisions That Apply To Supplemental
Coverages
There are 15 supplemental coverages. The limit for each is either the limit indicated on the schedule of coverages or the default limit included in the coverage form if no limit is entered on the schedule of coverages. If there is no limit for a supplemental coverage, coverage is provided up to the full limit for the applicable covered property unless a different limit is indicated on the schedule of coverages. Limits indicated for any supplemental coverage are separate from and not part of the applicable limit for coverage as indicated for covered property.
The limit available for coverage described under a supplemental coverage is the only limit available for it. It is not the total of the limit indicated for a supplemental coverage and the limit for coverage described under property covered. The limits are not added to or combined with limits for any other supplemental coverage or coverage extension and are not subject to any coinsurance provisions that apply elsewhere in the policy.
1. Contract Penalty
The insurance company pays up to $10,000, or a different limit if indicated on the schedule of coverages, for the costs of contractual penalties the insured must pay because it cannot complete construction of a covered building or structure due to direct physical loss or damage to it caused by or resulting from a covered peril.
Example: A building contract calls for building construction to be finished by January 1st or a $500 per day penalty will be assessed. A hailstorm destroys the roof and delays construction completion by nearly three weeks. This supplemental coverage pays up to $10,000 for the penalty assessed.
2. Earthquake Coverage
The insurance company covers direct physical loss or damage to covered property caused by earthquake and volcanic eruption but only if the box indicating that coverage applies is checked and a limit indicated on the schedule of coverages, subject to that limit and any deductible amount indicated.
Note: Since there is
no default limit for this coverage, coverage applies only if a limit is
indicated on the schedule of coverages. Because this could be confusing, if
earthquake coverage is not provided, the word "none" should be
entered in the limits space on the schedule of coverages.
3. Expediting Expenses
When a covered loss causes a job to fall behind schedule, the insurance company pays up to $10,000, or a different limit if indicated on the schedule of coverages, in any one occurrence under this supplemental coverage for expenses the insured incurs to meet the construction timetable specified in the construction contract. These costs include, but are not limited to, overtime pay, hiring additional labor, transportation costs, storage expenses and costs of renting additional equipment.
Example: A windstorm blows down the framing for a building and forces construction to start all over again. This puts the project two weeks behind schedule and results in enforcement of the $1,000 per day penalty clause in the construction contract. The contractor must also hire three additional workers to get caught up. This supplemental coverage applies to the wages of the additional workers but not the penalty.
4. Fire Department
Service Charges
Coverage applies to the liability the insured assumed under a written contract or agreement before a loss for fire department service charges. However, the coverage provided is limited to such charges incurred that relate to covered property to save or protect it from a covered peril. Payment is limited to $1,000 or the limit for this coverage indicated on the schedule of coverages.
Note: This supplemental coverage is not subject to a deductible.
5. Flood Coverage
The insurance company covers direct physical loss or damage to covered property caused by flood but only if the box indicating that coverage applies is checked and a limit indicated on the schedule of coverages, subject to that limit and any deductible amount indicated.
Note: Since there is
no default limit for this coverage, coverage applies only if a limit is
indicated on the schedule of coverages. Because this could be confusing, if
flood coverage is not provided, the word "none" should be entered in
the limits space on the schedule of coverages.
6. Ordinance Or Law
(Undamaged Parts Of A Building)
When a covered building or structure sustains direct physical loss or damage from a covered peril and a governmental entity requires that the rest of it be demolished because of enforcement of an ordinance, law or decree, the insurance company pays for the value of any undamaged portions. Coverage applies only if the regulation requires demolition of the undamaged parts, regulates the construction or repair of the property or establishes specific requirements for zoning or land use at the covered location.
Note: The ordinance, law or decree must be in force at the time of loss.
However, there is no coverage for:
Note: A separate limit does not apply to this coverage.
7. Ordinance Or Law
(Increased Cost To Repair And Cost To Demolish/Clear Site)
When a covered building or structure sustains direct physical loss or damage from a covered peril, the insurance company pays the increased cost to repair, rebuild or reconstruct damaged portions of a building or structure as well as undamaged portions, whether they must be demolished or not, resulting from enforcement of building, zoning or land use laws in effect at the time of loss. If the property is repaired or rebuilt, it must be for a similar occupancy or purpose as before, unless regulations require otherwise. Increased costs of construction are not covered until the construction is actually done and completed within two years after the date of loss.
The insurance company also pays the costs to demolish and clear the undamaged portions of the covered building or structure on the site of the covered loss if required by a government regulation in force at the time of the covered loss or damage.
However, there is no coverage for:
If the covered property is repaired or replaced, the insurance company pays the amount spent to demolish and clear the site plus the actual increased cost to rebuild with like kind and quality for the same purpose, but not more than $50,000 or the limit for this coverage indicated on the schedule of coverages.
If the covered property is not repaired or replaced, the insurance company pays the amount actually spent to demolish and clear the site plus the cost that would have been incurred if the property was rebuilt with other property of like kind and quality and for the same purpose, but not more than $50,000 or the limit for this coverage indicated on the schedule of coverages.
8.
Personal Property
Business personal property at a covered location not intended to be installed in or become a permanent part of the covered building or structure is covered for loss or damage caused by a covered peril but only when the property is in a covered building or structure. Payment is limited to $10,000 or the limit shown for this coverage indicated on the schedule of coverages.
Example: A contractor sets up a small office area, from which it directs continuing construction activities, as well as a break room/lunch room area for its employees inside and on the ground floor of a covered building under construction. Loss or damage by a covered peril to the business personal property in this area is covered.
9.
Pollutant Cleanup And Removal
The
insurance company pays the insured's expenses to extract pollutants from land
or water if their release or discharge in any manner was caused by a covered
peril that occurred during the policy period. The expenses to extract
pollutants are paid only if reported to the insurance company within 180 days
of the date of loss. Costs related to testing, evaluating, observing or
recording pollutants are not covered but the costs of testing necessary to
extract pollutants from land or water are covered. The most paid is $25,000,
unless a different limit is indicated on the schedule of coverages, at each
location for all such expenses caused by a covered peril that occurs during
each separate 12-month policy period.
10. Rewards
If the insured has a
covered arson, theft or vandalism loss, this coverage provides a reward for
information leading to the conviction of whoever caused the loss. The payment
limit of $1,000 is based on the occurrence, not the number of persons who provide
information. The limit can be increased on the schedule of coverages.
11. Sewer Backup
Coverage
Coverage applies to direct physical loss or damage to covered property caused by water that backs up from a sewer or drain or from the sub-surface water pressure on or leakage through or into a covered building or structure. Payment is limited to $10,000 or the limit for this coverage indicated on the schedule of coverages.
12.
Storage Locations
The following items are covered while in storage if damaged by a covered peril:
Payment is limited to $10,000 or the limit for this coverage indicated on the schedule of coverages.
Example: Since the valuable plants, shrubs and trees delivered from out of state arrive before the siding on the building is installed, they are stored at a nearby greenhouse until the jobsite is ready. A sudden violent windstorm destroys the greenhouse and all the plants. Since windstorm is not a covered peril in the supplemental coverages for this type of property, the loss is not covered.
13. Testing
Coverage applies to direct physical loss or damage to a covered building or structure caused by a covered peril resulting from testing of machinery, equipment and other objects intended to become a permanent part of it. Payment is limited to $10,000 or the limit for this coverage indicated on the schedule of coverages.
Example: The purchaser of a building under construction requests that the pressure on all gas lines be checked. The builder arranges for the testing but high pressure is applied instead of standard pressure and the pipes burst. Coverage applies to the resulting damage up to the $10,000 limit.
14. Transit
Coverage applies to direct physical loss or damage caused by or resulting from a covered peril to covered property consisting of following while in transit.
Payment is limited to
$10,000 or the limit for this coverage indicated on the schedule of coverages.
15. Trees, Shrubs And
Plants
Outdoor trees, shrubs, plants and lawns are covered for direct physical loss or damage caused by a covered peril, including debris removal expense, at covered construction project locations. Covered perils consist of fire, lightning, explosion, riot, civil commotion, falling objects and vandalism. Payment is limited to $10,000 or the limit for this coverage indicated on the schedule of coverages.
Coverage applies to risks of direct physical loss or damage unless the loss is limited or caused by an excluded peril.
1. The first group of exclusions is essentially absolute. Subject to
specific exceptions, loss or damage by each is totally excluded, regardless of
any other cause or event that contributes to a loss, either concurrently or in
any other sequence. The insurance company does not pay for any direct or
indirect loss or damage caused by or resulting from any of these events.
a. Civil Authority
There is no coverage for loss resulting from the order of any civil or
government authority, including seizure, confiscation, destruction or
quarantine of property. Coverage does apply for loss or damage resulting from
such acts when done to prevent the spread of fire, as long as the fire resulted
from a covered peril.
b. Earth Movement Or Volcanic Eruption
Coverage does not apply to loss or damage caused by earth movement or
eruption, explosion or effusion of a volcano. Coverage does apply to direct
loss or damage by fire, explosion or volcanic action resulting from any of
these events.
Note: Earthquake coverage applies
if a limit is entered on the schedule of coverages for the Supplemental
Coverages–Earthquake Coverage. Coverage also applies for loss or damage caused by sinkhole collapse and to covered property
in transit.
c. Flood
The insurance company does not pay for loss or damage caused by flood.
It does cover direct loss or damage caused by fire, explosion or sprinkler
leakage resulting from a flood occurrence.
Note: Flood coverage applies if a limit
is entered on the schedule of coverages for the Supplemental Coverages–Flood
Coverage. However, this exclusion does
not apply to covered property in transit.
d. Fungus
Coverage does not apply to loss, damage, cost or expense caused by or related to the existence or any activity of fungus, except as provided under Coverage Extensions–Limited Fungus Coverage. However, if fungus results in a specified peril, coverage applies to the loss or damage caused by that specified peril.
Note: This exclusion does not apply to loss or damage resulting from fire, lightning or collapse caused by hidden decay.
e. Nuclear Hazard
The insurance company does not insure against loss or damage caused by
or resulting from any nuclear reaction, radiation or contamination, whether the
nuclear incident was controlled or not or was caused by any means. Any loss
caused by the nuclear hazard is not treated as a loss caused by fire, explosion
or smoke. However, coverage applies to direct loss or damage caused by fire
resulting from the nuclear hazard.
f. Ordinance Or Law
There is no coverage for any loss or increased construction costs because of the enforcement of any government regulation that controls the use, construction or repair of any property. This includes demolition of that property and the removal of its debris. This exclusion also applies to enforcement that occurs even if the property has not been damaged and to increased costs incurred as a result of complying with the regulation, including any construction, demolition or debris removal activities.
Note: Limited coverage is available under Supplemental Coverages–Ordinance Or Law (Increased Cost To Repair And Cost To Demolish/Clear Site).
g. Penalties
Other than as provided under Supplemental Coverages–Contract Penalty, there is no coverage for penalties an insured incurs because it cannot complete a project according to the terms of a contract.
h. Sewer Backup And Water Below The Surface
Coverage does not apply to loss or damage caused by water backup from a
sewer or drain or from water below the surface of the ground that exerts
pressure on covered buildings or structures. However, fire, explosion and theft
losses that result from such backup or hydrostatic pressure are covered.
Note: Sewer backup coverage applies if
a limit is entered on the schedule of coverages for the
Supplemental Coverages–Sewer Backup Coverage. However, this exclusion does not apply to covered
property in transit.
i. War And Military Action
The insurance company does not pay for loss or damage caused by any act
of war, including undeclared and civil war or warlike action by a military
force. It includes actions taken to hinder or defend against an actual or
expected attack by any government or sovereign authority that uses military
personnel or other agents. It also includes acts of insurrection, rebellion,
revolution, or unlawful seizure of power taken by any government authority to
prevent or defend against any of these. If any action within the terms of this
exclusion involves nuclear reaction, radiation or contamination, this exclusion
applies in place of the nuclear hazard exclusion.
2. The second group of exclusions applies to loss or damage caused by or
resulting from any of the following loss events. Some of these exclusions have
exceptions, conditions or limitations that should be noted and reviewed
carefully. The insurance company does not pay for any loss or damage caused by
or resulting from any of these events.
a. Contamination Or Deterioration
Loss or damage caused by contamination or deterioration is excluded.
This includes corrosion, decay, rust or any quality, fault or weakness in
covered property that causes it to damage or destroy itself.
Note: If contamination or deterioration results in the occurrence of a covered
peril, coverage applies to the loss or damage caused by that peril.
b. Criminal, Fraudulent, Dishonest Or
Illegal Acts
Coverage does not apply to loss caused by or resulting from criminal,
fraudulent, dishonest or illegal acts, committed alone or in collusion with
another, by any of the following:
Note: If the covered property is in the custody of carriers for hire, this
exclusion does not apply.
Note: Coverage applies if employees
destroy property. It does not apply to acts of theft done by employees.
c. Defects, Errors And
Omissions
There is no coverage for loss or damage caused by any act, defect, error or omission relating to any construction activities due to acts of negligence or otherwise. Examples of such activities include design, specifications, construction, materials and workmanship, as well as maintenance, installation, renovation, remodeling or repair. It also includes planning, zoning, development, siting, surveying, grading or compaction activities.
Note: If any of these activities results in the occurrence of a covered peril, coverage applies to the resulting loss or damage caused by that covered peril.
d. Electrical Currents
Loss or damage caused by electrical arcing or currents is excluded, unless caused by lightning. However, if the excluded arcing or currents results in the occurrence of a covered peril, the resulting loss or damage is covered. Note: This exclusion does not apply to losses due to testing as provided under Supplemental Coverages–Testing.
e. Explosion, Rupture
Or Bursting
The insurance company does not pay for loss or damage caused by explosion, rupture or other bursting of steam boilers, pipes and engines or steam and gas turbines.
Note: This exclusion applies only to loss or damage to the steam object or gas turbine in which the loss occurred.
f. Loss Of Use
There is no coverage for loss caused by or resulting from delay, loss of use or loss of market.
g. Mechanical
Breakdown
Loss or damage due to mechanical breakdown is not covered. This includes damage to moving parts of machinery because of centrifugal force. However, if such a loss results in the occurrence of a covered peril, the resulting loss or damage is covered.
Note: This exclusion does not apply to losses due to testing as provided under Supplemental Coverages–Testing.
h. Missing Property
Unexplained or mysterious disappearance of covered property is not
covered if the only proof that a loss occurred is based on an audit or physical
inventory and there is no physical evidence to indicate what happened to it.
Note: This exclusion does not apply to covered property in the custody of
carriers for hire.
i. Pollutants
There is no coverage for loss or damage caused by or resulting from any
release, discharge, seepage, migration, dispersal or escape of pollutants.
However, coverage applies if a specified peril causes the pollutant release. In
addition, limited coverage is provided under Supplemental Coverages–Pollutant
Cleanup And Removal.
j.
Temperature/Humidity
Loss or damage caused by dryness, dampness, humidity, changes in or extremes of temperature is not covered.
Note: If any of these events results in the occurrence of a covered peril, the resulting loss or damage caused by that peril is covered.
k. Voluntary Parting
Loss or damage caused by or resulting from the insured voluntarily
parting with either title to or possession of any covered property because of a
fraudulent scheme, trick or false pretense is not covered, except as provided
under Coverage Extensions–Fraud Or Deceit.
l. Wear And Tear
Loss or damage caused by wear and tear, marring or scratching is
excluded.
Note: If any of these events results in the occurrence of a covered peril, the
resulting loss or damage caused by that peril is covered.
Note: Wear and tear is damage, diminishment in value or erosion due to long or
hard use or exposure, including breakdown over time and eventually becoming
unusable because of previous use. This includes the tendency of property to
pull apart or break down into pieces because of forces applied to it.
1. Notice
The insured must give prompt notice of a loss to the insurance company
or its agent and include a description of the property lost or damaged. In
addition, the appropriate law enforcement agency must be notified if the event
causing the loss is a crime.
Note: The insurance company may also require that the notice be in writing.
2. You Must Protect Property
During and after a loss, all reasonable steps must be taken to protect
covered property from further loss. The insurance company pays reasonable costs
the insured incurs to do so, subject to the insured keeping records of such
costs incurred, but payment of these costs does not increase the limit.
However, coverage does not apply for any repairs or emergency measures
performed on property not already damaged by a covered peril.
3. Proof Of Loss
The insured must send the insurance company its prescribed proof of loss
forms within 60 days of its request to do so. The information provided must
include the time, place and circumstances surrounding the loss and information
on any other insurance coverage that may apply. It must also include the
interest of the insured and others with respect to the property involved,
including lienholders, loss payees and mortgages. Any changes in title to the
property during the policy period must be disclosed, in addition to providing
any other reasonable information the company may require to adjust and settle
the loss.
4. Examination
Examination under oath may be required in matters relating to the loss
as often as reasonably requested by the insurance company. The company has the
right to examine each individual and receive statements separately and not in
the presence of others, if more than one person is examined.
5. Records
The insured must maintain and produce any records relating to the loss
and allow the insurance company to make copies and take extracts of them as
often as it reasonably requests. Records include, but are not limited to, tax
returns and bank microfilms of all cancelled checks.
6. Damaged Property
Both damaged and undamaged property must be made available for the
insurance company's inspection as often as reasonably necessary. It must also
be allowed to take samples of the property to the extent necessary to adjust
and settle the loss.
7. Volunteer Payments
If the insured voluntarily makes any payments, assumes any obligations,
pays or offers rewards or incurs any other expenses without the insurance
company's express approval, except to protect covered property from further
damage, it does so at its own expense.
8. Abandonment
Abandoning damaged property to the insurance company without its written
consent is prohibited.
9. Cooperation
The insured must cooperate with the insurance company in all matters and
in performing all acts required.
1. Replacement Cost
The value of covered
property is based on its replacement cost without a deduction for depreciation.
The value includes labor, appropriate overhead and profit margins, and delivery
charges. However a limitation states that the value is limited to use of similar
materials on the same site or location and for essentially the same purpose and
cannot exceed the actual amount spent to repair or replace the lost or damaged
property.
2. Pair Or Set
The value of a loss that involves damage or loss of one part of a pair
or set is based on a reasonable proportion of the value of the entire pair or
set. Loss of one part of a pair or set is not considered a total loss.
Note: This recognizes that the value of the whole is greater than the value of
the individual parts.
3. Loss To Parts
The value of a lost or damaged part of property consisting of several
parts is the cost to repair or replace only the lost or damaged part.
1. Insurable Interest
The insurance company does not pay more than the insured's insurable
interest in the covered property at the time of loss.
Note: Insurance is meant to
restore a person’s pre-loss financial position, not to improve or enhance it.
2. Deductible
The insurance company pays only the amount of loss that exceeds the
deductible amount indicated on the schedule of coverages.
3. Earthquake Period
All earthquakes, tremors or volcanic eruptions that occur within a
168-consecutive hour period are considered a single loss. This time period is
not limited by the policy expiration date.
4. Loss Settlement Terms
The insurance company pays the lesser of the amount determined under
Valuation, the cost to repair, replace or rebuild the property with material of
similar kind and quality to the extent possible, or the limit of insurance that
applies to the covered property. If the schedule of coverages indicates a
catastrophe limit, and a covered peril causes loss at more than one premises
listed on the schedule, the most the insurance company pays in any one
occurrence is either the sum of the limits for covered property at all
locations where the loss occurred or the catastrophe limit, whichever is less.
5. Coinsurance
When coinsurance applies to a coverage provided, the insurance company pays only part of the loss if the limit is less than 100% of the estimated completed value of the covered property as determined at the time of loss. The three steps in determining the amount of the loss to be paid are:
a. Determine the full 100% value of the property if it had been completed and as if no loss had occurred.
b. Divide the coverage limit for that property by the figure obtained in step a.
c. If step b. is less than 1.00, multiply the amount of loss after application of any deductible by the percentage determined in step b, if the limit is less than the full value of the property.
The insurance company pays no more than the amount determined in step c or the policy limit, whichever is less. If more than one limit is indicated on the schedule of coverages, this procedure applies separately to each limit. If only one limit is indicated on the schedule of coverages, this procedure applies to the total of all covered property to which that limit applies.
Example: The estimated completed value of a building indicated on the schedule of coverages is $300,000. Construction is almost 90% complete when a fire amounting to a loss of $275,000 occurs. After a review of the changes made as construction progressed, the actual completed value should have been $325,000, had no loss occurred. As a result, the loss is paid as follows:
a. The estimated completed value is $325,000.
b. $300,000 divided by $325,000 = .923. This is the coinsurance penalty factor.
c. $275,000 multiplied by .923 = $253.825.
In this example, the insurance company pays $253,825 and the insured is responsible for the remaining $21,175.
6. Insurance Under More Than One Coverage
If two or more coverages in the coverage form apply to the same loss,
the insurance company pays no more than the value of the actual claim, loss or
damage sustained.
7. Insurance
Under More Than One Policy
a. Proportional Share
If the insured has another policy subject to the same terms as this
coverage, it pays only its share of the covered loss. That share is the
proportion that its limit of insurance bears to the limits of insurance on all
policies that cover on the same basis.
b. Excess Amount
If the insured has another policy covering the loss other than as
described above, this coverage form pays only the amount of covered loss that
exceeds the amount due from that other policy, whether collectible or not,
subject to the applicable limit of insurance.
1. Loss Payment Options
a. Our Options
The insurance company has four loss payment options if a covered loss
occurs. It can pay the value of the lost or damaged property, pay the cost of
repairing or replacing the lost or damaged property, rebuild, repair or replace
the property with similar property, to the extent possible and within a
reasonable period of time, or take any part or all of the property at the
agreed on or appraised amount.
b. Notice Of Our Intent To Rebuild, Repair
Or Replace
The insurer must notify the insured of its intent to rebuild, repair or
replace within 30 days after receiving a properly completed proof of loss.
2. Your Losses
a. Adjustment And Payment Of Loss
The insurance company adjusts all losses with the insured and pays the
insured, unless another loss payee is included on the policy.
b. Conditions For Payment Of Loss
The insurance company pays a covered loss within 30 days after it
receives a properly prepared proof of loss and the amount of loss is
established. This is done through either a written agreement between the
insurer and the insured or after an appraisal award is filed with the insurer.
3. Property Of Others
a. Adjustment And Payment Of Loss To
Property Of Others
The insurance company can adjust and pay losses involving property of
others with either the insured acting on behalf of the property owner or with
the property owner, at its discretion.
b. We Do Not Have To Pay You If We Pay The
Owner
When the insurer pays the property owner, it is not obligated to pay the
insured. In addition, if the property owner sues the insured, the company has
the option of defending the insured in that suit.
1. Appraisal
The insurance company and the insured may not always agree on the value
of a covered claim. This condition provides one method to solve disputed
claims.
Either party can request an appraisal to determine the value of a
disputed claim. Once requested, the parties have 20 days to obtain their own
independent and competent appraisers and supply the appraiser's name to the
other party. The two appraisers then have 15 days to select a competent
impartial umpire. If they cannot agree on an umpire within 15 days, either can
request that a judge in the court of record in the state where the property is
located appoint one.
The appraisers then determine the value of the claim. Any differences
are submitted to the umpire. Once any two of the three parties agree, the
amount of loss is set.
Each party pays its own appraiser. Both parties share the cost of the
umpire and other expenses.
2. Benefit To Others
The insurance provided does not directly or indirectly benefit any other
party having custody of the insured's property.
3. Conformity With Statute
Any condition in this coverage form that conflicts with any applicable
law is amended to conform to that law.
4. Estates
Note: This condition applies only if the insured is an individual.
a. Your Death
If the insured dies, the person having custody of the insured's property
is an insured until a qualified legal representative is appointed. At that
point, the insured’s legal representative becomes an insured. Both are insureds
but only with respect to the property insured under this coverage form.
b. Policy Period Is Not Extended
This coverage does not extend past the coverage expiration date.
5. Misrepresentation, Concealment Or Fraud
This coverage is void if any insured at any time willfully concealed or
misrepresented a material fact relating to the insurance provided, the property
covered or its interest in the property, or if fraud or false swearing by any
insured took place concerning the insurance provided or the property covered.
Note: The insured must deal with the insurance company honestly. If the
insured intentionally misrepresents or conceals a material fact or information,
its rights of recovery may be voided. This means that the insurance contract is
treated as simply having never existed versus a particular claim being denied.
6. Policy Period
Only covered losses that occur during the policy period are paid.
7. Recoveries
Payment of the loss does not end the obligations of the insured and the
insurance company toward one another. If the insurance company pays a loss and
the lost or damaged property is subsequently recovered or the parties
responsible for the loss pay for it, additional provisions apply.
Either party recovering property or payment must inform the other.
Recovery expenses incurred by either party are reimbursed first. If the insured
keeps the recovered property, it must refund the amount of the claim the
insurance company paid, unless a different amount is agreed to. If the claim
paid is less than the agreed loss due to application of a deductible or other
limitations, any recovery is prorated between the insured and the insurer based
on the insurer's respective interest in the loss.
8. Restoration Of Limits
Payment of a claim does not reduce the policy limit available for future
claims except as indicated under Limited Fungus Coverage.
9. Subrogation
The insurance company acquires the insured's rights of recovery from
third parties after it pays a loss. The insured must assist the insurance
company in securing those rights. If it hinders or impairs those rights, the
insurer is not obligated to pay the loss.
Note: The insured can agree in writing to waive recovery rights from others
before a loss occurs.
10. Suit Against Us
The insurance company cannot be sued by anyone for any coverage until
all the terms of the coverage form have been met. Suits must be brought within
two years after the insured first had knowledge of a loss. If a state law
invalidates this condition, any suit brought must comply with the provisions of
that law and begin within the shortest period of time allowed by law.
Note: It is normal
for a basic coverage form to be modified by mandatory state-specific
endorsements addressing issues that relate to that specific state.
11. Territorial Limits
Covered property must be located in the United States, its territories
and possessions, Canada or Puerto Rico in order for coverage to apply.
12. Carriers For Hire
The insured may accept shipping documents from transportation companies that limit their liability to amounts less than the replacement cost or actual cash value of the covered property.
1. Coverage Not
Provided During Occupancy And Use
Coverage does not apply if a covered building or structure is partially or completely occupied or put to its intended use without the insurance company's written consent and agreement.
Note: This provision does not apply if permission to occupy is granted based on an entry on the schedule of coverages.
Example: ABC Construction builds four-unit condominium buildings. The entire building is constructed first and then each unit is finished one at a time. Once a unit is finished out, ABC attempts to sell it and transfer the title in order to free up capital. The insurance company agrees to this partial occupancy situation and verifies it by the appropriate entry on the schedule of coverages.
2. When Coverage
Ceases
Coverage ends when the first of the following events occurs:
Note: This is an important area that could cause the insured problems. Even though coverage extends up to 90 days after construction is complete, this becomes only two days in the case of construction being completed only two days before the expiration date. In other words, 90 days of coverage is available after construction is complete but only if 90 or more days remain until expiration. This coverage limitation is subject to a number of variations, since insurance companies recognize the problems that can arise, particularly with coverage forms written on a reporting basis. This coverage limitation must be reviewed carefully and discussed with the client, with particular care taken to point out the potential problems.
This Schedule Of Coverages is used with IM 7051–Builders' Risk Coverage–Scheduled Jobsite Form.
Note: IM 7056–Schedule Of Coverages–Builders' Risk does not have spaces in which to enter the name, mailing address or other named insured information. That and other information appear on IM 7900–Inland Marine Declarations. IM 7056 contains the following information:
Scheduled Locations
All covered locations
must be listed. Unlisted locations are not covered. IM 7087–Additional
Builders' Risk Schedule is used to indicate locations that cannot fit on IM
7055 because of space considerations.
Note: Do not list a location without indicating either a limit or the word "none."
Coverage Extensions
The limits on the Schedule Of Coverages for the following coverages apply to all covered locations:
Note: Each of these extensions applies. If a limit is not entered, the full policy limit applies, subject to any limitations in the coverage extension. Any entry under Additional Debris Removal Expenses reduces coverage. Emergency Removal coverage is limited to 10 days but the number of days can be increased.
Supplemental Coverages
Each of these coverages provides additional limits of coverage or additional coverage. Required entries vary by type of coverage.
Note: The coverage form provides this coverage. The advisory schedule of coverages does not list it.
Deductible
One deductible is entered that applies to all covered premises.
Optional Coverages And
Endorsements
This section of the schedule of coverages indicates coverage endorsements and forms included at the time of policy issuance.
This coverage form is identical to IM 7050–Builders' Risk Coverage–Scheduled Jobsite Form–Broad Form analyzed above except for five sections. This analysis addresses only the five sections that are different.
Two additional property items are not covered. This coverage form does not insure Trees, Shrubs And Plants or Waterborne Property.
Emergency Removal Expenses, Fraud And Deceit and Waterborne Property Extensions are not included in this coverage form. The language in Limited Fungus Coverage, paragraph g. is worded slightly differently but has the same coverage intent.
The only Supplemental Coverages provided under IM 7051 are Fire Department Service Charges, Pollutant Cleanup And Removal, Storage Locations and Transit. As a result, the Supplemental Coverages for Contract Penalty, Earthquake Coverage, Expediting Expenses, Flood Coverage, Ordinance Or Law (Undamaged Parts Of A Building), Ordinance Or Law (Increased Cost To Repair And Cost To Demolish/Clear Site), Personal Property, Rewards, Sewer Backup Coverage, Testing and Trees, Shrubs And Plants are not included.
The only difference is the definition of the earthquake period is deleted because coverage is not provided in this coverage form.
This Schedule Of Coverages is used with IM 7052–Builders' Risk Coverage–Contractors' Reporting Form.
Note: IM 7057–Schedule Of Coverages–Builders' Risk–Contractors' Reporting Form does not have spaces in which to enter the name, mailing address or other named insured information. That and other information appear on IM 7900–Inland Marine Declarations. IM 7057 contains the following information:
Limits
A limit of insurance is indicated for each of the following:
Coverage Extensions
The limits on the Schedule Of Coverages for the following coverages apply to all covered locations:
Note: Each of these extensions applies. If a limit is not entered, the full policy limit applies, subject to any limitations in the coverage extension. Any entry under Additional Debris Removal Expenses reduces coverage. Emergency Removal coverage is limited to 10 days but the number of days can be increased.
Supplemental Coverages
Each of these coverages provides additional limits of coverage or additional coverage. Required entries vary by type of coverage.
Note: It must be noted that Earthquake and Flood coverages have no default coverage. Coverage applies only when the box is checked and a limit is entered.
Reporting Conditions
The estimated completed value of each covered building or structure are reported monthly, quarterly, annually or any other specified period. Premiums are adjusted monthly, quarterly, annually or any other specified period.
Note: Reporting conditions may be waived.
Additional Premium Due After
Expiration
When the premium is based on reports of value,
any additional premium the insured owes is due and payable on the date
indicated on the billing statement.
Premiums
Spaces are provided in which to enter the deposit and minimum premiums.
Deductible
One deductible is entered that applies to all covered premises.
Note: Under
Supplemental Coverages, if earthquake, flood, and/or sewer backup coverage is
provided, a deductible that applies specifically to that selected coverage must
be entered. This deductible applies instead of the deductible that applies to
all covered premises.
Permission To Occupy
The permission to occupy granted box or the permission to occupy not granted box must be checked. If permission to occupy is granted, the date that the building or structure can be occupied is indicated in the spaces provided.
Optional Coverages And
Endorsements
This section of the schedule of coverages indicates coverage endorsements and forms included at the time of policy issuance.
This coverage form is identical to IM 7050–Builders' Risk Coverage–Scheduled Jobsite Form–Broad Form analyzed above except for four sections. This analysis addresses only the four sections that are different.
1. Course Of Construction, b. Coverage Limitation is revised to reflect the addition of the two following items of covered property under this coverage form.
2. Contingent Coverage
Buildings and structures in the course of construction, erection or fabrication are covered under this coverage form subject to all of the following conditions:
This property is covered only if a limit of insurance for contingent coverage is entered on the schedule of coverages and the property is at the named insured’s jobsite.
Example: Paul is a custom homebuilder. He allows his customers to purchase their own builders risk policies. If they choose that option, they sign an agreement that they will provide the coverage so that Paul's interest is also protected. Maxine signed the construction contract and the agreement but neglected to contact her agent to purchase the coverage. A loss occurred and Paul discovered that there was no coverage on the project. Paul's insurance company paid based on this Contingent Coverage and then subrogated against Maxine because of her breach of contract.
3. Difference in Conditions Coverage
Buildings and structures in the course of construction, erection or fabrication are covered under this coverage form only if all named insureds are contractually obligated to provide difference in conditions coverage on buildings under construction. Under this coverage form, difference in conditions coverage is defined as coverage for all physical loss except those caused by an excluded or a specified peril.
This property is covered only if a limit of insurance for difference in conditions coverage is entered on the schedule of coverages and the property is at the named insured’s jobsite.
Example: Paul’s latest client agrees to provide basic coverage for his new home but requires that Paul obtain difference in conditions coverage for other potential perils. When Paul discovers that $10,000 in copper stolen from the jobsite, the loss is covered. However, Paul's coverage does not respond when windstorm destroys the building. Instead, the purchaser has coverage under his basic perils policy.
Under Limited Fungus Coverage, paragraph g. Loss Caused In Total Or In Part By Fungus replaces paragraph g. Loss Not Caused By Fungus in IM 7050.
IM 7050 contains coinsurance provisions. IM 7052 does not because it is a reporting form.
This provision in IM 7052 does not appear in IM 7050. It outlines the detailed steps in the reporting process and the consequences for failure to submit reports or to report proper values.
This Schedule Of Coverages is used with IM 7053–Builders' Risk Coverage–Builders' Risk And Installation Floater Form.
Note: IM
7058–Schedule Of Coverages–Builders' Risk And Installation Floater does not
have spaces in which to enter the name, mailing address or other named insured
information. That and other information appear on
IM 7900–Inland Marine Declarations. IM 7058 contains the following information:
Builders' Risk Coverages
A limit of insurance is indicated for each of the following:
Installation Floater Coverage
A limit if insurance is indicated for the most paid for loss to any one
installation project.
Catastrophe Limit
A limit of insurance is entered for the most paid for loss in any one
occurrence.
Coverage Extensions
The limits on the Schedule Of Coverages for the following coverages apply to all covered locations:
Note: Each of these extensions applies. If a limit is not entered, the full policy limit applies, subject to any limitations in the coverage extension. Any entry under Additional Debris Removal Expenses reduces coverage. Emergency Removal coverage is limited to 10 days but the number of days can be increased.
Supplemental Coverages
Each of these coverages provides additional limits of coverage or additional coverage. Required entries vary by type of coverage.
Note: It must be noted that Earthquake and Flood coverages have no default coverage. Coverage applies only when the box is checked and a limit is entered.
Reporting Conditions
The estimated completed value of each covered building or structure are reported monthly, quarterly, annually or any other specified period. Premiums are adjusted monthly, quarterly, annually or any other specified period.
Note: Reporting conditions may be waived.
Additional Premium Due After
Expiration
When the premium is based on reports of value,
any additional premium the insured owes is due and payable on the date
indicated on the billing statement.
Premiums
Spaces are provided in which to enter the deposit and minimum premiums.
Deductible
One deductible is entered that applies to all covered premises.
Note: Under
Supplemental Coverages, if earthquake, flood, and/or sewer backup coverage is
provided, a deductible that applies specifically to that selected coverage must
be entered. This deductible applies instead of the deductible that applies to
all covered premises.
Permission To Occupy,
Builders' Risk Coverage
The permission to occupy granted box or the permission to occupy not granted box must be checked. If permission to occupy is granted, the date that the building or structure can be occupied is indicated in the spaces provided.
Optional Coverages And
Endorsements
This section of the schedule of coverages indicates coverage endorsements and forms included at the time of policy issuance.
This coverage form is identical to IM 7050–Builders' Risk Coverage–Scheduled Jobsite Form–Broad Form analyzed above except for seven sections. This analysis addresses only the seven sections that are different.
The definition of jobsite includes locations where the insured is
engaged in an installation or construction project. The same definition in IM
7050 does not include this language.
Two types of coverages are provided since this is a combination form.
1. a. The first is Builders Risk coverage. This is similar to the
coverage provided under IM 7050 but Course Of Construction, b. Coverage
Limitation is revised to reflect the addition of the two following items of
covered property under this coverage form.
1.b. Contingent
Coverage
Buildings and structures in the course of construction, erection or fabrication are covered under this coverage form subject to all of the following conditions:
This property is covered only if a limit of insurance for contingent coverage is entered on the schedule of coverages and the property is at the named insured’s jobsite.
1.c. Difference in Conditions Coverage
Buildings and structures in the course of construction, erection or fabrication are covered under this coverage form only if all named insureds are contractually obligated to provide difference in conditions coverage on buildings under construction. Under this coverage form, difference in conditions coverage is defined as coverage for all physical loss except those caused by an excluded or a specified peril.
This property is covered only if a limit of insurance for difference in conditions coverage is entered on the schedule of coverages and the property is at the named insured’s jobsite.
2. Installation Floater Coverage is added. It covers physical loss to property the named insured is installing on or at a project. Coverage applies to owned property and non-owned property in the named insured's care, custody and control. Only property intended to become part of the completed installation is covered.
In addition to the six types of property not covered items under IM 7050, airborne property is also not covered, except for property in transit on regularly scheduled airline flights. In addition, under Standing Building Or Structure, coverage applies to materials, supplies, machinery, fixtures and equipment the insured installs, constructs or lifts in conjunction with any installation or construction project in a building or structure. IM 7050 does not contain this language.
The Limited Fungus Coverage Extension limit is amended to apply to buildings or structures in the course of construction and all installation or construction projects. This means that the aggregate amount of coverage available over all projects and buildings under construction for an entire year is limited to $15,000 or the limit indicated on schedule of coverages.
The supplemental coverages in both forms are identical but IM 7053 has words added to extend coverage to the installation coverage.
IM 7050 contains coinsurance provisions. IM 7053 does not because it is a reporting form.
This provision in IM 7053 does not appear in IM 7050. It outlines the detailed steps in the reporting process and the consequences for failure to submit reports or to report proper values. It separates the requirements for installation floater and states them separately from those for builders risk.
This Schedule Of Coverages is used with IM 7054–Builders' Risk Coverage–Rehabilitation And Renovation Form.
Note: IM 7059–Schedule Of Coverages–Builders' Risk–Rehabilitation And Renovation does not have spaces in which to enter the name, mailing address or other named insured information. That and other information appear on IM 7900–Inland Marine Declarations. IM 7059 contains the following information:
Scheduled Jobsite
All covered jobsites must be listed, described and have a job number and/or jobsite location entered. Unlisted locations are not covered. IM 7090–Additional Scheduled Jobsite Locations is used to indicate jobsites that cannot fit on IM 7059 because of space considerations.
A Building Materials
Limit and an Existing Building Limit must be indicated. If existing building
coverage is provided, the valuation that applies to it must also be indicated.
The valuation options are Stated Value or Actual Cash Value.
Coverage Extensions
The limits on the Schedule Of Coverages for the following coverages apply to all covered locations:
Note: Each of these extensions applies. If a limit is not entered, the full policy limit applies, subject to any limitations in the coverage extension. Any entry under Additional Debris Removal Expenses reduces coverage.
Supplemental Coverages
Each of these coverages provides additional limits of coverage or additional coverage. Required entries vary by type of coverage.
Deductible
One deductible is entered that applies to all covered premises.
Coverage Limitation
Coverage applies to a vacant existing building for up to the indicated number of consecutive days from the coverage inception date unless building permits have been obtained and rehabilitation work or renovation has begun on the existing building.
Note: The Vacant Building Limitation may be waived.
When Coverage Ceases
Coverage ends when one of the following first occurs:
1. At expiration or when coverage is cancelled
2. The purchaser accepts a covered building or structure
3. The insured's insurable interest in the covered property ends
4. The insured abandons construction without intending to complete it
5. A covered building or structure is completed more than 30 days or the number of days indicated in the space provided.
Optional Coverages And
Endorsements
This section of the schedule of coverages indicates coverage endorsements and forms included at the time of policy issuance.
This coverage form is identical to IM 7050–Builders' Risk Coverage–Scheduled Jobsite Form–Broad Form analyzed above except for ten sections. This analysis addresses only the ten sections that are different.
Note: The current edition of this form has numerous minor editorial
and format changes compared to the previous edition, to emphasize coverages and
limitations, with no change in intent. Those changes are not addressed in this
analysis.
Two definitions are added:
Three definitions are changed:
Note: The Definitions section in IM 7054 is at the end of the coverage form
instead of at the beginning.
IM 7054's description of property covered is completely different compared to the definition in IM 7050 because the nature of the work insured is that of rehabilitation and renovation of existing buildings or structures instead of new construction.
Coverage applies to:
Coverage is limited to the jobsite indicated on the schedule of coverages. Vacant buildings may be covered if so indicated on the schedule of coverages. The vacant building coverage selected on the schedule of coverage determines the length of time that coverage continues.
Separate limits of insurance must be indicated on the schedule of coverages for Building Materials and Existing Buildings. These limits are the most paid for loss in any one occurrence.
Four types of property are added as property not covered and one type of property is changed. The four types of property added are:
The one type of property changed is Standing Building Or Structure. It
is amended so that coverage for existing buildings can be provided.
The Coverage Extensions for Emergency Removal, Emergency Removal Expenses, Fraud And Deceit and Waterborne Property in IM 7050 are not in IM 7054.
The only Supplemental Coverages provided are Pollutant Cleanup And
Removal, Temporary Storage Locations and Transit. The Pollutant Cleanup And
Removal Limit is $10,000 instead of $25,000 in IM 7050 but can be increased on
the schedule of coverages. Temporary Storage Locations and Transit are slightly
different than the corresponding supplemental coverage in IM 7050.
This means the Supplemental Coverages for Contract Penalty, Earthquake Coverage, Expediting Expenses, Fire Department Service Charges, Flood Coverage, Ordinance Or Law (Undamaged Parts Of A Building), Ordinance Or Law (Increased Cost To Repair And Cost To Demolish/Clear Site), Personal Property, Rewards, Sewer Backup Coverage, Testing and Trees, Shrubs and Plants in IM 7050 do not apply.
This provision in IM 7054 does not appear in IM 7050. The only coverage added is Collapse and it is defined in terms of what it means as well as what it does not mean. Coverage is only for loss or damage caused by or resulting from the specified perils, hidden decay, hidden insect or vermin damage, weight of people, personal property or rain that collects on a roof, or use of defective materials. The Limited Fungus Coverage provided under Coverage Extensions does not increase or decrease the coverage for Collapse.
IM 7054 does not have the provision for replacement cost valuation found in IM 7050. The value of existing buildings or structures being rehabilitated or renovated is the limit indicated on the schedule of coverages. Materials and supplies, attachments and fixtures intended to become a permanent part of these buildings or structures are valued at their actual cash value at the time of loss.
Earthquake Period as provided for in IM 7050 does not appear in this section of IM 7054 since that coverage is not available.
This section is not in IM 7050.
AAIS has developed the following endorsements and schedules for use with the various Builders' Risk coverage forms.
This endorsement can be used with any of the builders' risk coverage forms. It adds coverage for soft costs, defined as advertising expenses, design fees, professional fees, interest, lease administration and realty taxes, as well as loss of rental income.
IM 7062–Soft Cost Schedule–Soft Cost And Rental Income
This schedule is used with IM 7061–Soft Cost And Rental Income Endorsement and together they can be used with any of the builders' risk coverage forms. It indicates the locations or descriptions of covered buildings or structures, the limits for soft costs and rental income and the applicable waiting period, if any.
IM 7063–Permission To Occupy Endorsement
This endorsement extends coverage and permits occupancy of the finished part of the building or structure before construction of the entire project is complete.
IM 7064–Reporting Conditions Endorsement
When attached to a builders' risk coverage form, this endorsement puts it on a reporting basis.
IM 7066–Reporting Conditions Schedule–Builders Risk
This schedule is used with IM 7064–Reporting Conditions Endorsement. It has spaces in which to indicate the reporting and adjustment periods and the premium adjustment basis, along with the applicable rates and premium for the coverage involved.
IM 7068–Trees, Shrubs And Plants Endorsement
This endorsement provides coverage for direct physical loss or damage to trees, shrubs, plants and lawns at designated jobsites or construction projects caused by six designated perils on a per occurrence basis.
IM 7070–Rehabilitation And Renovation Endorsement
This endorsement covers existing buildings or structures for direct physical loss or damage caused by or resulting from a covered peril when the building or structure is being rehabilitated or renovated.
IM 7071–Business Personal Property Endorsement
This endorsement covers business personal property other than that intended to become a permanent part of the building or structure under construction.
IM 7072–Ordinance Or Law Coverage
This endorsement is used with IM 7051–Builders' Risk Coverage–Scheduled Jobsite Form. It applies when a covered peril causes direct physical loss or damage to a covered building or structure. It extends coverage for the additional loss due to the enforcement of a government regulation that requires demolition of undamaged parts of the property or establishes use requirements and regulations that apply to the property. The coverage can also apply to increased costs of construction or reconstruction and any costs to demolish and clear debris from the location or jobsite.
IM 7073–Contract Penalty Endorsement
This endorsement covers loss due to contractual penalties imposed on the insured because of a delay in completing an insured construction project within the defined contract terms as a result of a covered loss.
IM 7075–Expediting Expenses Endorsement
Expediting expenses include the costs for additional labor, overtime labor, transportation, equipment rental and storage. This endorsement covers these costs or expenses when incurred to complete the construction project by the date or within the period of time specified in the construction contract.
IM 7076–Testing Coverage
Testing includes the start-up or commencement of normal occupancy. It evaluates and measures the performance, stress, pressure and overload abilities of materials, supplies, machinery, fixtures and equipment intended to be a permanent part of a covered building or structure under construction. This endorsement covers direct physical loss or damage to a covered building or structure by a covered peril resulting from testing.
IM 7077–Fraud And Deceit Coverage
This endorsement covers losses due to theft if the insured is falsely influenced to part with covered property. However, the coverage provided does not apply to the insured voluntarily parting with covered property.
IM 7079–Soft Cost, Extra Expense And Rental Income Endorsement
This endorsement is used with builders' risk coverage forms to add soft costs. These include fees for advertising, professional, design and permit activities, financing, lease and general administration costs, realty taxes, lease expenses and insurance premiums. It is also used to add any extra expenses incurred and necessary to resume or continue construction work on the project. It can cover the loss of rental revenue that occurs due to a delay in completing the project because of loss or damage caused by or resulting from a covered peril. It also includes construction delays caused by enforcement of an ordinance or law.
IM 7080–Soft Cost Schedule–Soft Cost, Extra Expense And Rental Income
This schedule is used with IM 7079–Soft Cost, Extra Expense And Rental Income Endorsement and can be used with any builders' risk coverage form. It has spaces in which to indicate the locations and descriptions of covered property and the limits for soft costs, extra expense and rental income, as well as any applicable waiting periods.
IM 7082–Freezing Exclusion
This endorsement excludes the peril of freezing unless the insured takes certain steps and precautions to prevent against such losses.
IM 7083–Equipment Breakdown Endorsement
Subject to entries made on the Equipment Breakdown Schedule making up part of this endorsement, it provides coverage for Explosion, Rupture or Bursting, Mechanical Breakdown or Electrical Currents otherwise excluded in builders' risk coverage forms. Coverage applies to losses from the bursting of steam boilers, steam or gas turbines, steam pipes or steam engines, mechanical breakdown and arcing by electrical currents, other than lightning.
IM 7084–Mortgageholders Endorsement
This endorsement is used with any of the builders' risk coverage forms. It includes mortgage provisions for mortgagees named on the policy and also includes details on the notice periods for policy cancellation or non-renewal and information on premium payments and loss payments.
IM 7085–Earthquake, Flood And Sewer Backup Endorsement
This endorsement is only used with IM 7051–Builders' Risk Coverage–Scheduled Jobsite Form to provide coverage for any or all of these perils, as indicated on IM 7086–Earthquake, Flood And Sewer Backup Schedule.
IM 7086–Earthquake, Flood And Sewer Backup Schedule
This schedule is used with IM 7086–Earthquake, Flood And Sewer Backup Endorsement to indicate the coverages, limits and deductibles that apply. It is only used with IM 7051–Builders' Risk Coverage–Scheduled Jobsite Form.
IM 7087–Additional Builders' Risk Schedule
This schedule is used to list additional covered locations when the space provided on the schedule of coverages is inadequate.
IM 7088–Windstorm Deductible
This endorsement provides the means to indicate separate deductibles for the perils of Windstorm and Hail. The deductible can be expressed as either a flat amount or as a percentage, using percentages of 1%, 2% or 5%.
IM 7090–Additional
Scheduled Jobsite Locations
This schedule is used with IM 7054–Builders' Risk Coverage–Rehabilitation And Renovation Form to list and describe additional buildings being rehabilitated or renovated.
Builders' risk and installation coverage forms both provide coverage for
building materials and supplies at the construction site, in transit to the
site and similar property intended for the construction project at other
locations as necessary or because of lack of storage space at the construction
site. The principal exposures and causes of loss are fire, theft, vandalism,
windstorm, collapse and transit. The underwriting process involves evaluating
the location and transit exposures and the protective services and arrangements
incorporated at the project to eliminate or reduce the possibility of loss.
The most important element in underwriting builders risk insurance lies
in understanding the nature of the contractor involved. The contractor should
have experience in building the type of structure being considered. A
residential contractor may be very successful building one and two family homes
but that does not mean it will be similarly successful building a six-family
condominium building or some other kind of commercial property. In the same
manner, a commercial building contractor may not be aware of all of the aspects
and pitfalls involved in residential construction. Simply being a contractor is
not sufficient. A good contractor is aware of all aspects and hazards of a
particular job and takes the appropriate steps to address them all, both in advance
planning and as they come up during the course of the construction project.
Another major issue is job site supervision. Some contractors are
"paper contractors." These contractors bring together the various
subcontractors to handle the job but do not regularly have any of their own
employees on the job site. In situations like these, relationships are
extremely important. A good "paper contractor" will, to the extent
possible, use the same subcontractors on as many jobs as possible. This makes
it more likely that the different crews will work well together. The contractor
should have a detailed checklist and an established timetable for checking the
work. The general contractor is usually responsible for all functional aspects
at the job site and should be aware of all elements of job site safety and the
normal arrangements that should apply.
The number of jobs being worked on at the same time is also important.
In the case of multiple job sites, the contractor should have sufficient
supervision at all sites on a regular basis. The job site that is not visited
regularly by the contractor having authority can quickly become disorderly and
fall behind schedule. Inferior workmanship in plumbing, electrical and framing
is quickly covered up and hidden if not observed regularly and frequently.
If the building is being constructed in areas subject to high winds, the
walls should be properly shored up and braced before the roof is added to
eliminate or reduce the chance of wind losses. Any other similar atmospheric or
geographic issues that can affect construction need to be evaluated and
adequate protection or needed safeguards implemented to reduce loss potential.
Written contracts and agreements are as important in the construction
field as they are anywhere else. Contracts should be in place to establish
ownership and responsibility and to reduce the chances of ambiguity and
disagreement if a loss occurs. Ownership of building materials needs to be
established, since the contractor in many cases is simply installing the goods
and does not actually own them during the construction or installation process.
Attention to details early in the process pays benefits later. Small and
insignificant details may not seem important until a loss occurs. The nature
and details of the transit exposure should be analyzed and understood by all
affected parties. Paper contractors usually have little or no exposure in this
area compared to contractors that are more active and involved on the job site.
Workers’ tools, scaffolding and related equipment are frequently overlooked but
are subject to transit exposures and losses as much as building materials. Some
types of property should be insured under contractors' equipment coverage.
Others should be insured under builders' risk coverage. It is important to be
certain that the transit limit is sufficient to cover the values exposed to the
variety of transportation hazards.
The type of construction is a major factor in both underwriting and
rating. Construction methods vary greatly, as do wind and fire exposures. Frame
construction is by far the most common construction type and is also most
subject to wind and fire losses. Brick veneer construction has little impact on
loss potential, since it is simply a layer of masonry veneer attached to the
wood frame and the basic construction must still be considered frame. Solid
brick or masonry bearing walls construction stand up better to wind and fire
but require greater construction time and damage can be more expensive to
repair. Metal buildings are similar to frame with respect to the wind exposure.
Metal building construction is vulnerable to a number of issues until the roof
is securely attached but fire is not ordinarily one of them.
Masonry-non-combustible and fire-resistive are the best types of construction
but building using these materials takes more time and is considerably more
expensive.
Any type of construction has its own issues relating to job site
security against vandalism and theft. The more involved, elaborate and
expensive types of construction require use of a variety of heavier equipment
and this element affects the job site security issue more than anything else.
As a result, these job sites require more security measures than those of
lesser quality and having less equipment on the site whether occupied and
operating or not.
It is important to understand the financial interests of all the parties
in the property under construction and any contractual obligations that they
have to one another. The worse case scenario is where each party believes the
other is responsible for purchasing the builders’ risk coverage and nobody
purchases it at all. If more than one policy is purchased, the only damage done
is the amount of extra premium paid. If nobody arranges for coverage, it means
the entire project is unprotected.
The coverage form to be used must be considered, since reporting forms
are available in addition to scheduled and non-reporting forms. Each approach
has advantages, disadvantages and responsibilities that the insured needs to
understand. The reporting form is flexible and leads to a greater feeling of
security but improper or inadequate reporting can diminish those advantages and
spell disaster in the event of a loss.
Editor's Note: The coverages provided under IM 7050–Builders' Risk Coverage–Scheduled Jobsite Form–Broad Form are included in IM 8000–Contractor's Combination Form–Scheduled Coverage. This form combines the coverages provided by four separate coverage forms into a single combination coverage form. The separate forms are IM 7050–Builders' Risk Coverage–Scheduled Jobsite Form–Broad Form, IM 7000–Contractors' Equipment Coverage, IM 7203–Business Computer Coverage and IM 7100–Installation Floater Coverage.
IM 8000 is not analyzed or evaluated because the coverages provided are analyzed under the other coverage forms indicated.
AAIS
BUILDERS' RISK COVERAGE FORMS
Introduction Eligibility Policy Construction Schedules of Coverages IM 7055–Schedule of Coverages–Builders' Risk Comprehensive Form IM 7050–Builders' Risk Coverage–Scheduled Jobsite Form–Comprehensive
Form Analysis Introduction Agreement Property Covered Property Not Covered Coverage Extensions Supplemental Coverages Perils Covered Perils Excluded What Must Be Done in Case of
Loss Valuation How Much We Pay Loss Payment Other Conditions Additional Coverage Limitations
Definitions IM 7056–Schedule of Coverages–Builders' Risk IM 7051–Builders' Risk Coverage–Scheduled Jobsite Analysis IM 7057–Schedule of Coverages–Builders' Risk–Contractors' Reporting Form
IM 7052–Builders' Risk Coverage–Contractors' Reporting Form Analysis IM 7058–Schedule of Coverages–Builders' Risk and Installation Floater IM 7053–Builders' Risk Coverage–Builders' Risk and Installation Floater
Form Analysis IM 7059–Schedule of Coverages–Builders' Risk–Rehabilitation and
Renovation IM 7054–Builders' Risk Coverage–Rehabilitation and Renovation Form
Analysis Endorsements and Schedules Underwriting Considerations |
INTRODUCTION
The American
Association of Insurance Services (AAIS) Builders' Risk Coverage Forms insure buildings or structures during
construction, renovation, rehabilitation, or repair. The named insured may be
the building owner, the builder/contractor, or the party whose building is
being constructed, renovated, rehabilitated, or repaired. Coverage may apply to
either a single construction project or multiple jobsites.
Non-reporting
builders' risk coverage is written for the full, completed value of the
project, but losses are paid based on the actual value of construction
completed when the loss occurs. The premium is based on the full, completed
value. The rating formula includes a discount factor that anticipates the value
of the building when construction begins as zero and that does not reach its
full value until construction is complete.
A number of
reporting techniques or methods are available when builders' risk coverage is
written on a reporting basis. Coverage form comparisons should include
comparing the reporting method used and the premium payment arrangements
available.
AAIS has developed five builders' risk
coverage forms, each with its own corresponding schedule of coverages. A number
of endorsements are available to tailor coverage to fit the unique needs of
different types of construction projects. This analysis examines each of these
coverage forms.
ELIGIBILITY
Any builder or contractor, owner, or
purchaser with a financial interest in the building or structure under
construction, renovation, or repair is eligible for coverage using the
scheduled locations or jobsite forms. IM 7057–Builders' Risk Coverage–Contractors'
Reporting Form and IM 7058–Builders' Risk Coverage–Builders' Risk And
Installation Floater Form are restricted to only builders and contractors.
POLICY
CONSTRUCTION
AAIS
Builders' Risk coverage requires at
least these four forms:
SCHEDULES
OF COVERAGES
IM
7055–SCHEDULE OF COVERAGES–BUILDERS' RISK COMPREHENSIVE FORM
This Schedule of Coverages is used with
IM 7050–Builders' Risk Coverage–Scheduled Jobsite Form–Comprehensive Form. This
analysis is of the 09 08 edition. Changes from the previous edition are in
bold print. IM 7055–Schedule of Coverages–Builders' Risk Comprehensive Form
contains the following information:
Scheduled
Jobsites
All covered jobsites must be listed.
Coverage does not apply to any jobsite not listed. IM 7087–Additional Builders'
Risk Schedule is used to list jobsites that cannot fit on IM 7055 because of
space considerations. Each listed
jobsite must have a limit.
Catastrophe
Limit
This is the most paid in any one
occurrence or loss, regardless of the number of buildings, structures, or
jobsites.
Coverage
Extensions
The limits on the Schedule of Coverages
for the following coverages apply to all covered locations:
Supplemental
Coverages
Each of these coverages provides
additional limits of coverage or additional coverage. Required entries vary by
type of coverage.
Deductible
One deductible is entered that applies
per occurrence.
Coinsurance
An entry must be made that states that
either 100% coinsurance applies or coinsurance provisions are waived.
Permission
to Occupy
Either the permission to occupy granted
box or the permission to occupy not granted box must be checked. If permission
to occupy is granted, the date that the building or structure can be occupied
is entered in the space provided.
Optional
Coverages and Endorsements
This section of the schedule of
coverages indicates coverage endorsements and forms included when the policy is
issued.
IM
7050–BUILDERS' RISK COVERAGE–SCHEDULED JOBSITE FORM–COMPREHENSIVE FORM COVERAGE
FORM ANALYSIS
INTRODUCTION
This coverage
form insures buildings or structures during construction, erection, or
fabrication against risks of direct physical loss or damage unless the loss is
excluded or limited. Coverage applies only to buildings or structures at
jobsites on the schedule of coverages.
Note: This analysis is based on
the 09 08 edition. Changes from the previous edition are in bold print.
Lead-in
language has been added with respect to the terms "you,"
"your," "we," "us," and "our." The
terms you and your refer to the named insured. The terms we, us and our refer
to the insurance company that issues the coverage. In addition, the Definitions
section is now at the end of the coverage form.
(09 08 addition)
AGREEMENT
This section states that the insurance
company provides the coverage described in the coverage form and in the
schedule of coverages in return for the named insured's premium payment. Such
coverage is subject to all the coverage form's terms, conditions, endorsements,
and definitions.
PROPERTY
COVERED
Course of
Construction: Coverage applies to the property described below, subject to any
exclusions or limitations.
1.
Coverage
Coverage
applies to direct physical loss or damage to buildings or structures in the
course of construction, erection, or fabrication. The loss or damage must be
caused by or result from a covered peril.
2.
Scaffolding, Fencing And Temporary Structures (09 08 addition)
Coverage
also applies to direct physical loss or damage to scaffolding, construction
forms, temporary fencing, and temporary structures. The loss or damage must be
caused by or result from a covered peril.
Example: Carol acts as her own general contractor for her new home and purchases
builders' risk coverage for the designated project. The building materials
are delivered to the jobsite and are kept in a temporary storage shed on the
jobsite, awaiting arrival of the construction crew. A sudden windstorm
destroys the shed and $35,000 worth of materials. Coverage applies since the
materials were intended to become part of the dwelling. |
3.
Coverage Limitation (09 08 changes)
Coverage
applies only to buildings or structures in the course of construction, scaffolding,
construction forms, temporary fencing, and temporary structures at jobsites listed
on the schedule of coverages.
4. We Do
Not Pay (09 08 addition)
The
insurance company does not pay penalties imposed because:
Example: Carol's construction project affects the appearance of the neighborhood
and traffic patterns in the nearby area. As a condition for approving the
project, she agrees to clean up the jobsite daily and place debris to be
disposed of in an area not visible to passers-by. Failure to do so results in
a daily fine of $100. Carol fails to clean up the site on seven different
occasions and is fined for each one of them. She submits these penalties to
the insurance company but it refuses to pay them because of this condition. |
PROPERTY
NOT COVERED
Ten specific types of property are
excluded:
1. Aircraft or Watercraft
This property is more correctly insured
under aircraft and watercraft coverage forms and policies.
2.
Contraband
These are
goods that are illegal to possess or that are legal but in the course of
illegal transportation.
3. Land
This is any land, including the land
where the covered construction jobsite is located.
4. Money and Securities
This means a number of different types
of property. Accounts, bills, currency, food stamps, evidences of debt, and
lottery tickets not held for sale, in addition to money, notes or securities
are not covered.
Note: This property should be insured under commercial
crime coverage forms.
5. Not A Permanent Part of Building
(09 08 addition)
Coverage does not apply to materials,
supplies, machinery, tools, equipment, and any other business personal property
when they are not intended to become a permanent part of a covered building or
structure. The only exception is coverage provided under Supplemental
Coverages–Personal Property.
Example: Gus is having a new building constructed to house
his coin-operated laundry and dry cleaning business. He decides to store some
of his older cleaning equipment that he intends to sell in one section of the
building under construction until he can sell it. Straight-line winds cause
an improperly braced bearing wall to collapse, fall on, and destroy the
equipment. The loss to the equipment is not covered because of this
provision. |
6. Roadways and Walkways (09 08
addition)
There is no coverage for walkways,
roadways, and other paved surfaces over 1,000 feet from the covered building or
structure. Such items are also not covered if they are not next to (or part of)
a covered building or structure.
|
Example: Gus is constructing a building at the far end of
the jobsite. He built an access road to the site from the highway but recent
rains washed it away. As a temporary measure, the crew uses the driveway that
services the completed buildings at the front of the jobsite. A concrete
truck causes that driveway to give way because the land under it is also
inundated. The damage to the driveway is excluded because it is over 1,000
feet from the building under construction. |
7. Standing Building or Structure (09
08 change)
There is no coverage for any part of
a standing building or structure that was wholly or partially constructed,
erected, or fabricated prior to this coverage form’s effective date. Buildings
or structures being rehabilitated or renovated are also not covered. Examples
of rehabilitation and renovation are alterations, improvements, repairs, and
additions.
8.
Trees, Shrubs Or Plants (09 08 addition)
The
insurance company does not pay for loss or damage to trees, shrubs, plants, or
lawns. The only exception is coverage provided under Supplemental
Coverages–Trees, Shrubs, and Plants.
Example: Gus purchased a number of decorative and
ornamental trees and shrubs at a deeply discounted price at the end of the
season and planted them around the building after the walls and roof were in
place, figuring they would be safe. In addition to the damage caused to the
driveway in the example above, the concrete truck failed to observe them as
it backed up and over a number of them. The loss was excluded under this
coverage as well as under the supplemental coverage because it was not caused
by a covered peril. |
9. Vehicles
Any type of
self-propelled vehicle intended for use on public highways (including
automobiles) is not covered property. It is more correctly insured under an
automobile coverage form.
10.
Waterborne Property (09 08 addition)
Property
that is waterborne is covered only while in transit and in the custody of
carriers for hire. The only exception is coverage provided under Coverage
Extensions–Waterborne Property.
COVERAGE
EXTENSIONS
Provisions
That Apply To Coverage Extensions
There are six coverage extensions. The
limit for each is either the limit on the schedule of coverages or the default
limit included in the specific coverage item. These coverages are part of the
limit that applies for covered property and not in addition to it, unless
otherwise indicated. These limits are not added to or combined with limits for
any other coverage extension or supplemental coverage and are not subject to
any coinsurance provisions that apply elsewhere in the coverage form.
1. Debris Removal
The insurance
company pays costs incurred to remove debris caused by a covered peril
occurring. The most paid is 25% of the amount paid for the actual direct
physical loss or damage. The combined value of the direct loss or damage and
the debris removal cannot exceed the limit of insurance for the covered
property.
An additional
$5,000 (or a higher amount entered on the schedule of coverages) is available
if the debris removal expense is more than 25% of the loss amount or if the
combined cost of loss and debris removal is more than the limit of insurance
for the covered property. Debris removal expenses must be reported to the
insurance company within 180 days of the loss date in order for this extension
to apply. Debris removal is demolishing, clearing, and removing debris of
covered property (09 08 addition).
Note: This coverage extension
does not apply to any pollutant cleanup, extraction, removal, restoration, or
replacement that involves either land or water.
2.
Emergency Removal
This
covers direct physical loss or damage to covered property while it is being
moved or stored elsewhere in an attempt to avoid loss or damage from a covered
peril. Coverage applies for up to 365 days after the property is first moved
but does not extend past the expiration date. The number of days can be
increased.
Note: Since coverage does not
extend past the expiration date, if the named insured has property at an
emergency location when coverage renews, the emergency location must be listed
as a premises or coverage no longer applies.
Example: Cutting Corners Contractors' owner knows that tomorrow's predicted
tornado activity might wreak havoc on the incomplete apartment building under
construction and the building materials and supplies scattered around the
jobsite. Since the storage facility on the jobsite is in generally poor
condition, he packs up as much of the materials as he can fit on a 26-foot
box truck and drives it to a fellow contractor's warehouse where he parks the
vehicle inside and keeps it there until the weather clears. A flash flood
causes a creek to rise, pick up the truck, and destroy all the cargo. Even
though this coverage form does not cover flood, this loss is covered because
the items were initially moved to protect them from the covered peril of
wind. |
|
3. Emergency Removal Expenses
This coverage
extension pays the expenses for the named insured to move covered property away
from a covered location threatened by a covered peril. It also pays for the
storage fees incurred to keep it at a safe location for up to ten days after
the property is first moved. The most paid for such expenses in any one
occurrence is $10,000. Coverage ends when the policy expires, even if the items
are still at the safe location.
This is additional coverage. As a
result, all such expenses paid are in addition to the limit of insurance for
this property.
4. Fraud and Deceit
The insurance company covers theft of
covered property when the named insured (or its agents, consignees, or
customers) give the property away. This applies when it is given because
persons falsely represent themselves as the proper persons to receive the
property it. It also applies when it is given because fraudulent bills of
lading or other shipping receipts are presented. This also applies when
electronic data processing hardware or software fraudulently induces the
property to be given away. The most paid in any one occurrence is $50,000.
Note: This is a sub-limit. If the property limit at the
location is less than $50,000, the property limit caps the amount available.
The limit can be increased but remains a sub-limit to the property limit.
Example: Ron is notified via email that the cabinets he just received are faulty
and should be returned immediately. He dutifully sends the cabinets to the
“Return Center” referred to in the notice and waits for the replacement
cabinets. When Ron contacts the cabinetmaker ten days later, he discovers
that the cabinetmaker did not send the notice. By then, the cabinets are long
gone and Ron sadly realizes that he has been swindled. This coverage
extension covers the loss. |
5. Limited Fungus Coverage (09 08
change)
Note: This coverage extension is only a small amount of
coverage provided as an exception to the Fungus exclusion.
a. This coverage extension applies to only the costs and expenses required
because fungus is present on covered property. The fungus must be on the
covered property because of a covered peril. Coverage also applies to
direct physical loss or damage to covered property when due to any activity of
fungus.
b. Loss or damage caused by or that results from fungus is covered only if it
is a result if a specified peril (other than fire, lightning, or flood). The
specified peril must occur during the same policy period as the fungus loss or
damage. This is subject to the named insured having taken all reasonable steps
to protect the property from additional loss or damage at and after the time of
loss. The limit can be increased.
c. The most paid for all loss or damage at all buildings or structures is
$15,000 (regardless of the number of claims, locations, buildings, or
structures) during any 12-month policy period. The limit can be increased.
d. When a policy is extended instead of being renewed, the limitation
continues to apply. The extension does not provide an additional limit of
coverage.
e. If a specific loss occurrence results in fungus (and that fungus recurs or
continues to exist during the current or future policy periods), it continues
to be subject to the amount of the initial policy’s limitation.
f. Cleanup, removal, and testing activities and costs related to a fungus
incident are covered but subject to the same limit of insurance.
g. This coverage does not limit coverage for other covered loss or damage
that is not caused by fungus. However, if fungus damage increases otherwise
covered losses, any such increase is subject to the terms of this coverage
extension.
6. Waterborne Property
The insurance company pays up to $10,000
in any one occurrence for direct physical loss or damage to covered property
caused by or that results from a covered peril while waterborne. This limit can
be increased.
SUPPLEMENTAL
COVERAGES
Provisions
That Apply To Supplemental Coverages
There are 12 supplemental coverages.
Each has its own default limit that can be increased on the schedule of
coverages. If there is no limit for a supplemental coverage, coverage is
provided up to the full limit for the applicable covered property. Limits for
any supplemental coverage are separate from and not part of the applicable
limit for covered property.
The limit available for coverage
described under a supplemental coverage is the only limit available for it. It
is not the total of the limit for a supplemental coverage and the limit for
covered property. The limits are not added to or combined with limits for any
other supplemental coverage or coverage extension and are not subject to any
coinsurance provisions that apply elsewhere in the coverage form.
Note: The Supplemental Coverages for
Contract Penalty, Earthquake Coverage, Flood Coverage, and Testing in the
previous edition are not in this edition. (09 08 change)
1. Expediting Expenses
When a covered loss causes a job to fall
behind schedule, the insurance company pays up to $10,000 in any one occurrence
for expenses the named insured incurs to meet the construction timetable
specified in the construction contract. Some examples are overtime pay, hiring
additional labor, transportation costs, storage expenses, and costs of renting
additional equipment. This limit can be increased.
Example: A windstorm blows down the framing for a building and forces
construction to re-start. This puts the project two weeks behind schedule and
results in enforcing the $1,000 per day penalty clause in the construction
contract. The contractor decides to hire three additional workers to get
caught up and avoid the penalties. This supplemental coverage applies to the
wages of the additional workers but not the penalty. |
2. Expense to Re-erect Scaffolding
(09 08 addition)
This supplemental coverage pays the
named insured's expenses to re-erect scaffolding after covered loss or damage
to a building or structure. The most paid is $5,000. This limit can be
increased.
Note: The building or structure must have been damaged,
not necessarily the scaffolding.
Example: A sudden wind burst from a squall line causes the
partial collapse of a building for Wally's Wineries. As a result, Brad's
Builders must incur the extra expense to re-erect the scaffolding so
construction can continue. This supplemental coverage pays those expenses up
to the $5,000 limit. |
3. Fire Department Service Charges
Coverage applies to liability the named
insured assumes under a written contract or agreement for fire department
service charges. The contract or agreement must be in place before a loss
occurs. The coverage provided is limited to only such charges incurred to save
or protect covered property from a covered peril. Payment is limited to $1,000.
This limit can be increased.
Note: This supplemental coverage is not subject to a
deductible.
4. Ordinance or Law (Undamaged Parts
of a Building)
a. When a covered building or structure sustains direct physical loss or
damage from a covered peril, and a governmental entity requires that the rest
of it be demolished because of enforcing an ordinance, law, or decree, the
insurance company pays for the value of the undamaged portions. Coverage
applies only if the regulation requires demolishing the undamaged parts,
regulates the construction or repair of the property, or establishes specific
requirements for zoning or land use at the covered location. The ordinance,
law, or decree must be in force at the time of loss.
b. However, there is no coverage for:
c. This coverage is part of the applicable limit for coverage described under
Property Covered, not in addition to it.
5. Ordinance or Law (Increased Cost
to Repair and Cost to Demolish/Clear Site)
a. The insurance company pays the increased cost to
repair, rebuild, or reconstruct the damaged portions of a building or
structure. Such changes to undamaged portions are also covered without
requiring that they be demolished. The costs must occur when building, zoning,
or land use laws that were in effect when a covered building or structure
sustains direct physical loss or damage from a covered peril are enforced.
The repaired
or rebuilt property must be for a similar occupancy or for the same purpose as
the prior building (unless regulations require a change). Increased costs of
construction are not covered until construction is actually done and completed.
The time limit for completion is as soon as possible (within reason) but not
more than two years following the date of loss.
b. The building or structure may be
repaired/rebuilt at the same location or rebuilt at another one. The insurance
company may extend the two-year period to repair or replace if it does so in
writing. (09/08 change)
The insurance
company also pays the costs to demolish and clear undamaged portions of the
covered building or structure on the site of the covered loss. However, this is
only when it is required by a government regulation in force at the time of the
covered loss or damage.
c. There is no coverage for:
d. If the building is repaired or replaced at the same site or the named
insured chooses to build at another location, the insurance company pays
the amount spent to demolish and clear the site of undamaged parts of the
covered building or structure. The
company also pays the actual increased cost to rebuild with like kind
and quality for the same purpose. The most paid for the combination of
demolition and rebuild/repair is $50,000, unless there is a different limit on
the schedule of coverages.
If the building is relocated due to
requirements of an ordinance or law, the insurance company pays the amount the
named insured spends to demolish and clear the site. The company also pays the
increased cost to construct a near duplicate building or structure at a new
location. The most paid for the demolition and reconstruction is $50,000 unless
there is a different limit on the schedule of coverages. (09/08 changes)
If the building is not repaired or
replaced, the insurance company pays the amount actually spent to demolish and
clear the site. The most paid $50,000 unless there is a different limit on the
schedule of coverages.
6. Personal Property
Business personal property not intended
to be installed in (or become a permanent part of) the covered building or
structure has limited coverage. It is covered for loss or damage caused by or
that results from a covered peril but only when it is in a covered building or
structure. Coverage is further limited to not more than $10,000 unless there is
a different limit on the schedule of coverages.
Example: Brad's Builders sets up a small temporary office area and break room on the ground
floor of a building it is constructing. Loss or damage caused by a covered
peril to the business personal property in this area is covered. |
7. Pollutant Cleanup
and Removal
a. The insurance company pays the named insured's expenses to extract pollutants from land or water if the pollutant release or discharge was caused in any way by a covered peril that occurred during the policy period.
b. The expenses to extract pollutants are paid only if reported to the insurance company within 180 days of the date of loss.
c. Costs related to testing, evaluating, observing, or recording pollutants are not covered but the costs of testing that are a necessary part of extracting pollutants from land or water are covered.
d. The most paid
is $25,000 at each location for all such expenses caused by a covered peril
that occurs during each separate 12-month policy period. The limit can be
changed.
8. Rewards (09 08 changes)
a. This coverage pays rewards to
eligible persons for information that leads to the arrest and conviction of
anyone who commits an act of arson,
vandalism, or theft. The arson, vandalism, or theft must have caused a loss
that this coverage form insures. It also pays rewards to eligible persons who
return stolen covered property.
b. An eligible person is the first
one who returns stolen covered property or voluntarily provides law enforcement
with necessary information. Eligible persons do not include:
c. A reward payment is not made until
and unless stolen covered property is returned (or the person or persons who
committed the crime are convicted).
d. The most paid in any one occurrence is $1,000. This limit can be
increased.
9. Sewer Backup (09 08 changes)
a. Coverage
Coverage applies to direct physical loss
or damage to covered property caused by or that results from water or
water-borne material:
b. Coverage Limitations
Coverage does not apply to loss or
damage caused by or that results from:
c. Limit
The most paid in any one occurrence is
$10,000. This limit can be increased.
10. Temporary Storage Locations
a. Coverage
The following are covered for direct
physical damage caused by or that results from a covered peril while at a
location not listed on the schedule of coverages:
Note:
This item
applies only to personal property described under Supplemental Coverage 6.
Personal Property
b. We Do Not Cover
Coverage does not apply to stored
property not specifically destined for or identified with a covered building or
structure. (09 08 change)
c. Limit
The most paid in any one occurrence is
$10,000. This limit can be increased.
Example: The valuable
plants, shrubs, and trees delivered from out of state arrive before the
siding on the building is installed and are stored at a nearby greenhouse
until the jobsite is ready. A sudden violent windstorm destroys the
greenhouse and all the plants. This loss is not covered because windstorm is
not a covered peril in the trees, plants and shrubs supplemental coverage.
Had the loss been due to fire, they would have been covered for up to
$10,000. |
11. Transit
a.
Coverage
Coverage applies to direct physical loss
or damage caused by or that results from a covered peril to the following
property while being transported:
Note:
This item
applies only to personal property described under Supplemental Coverage 6.
b. Limit
The most paid in any one occurrence is
$10,000. This limit can be increased.
12. Trees, Shrubs, and Plants
Outdoor trees, shrubs, plants, and lawns
are covered for direct physical loss or damage caused by a covered peril at
covered jobsites. The debris removal expenses of damaged trees, shrubs, and
plants are part of this supplemental coverage. The only covered perils are
fire, lightning, explosion, riot, civil commotion, falling objects, and
vandalism. The most paid in any one occurrence is $10,000. This limit can be
increased.
PERILS
COVERED
Coverage applies to risks of direct
physical loss or damage unless the loss is limited or caused by an excluded
peril.
PERILS
EXCLUDED
1. The first group of
exclusions is essentially absolute. Subject to specific exceptions, loss or
damage by each is totally excluded, regardless of any other cause or event that
contributes to a loss, either concurrently or in any other sequence. The insurance
company does not pay for any direct or indirect loss or damage caused by or
that results from any of these events.
Note: The Penalties Exclusion in the
previous edition is not in this edition.
a. Civil
Authority
There is no
coverage for loss that results from the order of any civil or government
authority. This includes (but is not limited to) seizure, confiscation,
destruction, or quarantine of property. Coverage does apply for loss or damage
caused when a civil authority destroys property in order to prevent the spread
of fire. However, that fire must be the result of a covered peril.
b. Earth
Movement (09 08 change)
Coverage
does not apply to loss or damage caused by any earth movement. However, if
eruption, explosion, or effusion of a volcano results in volcanic action, the
insurance company pays for the loss or damage caused. If earth movement results
in fire, the insurance company pays for its resulting loss or damage. If earth
movement other than eruption, explosion, or effusion of a volcano results in an
explosion, the insurance company pays for its resulting damage. This exclusion does not
apply to loss or damage to covered property in transit.
c. Flood
(09 08 change)
The
insurance company does not pay for loss or damage caused by flood or waterborne
material carried or moved by flood. There is no coverage even when driven by
wind. Storm surge or material carried or moved by mudslide or mudflow is also
excluded. However, coverage does apply to loss or damage caused by or that
results from fire, explosion, or sprinkler leakage caused by flood. This exclusion does not
apply to loss or damage to covered property in transit.
d. Fungus
Coverage does not apply to loss, damage,
cost, or expense caused by or related to the existence or any activity of
fungus, except as provided under Coverage Extensions–Limited Fungus Coverage.
However, if fungus results in a specified peril, coverage applies to the loss
or damage caused by that specified peril. This exclusion does not apply to loss
or damage that results from fire, lightning, or when collapse is caused by
hidden decay.
e. Nuclear
Hazard (09 08 change)
The
insurance company does not insure against loss or damage caused by or that
results from any nuclear reaction, radiation, or contamination (whether
controlled or not) or caused by any means. Any loss caused by the nuclear
hazard is not treated as a loss caused by fire, explosion, or smoke. However,
coverage applies to direct loss or damage caused by fire that results from the
nuclear hazard.
f. Ordinance or Law
There is no coverage for any loss or
increased construction costs because of enforcing any government regulation
that controls the use, construction, or repair of any property. Loss because of
a requirement to demolish property and remove its debris is also not covered.
This exclusion also applies to enforcement that occurs even if the property has
not been damaged and to increased costs incurred as a result of complying with
the regulation. This includes any construction, demolition, or debris removal activities.
Note: Limited coverage is available under Supplemental
Coverages–Ordinance or Law (Increased
Cost to Repair and Cost to Demolish/Clear Site).
g. Sewer,
Septic Tank, Sump or Drain Backup and Water below the Surface (09 08 change)
Coverage does not apply to loss or
damage to covered property caused when water or waterborne material backs up,
overflows, or overflows or is discharged through a sewer, drain, sump, septic
tank, eaves trough, or downspout. Loss or damage caused when water or
waterborne material below the surface exerts pressure on (or that flows, seeps,
or leaks through or into) buildings, sidewalks, driveways, foundations,
swimming pools, or other structures (whether it occurs naturally or
artificially) is also excluded. However, if any of these results in fire,
explosion, or sprinkler leakage, the insurance company pays for the loss or
damage caused by the fire, explosion, or sprinkler leakage.
Note: Limited coverage is
available under Supplemental Coverages–Sewer Backup. In addition, this
exclusion does not apply to loss or damage to covered property in transit.
h. War and
Military Action
The insurance
company does not pay for loss or damage caused by any act of war. This means
undeclared and civil war or warlike action by a military force is excluded. In
addition, all actions taken to hinder or defend against an actual or expected
attack by any government or sovereign authority that uses military personnel or
other agents are also excluded. Acts of insurrection, rebellion, revolution, or
unlawful seizure of power are not covered and any action any government
authority takes to prevent or defend against any such acts are also excluded.
If any action within the terms of this exclusion involves nuclear reaction,
radiation, or contamination, this exclusion applies in place of the nuclear
hazard exclusion.
2. The second group of
exclusions applies to loss or damage caused by or that results from any of the
following loss events. Some of these exclusions have exceptions, conditions, or
limitations that should be examined carefully. The insurance company does not
pay for any loss or damage caused by or that results from any of these events.
a.
Contamination or Deterioration
Loss or
damage caused by contamination or deterioration is excluded. Corrosion, decay,
fungus, mildew, mold, rot, rust, or any quality, fault, or weakness in covered
property that causes it to damage or destroy itself are examples of
contamination or deterioration (but other items could be included). If any of
these causes a covered peril to occur, the loss or damage from that covered
peril is covered
b.
Criminal, Fraudulent, Dishonest, Or Illegal Acts
Coverage does
not apply to loss caused by or that results from criminal, fraudulent,
dishonest, or illegal acts, committed alone or in collusion with another, by
any of the following:
This
exclusion does not apply to covered property in the custody of carriers for
hire.
Coverage
applies if employees destroy property.
It does not apply if employees steal.
This exclusion does not apply to covered property in the custody of a
carrier for hire.
c. Defects, Errors, and Omissions
There is no coverage for loss or damage
caused by any act, defect, error, or omission that relates to specific
construction activities due to acts of negligence or otherwise. The defects,
errors, and omissions can be in design, specifications, construction,
materials, and workmanship, as well as maintenance, installation, renovation,
remodeling, or repair. They may also be in planning, zoning, development,
siting, surveying, grading, or compacting activities. If any of these excluded
activities results in a covered peril, coverage applies to the resulting loss
or damage caused by that covered peril.
d. Delay in Completion and Increased
Construction Costs (09 08 addition)
The
insurance company does not pay for any direct or indirect loss or damage caused
by or that results when construction, erection, or fabrication of a building or
completing a structure is delayed or its sequence changes. Increased
construction costs caused by or that results from such delays in completion or
changes in sequence are also excluded. Some examples of increased construction costs that are excluded are:
e. Electrical Currents
Loss or damage caused by electrical
arcing or currents is excluded, unless caused by lightning. However, if the
excluded arcing or currents results in a specified peril occurring, the
resulting loss or damage caused by that peril is covered.
Note: This exclusion applies only to property that
artificially generates the current.
f. Loss of Use and Consequential Loss
Loss or damage caused by or that results
from loss of use, delay, loss of market, or any consequential loss or damage of
any kind is excluded.
g. Mechanical Breakdown
Coverage does not apply to loss or
damage caused by or that results from mechanical breakdown, rupture, or
bursting of the moving parts of machinery caused by centrifugal force. However,
if one of these events results in a specified peril occurring, coverage applies
to the loss or damage caused by or that results from that specified peril.
h. Missing
Property
Unexplained
or mysterious disappearance of covered property is excluded when there is no
physical evidence to indicate what happened to it and the only proof that a
loss occurred is based on an audit or physical inventory. This exclusion does
not apply to covered property in the custody of carriers for hire.
i. Pollutants
There is no
coverage for loss or damage caused by or that results from any release,
discharge, seepage, migration, dispersal, or escape of pollutants, unless the
event is caused by a specified peril. However, Supplemental Coverages–Pollutant
Cleanup and Removal provides limited coverage. Coverage also applies to the
resulting loss or damage to covered property caused by a specified peril.
j. Steam
Boiler Explosion (09 08 change)
The
insurance company does not pay for loss or damage caused by or that results
from explosions of steam boilers, pipes, turbines, or engines. However, if one
of these explosions results in a fire or combustion explosion, coverage applies
to the loss or damage caused. Loss or damage caused by or that results from
explosion of gas or fuel in a firebox, flue, or combustion chamber is also
covered.
Note: This exclusion replaces the Explosion, Rupture or
Bursting Exclusion in the previous edition.
k. Temperature/Humidity
Loss or damage caused by dryness,
dampness, humidity, changes in, or extremes of temperature is excluded. If any
of these events results in a covered peril occurring, the resulting loss or
damage caused by that peril is covered.
l.
Voluntary Parting
If covered
property is voluntarily given to another, there is no coverage for the loss of
that property. There is no coverage even if a fraudulent scheme, trick, or
false pretense caused the property or title to be surrendered. However,
Coverage Extensions–Fraud or Deceit provides limited coverage.
m. Wear
And Tear
Loss or
damage caused by wear, tear, marring, or scratching is excluded. However, if any of these results in a covered peril
occurring, the loss or damage caused by or resulting from that covered peril is
covered.
Note: Wear and tear is damage,
diminishment in value, or erosion due to long or hard use or exposure,
including breakdown over time and eventually becoming unusable because of
previous use. This includes the tendency of property to pull apart or break
down into pieces because of forces applied to it.
WHAT
MUST BE DONE IN CASE OF LOSS
1. Notice
The named
insured must give prompt notice of a loss to the insurance company or its
agent. The notice must include a description of the property lost or damaged.
If the act that caused the loss was criminal, the appropriate law enforcement
agency must also be notified.
Note: The insurance company has the right to require the
notice be in writing.
2. You
Must Protect Property
During and
after a loss, all reasonable steps must be taken to protect covered property
from further loss. The insurance company pays reasonable costs the named
insured incurs to do so provided accurate records are kept that substantiate
the costs. Payment of these costs is not in addition to the policy limits.
There is no coverage for any repairs or emergency measures performed on
property not already damaged by a covered peril.
3. Proof
of Loss
The named
insured must complete and return the insurance company's prescribed proof of
loss forms within 60 days of its request to do so. The information provided
must include the time, place, and circumstances surrounding the loss and
information on any other insurance coverage that may apply. It must also
include the interest of the named insured and others with respect to the
property involved, including lienholders, loss payees, and mortgagees. Any
changes in title to the property during the policy period must be disclosed, in
addition to providing any other reasonable information the company may require
to adjust and settle the loss.
4.
Examination
Examination
under oath may be required in matters that relate to the loss. The insurance
company may request these examinations on multiple occasions but only if such
requests are reasonable. If multiple persons are examined, the company has the
right to examine each individual separately.
5. Records
The named
insured must maintain and produce any records that relate to the loss. The
insurance company must be permitted to make copies and take extracts of them as
often as it reasonably requests. Records include (but are not limited to) tax
returns and bank microfilms of all related cancelled checks.
6. Damaged
Property
Both damaged
and undamaged property must be made available for the insurance company to
inspect as often as reasonably necessary. It must also be allowed to take
samples of the property to the extent necessary to adjust and settle the loss.
7.
Volunteer Payments
If the named
insured voluntarily makes any payments, assumes any obligations, pays or offers
rewards, or incurs any other expenses without the insurance company's express
approval, it does so at its own expense. The only exceptions are those costs
incurred to protect property as outlined in item 2. of this section.
8.
Abandonment
Abandoning
damaged property to the insurance company without its written consent is
prohibited.
9.
Cooperation
The named
insured must cooperate with the insurance company in performing all acts the
policy requires.
VALUATION
1. Replacement Cost (09 08 changes)
The value of covered property is based
on its replacement cost.
a.
Replacement Cost means costs of materials and labor the named insured incurs to
repair or replace the part of covered property that sustains direct physical
loss or damage. The costs must be both reasonable and necessary. There is no deduction for
depreciation. Overhead and profit related to the lost or damaged covered
property are included but cannot be for more than the amount charged in the
construction contracts for the project and work.
If
included within the limits, other related construction costs and expenses also
incurred to repair or replace the lost or damaged part of covered property are
also covered.
b. Replacement Cost Limitations
Replacement cost is not more than the
cost to repair the lost or damaged property with similar materials for the same
purpose and at the same job site.
Example: Mary is building a new
house at 131 Robin Lane. A truck slides off the road and destroys the house
midway through construction. Mary decides that she doesn’t want to build at
that location and trades her lot back to the developer for one at 145 Robin
Lane instead. The insurance company pays the same amount to build the house
at 145 Robin Lane that it would have paid to replace the building at 131
Robin Lane. |
c. Payment Limitation
If the lost or damaged covered property
is repaired or replaced, payment does not exceed the amount the named insured
spent to do so.
2. Pair or Set
The value of
a loss that involves damage or loss of one part of a pair or set is based on a
reasonable proportion of the value of the entire pair or set. However, loss of
one part of a pair or set is not considered a total loss.
Note: This recognizes that the
value of the whole is greater than the value of the individual items but that
the remaining items still have value as separates.
3. Loss to Parts
The value of
a lost or damaged part of property consisting of several parts is the cost to
repair or replace only the lost or damaged part.
HOW
MUCH WE PAY
1.
Insurable Interest
The insurance
company does not pay more than the named insured's insurable interest in the
covered property at the time of loss.
Note: Insurance is meant to restore a person’s pre-loss
financial position, not to improve or enhance it.
2.
Deductible
The insurance
company pays only the amount of loss that exceeds the deductible amount on the
schedule of coverages.
Note: This is an occurrence
deductible.
3. Loss
Settlement Terms
Subject to
the other items in this section, the insurance company pays the least of:
4.
Catastrophe Limit
The
Catastrophe Limit on the schedule of coverages is the most the insurance
company pays for a single occurrence. This limit applies regardless of the
number of buildings, structures, jobsites, or combination of all that sustain
loss or damage in the same occurrence.
5. Coinsurance (09 08 change)
a. When Coinsurance Applies
The insurance company pays only part of
the loss if, at the time of the loss, the limit is less than 100% of the
estimated completed value of the covered property. This provision can be waived by an
entry on the schedule of coverages.
b. How We Determine Our Part Of The
Loss
The three steps in determining the
amount of the loss to be paid are:
Step 1. Determine the full 100% value of
the property as if it had been completed and as if no loss had occurred.
Step 2. Divide the limit for covered
property by the result determined in step 1.
Note: There is no coinsurance
penalty if the result is1.00 or higher.
Step 3. When step 2. is less than 1.00 a coinsurance penalty
applies. Subtract the deductible from the amount of loss and then multiply the
total amount of loss by the percentage determined in step 2.
The insurance company does not pay more
than the amount determined in step 3. or the limit, whichever is less. It does
not pay any remaining part of the loss.
c. If There is More Than One Limit
If there is more than one limit on the
schedule of coverages, this procedure applies separately to each limit.
d. If There is Only One Limit
If there is only one limit on the
schedule of coverages, this procedure applies to the total of all covered
property to which that limit applies.
Example: The
estimated completed value of a building on the schedule of coverages is
$300,000. A $1,000 deductible applies. Construction is almost 90% complete
when a fire causes a loss amounting to $275,000. After a review of the
changes made as construction progressed, the actual completed value would
have been $325,000 if there had been no loss. As a result, the loss is paid
as follows: Step1. The estimated
completed value is $325,000. Step 2. $300,000 divided
by $325,000 = .923. This is the coinsurance penalty factor. Step 3. $275,000 minus
the $1,000 deductible equals $274,000 multiplied by .923 = $252,902. In this example, the
insurance company pays $252,902 and the named insured is responsible for the
remaining $22,098. |
6.
Insurance under More Than One Coverage
If two or
more coverages in the coverage form cover the same loss, the insurance company
does not pay more than the value of the actual claim, loss, or damage
sustained.
7.
Insurance under More Than One Policy
a.
Proportional Share
If the named
insured has other coverage subject to the same terms as this coverage form,
this coverage form pays only its share of the covered loss. That share is the
proportion that its limit of insurance bears to the limits of insurance on all
insurance that covers on the same basis.
b. Excess
Amount
If there is other coverage available
that would pay for the loss (other than as described in item 7.a.) this
coverage form pays on an excess basis. This means that only the amount of
covered loss that exceeds the amount due from the other coverage, whether
collectible or not, is paid. Any payment is subject to the policy limit of
insurance.
LOSS
PAYMENT
1. Loss
Payment Options
a. Our
Options
The insurance
company has four loss payment options if a covered loss occurs.
b. Notice
of Our Intent to Rebuild, Repair, or Replace
The insurance
company must notify the named insured of its intent to rebuild, repair, or
replace within 30 days after it receives a properly completed proof of loss.
2. Your
Losses
a.
Adjustment and Payment of Loss
The insurance
company adjusts all losses with and pays the named insured, unless another loss
payee named in the policy is involved.
b.
Conditions for Payment of Loss
The insurance
company pays a covered loss within 30 days after it receives a properly
prepared proof of loss and the amount of loss is established. This is done
through either a written agreement between the company and the named insured or
after an appraisal award is filed with the company.
3.
Property of Others
a.
Adjustment and Payment of Loss to Property of Others
The insurance
company can adjust and pay losses that involve property of others with either
the named insured acting on behalf of the property owner or with the property
owner, at its option.
b. We Do
Not Have to Pay You if We Pay the Owner
When the
insurance company pays the property owner, it is not obligated to pay the named
insured. In addition, if the property owner sues the named insured, the company
has the option to defend the named insured in that suit.
OTHER
CONDITIONS
1.
Appraisal
The insurance
company and the named insured may not always agree on the value of a covered
claim. This condition provides one method to solve disputed claims.
Either party
can request an appraisal to determine the value of a disputed claim. Once
requested, the parties have 20 days to obtain their own independent and
competent appraisers and supply the appraiser's name to the other party. The
two appraisers then have 15 days to select a competent impartial umpire. If
they cannot agree on an umpire within 15 days, either can request that a judge
in the court of record in the state where the property is located appoint one.
The
appraisers then determine the value of the claim. Any differences are submitted
to the umpire. Once any two of the three parties agree, the amount of loss is
set.
Each party
pays its own appraiser. Both parties share the cost of the umpire and other
expenses.
2. Benefit to Others
The insurance
provided does not directly or indirectly benefit any party that has custody of
the named insured's property.
3.
Conformity with Statute
Any condition
in this coverage form that conflicts with any applicable law is amended to
conform to that law.
4. Estates
Note: This condition applies
only if the named insured is an individual.
a. Your
Death
If the named
insured dies, the person who has custody of the named insured's property is an
insured until a qualified legal representative is appointed. The named
insured’s legal representative becomes an insured once appointed. Both are
insureds but only with respect to the property insured under this coverage
form.
b. Policy
Period Is Not Extended
This coverage
does not extend past the coverage expiration date.
5.
Misrepresentation, Concealment, Or Fraud
This coverage
is void if any insured at any time willfully concealed or misrepresented a
material fact that relates to the insurance provided, the property covered, or
its interest in the property. It is also void if fraud or false swearing by any
insured took place concerning the insurance provided or the property covered.
Note: The named insured must
deal with the insurance company honestly. If it intentionally misrepresents or
conceals a material fact or information, its rights of recovery may be voided.
This means that the insurance is treated as simply having never existed versus
a particular claim being denied.
6. Policy
Period
Only covered
losses that occur during the policy period are paid.
7.
Recoveries
Payment of
the loss does not end the obligations of the named insured and the insurance
company toward one another. If the insurance company pays a loss and the lost
or damaged property is subsequently recovered or the parties responsible for
the loss pay for it, additional provisions apply.
Either party
that recovers property or payment must inform the other. Recovery expenses
incurred by either party are reimbursed first. If the named insured keeps the
recovered property, it must refund the amount of the claim the insurance
company paid, unless the parties agree to a different amount. If the claim paid
is less than the agreed loss due to applying a deductible or other limitations,
any recovery is prorated between the named insured and the company based on the
company's respective interest in the loss.
8.
Restoration of Limits
Payment of a
claim does not reduce the limit available for future claims unless it is a
total loss to a scheduled item. In that case, the insurance company refunds any
unearned premium on that item to the named insured.
9.
Subrogation
The insurance
company acquires the named insured's rights of recovery from third parties
after it pays a loss. The named insured must assist the insurance company to
secure those rights. If it hinders or impairs the company's rights of
subrogation, the company is not obligated to pay the loss.
Note: The named insured can
agree in writing to waive rights of recovery from others before a loss occurs.
10. Suit
against Us
The insurance
company cannot be sued by anyone for any coverage until all the terms of the
coverage form have been met. Suits must be brought within two years after the
named insured first had knowledge of a loss. If a state law invalidates this
condition, any suit brought must comply with the provisions of that law and
begin within the shortest period of time allowed by law.
Note: It is normal for a basic
coverage form to be modified by mandatory state-specific endorsements that
address issues that relate to that specific state.
11.
Territorial Limits
Covered
property must be located in the United States, its territories and possessions,
Canada, or Puerto Rico in order for coverage to apply.
12. Carriers for Hire
The named insured is permitted to accept
shipping documents from transportation companies that limit the carrier's
liability to amounts that are less than the replacement cost or actual cash
value of the covered property.
ADDITIONAL
COVERAGE LIMITATIONS
1. Coverage Not Provided During
Occupancy and Use
Coverage does not apply if a covered
building or structure is partially or completely occupied or put to its
intended use without the insurance company's written consent and agreement.
This provision does not apply if permission to occupy is granted and there is
such an entry on the schedule of coverages.
Example: ABC Construction builds four-unit condominium buildings. The entire
building is constructed first and then each unit is finished one at a time.
Once a unit is finished out, ABC attempts to sell it and transfer the title
in order to free up capital. The insurance company agrees to this partial
occupancy situation and verifies it by the appropriate entry on the schedule
of coverages. |
2. When Coverage Ceases
Coverage ends at the earliest of the
following events:
Note: This is an important area that could cause the named
insured problems. Even though coverage extends up to 90 days after construction
is complete, this becomes two days when construction is completed only two days
before the expiration date. In other words, 90 days of coverage is available
after construction is complete but only if 90 or more days remain until
expiration. This coverage limitation is subject to a number of variations,
since insurance companies recognize the problems that can arise, particularly
with coverage forms written on a reporting basis. This coverage limitation must
be reviewed carefully and discussed with the client, with particular care taken
to point out the potential problems.
|
Example: Peter finishes a home
and designates it as a model home. He believes it is covered under his
builders risk coverage for up to 90 days and does not obtain separate
insurance for it. Unfortunately, his builders risk coverage expired and was
renewed three days after the model home was completed. Even though the
coverage provided was not interrupted and was with the same carrier, the
builders' risk coverage expired and, with it, the coverage on the completed
model home. |
DEFINITIONS
Defined terms
are used throughout the coverage form. Restricting their meaning to the
definition in it is how all parties have a clearer understanding of the
coverage intended. Twelve terms are
defined:
1. Buildings or structures
This is the buildings and structures
as well as materials and supplies intended to be a permanent part of the
building or structure. It is also foundations, grading, permanent fixtures and
fencing plus attachments. (09/08 addition)
Note: This
is very important because it affects what is considered completed value. A
misunderstanding could result in a coinsurance penalty.
2. Earth movement
The following
items are earth movement:
Note: Earth movement does not
include sinkhole collapse.
3. Flood
This is water
that overflows or inundates areas normally dry and not covered by water,
whether caused naturally or artificially. It can be caused by human or animal
forces or by acts of nature. Flood is all of the following but is not limited
to them:
4. Fungus
Fungus is
part of this definition but is not limited to only mold and mildew. Protists
such as algae and slime mold are included but other protists are also included.
This definition also considers wet rot, dry rot, and bacterium as fungus.
Chemicals, matter, or compounds produced or released by any of the above items
are also fungus, including their toxins, spores, fragments, and metabolites,
such as microbial volatile organic compounds.
5. Jobsite
This is any
location, project, or work site where the named insured is constructing,
erecting, or fabricating buildings or structures.
6. Limit
This is the
amount of coverage that applies to the insured property.
7.
Pollutant
This is a
broad and expansive term. It includes solids, liquids, thermal, or radioactive
contaminants and irritants including, but not limited to, acids, alkalis,
chemicals, fumes, smoke, soot, vapor, and waste. Waste also includes materials
intended for recycling, reclamation, and reconditioning, as well as for
disposal. Visible and invisible electrical or magnetic emissions and sound
emissions are also considered pollutants.
8.
Schedule of coverages
This is any
page labeled as such that contains coverage information, including declarations
or supplemental declarations.
9.
Sinkhole collapse
This is the
sudden settling or collapsing of the earth's surface into an underground
opening created by water that acts on limestone or some other rock formation.
Sinkhole collapse does not include either the value of the land or the cost to
fill sinkholes.
10.
Specified perils
These are the
named perils of aircraft, civil commotion, explosion, falling objects, fire,
hail, fire extinguishing equipment leakage, lightning, riot, sinkhole collapse,
smoke, sonic boom, vandalism, vehicles, volcanic action, water damage, weight
of sleet, snow or ice and windstorm.
Falling
objects must be explained further. It does not include loss to personal
property stored in the open. It also does not include damage to the interior of
buildings or personal property stored in buildings unless a falling object
first breaches the building's exterior.
Water damage
also requires further explanation. It is the sudden or accidental discharge or
leakage of water or steam. However, it must be a direct result of a part of the
system or appliance that holds the water or steam cracking or breaking.
11. Terms
These are all
the policy provisions, limitations, exclusions, conditions, and definitions
that apply to this coverage.
12.
Volcanic action
This is
airborne volcanic blast or shock waves. It includes ash, dust, and particulate
matter. It also includes lava flow but does not include the cost to remove
dust, ash, or particulate matter that does not directly damage covered
property.
IM
7056–SCHEDULE OF COVERAGES–BUILDERS' RISK
This Schedule of Coverages is used with
IM 7051–Builders' Risk Coverage–Scheduled Jobsite Form. IM 7056–Schedule of
Coverages–Builders' Risk contains the following information:
Scheduled
Jobsites
All covered jobsites must be listed.
Coverage does not apply to any premises not listed. IM 7087–Additional
Builders' Risk Schedule is used to list jobsites that cannot fit on IM 7056
because of space considerations.
Catastrophe
Limit
This limit is the most paid in any one
occurrence or loss, regardless of the number of buildings, structures,
jobsites, or any combination of these.
Coverage
Extensions
The limits on the Schedule of Coverages
for the following coverages apply to all covered locations:
Note: Each of these extensions applies. If a limit is not
entered, the full limit in the coverage form applies, subject to any
limitations in the coverage extension.
Supplemental
Coverages
Each of these coverages provides
additional limits of coverage or additional coverage. Required entries vary by
type of coverage.
Deductible
One deductible is entered that applies
in a single occurrence.
Coinsurance
An entry must be made to show that
either 100% coinsurance applies or coinsurance provisions are waived.
Optional
Coverages and Endorsements
This section of the schedule of
coverages lists endorsements and forms included when the policy is issued.
IM
7051–BUILDERS' RISK COVERAGE–SCHEDULED JOBSITE FORM COVERAGE FORM ANALYSIS
This coverage form is identical to IM
7050–Builders' Risk Coverage–Scheduled Jobsite Form–Comprehensive Form analyzed
above except for four sections. This analysis addresses only the four sections
that are different.
PROPERTY
NOT COVERED
IM 7050
excludes property that is Not A Permanent Part Of Building and Trees, Shrubs Or
Plants, except as provided under Supplemental Coverages. IM 7051 also excludes
this property but does not have provisions for them under Supplemental
Coverages.
COVERAGE
EXTENSIONS
The following
Coverage Extensions in IM 7050 are not in IM 7051:
SUPPLEMENTAL
COVERAGES
The only
Supplemental Coverages in IM 7051 are Expense to Re-erect Scaffolding, Fire Department Service Charges, Pollutant Cleanup
and Removal, Storage Locations, and Transit. The Expense to Re-erect Scaffolding limit in IM 7050
is $5,000. It is $2,500 in IM 7051.
The following
Supplemental Coverages in IM 7050 are not in IM 7051:
PERILS
EXCLUDED
IM
7057–SCHEDULE OF COVERAGES–BUILDERS' RISK–CONTRACTORS' REPORTING FORM
This Schedule of Coverages is used with
IM 7052–Builders' Risk Coverage–Contractors' Reporting Form.
IM 7057–Schedule of Coverages–Builders' Risk–Contractors' Reporting Form
contains the following information:
Limits
A limit of
insurance is entered for each of the following:
Catastrophe
Limit
This is the most paid in any one
occurrence or loss, regardless of the number of buildings, structures,
jobsites, or any combination of these.
Coverage
Extensions
The limits on the Schedule of Coverages
for the following coverages apply to all covered locations:
Supplemental
Coverages
Each of these coverages provides
additional limits of coverage or additional coverage. Required entries vary by
type of coverage.
Deductible
This is the most paid in any one
occurrence or loss, regardless of the number of buildings, structures or
jobsites.
Reporting
Conditions
The estimated completed value of each
covered building or structure is reported monthly, quarterly, annually, or any
other specified period. Premiums are adjusted monthly, quarterly, annually, or
any other specified period.
Note: Reporting conditions may be waived.
Additional
Premium Due After Expiration
When the premium is based on reports of value, any additional premium the
named insured owes is due and payable on the date stated on the billing
statement. This is based on the rate that applies to the Coverage/Construction.
Premiums
Spaces are provided to
enter the deposit and minimum premiums.
Permission
to Occupy
Either the permission to occupy granted
box or the permission to occupy not granted box must be checked. If the named
insured is granted permission to occupy, the date that the building or
structure can be occupied is entered in the spaces provided.
Optional
Coverages And Endorsements
This section of the schedule of
coverages shows endorsements and forms included when the policy is issued.
IM
7052–BUILDERS' RISK COVERAGE–CONTRACTORS' REPORTING FORM ANALYSIS
This coverage form is identical to IM
7050–Builders' Risk Coverage–Scheduled Jobsite Form–Comprehensive Form analyzed
earlier except for four sections. This analysis addresses only the four
sections that are different.
PROPERTY
COVERED
One coverage is changed.
1. Course
Of Construction
The coverage
limitations are modified to:
Two coverages are added.
2. Contingent Coverage
a. Coverage
Coverage
applies to direct physical loss or damage to buildings or structures in the
course of construction, erection, or fabrication. The loss or damage must be
caused by or result from a covered peril.
b. When Coverage Applies
Coverage applies only when there is a
contractual obligation for the building purchaser to maintain insurance
coverage in force and it fails to do so. In addition, the named insured must be
unable to collect its interest in the building or structure.
c. Coverage Limitations
Coverage applies only if a limit is
entered on the schedule of coverages for Contingent Coverage and the buildings
or structures in the course of construction are at the named insured's jobsite.
This limit
is not to be combined with or added to the limit for any other coverage
described in Property Covered.
Example: Paul is a custom homebuilder. He gives his customers the option of
purchasing their own builders' risk coverage. If they do, they agree
contractually to provide the coverage so that Paul's interest is also
protected. Maxine signs the construction contract and the agreement but
neglects to contact her insurance agent to arrange the coverage. A loss
occurs and Paul discovers that there is no coverage on the project. Paul must attempt to
collect the loss from Maxine. If he cannot, his insurance company pays based
on this Contingent Coverage. |
3. Difference in Conditions Coverage
a. Coverage
Coverage
applies to direct physical loss or damage to buildings or structures in the
course of construction, erection, or fabrication. The loss or damage must be
caused by or result from a covered peril.
b. When Coverage Applies
Coverage applies only when the named
insured is contractually required to provide Difference In Conditions Coverage
for a building or structure. This is coverage for direct physical loss or
damage unless caused by an excluded peril or a specified peril.
c. Coverage Limitations
Coverage
applies only if there is a limit on the schedule of coverages for Difference In
Conditions Coverage and the buildings or structures in the course of
construction are at the named insured's jobsite. This limit is not to be
combined with or added to the limit for any other coverage described in
Property Covered.
Example: Paul’s latest client agrees to provide basic perils coverage for his new
home but requires that Paul obtain difference in conditions coverage for
other potential perils. When Paul discovers that copper valued at $10,000 is
stolen from the jobsite, the loss is covered. However, Paul's coverage does
not respond when windstorm destroys the building because the client's basic
perils coverage insures that loss. |
PROPERTY
NOT COVERED
Item 7. in IM
7050 is Standing Building or Structure. It removes coverage for any part of a
standing building or structure that was wholly or partially constructed,
erected, or fabricated prior to this coverage form’s effective date. Buildings
or structures being rehabilitated or renovated are also not covered. Examples
of rehabilitation and renovation are alterations, improvements, repairs, and
additions.
Item 7. in IM
7052 is Rehabilitation Or Renovation Property. It excludes only standing
buildings or structures being renovated or rehabilitated. Examples of rehabilitation and renovation are
alterations, improvements, repairs, and additions. It does not exclude
coverage for new construction started prior to the policy inception date.
Note: This is an important difference in coverage.
HOW
MUCH WE PAY
4.
Catastrophe Limit in IM 7052 includes one or more coverages described under
Property Covered. This is not in IM 7050.
IM 7050
contains coinsurance provisions. IM 7052 does not because it is a reporting
form.
REPORTING
CONDITIONS
This provision in IM 7052 is not in IM
7050. It outlines the detailed steps in the reporting process, including the
consequences for not submitting reports or not reporting proper values.
1. Reports
a. You
Will Report to Us
A report of
the estimated completed value of each building or structure must be submitted
to the insurance company within 30 days after the end of each reporting period.
This includes the estimated completion cost, address, and construction
classification of each building or structure.
b.
Cancellation
If coverage
is cancelled, the report described above must be provided for the period up to
and including the cancellation date. Any additional premium for that period
must be paid.
2. Premium
Computation and Adjustment
Premiums are
calculated by multiplying the reported values by the reporting rate on the
schedule of coverages. The adjustment periods may be annual or for some other
period.
a. Annual
Adjustment
If the
premium is adjusted annually, the insurance company compares the calculated
premium to the deposit premium. If the calculated premium exceeds the deposit,
the named insured pays the insurance company the difference. If the calculated
premium is less than the deposit, the insurance company refunds the difference
to the named insured (subject to any minimum premium that applies).
b. Other
Adjustment Period
If the
premium adjustment is other than annual, the insurance company draws down the
deposit premium based on reports until the deposit is exhausted. After that,
the named insured pays additional premium to the company. At expiration, any
remaining deposit premium in excess of the minimum premium is returned to the
named insured.
3.
Provisions That Affect How Much We Pay
Three
provisions apply to reports submitted that may affect the amount of loss that
the insurance company pays. a. Failure to Submit Reports
If required reports are not submitted
and a loss occurs, the most that the insurance company pays for that loss is
90% of the limit.
b.
Reported Values are Less than the Full Value
If the value reported is less than the
actual value, the insurance company pays only a proportion of the loss. That is
the proportion developed by dividing the reported value by the actual estimated
completed value. The deductible is then subtracted from the loss and the
remaining amount multiplied by the proportion.
c. We Will
Not Pay More than the Limit
The insurance
company does not pay more than the limit of insurance that applies even if the
value reported used to calculate the premium exceeds that limit.
IM
7058–SCHEDULE OF COVERAGES–BUILDERS' RISK AND INSTALLATION FLOATER
This Schedule Of Coverages is used with
IM 7053–Builders' Risk Coverage–Builders' Risk And Installation Floater Form.
IM 7058–Schedule of Coverages–Builders' Risk And Installation Floater contains
the following information:
Limits
A limit of
insurance is entered for each of the following:
Installation
Floater Coverage
This limit is
the most paid for loss or damage at any single installation project.
Catastrophe
Limit
This is the most paid in any one
occurrence or loss, regardless of the number of buildings, structures, or
jobsites.
Coverage
Extensions
The limits on the Schedule of Coverages
for the following coverages apply to all covered locations:
Note: Each of these extensions applies. If a limit is not
entered, the full limit in the coverage form applies, subject to any
limitations in the coverage extension.
Supplemental
Coverages
Each of these coverages provides
additional limits of coverage or additional coverage. Required entries vary by
type of coverage.
Deductible
One deductible is entered that applies
per occurrence.
Reporting
Conditions
The estimated completed value of each
covered building or structure is reported monthly, quarterly, annually, or any
other specified period. Premiums are adjusted monthly, quarterly, annually, or
any other specified period.
Note: Reporting conditions may be waived.
Additional
Premium Due After Expiration
When the premium is based on reports of value, any additional premium the
named insured owes is due and payable on the date stated on the billing
statement. This is based on the rate that applies to the Coverage/Construction
separate from the rate that applies to Installation Floater Coverage.
Premiums
Spaces are provided
for the deposit and minimum premiums.
Permission
to Occupy, Builders' Risk Coverages
Either the permission to occupy granted
box or the permission to occupy not granted box must be checked. If the named
insured is granted permission to occupy, the date that the building or
structure can be occupied is entered in the space provided.
Optional
Coverages and Endorsements
This section of the schedule of
coverages shows endorsements and forms included when the policy is issued.
IM
7053–BUILDERS' RISK COVERAGE–BUILDERS' RISK AND INSTALLATION FLOATER FORM
ANALYSIS
This coverage form is identical to IM
7050–Builders' Risk Coverage–Scheduled Jobsite Form–Comprehensive Form analyzed
above except for nine sections. This analysis addresses only the nine sections
that are different.
PROPERTY
COVERED
Note: The primary change is
that Installation Floater Coverage is added. However, the Builders' Risk
coverage is also changed.
1.
Builders' Risk Coverages
One coverage
is changed.
a. Course
of Construction
The coverage
limitations are modified to:
Two coverages
are added.
b. Contingent Coverage
(1)
Coverage
Coverage
applies to direct physical loss or damage to buildings or structures in the
course of construction, erection, or fabrication. The loss or damage must be
caused by or result from a covered peril.
(2) When
Coverage Applies
Coverage
applies only when there is a contractual obligation for the building purchaser
to maintain insurance coverage in force and it fails to do so. In addition, the
named insured must be unable to collect its interest in the building or
structure.
(3)
Coverage Limitations
Coverage
applies only if there is a limit on the schedule of coverages for Contingent
Coverage and the buildings or structures in the course of construction are at
the named insured's jobsite. This limit is not to be combined with or added to
the limit for any other coverage described in Property Covered.
Example: Jake builds turnkey projects. Some of his
customers prefer to provide their own builders' risk coverage. In those
cases, Jake requires a written contract that requires that his interest in
the project be protected. Jake and Sylvester execute the contract but
Sylvester completely forgets to obtain the insurance he agreed to. When a
covered loss occurs and this oversight comes to light, Jake's insurance
company pays based on this coverage and subrogates against Sylvester for
reimbursement of its payment under breach of contract. |
c. Difference In Conditions Coverage
(1)
Coverage
Coverage
applies to direct physical loss or damage to buildings or structures in the
course of construction, erection, or fabrication. The loss or damage must be
caused by or resulting from a covered peril.
(2) When
Coverage Applies
Coverage
applies only when the named insured is contractually required to provide
Difference In Conditions Coverage for a building or structure. This is coverage
for direct physical loss or damage unless caused by an excluded peril or is a
specified peril.
(3)
Coverage Limitations
Coverage
applies only if there is a limit on the schedule of coverages for Difference In
Conditions Coverage and the buildings or structures in the course of
construction are at the named insured's jobsite. This limit is not to be
combined with or added to the limit for any other coverage described in
Property Covered.
Example: Mickey is Jake's next client. The written
contract requires Mickey to obtain basic perils coverage on the project and
Jake to obtain additional perils coverage. Jake's coverage does not respond
when a vehicle strikes and damages the building because Mickey's coverage
does. Jake's coverage responds when the fence surrounding the jobsite is
breached and a significant amount of electrical fixtures and showcases
intended to be installed in the building are stolen. |
2.
Installation Floater Coverage
Note: This new coverage is
unique to this coverage form.
a.
Coverage
Coverage
applies to direct physical loss or damage caused by a covered peril to the
named insured's materials, supplies, machinery, fixtures, and equipment that
are related to its construction project. Similar property of others in the
named insured’s care, custody, or control is also covered.
b.
Coverage Limitations
PROPERTY
NOT COVERED
Aircraft or
Watercraft, Contraband, Land, Money and Securities, Trees, Shrub and Plants,
Vehicles, and Waterborne Property are the same as in IM 7050.
Two Property
Not Covered items in IM 7050 are different in IM 7053:
Two
additional types of Property Not Covered are added:
This property
is excluded except when it is in transit on regularly scheduled airline
flights.
This property
is excluded with respect to Installation Floater Coverage but property that is
part of the named insured's installation project and that is connected with any
building or structure is covered.
There is one substitution:
Item 7. in IM 7050 is Standing Building or Structure. It removes coverage
for any part of a standing building or structure that was wholly or partially
constructed, erected, or fabricated prior to this coverage form’s effective
date. Buildings or structures being rehabilitated or renovated are also not
covered. Examples of rehabilitation and renovation are alterations,
improvements repairs and additions.
Item 8 in IM 7053 is Rehabilitation Or Renovation Property It excludes
only standing buildings or structures being renovated or rehabilitated. Examples of rehabilitation and renovation are
alterations, improvements, repairs, and additions. It does not exclude coverage
for new construction started prior to the policy inception date.
Note: This
is an important difference in coverage.
This item covers materials, supplies,
machinery, fixtures and other equipment the named insured uses to install,
construct, or lift as part of an installation project.
SUPPLEMENTAL
COVERAGES
The supplemental coverages in IM 7050
and IM 7053 are identical but IM 7053 has additional words that apply to the
installation coverage.
1. Expediting
Expenses
Under a.
Coverage, the words "or installation project" are added.
6. Personal Property
Under a. Coverage and b. Coverage
limitation, the words "or installation project" are added.
9. Sewer Backup
10. Temporary Storage Locations
11. Transit
Under a. Coverage 1) the words "or
installation project" are added.
PERILS
EXCLUDED
2. d. Delay
in Completion and Increased Construction Costs adds the words installation and
installation project throughout. This is in order to recognize the addition of
Installation Floater coverage.
VALUATION
1. Replacement Cost is changed to add
the words installation and installation project throughout in order to
recognize the addition of Installation Floater coverage.
HOW
MUCH WE PAY
4 Catastrophe Limit is expanded to include both coverages on
this form. IM 7050 contains coinsurance provisions. IM 7053 does not because it
is a reporting form.
REPORTING
CONDITIONS
This provision in IM 7053 is not in IM
7050. It outlines the detailed steps in the reporting process and the
consequences for failing to submit reports or to report proper values and is
based on entries made on the schedule of coverages.
1.
Builders' Risk Coverages
These are the
Builders' Risk Coverages reporting conditions.
a. Reports
(1) You
Will Report to Us
A report of
the estimated completed value of each building or structure must be submitted
to the insurance company within 30 days after the end of each reporting period.
This includes the estimated completion costs, address, and construction
classification of each building or structure.
(2)
Cancellation
If coverage
is cancelled, the report described above must be provided for the period up to
and including the cancellation date. Any additional premium for that period
must be paid.
b. Premium
Computation and Adjustment
Premiums are
calculated by multiplying the value of the reported values by the reporting
rate on the schedule of coverages. The adjustment periods may be annual or for
some other period.
(1) Annual
Adjustment
If the
premium is adjusted annually, the insurance company compares the calculated
premium to the deposit premium. If the calculated premium exceeds the deposit,
the named insured pays the insurance company the difference. If the calculated
premium is less than the deposit, the insurance company refunds the difference
to the named insured, subject to any minimum premium that applies.
(2) Other
Adjustment Period
If the
premium adjustment is other than annual, the insurance company draws down the
deposit premium based on reports until the deposit is exhausted. After that,
the named insured pays additional premium to the company. At expiration, any
remaining deposit premium in excess of the minimum premium is returned to the
named insured.
c.
Provisions That Affect How Much We Pay
Three
provisions apply to reports submitted that may affect the amount of loss that
the insurance company pays. (1) Failure to Submit Reports
If required
reports are not submitted and a loss occurs, the most that the insurance
company pays for that loss is 90% of the limit.
(2)
Reported Values Are Less than the Full Value
If the latest
value reported was less than its actual value, the insurance company does not
pay the entire loss. It does not pay a greater portion than the value reported
divided by the actual value during the reporting period before applying the
deductible.
(3) We
Will Not Pay More than the Limit
The insurance
company does not pay more than the limit of insurance that applies, regardless
of reported values used to calculate the premium.
2.
Installation Floater Coverage
These are the
Installation Floater Coverage reporting conditions.
a. Reports
1) You
Will Report to Us
A report of
the total receipts (both collected and uncollected) earned from the named
insured's installation projects must be submitted to the insurance company
within 30 days after the end of each reporting period. This includes receipts
from materials, labor, reasonable overhead and profit, and delivery charges
that make up part of the installation projects.
2)
Cancellation
If coverage
is cancelled, the report described above. must be provided for the period up to
and including the cancellation date. Any additional premium for that period
must be paid.
b. Premium
Computation and Adjustment
Premiums are
calculated by multiplying the value of the reported receipts by the reporting
rate on the schedule of coverages. The adjustment periods may be annual or for
some other period.
(1) Annual
Adjustment
If the
premium is adjusted annually, the insurance company compares the calculated
premium to the deposit premium. If the calculated premium exceeds the deposit,
the named insured pays the insurance company the difference. If the calculated
premium is less than the deposit, the insurance company refunds the difference
to the named insured, subject to any minimum premium that applies.
(2) Other
Adjustment Period
If the
premium adjustment is other than annual, the insurance company draws down the
deposit premium based on reports until the deposit is exhausted. After that,
the named insured pays additional premium to the company. At expiration, any
remaining deposit premium in excess of the minimum premium is returned to the
named insured.
c.
Provisions That Affect How Much We Pay
Three
provisions apply to reports submitted that may affect How Much We Pay.
(1)
Failure to Submit Reports
If required
reports are not submitted and a loss occurs, the most that the insurance
company pays for that loss is 90% of the limit.
(2)
Reported Values Are Less than the Full Value
If the
receipts reported are less than the actual receipts, the insurance company pays
only a proportion of the loss. That proportion is determined by dividing the
reported receipts by the actual receipts. The deductible is then subtracted
from the loss and the remaining amount multiplied by the proportion.
3) We Will
Not Pay More than the Limit
The insurance
company does not pay more than the limit of insurance that applies, regardless
of reported values used to calculate the premium.
ADDITIONAL
COVERAGE LIMITATIONS
1. Occupancy
and Use applies to only Builders' Risk Coverages.
2. When Coverage Ceases is changed to
add the words installation and installation project throughout in order to
recognize the addition of Installation Floater coverage.
DEFINITIONS
One
definition is added and one is modified.
The
definition added is:
Installation
project
This is an
installation or construction project where the named insured engages in
installing, constructing, or rigging materials, supplies, machinery, fixtures,
or equipment.
The
definition changed is:
Jobsite
The
definition of jobsite is broadened to include locations where the named insured
is engaged in installation, construction, or rigging materials, supplies,
machinery, fixtures, or equipment.
IM
7059–SCHEDULE OF COVERAGES–BUILDERS' RISK–REHABILITATION AND RENOVATION
This Schedule of Coverages is used with
IM 7054–Builders' Risk Coverage–Rehabilitation and Renovation Form. IM
7059–Schedule of Coverages–Builders' Risk–Rehabilitation And Renovation
contains the following information:
Scheduled
Jobsite
All covered jobsites must be listed,
described, and have a job number and/or jobsite location entered. Coverage does
not apply to any premises not listed. IM 7090–Additional Scheduled Jobsite
Locations is used to list jobsites that cannot fit on IM 7059 because of space
considerations.
Building
Materials Limit
This limit
applies to materials, supplies, attachments, and fixtures on the jobsite
intended to be permanent additions to the existing building being renovated or
rehabilitated.
Existing
Building Coverage
If coverage is provided on an existing
building, a limit must be entered in the space provided. Otherwise, the box for
Existing Building Coverage Not Provided must be checked.
Catastrophe
Limit
This is the most paid in any one
occurrence or loss, regardless of the number of buildings, structures, or
jobsites.
Coverage
Extensions
The limits on the Schedule of Coverages
for the following coverages apply to all covered locations:
Supplemental
Coverages
Each of these coverages provides
additional limits of coverage or additional coverage. Required entries vary by
type of coverage.
Deductible
One deductible is entered that applies
per occurrence.
Valuation
If coverage on an existing building is
provided, either the box for Stated Value or the one for Actual Cash Value must
be checked. Building Materials Valuation is always Actual Cash Value.
Coinsurance–Building
Materials Only
The
coinsurance can be 80%, 90%, 100%, or any other percentage entered. Coinsurance
can also be waived.
Vacant
Building Limitation
One of the three options in this section
must be checked.
Optional Coverages and Endorsements
This section of the schedule of
coverages lists endorsements and forms included when the policy is issued.
IM
7054–BUILDERS' RISK COVERAGE–REHABILITATION AND RENOVATION FORM ANALYSIS
This coverage form is identical to IM
7050–Builders' Risk Coverage–Scheduled Jobsite Form–Comprehensive Form analyzed
earlier except for ten sections. This analysis addresses only the ten sections
that are different.
PROPERTY
COVERED
IM 7054 describes property covered
completely differently than IM 7050 because the nature of the work insured is
that of rehabilitating and renovating existing buildings or structures instead
of new construction.
1. Coverage
Coverage applies to direct physical loss
or damage caused by or that results from a covered peril to building materials
and existing buildings but only those that are part of the named insured's
renovation or rehabilitation project.
2. Coverage Limitation
Coverage applies to existing buildings
only when there is a limit for Existing Buildings on the schedule of coverages.
Building materials are covered if they are intended to be a permanent part of
an existing building. In order for coverage to apply, the property must be at a
jobsite listed on the schedule of coverages.
3. Vacant
Building Limitation
This
limitation applies when existing building coverage is provided. When buildings
are vacant, coverage applies for not more than 60 days following the policy
inception date. This does not apply if building permits have been obtained and
the renovation or rehabilitation work has begun.
Note: This limitation can be waived by checking the
appropriate box on the schedule of coverages.
4. We Do Not Pay
This section is identical in both forms.
Note: Scaffolding, Fencing and Temporary Structures
coverage in IM 7050 is not in IM 7054.
PROPERTY
NOT COVERED
One item is
added.
3.
Excavations, Grading, Filling, Pipes, Flues, and Drains is added as property
not covered.
Three items
are changed.
6. Standing
Building Or Structure states that covered existing buildings are an exception.
7. Trees,
Shrubs, And Plants does not provide the Supplemental Coverage exception because
this coverage form does not have such a Supplemental Coverage.
8. Waterborne
Property does not provide the Coverage Extension exception because this
coverage form does not have such a Coverage Extension.
COVERAGE
EXTENSIONS
The Coverage Extensions for Emergency
Removal, Emergency Removal Expenses, Fraud and Deceit, and Waterborne Property
in IM 7050 are not in IM 7054.
SUPPLEMENTAL
COVERAGES
PERILS
EXCLUDED
IM 7054 has
five additional exclusions and eight that are changed compared to IM 7050.
The new
exclusions are all part of item 2. Exclusions:
Coverage does not apply to loss or damage caused by or that results from
collapse, other than as provided under Other Coverages–Collapse. However, if
the collapse results in a covered peril occurring, coverage applies to the loss
to damage caused by the covered peril. This exclusion does not apply to
property in transit.
Loss or damage caused when water, other liquids, powder, or molten
material leak from plumbing, heating, or air conditioning systems or appliances
freeze is excluded. This does not apply to fire protective systems. It also
does not apply if the named insured either maintains heat in the building or
drains the equipment and turns off the supply when heat is not maintained.
If faulty, inadequate, or defective materials or workmanship causes loss
or damage, such loss or damage is excluded. However, loss that results from a
covered peril is covered.
Loss or damage to property in the open that is not part of the permanent
existing building caused by or that results from rain, snow, ice, or sleet is
excluded. There is an exception for property in the custody of carriers for
hire.
Loss or damage caused by or that results from any of these with respect to
pavements, foundations, walls, ceilings, glass, or roofs is excluded. Loss that
results from a covered peril is covered.
The following
exclusions are changed:
OTHER
COVERAGES–COLLAPSE
This coverage in IM 7054 is not in IM
7050.
1. Coverage
Coverage applies to direct physical loss
or damage caused by or that results from collapse of an existing building being
renovated or rehabilitated. This includes any part of an existing building or
building materials inside it.
2. Covered Perils
The only collapse losses covered are
those caused by specified perils this coverage form insures, hidden decay,
insect or vermin damage (unless the named insured knew about them before the
collapse took place), weight of people or personal property, rain that collects
on a roof, or use of defective materials.
3. Collapse Means
This is sudden or unexpected falling
down or caving in of part or all of an existing building being renovated or
rehabilitated to the extent that these activities cannot continue or be
completed as planned.
4. Collapse Does Not Mean
These buildings or structures are not
treated as in a state of collapse:
5. Limited Fungus Coverage Does Not
Increase/Decrease Coverage
Nothing in the Limited Fungus Coverage
Extension increases or decreases this coverage.
VALUATION
The replacement cost valuation provision
in IM 7050 is removed and replaced by the following valuation items.
1. Existing Building
Existing buildings are valued on one of
two bases on the schedule of coverages. One or the other must be selected.
a. Stated Value
The valuation is very simple. The limit
on the schedule of coverages for the existing building that sustains direct
physical loss or damage is its value.
b. Actual Cash Value
The actual
cash value at the time of the loss will be used to as the valuation.
Note: Actual cash value is
commonly defined as replacement cost new less depreciation.
2. Building Materials
a. Actual Cash Value
Building materials are valued based on
their actual cash value when the loss occurs.
b. Actual Cash Value Means
Building materials valued on an actual
cash value basis means:
Note: Under this valuation, only the first item is subject
to depreciation.
HOW
MUCH WE PAY
Two items in
this section are changed.
4. Limits
This item replaces item 4. Catastrophe Limit in IM 7050.
a.
Building Materials Limit
The Building
Materials Limit entered on the schedule of coverages is the most paid in any
one occurrence for loss or damage to building materials.
b.
Existing Building Limit
The Existing
Building Limit entered on the schedule of coverages is the most paid in any one
occurrence for loss or damage to an existing building.
c.
Catastrophe Limit
The
Catastrophe Limit entered on the schedule of coverages is the most paid for
loss or damage in a single occurrence.
5.
Coinsurance
Coinsurance
applies only to building materials. As a result, that term replaces building or
structure in IM 7050 throughout this provision. In addition, the only
coinsurance option in IM 7050 is 100%. Because IM 7054 has other options, an
additional step is added to the coinsurance calculation. Before starting the
calculation, the value must be multiplied by the selected coinsurance
percentage. That value then can be used in Step 2.
ADDITIONAL
COVERAGE LIMITATIONS
1. Occupancy and Use
This section substitutes "an
existing building" in IM 7054 for "covered building or
structure" in IM 7050. This means the existing building cannot be occupied
or used without permission.
2. When Coverage Ceases
This section substitutes
"renovation or rehabilitation project" in IM 7054 for "covered
building or structure" in
IM 7050. There is also an important change in the number of days. IM 7050 has
90 days of coverage following completion. IM 7054 has only 45 days of coverage
following completion.
DEFINITIONS
The definition of buildings or
structures in IM 7050 is not in IM 7054.
IM 7054 has three definitions:
Building materials
These are
materials, supplies, attachments, and fixtures intended to become a permanent
part of the existing building being renovated.
Existing building
This is the
building or structure that existed before this coverage form's inception date.
It is to be renovated or rehabilitated. Only the parts intended to be a
permanent part of it during and after renovation or rehabilitation are
included. Foundations, attachments, permanent fencing, and other permanent
fixtures are all considered existing building.
Renovation or rehabilitation project
This is the
project listed on the schedule of coverages that must involve construction,
renovation, or rehabilitation of a structure or building.
Jobsite in IM 7054 substitutes
"renovating or rehabilitating" for "constructing, erecting or
fabricating" in IM 7050.
ENDORSEMENTS
AND SCHEDULES
AAIS has developed the following
endorsements and schedules for use with the various Builders' Risk coverage
forms.
IM 7060–Delay in Completion Coverage
Part–Green Building Form (07 09 addition)
IM
7061–Delay in Completion Coverage Part (09 08 change)
IM
7062–Delay in Completion Schedule (09 08 change)
IM
7063–Permission to Occupy Endorsement (09 08 change)
This endorsement extends coverage by
permitting occupancy of the finished part of the building or structure before
construction of the entire project is complete.
IM
7064–Reporting Conditions Endorsement (09 08 change)
When attached
to a builders' risk coverage form, this endorsement puts it on a reporting
basis. IM 7066–Reporting Conditions Schedule–Builders' Risk must also be
attached.
IM
7066–Reporting Conditions Schedule–Builders Risk (09 08 change)
This schedule is used with IM
7064–Reporting Conditions Endorsement. It has spaces to enter the reporting and
adjustment periods and the premium adjustment basis, along with the rates that
apply and the premium for the coverage involved.
IM
7068–Trees, Shrubs and Plants Endorsement (09 08 change)
This endorsement covers direct physical
loss or damage to trees, shrubs, plants, and lawns on a per-occurrence basis at
designated jobsites or construction projects caused by or that results from six
designated perils.
IM 7069–Sewer Backup Coverage (09 08
addition)
(Use with IM 7051 and IM 7054) This
endorsement covers direct physical loss or damage to covered property caused by
water or waterborne material that back up through a sewer, drain, sump, or
septic tank, or that is below ground level and exerts pressure on (or flows,
seeps, or leaks through or into) covered property.
IM
7070–Rehabilitation and Renovation Endorsement (09 08 change)
This endorsement covers existing
buildings or structures for direct physical loss or damage caused by or that
results from a covered peril when the building or structure is being
rehabilitated or renovated.
IM
7071–Business Personal Property Endorsement (09 08 change)
This endorsement covers business
personal property inside a building or structure under construction that is not
intended to become a permanent part of the building or structure.
IM
7072–Ordinance or Law Coverage (09 08 change)
(Use with IM 7051 and IM 7054) This
endorsement provides coverage for the additional loss that results when a
government regulation is enforced that requires demolishing undamaged parts of
the property or establishes use requirements and regulations that apply to the
property. It is also used to cover increased costs of construction or
reconstruction and any costs to demolish and clear debris from the location or
jobsite because of such regulation.
IM
7073–Contract Penalty Endorsement (09/08 change)
This endorsement covers contractual
penalties imposed on the named insured because of a delay in completing an
insured construction project within the defined contract terms as a result of a
covered loss.
IM
7075–Expediting Expenses Endorsement (09/08 change)
This endorsement covers costs or
expenses incurred to expedite completing a construction project delayed by a
covered loss. Costs included are additional labor, overtime labor,
transportation, equipment rental, and storage.
IM
7076–Testing Endorsement (09/08 change)
This endorsement covers direct physical
loss or damage to a covered building or structure caused by testing. Testing is
defined as that which evaluates and measures the performance, stress, pressure,
and overload abilities of materials, supplies, machinery, fixtures, and
equipment intended to be a permanent part of a covered building or structure
under construction.
IM
7077–Fraud and Deceit Coverage (09/08 change)
This endorsement covers losses when the
named insured or others are convinced to part with covered property based on
false information.
IM 7078–Green Building Schedule (09 08
addition)
IM
7079–Delay in Completion Coverage Part–Includes Rental Income and Income
Coverage (09 08 change)
IM
7080–Delay in Completion Schedule–Includes Rental Income and Income Coverage
(09 08 change)
IM
7081–Historic Preservation Tax Credit Schedule (01 10 addition)
This schedule
is used with IM 7961–Historic Preservation Tax Credit Coverage. It lists the
coverages and limits, coverage extensions, and Waiver of Certification
Requirement (if applicable) that apply.
IM
7082–Freezing Exclusion (09 08 change)
This endorsement excludes the peril of
freezing unless the named insured makes arrangements to prevent such losses.
IM
7083–Equipment Breakdown and Testing Coverage (09 08 change)
This endorsement provides coverage for
loss or damage to covered property due to equipment breakdown and testing. It
can be extended to apply to delay in completion coverage. IM 7095–Equipment
Breakdown and Testing Schedule must be attached to provide the coverage and
limits.
IM
7084–Mortgageholders Endorsement (09 08 change)
This endorsement includes mortgage
provisions for mortgagees listed on the coverage form. It also includes details
on the notice periods for policy cancellation or non-renewal and information on
premium payments and loss payments.
IM
7085–Earthquake and Flood Coverage Endorsement (09 08 change)
This endorsement covers the perils of
earthquake and flood.
IM
7086–Earthquake and Flood Schedule (09 08 change)
This schedule is used with IM
7086–Earthquake And Flood Endorsement to state the coverages, limits, and
deductibles that apply.
IM
7087–Additional Builders' Risk Schedule (09 08 change)
This schedule is used to list additional
covered locations when there is not enough space on the schedule of coverages.
IM
7088–Windstorm Deductible (09 08 change)
This endorsement provides separate
deductibles for the perils of Windstorm and Hail. The deductible can be
expressed as either a flat amount or as a percentage, using percentages of 1%,
2% or 5%.
IM 7090–Additional Scheduled Jobsite
Locations (09 08 change)
(Use with IM 7054) This schedule is used
to list and describe additional buildings being rehabilitated or renovated.
IM 7091–Green Building Coverage (09 08
addition)
IM 7092–Standing Building or
Structure Exclusion (09 08 addition)
(Use with IM 7052 and IM 7053) This
endorsement excludes coverage for a building or structure partially or
completely constructed before the coverage inception date.
IM 7093–Standing Building or
Structure Coverage (09 08 addition)
(Use with IM 7050 and IM 7051) This
endorsement extends coverage to include buildings or structures at the named
insured's jobsite being constructed when coverage form starts.
IM 7094–When Coverage Ceases
Endorsement (09 08 addition)
This endorsement is used to change the
number of days that must elapse before coverage ends.
Note: Caution is suggested when using this endorsement.
Even though it increases the number of days, coverage ends on the coverage
form's expiration date.
IM 7095–Equipment Breakdown and
Testing Schedule (09 08 addition)
This schedule is used with IM
7083–Equipment Breakdown and Testing Coverage to list the coverages, limits,
deductible, and waiting period that apply.
IM 7096–Additional Delay In
Completion Schedule (09 08 addition)
This schedule is used with IM 7060–Delay
In Completion Coverage Part–Green Building Form, IM 7061–Delay In Completion Coverage Part, and IM 7079–Delay In Completion Coverage Part–Includes
Rental Income And Income Coverage to list jobsite locations, coverages, and
limits.
IM 7097–Vacant Building Limitation
Endorsement (09/08 addition)
(Use with IM 7054) This endorsement
replaces the Vacant Building Limitation under Property Covered and changes the
number of consecutive days an existing building can be vacant.
IM 7098–Alternate Coinsurance
Percentage (02/09 addition)
(Use with IM 7050, IM 7051, and IM 7054)
This endorsement is used to change the 100% coinsurance percentage to a
different percentage.
IM 7099–Delay in Completion
Schedule–Green Building Form (07/09 addition)
IM 7961–Historic Preservation Tax
Credit Coverage (01 10 addition)
(Use with IM 7054) IM 7081–Historic
Preservation Tax Credit Schedule must be attached when this endorsement is
used. It provides coverage for the delay in receiving the tax credit the
federal government offers as an incentive to support rehabilitating historic
and older buildings. It also covers the loss of the tax credit. The loss must
be caused by occurrence of a covered loss caused by a covered peril.
IM 7962–Testing Endorsement–Builders'
Risk and Installation Floater Form (01 10 addition)
(Use with IM 7053) This endorsement
covers direct physical loss or damage to a covered building or structure caused
by testing. Testing is defined as that which evaluates and measures the
performance, stress, pressure, and overload abilities of materials, supplies,
machinery, fixtures, and equipment intended to be a permanent part of a covered
building or structure under construction.
IM 7963–Replacement Cost
Endorsement–Building Materials (08 10 addition)
(Use with IM 7054) This endorsement
changes the valuation provision for building materials from actual cash value
to replacement cost as the endorsement defines it.
IM 7964–Blueprints and Construction
Documents Coverage (08 10addition)
This endorsement covers plans,
blueprints, drawings, and models.
IM 7965–Claim Preparation Expense
Coverage (08 10 addition)
This endorsement covers the costs to
prepare a claim due to a covered loss.
IM 7966–Interior Water Damage
Limitation (08 10 addition)
This endorsement provides limited
coverage for loss or damage to the interior of covered building caused by or
that results from rain, snow, sleet, or ice that enters the interior of the
building.
UNDERWRITING
CONSIDERATIONS
Builders'
risk and installation coverage forms both cover building materials and supplies
at the construction site, in transit to the site, and similar property intended
for the construction project at other locations as necessary or because of lack
of storage space at the construction site. The principal exposures and causes
of loss are fire, theft, vandalism, windstorm, collapse, and transit. The
underwriting process involves evaluating the location and transit exposures and
the protective services and arrangements incorporated at the project to
eliminate or reduce the possibility of loss.
The most
important element in underwriting builders' risk insurance is the type of
contractor involved. The contractor should have experience in building the type
of structure being considered. A residential contractor may be very successful
building one and two family homes but that does not mean it will be similarly
successful building a six-family condominium building or some other kind of
commercial property. Similarly, a commercial building contractor may not be
aware of all of the aspects and pitfalls involved in residential construction.
Simply being a contractor is not sufficient. A good contractor is aware of all
aspects and hazards of a particular job and takes the appropriate steps to
address them all, both in advance planning and as they come up during the
course of the construction project.
Another major
issue is job site supervision. Some contractors are "paper
contractors." These contractors bring together the various subcontractors
to handle the job but do not regularly have any of their own employees on the
job site. In situations like these, relationships are extremely important. A
good "paper contractor" (to the extent possible) uses the same
subcontractors on as many jobs as possible. This makes it more likely that the
different crews will work well together. The contractor should have a detailed
checklist and an established timetable for checking the work. The general
contractor is usually responsible for all functional aspects at the job site
and should be aware of all elements of job site safety and the normal
arrangements that should apply.
The number of
jobs being worked on at the same time is also important. If there are multiple
job sites, the contractor should have regular sufficient supervision at all
sites. Job sites not visited regularly by the contractor that has authority can
quickly become disorderly and fall behind schedule. Inferior workmanship in
plumbing, electrical, and framing is quickly covered up and hidden if it not
observed regularly and frequently.
If the
building being constructed is in areas subject to high winds, the walls should
be properly shored up and braced before the roof is added to reduce or
eliminate the chance of wind losses. Any other similar atmospheric or
geographic issues that can affect construction must be evaluated and adequate
protection or needed safeguards implemented to reduce loss potential.
Written
contracts and agreements are as important in the construction field as they are
anywhere else. Contracts should be in place to establish ownership and
responsibility and to reduce the chances of ambiguity and disagreement if a
loss occurs. Ownership of building materials must be established, since the
contractor in many cases simply installs the goods and does not actually own
them during the construction or installation process.
The nature
and details of the transit exposure should be analyzed and understood by all
affected parties. “Paper contractors” usually have little or no exposure in
this area. Workers’ tools, scaffolding, and related equipment are frequently
overlooked but are subject to transit exposures and losses as much as building
materials. Some of these items should be insured under contractors' equipment
coverage and others under builders' risk coverage. It is important to review
all of the above in order to set the appropriate transit limit for the values
exposed.
The type of
construction is a major factor in both underwriting and rating. Construction
methods vary greatly, as do wind and fire exposures. Frame construction is the
most common type of construction and is also most subject to wind and fire
losses. Brick veneer construction has little impact on loss potential, since it
is simply a layer of masonry veneer attached to the wood frame and the basic
construction is still frame. Solid brick or masonry bearing walls construction
stand up better to wind and fire but require longer construction time and
damage can be more expensive to repair. Metal buildings are similar to frame
with respect to the wind exposure. Metal building construction is vulnerable to
a number of issues until the roof is securely attached but fire is not
ordinarily one of them. Masonry-non-combustible and fire-resistive are the best
types of construction but using these materials takes more time and is
considerably more expensive.
Any type of
construction has its own issues that relate to job site security against
vandalism and theft. The more involved, elaborate, and expensive types of
construction require using a variety of heavier equipment and this element
affects the job site security issue more than anything else. As a result, these
job sites require more security measures than those of lesser quality and that
have less equipment on the site, whether occupied and operating or not.
It is
important to understand the financial interests of all the parties in the
property under construction and any contractual obligations they have to one
another. The worse case scenario is where each party
believes the other is responsible for purchasing the builders’ risk coverage
and nobody purchases it at all. If more than one policy is purchased, the only
damage done is the amount of extra premium paid. If nobody arranges for
coverage, it means the entire project is unprotected.
The coverage
form to be used must be considered, since reporting forms are available in
addition to scheduled and non-reporting forms. Each approach has advantages,
disadvantages, and responsibilities that must be understood. Reporting forms
are flexible and lead to a greater feeling of security but improper or
inadequate reporting can diminish those advantages and spell disaster in the
event of a loss.
Editor's Note: The coverages IM 7050–Builders' Risk
Coverage–Scheduled Jobsite Form–Comprehensive Form provides are included in IM
8000–Contractor's Combination Form–Scheduled Coverage. It combines the
coverages provided by four separate coverage forms into a single combination
coverage form. The other three forms are IM 7000–Contractors' Equipment
Coverage, IM 7203–Business Computer Coverage and IM 7100–Installation Floater
Coverage.
IM 8000 is not analyzed because the
coverages provided are analyzed under the other coverage forms indicated in
addition to the analysis of IM 7050.
IM
7060–DELAY IN COMPLETION COVERAGE PART–GREEN BUILDING FORM
INTRODUCTION
The American
Association of Insurance Services (AAIS) IM 7060–Delay In Completion Coverage
Part–Green Building Form provides delay in completion coverages for Additional
Construction Expenses, Additional Soft Costs, Rental Income, Income Coverage,
and Energy Generating Income. It identifies the components of and provides a
Green Coverage Extension for each of these. These extensions cover the
additional expenses, costs, and loss of income when the delay is extended
because of additional processes and procedures required to meet the level of
the green certification incorporated into the building design before the loss
occurred. It is written in conjunction with any of the AAIS Builders' Risk
Coverage Forms.
IM 7099–Delay
In Completion Schedule–Green Building Form must be attached when IM 7060 is
used. It identifies the coverages that apply, their limits, optional coverage,
coverage extensions, supplemental coverages, and the waiting period, if any.
IM
7099–DELAY IN COMPLETION SCHEDULE–GREEN BUILDING FORM
Jobsite
Covered
jobsites must be entered in the space provided.
Note: IM 7096–Additional Delay
In Completion Schedule is used if the number of jobsites to be covered cannot
fit into the space provided on this schedule.
Coverages
Five
coverages are available. A box must be checked and a limit entered for each
coverage desired. Additional Soft Costs has spaces for a 30-Day Limit and an
Occurrence Limit. Each includes the Green Coverage Extension.
These are limited to Advertising, Design Fees, Financing, Lease
Administration, Permit Fees, and Professional Fees as described in IM 7060.
These are limited to Insurance Premiums, Interest Payments, Lease
Expenses, and Realty Taxes as described in IM 7060.
Optional
Coverage
Sewer Backup
Coverage is the only optional coverage available. If coverage is desired, the
box must be checked and a limit entered in the space provided.
Coverage
Extensions
There are
four coverage extensions.
Coverage is provided. There are no other entries.
Coverage is provided. There are no other entries.
If more than the two weeks provided in the coverage form is needed, the
total number of weeks needed (not just the additional number of weeks) must be
entered in the space provided.
If more than the 30 days provided in the coverage form is needed, the
total number of days needed (not just the additional number of days) must be
entered in the space provided.
Supplemental
Coverage
General
Administration Expenses (including the Green Coverage Extension) is the only
supplemental coverage available. If a limit higher than the $50,000 limit
included in the coverage form is needed, it must be entered in the space
provided.
Waiting
Period
The number of
days waiting period must be entered in the space provided if a waiting period
is desired and the box checked. The waiting period may be waived by checking
the box for waiting period does not apply.
Alternate
Certification Company
A space is
provided to list and describe an Alternate Certification Company, Organization
or Association, if applicable.
IM
7060–DELAY IN COMPLETION COVERAGE PART–GREEN BUILDING FORM–COVERAGE FORM
ANALYSIS
Note: This analysis is of the
07 09 edition.
INTRODUCTION
This coverage
form opens by stating that the coverage provided is subject to the terms and
conditions in the applicable coverage form and then lists the specific
sections. These are Agreement, Property Not Covered, Perils Covered, Perils
Excluded, What Must Be Done In Case Of Loss, How Much We Pay, Loss Payment,
Other Conditions, Additional Coverage Limitations, and Definitions. A separate
note states that the references to "rehabilitation and renovation
project" replace "building or structure" if this coverage form
is added to IM 7054–Builders' Risk Coverage–Rehabilitation And Renovation Form.
ADDITIONAL
DEFINITIONS
Seven
definitions are added.
1.
Business
This means
the expected business or occupancy in the covered building or structure when
construction is completed.
2. Delay
This is an
interruption caused by a covered peril in constructing, fabricating, or
erecting a building or structure. It does not include interruptions due to
change orders, design changes, or other actions unrelated to direct physical
loss or damage caused by or resulting from a covered peril.
3. Delay
period
This is the
amount of time construction, fabrication, or erection is delayed due to direct
physical loss or damage from a covered peril. The coverage's expiration date
does not affect this period.
It does not
mean:
4.
Expenses and losses
These are the
expenses and costs entered under Additional Construction Expenses, Additional
Soft Costs, loss of income under Rental Income, Income Coverage, and Energy
Generating Income. They apply only to the definition of expenses and losses if
coverage for any or all of these is entered on IM 7099.
5. Green
Certification
This is a
building's certification based on an environmental rating system established by
Leadership in Energy and Environmental Design (LEED) or Green Globes. These
systems evaluate the building's performance and sustainability through positive
environmental design, operation, and management.
If there is
an entry for Alternative Certification Company on IM 7099, a building's
certification as green is based on the environmental rating system that
determines the performance and sustainability of the building through positive
environmental design, operation, and management that the company established.
6.
Renewable Energy Generating Equipment
This means
equipment that generates electricity by using renewable resources, such as
solar, wind, geothermal energy, low impact hydro, bio-mass, or bio-gas systems.
7. Water
Conservation System
This is a
water reclamation and conservation system. It usually includes the plumbing
system, underground pipes and pumps, reservoirs, holding tanks, and structures
to collect rainwater and/or groundwater. To be considered part of the system,
they must be at or within 500 feet of a covered building or structure and be
designed to circulate gray water, ground water, or rainwater to a building's
non-potable water supply, an onsite water treatment facility, or an outdoor
irrigation holding facility. It does not mean equipment intended only for
landscape irrigation unless it is part of the water reclamation and
conservation system.
COVERAGES
There are
five coverages.
1.
Additional Construction Expenses
This coverage
applies if there is a limit for it on IM 7099.
a.
Coverage
The insurance
company pays additional construction expenses incurred during the delay period.
b.
Coverage Limitation
Coverage
applies only if the additional construction expenses are due to a delay to a
building or structure at a jobsite listed on IM 7099.
c. Green
Coverage Extension
Additional
construction expenses incurred during the delay needed to return the building
to the level of green certification that was incorporated into the building or
structure's design are covered.
Note: There is no additional time if the named insured
wants to achieve a higher level of certification.
d.
Additional Construction Expenses
These are the
reasonable and necessary expenses that relate to the construction project over
and above those incurred if there was no delay period. They are limited to:
e. Limit
The most paid
in any one occurrence is the limit entered on IM 7099.
Example: A fire damaged the office building that Environmentally Friendly
Construction (EFC) was building. EFC will occupy part of when it was
completed. The rest of it will be leased to others. The needed repairs pushed
the proposed opening date back three months, requiring re-doing leases in
place based on the original proposed opening date. This coverage applied to
the lease administration expenses EFC incurred to do so. Fortunately, 100% of
the leases were re-done and none of the proposed tenants backed out of their
previous commitments. |
2.
Additional Soft Costs
This coverage
applies if there is a limit for it on IM 7099.
a.
Coverage
The insurance
company pays for soft costs incurred during the delay period.
b.
Coverage Limitation
Coverage
applies only if the soft costs are due to a delay to a building or structure at
a jobsite listed on IM 7099.
c. Green
Coverage Extension
Additional
soft costs incurred during the delay needed to return the building to the level
of green certification that was incorporated into the building or structure's
design are covered.
Note: There is no additional time if the named insured
wants to achieve a higher level of certification.
d. Soft
Costs
These are the
reasonable and necessary expenses that relate to the construction project over
and above those incurred if there was no delay period. They are limited to
additional:
e. Limits
Example: Continuing the example above, Environmentally Friendly Construction
(EFC) was forced to extend its Builders' Risk Coverage and the lease on the
crane it rented for this specific project an additional three months because
of the delay. This coverage responded to the additional premium to extend the
insurance and the additional rental charge for the crane. |
3. Rental
Income
This coverage
applies if there is a limit for it on IM 7099.
a.
Coverage
The insurance
company pays for the actual loss of rental income incurred during the delay
period.
b.
Coverage Limitation
Coverage
applies only when the loss of rental income is due to a delay to a building or
structure at a jobsite listed on IM 7099.
c. Green
Coverage Extension
Additional
rental income loss incurred during the delay needed to return the building to
the level of green certification that was incorporated into the building or
structure's design is covered.
d.
Deduction From Loss Of Rental Income
Unnecessary
expenses that do not continue due to a delay are deducted from the loss of
rental income.
e. Limits
4. Income
Coverage
This coverage
applies if there is a limit for it on IM 7099.
a.
Coverage
The insurance
company pays for the actual loss of net income incurred during the delay
period.
Note: Net income is the net
profit or loss before income taxes.
b.
Coverage Limitation
Coverage
applies to the actual loss of net income that the business would have earned
and continuing expenses it would have incurred. This includes, but is not
limited to, payroll expense. It also applies to loss of net income due to
delays to the construction project listed on IM 7099.
c. Green
Coverage Extension
The loss of
net income incurred during the delay needed to return the building to the level
of green certification that was incorporated into the building or structure's
design is covered.
d. Limits
Example: Continuing the example above, and in conjunction with the renegotiation
of the leases, Environmentally Friendly Construction (EFC) would not receive
three months of rental income from the proposed tenants because of the loss
and the subsequent delay in opening. This coverage responded to that fact and
reimbursed EFC for the income it would not receive because of that delay. |
5. Energy
Generating Income
This coverage
applies if there is a limit for it on IM 7099.
a.
Coverage
The insurance
company pays for the actual loss of surplus power income (including credits and
rebates) incurred during the delay period that applies to renewable energy
generating equipment when direct physical loss or damage from a covered peril
occurs at the construction project listed on IM 7099 and delays such equipment
becoming operational.
b.
Coverage Limitation
Coverage
applies only if the named insured had a documented plan to sell surplus power
before the loss occurred.
Note: Hopes and dreams are not covered.
c. Surplus
Power Means
This is
income the named insured expected to earn for transferring surplus electricity
from its renewable energy generating equipment to a public utility.
d. Limit
The most paid
in any one occurrence is the Energy Generating Income Limit on IM 7099.
OPTIONAL
COVERAGES
Provisions
That Apply To Optional Coverage
There is one optional coverage. Its
limit is separate from and not part of the limits that apply to the coverages
indicated above. It is the only limit available and is not added to the limit
for expenses and losses. It is not added to or combined with limits for any
other coverage extension or supplemental coverage.
Sewer Backup
This coverage
applies if there is a limit for it on IM 7099.
1. Coverage
Coverage under this coverage part
extends to apply to include delays due to physical loss or damage to a covered
building or structure from:
2. Coverage Limitations
Coverage does not apply if the loss or
damage results from:
3. Limit
The most paid in any one occurrence is
the Sewer Backup Limit on IM 7099.
COVERAGE
EXTENSIONS
These four coverage extensions are part
of, not in addition to, the limits that apply for the coverages indicated
above.
1. Expenses To Reduce A Loss
The insurance company pays expenses the
named insured incurs during the delay period that are necessary to expedite
repairing or replacing the part of covered property that sustained direct
physical loss or damage, but only to the extent that it reduces the amount of
loss or damage otherwise payable.
Example: Continuing the example above, Environmentally
Friendly Construction (EFC) learns it can reduce the delayed opening by
taking advantage of its relationship with the supplier of some key fixtures
that were destroyed in the loss. EFC can pay an extra $5,000 to have its
order moved to the top of the fixture supplier's list. Doing so will reduce
the delay to two months, resulting in the loss of lease income loss being
reduced by $10,000. Since the expenditure is less than the benefit obtained,
the insurance company pays the $5,000 and saves itself $5,000 by having the
delay reduced to two months. |
2. Ordinance Or Law
a. Coverage
This insurance extends for the increased
time period of delay caused by enforcing any law regulating construction, use,
or repair of covered buildings or structures or that requires their partial or
total demolition if not damaged by a covered peril.
b. Coverage Limitations
This coverage does not extend to include
delay caused by enforcing any law that was not in force when the loss occurred
or that requires any action with respect to pollutants.
3. Interruption By Civil Authority
a. Coverage
This insurance extends to expenses and
losses the named insured incurs when a civil authority issues an order that
specifically denies access to a covered building or structure.
b. Coverage Limitations
The civil authority's order must be a
result of direct physical loss or damage by a covered peril to property other
than at the named insured's jobsite.
c. Time Limitation
This coverage extension is limited to
two consecutive weeks from the date of the order. This time period can be
increased by an entry on IM 7099.
4. Limited Fungus Coverage
a. Coverage
Expenses and losses the named insured
incurs due to delays caused by or resulting from direct physical loss or damage
to a covered building or structure caused by fungus are covered.
b. Coverage Limitations
Expenses and losses that result from
fungus are covered only when the fungus results from a specified peril other
than fire, lightning, or flood (if Flood Coverage is provided) and the named
insured took all reasonable steps to protect the covered property from
additional damage at and after the date of loss.
Note:
This
Coverage Extension does not apply if
the damage is due to fire or lightning because the basic coverage form does not
exclude fungus when due to fire or lightning.
c. Time Limitation
SUPPLEMENTAL
COVERAGES
There is one supplemental coverage. Its
limit is separate from the limits for the coverages indicated above, not part
of them, and is the only limit available for it.
General Administration Expenses
1. Coverage
This supplemental coverage applies to
the costs of general administrative and overhead expenses for additional
clerical personnel, security costs, and other expenses incurred during the
delay period.
2. Coverage Limitation
The only such expenses covered are those
due to a delay in construction at a jobsite listed on IM 7099.
3. Green
Coverage Extension
Coverage also
applies to additional general administrative and overhead expenses incurred
during the delay period when it is extended to accommodate the level of green
certification incorporated into the building or structure's design before the
loss occurred.
4.
Expenses Means
These are the
reasonable and necessary expenses that relate to construction activities on a
covered building or structure over and above those that would have been
incurred if there were no delay period.
5. Limit
The most paid
for general administration expenses in any one occurrence is $50,000 unless
there is a different limit on IM 7099.
Example: Environmentally Friendly Construction (EFC) is also stuck with the costs
to have security on the site for two extra months and the overtime pay to its
employees to re-do the leases, as well as the many "nuisance"
expenses incurred in conjunction with them. EFC paid close attention to and
kept meticulous records of every expense, no matter how small, and was able
to recover them from the insurance company. |
ADDITIONAL
PERILS EXCLUDED
These excluded perils are in addition to
those in the applicable Builders' Risk Coverage Form. The insurance company
does not pay for any additional expenses, costs, or losses due to an increase
in the delay period caused directly or indirectly by or resulting from one or
more of them. This is regardless of any other causes or events that contribute
to the delay period, either before, during, or after the excluded cause or
event.
1. Additional Time
Coverage does not apply to the
additional time required to repair or replace any part of a covered building or
structure due to:
Note: These are all indirect, consequential losses that
the named insured cannot estimate or control. Several track with corresponding
exclusions in the Builders' Risk Coverage Forms.
2. Change Order
There is no coverage for changes,
orders, actions, or decisions that result in delays in completing the covered
project that are not associated with a covered loss under a Builders Risk
Coverage Form.
3. Consequential Loss
These are indirect or time element-type
losses that follow a direct loss and are excluded.
4. Customs Regulations
The insurance company does not pay
expenses, costs, or losses due to any import, export, or customs regulations or
restrictions.
5. Fire Extinguishment
Coverage does not apply to the costs or
expenses to extinguish a fire.
6. Interruption Of Utility Service
There is no coverage for expenses,
costs, or losses due to interruption of any utility service needed in order for
a construction, erection, or fabrication project to proceed.
7. Lack Of Funds
This is simply the named insured's
inability to secure the funds necessary for the construction, erection, or
fabrication project and is excluded.
8. Leases, Licenses, Contracts Or
Orders
The insurance company does not pay
expenses, costs, or losses caused by or resulting from any of these being
suspended, cancelled, or lapsing. However, it does cover such losses if they
result directly from a covered delay.
9. Property Not Covered
Loss or damage to property not covered
under the applicable Builders' Risk Coverage Form is excluded.
10. Strikes And Other Interference
There is no coverage when strikers or
other persons interfere with repairing or replacing covered property or
resuming construction activities at a covered project.
11. Unnecessary Expenses
There is no coverage for expenses,
costs, or losses during construction of a covered building or structure that
are not necessary or that are more than the amount by which they reduce a loss.
WHAT
MUST BE DONE IN CASE OF LOSS
These terms
are in addition to those that may apply in the applicable Builders' Risk
Coverage Form.
1. Due
Diligence To Rebuild Or Restore
Only expenses
and losses that occur during the time required to rebuild or restore the
damaged building or structure with similar materials are covered. The named
insured must exercise due diligence and dispatch and take reasonable efforts to
minimize the expenses and losses.
2. Intent
To Start Or Continue Business
If the named
insured plans to start or continue the business after a covered loss, it must
begin or resume all or part of it as soon as possible.
3.
Interference And Access
a.
Minimize Interference
The named
insured must minimize interfering with the construction schedule in order to
avoid or reduce delays.
b. Allow
Access
The named
insured must let the insurance company have access to the covered building or
structure to negotiate with any parties involved to:
VALUATION
The insurance
company considers three general areas as it determines an income coverage loss:
HOW
MUCH WE PAY
These terms
are in addition to those that may apply in the applicable Builders' Risk
Coverage Form.
1.
Deductible
The
deductible provisions in the applicable Builders' Risk Coverage Form include
covered expenses as described under Coverages–Additional Construction Expenses
and Supplemental Coverages–General Administration Expenses.
2. Waiting
Period
If there is a
waiting period, the insurance company does not pay additional soft costs, loss
of rental income, loss of net income, or loss of energy generating income until
the number of days entered on IM 7099 have passed.
ADDITIONAL
CONDITIONS
This
condition is in addition to other terms that may apply in the applicable
Builders' Risk Coverage Form. The Appraisal For Delay In Completion condition
applies in conjunction with this coverage part. If the named insured and the
insurance company do not agree on the amount of loss or expenses, they are
determined according to Other Conditions–Appraisal in the applicable Builders'
Risk Coverage Form.
IM
7061–DELAY IN COMPLETION COVERAGE PART
INTRODUCTION
The American
Association of Insurance Services (AAIS) IM 7061–Delay In Completion Coverage
Part covers additional construction expenses, consisting of advertising
expenses, design fees, additional financing costs, lease administration
expenses, professional fees, and permit fees. It also covers the additional
soft costs of interest payments, realty taxes, lease expenses and insurance
premiums. It is written in conjunction with any of the AAIS Builders' Risk
Coverage Forms.
Note: This was previously
titled Soft Cost And Rental Income but the coverage provided is now broader and
the new title reflects the change.
IM 7061 has
one schedule that is used in conjunction with the schedule of coverages used
with the applicable Builders' Risk Coverage Form. IM 7062–Delay In Completion
Schedule is used to indicate the coverages that apply, their limits, optional
coverages, coverage extensions, supplemental coverages, and the waiting period,
if applicable.
IM
7062–DELAY IN COMPLETION SCHEDULE
Jobsite
Covered
jobsites must be entered in the space provided.
Note: IM 7096–Additional Delay
In Completion Schedule is used if the number of jobsites to be covered cannot
fit into the space provided on this schedule.
Coverages
Two coverages
are available. A limit must be entered for each coverage desired. Additional
Soft Costs has spaces for a 30-Day Limit and an Occurrence Limit.
These are limited to Advertising, Design Fees, Financing, Lease
Administration, Permit Fees, and Professional Fees as described in IM 7061.
These are limited to Insurance Premiums, Interest Payments, Lease
Expenses, and Realty Taxes as described in IM 7061.
Optional
Coverages
Sewer Backup
Coverage is the only optional coverage available. If coverage is desired, the
box must be checked and a limit entered in the space provided. The box for
coverage not provided must be checked if coverage is not desired.
Coverage
Extensions
There are
four coverage extensions.
Coverage is provided. There are no other entries.
Coverage is provided. There are no other entries.
If more than the two weeks provided in the coverage form is needed, the
number of weeks needed (not just the additional number of weeks) must be
entered in the space provided.
If more than the 30 days provided in the coverage form is needed, the
number of days needed (not just the additional number of days) must be entered
in the space provided.
Supplemental
Coverage
General
Administration Expenses is the only supplemental coverage available. If a limit
higher than the $50,000 limit included in the coverage form is needed, it must
be entered in the space provided.
Waiting
Period
The number of
days waiting period must be entered in the space provided if a waiting period
is desired and the box checked. The waiting period may be waived by checking
the box indicating that a waiting period does not apply.
IM
7061–DELAY IN COMPLETION COVERAGE PART COVERAGE FORM ANALYSIS
Note: This analysis is of the
07 09 edition.
INTRODUCTION
This coverage
part opens by stating that the coverage provided is subject to the terms and
conditions in the applicable coverage form. These are Agreement, Property Not
Covered, Perils Covered, Perils Excluded, What Must Be Done In Case Of Loss,
How Much We Pay, Loss Payment, Other Conditions, Additional Coverage
Limitations, and Definitions. A separate note states that the references to
"rehabilitation and renovation project" replace "building or
structure" if this coverage form is added to IM 7054–Builders' Risk
Coverage–Rehabilitation And Renovation Form.
ADDITIONAL
DEFINITIONS
Three
definitions are added.
1. Delay
This is an
interruption caused by a covered peril in constructing, fabricating, or
erecting a building or structure. It does not include interruptions due to
change orders, design changes, or other actions unrelated to direct physical
loss or damage caused by or resulting from a covered peril.
2. Delay
period
This is the
amount of time construction, fabrication, or erection is delayed due to direct
physical loss or damage from a covered peril. The coverage's expiration date
does not affect this period.
It does not
mean:
3.
Expenses and losses
These are the
expenses and costs entered under Additional Construction Expenses, Additional
Soft Costs, loss of income under Rental Income, Income Coverage, and Energy
Generating Income. They apply only to the definition of expenses and losses if
coverage for any or all of these is entered on IM 7062.
COVERAGES
There are two
coverages.
1.
Additional Construction Expenses
This coverage
applies if there is a limit on IM 7062.
a.
Coverage
Additional
construction expenses incurred during the delay period are covered.
b.
Coverage Limitation
Coverage
applies only if the additional construction expenses are due to a delay to a
building or structure at a jobsite listed on IM 7062.
c.
Additional Construction Expenses
The following
are the reasonable and necessary expenses that are considered under this
coverage. They must relate to the construction project and be over and above
those that would have been incurred if there were no delay period:
d. Limit
The most paid
in any one occurrence is the limit entered on IM 7062.
Example: Dave's Delinquent Dwellings (DDD) constructs single-family homes and
small apartment buildings. When a fire damaged one of its apartment buildings
under construction, it delayed its being ready for the tenants who had
already signed leases by three months. The repairs that had to be done would
take three months and require re-doing the leases based on the original
proposed opening date. This coverage applied to the lease administration
expenses DDD incurred to do so. Fortunately, every lease was re-done and none
of the proposed tenants backed out of their previous commitments. |
2.
Additional Soft Costs
This coverage
applies if there is a limit for it on IM 7062.
a.
Coverage
The insurance
company pays for soft costs incurred during the delay period.
b.
Coverage Limitation
Coverage
applies only if the soft costs are due to a building or structure at a jobsite
listed on IM 7062.
c. Soft
Costs
These are the
reasonable and necessary expenses that relate to the construction project over
and above those incurred if there was no delay period. They are limited to
additional:
d. Limits
Example: Continuing the example above, Dave's Delinquent Dwellings (DDD) had to
extend its Builder's Risk Coverage an additional three months because of the
delay, as well as the lease on the compressors and lifts it rented for this
specific project. This coverage responded to the additional premium to extend
the insurance and the additional rental charge for the equipment. |
OPTIONAL
COVERAGE
Provisions
That Apply To Optional Coverage
There is one optional coverage. Its
limit is separate from and not part of the limits that apply to the coverages
indicated above. It is the only limit available and is not added to the limit
for expenses and losses. It is not added to or combined with limits for any
other coverage extension or supplemental coverage.
Sewer Backup
This coverage
applies if there is a limit for it on IM 7062.
1. Coverage
Coverage under this coverage part
extends to apply to include delays due to physical loss or damage to a covered
building or structure from:
2. Coverage Limitations
Coverage does not apply if the loss or
damage results from:
3. Limit
The most paid in any one occurrence is
the Sewer Backup Limit on IM 7062.
COVERAGE
EXTENSIONS
These four coverage extensions are part
of, not in addition to, the limits that apply for the coverages indicated
above.
1. Expenses To Reduce A Loss
The insurance company pays expenses the
named insured incurs during the delay period that are necessary to expedite
repairing or replacing the part of covered property that sustained direct
physical loss or damage, but only to the extent that it reduces the amount of
loss or damage otherwise payable.
Example: Continuing the example above, Dave's Delinquent
Dwellings (DDD) took advantage of its relationship with its fixture supplier
and moved to the top of the supplier's list by paying a $5,000 fee to
immediately replace the fixtures destroyed in the fire. Doing so got DDD the
replacement fixtures 30 days sooner, reduced the delay to two months, and the
lost income loss was reduced by $10,000. Since the fee was less than the
benefit obtained, the insurance company paid the $5,000 and saved itself
$5,000 by having the delay reduced to two months. This also reduced DDD's
Builders' Risk premium and leased equipment charges. |
2. Ordinance Or Law
a. Coverage
This insurance extends for the increased
time period of delay caused by enforcing any law regulating construction, use,
or repair of covered buildings or structures or that requires their partial or
total demolition if not damaged by a covered peril.
b. Coverage Limitations
This coverage does not extend to include
delay caused by enforcing any law that was not in force when the loss occurred
or that requires any action with respect to pollutants.
3. Interruption By Civil Authority
a. Coverage
This insurance extends to expenses and
losses the named insured incurs when a civil authority issues an order that
specifically denies access to a covered building or structure.
b. Coverage Limitations
The civil authority's order must be a
result of direct physical loss or damage by a covered peril to property other
than at the named insured's jobsite.
c. Time Limitation
This coverage extension is limited to
two consecutive weeks from the date of the order. This time period can be
increased by an entry on IM 7099.
4. Limited Fungus Coverage
a. Coverage
Expenses and losses the named insured
incurs due to delays caused by or resulting from direct physical loss or damage
to a covered building or structure caused by fungus are covered.
b. Coverage Limitations
Expenses and losses that result from
fungus are covered only when the fungus results from a specified peril other
than fire, lightning, or flood (if Flood Coverage is provided) and the named
insured took all reasonable steps to protect the covered property from
additional damage at and after the date of loss.
Note:
This
Coverage Extension does not apply if
the damage is due to fire or lightning because the basic coverage form does not
exclude fungus when due to fire or lightning.
c. Time Limitation
SUPPLEMENTAL
COVERAGES
There is one supplemental coverage. Its
limit is separate from the limits for the coverages indicated above, not part
of them, and is the only limit available for it.
General Administration Expenses
a. Coverage
This supplemental coverage applies to
the costs of general administrative and overhead expenses for additional
clerical personnel, security costs, and other expenses incurred during the
delay period.
b. Coverage Limitation
The only such expenses covered are those
due to a delay in construction at a jobsite listed on IM 7062.
c.
Expenses
These are the
reasonable and necessary expenses that relate to construction activities on a
covered building or structure over and above those that would have been
incurred if there were no delay period.
d. Limit
The most paid
for general administration expenses in any one occurrence is $50,000 unless
there is a different limit on IM 7062.
Example: Dave's Delinquent Dwellings (DDD) also had to pay the costs to have
security on the site for two extra months and the overtime pay to its
employees to re-do the leases. DDD paid close attention to and kept
meticulous records of every expense, no matter how small, and recovered them
from the insurance company. |
ADDITIONAL
PERILS EXCLUDED
These excluded perils are in addition to
those in the applicable Builders' Risk Coverage Form. The insurance company
does not pay for any additional expenses, costs, or losses due to an increase
in the delay period caused directly or indirectly by or resulting from one or
more of them. This is regardless of any other causes or events that contribute
to the delay period, either before, during, or after the excluded cause or
event.
1. Additional Time
Coverage does not apply to the
additional time required to repair or replace any part of a covered building or
structure due to:
Note: These are all indirect, consequential losses that
the named insured cannot estimate or control. Several track with corresponding
exclusions in the Builders' Risk Coverage Forms.
2. Change Order
There is no coverage for changes,
orders, actions, or decisions that result in delays in completing the covered
project that are not associated with a covered loss under a Builders Risk
Coverage Form.
3. Consequential Loss
These are indirect or time element-type
losses that follow a direct loss and are excluded.
4. Customs Regulations
The insurance company does not pay
expenses, costs, or losses due to any import, export, or customs regulations or
restrictions.
5. Fire Extinguishment
Coverage does not apply to the costs or
expenses to extinguish a fire.
6. Interruption Of Utility Service
There is no coverage for expenses,
costs, or losses due to interruption of any utility service needed in order for
a construction, erection, or fabrication project to proceed.
7. Lack Of Funds
This is simply the named insured's
inability to secure the funds necessary for the construction, erection, or
fabrication project and is excluded.
8. Leases, Licenses, Contracts Or
Orders
The insurance company does not pay
expenses, costs, or losses caused by or resulting from any of these being
suspended, cancelled, or lapsing. However, it does cover such losses if they
result directly from a covered delay.
9. Property Not Covered
Loss or damage to property not covered
under the applicable Builders' Risk Coverage Form is excluded.
10. Strikes And Other Interference
There is no coverage when strikers or
other persons interfere with repairing or replacing covered property or
resuming construction activities at a covered project.
11. Unnecessary Expenses
There is no coverage for expenses,
costs, or losses during construction of a covered building or structure that
are not necessary or that are more than the amount by which they reduce a loss.
WHAT
MUST BE DONE IN CASE OF LOSS
These terms
are in addition to those that may apply in the applicable Builders' Risk
Coverage Form.
1. Due
Diligence To Rebuild Or Restore
Only expenses
and losses that occur during the time required to rebuild or restore the
damaged building or structure with similar materials are covered. The named
insured must exercise due diligence and dispatch and take reasonable efforts to
minimize the expenses and losses.
2.
Interference And Access
a.
Minimize Interference
The named
insured must minimize interfering with the construction schedule in order to
avoid or reduce delays.
b. Allow
Access
The named
insured must let the insurance company have access to the covered building or
structure to negotiate with any parties involved to:
HOW
MUCH WE PAY
These terms
are in addition to those that may apply in the applicable Builders' Risk
Coverage Form.
1.
Deductible
The
deductible provisions in the applicable Builders' Risk Coverage Form include
covered expenses as described under Coverages–Additional Construction Expenses
and Supplemental Coverages–General Administration Expenses.
2. Waiting
Period
If there is a
waiting period, the insurance company does not pay additional soft costs until
the number of days entered on IM 7062 has passed.
ADDITIONAL
CONDITIONS
This
condition is in addition to other terms that may apply in the applicable
Builders' Risk Coverage Form. The Appraisal For Delay In Completion condition
applies in conjunction with this coverage part. If the named insured and the
insurance company do not agree on the amount of loss or expenses, they are
determined according to Other Conditions–Appraisal in the applicable Builders'
Risk Coverage Form.
IM
7079–DELAY IN COMPLETION COVERAGE PART–INCLUDES RENTAL INCOME AND INCOME
COVERAGE
INTRODUCTION
The American
Association of Insurance Services (AAIS) IM 7079–Delay In Completion Coverage
Part–Includes Rental Income And Income Coverage provides delay in completion
coverages for Additional Construction Expenses, consisting of advertising
expenses, design fees, additional financing costs, lease administration
expenses, professional fees, and permit fees. It includes Additional Soft Costs
of interest payments, realty taxes, lease expenses, and insurance premiums. It
also includes Rental Income and Income Coverage. It is written in conjunction
with any of the AAIS Builders' Risk Coverage Forms.
Note: This was previously the
Soft Cost, Extra Expense And Rental Income Endorsement but the coverage
provided is broader and its title was changed.
IM 7079 has
one schedule used in conjunction with the schedule of coverages used with the
applicable Builders' Risk Coverage Form. IM 7080–Delay In Completion
Schedule–Includes Rental Income And Income Coverage states the coverages that
apply, their limits, optional coverages, coverage extensions, supplemental
coverages, and the waiting period, if any.
IM
7080–DELAY IN COMPLETION SCHEDULE–INCLUDES RENTAL INCOME AND INCOME COVERAGE
Note: The entries required to
complete this schedule can be entered on this form or on the schedule of
coverages.
Jobsite
Covered
jobsites must be entered in the space provided.
Note: IM 7096–Additional Delay
In Completion Schedule is used if the number of jobsites to be covered cannot
fit into the space provided on this schedule.
Coverages
Four
coverages are available. A limit of insurance must be entered for each coverage
desired. The limit for Additional Construction Expenses is the most paid in any
one occurrence. Additional Soft Costs, Rental Income, and Income Coverage have
spaces for a 30-Day Limit and an Occurrence Limit.
These are limited to Advertising, Design Fees, Financing, Lease
Administration, Permit Fees, and Professional Fees as described in IM 7079.
These are limited to Insurance Premiums, Interest Payments, Lease
Expenses, and Realty Taxes as described in IM 7079.
Optional
Coverage
Sewer Backup
Coverage is the only optional coverage available. If coverage is desired, the
box must be checked and a limit entered in the space provided. The box for
coverage not provided must be checked if coverage is not desired.
Coverage
Extensions
There are
four coverage extensions.
Coverage is provided. There are no other entries.
Coverage is provided. There are no other entries.
If more than the two weeks provided in the coverage form is needed, the
total number of weeks needed (not just the additional number of weeks) must be
entered in the space provided.
If more than the 30 days provided in the coverage form is needed, the
total number of days needed (not just the additional number of days) must be
entered in the space provided.
Supplemental
Coverage
General
Administration Expenses is the only supplemental coverage available. If
coverage is desired for more than the $50,000 limit included in the coverage
form, it must be entered in the space provided.
Waiting
Period
The number of
days waiting period must be entered in the space provided if a waiting period
is desired and the box checked. The waiting period may be waived by checking
the box for waiting period does not apply.
IM
7079–DELAY IN COMPLETION COVERAGE PART–INCLUDES RENTAL INCOME AND INCOME
COVERAGE–COVERAGE FORM ANALYSIS
Note: This analysis is of the
07 09 edition.
INTRODUCTION
This coverage
form opens by stating that the coverage provided is subject to the terms and
conditions in the applicable coverage form. These are Agreement, Property Not
Covered, Perils Covered, Perils Excluded, What Must Be Done In Case Of Loss,
How Much We Pay, Loss Payment, Other Conditions, Additional Coverage
Limitations, and Definitions. A separate note states that the references to
"rehabilitation and renovation project" replace "building or
structure" if this coverage part is added to IM 7054–Builders' Risk
Coverage–Rehabilitation And Renovation Form.
ADDITIONAL
DEFINITIONS
Four
definitions are added.
1.
Business
This means
the expected business or occupancy in the covered building or structure when
construction is completed.
2. Delay
This is an
interruption caused by a covered peril in constructing, fabricating, or
erecting a building or structure. It does not include interruptions due to
change orders, design changes, or other actions unrelated to direct physical
loss or damage caused by or resulting from a covered peril.
3. Delay
period
This is the
amount of time construction, fabrication, or erection is delayed due to direct
physical loss or damage from a covered peril. The coverage's expiration date
does not affect this period.
It does not
mean:
4.
Expenses and losses
These are the
expenses and costs entered under Additional Construction Expenses, Additional
Soft Costs, loss of income under Rental Income, and Income Coverage. They apply
only to the definition of expenses and losses if coverage for any or all of
these is entered on IM 7080.
COVERAGES
There are
four coverages.
1.
Additional Construction Expenses
This coverage
applies if there is a limit for it on IM 7080.
a.
Coverage
Additional
construction expenses incurred during the delay period are covered.
b.
Coverage Limitation
Coverage
applies only if the additional construction expenses are due to a delay to a
building or structure at a jobsite listed on IM 7080.
c.
Additional Construction Expenses
These are the
reasonable and necessary expenses that relate to the construction project over
and above those incurred if there was no delay period. They are limited to:
d. Limit
The most paid
in any one occurrence is the limit entered on IM 7080.
Example: A sudden, violent windstorm seriously damaged the strip shopping center
that Keystone Konstruction & Kontracting (KK&K) was building. KK&K also
planned to occupy the end unit for its office operations and contractor's
yard on the land adjoining it when construction was completed. The repairs
and replacements needed pushed the project back six months. KK&K had to
re-do the leases for some of the spaces that had been done previously. This
coverage applied to the lease administration expenses KK&K incurred to do
so. KK&K was extremely pleased when none of the prospective tenants
changed their minds, despite the additional six-month wait. |
2.
Additional Soft Costs
This coverage
applies if there is a limit for it on IM 7080.
a.
Coverage
Soft costs
incurred during the delay period are covered.
b.
Coverage Limitation
Coverage
applies only if the soft costs arise out of a delay to a building or structure
at a jobsite listed on IM 7080.
c. Soft
Costs
These are the
reasonable and necessary expenses relating to the construction project over and
above those incurred if there was no delay period. They are limited to
additional:
d. Limits
Example: Continuing the example above, Keystone Konstruction
& Kontracting (KK&K) reluctantly extended
its Builders' Risk Coverage for six months because of the delay, as well as
the leases on the equipment it rented for this project. Fortunately for
KK&K, this coverage responded to the additional premium to extend the
insurance and the additional rental charges for the leased equipment. |
3. Rental
Income
This coverage
applies if there is a limit for it on IM 7080.
a.
Coverage
The insurance
company pays for the actual loss of rental income incurred during the delay
period.
b.
Coverage Limitation
Coverage
applies only when the loss of rental income is due to a delay to a building or
structure at a jobsite listed on IM 7080.
c.
Deduction From Loss Of Rental Income
Unnecessary
expenses that do not continue due to a delay are deducted from the loss of
rental income.
d. Limits
4. Income
Coverage
This coverage
applies if there is a limit for it on IM 7080.
a.
Coverage
The insurance
company pays for the actual loss of net income incurred during the delay
period.
Note: Net income is the net
profit or loss before income taxes.
b.
Coverage Limitation
Coverage
applies to the actual loss of net income that the business would have earned
and continuing expenses it would have incurred. This includes, but is not
limited to, payroll expense. It also applies to loss of net income arising out
of delays to the construction project listed on IM 7080.
c. Limits
Example: Continuing the example above, Keystone Konstruction
& Kontracting (KK&K) was also out six
months of rental income from the proposed tenants because of the loss and the
subsequent delay in opening. This coverage responded to that fact and
reimbursed KK&K for the income it would not receive because of that delay.
|
OPTIONAL
COVERAGES
Provisions
That Apply To Optional Coverage
There is one optional coverage. Its
limit is separate from and not part of the limits that apply to the coverages
indicated above. It is the only limit available and is not added to the limit
for expenses and losses. It is not added to or combined with limits for any
other coverage extension or supplemental coverage.
Sewer Backup
This coverage
applies if there is a limit on IM 7080.
1. Coverage
Coverage under this coverage part
extends to apply to include delays due to physical loss or damage to a covered
building or structure from:
2. Coverage Limitations
Coverage does not apply if the loss or
damage results from:
3. Limit
The most paid in any one occurrence is
the Sewer Backup Limit on IM 7099.
COVERAGE
EXTENSIONS
The four coverage extensions indicated
below are part of, not in addition to, the limits that apply for the coverages
indicated above.
1. Expenses To Reduce A Loss
The insurance company pays expenses the
named insured incurs during the delay period that are necessary to expedite
repairing or replacing the part of covered property that sustained direct
physical loss or damage, but only to the extent that it reduces the amount of
loss or damage otherwise payable.
Example: Continuing the example above, Keystone Konstruction & Kontracting
(KK&K) encountered a timely opportunity it could not refuse. A building
supplies dealer who was a close personal friend of KK&K's owner told him
that he was swamped with orders but offered to fill KK&K's order within
30 days instead of the normal 60 days if he would pay $10,000 for the
privilege. This helped the supplier get over a short-term cash-flow problem
but also helped KK&K because it meant a savings of over $20,000 to get
the project done in five months instead of six. Since the expenditure was far
less than the benefit obtained, the insurance company paid $10,000 and saved
itself $10,000 by having the delay reduced by a complete month. |
2. Ordinance Or Law
a. Coverage
This insurance extends for the increased
time period of delay caused by enforcing any law regulating construction, use,
or repair of covered buildings or structures or that requires their partial or
total demolition if not damaged by a covered peril.
b. Coverage Limitations
This coverage does not extend to include
delay caused by enforcing any law that was not in force when the loss occurred
or that requires any action with respect to pollutants.
3. Interruption By Civil Authority
a. Coverage
This insurance extends to expenses and
losses the named insured incurs when a civil authority issues an order that
specifically denies access to a covered building or structure.
b. Coverage Limitations
The civil authority's order must be a
result of direct physical loss or damage by a covered peril to property other
than at the named insured's jobsite.
c. Time Limitation
This coverage extension is limited to
two consecutive weeks from the date of the order. This time period can be
increased by an entry on IM 7080.
4. Limited Fungus Coverage
a. Coverage
This insurance extends to expenses and
losses the named insured incurs due to delays caused by or resulting from
direct physical loss or damage to a covered building or structure caused by
fungus.
b. Coverage Limitations
Expenses and losses resulting from
fungus are covered only when the fungus results from a specified peril other
than fire, lightning or flood (if Flood Coverage is provided) and the named
insured took all reasonable steps to protect the covered property from
additional damage at and after the date of loss.
c. Time Limitation
SUPPLEMENTAL
COVERAGES
There is one supplemental coverage. Its
limit is separate from the limits for the coverages indicated above, not part
of them, and is the only limit available for it.
General Administration Expenses
1. Coverage
This supplemental coverage applies to
the costs of general administrative and overhead expenses for additional
clerical personnel, security costs, and other expenses incurred during the
delay period.
2. Coverage Limitation
The only such expenses covered are those
that arise out of a delay in construction at a jobsite listed on IM 7080.
4.
Expenses Means
These are the
reasonable and necessary expenses that relate to construction activities on a
covered building or structure over and above those that would have been
incurred if there were no delay period.
5. Limit
The most paid
for general administration expenses in any one occurrence is $50,000 unless
there is a different limit on IM 7080.
Example: Keystone Konstruction & Kontracting (KK&K) realized it would have to maintain
security on the jobsite for an extra five months and pay its employees
overtime wages to re-do the leases and deal with all the little related
nuisances that also cost money. KK&K paid close attention to and kept
meticulous records of every expense, regardless of the amount, and recovered
every dollar it had coming from the insurance company. |
ADDITIONAL
PERILS EXCLUDED
These excluded perils are in addition to
those in the applicable Builders' Risk Coverage Form. The insurance company
does not pay for any additional expenses, costs, or losses due to an increase
in the delay period caused directly or indirectly by or resulting from one or
more of them. This is regardless of any other causes or events that contribute
to the delay period, either before, during or after the excluded cause or
event.
1. Additional Time
Coverage does not apply to the
additional time required to repair or replace any part of a covered building or
structure due to:
Note: These are all indirect, consequential losses that
the named insured cannot estimate or control. Several track with corresponding
exclusions in the Builders' Risk Coverage Form.
2. Change Order
There is no coverage for changes,
orders, actions, or decisions that result in delays in completing the covered
project that are not associated with a covered loss under a Builders Risk
Coverage Form.
3. Consequential Loss
These are indirect or time element type
losses that follow a direct loss and are excluded.
4. Customs Regulations
The insurance company does not pay
expenses, costs, or losses due to any import, export, or customs regulations or
restrictions.
5. Fire Extinguishment
Coverage does not apply to the costs or
expenses to extinguish a fire.
6. Interruption Of Utility Service
There is no coverage for expenses,
costs, or losses due to interruption of any utility service needed in order for
a construction, erection, or fabrication project to proceed.
7. Lack Of Funds
This is simply the named insured's
inability to secure the funds necessary for the construction, erection, or
fabrication project and is not covered.
8. Leases, Licenses, Contracts Or
Orders
The insurance company does not pay
expenses, costs, or losses caused by or resulting from any of these being
suspended, cancelled, or lapsing. However, it does cover such losses if they
result directly from a covered delay.
9. Property Not Covered
Loss or damage to property not covered
under the applicable Builders' Risk Coverage Form is excluded.
10. Strikes And Other Interference
There is no coverage when strikers or
other persons interfere with repairing or replacing covered property or
resuming construction activities at a covered project.
11. Unnecessary Expenses
There is no coverage for expenses,
costs, or losses during construction of a covered building or structure that
are not necessary or that are more than the amount by which they reduce a loss.
WHAT
MUST BE DONE IN CASE OF LOSS
These terms
are in addition to those that may apply in the applicable Builders' Risk
Coverage Form.
1. Due
Diligence To Rebuild Or Restore
Only expenses
and losses that occur during the time required to rebuild or restore the
damaged building or structure with similar materials are covered. The named
insured must exercise due diligence and dispatch and take reasonable efforts to
minimize the expenses and losses.
2. Intent
To Start Or Continue Business
If the named
insured plans to start or continue the business, it must begin or resume all or
part of it as soon as possible after a covered loss.
3.
Interference And Access
a.
Minimize Interference
The named
insured must minimize interfering with the construction schedule in order to
avoid or reduce delays.
b. Allow
Access
The named
insured must let the insurance company have access to the covered building or
structure to negotiate with any parties involved to:
VALUATION
The insurance
company considers three general areas as it determines an income coverage loss:
HOW
MUCH WE PAY
These terms
are in addition to those that may apply in the applicable Builders' Risk
Coverage Form.
1.
Deductible
The
deductible provisions in the applicable Builders' Risk Coverage Form include
covered expenses as described under Coverages–Additional Construction Expenses
and Supplemental Coverages–General Administration Expenses.
2. Waiting
Period
If there is a
waiting period, the insurance company does not pay additional soft costs, loss
of rental income, loss of net income, or loss of energy generating income until
the number of days entered on IM 7080 have passed.
ADDITIONAL
CONDITIONS
This
condition is in addition to other terms that may apply in the applicable
Builders' Risk Coverage Form. The Appraisal For Delay In Completion condition
applies in conjunction with this coverage part. If the named insured and the
insurance company do not agree on the amount of loss or expenses, they are
determined according to Other Conditions–Appraisal in the applicable Builders'
Risk Coverage Form.
AAIS
FINE ARTS COVERAGE FORMS
Introduction Eligibility Policy Construction Schedules of Coverages IM 7355–Schedule of Coverages–Fine Arts Dealers Coverage IM 7350–Fine Arts Dealers Coverage Form Analysis (04 04 edition) Agreement Definitions Property Covered Property Not Covered Coverage Extensions Supplemental Coverages Perils Covered Perils Excluded What Must Be Done In Case Of
Loss Valuation How Much We Pay Loss Payment Other Conditions IM 7356–Schedule of Coverages–Fine Arts Dealers–Blanket Coverage Form IM 7351–Fine Arts Dealers–Blanket Coverage Form Analysis (06 04 edition)
IM 7405–Schedule of Coverages–Fine Arts Floater IM 7400–Fine Arts Floater Analysis (04 04 edition) IM 7407–Schedule of Coverages–Fine Arts Coverage–Collectors' Form IM 7401–Fine Arts Coverage–Collectors' Form Analysis (04 04 edition) Endorsements and Schedules Underwriting Considerations |
INTRODUCTION
Fine arts are considered covered
property in all property coverage forms but only for their utilitarian value,
not their intrinsic value. This means that a Picasso painting is valued based
on the canvas, frame, and paints, not on the artist. As a result, the most
important element of this coverage is appropriately valuing the fine art object
based on what it is instead of what it is made of.
Fine arts coverage is important to
businesses and individuals who buy, sell, or collect such property. Policies
written for those who sell such property are called dealers forms, because
their emphasis is on the retail sales of such property. Policies written for
those who buy or collect such property are called floaters and coverage is for
objects of art as defined that are kept in business or residence premises.
The American
Association of Insurance Services (AAIS) Fine Arts Dealers Coverage Forms apply
to property consisting of various types of fine arts that dealers and galleries
own. It is not to be used by individuals, commercial entities, or collectors
who are not in the fine arts business. It covers both sold and unsold fine arts
property consisting of (but not limited to) paintings, etchings, pictures,
tapestries, rare or art glass, art glass windows, valuable rugs, statuary,
sculptures, antique furniture, antique jewelry, bric-a-brac, porcelains, and
similar property of rarity, historical value, or artistic merit. Coverage can
also apply to works of art that belong to others in the named insured's care,
custody, or control. The coverage form insures against risks of direct physical
loss or damage, except as limited or excluded, at designated locations, unnamed
locations, and in transit.
The AAIS Fine
Arts Floater and Collectors' Coverage Forms cover a variety of objects of fine
art owned by individuals and businesses that are not in the fine arts business
that want broad coverage on the fine arts they own. It is not to be used by
fine arts dealers, galleries, or museums whose primary business involves works
of art. These forms usually cover items scheduled on a valued basis. This means
the insurance company pays the limit for each scheduled item lost or damaged by
a covered peril. Fine arts include, but are not limited to, the same types of
property as outlined above. Coverage can also apply to works of art that belong
to others in the named insured's care, custody, or control. Fine arts are not
covered while at exhibitions at fair grounds or on the premises of any national
or international exhibition. The form provides coverage for risks of direct
physical loss or damage, except as limited or excluded, at designated locations
and in transit.
AAIS has developed four fine arts
coverage forms. Each has its own corresponding schedule of coverages. This
analysis examines each of these coverage forms.
ELIGIBILITY
In general, Fine Arts Dealers coverage
is available for any business enterprise that sells fine art. Fine Arts
floaters are for individuals and commercial enterprises that own or collect
fine arts.
POLICY
CONSTRUCTION
AAIS Fine
Arts coverage requires at least these
four forms:
SCHEDULES
OF COVERAGES
IM
7355–SCHEDULE OF COVERAGES–FINE ARTS DEALERS COVERAGE
This Schedule of Coverages is used with
IM 7350–Fine Arts Dealers Coverage. IM 7355 contains the following information:
Covered
Premises
All
occupied and operated premises where coverage is desired must be listed.
Premises
Limits
The limit of insurance at each covered
premises is entered in the space provided. It is the most paid in any one
occurrence for loss to fine arts.
Coverage
Extensions
The limits on the Schedule of Coverages
for the following coverages apply to all covered locations:
Supplemental
Coverages
Each of these coverages provides
additional limits of coverage or additional coverage. Required entries vary by
type of coverage.
Deductible
One deductible is entered that applies
to all covered premises.
Coinsurance
One of the following coinsurance options
must be selected:
Optional
Coverages and Endorsements
This section of the schedule of
coverages lists endorsements and forms included when the policy is issued.
IM
7350–FINE ARTS DEALERS COVERAGE FORM ANALYSIS
AGREEMENT
This section states that the insurance
company provides the coverage described in the coverage form and in the
schedule of coverages in return for the insured's premium payment. This is
subject to all the coverage form's terms, conditions, endorsements, and
definitions.
DEFINITIONS
Defined terms
are used throughout the coverage form. Restricting their meaning to the
definition in it is how all parties have a clearer understanding of the
coverage intended. Thirteen terms are
defined:
1. You and your
These are the parties identified on the
declarations as the insured.
2. We, us and our
This is the insurance company that
provides the coverage.
3. Antique
This is an
object that has value because it is more than 100 years old and exhibits
craftsmanship of a style or fashion from the past.
4. Earth
movement
This is
earthquake, landslide, mudflow, mudslide, mine subsidence, sinking, rising, or
shifting of earth, or any other movement of the earth’s surface. It does not
include sinkhole collapse.
5. Fine arts
This is property of rare, historical, or
artistic merit. Some examples are paintings, etchings, pictures, tapestries,
art glass, rare glass, art glass windows, valuable rugs, statuary, sculptures,
antique furniture, antique jewelry, porcelains, and bric-a-brac.
6. Flood
This is
flood, surface water, waves, tidal water, or overflow of bodies of water. It
also includes spray resulting from these, whether driven by wind or not.
7. Limit
This is the
amount of coverage that applies to the insured property.
8.
Pollutant
This is a
broad and expansive term. It includes solids, liquids, thermal, or radioactive
contaminants and irritants including, but not limited to, acids, alkalis,
chemicals, fumes, smoke, soot, vapor, and waste. Waste also includes materials
intended for recycling, reclamation, and reconditioning, as well as for
disposal. Visible and invisible electrical or magnetic emissions and sound
emissions are also considered pollutants and are included.
9.
Schedule of coverages
This is any
page labeled as such that contains coverage information, including declarations
or supplemental declarations.
10.
Sinkhole collapse
This is the
sudden settling or collapsing of the earth's surface into an underground
opening created by water acting on limestone or some other rock formation. It
does not include the value of the land or the cost to fill sinkholes.
11.
Specified perils
These are the
named perils of aircraft, civil commotion, explosion, falling objects, fire,
hail, fire extinguishing equipment leakage, lightning, riot, sinkhole collapse,
smoke, sonic boom, vandalism, vehicles, volcanic action, water damage, weight
of sleet, snow or ice and windstorm.
Falling
objects requires further explanation. It does not include loss to personal
property stored in the open. It also does not include damage to the interior of
buildings or personal property stored in buildings unless a falling object
first breaches the building's exterior.
Water damage
also must be explained further. It is a sudden or accidental discharge or
leakage of water or steam. However, it must be a direct result of a part of the
system or appliance that holds the water or steam cracking or breaking.
12. Terms
These are all
provisions, limitations, exclusions, conditions and definitions that apply to
this coverage.
13.
Volcanic action
This is
airborne volcanic blast or shock waves, ash, dust, and particulate matter. It
includes lava flow but does not include the cost to remove dust, ash, or
particulate matter that does not directly damage covered property.
PROPERTY
COVERED
The
insurance company covers direct physical loss or damage from a covered peril to
the named insured's stock in trade. Similar property of others in its care,
custody, or control is also covered.
Coverage applies only when the stock in trade
or property of others is fine arts and is at a location listed on the schedule
of coverages. The named insured must both occupy and operate the location.
|
Example: The Ritzy Ditsy Art Gallery owns and operates an art gallery in a
medium-size Midwestern city. It sells its own purchased art objects as well
as art items that belong to others on a consignment basis. Since Ritzy also
offers repair and renovation services, it has property of others on premises
for such services. Ritzy takes great pride in its facility and the fact that
it is the only operation of its kind in the greater metropolitan area.
Because of this, many area artists turn to Ritzy Ditsy to display and sell
their work, as this gallery is a destination and a magnet for patrons of the
arts in its metropolitan area. This coverage form insures both owned property
and property of others in Ritzy Ditsy's care,
custody, or control. |
PROPERTY
NOT COVERED
Seven specific types of property are
excluded:
1. Coins
and Stamps
These are
numismatic and philatelic objects and collections.
2.
Contraband
These are
goods that are illegal to possess, or that are legal but are in the course of
illegal transportation.
3. Furs
This also
includes garments trimmed with fur. This property is more correctly insured
under furriers customers coverage forms.
4.
Jewelry, Stones and Metals
Stones are
precious and semi-precious stones. Metals are gold, silver, platinum, and other
precious metals and alloys.
Note: No part of this exclusion
applies to antique jewelry.
5. Money and Securities
This means a number of different types
of property. It includes currency, food stamps, and lottery tickets not held
for sale, in addition to money, notes, or securities.
Note: This property is more correctly insured under
commercial crime coverage forms.
6. Vehicles
These
are automobiles or any other type of self-propelled vehicle designed for use on
public highways.
Note: This property is more correctly insured under commercial
automobile coverage forms.
7.
Waterborne Property
This property
is excluded, except when in transit and
in a carrier for hire's care, custody, or control.
COVERAGE
EXTENSIONS
Provisions
That Apply To Coverage Extensions
There are two coverage extensions. The
limit for each is either the limit on the schedule of coverages or the default
limit included in the coverage form. These limits are part of the applicable
limit for covered property and not in addition to it, unless otherwise
indicated. These limits are not added to or combined with limits for any other
coverage extension or supplemental coverage and are not subject to any
coinsurance provisions that apply elsewhere in the coverage form.
1. Debris Removal
The insurance
company pays costs incurred to remove debris caused by a covered peril
occurring. The most paid is 25% of the amount paid for the actual direct
physical loss or damage. The combined value of the direct loss or damage and
the debris removal cannot exceed the limit of insurance for the covered
property.
An additional
$5,000 (or a higher amount entered on the schedule of coverages) is available
if the debris removal expense is more than 25% of the loss amount or if the
combined cost of loss and debris removal is more than the limit of insurance
for the covered property. Debris removal expenses must be reported to the
insurance company within 180 days of the loss date in order for this extension
to apply.
Note: This coverage extension
does not apply to any pollutant cleanup, extraction, removal, restoration, or
replacement involving either land or water.
2.
Emergency Removal
This covers
direct physical loss or damage to covered property while it is being moved or
stored elsewhere in order to avoid loss or damage caused by a covered peril at
a scheduled location. Coverage applies for up to ten days after the property is
first moved but does not extend past the policy expiration date. An entry can
be made on the schedule of coverages to increase the number of days.
Note: Coverage does not extend
past the expiration date. If the insured has property at an emergency location
when coverage renews, the emergency location must be listed as a premises or
coverage no longer applies.
Example: Ritzy Ditsy is painfully aware of the
potential damage to some of its more delicate stock in trade by tomorrow's
predicted tornados. As a result, Ritzy's owner packs up as much of it as will
fit in a van, drives it to her home, and waits for the watches and warnings
to expire. She is thankful that the tornado did not cause the anticipated
damage. On her way back to the store she swerves to avoid a duck and the van
flips into a culvert. All of the property is destroyed. Because of the
Emergency Removal coverage, the full property coverage limits apply to this
loss instead of the transit limit of insurance. |
SUPPLEMENTAL
COVERAGES
Provisions
That Apply To Supplemental Coverages
There are two supplemental coverages.
The limit for each is the limit for the supplemental coverage unless there is a
limit for that coverage on the schedule of coverages. Limits for any
supplemental coverage are separate from and not part of the applicable limit
for covered property.
The limit available for coverage
described under a supplemental coverage is the only limit available for it. It
is not the total of the limit for a supplemental coverage and the limit for
covered property. The limits are not added to or combined with limits for any
other supplemental coverage or coverage extension and are not subject to any
coinsurance provisions that apply elsewhere in the coverage form.
1. Pollutant Cleanup and Removal
a. The insurance company pays the named insured's expenses to extract pollutants from land or water if their release or discharge was caused in any way by a covered peril that occurred during the policy period.
b. The expenses to extract pollutants are paid only if reported to the insurance company within 180 days of the date of loss.
c. Costs related to testing, evaluating, observing, or recording pollutants are not covered but the costs of testing necessary to extract pollutants from land or water are covered.
d. The most paid
is $5,000 for all such expenses caused by a covered peril that occurs during
each separate 12-month policy period, unless there is a different limit on the
schedule of coverages.
2. Transit
Coverage applies to direct physical loss
or damage by a covered peril to covered property while in transit. The most
paid in any one occurrence is $5,000, unless there is a different limit on the
schedule of coverages.
PERILS
COVERED
Coverage applies to risks of direct
physical loss or damage unless the loss is limited or caused by an excluded
peril.
PERILS
EXCLUDED
1. The first group of
exclusions is essentially absolute. Subject to specific exceptions, loss or
damage by each is totally excluded, regardless of any other cause or event that
contributes to a loss, either concurrently or in any other sequence. The insurance
company does not pay for any direct or indirect loss or damage caused by or
resulting from any of these events.
a. Civil
Authority
There is no
coverage for loss resulting from the order of any civil or government
authority. This includes (but is not limited to) seizure, confiscation,
destruction, or quarantine of property. Coverage does apply for loss or damage
caused when a civil authority destroys property in order to prevent the spread
of fire. However, that fire must be the result of a covered peril.
b. Earth
Movement or Volcanic Eruption
Coverage does
not apply to loss or damage caused by earth movement or eruption, explosion, or
effusion of a volcano. Coverage does apply to direct loss or damage by fire,
explosion, or volcanic action that results from any of these events. Coverage also applies for loss or damage caused by sinkhole collapse and to
covered property in transit.
c. Flood
The insurance
company does not pay for loss or damage caused by flood. It does cover direct
loss or damage caused by fire, explosion, or sprinkler leakage that results
from a flood occurrence. However, this exclusion does not
apply to covered property in transit.
d. Nuclear
Hazard
The insurance
company does not insure against loss or damage caused by or resulting from any
nuclear reaction, radiation, or contamination, whether the nuclear incident was
controlled or not, or was caused by any means. Any loss caused by the nuclear
hazard is not treated as a loss caused by fire, explosion, or smoke. However,
coverage
e. Sewer Backup and
Water below the Surface
Coverage does
not apply to loss or damage caused by water backup from a sewer or drain or
from water below the surface of the ground that exerts pressure on covered
buildings or structures. However, fire, explosion, and theft losses that result
from such backup or hydrostatic pressure are covered. This exclusion does not
apply to covered property in transit.
f. War and
Military Action
The insurance
company does not pay for loss or damage caused by any act of war. This means
undeclared and civil war or warlike action by a military force is not covered.
All actions taken to hinder or defend against an actual or expected attack by
any government or sovereign authority that uses military personnel or other
agents are also not covered. Acts of insurrection, rebellion, revolution, or
unlawful seizure of power are not covered and any action any government
authority takes to prevent or defend against any such acts are also not
covered. If any action within the terms of this exclusion involves nuclear
reaction, radiation, or contamination, this exclusion applies in place of the
nuclear hazard exclusion.
2. The second group of
exclusions applies to loss or damage caused by or resulting from any of the
following loss events. Some of these exclusions have exceptions, conditions, or
limitations that should be noted and reviewed carefully. The insurance company
does not pay for any loss or damage caused by or resulting from any of these
events.
a. Breakage, Marring and Scratching
There is no coverage for loss or damage
caused by or resulting from breakage, marring, or scratching of covered
property. However, if any of these results in a specified peril, coverage
applies to the loss or damage caused by that peril.
Example: While many of Ritzy Ditsy's objects of art are
paintings, it does have a few porcelain vases and several glass objects.
Ritzy displays these items in a locked plexiglass display case accessible by
only the gallery director and his wife. They are the only ones allowed to
clean and reposition these objects. This decision is influenced by the fact
that Ritzy Ditsy is unable to find an insurance company willing to write
coverage for these perils at a reasonable premium. |
b.
Contamination or Deterioration
Loss or
damage caused by contamination or deterioration is excluded. This includes
corrosion, decay, fungus, mildew, mold, rot, rust, or any quality, fault, or
weakness in covered property that causes it to damage or destroy itself.
c.
Criminal, Fraudulent, Dishonest or Illegal Acts
Coverage does
not apply to loss caused by or that results from criminal, fraudulent,
dishonest, or illegal acts, committed alone or in collusion with another, by
any of the following:
This
exclusion does not apply to covered property in the custody of carriers for
hire.
Coverage
continues to apply if employees destroy property but it does not apply if
employees steal.
d. Diminished Value
Renovation or repair of an item of fine
arts may reduce its value. However, the insurance company does not pay for such
reduction in value even it is the result of a repair following a covered loss.
Example: A windstorm blows out a window and water pours
into Ritzy Ditsy’s gallery. Although many items
were protected by the plexiglass cases, a 19th century bureau
sustained significant water damage. While the insurance company paid for its
renovation and repair, it could not restore the lost patina or natural aging.
The lost patina reduced the value of the bureau by $10,000, an amount not
covered by insurance. |
e. Loss of Use
There is no coverage for loss that
results from delay, loss of use, or loss of market.
f. Missing
Property
Unexplained
or mysterious disappearance of covered property is excluded when there is no
physical evidence to indicate what happened to it and the only proof that a
loss occurred is based on an audit or physical inventory. This exclusion does
not apply to covered property in the custody of carriers for hire.
g.
Pollutants
There is no
coverage for loss or damage caused by or resulting from any release, discharge,
seepage, migration, dispersal, or escape of pollutants, unless the event is
caused by a specified peril, and except for the coverage provided under
Supplemental Coverages–Pollutant Cleanup and Removal. Coverage applies to the
resulting loss or damage to covered property caused by a specified peril.
h.
Processing and Work
Coverage
does not apply when loss or damage results from work being performed on covered
property. Examples are repair and/or restoration work.
Example: Ritzy Ditsy re-frames artwork as part of its operations. While working on a $25,000
painting, a tear developed in the canvas that ruined the value of the
painting. There is no coverage for this loss. |
i. Temperature/Humidity
Loss or
damage to covered property caused by dryness, dampness, humidity, changes in,
or extremes of temperature is excluded.
j. Theft from an Unattended Vehicle
Coverage does not apply to theft of
covered property from an unattended vehicle unless the vehicle was locked, its
windows securely closed, and there was visible evidence of forced entry into the
vehicle. This exclusion does not apply to covered property in the custody of
carriers for hire.
k.
Voluntary Parting
Loss or
damage to covered property voluntarily given to others is excluded. There is no
coverage even if the surrender was due to a fraudulent scheme, trick, or false
pretense.
l. Wear
and Tear
Loss or
damage caused by wear, tear, marring, or scratching is excluded. However, if
any of these events results in a covered peril occurring, the loss or damage caused by or resulting from that
peril is covered.
Note: Wear and tear is damage,
diminishment in value, or erosion due to long or hard use or exposure,
including breakdown over time and eventually becoming unusable because of
previous use. This includes the tendency of property to pull apart or break
down into pieces because of forces applied to it.
WHAT
MUST BE DONE IN CASE OF LOSS
1. Notice
The named
insured must give prompt notice of a loss to the insurance company or its
agent. The notice must include a description of the property lost or damaged.
If a criminal act caused the loss, the appropriate law enforcement agency must
also be notified.
Note: The insurance company has
the right to require that the notice be in writing.
2. You
Must Protect Property
During and
after a loss, all reasonable steps must be taken to protect covered property
from further loss. The insurance company pays reasonable costs incurred to do
so provided the named insured maintains accurate records
to substantiate the costs. Paying these costs is not in addition to the policy
limits. There is no coverage for any repairs or emergency measures performed on
property not already damaged by a covered peril.
Note: Such costs incurred
reduce the amount available to pay the actual loss.
3. Proof
of Loss
The named
insured must complete and return the insurance company's prescribed proof of
loss forms within 60 days of its request to do so. The information provided
must include the time, place, and circumstances surrounding the loss and
information on any other insurance coverage that may apply. It must also
include the interest of the named insured and others with respect to the
property involved, including lienholders, loss payees, and mortgagees. Any
changes in title to the property during the policy period must be disclosed, in
addition to providing any other reasonable information the company may require
to adjust and settle the loss.
4.
Examination
Examination
under oath may be required in matters that relate to the loss. The insurance
company may request these examinations on multiple occasions but such requests
must be reasonable. If multiple persons are examined, the company has the right
to examine each individual separately.
5. Records
The named
insured must maintain and produce any records related to the loss. The
insurance company must be permitted to make copies and take extracts of them as
often as it reasonably requests. Records include (but are not limited to) tax
returns and bank microfilms of all related cancelled checks.
6. Damaged
Property
Both damaged
and undamaged property must be made available for the insurance company's
inspection as often as reasonably necessary. It must also be allowed to take
samples of the property to the extent necessary to adjust and settle the loss.
7.
Volunteer Payments
If the named
insured voluntarily makes any payments, assumes any obligations, pays or offers
rewards, or incurs any other expenses without the insurance company's express
approval, it does so at its own expense. The only exceptions are those costs
incurred to protect property as outlined in item 2. of this section.
8.
Abandonment
Abandoning
damaged property to the insurance company without its written consent is
prohibited.
9.
Cooperation
The named
insured must cooperate with the insurance company and perform all acts the
coverage form requires.
VALUATION
1. Your Property
The
value of the named insured's property is based on a combination of its Purchase
Price plus any related Acquisition Expenses.
a. Purchase Price is defined as the named insured's actual
cost to acquire the property.
b. Acquisition Expenses are defined as expenses above and
beyond the purchase price that the named insured incurs to acquire the property
and prepare it for sale.
c. Acquisition expenses are not open-ended. They cannot exceed
25% of the purchase price of the property. Shipping, mounting, and framing are
considered acquisition expenses, as are costs to restore and refurbish.
Example: Ritzy Ditsy purchases a painting for $25,000. It needs restoration and the cost to
do so is $10,000. After the restoration, the painting's value is $75,000.
While being sent to an exhibition, the painting is destroyed in an accident
before it arrives. Ritzy Ditsy receives $25,000, the purchase price, plus
$6,250, the restoration amount, limited to 25% of the purchase price, for a
total of $31,250 for the loss. |
2. Property of Others
There are two
ways to value property of others.
a. Consignment Amount is the preferred method and is the value of property of
others as stated in writing in the consignment agreement between the property
owner and the named insured. The written agreement must be in place prior to
any loss.
b. Absence of Written Consignment Amount is used when there is no written
agreement. In that case, the property value is based on its fair market value
at the time of loss.
3. Property Sold
Property sold but not delivered is
valued at the selling price of the property. This value is then reduced by:
·
Discounts that would have been provided to the
buyer
·
Any expenses the named insured does not incur
that it normally would have incurred for sold items
Example: If the painting in the example above was sold for its value of $75,000
and was in the process of being delivered when it was destroyed, the value
would be $75,000, less discounts and unincurred
expenses, instead of $31,250. A discount could have been a 10% payment in
cash discount. The delivery expenses that were not incurred are an example of
an unincurred expense. |
4. Pair or Set
The value of
a loss that involves damage or loss of one part of a pair or set is based on a
reasonable proportion of the value of the entire pair or set. However, the loss
of one part of a pair or set is not considered a total loss.
Note: This recognizes that the
value of the whole is greater than the value of individual parts but that the
remaining parts still have value as separates.
5. Loss to Parts
The value of
a lost or damaged part of property that consists of several parts is the cost
to repair or replace only the lost or damaged part.
HOW
MUCH WE PAY
1.
Insurable Interest
The insurance
company does not pay more than the named insured's insurable interest in the
covered property at the time of loss.
Note: Insurance is meant to restore a person’s pre-loss
financial position, not to improve or enhance it.
2.
Deductible
The insurance
company pays only the amount of loss that exceeds the deductible amount entered
on the schedule of coverages.
3. Loss
Settlement Terms
Subject to
other items in this section, the insurance company pays the lesser of:
4. Coinsurance
a. When coinsurance applies to a coverage provided, the insurance company
pays only part of the loss if the limit is less than the percentage of the
value of the covered property on the schedule of coverages.
b. The three steps to determine the amount of the loss to be paid are:
Step 1.
Multiply the percentage on the schedule of coverages by the value of the
covered property at the time of loss.
Step 2.
Divide the limit for covered property by the result determined in step 1.
Note: There is no coinsurance
penalty if the result is1.00 or higher.
Step 3. When
step 2. is less than 1.00 a coinsurance applies. Subtract the deductible from
the amount of loss and then multiply the
total amount of loss by the percentage determined in step 2 above.
The insurance company does not pay more
than the amount determined in step 3) or the limit, whichever is less. It does
not pay any remaining part of the loss.
c. If there is more than one limit on the schedule of coverages, this
procedure is applied separately to each limit.
d. If there is only one limit on the schedule of coverages, this procedure is
applied to the total of all covered property insured under that limit.
e. This coinsurance provision does not apply unless there is a coinsurance
percentage entered on the schedule of coverages.
5.
Insurance under More Than One Coverage
If two or
more coverages in the coverage form apply to the same loss, the insurance
company does not pay more than the value of the actual claim, loss, or damage
sustained.
6.
Insurance under More Than One Policy
a.
Proportional Share
If the named
insured has other coverage subject to the same terms as this coverage form,
this coverage form pays only its share of the covered loss. That share is the
proportion that its limit of insurance bears to the limits of insurance on all
policies that cover on the same basis.
b. Excess
Amount
If the named
insured has other coverage that insures the loss other than as described above,
this coverage form pays only the amount of covered loss that exceeds the amount
due from that other coverage (whether collectible or not). Any payment is
subject to the applicable limit of insurance.
LOSS
PAYMENT
1. Loss
Payment Options
a. Our
Options
The insurance
company has four loss payment options if a covered loss occurs.
b. Notice
of Our Intent to Rebuild, Repair, or Replace
The insurance
company must notify the named insured of its intent to rebuild, repair, or
replace within 30 days after receiving a properly completed proof of loss.
2. Your
Losses
a.
Adjustment and Payment of Loss
The insurance
company adjusts all losses with and pays the named insured, unless another loss
payee named in the policy is involved.
b.
Conditions for Payment of Loss
The insurance
company pays a covered loss within 30 days after it receives a properly
prepared proof of loss and the amount of loss is established. The amount of
loss is determined through either a written agreement between the company and
the named insured or after an appraisal award is filed with the company.
3.
Property of Others
a.
Adjustment and Payment of Loss to Property of Others
The insurance
company can adjust and pay losses that involve property of others to either the
named insured acting on behalf of the property owner or directly to the
property owner, at its discretion.
b. We Do
Not Have To Pay You if We Pay the Owner
When the
insurance company pays the property owner, it is not obligated to pay the named
insured. In addition, if the property owner sues the named insured, the company
has the option of defending the named insured in that suit.
OTHER
CONDITIONS
1.
Appraisal
The insurance
company and the insured may not always agree on the value of a covered claim.
This condition provides one method to solve disputed claims.
Either party
can request an appraisal to determine the value of a disputed claim. Once
requested, the parties have 20 days to obtain their own independent and
competent appraisers and supply the appraiser's name to the other party. The
two appraisers then have 15 days to select a competent impartial umpire. If
they cannot agree on an umpire within 15 days, either can request that a judge
in the court of record in the state where the property is located appoint one.
The
appraisers then determine the value of the claim. Any differences are submitted
to the umpire. Once any two of the three parties agree, the amount of loss is
set.
Each party
pays its own appraiser. Both parties share the cost of the umpire and other
expenses.
2. Benefit
to Others
The insurance
provided does not directly or indirectly benefit any party that has custody of
the named insured's property.
3.
Conformity with Statute
Any condition
in this coverage form that conflicts with any applicable law is amended to
conform to that law.
4. Estates
Note: This condition applies
only if the named insured is an individual.
a. Your
Death
If the named
insured dies, the person who has custody of the named insured's property is an
insured until a qualified legal representative is appointed. The named
insured’s legal representative becomes an insured once appointed. Both are
insureds but only with respect to the property insured under this coverage
form.
b. Policy
Period Is Not Extended
This coverage
does not extend past the policy expiration date.
5.
Misrepresentation, Concealment or Fraud
This coverage
is void if any insured at any time willfully concealed or misrepresented a
material fact that relates to the insurance provided, the property covered, or
its interest in the property. It is also void if fraud or false swearing by any
insured took place concerning the insurance provided or the property covered.
Note: The named insured must
deal with the insurance company honestly. If it intentionally misrepresents or
conceals a material fact or information, its rights of recovery may be voided.
This means that the insurance is treated as simply having never existed versus
a particular claim being denied.
6. Policy
Period
Only covered
losses that occur during the policy period are paid.
7.
Recoveries
Payment of
the loss does not end the obligations of the insured and the insurance company
toward one another. If the insurance company pays a loss and the lost or
damaged property is subsequently recovered (or the parties responsible for the
loss pay for it), additional provisions apply.
Either party
that recovers property or payment must inform the other. Recovery expenses
incurred by either party are reimbursed first. If the insured keeps the
recovered property, it must refund the amount of the claim the insurance
company paid (unless the company agrees to a different amount). If the claim
paid is less than the agreed loss due to application of a deductible or other
limitations, any recovery is prorated between the named insured and the
insurance company, based on the company's respective interest in the loss.
8.
Restoration of Limits
Payment of a
claim does not reduce the limit available for future claims.
9.
Subrogation
The insurance
company acquires the named insured's rights of recovery from third parties
after it pays a loss. The named insured must assist the insurance company in
securing those rights. If it hinders or impairs the company's rights of
subrogation, the company is not obligated to pay the loss.
Note: The named insured can
agree in writing to waive recovery rights from others before a loss occurs.
10. Suit
against Us
The insurance
company cannot be sued by anyone for any coverage until all the terms of the
coverage form have been met. Suits must be brought within two years after the
insured first had knowledge of a loss. If a state law invalidates this
condition, any suit brought must comply with the provisions of that law and
begin within the shortest period of time allowed by law.
Note: It is normal for a basic
coverage form to be modified by mandatory state-specific endorsements that
address issues that relate to that specific state.
11.
Territorial Limits
Covered
property must be located in the United States, its territories and possessions,
Canada, or Puerto Rico in order for coverage to apply.
12. Carriers for Hire
The named insured is permitted to accept
shipping documents from transportation companies that limit the carrier’s
liability to amounts that are less than the covered property’s replacement cost
or actual cash value.
IM
7356–SCHEDULE OF COVERAGES–FINE ARTS DEALERS BLANKET COVERAGE FORM
This Schedule of Coverages is used with
IM 7351–Fine Arts Dealers Blanket Coverage Form. IM 7356 contains the following
information:
Covered
Premises
All
occupied and operated premises where coverage is desired must be listed.
Limits
The
limits of insurance are entered in the space provided.
Note: This is not a per-premises limit. It is
an occurrence limit that applies over the named insured's occupied and operated
premises. This limit must be sufficiently high to cover all premises and to
meet the coverage form's coinsurance requirements.
Coverage
Extensions
The limits on the Schedule of Coverages
for the following coverages apply to all covered locations:
Note: Each of these extensions applies. When an entry
is not required, the full policy limit applies, subject to any limitations in
the coverage extension.
Supplemental
Coverages
Each of these coverages provides
additional limits of coverage or additional coverage. Required entries vary by
type of coverage.
Check the appropriate box for Coverage
Provided or Coverage Not Provided. If coverage is provided:
Check the appropriate box for Coverage
Provided or Coverage Not Provided. If coverage is provided:
Check the appropriate box for Coverage
Provided or Coverage Not Provided. If coverage is provided:
Valuation
Valuation is based on one or the other
of the following selections:
Deductible
Deductible amounts must be entered for
All Covered Perils
Other
deductibles can be entered for the following and supersede the entry for All
Covered Perils:
Note: The deductible entered applies to all covered
locations.
Note: Under Supplemental Coverages, if earthquake, flood,
and/or sewer backup coverage applies, a deductible that applies specifically to
that selected coverage must be entered. That deductible applies instead of the
deductible that applies to all covered locations.
Coinsurance
One of the following coinsurance options
must be selected:
Optional
Coverages and Endorsements
This section of the schedule of
coverages indicates coverage endorsements and forms included when the policy is
issued.
IM
7351 06 04–FINE ARTS DEALER–BLANKET COVERAGE FORM ANALYSIS
This coverage form is similar to IM
7350–Fine Art Dealers Coverage analyzed above except for seven sections. This
analysis addresses only the seven sections that are different.
DEFINITIONS
The
definition of suit is added. It is used only with property of others in
the named insured’s care, custody, or control. It is a judicial proceeding
designed to determine if the named insured is liable for loss or damage to such
property and the damages owed. It also includes arbitration proceedings but
only if the named insured is required to participate in them.
PROPERTY
COVERED
Coverage is broadened to apply beyond
the named insured’s premises. It includes owned property and property of others
in the named insured's care, custody, or control at other than owned premises.
Coverage is limited to property consisting of fine arts temporarily at other
premises. These other premises may be exhibitions, at customers' premises
awaiting approval. The other premises may also be one where work such as
framing, renovating, packing, or appraising is performed on the property.
Note: This broader coverage applies only when there is a
limit on the schedule of coverages.
COVERAGE
EXTENSIONS
Four coverage extensions are added and
one is changed.
The coverage extensions added are:
2.
Defense Costs
a. When suits are brought against the named insured
for loss or damage to covered property caused by a covered peril, the insurance company has the option to defend those
suits. It can investigate and settle such claims or suits.
b. The company is not obligated to defend once it has paid the limit based on
a judgment or written settlement.
c. The named insured is not permitted to interfere with the insurance
company's actions or negotiations for a settlement. It also cannot admit
liability for a loss, settle a claim, or incur any expense related to the claim
unless the insurance company agrees in writing to permit it to do so.
d. The insurance company pays seven specific types of expenses but only if
they relate to investigating or defending a suit. These expenses are not
subject to a deductible.
3.
Diminished Value
Diminished value covers the reduction in
value of an item because it was damaged and repaired. It is based on the
difference in value of an item before a covered loss and the value after it is
repaired .An independent certified fine arts appraiser must determine the fair
market value of the items after the loss. The diminished value is limited to
25% of the total value of the property as detailed in Valuation.
Note: This coverage extension does not increase the limit
for covered property or the value of covered property as detailed in Valuation.
4. Emergency Removal Expenses
This coverage
extension pays the named insured’s expenses to move covered property away from
a covered location threatened by a covered peril. It also pays for storage fees
incurred to keep it at a safe location up to ten days after the property is
first moved. The most paid for such expenses in any one occurrence is $1,000.
Coverage ends with the policy expires even if the items are still at the safe
location.
Note: This is additional
coverage. As a result, all such expenses paid are in addition to the limit of
insurance for this property.
6. Fraud and Deceit
This coverage applies to
theft of covered property when the named insured or its agents, consignees, or
customers give the property away. This
giving away occurs because person(s) falsely represented themselves as the
proper persons to receive the property or because fraudulent bills of lading or
other shipping receipts were presented. The most paid in any one occurrence is
$1,000.
The coverage extension changed is Debris
Removal. The limit is increased to $10,000.
SUPPLEMENTAL
COVERAGES
Seven supplemental coverages are added
and one is changed.
The items added are:
1. Breakage Coverage
This covers loss or damage to covered
property caused by or resulting from breakage, marring, or scratching. The most
paid in any one occurrence is $1,000.
2.
Earthquake Coverage
The insurance company covers direct
physical loss or damage to covered property caused by earthquake and volcanic
eruption. Coverage applies only if the appropriate box is checked and a limit
entered on the schedule of coverages. This is also subject to a separate
deductible.
Note:
This
coverage does not have a default limit.
As a result, coverage applies only if there is a limit on the schedule of
coverages. Since this could be confusing, if earthquake coverage is not
provided, the word "none" should be entered in the limits space on
the schedule of coverages.
3.
Flood Coverage
The insurance company covers direct
physical loss or damage to covered property caused by flood. Coverage applies
only if the appropriate box is checked and a limit entered on the schedule of
coverages. This is subject to a separate deductible.
Note:
This
coverage does not have a default limit.
As a result, coverage applies only if there is a limit on the schedule of
coverages. Since this could be confusing, if flood coverage is not provided,
the word "none" should be entered in the limits space on the schedule
of coverages.
4.
Newly Acquired Premises
Coverage applies to direct physical loss
or damage by a covered peril to covered property at a location the named
insured acquires during the policy period. The limit is $10,000 at each
location (unless there is a different limit on the schedule of coverages).
Coverage applies for up to 60 days from the acquisition date or until reported
to the insurance company, whichever occurs first. Coverage does not extend past
the expiration date. Additional premium for the coverage must be paid from the
acquisition date.
6.
Rewards
If a covered arson, theft, or vandalism
loss occurs, this coverage provides a reward for information that leads to the
conviction of the party or parties who caused the loss. Payment is limited to
$1,000 and is based on the occurrence, not the number of persons providing
information. The limit can be increased.
7.
Sewer Backup Coverage
Coverage applies to direct physical loss
or damage to covered property caused by water damage from the backup of a sewer
or drain. Coverage also applies to loss from sub-surface water pressure on or
leakage through or into a covered building or structure. Coverage does not
apply unless the appropriate box is checked and a limit is entered on the
schedule of coverages. This is subject to a separate deductible.
Note:
This
coverage does not have a default limit.
As a result, coverage applies only if there is a limit on the schedule of
coverages. Since this could be confusing, if sewer backup coverage is not
provided, the word "none" should be entered in the limits space on
the schedule of coverages.
8. Storage Locations
Covered property in storage is insured
at locations not listed on the schedule of coverages. Payment is limited to
$10,000 or the limit entered on the schedule of coverages.
The item changed is Pollutant Cleanup
and Removal. The limit is increased to $10,000.
PERILS
EXCLUDED
Six perils are changed but only because
of references to additional Coverage Extensions or Supplemental Coverages.
VALUATION
The option to replace Purchase Price
Plus Acquisition Cost with Fair Market Value is added. If fair market value is checked on the schedule of coverages, it replaces
purchase price plus acquisition cost as the valuation method. Fair market value
is an estimate of what an interested purchaser is willing to pay an
interested seller for certain types of property in a free market at the time of
loss.
Note:
This option can be a double-edged
sword. Fine arts can appreciate or depreciate in value based on current taste,
interest, and other whims of the market place. Regular appraisals are needed to
keep the schedule current, since the fair market value is based on conditions
at the time of loss. The possibility always exists that the named insured may
have better coverage using the purchased price plus acquisition cost than the
fair market value at a certain point in time.
HOW
MUCH WE PAY
The
Earthquake Period provision is added. It states that all earthquake and
volcanic activity in a single 168-hour period is considered a single
earthquake.
IM
7405–SCHEDULE OF COVERAGES–FINE ARTS FLOATER
This Schedule of Coverages is used with
IM 7400–Fine Arts Floater. IM 7405 contains the following information:
Covered
Premises
Described Premises–Refer To Fine Arts
Schedule
Coverage
Extensions
The limit on the Schedule of Coverages
for the following coverage applies to all covered locations:
Emergency Removal
Note: Emergency Removal coverage is limited to 10 days.
The number of days can be increased.
Supplemental
Coverages
Each of these coverages provides
additional limits of coverage or additional coverage. Required entries vary by
type of coverage.
Deductible
Deductible Amount for
All Covered Perils
Optional
Coverages and Endorsements
This section of the schedule of
coverages indicates coverage endorsements and forms included when the policy is
issued.
IM
7400–FINE ARTS FLOATER ANALYSIS
This coverage form is similar to IM
7350–Fine Art Dealers Coverage analyzed above except for six sections. This
analysis addresses only the differences in those six sections.
Note: This is a floater, not a Dealers Form. This means it
is designed for collections.
PROPERTY
COVERED
Property covered is much more
restrictive. The only fine arts covered are those listed and described on
IM 7406–Fine Arts Schedule–Fine Arts Floater at the premises on the schedule of
coverages.
COVERAGE
EXTENSIONS
This coverage form does not provide
Debris Removal coverage. This means that Emergency Removal is the only coverage
extension provided.
SUPPLEMENTAL
COVERAGES
Three supplemental coverages are added,
one is changed and one is eliminated.
The supplemental coverages added are:
1. Newly Purchased Property
The insurance company covers direct
physical loss or damage from a covered peril to fine arts purchased during the
policy period while at a premises on the schedule of coverages. The most paid
in any one occurrence is $5,000. Coverage applies for up to 60 days after the
fine arts are acquired or until reported to the insurance company, whichever
occurs first. Coverage does not extend past the expiration date. Additional
premium is due from the acquisition date.
2. Property on Exhibit
Coverage applies to direct physical loss
or damage from a covered peril to covered property while exhibited at locations
the named insured does not own or occupy. The exhibit must be temporary. The
most paid in any one occurrence is $1,000.
3. Property off Premises for Framing,
Renovating, Packing or Appraising
This is covered property temporarily at
premises the named insured does not own or occupy. Coverage applies only if the
property is being framed, renovated, packed, or appraised. Coverage applies to
direct physical loss or damage from a covered peril. The most paid in any one
occurrence is $1,000.
The supplemental coverage changed is Transit. The limit is
reduced to $1,000.
The
supplemental coverage eliminated is Pollutant Cleanup and Removal.
PERILS
EXCLUDED
This section
is identical in both coverage forms except that the reference to Supplemental
Coverages–Pollutant Cleanup is eliminated.
VALUATION
Covered property is valued based on the
limit entered for each covered item on IM 7406–Fine Arts Schedule–Fine Arts Floater. The
Valuation terms Your Property, Property of Others, and Property Sold are all
eliminated.
HOW
MUCH WE PAY
The coinsurance condition is eliminated.
IM
7407–SCHEDULE OF COVERAGES–FINE ARTS COVERAGE–COLLECTORS' FORM
This Schedule of Coverages is used with
IM 7401–Fine Arts Coverage–Collectors' Form. IM 7407 contains the following
information:
Covered
Premises
All covered premises must be listed.
Limits
Your Premises:
Other Premises:
Coverage
Extensions
The limits on the Schedule of Coverages
for the following coverages apply to all covered locations:
Note: Each of these extensions applies. If a limit is
not entered, the full policy limit applies, subject to any limitations in the
coverage extension.
Supplemental
Coverages
Each of these coverages provides
additional limits of coverage or additional coverage. Required entries vary by
type of coverage.
Check the appropriate box for Coverage
Provided or Coverage Not Provided. If coverage is provided:
Check the appropriate box for Coverage
Provided or Coverage Not Provided. If coverage is provided:
Check the appropriate box for Coverage
Provided or Coverage Not Provided. If coverage is provided:
Deductible
Deductible amounts must be entered for
All Covered Perils
Other
deductibles can be entered for the following and supersede the entry for All
Covered Perils:
Note: The deductible entered applies to all covered
locations.
Note: Under Supplemental Coverages, if earthquake, flood,
and/or sewer backup coverage applies, a deductible that applies specifically to
that selected coverage must be entered. That deductible applies instead of the
deductible that applies to all covered locations.
Optional
Coverages and Endorsements
This section of the schedule of
coverages lists endorsements and forms included when the policy is issued.
IM
7401–FINE ARTS COVERAGE–COLLECTORS' FORM ANALYSIS
This coverage form is similar to IM
7350–Fine Art Dealers Coverage analyzed above except for six sections. This
analysis addresses only the differences in those six sections.
PROPERTY
COVERED
Property covered is much more
restrictive. The only fine arts covered are those listed and described on IM 7408–Fine Arts Schedule–Fine Arts
Coverage–Collectors' Form at a premises on the schedule of coverages.
Coverage also applies at other locations
the named insured does not own or operate. However, property is only covered
when they are at these locations to be exhibited or to be framed, renovated,
packed, or appraised. The off premises coverage applies only when there is a
limit for it on the schedule of coverages.
Note: Coverage does not apply to stock in trade or
property of others.
COVERAGE
EXTENSIONS
Three coverage extensions are added and
one is changed.
The three coverage extensions added are:
1.
Diminished Value
Diminished value covers the reduction in
value of an item because it was damaged and repaired. It is based on the
difference in value of an item before a covered loss and its value after it is
repaired .An independent certified fine arts appraiser must determine the fair
market value of the items after the loss. The diminished value is limited to
25% of the total value of the property as detailed in Valuation.
Note: This coverage extension does not increase the limit
for covered property or the value of covered property as detailed in Valuation.
3. Emergency Removal Expenses
This coverage
extension pays the named insured’s expenses to move covered property away from
a covered location threatened by a covered peril. It also pays for storage fees
incurred to keep it at a safe location up to ten days after the property is
first moved. The most paid for such expenses in any one occurrence is $1,000.
Coverage ends with the policy expires even if the items are still at the safe
location.
Note: This is additional
coverage. As a result, all such expenses paid are in addition to the limit of
insurance for this property.
4. Fraud and Deceit
This coverage applies to
theft of covered property when the named insured or its agents, consignees, or
customers give the property away. This
giving away occurs because person(s) falsely represented themselves as the
proper persons to receive the property or because fraudulent bills of lading or
other shipping receipts were presented. The most paid in any one occurrence is
$1,000.
The coverage extension changed is Debris
Removal. The limit is increased to $10,000.
SUPPLEMENTAL
COVERAGES
Eight supplemental coverages are added
and one is eliminated.
The eight supplemental coverages added
are:
1. Breakage Coverage
This covers loss or damage to covered
property caused by or resulting from breakage, marring, or scratching. The most
paid in any one occurrence is $1,000.
2.
Earthquake Coverage
The insurance company covers direct
physical loss or damage to covered property caused by earthquake and volcanic
eruption. Coverage applies only if the appropriate box is checked and a limit
entered on the schedule of coverages. This is also subject to a separate
deductible.
Note:
This
coverage does not have a default limit.
As a result, coverage applies only if there is a limit on the schedule of
coverages. Since this could be confusing, if earthquake coverage is not
provided, the word "none" should be entered in the limits space on
the schedule of coverages.
3.
Flood Coverage
The insurance company covers direct
physical loss or damage to covered property caused by flood. Coverage applies
only if the appropriate box is checked and a limit entered on the schedule of
coverages. This is also subject to a separate deductible.
Note:
This
coverage does not have a default limit.
As a result, coverage applies only if there is a limit on the schedule of
coverages. Since this could be confusing, if flood coverage is not provided,
the word "none" should be entered in the limits space on the schedule
of coverages.
4.
Newly Acquired Premises
Coverage applies to direct physical loss
or damage by a covered peril to covered property at a location the named
insured acquires during the policy period. The limit is $5,000 at each
location, unless there is a different limit on the schedule of coverages.
Coverage applies for up to 60 days from the acquisition date or until reported
to the insurance company, whichever occurs first. Coverage does not extend past
the expiration date. Additional premium for the coverage must be paid from the
acquisition date.
5. Newly Purchased Property
This covers direct physical loss or
damage from a covered peril to fine arts the named insured purchases during the
policy period. The most paid in any one occurrence is $5,000. Coverage applies
for up to 60 days after the fine arts are acquired or until reported to the
insurance company, whichever occurs first. Coverage does not extend past the
expiration date. Additional premium is due from the acquisition date.
6.
Rewards
If a covered arson, theft, or vandalism
loss occurs, this coverage provides a reward for information that leads to the
conviction of the party or parties who caused the loss. Payment is limited to
$1,000 and is based on the occurrence, not the number of persons providing
information. The limit can be increased.
7.
Sewer Backup Coverage
Coverage applies to direct physical loss
or damage to covered property caused by water damage from the backup of a sewer
or drain. Coverage also applies to loss from sub-surface water pressure on or
leakage through or into a covered building or structure. Coverage does not
apply unless the appropriate box is checked and a limit is entered on the
schedule of coverages. This is subject to a separate deductible.
Note:
This
coverage does not have a default limit.
As a result, coverage applies only if there is a limit on the schedule of
coverages. Since this could be confusing, if sewer backup coverage is not
provided, the word "none" should be entered in the limits space on
the schedule of coverages.
8. Storage Locations
Covered property in storage is insured
at locations not listed on the schedule of coverages. Payment is limited to
$10,000 or the limit entered on the schedule of coverages.
The supplemental coverage eliminated is
Pollutant Cleanup and Removal.
PERILS
EXCLUDED
While the same exclusions apply in both
coverage forms, IM 7401 offers limited coverage for six of them, as follows:
VALUATION
Covered property is valued based on the
limit entered on the schedule of coverages for each item. There are no
provisions for Property of Others or Property Sold.
HOW
MUCH WE PAY
The
Earthquake Period provision is added. It states that all earthquake and
volcanic activity in a single 168-hour period is considered a single
earthquake.
ENDORSEMENTS
AND SCHEDULES
AAIS has
developed the following endorsements and schedule forms for use with the
various coverage forms:
IM
7360–Breakage Endorsement
This endorsement is used to cover
breakage, marring, or scratching of covered property. It is used with coverage
forms that do not provide this coverage.
IM
7361–Off-Site Location Endorsement
This endorsement is used to cover
insured property at other locations, such as storage facilities, exhibitions,
and places that do framing, renovating, packing, or appraisal work on such
property. It is used with coverage forms that do not provide this coverage.
IM
7406–Fine Arts Schedule–Fine Arts Floater
(Use with IM 7400) This schedule lists,
describes, and provides a limit on each item of fine arts at described
premises.
IM
7408–Fine Arts Schedule–Fine Arts Coverage–Collectors' Form
(Use with IM 7401) This schedule lists,
describes, and provides a limit on each item of fine arts at described
premises.
Note: Additional company specific endorsements may be
available. Each should be examined to determine how it affects coverage. Forms
frequently add requirements for safeguards, such as theft systems and alarms or
climate control. Additional requirements may include use of glass cases to
display property or restrict the amount of time articles may be away from owned
and listed locations. Forms that broaden coverage may include broadened
territory, processing operations for dealers, and different valuation techniques
for unique items or unusual situations.
UNDERWRITING
CONSIDERATIONS
Fine arts
dealers and galleries usually occupy fixed or permanent locations and are
exposed to the common causes of loss that affect them. This is important to
keep in mind because most types of fine art are highly susceptible to damage by
fire, smoke, and water. They also present unique and unusual transit
underwriting considerations and other important loss issues that must be
addressed include breakage, theft, vandalism, and mysterious disappearance.
Because of the number of potential perils and the unique nature of the covered
property, the management of fine arts dealers and galleries must be
underwritten closely and carefully but the same underwriting concerns to
varying degrees apply to fine arts floater and collectors' coverage forms.
Objects of
fine art should always have an independent appraisal to determine the
appropriate value. Purchase price is important but may not have an actual
bearing on the true value or market price of an item of fine art. Appraisals
should be updated periodically since changes, such as the death of an artist,
may increase or appreciate values of fine arts. On the other hand, a flood of
similar items on the market may diminish or depreciate the value.
Fire, smoke,
and theft are the major loss cause concerns and fire and theft systems and
alarms should be in place when substantial values are involved. Sensitive
environmental or atmospheric systems and alarms should be considered in cases
where art is susceptible to damage from temperature or humidity changes. Water
damage from the discharge of sprinkler systems is another important loss
concern. Any object of art especially susceptible to damage by water should be
located away from sprinkler systems and their discharge and protected by other
means.
The degree of
care in packing and unpacking objects of art determines how well they fare in
transit. Specialized moving and packing operations should be employed when
handling and transporting valuable items.
Art located
off premises should be documented and recorded and security at those premises
should be adequate for the nature of the item and the value involved.
Fraudulent acts and trickery can occur and safeguards should be in place to
prevent the unintended delivery of art objects to criminals. Security at
off-site exhibits must be evaluated and appropriate guarantees obtained prior
to consenting to exhibit. If an item of fine art is given to another party on
consignment, a signed consignment agreement should be required to eliminate any
questions about its ownership and the legal responsibility of the party holding
the object.
Fine arts
should be kept at or above ground floor level, since damage from humidity and
water occurs more frequently below grade. Lower levels of a building may be
appropriate for other storage or for processing and refurbishing. It is
important to keep activities that involve heat, including the use of flammable
liquids, at a distance from the main inventory. Flammables should be kept in
proper containers in a well-ventilated area to prevent build-up of fumes, and
away from combustible materials that can increase the chance of spontaneous
combustion and fire.
AAIS
RENEWABLE ENERGY GENERATING EQUIPMENT COVERAGE
Introduction Eligibility Policy Construction IM 8065–Schedule of Coverages–Renewable Energy Generating Equipment IM 8060–Renewable Energy Generating Equipment Coverage Form Analysis (11
10 edition) Agreement Property Covered Property Not Covered Optional Coverages Coverage Extensions Supplemental Coverages Perils Covered Perils Excluded What Must Be Done In Case Of
Loss Valuation How Much We Pay Loss Payment Other Conditions Additional Coverage Limitations
Definitions Endorsements and Schedules Underwriting Considerations |
The American Association of Insurance
Services (AAIS) Renewal Energy Generating Equipment Coverage Form covers
renewable energy generating equipment such as wind turbines and solar panels.
It is designed to cover equipment that is part of or connected to buildings or
building complexes that supplies power to them. Such equipment is (or may be)
part of the building's sustainable or "green" design. Excess capacity
that such equipment generates may be sold to electric utilities. However, this
coverage form is not intended to cover wind farms or large array solar panel
farms.
In addition
to physical damage coverage for the generating equipment, the basic coverage
form includes built-in optional coverages for loss of energy generation income
(if the named insured sells excess power to a utility) and for costs to buy
replacement electricity.
AAIS has developed one Renewable Energy
Generating Equipment Coverage Form and its own corresponding schedule of
coverages. This analysis examines the 11 10 edition of this coverage form.
ELIGIBILITY
Any individual or commercial operation
that owns and/or operates renewable energy generating equipment such as wind
turbines and solar panels is eligible.
POLICY CONSTRUCTION
AAIS
Renewable Energy Generating Equipment Coverage requires at least these four forms:
IM 8065–SCHEDULE OF
COVERAGES–RENEWABLE ENERGY GENERATING EQUIPMENT
This Schedule of Coverages is used with
IM 8060–Renewable Energy Generating Equipment Coverage. IM 8065 contains the
following information:
Covered Property
This section
has spaces to list and describe the location, the covered equipment at that
location, and the limit.
IM 8070–Additional Renewable Energy Generating Equipment Schedule is used to
schedule additional locations and equipment.
Catastrophe Limit
This limit is
entered in the space provided. It is the most paid in a single occurrence at
all locations and for all equipment.
Optional Coverages
There are two
optional coverages. A box must be checked to select coverage and a limit
entered in the space provided. The two optional coverages are:
Coverage Extensions
The limits on the Schedule of Coverages
for the following coverages apply to all covered locations:
Additional Debris
Removal Expenses: The limit is $5,000 unless a different limit is entered.
Supplemental Coverages
Each of these coverages provides
additional limits of coverage or additional coverage. Required entries vary by
type of coverage.
Valuation
There are two
valuation options. A box must be checked to select the one desired. The two
options are:
Deductible
The deductible that applies is entered
in the space provided.
Waiting Period
A waiting
period must be checked if Optional Coverage–Energy Generating Income is
selected. The two options are:
Coinsurance
One of the following coinsurance options
must be selected:
Additional Information
This section of the schedule of
coverages provides additional information or may list endorsements and forms
included when the policy is issued.
IM 8060–RENEWABLE ENERGY
GENERATING EQUIPMENT COVERAGE FORM ANALYSIS
INTRODUCTION
The lead-in
language states that the terms you and your mean the persons or parties named
on the declarations as the insured. We, us, and our means the insurance company
that provides coverage. It also refers to the Definitions section at the end of
the coverage form.
AGREEMENT
This section states that the insurance
company provides the coverage described in the coverage form and in the
schedule of coverages in return for the insured's premium payment, subject to
all of the coverage form's terms, conditions, endorsements, and definitions.
PROPERTY COVERED
Coverage
applies to the renewable energy generating equipment described below, subject
to any exclusions or limitations that apply.
1.
Coverage
Coverage
applies to direct physical loss or damage from a covered peril to the named
insured's renewable energy generating equipment and similar property of others
in the named insured's care, custody, or control.
|
Example: Magnificent Magnetic Metalworks consumes a great deal of power in its
sophisticated metal fabricating processes. Mike, the sole proprietor, decides
to invest some of his profits into his one wind turbine as a hedge against
future rate increases, to reduce his electric bill, and to possibly generate
excess energy to sell back to the utility during his periodic slack periods.
Mike is right on all counts and sees his profits increase even more, even
after allowing for the cost to purchase and install the wind turbine. |
2.
Coverage Limitations
The only
property covered is renewable energy generating equipment listed and described
on the schedule of coverages. The property must be within 1,000 feet of,
attached to, or mounted on a location listed and described on the schedule of
coverages.
PROPERTY NOT COVERED
Six specific types of property are
excluded:
1. Aircraft or Watercraft
This property is more correctly insured
under aircraft and watercraft coverage forms and policies.
2. Buildings and Land
This is any building or land where the
covered property is located.
3.
Contraband
These are
goods that are illegal to possess or that are legal but in the course of
illegal transportation.
4. Stock for Sale
These are goods or merchandise the named
insured has available for sale but only when they are part of its business.
5. Vehicles
This is automobiles or self-propelled
vehicles intended for use on highways.
Note: This property is more correctly insured under
commercial automobile coverage forms.
6.
Waterborne Property
This property is excluded. There are no
exceptions
Note: This exposure is unlikely
to happen frequently, if at all. In the unlikely event that an item of
renewable energy generating equipment is on a barge or ferry, coverage on it
should be arranged through the barge or ferry operator.
OPTIONAL COVERAGES
Two optional
coverages are available. Coverage applies only if selected on the schedule of
coverages.
1. Energy
Generating Income
a.
Coverage
This coverage
applies to the actual loss of surplus power income incurred during the
interruption period that applies to the renewable energy generating equipment.
This loss of income includes loss of credits or rebates. This interruption must
be caused by or result from direct physical loss or damage to renewable energy
generating equipment by a covered peril that causes the interruption. It must
occur at a location listed on the schedule of coverages.
b.
Coverage Limitation
The loss of
surplus power income is limited to the documented amount of the surplus power
it generated and sold before the date of loss. This coverage does not insure
the named insured's costs to purchase power for resale or to meet contractual
obligations.
c. Surplus
Power Income Means
This is
income the named insured earned from a public utility. It did so by
transferring surplus electricity its renewable energy generating equipment
produced to the utility's power grid.
d.
Expenses to Reduce a Loss
This coverage
also applies to expenses the named insured necessarily incurs during the
interruption period in order to expedite repairing or replacing the part(s) of
the renewable energy generating equipment that was damaged. However, payment is
only for such expenses to the extent that they reduce the amount of loss or
damage otherwise payable.
e.
Ordinance or Law
This coverage
also applies to the increased time of interruption caused by enforcing any law,
ordinance, or decree that:
·
Regulates construction, use, or repair of covered renewable
energy generating equipment
·
Requires demolishing any part of it not damaged by a
covered peril
The coverage
extended does not include interruption caused by enforcing any law, ordinance,
or decree that:
f. Limit
The most paid
for this optional coverage is the limit on the schedule of coverages. It also
applies to expenses incurred to reduce a loss and to losses related to
ordinance or law.
2.
Electricity Replacement
a.
Coverage
This coverage
pays the named insured's costs to purchase replacement electricity from a
public utility when its renewable energy generating equipment sustains loss or
damage by a covered peril.
b.
Coverage Limitation
This coverage
applies only if the named insured's renewable energy generating equipment would
have produced electricity if there was no direct physical loss or damage to it.
c. Time
Limitation
This coverage
applies only until the renewable energy generating equipment is repaired or
replaced and operates according to its manufacturer's specifications. However,
coverage does not extend past the policy expiration date.
Note: It is very unusual for extra expense type coverage to
end with the policy expiration date. Most continue until other policy
conditions (such as the limits) are exhausted.
d. Limit
The most paid
for this optional coverage is the limit on the schedule of coverages.
Example: Mike at Magnificent Magnetic Metalworks is so taken with the success of
his wind turbine that he decides to make a similar investment. He does so for
the same reasons as for the wind turbine and faces the pleasant task of
making an entry in his accounting records for the significant amount of
additional income he earns from selling the excess energy to the utility
instead of having to purchase replacement electricity from it. |
|
COVERAGE EXTENSIONS
Provisions That Apply To
Coverage Extensions
There is one coverage extension. The
limit is either the limit on the schedule of coverages or the default limit
included in the coverage form. These coverages are part of the applicable limit
for covered property and not in addition to it, unless otherwise indicated.
These limits are not added to or combined with limits for any other coverage
extension or supplemental coverage and are not subject to any coinsurance
provisions that apply elsewhere in the coverage form.
Debris Removal
The insurance
company pays costs incurred to remove debris caused by a covered peril
occurring. The most paid is 25% of the amount paid for the actual direct
physical loss or damage. The combined value of the direct loss or damage and
the debris removal cannot exceed the limit of insurance for the covered
property.
An additional
$5,000 (or a higher amount entered on the schedule of coverages) is available
if the debris removal expense is more than 25% of the loss amount or if the
combined cost of loss and debris removal is more than the limit of insurance
for the covered property. Debris removal expenses must be reported to the
insurance company within 180 days of the loss date in order for this extension
to apply.
Note: This coverage extension
does not apply to any pollutant cleanup, extraction, removal, restoration, or
replacement that involves either land or water.
SUPPLEMENTAL COVERAGES
Provisions That Apply To
Supplemental Coverages
There are two supplemental coverages.
The limit for each is the limit for the supplemental coverage unless there is a
limit for that coverage on the schedule of coverages. Limits for any
supplemental coverage are separate from and not part of the applicable limit
for covered property.
The limit available for coverage
described under a supplemental coverage is the only limit available for it. It
is not the total of the limit for a supplemental coverage and the limit for
covered property. The limits are not added to or combined with limits for any
other supplemental coverage or coverage extension and are not subject to any
coinsurance provisions that apply elsewhere in the coverage form.
1. Newly Acquired Property
a. Coverage
The insurance company covers direct
physical loss or damage caused by a covered peril to additional renewable
energy generating equipment that the named insured acquires during the policy
period.
b. Limit
The most the insurance company pays in a
single occurrence for covered loss or damage to such newly acquired equipment
is $15,000. This limit can be increased.
c. Time Limitation
This supplemental coverage applies for
up to 60 days and ends when the policy expires, 60 days after the additional
equipment is acquired, or when the named insured reports the newly acquired
property to the insurance company, whichever occurs first.
d. Additional Premium
Additional premium is due from the date
the additional renewable energy generating equipment is acquired.
2.
Pollutant Cleanup and Removal
a. Coverage
The insurance company pays the named insured's expenses to extract pollutants from land or water if the pollutant release or discharge was caused in any way by a covered peril that occurred during the policy period.
b. Time Limitation
The expenses to extract pollutants are paid only if reported to the insurance company within 180 days of the date of loss.
c. We
Do Not Cover
Costs related to testing, evaluating, observing, or recording pollutants are not covered but the costs of testing that are a necessary part of extracting pollutants from land or water are covered.
d. Limit
The most paid is $25,000
at each location for all such expenses caused by a covered peril that occurs
during each separate 12-month policy period. The limit can be changed.
PERILS COVERED
Coverage applies to risks of direct
physical loss or damage unless the loss is limited or caused by an excluded
peril.
PERILS EXCLUDED
1. The first group of
exclusions is essentially absolute. Subject to specific exceptions, loss or
damage by each is totally excluded, regardless of any other cause or event that
contributes to a loss, either concurrently or in any other sequence. The insurance
company does not pay for any direct or indirect loss or damage caused by or
resulting from any of these events.
a. Civil
Authority
There is no
coverage for loss resulting from the order of any civil or government
authority. This includes (but is not limited to) seizure, confiscation,
destruction, or quarantine of property. Coverage does apply for loss or damage
caused when a civil authority destroys property in order to prevent the spread
of fire. However, that fire must be the result of a covered peril.
b. Earth
Movement
Coverage does
not apply to loss or damage caused by any earth movement. However, if eruption,
explosion, or effusion of a volcano results in volcanic action, the insurance
company pays for the loss or damage caused. If earth movement results in fire,
the insurance company pays for its resulting loss or damage. If earth movement
other than eruption, explosion, or effusion of a volcano results in an
explosion, the insurance company pays for its resulting damage.
c. Flood
The insurance
company does not pay for loss or damage caused by flood (or waterborne material
carried or moved by flood), whether driven by wind or not. This includes storm
surge or material carried or moved by mudslide or mudflow. However, coverage
does apply to loss or damage caused by or that results from fire, explosion, or
sprinkler leakage that flood causes.
d. Nuclear
Hazard
The insurance
company does not insure against loss or damage caused by or resulting from any
nuclear reaction, radiation, or contamination, whether controlled or not, or
caused by any means. Any loss caused by the nuclear hazard is not treated as a
loss caused by fire, explosion, or smoke. However, coverage applies to direct
loss or damage caused by fire that results from the nuclear hazard.
e. Ordinance or Law
There is no coverage for any loss or
increased construction costs because of enforcing any government regulation
that controls the use, construction, or repair of any property. This includes
demolishing that property and removing its debris. This exclusion also applies
to enforcement that occurs even if the property has not been damaged and to
increased costs incurred as a result of complying with the regulation. This
includes any construction, demolition, or debris removal activities.
Note: Limited income-related coverage is available under
Optional Coverages–Energy Generating Income.
f. Sewer,
Septic Tank, Sump, or Drain Backup and Water Below The Surface
Coverage does not apply to loss or
damage to covered property when water or waterborne material backs up,
overflows, or discharges in any way through a sewer, drain, sump, septic tank,
eaves trough, or downspout. Loss or damage when water or waterborne material
below the surface that exerts pressure on (or that flows, seeps, or leaks
through or into) buildings, sidewalks, driveways, foundations, swimming pools
or other structures (whether it occurs naturally or artificially) is also
excluded. However, if any of these results in fire, explosion, or sprinkler
leakage, the insurance company pays for the loss or damage they cause. This exclusion does not
apply to loss or damage to covered property in transit.
g. War and
Military Action
The insurance
company does not pay for loss or damage caused by any act of war. This means
undeclared and civil war or warlike action by a military force is not covered.
All actions taken to hinder or defend against an actual or expected attack by
any government or sovereign authority that uses military personnel or other
agents are also not covered. Acts of insurrection, rebellion, revolution, or
unlawful seizure of power are not covered and any action any government
authority takes to prevent or defend against any such acts are also not
covered. If any action within the terms of this exclusion involves nuclear
reaction, radiation, or contamination, this exclusion applies in place of the
nuclear hazard exclusion.
2. The second group of
exclusions applies to loss or damage caused by or resulting from any of the
following loss events. Some of these exclusions have exceptions, conditions, or
limitations that should be noted and reviewed carefully. The insurance company
does not pay for any loss or damage caused by or resulting from any of these
events.
a. Animals
There is no
coverage for loss or damage caused by or that results from animals. Animals
include (but are not limited to) rodents, vermin, and insects. However, if any
of these results in a specified peril occurring, coverage applies to the loss
or damage that specified peril causes.
Note: Other
examples are
mice, rats, cockroaches, squirrels, beavers, spiders, ants, centipedes, and
ticks. Each is characterized by destructive habits that cause damage, such as
gnawing and nibbling.
b.
Contamination or Deterioration
Loss or
damage caused by contamination or deterioration is excluded. This includes
corrosion, decay, fungus, mildew, mold, rot, rust, or any quality, fault, or
weakness in covered property that causes it to damage or destroy itself.
c.
Criminal, Fraudulent, Dishonest, or Illegal Acts
Coverage does
not apply to loss caused by or that results from criminal, fraudulent,
dishonest, or illegal acts, committed alone or in collusion with another, by
any of the following:
This exclusion does not apply to covered property in the custody of
carriers for hire.
Coverage
continues to apply if employees destroy property but it does not apply if
employees steal.
d. Electrical Currents
Loss or damage caused by or that results
from any artificially generated electricity that damages electrical wiring or
devices inside covered property is excluded. If any of these events results in
a fire or explosion occurring, the resulting loss or damage is covered.
Note: This exclusion applies only to property that
artificially generates the current.
e. Loss of Use and Consequential Loss
There is no coverage for loss caused by
or resulting from delay, loss of use, or loss of market.
f. Mechanical Breakdown
Loss or damage caused by or that results
from mechanical breakdown, structural, or electrical breakdown or malfunction
is excluded. This includes breakdowns or malfunctions that result from
structural, mechanical, or reconditioning processes. If such breakdowns or
malfunctions result in a covered peril occurring, coverage applies to the
resulting loss or damage the covered peril causes.
g. Missing
Property
Unexplained
or mysterious disappearance of covered property is excluded when there is no
physical evidence to indicate what happened to it and the only proof that a
loss occurred is based on an audit or physical inventory. h. h. Pollutants
There is no
coverage for loss or damage caused by or resulting from any release, discharge,
seepage, migration, dispersal, or escape of pollutants, unless the event is
caused by a specified peril, and except for the coverage provided under
Supplemental Coverages–Pollutant Cleanup and Removal. Coverage applies to the
resulting loss or damage to covered property caused by a specified peril.
i. Processing or Work
Loss or
damage due to processing or other work on the property is excluded. If processing or other work on the property results
in a specified peril occurring, coverage applies to the loss or damage caused
by or resulting from that specified peril.
j. Steam
Boiler Explosion
The insurance
company does not pay for loss or damage caused by or that results from
explosions of steam boilers, pipes, turbines, or engines. However, if one of
these explosions results in a fire or combustion explosion, coverage applies to
the loss or damage caused. Coverage also applies to loss or damage caused by or
that results from explosion of gas or fuel in a firebox, flue, or combustion
chamber.
k. Temperature/Humidity
Loss or
damage to covered property caused by dryness, dampness, humidity, changes in,
or extremes of temperature is excluded. If any of these results in a covered peril occurring, the loss or damage
caused by or that results from that covered peril is covered.
l.
Voluntary Parting
Loss or
damage to covered property voluntarily given to others is excluded. There is no
coverage even if the surrender was due to a fraudulent scheme, trick, or false
pretense.
m. Wear
And Tear
Loss or
damage caused by wear, tear, marring, or scratching is excluded. If any of these results in a covered peril occurring,
the loss or damage caused by or resulting from that covered peril is covered.
Note: Wear and tear is damage,
diminishment in value, or erosion due to long or hard use or exposure,
including breakdown over time, and eventually becoming unusable because of
previous use. This includes the tendency of property to pull apart or break
down into pieces because of forces applied to it.
3. This group of exclusions
applies only to Optional Coverage–Energy Generating Income Coverage (if
provided).
The insurance
company does not pay for any losses or additional expenses due to an
interruption period that increases due to any one or more of the following
events or causes of loss. This is regardless of any other event or cause that
contributes to the interruption period, either concurrently or in any other
sequence.
a.
Additional Time
This is extra
time needed to repair or replace any part of renewable energy generating
equipment. It includes:
b.
Consequential Loss
This is any
loss that follows a direct loss.
c. Customs
Regulations
These are
customs regulations and/or restrictions on imports or exports.
d.
Interruption of Utility Service
This is
interruption of incoming electricity that renewable energy generating equipment
needs to proceed with or resume operation.
e. Lack of
Funds
This is total
lack of funds or funds that are not available.
f. Leases,
Licenses, Contracts, or Orders
This refers
to cancellation, suspension, or lapse of any of these. However, coverage
applies if a covered interruption loss caused the cancellation, suspension, or
lapse.
g.
Property Not Covered
This is loss
or damage to property that this coverage form does not insure.
h. Strikes
and Other Interference
This means
strikers or other persons interfering with covered property being repaired or
replaced or operations resuming.
i. Unnecessary Expenses
These are
expenses that are not necessary for covered renewable energy generating
equipment to operate or that are more than the amount of loss they reduce.
WHAT
MUST BE DONE IN CASE OF LOSS
1. Notice
The named
insured must give prompt notice of a loss to the insurance company or its
agent. The notice must include a description of the property lost or damaged.
If a criminal act caused the loss, the appropriate law enforcement agency must
also be notified.
Note: The insurance company has
the right to require that the notice be in writing.
2. You
Must Protect Property
During and
after a loss, all reasonable steps must be taken to protect covered property
from further loss. The insurance company pays reasonable costs incurred to do
so provided the named insured maintains accurate records
to substantiate the costs. Paying these costs is not in addition to the policy
limits. There is no coverage for any repairs or emergency measures performed on
property not already damaged by a covered peril.
Note: Such costs incurred
reduce the amount available to pay the actual loss.
3. Proof
of Loss
The named
insured must complete and return the insurance company's prescribed proof of
loss forms within 60 days of its request to do so. The information provided
must include the time, place, and circumstances surrounding the loss and
information on any other insurance coverage that may apply. It must also
include the interest of the named insured and others with respect to the
property involved, including lienholders, loss payees, and mortgagees. Any
changes in title to the property during the policy period must be disclosed, in
addition to providing any other reasonable information the company may require
to adjust and settle the loss.
4.
Examination
Examination
under oath may be required in matters that relate to the loss. The insurance
company may request these examinations on multiple occasions but such requests
must be reasonable. If multiple persons are examined, the company has the right
to examine each individual separately.
5. Records
The named
insured must maintain and produce any records related to the loss. The
insurance company must be permitted to make copies and take extracts of them as
often as it reasonably requests. Records include (but are not limited to) tax
returns and bank microfilms of all related cancelled checks.
6. Damaged
Property
Both damaged
and undamaged property must be made available for the insurance company's
inspection as often as reasonably necessary. It must also be allowed to take
samples of the property to the extent necessary to adjust and settle the loss.
7.
Volunteer Payments
If the named
insured voluntarily makes any payments, assumes any obligations, pays or offers
rewards, or incurs any other expenses without the insurance company's express
approval, it does so at its own expense. The only exceptions are those costs
incurred to protect property as outlined in item 2. of this section.
8.
Abandonment
Abandoning
damaged property to the insurance company without its written consent is
prohibited.
9.
Cooperation
The named
insured must cooperate with the insurance company and perform all acts the
coverage form requires.
10. Energy
Generating Income
These
conditions apply only to Optional Coverage–Energy Generating Income Coverage
(if provided).
a. Due
Diligence to Rebuild or Restore
The named
insured must do everything it reasonably can to minimize a covered loss. The
insurance company pays only loss during the period of time needed to restore or
rebuild damaged renewable energy generating equipment. The equipment must be
restored or rebuilt with similar materials and with due diligence and dispatch.
b. Intent
to Start or Continue Generation
If the named
insured intends to start or continue generating energy, it must commence or
resume doing so as soon as possible.
c.
Interference and Access
The named
insured must minimize any interference with equipment being repaired or
replaced in order to reduce, avoid, or keep any resulting interruption as short
as possible. It must also grant the insurance company access to the covered
property so it can negotiate with other parties involved in repairs or
replacement. This includes manufacturers, suppliers, contractors,
subcontractors, and similar or related parties in order to:
VALUATION
A valuation must be selected on the
schedule of coverages based on item 1. or item 2., as follows:
1. Functional Replacement Cost
The value of covered lost or damaged
property is based on the cost to replace it with functionally equivalent
property. This valuation applies only if the property is actually replaced. If
it is not replaced, its value is based on its actual cash value on the date of
loss, including a deduction for depreciation.
2. Replacement Cost
The value of covered lost or damaged
property is based on the cost to replace it without a deduction for
depreciation. It is limited to the cost to repair it with similar property, on
the same site, and for the same purpose but not for more than the named insured
spends to repair or replace it.
This valuation does not apply until the
named insured repairs or replaces the damaged or destroyed property. A claim
can be made for actual cash value before the property is repaired or replaced
and a later claim replacement cost valuation made if the named insured informs
the insurance company of its intent to do so within 180 days after the date of
loss.
Replacement cost does not apply to items
3., 4., and 5. below.
3. Pair or Set
The value of
a loss that involves damage or loss of one part of a pair or set is based on a
reasonable proportion of the value of the entire pair or set. However, the loss
of one part of a pair or set is not considered a total loss.
Note: This recognizes that the
value of the whole is greater than the value of individual parts but that the
remaining parts still have value as separates.
4. Loss to Parts
The value of
a lost or damaged part of property that consists of several parts is the cost
to repair or replace only the lost or damaged part.
5.
Determining an Income Coverage Loss
These
conditions apply only to Optional Coverage–Energy Generating Income Coverage.
The insurance company considers these three factors when it attempts to
determine an Energy Generating Income Coverage loss:
HOW MUCH WE PAY
1.
Insurable Interest
The insurance
company does not pay more than the named insured's insurable interest in the
covered property at the time of loss.
2.
Deductible
The insurance
company pays only the amount of loss that exceeds the deductible amount on the
schedule of coverages.
3. Loss
Settlement Terms
Subject to
other items in this section, the insurance company pays the least of:
4.
Catastrophe Limit
The most the
insurance company pays in a single occurrence is the Catastrophe Limit on the
schedule of coverages. This is regardless of the number of items of renewable
energy generating equipment, locations, or combination of these, or coverages
under Optional Coverages, Coverage Extensions, or Supplemental Coverages.
5. Coinsurance
a. When Coinsurance Applies
The insurance company pays only part of
the loss if, at the time of the loss, the limit is less than 100% of the
estimated completed value of the covered property.
b. How We Determine Our Part of The
Loss
The three steps in determining the
amount of the loss to be paid are:
Step 1. Determine the full
100% value of the property as if it had been completed and as if no loss had
occurred.
Step 2. Divide the limit
for covered property by the result determined in step 1.
Note: There is no coinsurance penalty if the result is1.00 or higher.
Step 3. When step 2. is less than
1.00 a coinsurance penalty applies. Subtract the deductible from the amount of
loss and then multiply the total amount of loss by the percentage determined in
step 2.
The insurance company does not pay more
than the amount determined in step 3. or the limit, whichever is less. It does
not pay any remaining part of the loss.
c. If There is More Than One Limit
If there is more than one limit on the
schedule of coverages, this procedure applies separately to each limit.
d. If There is Only One Limit
If there is only one limit on the
schedule of coverages, this procedure applies to the total of all covered
property to which that limit applies.
e. When
Coinsurance Does Not Apply
Coinsurance does not apply when
coinsurance provisions are waived by an entry on the schedule of coverages.
6.
Insurance under More Than One Coverage
If two or
more coverages in the coverage form cover the same loss, the insurance company
does not pay more than the value of the actual claim, loss, or damage
sustained.
7. Insurance under More Than One Policy
a.
Proportional Share
If the named
insured has other coverage subject to the same terms as this coverage form,
this coverage form pays only its share of the covered loss. That share is the
proportion that its limit of insurance bears to the limits of insurance on all
insurance that covers on the same basis.
b. Excess
Amount
If there is other coverage available
that would pay for the loss (other than as described in item 7.a.) this
coverage form pays on an excess basis. This means that only the amount of
covered loss that exceeds the amount due from the other coverage, whether
collectible or not, is paid. Any payment is subject to the policy limit of
insurance.
8. Waiting
Period
This
condition applies to only Optional Coverage–Energy Generating Income Coverage
when selected. When there is a waiting period on the schedule of coverages, the
insurance company does not pay for loss of energy generating income until after
the number of days in the waiting period have passed.
LOSS
PAYMENT
1. Loss
Payment Options
a. Our
Options
The insurance
company has four loss payment options if a covered loss occurs.
b. Notice
of Our Intent to Rebuild, Repair, or Replace
The insurance
company must notify the named insured of its intent to rebuild, repair, or
replace within 30 days after receiving a properly completed proof of loss.
2. Your
Losses
a.
Adjustment and Payment of Loss
The insurance
company adjusts all losses with and pays the named insured, unless another loss
payee named in the policy is involved.
b.
Conditions for Payment of Loss
The insurance
company pays a covered loss within 30 days after it receives a properly
prepared proof of loss and the amount of loss is established. The amount of
loss is determined through either a written agreement between the company and
the named insured or after an appraisal award is filed with the company.
3.
Property of Others
a.
Adjustment and Payment of Loss to Property of Others
The insurance
company can adjust and pay losses that involve property of others to either the
named insured acting on behalf of the property owner or directly to the
property owner, at its discretion.
b. We Do
Not Have To Pay You if We Pay the Owner
When the
insurance company pays the property owner, it is not obligated to pay the named
insured. In addition, if the property owner sues the named insured, the company
has the option of defending the named insured in that suit.
OTHER
CONDITIONS
1.
Appraisal
The insurance
company and the insured may not always agree on the value of a covered claim.
This condition provides one method to solve disputed claims.
Either party
can request an appraisal to determine the value of a disputed claim. Once
requested, the parties have 20 days to obtain their own independent and
competent appraisers and supply the appraiser's name to the other party. The
two appraisers then have 15 days to select a competent impartial umpire. If
they cannot agree on an umpire within 15 days, either can request that a judge
in the court of record in the state where the property is located appoint one.
The
appraisers then determine the value of the claim. Any differences are submitted
to the umpire. Once any two of the three parties agree, the amount of loss is
set.
Each party
pays its own appraiser. Both parties share the cost of the umpire and other
expenses.
2. Benefit
to Others
The insurance
provided does not directly or indirectly benefit any party that has custody of
the named insured's property.
3.
Conformity with Statute
Any condition
in this coverage form that conflicts with any applicable law is amended to
conform to that law.
4. Estates
Note: This condition applies
only if the named insured is an individual.
a. Your
Death
If the named
insured dies, the person who has custody of the named insured's property is an
insured until a qualified legal representative is appointed. The named
insured’s legal representative becomes an insured once appointed. Both are
insureds but only with respect to the property insured under this coverage
form.
b. Policy
Period Is Not Extended
This coverage
does not extend past the policy expiration date.
5.
Misrepresentation, Concealment, or Fraud
This coverage
is void if any insured at any time willfully concealed or misrepresented a
material fact that relates to the insurance provided, the property covered, or
its interest in the property. It is also void if fraud or false swearing by any
insured took place concerning the insurance provided or the property covered.
Note: The named insured must
deal with the insurance company honestly. If it intentionally misrepresents or
conceals a material fact or information, its rights of recovery may be voided.
This means that the insurance is treated as simply having never existed versus
a particular claim being denied.
6. Policy
Period
Only covered
losses that occur during the policy period are paid.
7.
Recoveries
Payment of
the loss does not end the obligations of the insured and the insurance company
toward one another. If the insurance company pays a loss and the lost or
damaged property is subsequently recovered (or the parties responsible for the
loss pay for it), additional provisions apply.
Either party
that recovers property or payment must inform the other. Recovery expenses
incurred by either party are reimbursed first. If the insured keeps the
recovered property, it must refund the amount of the claim the insurance
company paid (unless the company agrees to a different amount). If the claim
paid is less than the agreed loss due to application of a deductible or other
limitations, any recovery is prorated between the named insured and the
insurance company, based on the company's respective interest in the loss.
8.
Restoration of Limits
Payment of a
claim does not reduce the limit available for future claims.
9.
Subrogation
The insurance
company acquires the named insured's rights of recovery from third parties
after it pays a loss. The named insured must assist the insurance company in
securing those rights. If it hinders or impairs the company's rights of
subrogation, the company is not obligated to pay the loss.
Note: The named insured can
agree in writing to waive recovery rights from others before a loss occurs.
10. Suit
against Us
The insurance
company cannot be sued by anyone for any coverage until all the terms of the
coverage form have been met. Suits must be brought within two years after the
insured first had knowledge of a loss. If a state law invalidates this
condition, any suit brought must comply with the provisions of that law and
begin within the shortest period of time allowed by law.
Note: It is normal for a basic
coverage form to be modified by mandatory state-specific endorsements that
address issues that relate to that specific state.
11.
Territorial Limits
Covered
property must be located in the United States, its territories and possessions,
Canada, or Puerto Rico in order for coverage to apply.
DEFINITIONS
Defined terms
are used throughout the coverage form. Restricting their meaning to the
definition in it is how all parties have a clearer understanding of the
coverage intended. Twelve terms are
defined:
1. Earth movement
Earth
movement includes the following:
Note: Earth movement does not
include sinkhole collapse.
2. Flood
This is water
that overflows or inundates areas that are normally dry and not covered by
water, whether caused naturally or artificially, by human or animal forces, or
by acts of nature. It includes (but is not limited to):
3.
Interruption
This means a
break or stoppage in the operation of renewable energy generating equipment
(including generation and transmission of energy) caused by a covered peril.
4.
Interruption period
a. This is the time frame
when renewable energy generating equipment operations are interrupted as a
result of direct physical loss or damage to such equipment by a covered peril.
It is not limited by the policy expiration date.
b. It is not the increased
time the named insured needs to comply with enforcing any law, ordinance, or
decree that regulates use or repair of any property or that in any way respond
to or assess pollutants.
5. Limit
This is the
amount of coverage that applies to the insured property.
6.
Pollutant
This is a
broad and expansive term. It includes solids, liquids, thermal or radioactive
contaminants and irritants including, but not limited to, acids, alkalis,
chemicals, fumes, smoke, soot, vapor, and waste. Waste also includes materials
intended for recycling, reclamation, and reconditioning, as well as for
disposal. Visible and invisible electrical or magnetic emissions and sound
emissions are also considered pollutants and are included.
7.
Renewable energy generating equipment
This is
electrical generating equipment that uses wind, solar, or other renewable
resources.
8.
Schedule of coverages
This is any
page labeled as such that contains coverage information, including declarations
or supplemental declarations.
9.
Sinkhole collapse
This is the
sudden settling or collapsing of the earth's surface into an underground
opening created by water that acts on limestone or some other rock formation.
Sinkhole collapse does not include either the value of the land or the cost to
fill sinkholes.
10.
Specified perils
These are the
named perils of aircraft, civil commotion, explosion, falling objects, fire,
hail, fire extinguishing equipment leakage, lightning, riot, sinkhole collapse,
smoke, sonic boom, vandalism, vehicles, volcanic action, water damage, weight
of sleet, snow or ice and windstorm.
Falling
objects must be explained further. It does not include loss to personal
property stored in the open. It also does not include damage to the interior of
buildings or personal property stored in buildings unless a falling object
first breaches the building's exterior.
Water damage
also requires further explanation. It is the sudden or accidental discharge or
leakage of water or steam. However, it must be a direct result of a part of the
system or appliance that holds the water or steam cracking or breaking.
11. Terms
These are all
policy provisions, limitations, exclusions, conditions, and definitions that
apply to this coverage.
12.
Volcanic action
This is
airborne volcanic blast or shock waves, ash, dust, and particulate matter. It
includes lava flow but does not include the cost to remove dust, ash, or
particulate matter that does not directly damage covered property.
ENDORSEMENTS AND SCHEDULES
AAIS has developed the following
endorsements and schedules for use with the Renewable Energy Generating
Equipment Coverage Form.
IM 8070–Additional Renewable Energy
Generating Equipment Schedule
This schedule is used to list and
describe additional locations, covered equipment, and the limit that applies.
It is used when the space on IM 8065–Schedule of Coverages–Renewable Energy
Generating Equipment is insufficient.
IM 8071–Equipment Breakdown Schedule
This schedule is used with IM
8072–Equipment Breakdown Coverage to select coverages and to list the limits,
deductibles, waiting periods, and any additional information that applies.
IM 8072–Equipment Breakdown Coverage
This
endorsement adds equipment breakdown coverage. It provides property damage
coverage for covered equipment caused by a mechanical breakdown accident. It
can also provide Energy Generating Income and Electricity Replacement.
Coverages are selected and other information entered on the IM 8072–Equipment
Breakdown Schedule.
IM 8073–Ordinance or Law Coverage
This endorsement extends coverage to the
increased cost to repair, reconstruct, or rebuild damaged and undamaged
portions of renewable energy generating equipment. This must result from
enforcing building, zoning, or land use ordinances, laws, or decrees.
UNDERWRITING CONSIDERATIONS
Each risk
should be evaluated separately, paying attention to the degree of hazard that
applies to its situation. Some of the factors that determine the degree of
hazard include where it is located, the type of equipment, type of
construction, size, condition, maintenance, damageability, and susceptibility
to fire, wind, earthquake, flood, and other unique causes of loss that may
affect it.
Underwriting
also includes evaluating these physical factors and the extent of care provided
to maintain and protect the equipment at the locations involved. Since the
property is at fixed locations, it is subject to fixed location causes of loss.
The main underwriting considerations are evaluating the locations where the
equipment is situated and the protective measures implemented to reduce or
eliminate loss. This includes reviewing contracts between the named insured and
others that have an insurable interest in the equipment, such as landlords,
customers, and leasing companies.
The named
insured itself should be evaluated, from the standpoint of inspections,
maintenance, and repair of covered property and its financial means to do so.
It should have written maintenance records and a formal safety and inspection
program in place. Previous losses should be reviewed to determine if any
remedial action was taken afterwards to prevent it from recurring.
Adequate
financial strength for enterprises in this class of business is essential.
Regular preventive and other maintenance on equipment is needed. Lack of
sufficient financial resources could mean deferred maintenance that leads to a
catastrophic collapse or electrical failure of state-of-the-art equipment.
Wind has been
a significant power source in Europe for decades and the technology has
gradually spread worldwide. Wind generation technology has developed
tremendously in recent years and solar energy is rapidly gaining as well. Both
wind and solar energy are now established markets and each has a number of
manufacturers and products on the market. They are also growth industries.
Equipment continues to increase in size, technology, and complexity. With this
come broadened opportunities and a complex and equally broadening profile of
risks.
There is a
long list of both usual and unusual and serious exposures associated with wind
turbines and solar panels:
Other sources
of renewable energy include hydropower, bioenergy, and geothermal.