PREMIER
HOMEOWNERS
POLICY
AUTO CLUB FAMILY
INSURANCE COMPANY
12901 NORTH FORTY DRIVE
ST. LOUIS, MISSOURI 63141
(314) 523-7350
A STOCK COMPANY
A SUBSIDIARY OF THE AUTOMOBILE
CLUB INTER-INSRUANCE EXCHANGE
THIS POLICY BOOKLET, WITH THE DECLARATIONS CERTIFICATE
AND ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF, COMPLETES THIS
POLICY.
READ YOUR POLICY CAREFULLY
This policy is the legal contract between you and us.
YOUR PREMIER POLICY -
QUICK REFERENCE
DECLARATIONS CERTIFICATE
Your Name
Location of Your Residence
Policy Period
Coverages
Amounts of Insurance
Deductible
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Beginning
On Page
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AGREEMENT |
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DEFINITIONS |
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SECTION I - PROPERTY COVERAGES |
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COVERAGE A - Dwelling
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COVERAGE B - Other Structures
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COVERAGE C - Personal Property
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Specia Limits of Liability
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Property Not Covered
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COVERAGE D - Loss Of Use
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ADDITIONAL COVERAGES
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Debris Removal
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Reasonable Repairs
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Trees, Shrubs and Other Plants
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Fire Department Service Charge
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Property Removed
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Credit Card, Fund Transfer Card, Forger and Counterfeit Money
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Loss Assessment
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Collapse
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Glass or Safety Glazing Material
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Landlord's Furnishings
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Ordinance or Law
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SECTION I - PERILS INSURED AGAINST
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COVERAGE A - Dwelling and
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COVERAGE B - Other Structures
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COVERAGE C - Personal Property
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SECTION I - EXCLUSIONS
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SECTION I - CONDITIONS
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Insuranble Interest and Limit of Liability
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An Insured's Duties After Loss
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Loss Settlement
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Loss to a Pair or Set
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Glass Replacement
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Appraisal
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Other Insurance
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Suit Against Us
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Our Option
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Loss Payment
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Abandonment of Property
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Mortgage Clause
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No Benefit to Bailee
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Nuclear Hazard Clause
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Recovered Property
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Volcanic Eruption Period
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SECTION II - LIABILITY COVERAGES
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COVERAGE E - Personal Liability
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COVERAGE F - Medical Payments to Others
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SECTION II - EXCLUSIONS
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SECTION II - ADDITIONAL COVERAGES
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Claim Expenses
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First Aid Expenses
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Damage to Property of Others
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Loss Assessment
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SECTION II - CONDITIONS
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Limit of Liability
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Severability of Insurance
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Duties After Loss
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Duties of an Injured Person - Coverage F - Medical Payments to
OThers
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Payment of Claim - Coverage F Medical Payments to Others
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Suit Against Us
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Bankruptcy of an Insured
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Other Insurance - Coverage E - Personal Liability
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SECTION I AND II - CONDITIONS |
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Policy Period
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Concealment or Misrepresentation
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Liberalization Clause
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Waiver or Change of Policy Provisions
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Cancellation
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Nonrenewal
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Assignment
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Subrogation
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Death
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HOMEOWNERS 3 - SPECIAL FORM
AGREEMENT
We will
provide the insurance described in this policy in return for the
premium and compliance with all applicable provisions of this policy.
DEFINITIONS
In this policy, "you" and "your"
refer to the named insured shown in the Declarations and the spouse
if a resident of the same household. "We", "us"
and "our" refer to the Company providing this insurance.
In addition, certain words and phrases are defined as follows:
1. "Bodily injury" means bodily harm,
sickness or disease, including required care, loss of services and
death that results.
2. "Business" includes trade, profession
or occupation.
3. "Insured" means you and
residents of your household who are:
a. Your relatives;
or
b. Other persons under the age of 21
and in the care of any person named above.
Under Section II, "insured" also
means:
c. With respect to animals
or watercraft to which this policy applies, any person or organization
legally responsible for these animals
or watercraft which are owned by you or any person included in
3.a. or 3.b. above. A person or organization
using or having custody of these animals or watercraft in the course
of any business or without consent
of the owner is not an insured;
d. With respect to any vehicle to which
this policy applies:
(1)
Persons while engaged in your employ or that of any person included
in 3.a. or 3.b. above;
or
(2) Other
persons using the vehicle on an insured location with your
expressed consent.
4. "Insured location" means:
a. The residence premises;
b. The part of other premises, other structures
and grounds used by you as a residence and:
(1)
Which is shown in the Declarations; or
(2) Which
is acquired by you during the policy period for your uses
as a residence;
c. Any premises used
by you in connection with a premises in 4.a. and 4.b. above;
d. Any part of a premises:
(1)
Not owned by an insured; and
(2) Where
an insured is temporarily residing;
e. Vacant land, other
than farm land, owned by rented to an insured;
f. Land owned by or rented to an insured
on which a one or two family dwelling is being built as a residence
for an insured;
g. Individual or family cemetery plots
or burial vaults of an insured; or
h. Any part of a premises occasionally
rented to an insured for other than business use.
5. "Occurrence" means an accident,
including continuous or repeated exposure to substantially the same
general harmful conditions, which results, during the policy period,
in:
a. Bodily injury;
or
b. Property damage.
6. "Property damage" means physical
injury to, destruction of or loss of use of tangible property.
7. "Residence employee" means:
a. An employee of an insured
whose duties are related to the maintenance or use of the residence
premises, including household or domestic
services; or
b. One who performs similar duties elsewhere
not related to the business of an insured.
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8. "Residence premises" means:
a. The one family dwelling, other structures,
and grounds where you reside and which is shown as the residence premises
in the Declarations; or
b. That part of any other building where
you reside and which is shown as the residence premises
in the Declarations.
"Residence premises" also means a two family
dwelling where you reside in at least one of the family units and
which is shown as the residence premises in the Declarations.
The term reside, as used in this definition, means
continuous day-to-day occupancy.
SECTION I - PROPERTY COVERAGES
COVERAGE A - Dwelling
We cover:
1. The dwelling on the residence premises shown in
the Declarations, where you reside on a continuous day-to-day basis,
including structures attached to the dwelling; and
2. Materials and supplies located on or next to the residence
premises used to construct, alter or repair the dwelling or other
structures on the residence premises.
This coverage does not apply to land, including land on
which the dwelling is located.
COVERAGE B - Other Structures
We cover other structures on the residence premises
set apart from the dwelling by clear space. This includes structures connected
to the dwelling by only a fence, utility line or similar connection.
This coverage does not apply to land, including land on
which the other structures are located.
We do not cover other structures:
1. Used in whole or in part for business; or
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2. Rented or held for rental to any person not a tenant
of the dwelling, unless used solely as a private garage.
The limit of liability for this coverage will not be more
than 10% of the limit of liability that applies to Coverage A. Use of
this coverage does not reduce the Coverage A limit of liability.
COVERAGE C - Personal Property
We cover personal property owned or used by an insured while
it is anywhere in the world. At your written request, we
will cover personal property owned by:
1. Others while the property is on the part of the residence
premises occupied by an insured; or
2. A guest or a residence employee, while the property
is in any residence occupied by an insured.
Our limit of liability for personal property usually
located at an insured's residence, other than the residence
premises, is 10% of the limit of liability for Coverage C or $1000,
whichever is greater. Personal property in a newly acquired principal
residence is not subject to this limitation for the 30 days from the time
you begin to move property there.
Special Limits of Liability
These limits do not increase the Coverage C limit of liability. The special
limit for each numbered category below is the total limit for each loss
for all property in that category.
1. $200 on money, bank notes, bullion, gold other than goldware,
silver other than silverware, platinum, coins and medals.
2. $1000 on securities, accounts, deeds, evidences of debt,
letters of credit, notes other than bank notes, manuscripts, personal
records, passports, tickets and stamps. This dollar limit applies to these
categories regardless of the medium (such as paper or computer software)
on which the material exists.
This limit includes the cost to research, replace
or restore the information from the lost or damaged material.
3. $1000 on watercraft, including their trailers,
coverings, furnishings, equipment and outboard engines or motors.
4. $1000 on trailers not used with watercraft.
5. $1000 for loss by theft of jewelry, watches, furs,
precious and semi-precious stones.
6. $2000 for loss by theft of firearms.
7. $2500 for loss by theft of silverware, silver-plated
ware, goldware, gold-plated ware and pewterware. This includes flatware,
hollowware, tea sets, trays and trophies made of or including silver,
gold or pewter.
8. $2500 on property, on the residence premises,
used at any time or in any manner for any business purpose.
9. $250 on property, away from the residence premises,
used at any time or in any manner for any business purpose.
However, this limit does not apply to loss to adaptable electronic
apparatus as described in Special Limits 10. and 11. below.
10. $1000 for loss to electronic apparatus, while
in or upon a motor vehicle or other motorized land conveyance, if
the electronic apparatus is equipped to be operated by power from
the electrical system of the vehicle or conveyance while retaining
its capability of being operated by other sources of power. Electronic
apparatus includes:
a. Accessories and antennas;
or
b. Tapes, wires, records, discs or other
media;
for use with any electronic apparatus described in this item 10.
11. $1000 for loss to electronic apparatus, while not in or upon
a motor vehicle or other motorized land conveyance, if the electronic
apparatus:
a. Is equipped to be operated
by power from the electrical system of the vehicle or conveyance while
retaining its capability of being operated
by other
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sources of power;
b. Is away from the residence premises;
and
c. Is used at any time or in any manner for
any business purposes.
Electronic apparatus includes:
a. Accessories and antennas;
or
b. Tapes, wires, records, discs or other
media;
for use with any electronic apparatus described in this
item 11.
Property Not Covered
We do not cover:
1. Articles separately described and specifically insured
in this or other insurance;
2. Animals, birds or fish;
3. Motor vehicles or all other motorized land conveyances.
This includes:
a. Their equipment and
accessories; or
b. Electronic apparatus that is designed
to be operated solely by use of the power from electrical system of
motor vehicles or all other motorized
land conveyances. Electronic apparatus includes:
(1)
Accessories or antennas; or
(2)
Tapes, wires, records, discs or other media;
for use with any electronic
apparatus described in this item 3.b.
This exclusion of property described in 3.a. and 3.b.
above applies only while the property is in or upon the vehicle or
conveyance.
We do cover vehicles or conveyances not subject
to motor vehicle registration which are:
a. Used to service an
insured's residence; or
b. Designed for assisting the handicapped;
4. Aircraft and parts. Aircraft means any contrivance
used or designed for flight, except model or hobby aircraft not used
or designed to carry people or cargo;
5. Property of roomers, boarders and other tenants,
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except property of roomers and boarders related to an
insured;
6. Property in an apartment regularly rented or held
for rental to others by an insured, except as provided in Additional
Coverages 10.;
7. Property rented or held for rental to others off
the residence premises;
8. Business data, including such data stored in:
a. Books of account, drawings
or other paper records; or
b. Electronic data processing tapes, wires,
records, discs or other software media;
However, we do cover the cost of blank recording or storage
media and of pre-recorded computer programs available on the retail
market; or
9. Credit cards or fund transfer cards except as provided
in Additional Coverages 6.
COVERAGE D - Loss of Use
The limit of liability for Coverage D is the total limit for all
the coverages that follow.
1. If a loss covered under this Section makes that part
of the residence premises where you reside not fit to
live in, we cover, at your choice, either of the following.
However, if the residence premises is not your principal
place of residence, we will not provide the option under paragraph
b. below.
a. Additional Living
Expense, meaning any necessary increase in living expenses incurred
by you so that your household
can maintain its normal standard of living; or
b. Fair Rental Value, meaning the
fair rental value of that part of the residence premises where
you reside less any expenses that
do not continue while the premises is not fit to live in.
Payment under a. or b. will be for the shortest time
required to repair or replace the damage or, if you permanently
relocate, the shortest time required for your household to
permanently relocate elsewhere.
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2. If a loss covered under this Section makes that
part of the residence premises rented to others or held
for rental by you not to live in, we cover the:
Fair Rental Value,
meaning the fair rental value of that part of the residence premises
rented to others or held for rental
by you less any expenses that do not continue while the premises
is not fit to live in.
Payment will be for
the shortest time required to repair or replace that part of the
premises rented or held for rental.
3. If a civil authority prohibits you from
use of the residence premises as a result of direct damage
to neighboring premises by a Peril Insured Against in the policy,
we cover the Additional Living Expense and Fair Rental
Value loss as provided under 1. and 2. above for no more than
two weeks.
The periods of time under 1., 2. and 3. above are
not limited by expiration of this policy.
We do not cover loss or expense due to cancellation
of a lease or agreement.
ADDITIONAL COVERAGES
1. Debris Removal. We will pay your
reasonable expense for the removal of:
a. Debris of covered
property if a Peril Insured Against, that applies to the damaged
property, causes the loss; or
b. Ash, dust or particles from a volcanic
eruption that has caused direct loss to a building or property contained
in a building.
This expense is included in the limit of liability
that applies to the damaged property. If the amount to be paid
for actual damage to the property plus the debris removal expense
is more than the limit of liability for the damaged property,
an additional 5% of that limit of liability is available for debris
removal expenses.
We will also pay your reasonable expense,
up to $500, for the removal from the residence premises
of:
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a. Your
tree(s) felled by the peril of Windstorm or Hail;
b. Your tree(s) felled by the peril
of Weight of Ice, Snow or Sleet; or
c. A neighbor's tree(s) felled by a Peril
Insured Against under Coverage C;
provided the tree(s) damages a covered
structure. The $500 limit is the most we will pay in any one
loss regardless of the number of fallen trees.
2. Reasonable Repairs. In the event
that covered property is damaged by an applicable Peril Insured Against,
we will pay the reasonable cost incurred by you for necessary
measures taken solely to protect against further damage. If the measures
taken involve repair to other damaged property, we will pay for
those measures only if that property is covered under this policy and
the damage to that property is caused by an applicable Peril Insured
Against.
This coverage:
a. Does not
increase the limit of liability that applies to the covered property;
b. Does not relieve you of your
duties, in case of a loss to covered property, as set forth in SECTION
I - CONDITION 2.d.
3. Trees, Shrubs and Other Plants. We
cover trees, shrubs, plants or lawns, on the residence premises,
for loss caused by the following Perils Insured Against: Fire or lightning,
Explosion, Riot or civil commotion, Aircraft, Vehicles not owned or
operated by a resident of the residence premises, Vandalism or
malicious mischief or Theft.
We will pay up to 5% of the limit of liability
that applies to the dwelling, for all trees, shrubs, plants or lawns.
No more than $500 of this limit will be available for any one tree,
shrub or plant. We do not cover property grown for business
purposes.
This coverage is additional insurance.
4. Fire Department Service Charge. We
will pay up to $500 for your liability assumed by contract or
agreement
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for fire department charges incurred when the fire department
is called to save or protect covered property from a Peril Insured Against.
We do not cover fire department service charges if the property
is located within the limits of the city, municipality or protection
district furnishing the fire department response.
This coverage is additional insurance. No deductible applies
to this coverage.
5. Property Removed. We insure covered property
against direct loss from any cause while being removed from a premises
endangered by a Peril Insured Against and for no more than 30 days while
removed. This coverage does not change the limit of liability that applies
to the property being removed.
6. Credit Card, Fund Transfer Card, Forgery and Counterfeit
Money.
We will pay up to $500 for:
a. The legal obligation of an insured
to pay because of the theft or unauthorized use of credit cards issued to
or registered in an insured's name;
b. Loss resulting from theft or unauthorized
use of a fund transfer card used for deposit, withdrawal or transfer of
funds, issued to or registered in an insured's
name;
c. Loss to an insured caused by forgery
or alteration of any check or negotiable instrument; and
d. Loss to an insured through acceptance
in good faith of counterfeit United States or Canadian paper currency.
We do not cover use of a credit card or fund transfer
card:
a. By a resident of your
household;
b. By a person who has been entrusted with
either type of card; or
c. If an insured has not complied
with all terms and conditions under which the cards issued.
All loss resulting from a series of acts committed by
any one person or in which any one person is concerned or implicated
is considered to be one loss.
We do not cover loss arising out of business
use or
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dishonesty of an insured or an employee of an insured.
This coverage is additional insurance. No deductible applies
to this coverage.
Defense:
a. We may investigate
and settle any claim or suit that we decide is appropriate.
Our duty to defend a claim or suit ends
when the amount we pay for the loss equals our limit
of liability.
b. If a suit is brought against an insured
for liability under the Credit Card or Fund Transfer Card coverage,
we will provide a defense at
our expense by counsel of our choice, subject a. above.
c. We have the option to defend
at our expense an insured or an insured's bank
against any suit for the enforcement
of payment under the Forgery coverage.
7. Loss Assessment. We will pay
up to $1000 for your share of loss assessment charged during
the policy period against you by corporation or association
of property owners, when the assessment is made as a result of direct
loss to the property, owned by all members collectively, caused
by a Peril Insured Against under COVERAGE A - DWELLING, other
than earthquake or land shock waves or tremors before, during or
after a volcanic eruption.
This coverage applies only to loss assessments charged
against you as owner or tenant of the residence premises.
We do not cover loss assessments charged against
you or a corporation or association of property owners by
any governmental body.
The limit of $1000 is the most we will pay
with respect to any one loss, regardless of the number of assessments.
Condition 1. Policy Period, under SECTIONS I AND
II CONDITIONS, does not apply to this coverage.
8. Collapse. We insure for direct physical
loss to covered property involving collapse of a building or any
part of a building caused only by one or more of the following:
a. Perils Insured Against
in COVERAGE C - PERSONAL PROPERTY. These perils apply to cov-
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ered buildings and
personal property for loss insured by this additional coverage;
b. Hidden decay;
c. Hidden insect or vermin damage;
d. Weight of contents, equipment,
animals or people;
e. Weight of rain which collects on
a roof; or
f. Use of defective material or methods
in construction, remodeling or renovation if the collapse occurs
during the course of the construction,
remodeling or renovation.
Loss to an awning, fence, patio, pavement, swimming
pool, underground pipe, flue, drain, cesspool, septic tank, foundation,
retaining wall, bulkhead, pier, wharf or dock is not included
under items b.,c.,d.,e. and f. unless the loss is a direct result
of the collapse of a building.
Collapse does not include settling, cracking, shrinking,
bulging or expansion.
This coverage does not increase the limit of liability
applying to the damaged covered property.
9. Glass or Safety Glazing Material.
(1)
The breakage of glass or safety glazing material which is a part
of a covered building, storm door or storm window;
(2)
The breakage, caused directly by Earth Movement, of glass or safety
glazing material which is part of a covered
building, storm door or storm window; and
(3)
The direct physical loss to covered property caused solely by the
pieces, fragments or splinters of broken glass
or safety glazing material which is part of a building, storm door
or storm window.
b. This coverage does
not include loss:
(1)
To covered property which results because the glass or safety glazing
material has been broken, except as provided
in a.(3)above; or
(2)
On the residence premises if the dwelling has been vacant
or unoccupied for more than 30 consecutive days
immediately before the loss,
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except
when the breakage results directly from Earth Movement as provided
for in a.(2) above. A dwelling being
constructed is not considered vacant.
Loss to glass covered under this ADDITIONAL COVERAGE
9. will be settled on the basis of replacement with safety
glazing materials when required by ordinance or law.
This coverage does not increase the limit of liability
that applies to the damaged property.
10. Landlord's Furnishings. We will
pay up to $2500 for your appliances, carpeting and other
household furnishings, in an apartment on the residence premises
regularly rented or held for rental to others by an insured,
for loss caused only by the following Perils Insured Against:
a. Fire or Lightning.
b. Windstorm or hail. This
peril does not include loss to the property contained in a building
caused by rain, snow, sleet, sand
or dust unless the direct force of wind or hail damages the building
causing an opening in a roof or wall
and the rain, snow, sleet, sand or dust enters through this opening.
This peril includes
loss to watercraft and their trailers, furnishings, equipment, and
outboard engines or motors, only while
inside a fully enclosed building.
c. Explosion.
d. Riot or civil commotion.
e. Aircraft, including self-propelled
missiles and spacecraft.
f. Vehicles.
g. Smoke, meaning sudden and
accidental damage from smoke.
This peril does not
include loss caused by smoke from agricultural smudging or industrial
operations.
h. Vandalism or malicious mischief.
i. Falling objects. This peril
does not include loss to property contained in a building unless
the roof or an outside wall of the
building is first damaged by a falling object. Damage to the falling
object itself is not included.
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j. Weight of ice, snow
or sleet which causes damage to property contained in a building.
k. Accidental discharge or overflow of
water or steam from within a plumbing, heating, air conditioning or
automatic fire protective sprinkler system
or from within a household appliance.
This peril does not include
loss:
(1)
To the system or appliance from which the water or steam escaped;
(2) Caused
by or resulting from freezing except as provided in the peril of freezing
below; or
(3) On the
residence premises caused by accidental discharge or overflow which
occurs off the residence premises.
In this peril, a plumbing
system does not include a sump, sump pump or related equipment.
1. Sudden and accidental tearing apart,
cracking, burning or bulging of a steam or hot water heating system,
an air conditioning or automatic fire protective
sprinkler system or an appliance for heating water.
We do not cover loss
caused by a resulting from freezing under this peril.
m. Freezing of a plumbing, heating,
air conditioning or automatic fire protective sprinkler system or of a
household appliance.
This peril does not include
loss on the residence premises while the dwelling is unoccupied,
unless you have used reasonable care
to:
(1)
Maintain heat in the building; or
(2) Shut off
the water supply and drain the system and appliances of water.
n. Sudden and accidental
damage from artificially generated electrical current. This peril
does not include loss to a tube, transistor
or similar electronic component.
o. Volcanic eruption other than loss
caused by earthquake, land shock waves or tremors.
The $2500 limit is the most we will pay in any
one loss regardless of the number of appliances, carpeting or other
household furnishings involved in the loss.
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11. Ordinance or Law.
a. You may use up
to 10% of the limit of liability that applies to COVERAGE A for the increased
costs you incur due to the enforcement
of any ordinance or law which requires or regulates:
(1)
The construction, demolition, remodeling, renovation or repair of that
part of a covered building or other structure
damaged by a Peril Insured Against;
(2) The demolition
and reconstruction of the undamaged part of a covered building or other
structure, when that
building or other structure must be totally demolished because of damage
by a Peril Insured Against to another
part of that covered building or other structure; or
(3) The remodeling,
removal or replacement of the portion of the undamaged part of a covered
building or other
structure necessary to complete the remodeling, repair or replacement
of that part of the covered building or
other structure damaged by a Peril Insured Against.
b. You may use all
or part of this ordinance or law coverage to pay for the increased costs
you incur to remove debris resulting
from the construction, demolition, remodeling, renovation, repair or replacement
of property as stated in a. above.
c. We do not cover:
(1)
The loss in value to any covered building or other structure due to requirements
of any ordinance or law; or
(2) The costs
to comply with any ordinance or law which requires any insured
or others to test for, monitor, clean
up, remove, contain, treat, detoxify or neutralize, or in any way respond
to, or assess the effects of, pollutants
on any covered building or other structure.
Pollutants
means any solid, liquid, gaseous or thermal irritant or contaminant, including
smoke, vapor, soot, fumes,
acids, alkalis, chemicals and waste. Waste includes materials to be recycled,
reconditioned or reclaimed.
This coverage is additional
insurance.
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SECTION I - PERILS INSURED AGAINST
COVERAGE A - DWELLING and
COVERAGE B - OTHER STRUCTURES
We insure against risk of direct loss to property
described in Coverages A and B only if that loss is a physical loss
to property. We do not, however, insure for loss:
1. Involving collapse, other than as provided in Additional
Coverage 8.;
2. Caused by:
a. Freezing of a plumbing,
heating, air conditioning or automatic fire protective sprinkler system
or of a household appliance, or by discharge,
leakage or overflow from within the system or appliance caused by freezing.
This exclusion applies only while the dwelling
is vacant, unoccupied or being constructed unless you have used reasonable
care to:
(1) Maintain
heat in the building; or
(2) shut off
the water supply and drain the system and appliances of water;
b. Freezing, thawing, pressure
or weight of water or ice, whether driven by wind or not, to a:
(1) Fence,
pavement, patio or swimming pool;
(2) Foundation,
retaining wall or bulkhead; or
(3) Pier,
wharf or dock;
c. Theft in or to a dwelling under construction,
or of materials and supplies for use in the construction, or of materials
and supplies for use in the construction until the dwelling is finished
and occupied;
d. Vandalism and malicious mischief if
the dwelling has been vacant or unoccupied for more than 30 consecutive
days immediately before the loss. A dwelling
being constructed is not considered vacant;
e. Any of the following:
(1) Wear
and tear, marring, deterioration;
(2) Inherent
vice, latent defect, mechanical breakdown;
(3) Smog,
rust or other corrosion, mold, wet or dry rot;
(4) Smoke
from agricultural smudging or industrial operations;
(5) Discharge,
dispersal, seepage, migration, release or escape of pollutants unless
the discharge, dispersal, seepage,
migration, release or
16
escape
is itself caused by a Peril Insured Against under Coverage C of this
policy.
Pollutants
means any solid, liquid, gaseous or thermal irritant or contaminant,
including smoke, vapor, soot, fumes,
acids, alkalis, chemicals and waste. Waste includes materials to be
recycled, reconditioned or reclaimed;
(6) Settling,
shrinking, bulging or expansion, including resultant cracking, of
pavements, patios, foundations, walls,
floors, roofs or ceilings;
(7) Birds,
vermin, rodents or insects; or
(8) Animals
owned or kept by an insured.
If any of these cause water damage
not otherwise excluded, from a plumbing, heating, air conditioning
or automatic fire protective sprinkler
system or household appliance, we cover loss caused by the
water including the cost of tearing
out and replacing any part of a building necessary to repair the
system or appliance. We do not cover
loss to the system or appliance from which this water escaped.
3. Excluded under SECTION I - EXCLUSIONS.
4. Which occurs at a time when the residence premises has been
vacant or unoccupied by you for a period of time in excess of 60
consecutive days before the loss.
Under items 1. and 2., any ensuing loss to property described in
Coverages A and B not excluded or expected in this policy is covered.
COVERAGE C - PERSONAL PROPERTY
We insure for direct physical loss to the property described
in Coverage C caused by a peril listed below unless the loss is
excluded in SECTION I - EXCLUSIONS.
1. Fire or lightning.
2. Windstorm or hail. This peril does not include loss to
the property contained in a building caused by rain, snow, sleet,
sand or dust unless the direct force of wind or hail damages the
building causing an opening in a roof or wall and the rain, snow
sleet, sand or dust enters through
17
this opening.
This peril includes loss to watercraft and their trailers,
furnishings, equipment, and outboard engines or motors, only while inside
a fully enclosed building.
3. Explosion.
4. Riot or civil commotion.
5. Aircraft, including self-propelled missiles and spacecraft.
6. Vehicles.
7. Smoke, meaning sudden and accidental damage from smoke.
This peril does not include loss caused by smoke from
agricultural smudging or industrial operations.
8. Vandalism or malicious mischief.
9. Theft, including attempted theft and loss of property
from a known place when it is likely that the property has been stolen.
This peril does not include loss caused by theft:
a. Committed by an insured;
b. In or to a dwelling under construction,
or of materials and supplies for use in the construction until the dwelling
is finished and occupied; or
c. From that part of a residence premises
rented by an insured to other than an insured.
This peril does not include loss caused by theft occurs off the residence
premises of:
a. Property while at any other residence
owned by, rented to or occupied by an insured, except while an insured
is temporarily living there. Property
of a student who is insured is covered while living away from home if
the student has been there at any time
during the 45 days immediately before the loss;
b. Watercraft, and their furnishings,
equipment and outboard engines or motors; or
18
10. Falling objects. This peril does not include loss to property
contained in a building unless the roof or an outside wall of the
building is first damaged by a falling object. Damage to the falling
object itself is not included.
11. Weight of ice, snow or sleet which causes damage to property
contained in a building.
12. Accidental discharge or overflow of water or steam from
within a plumbing, heating, air conditioning or automatic fire protective
sprinkler system or from within a household appliance.
This peril does not include loss:
a. To the system or appliance from which
the water or steam escaped;
b. Caused by or resulting from freezing
except as provided in the peril of freezing below; or
c. On the residence premises
caused by accidental discharge or overflow which occurs off the residence
premises.
In this peril, a plumbing system does not include a sump, sump pump
or related equipment.
13. Sudden and accidental tearing apart, cracking, burning or
bulging of a steam or hot water heating system, an air conditioning
or automatic fire protective sprinkler system, or an appliance for
heating water.
We do not cover loss caused by or resulting from freezing
under this peril.
14. Freezing of a plumbing, heating, air conditioning or automatic
fire protective sprinkler system or of a household appliance.
This peril does not include loss on the residence premises
while the dwelling is unoccupied, unless you have used reasonable
care to:
a. Maintain heat in the building; or
b. Shut off the water supply and drain
the system and appliances of water.
19
15. Sudden and accidental damage from artificially generated
electrical current. This peril does not include loss to a tube, transistor
or similar electronic component.
16. Volcanic eruption other than loss caused by earthquake,
land shock waves or tremors.
SECTION I - EXCLUSIONS
1. We do not insure for loss caused directly or indirectly
by any of the following. Such loss is excluded regardless of any other
cause or event contributing concurrently or in any sequence to the loss.
a. Ordinance or Law, meaning any
ordinance or law:
(1) Requiring
or regulating the construction, demolition, remodeling, renovation or
repair of property, including removal
of any resulting debris. This exclusion 1.a.(1) does not apply to the
amount of coverage that may be provided
for under ADDITIONAL COVERAGES, Glass or Safety Glazing Material or Ordinance
or Law;
(2) The requirements
of which result in a loss in value to property; or
(3) Requiring
any insured or others to test for, monitor, clean up, remove, contain,
treat, detoxify or neutralize, or
in any way respond to, or assess the effects of, pollutants.
Pollutants
means any solid, liquid, gaseous or thermal irritant or contaminant, including
smoke, vapor, soot, fumes,
acids, alkalis, chemicals and waste. Waste includes materials to be recycled,
reconditioned or reclaimed.
This exclusion applies whether or not the
property has been physically damaged.
b. Earth Movement, meaning earthquake
including land shock waves or tremors before, during or after a volcanic
eruption; landslide; mine subsidence; mudflow; earth sinking, rising or
shifting; or any earth movement caused by
man or man-made forces unless direct loss by:
(1) Fire;
or
(2) Explosion
20
ensues and then we will
pay only for the ensuing loss. This exclusion does not apply to loss by
theft.
c. Water Damage, meaning:
(1)
Flood, surface water, waves, tidal water, overflow of a body of water,
or spray from any of these, whether or
not driven by wind;
(2) Water
which backs up through sewers or drains or which overflows from a sump;
or
(3) Water
below the surface of the ground, including water which exerts pressure
on or seeps or leaks through a
building, sidewalk, driveway, foundation, swimming pool or other structure
Direct loss by fire, explosion
or theft resulting from water damage is covered.
d. Power Failure, meaning the failure of
power or other utility service if the failure takes place off the residence
premises. But, if the failure of power or
other utility service results in a loss, from a Peril Insured against
on the residence premises, we will pay for
the loss or damage caused by that Peril Insured Against.
e. Neglect, meaning neglect of the insured
to use all reasonable means to save and preserve property at and after
the time of a loss.
f. War, including the following and any
consequence of any of the following:
(1)
Undeclared war, civil war, insurrection, rebellion or revolution;
(2)
Warlike act by a military force or military personnel; or
(3)
Destruction, seizure or use for a military purpose.
Discharge of a nuclear weapon
will be deemed a warlike act even if accidental.
g. Nuclear Hazard, to the
extent set forth in the Nuclear Hazard Clause of SECTION I - CONDITIONS.
h. Intentional Loss, meaning
any loss arising out of any act committed:
(1)
By or at the expressed or implied direction of any insured; and
(2)
With the intent to cause a loss.
2. We do not insure for loss to property described in
21
Coverages A and B caused by any of the following. However,
any ensuing loss to property described in Coverages A and B not excluded
or expected in this policy is covered.
a. Weather conditions.
However, this exclusion only applies if weather conditions contribute
in any way with a cause or event excluded
in paragraph 1. above to produce the loss;
b. Acts or decisions, including the
failure to act or decide, of any person, group, organization or governmental
body;
c. Faulty, inadequate or defective:
(1) Planning,
zoning, development, surveying, siting;
(2) design,
specifications, workmanship, repair, construction, renovation, remodeling,
grading, compaction;
(3) Materials
used in repair, construction, renovation or remodeling; or
(4) Maintenance;
of part or all of any property whether on
or off the residence premises.
SECTION I - CONDITIONS
1. Insurable Interest and Limit of Liability. Even
if more than one person has an insurable interest in property covered,
we will not be liable in any one loss:
a. To any insured for more than the
amount of the insured's interest at the time of loss; or
b. For more than the applicable limit of
liability.
2. An insured's Duties After Loss. In case of a loss
to covered property, you must see that the following dutues are complied
with. We have no duty or obligation to provide any coverage under this
policy unless you or any insured making a claim under this policy have
fully complied with the following conditions and duties.
a. Give prompt notice to us;
b. Notify the police in case
of loss by theft;
c. Notify the credit card
or fund transfer card company in case of loss under Credit Card or Fund
Transfer Card coverage;
d. Protect the property from
further damage. If
22
repairs to the property
are required, you must:
(1)
Make reasonable and necessary repairs to protect the property; and
(2)
Keep an accurate record of repair expenses;
e. Prepare and submit to us within 60
days of the loss an inventory of damaged personal property using the
forms we provide showing the quantity,
description, place of purchase, date of purchase, original cost, actual
cash value, replacement cost and amount
you are claiming as a loss. You must attach all bills, receipts and
related documents that justify the figures
in the inventory;
f. As often as we reasonably require:
(1) Show
the damaged property;
(2) Provide
us with records and documents we request and permit us to make copies;
and
(3) Any
insured must submit examination under oath, as often as we may reasonably
request, while not in the presence
of any other insured, and sign the same;
g. Send to us, within 60 days after
our request, your signed, sworn proof of loss, using the form we provide,
which sets forth, to the best of your
knowledge and belief:
(1) The
time and cause of loss;
(2) The
interst of the insured and all others in the property involved and
all liens on the property;
(3) Other
insurance which may cover the loss;
(4) Changes
in title or occupancy of the property during the term of policy;
(5) Specifications
of damaged buildings and detailed repair estimates;
(6) The
inventory of damaged personal property described in 2.e. above;
(7) Receipts
for additional living expenses incurred and records that support the
fair rental value loss; and
(8) Evidence
or affidavit that supports a claim under the Credit Card, Fund Transfer
Card, Forgery and Counterfeit
Money coverage, stating the amount and cause of loss.
h. All insureds must help us and cooperate
with us in the investigation of any claim presented under this policy.
23
3. Loss Settlement. Covered property losses are settled as follows:
a. Property of the following types:
(1) Personal
property;
(2) Awnings,
carpeting, household appliances, outdoor antennas and outdoor equipment,
whether or not attached
to buildings; and
(3) Structures
that are not buildings;
at actual cash value at the time of
loss but not more than the amount required to repair or replace.
b. Buildings under Coverage A or B at
replacement cost without deduction for depreciation, subject to the
following:
(1) If,
at the time of loss, the amount of insurance in this policy on the
damaged building is 80% or more of the full
replacement cost of the building immediately before the loss, we will
pay the cost to repair or replace, after application
of deductible and without deduction for depreciation, but not more
than the lessor of the following amounts:
(a)
The limit of liability under this policy that applies to the building;
(b)
The replacement cost of that part of the building damaged for like
construction and use on the same premises;
or
(c)
The necessary amount actually spent to repair or replace the damaged
building.
(2) If,
at the time of loss, the amount of insurance in this policy on the
damaged building is less than 80% of the full
replacement cost of the building immediately before the loss, we will
pay the greater of the following amounts,
but not more than the limit of liability under this policy that applies
to the building:
(a)
The actual cash value of that part of the building damaged; or
(b)
That proportion of the cost to repair or replace, after application
of deductible and without deduction for
depreciation, that part of the building damaged, which the total amount
of insurance in this policy on the damaged
building bears to 80% of the replacement cost of the building.
(3) To
determine the amount of insurance
24
required
to equal 80% of the full replacement cost of the building immediately
before the loss, do not include the
value of:
(a)
Excavations, foundations, piers or any supports which are below the
undersurface of the lowest basement
floor;
(b)
Those supports in(a) above which are below the surface of the ground
inside the foundation walls, if there
is no basement; and
(c)
Underground flues, pipes, wiring and drains.
(4) We will
pay no more than the actual cash value of the damage until actual repair
or replacement is complete.
Once actual repair or replacement is complete, we will settle the loss
according to the provisions of b.(1)
and b.(2) above.
However,
if the cost to repair or replace the damage is both:
(a)
Less than 5% of the amount of insurance in this policy on the building;
and
(b)
Less than $2500;
we will
settle the loss according to the provisions of b.(1) and b.(2) above
whether or not actual repair or replacement
is complete.
(5) you
may disregard the replacement cost loss settlement provisions and make
claim under this policy for loss or
damage to buildings on an actual cash value basis. You may then make
claim within 180 days after loss for any
additional liability according to the provisions of this Condition 3.
Loss Settlement.
4. Loss to a Pair or Set. In case of loss to a pair or
set we may elect to:
a. Repair or replace any part to restore
the pair or set to its value before the loss; or
b. Pay the difference between actual cash
value of the property before and after the loss.
5. Glass Replacement. Loss for damage to glass caused
by a Peril Insured Against will be settled on the basis of replacement
with safety glazing materials when required by
25
ordinance or law.
6. Appraisal. If you and we fail to agree on the amount
of loss, and any insured claiming coverage has complied with all other
conditions of the policy, either may demand an appraisal of the loss
in writing. If both parties agree in writing to appraisal, and to
be bound by the results, each party will choose a competent and disinterested
appraiser within 20 days after receiving a written request from the
other. The two appraisers will choose a disinterested and impartial
umpire. If they cannot agree upon an umpire within 15 days, you or
we, upon written notice to the other, may request that the choice
be made by a judge of a court of record in the state where the residence
premises is located. The appraisers shall separately set the amount
of the loss as defined in the policy. If the appraisers submit a written
report of an agreement to us, the amount agreed upon will be the amount
of loss. If they fail to agree they will submit their differences
to the umpire. A decision agreed to by any two will set the amount
of loss.
Each party will:
a. Pay its own appraiser; and
b. Bear the other expenses of the appraisal
and umpire equally.
7. Other Insurance. If a loss covered by this policy
is also covered by other insurance, we will pay only the proportion
of the loss that the limit of liability that applies under this policy
bears to the total amount of insurance covering the loss.
8. Suit Against Us. No action can be brought unless
the policy provisions have been fully complied with and the action
is started within one year after the date of loss.
9. Our Option. If we give you written notice within
30 days after we receive your signed, sworn proof of loss, we may
repair or replace any part of the damaged property with like property,
at our option.
10. Loss Payment. We will adjust all losses with you.
We will pay you unless some other person is named in the policy or
is legally entitled to receive payment. Loss will be payable 60 days
after we receive your proof of loss, all
26
conditions of the policy of insurance have been complied
with and:
a. We reach an agreement with
you;
b. There is an entry of a final judgment;
or
c. There is a filing of an appraisal
award with us.
11. Abandonment of Property. We need not accept
any property abandoned by an insured.
12. Mortgage clause. The word mortgagee includes trustee.
If a mortgagee is named in this policy, any loss payable
under Coverage A or B will be paid to the mortgagee and you, as interests
appear. If more than one mortgagee is named, the order of payment
will be the same as the order of precedence of the mortgages.
If we deny your claim, that denial will not apply to
a valid claim of the mortgagee, if the mortgagee:
a. Notifies us in writing of any change
in ownership, occupancy or substantial change in risk of which the
mortgagee is aware;
b. Pays any premium due under this policy
on demand if you have neglected to pay the premium; and
c. Submits a signed, sworn statement
of loss within 60 days after receiving notice from us of your failure
to do so. Policy conditions relating
to An Insured's Duties After Loss, Appraisal, Suit Against Us and
Loss Payment apply to the mortgagee.
If we decide to cancel or not to renew this policy,
the mortgagee will be notified at least 10 days before the date of
cancellation or nonrenewal takes effect.
If we pay the mortgagee for any loss and deny payment
to you:
a. We are subrogated to all the rights
of the mortgage granted under the mortgagee on property; or
b. At our option, we may pay to the
mortgagee the whole principal on the mortgage plus any accrued interest.
In this event, we will receive a full
assignment and transfer of the mortgagee and all
27
securities held as collateral
to the mortgage debt.
Subrogation will not impair the right of the mortgagee to recover the
full amount of the mortgagee's claim.
13. No Benefit to Bailee. We will not recognize any assignment
or grant any coverage that benefits a person or organization holding,
storing or moving property for a fee regardless of any other provision
of this policy.
14. Nuclear Hazard Clause.
a. Nuclear Hazard means any nuclear reaction,
radiation or radioactive contamination, all whether controlled or uncontrolled
or however caused, or any consequence of any of these.
b. Loss caused by the nuclear hazard will
not be considered loss caused by fire, explosion or smoke, whether these
perils are specifically named in or otherwise included within the Perils
Insured Against in Section I.
c. This policy does not apply under Section
I to loss caused directly or indirectly by nuclear hazard, except that
direct loss by fire resulting from the nuclear
hazard is covered.
15. Recovered Property. If you or we recover any property
for which we have made payment under this policy, you or we will notify
the other of the recovery. At your option, the property will be returned
to or retained by you or it will become our property. If the recovered
property is returned to or retained by you, the loss payment will be adjusted
based on the amount you received for the recovered property.
16. Volcanic Eruption Period. One or more volcanic eruptions
that occur within a 72-hour period will be considered as one volcanic
eruption.
SECTION II - LIABILITY COVERAGES
COVERAGE E - Personal Liability
If a claim is made or suit is brought against an insured for damages because
of bodily injury or property damage caused by an occurrence to which this
coverage applies, we will:
28
1. Pay up to our limit of liability for the damages
for which the insured is legally liable. Damages include prejudgment
interest awarded against the insured; and
2. Provide a defense at our expense by counsel
of our choice, even if the suit is groundless, false or fraudulent.
We may investigate and settle any claim or suit that we
decide is appropiate. Our duty to settle or defend ends when
the amount we pay for damages resulting from the occurrence
equals our limit of liability.
COVERAGE F-Mediacal Payments to Others
We will pay the necessary medical expenses that are incurred
or medically ascertained within three years from the date of an accident
causing bodily injury. Medical expenses means reasonable charges
for medical, surgical, x-ray, dental, ambulance, hospital, professional
nursing, prosthetic devices and funeral services. This coverage does
not apply to you or regular residents of your household
except residence employees. As to others, this coverage applies
only:
1. To a person on the insured location with the
permission of an insured; or
2. To a person off the insured location, if the
bodily injury:
a. Arises out of a condition on the
insured location or the ways immediately adjoining;
b. Is caused by the activities of an
insured;
c. Is caused by a residence employee
in the course of the residence employee's employment by
an insured; or
d. Is caused by an animal owned by or
in the care of an insured.
SECTION II - EXCLUSIONS
1. Coverage E-Personal Liability
and Coverage F-Medical Payments to Others do not apply to bodily
injury or property damage:
a. Which is expected or intended by
one or more insureds;
b. Arising out of or in connection with
a business
29
engaged in by an insured.
This exclusion applies but is not limited to an act or omission, regardless
of its nature or circumstance, involving
a service or duty rendered, promised, owed or implied to be provided because
of the nature of the business;
c. Arising out of the rental or holding
for rental of any part of any premises by an insured. This exclusion
does not apply to the rental or holding
for rental of an insured location:
(1) On an
occasional basis if used only as a residence;
(2) In part
for use only as a residence, unless a single family unit is intended for
use by the occupying family to lodge
more than two roomers or boarders; or
(3) In part,
as an office, school, studio or private garage;
d. Arising out of the rendering of or failure
to render professional services;
e. Arising out of a premises:
(1) Owned
by an insured;
(2) Rented
to an insured; or
(3) Rented
to others by an insured;
that is not
an insured location;
f. Arising out of:
(1) The ownership,
maintenance, use, loading or unloading of any motor vehicles or all other
motorized land conveyances,
including trailers, owned or operated by or rented or loaned to an insured;
(2) The entrustment
by an insured of any motor vehicle or any other motorized land
conveyance to any person;
or
(3) Vicarious
liability, whether or not statutorily imposed, for actions of a child
or minor using a vehicle or conveyance
excluded in paragraph (1) or (2) above.
This exclusion does not apply to:
(1) A trailer
not towed by or carried on a motorized land conveyance.
(2) A motorized
land conveyance designed for recreational use off public roads, not subject
to motor vehicle registration
and:
(a)
Not owned by an insured; or
30
(b)
Owned by an insured and on an insured location;
(3) A motorized
golf cart when used to play golf on a golf course;
(4) A vehicle
or conveyance not subject to motor vehicle registration which is:
(a)
Used to service an insured's residence;
(b)
designed for assisting the handicapped; or
(c)
In dead storage on an insured location;
g. Arising out of:
(1) The ownership,
maintenance, use, loading or unloading of an excluded watercraft described
below to any person;
or
(2) The entrustment
by an insured of an excluded watercraft described below to any
person; or
(3) Vicarious
liability, whether or not statutorily imposed, for the actions of a child
or minor using an excluded watercraft
described below.
Excluded watercraft are those
that are principally designed to be propelled by engine power or electric
motor or are sailing vessels, whether owned
by or rented to an insured. This exclusion does not apply to watercraft:
(1) That are
not sailing vessels and are powered by:
(a)
Inboard or inboard-outdrive engine or motor power of 50 horsepower or
less not owned by an insured;
(b)
Inboard or inboard-outdrive engine or motor power of 50 horsepower not
owned by or rented to an insured;
(c)
One or more outboard engines or motors with 25 total horsepower or less;
(d)
One or more outboard engines or motors with more than 25 total horsepower
if the outboard engine or motor
is not owned by an insured;
(e)
Outboard engines or motors of more than 25 total horsepower owned by an
31
insured
if:
(i)
You acquire them prior to the policy period; and
(a)
You declare them at policy inception; or
(b)
Your intention to insure is reported to us in writing within
45 days after you acquire the outboard engines
or motors.
(ii)
You acquire them during the policy period.
This
coverage applies for the policy period.
(2) That are
sailing vessels, with or without auxiliary power:
(a)
Less than 26 feet in overall length;
(b)
26 feet or more in overall length, not owned by or rented to an insured.
(3) That are
stored;
h. Arising out of:
(1) The ownership,
maintenance, use, loading or unloading of an aircraft;
(2) The entrustment
by an insured of an aircraft to any person; or
(3) Vicarious
liability, whether or not statutorily imposed, for the actions of a child
or minor using an aircraft.
An aircraft means any contrivance used or
designed for flight, except model or hobby aircraft not used or designed
to carry people or cargo;
i. Caused directly or indirectly by war,
including the following and any consequence of any of the following:
(1) Undeclared
war, civil war, insurrection, rebellion or revolution;
(2) Warlike
act by a military force or military personnel; or
(3) Destruction,
seizure or use for a military purpose.
Discharge of a nuclear weapon will be deemed
a warlike act even if accidental;
j. Which arises out of the transmission
of a communicable disease by an insured;
k. Arising out of sexual molestation, corporal
punishment or physical or mental abuse; or
l. Arising out of the use, sale, manufacture,
32
delivery, transfer or possession by
any person of a Controlled Substance(s) as defined by the Federal
Food and Drug Law at 21 U.S.C.A. Sections
811 and 812. Controlled Substances include but are not limited to
cocaine, LSD, marijuana and all narcotic
drugs. However, this exclusion does not apply to the legitimate use
of prescription drugs by a person following
the orders of a licensed physician.
Exclusions e., f., g. and h. do not apply to bodily
injury to a residence employee arising out of an in the
course of the residence employee's employment by an insured.
2. Coverage E-Personal Liability, does not apply
to:
a. Liability:
(1) For
any loss assessment charged against you as a member of an association,
corporation or community of property
owners;
(2) Under
any contract or agreement. However, this exclusion does not apply
to written contracts:
(a)
That directly relate to the ownership, maintenance or use of an
insured loaction; or
(b)
Where the liability of others is assumed by the insured prior
to an occurrence;
unless
excluded in (1) above or elsewhere in this policy;
b. Property damage to property
owned by the insured;
c. Property damage to property
rented to, occupied or used by or in the care of the insured.
This exclusion does not apply to property
damage caused by fire, smoke or explosion;
d. Bodily injury to any person
eligible to receive any benefits:
(1) Voluntarily
provided; or
(2) Required
to be provided;
by the insured under any:
(1) Workers'
compensation law;
(2) Non-occupational
disability law; or
(3) Occupational
disease law;
e. Bodily injury or property
damage for which an insured under this policy:
(1) Is
also an insured under a nuclear energy
33
liability
policy; or
(2) would
be an insured under that policy but for the exhaustion of its
limit of liability.
A nuclear energy liability policy is
one issued by:
(1) American
Nuclear Insurers;
(2) Mutual
Atomic energy Liability Underwriters;
(3) Nuclear
Insurance Association of Canada;
or any of their successors; or
f. Bodily injury to you
or an insured within the meaning of part a. or b. of insured
as defined.
3. Coverage F-Medical Payments to Others, does not apply to
bodily injury:
a. To a residence employee if the
bodily injury:
(1) Occurs
off the insured location; and
(2) Does
not arise out of or in the course of the residence employee's
employment by an insured;
b. To any person eligible to receive benefits:
(1) Voluntarily
provided; or
(2) Required
to be provided;
under any:
(1) Workers'
compensation law;
(2) Non-occupational
disability law; or
(3) Occupational
disease law;
c. From any:
(1) Nuclear
reaction;
(2) Nuclear
radiation; or
(3) Radioactive
contamination;
all whether controlled or uncontrolled
or however caused; or
(4) Any
consequence of any of these; or
d. To any person, other than a
residence employee of an insured, regularly residing on any part
of the insured location.
SECTION II - ADDITIONAL COVERAGES
We cover the following in addition to the limits
of liability:
1. Claim Expenses. We pay:
a. Expenses we incur and costs
taxed against an insured in any suit we defend;
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b. Premiums on bonds required
in a suit we defend, but not for bond amounts more than the limit
of liability for Coverage E. We
need not apply for or furnish any bond;
c. Reasonable expenses incurred by an
insured at our request, including actual loss of earnings (but
not loss of other income) up to $50 per
day, for assisting us in the investigation or defense of a claim or
suit; and
d. Interest on the entire judgment which
accrues after entry of the judgment and before we pay or tender,
or deposit in court that part of the judgment
which does not exceed the limit of liability that applies.
2. First Aid Expenses. We will pay expenses for
first aid to others incurred by an insured for bodily injury
covered under this policy. We will not pay for first aid
to you or any other insured.
3. Damage to Property of Others. We will pay, at
replacement cost, up to $500 per occurrence for property damage
to property of others caused by an insured.
We will not pay for property damage:
a. To the extent of any amount recoverable
under Section I of this policy;
b. Caused intentionally by an insured
who is 13 years of age or older;
c. To property owned by an insured;
d. To property owned by or rented to a
tenant of an insured or a resident in your household;
or
e. Arising out of:
(1) A business
engaged in by an insured;
(2) Any
act or omission in connection with a premises owned, rented or controlled
by an insured, other than the
insured location; or
(3) The
ownership, maintenance, or use of aircraft, watercraft or motor vehicles
or all other motorized land conveyances.
This
exclusion does not apply to a motorized land conveyance designed for
recreational use off public roads, not
subject to motor vehicle registration and not owned by an insured.
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4. Loss Assessment. We will pay up to $1000 for your
share of loss assessment charged during the policy period against you
by a corporation or association of property owners, when the assessment
is made as a result of:
a. Bodily injury or property
damage not excluded under Section II of this policy; or
b. Liability for an act of a director,
officer or trustee in the capacity as a director, officer or trustee,
provided:
(1) The
director, officer or trustee is elected by the members of a corporation
or association of property owners;
and
(2) The
director, officer or trustee serves without deriving any income from
the exercise of duties which are solely
on behalf of a corporation or association of property owners.
This coverage applies only to loss assessments charged against you
as owner or tenant of the residence premises.
We do not cover loss assessments charged against you
or a corporation or association of property owners by any governmental
body.
Regardless of the number of assessments, the limit of $1000 is the
most we will pay for loss arising out of:
a. One accident, including continuous
or repeated exposure to substantially the same general harmful condition;
or
b. A covered act of a director, officer
or trustee. An act involving more than one director, officer or trustee
is considered to be a single act.
The following do not apply to this coverage:
1. Section II-Coverage E-Personal Liability Exclusion 2.a.(1);
2. Condition 1. Policy Period, under SECTIONS I AND II-CONDITIONS.
SECTION II - CONDITIONS
1. Limit of Liability. Our total liability under
Coverage E for all Damages resulting from any one occurrence
will not be more than the limit of liability for Coverage E as
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shown in the Declarations. This limit is the same regardless of the
number of insureds, claims made or persons injured. All bodily
injury and property damage resulting from any one accident
or from continuous or repeated exposure to substantially the same
general harmful conditions shall be considered to be the result of
one occurrence.
Our total liability under Coverage F for all medical expense
payable for bodily injury to one person as the result of one
accident will not be more than the limit of liability for Coverage
F as shown in the Declarations.
2. Severability of Insurance. This insurance applies separately
to each insured. This condition will not increase our limit
of liability for any one occurrence.
3. Duties After Loss. In case of an accident or occurrence,
the insured will perform the following duties that apply. You
will help us by seeing that these duties are performed:
a. Give written notice to us
as soon as is practical, which sets forth:
(1) The
identity of the policy and insured;
(2) Reasonably
available information on the time, place and circumstances of the
accident or occurrence; and
(3) Names
and addresses of any claimants and witnesses;
b. Promptly forward to us every notice,
demand, summons or other process relating to the accident or occurrence;
c. At our request, help us:
(1) To
make settlement;
(2) To
enforce any right of contribution or indemnity against any person
or organization who may be liable to an
insured;
(3) With
the conduct of suits and attend hearings and trials; and
(4) To
secure and give evidence and obtain the attendance of witnesses;
d. Under the coverage-Damage to Property
of Others-submit to us within 60 days after the loss, a sworn
statement of loss and show the damaged
property, if the insured's control;
e. The insured will not, except
at the insured's
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own cost, voluntarily make payment, assume
obligation or incur expense other than for first aid to others at the
time of the bodily injury.
4. Duties of an Injured Person-Coverage F-Medical Payments to Others.
The injured person or someone acting for the injured person will:
a. Give us written proof of claim,
under oath if required, as soon as is practical; and
b. Authorize us to obtain copies
of medical reports and records.
The injured person will submit to a physical exam by a doctor of our
choice when asn as often as we reasonably require.
5. Payment of Claim-Coverage F-Medical Payments to Others. Payment
under this coverage is not an admission of liability by an insured
or us.
6. Suit Against Us. No action can be brought against us
unless there has been full compliance with the policy provisions.
No one will have the right to join us as a party to any action
against an insured. Also, no action with respect to Coverage
E can be brought against us until the obligation of the insured
has been determined by final judgment or agreement signed by us.
7. Bankruptcy of an Insured. Bankruptcy or insolvency of an
insured will not relieve us of our obligations
under this policy.
8. Other Insurance-Coverage E-Personal Liability. This insurance
is excess over other valid and collectible insurance except insurance
written specifically to cover as excess over the limits of liability
that apply in this policy.
SECTION I AND II - CONDITIONS
1. Policy Period. This policy applies only to loss in Section
I or bodily injury or property damage in Section II, which
occurs during the policy period.
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2. Concealment or Misrepresentation. This entire policy will
be void and all coverages forfeited, and payment will not be made to
any insured, if before or after a loss, any insured has
knowingly concealed or misrepresented any material fact or circumstance
relating to this insurance, the insurance application, the loss, the
presentation of the claim or any other fact or circumstance material
to the investigation and adjustment of the claim.
3. Liberalization Clause. If we make a change which broadens
coverage under this edition of our policy without additional
premium charge, that change will automatically apply to your
insurance as of the date we implement the change in your
state, provided that this implementation date falls within 60 days prior
to or during the policy period stated in the Declarations.
This Liberalization Clause does not apply to changes implemented through
introduction of a subsequent edition of our policy.
4. Waiver or Change of Policy Provisions. A waiver or change
of a provision of this policy must be in writing by us to be valid.
Our request for an appraisal or examination will not waive any
of our rights.
5. Cancellation.
a. You may cancel this policy at
any time by returning it to us or by letting us know in
writing of the date cancellation is to
take effect.
b. We may cancel this policy only
for the reasons stated below by letting you know in writing of
the date cancellation takes effect. This
cancellation notice may be delivered to you or mailed to you
at your mailing address shown in
the Declarations.
Proof of mailing will be sufficient proof
of notice.
(1) When
you have not paid the premium, we may cancel at any time
by letting you know at least 10 days before
the date cancellation takes effect.
(2) When
this policy has been in effect for less than 60 days and is not a renewal
with us, we may cancel for any
reason by letting you know
at least
10 days before the date cancellation takes effect.
(3) When this
policy has been in effect for 60 days or more, or at any time if it is
a renewal with us, we may cancel:
(a)
If there has been a material misrepresentation of fact which if known
to us would have caused us not to issue
the policy; or
(b)
If the risk has changed substantially since the policy was issued.
This can be
done by letting you know at least 30 days before the date cancellation
takes effect.
(4) When this
policy is written for a period of more than one year, we may cancel
for any reason at anniversary by
letting you know at least 30 days before the date cancellation
takes effect.
c. When this policy is cancelled, the premium
for the period from the date of cancellation to expiration date will be
refunded pro rata.
d. If the return premium is not refunded
with the notice of cancellation or when this policy is returned to us,
we will refund it within a reasonable
time after the date cancellation takes effect.
6. Nonrenewal. We may elect not to renew this policy. We
may do so by delivering to you, or mailing to you at your
mailing address shown in the Declarations, written notice at least 30
days before the expiration date of this policy. Proof of mailing will
be sufficient proof of notice.
7. Assignment. Assignment of this policy will not be valid unless
we give our written consent.
8. Subrogation. An insured may waive in writing before
a loss all rights of recovery against any person. If not waived, we
may require an assignment of rights of recovery for a loss to the extent
that payment is made by us.
If an assignment is sought, an insured must sign and deliver all
related papers and cooperate with us.
Subrogation does not apply under Section II to Medical Payments to Others
or Damage to Property of Others.
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9. Death. If any person named in the Declarations or the spouse,
if a resident of the same household, dies; we insure the legal representative
of the deceased, but only with respect to the premises and property
of the deceased covered under the policy at the time of death.
Insured includes:
a. Any member of your household who is an insured at
the time of your death, but only while a resident of the residence
premises; and
b. With respect to your property, the person having proper
temporary custody of the property until appointment and qualification
of a legal representative.
In Witness Whereof, we have caused this policy to be executed and attested,
and, if required by state law, this policy shall not be valid unless
countersigned by our authorized representative.
______________________________________________________Secretary
______________________________________________________President
William
Erdman
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Secretary
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Kenneth A. Johnson
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President
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Please keep your Declarations Certificates
and
Endorsements with your policy.
Includes copyrighted material of Insurance
Services Office, Inc. with its permission.
Copyright, Insurance Services Office,
Inc. 1995
Form No. 5103 (Ed. 1/96)
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