(November 2022)
PF&M subscribers in any
form are permitted to reprint the following sample insurance proposal language
when preparing insurance presentations for their commercial insurance
customers. Other uses require permission from The Rough Notes Company, Inc.
The following paragraph or similar language needs to be included in all
insurance proposals:
Consult the policy for
definitions and limitations. The terms of this proposal do not represent
contract terms. The policy is subject to company underwriting practices.
This proposal language is not intended to be
an entire insurance proposal. A client specific section that includes the name
and address of the insured, the insurance company(s) and the agent, and information
about them, a list of locations, limits, deductibles, and similar customer
specific items are not included and should be prepared.
The intent of any insurance proposal is not
to be a reproduction of the insurance policy but to give a summary of possible
coverages.
Paragraphs that explain coverages unique to
this coverage form or policy may be the most important addition to your
insurance proposal and sales effort. Coverage examples can be tailored to your
individual customer. Be careful when altering any proposal language not to
expand coverage beyond what the policy intends.
This proposal should be combined with proposals
for other lines of business, such as commercial property, commercial general
liability, workers compensation, and umbrella liability for a complete account
proposal.
Related Articles:
Underground Storage Tank Policy–Designated
Tanks Available Endorsements and Their Uses
Underground Storage Tank
Policy–Designated Tanks Endorsements Checklist
The Underground Storage
Tank Policy–Designated Tanks was developed to respond to meet the EPA
requirement that underground storage tank owners/operators have minimum
financial resources to deal with possible tank incidents. Both the owner and
the operator of an underground storage tank that contains petroleum products,
as defined in the Comprehensive Environmental Response, Compensation and Liability
Act of 1980 (CERCLA), are eligible to purchase this coverage.
CERCLA defines an
underground storage tank as any tank with 10% or more of its volume located below
ground. This definition also includes any piping attached to the tank and
applies in cases where the tank itself is physically above ground but has a
significant amount of piping, plumbing, pumping, or other equipment below grade
level.
The policy directs the
reader to two very important items of information. The first explains that the
bodily injury and property damage coverage is written on a claims-made basis
and that the corrective action costs coverage is written on an
incident-reported basis. The second is that the defense expenses are limited.
Instead of the unlimited defense outside of policy limits in most liability
coverage forms and policies, defense payments are limited to the amount stated
on the declarations and explained under Defense Expense Payments.
The insurance company
agrees to pay amounts the insured is legally required to pay as compensatory damages
caused by or that result from bodily injury or property damage that his
insurance covers. An underground storage tank incident that occurs on or after
the retroactive date and before the expiration date must cause the injury or
damage. The insured must be found liable for the injury or damage in a suit or
other legal proceedings in the coverage territory or in a settlement the
insurance company agrees to. The claim for damages as a result of the injury or
damage must be made against the insured in writing during the policy period or
any extended reporting period endorsed to the policy.
The insurance company
agrees to pay amounts the insured is legally required to pay for corrective
action costs that result from an underground storage tank incident that this
insurance covers. The incident must occur on or after the retroactive date and
before the expiration date. The named insured must report the incident in
writing during the policy period or during any extended reporting period
endorsed to the policy.
Exclusions must be
examined carefully, since many of them have conditions, exceptions,
limitations, or restrictions not stated below.
Coverage
does not apply to bodily injury or property damage expected or intended by the
insured.
There is no coverage for bodily injury or
property damage in cases where the insured must pay damages based on its
assuming liability in a written contract or agreement. Coverage does apply to
liability for damages the insured has without a contract or agreement.
There is no coverage for any
requirement or obligation of the insured imposed by any workers compensation,
disability benefits, unemployment compensation, or similar law.
Bodily
injury to an employee of the insured as a result of employment or performing
duties related to conduct of the insured’s business is excluded. Bodily injury
to specified relatives of that employee as a consequence of his or her bodily
injury is also excluded.
Coverage does not apply to property
damage to any property the named insured owns, rents, or occupies. This
includes costs or expenses the named insured or any other party incurs to
repair, replace, improve, or maintain that property for any reason. This
exclusion also applies to property sold, given away, or abandoned, property
loaned to the named insured, and personal property in the named insured's care,
custody, or control.
There is
no coverage for bodily injury, property damage, or corrective action costs that
arise out of an underground storage tank incident that results from or is
attributable in any way to the named insured's or any insured's failing to
comply with any environmental law from any governmental entity. The failure to
comply must be a willful or deliberate act or omission by the named insured or
any of its members, managers, partners, or executive officers.
The
Corrective Action Costs coverage provided does not apply to such costs or other
expenses:
There is
no coverage for bodily injury or property damage caused directly or indirectly in
any way by war, undeclared war, and civil war. This includes warlike action by
a military force. This exclusion also applies to actions a government takes to
prevent or defend against an expected or actual attack by any government or
other authority that uses military personnel or agents. It also applies to
rebellion, revolution, insurrection, or unlawful seizure of power and the
action the government takes to prevent or defend against any of these.
Coverage does not apply to damage to electronic
data. This includes loss of, loss of use of, damage to, corruption of,
inability to access, or inability to manipulate electronic data. Electronic
data is defined as information, facts, or programs used with computer software
or any other media used with electronically controlled equipment. This
exclusion does not apply to the named insured’s liability for damages due to
bodily injury.
The insurance company has
the right and duty to defend the insured against any suit that seeks damages
because of bodily injury or property damage. This duty extends to those actions
that seek payment of corrective action costs. The action must be covered by
this insurance in order for the duty to apply. The insurance company must pay
or reimburse for defense expense but only as this coverage form provides.
The insurance company is
not obligated to defend or pay for suits for costs or damages that this
insurance does not cover. It can investigate any incident or settle any suit
for injury, damage, or costs that may result.
The duty to defend and
pay or reimburse is limited. It ends at the earliest of when the limit of
insurance that applies is used up by paying judgments, settlements, payments,
or reimbursements or when the Defense Expense Amount is used up. It applies to
both claims or suits pending at the time as well as those filed afterwards.
These payments or
reimbursements are limited to the Defense Expense Amount on the declarations.
They apply even if the insured assumes control of the defense of a suit. The
insured may take control by mutual agreement with the insurance company or by
court order. The change in control can occur before or after the Limit of
Insurance is used up. The Defense Expense Amount is the same as the Aggregate
Limit if there is no Defense Expense Amount on the declarations. If the insured
assumes control of the defense before the Defense Expense Amount is used up,
the insurance company reimburses it for up to the Defense Expense Amount that
remains.
With respect to claims
paid or suits defended that this insurance covers and where a limit of
insurance applies, the insurance company pays the following:
These payments do not
reduce the Limits of Insurance or the Defense Expense Amount.
The insurance company
does not have any other obligation or liability to make payments or perform
acts or services unless specifically provided for elsewhere in the policy.
The
named insured's form of business determines who is an insured. If the form of
business is:
The
following are also insureds:
No employee is an insured for bodily
injury:
No employee is an insured for property damage to property
owned, occupied, used by, rented to, in the care, custody or control of, or
physically controlled for any reason by the named insured, its employees,
partners, or members.
Insured status is denied
any party or entity that is not listed as a named insured on the declarations.
If the
total of the damages and corrective action costs is less than the Underground
Storage Tank Incident Limit, the insurance company pays all of any deductible
amount. The named insured then promptly reimburses the insurance company for
that amount. Each payment made for damages and corrective action costs reduces
both the Underground Storage Tank Incident Limit and the Aggregate Limit.
The
limits apply separately to each consecutive annual period and to any remaining
period of less than 12 months. This begins with the inception date on the
declarations, unless extended after issuance for any additional period of less
than 12 months. If that occurs, the additional period is treated as part of the
last preceding period for the purpose of determining the limits of insurance.
The
insurance company is not relieved of its obligations if the insured or its
estate becomes bankrupt or insolvent.
If a claim or demand for coverage occurs:
Every insured involved in or with an
underground tank incident must:
Under Coverage A, no insured may voluntarily
make any payments, assume any obligations, or incur any expenses other than first
aid without the insurance company's consent. If it does, it does so at its own
cost or expense.
No party has the right to join the insurance
company in any way or to bring it into a suit that claims damages from an
insured. No party may sue the insurance company unless all policy terms and
conditions have been met. The company can be sued to recover on an agreed
settlement or on a final judgment against the insured. However, it is not liable
for damages or corrective action costs not subject to payment under the
policy's terms or that are more than the limit of insurance that applies. An
agreed settlement is a settlement and release of liability that the insured,
the insurance company, and the claimant or the claimant's legal representative
sign.
The
insurance company's obligations to pay are limited if there is other valid and
collectible insurance that applies to the loss, as follows:
This insurance
is primary except when Excess Insurance applies. If this insurance is primary,
the insurance company's obligations are not affected unless any other insurance
that applies to the loss is also primary. In that case, this insurance shares
with that insurance as outlined under Method of Sharing.
This
insurance is excess over any other insurance effective before this policy
period that covers bodily injury or property damage on other than a claims-made
basis, or corrective action costs on other than an incident reporting basis if
there is no retroactive date on the declarations or if the policy period of the
other insurance continues after this policy's retroactive date.
When this
insurance is excess, the insurance company does not have a duty to defend the
insured against any suit if the other insurance has that duty. If no other
insurance company defends, and all or part of this policy's Defense Expense
Amount is available, the company will attempt to provide a defense according to
policy provisions. In that case, it is entitled to the insured's rights against
the other company or companies.
When
this insurance is excess, it pays only its share of any amount of loss that
exceeds the total amount that all other such insurance would pay for the loss
if this insurance did not exist. It also pays the total of all deductible and
self-insured amounts under all other such insurance.
The
insurance company shares any remaining loss with any other insurance not
included in this Excess Insurance Condition that was not purchased specifically
to apply in excess of this policy's limits of insurance.
If the other policy permits contribution by
equal shares, this insurance does as well. Each insurance company contributes
equal amounts until it exhausts its limit of insurance or the loss is paid,
whichever occurs first.
If the policy does not include contribution
by equal shares, contribution is by proportional limits. With this approach, ratios
are determined based on each company’s limit as a percentage of the total
applicable limits and the loss is then apportioned between the various
policies.
When the
named insured accepts this policy as issued, it agrees that the statements on
the declarations are complete and accurate, are based on representations it
made to the insurance company, and that the policy is issued based on them.
Other
than the Limits of Insurance, the Defense Expense Amount, and any rights and
duties that apply specifically to the first named insured, this insurance applies
to each named insured as if it was the only named insured and separately to
each insured against whom claim is made or suit is brought.
Any rights the
insured has against others to recover all or part of any payment the insurance
company made transfer to the insurance company. The insured must preserve those
rights and not do anything after the loss to impair them. The insurance company
can request that the insured bring suit or transfer those rights to it and help
it enforce them.
The
insurance company agrees to furnish the director of an implementing agency a
signed duplicate copy of the policy and all endorsements that apply when
requested to do so.
If the insurance
company decides not to renew, it sends written notice to the first named
insured at least 60 days before the expiration date. The notice is either
delivered or sent by certified mail to the first named insured's last known
mailing address.
This
policy is issued to certify the named insured complies with the federal
Environmental Protection Agency financial responsibility requirements. These
are imposed because the named insured owns or operates underground storage
tanks. The insurance company agrees to comply with such financial responsibility
requirements when it issues the policy. The named insured agrees to reimburse
the insurance company for payments it makes that this policy does not cover but
that our required by this condition.
The insurance
company may examine and audit any of the named insured's books and records but
only the ones that relate to this coverage. The examination and audit can be
done at any time during the policy period and for up to three years after the
policy expires.
The insurance
company has the right to make inspections and surveys at any time, to report
its findings to the named insured, and to recommend changes it feels should be
made. However, it is not obligated to do so. Anything done in this regard
relates only to its findings of the risk's insurability and the premiums to
charge. It does not make safety inspections or attempt to perform duties of parties
that provide for the health or safety of workers or the public. It does not
warrant that conditions are safe or healthful or comply with any law,
regulation, code, or standard.
This condition also applies to any rating, advisory, rate
service, or other organization that also makes insurance inspections, surveys,
reports, or recommendations for insurance purposes.
The
first named insured pays all premiums and receives any return premiums.
This
condition applies if the Limit of Insurance and the Defense Expense Amount have
not been used up and the named insured receives the right to retain defense
counsel by either mutual agreement or court order. The insurance company
retains the right to settle, approve, or disapprove the settlement of any claim
or suit and appeal any judgment, award, or ruling at its own expense and at its
discretion. The named insured and any other involved insured must continue to
comply with the Condition for Duties In The Event of an Underground Storage
Tank Incident and other policy provisions. The named insured must instruct its
defense counsel to furnish the insurance company with information it requests
or requires to evaluate suits under this policy. That counsel must also be
advised to cooperate with any counsel the insurance company selects to monitor
or associate with in defending those suits.
This condition provides detailed instructions
about the procedures to follow to transfer the duties of defense from the insurance
company to the named insured in cases where the Defense Expense Amount is used
up. This condition protects the named insured from defaults and periods when it
is not represented by counsel.
Extended Reporting Periods
are only in insurance policies or coverage forms written on a claims-made
basis.
Refer to the policy for a list of defined terms.