Appendix — Preis v. Lexington Insurance Insurance Co Co (No. 08-594)
Supreme Court brief2008
Ask Donna
What actually matters in this document.
Text
la
APPENDIX A
IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF ALABAMA
SOUTHERN DIVISION
Civil Action No. 06-0360-WS-C
RICHARD PREIS and VICTORIA PREIS,
Plaintiffs,
vs.
LEXINGTON INSURANCE COMPANY,
Defendant.
ORDER ON JURY TRIAL
This action came before the Court for trial by jury
on August 13, 14 and 15, 2007, with United States
District Judge William H. Steele presiding. The jury
was selected on July 31, 2007 and sworn on the
morning of trial. The Plaintiffs presented their
evidence and rested on August 13, 2007. The
Defendant filed a Motion for Judgment as a Matter of
Law at the conclusion of the Plaintiffs’ case. The
Defendant presented its evidence and rested on
August 14, 2007. The Defendant renewed its Motion
for Judgment as a Matter of Law at the close of all
the evidence which was GRANTED with respect to
loss of contents and DENIED with respect to the
house for the reasons stated on the record. The
Plaintiff filed a Motion for Judgment as a Matter of
Law at the conclusion of all the evidence which was
DENIED for the reasons stated on the record. The
Court held a charge conference with counsel and the
parties gave their closing arguments to the jury. The
Court charged the jury on the applicable law and the
jury commenced their deliberations.
2a
On the 15th day of August, 2007, the jury who
having heard the evidence, the arguments of counsel
and having considered the same upon their oaths,
returned the verdict, a copy of which is attached
hereto, into open court with counsel present.
DONE and ORDERED this 21st day of August,
2007.
/s/William H. Steele
William H. Steele
United States District Judge
3a
IN THE UNITED STATES DISTRICT COURT
FOR THE SOUTHERN DISTRICT OF ALABAMA
SOUTHERN DIVISION
CIVIL ACTION 06-0360-WS-C
RICHARD PREIS and VICTORIA HEARIN PREIS,
Plaintiffs,
Vv.
LEXINGTON INSURANCE COMPANY,
Defendant.
VERDICT FORM WITH SPECIAL
INTERROGATORIES
1. Do you find that the Plaintiffs property located at
15049 Scenic Highway 98, Point Clear, Alabama
sustained wind damage as a result of Hurricane
Katrina?
a ee
YES NO
If the answer to question #1 is “NO”, sign the form
and inform the Court.
If the answer to question #1 is “YES”, proceed to
question #2.
2. What is the actual cash value of the Plaintiffs’ loss
on the home structure attributable to:
70,000.00 whi
Wind Flood
3. Do you find that the Plaintiffs’ property was
rendered unfit to live in as the result of damages
caused by wind?
eines :
YES NO
4a
If the answer to question #3 is “NO”, sign the form
and inform the Court.
If the answer to question #3 is “YES”, proceed to
question #4.
. Do you find that the Plaintiffs are entitled to
Additional Living Expenses as set forth in the
Lexington policy?
eae a
YES NO
If the answer to question #4 is “NO”, sign the form
and inform the Court.
If the answer to question #4 is “YES”, proceed to
question #5.
. What is the amount necessary to compensate the
Plaintiffs for their Additional Living Expenses?
$
/s/ Timothy Little
Timothy Little
Foreperson
08/15/07
Date
5a
APPENDIX B
IN THE UNITED STATES DISTRICT COURT FOR
THE SOUTHERN DISTRICT OF ALABAMA
SOUTHERN DIVISION
Civil Action No. 06-0360-WS-C
RICHARD PREIS and VICTORIA PREIS,
Plaintiffs,
vs.
LEXINGTON INSURANCE COMPANY,
Defendant.
FINAL JUDGMENT
In accordance with the verdict entered in the above
styled action, it is ORDERED, ADJUDGED and
DECREED that a FINAL JUDGMENT be, and the
same is entered in favor of the Plaintiffs, Richard and
Victoria Preis, and against the Defendant, Lexington
Insurance Company, in the amount of $70,000.00.
The Plaintiffs are entitled to recover from the
Defendant their taxable costs.
DONE and ORDERED this 2lst day of August,
2007.
/s/ William H. Steele
WILLIAM H. STEELE
United States District Judge
6a
APPENDIX C
IN THE UNITED STATES COURT OF APPEALS
FOR THE ELEVENTH CIRCUIT
[Filed June 3, 2008]
No. 07-14228
D. C. Docket No. 06-00360-CV-WS-C
RICHARD PREIS, VICTORIA HEARIN PREIS,
Plaintiffs-Appellants,
versus
LEXINGTON INSURANCE COMPANY, T&B, LTD, d.b.a.
THAMES, BATRE’, MATTEI, BEVILLE, and ISON, et al.,
Defendants-Appellees.
Appeal from the United States District Court
for the Southern District of Alabama
(June 3, 2008)
Before DUBINA and BARKETT, Circuit Judges, and
SCHLESINGER, District Judge.
PER CURIAM:
Richard and Victoria Preis’ appeal from an adverse
partial summary judgment in favor of Lexington In-
Honorable Harvey E. Schlesinger, United States District
Judge for the Middle District of Florida, sitting by designation.
' For ease of discussion, we will hereinafter refer to the
Appellants in the singular, “Pries.”
7a
surance Company, providers of Pries’ homeowner's
insurance policy; an adverse summary judgment in
favor of Thames, Batre, Mattei, Beville, and Ison
(“T&B”), the insurance agency that issued the Lex-
ington policy and Allen Ladd, its agent. Pries also
appeals from a jury verdict of $70,000, which the jury
awarded to Pries at the conclusion of a three-day
trial, based on purported evidentiary errors and er-
rors in the jury instructions. Pries seeks reversal of
the district court’s summary judgment rulings, and a
new trial.
I. Background
Pries’ home on Mobile Bay, in Point Clear, Ala-
bama, was severely damaged by Hurricane Katrina.
According to Pries, the house had a replacement value
in excess of $1,200,000 and the loss on personal prop-
erty in the house was in excess of $750,000.
Pries had two sets of insurance policies covering
the house and its contents. First, he had a home-
owner’s policy (“the Lexington policy”), originally
purchased in 1995. The Lexington policy was an all-
risk policy that insured against any direct loss of per-
sonal or structural property of the home at issue,
with certain exclusions. One of the exclusions of cov-
erage was for loss caused “directly or indirectly” by
“water damage”, defined as “flood, surface water,
wave, tidal water, overflow of a body of water, or
spray from any of these, whether or not driven by
wind ....” The Lexington policy is the only insurance
policy at issue in this appeal.
The second relevant set of insurance policies cov-
ering the property at issue at the time of Hurricane
Katrina was for flood damage. Preis had a primary
flood policy with Hartford Insurance Company, and an
8a
excess flood insurance policy with WNC Insurance
Services. Following Hurricane Katrina, Pries submit-
ted a claim to both Hartford Insurance and to WNC
Insurance Services. Pries received a total of $587,659.71
from these flood insurance providers for the damage
incurred as a result of floods caused by the hurricane.
This amount constituted the full policy limits of both
policies.
Pries also notified Lexington of the loss in order to
recover for wind damage under the homeowners’ po)l-
icy and submitted the same claim of loss to Lexington
that had been submitted to the flood insurance carri-
ers. Within one week of Preis’ notification of the loss,
Lexington retained an independent adjuster, Reid
Jones McRorie & Williams, to investigate Pries’ claim.
Reid Jones issued a final report several months later,
indicating that the majority of the damage to the
house was a result of “storm surge”, and that the
“[moderate] wind damage was primarily limited to
the roof.” Reid Jones estimated that Pries was due a
payment in the amount of $72,155.96 for the damage
that had not been caused by flood waters. Based on
this assessment, Lexington made Pries an uncondi-
tional tender for $53,135.97, which reflected Reid
Jones’ estimate less the policy’s wind deductible of
$19,020.00.
Preis rejected Lexington’s tender of $53,135.97 and
notified Lexington of his intent to file this lawsuit
against Lexington. Lexington then retained the
engineering services of Project Time & Cost (““PT&C”)
to determine the cause and origin of Preis’ losses.
PT&C’s report confirmed that the majority of the
house was damaged as a result of storm surge, but
that some damage was attributable to wind damage.
Based on PT&C’s report, Reid Jones readjusted Pries’
9a
estimated loss, and increased their unconditional
tender by $11,031.90 to $64,167.86. Pries again
rejected the loss amount, and proceeded to file the
instant suit.
A three-day jury trial was held in August 2007. At
the close of the evidence, and prior to the case being
submitted to the jury, the district court granted
Lexington’s Rule 50 motion for judgment as a matter
of law on Preis’ claim for damage to the contents of
the house, finding that Pries had failed to present
facts sufficient to allow the trier of fact to segregate
the amount of damages to the home’s contents at-
tributable to wind from those damages due to water
from the storm surge. After deliberating, the jury
awarded Pries $70,000 for damages to the structure
attributable to wind.
II. Discussion
Preis challenges several aspects of the trial, as well
as two of the district court’s rulings on summary
judgment. We address each issue in turn.
1. Evidentiary Rulings’
Preis argues that the district court erred in admit-
ting evidence of “the amount of the flood settlement
in the amount of $587,659.71,” and contends that
evidence of the flood payments is barred under Fed-
eral Rule of Evidence 408.° We have held that “[for
* We review the district court’s evidentiary rulings under a
deferential abuse of discretion standard. United States v. Fra-
zier, 387 F.3d 1244, 1258 (11 Cir. 2004) (en banc).
* Rule 408 provides in pertinent part: “Evidence of (1)
furnishing or offering or promising to furnish, or (2) accepting or
offering or promising to accept, a valuable consideration in com-
promising or attempting to compromise a claim which was dis-
puted as to either validity or amount, is not admissible to prove
10a
Rule 408 to apply, there must be an actual dispute, or
at least an apparent difference of opinion between
the parties, as to the validity of a claim.” Dalilis v.
Aetna Life Ins. Co., 768 F.2d 1303, 1307 (11th Cir.
1985). We have specifically rejected the notion that
“the payment of a claim by an insurance company,
where there is no evidence that the insurance com-
pany ever disputed the claim, qualifies as a compro-
mise within the meaning of Rule 408:” Id. 1306-07.
Since Pries submitted his claim to the flood insurers
and received the full policy limits from both of them
absent any dispute as to the validity of his claim, the
district court did not abuse its discretion in finding
that Rule 408 did not bar admissibility of the pay-
ments.
Pries also argues that the lay testimony of insur-
ance adjusters James Gibson and Tracy Clark should
not have been admitted into evidence under Federal
Rule of Evidence 701 because they did not have per-
sonal knowledge of the facts and because their testi-
mony was based on “scientific, technical, or other
specialized knowledge within the scope of Rule 702,”
which governs expert testimony. The testimony of-
fered by both Clark and Gibson specifically related to
the damage to the home they observed during the in-
spections they personally conducted, the reports they
each individually prepared regarding their assess-
ments of the damage to the Pries’ home, and the pro-
cedures they employed to reach their loss estimates.
Given the nature of their testimony, the district court
liability for or invalidity of the claim or its amount.” Fed. R.
Evid. 408.
lla
did not abuse its discretion in allowing the adjusters
to testify as lay witnesses.‘
2. Burden of Proof: Directed Verdict and Jury
Instructions
Preis contends that the district court’s application
of an erroneous burden of proof resulted in two er-
rors: 1) the court erroneously granted Lexington a di-
rected verdict on the question of Lexington’s liability
for the damage to the contents of the home; and 2)
the jury instruction regarding the burden of proof
was an erroneous statement of the law. We review
the allocation of the burden of proof de novo. Gu.a-
jardo v. Texas Dept. of Crim. Justice, 363 F.3d 392,
395 (5th Cir. 2004); see also United States v. DeVeg-
ter, 439 F.3d 1299, 1303 (11th Cir. 2003) (“We gener-
ally review de novo questions of law.”).
The Louisiana Supreme Court has stated that, “[i]n
an action under an insurance contract, the insured
bears the burden of proving the existence of the pol-
icy, and the coverage.” Turnstall v. Stierwald, 809
So.2d 916, 921 (La. 2002). The insured also bears the
threshold burden of proving an accidental direct
* Moreover, our review of the trial transcript indicates that
any opinion testimony offered by Clark or Cibson was in fact
solicited by Pries. See Doc. 236, p. 403,11. 9-11 (Clark asked on
cross, “Hypothetically, Mr. Clark, if windows blew out in this
house, would you consider the contents that would have been
damaged?”); Doc. 235, p. 231, II. 22-24 (Gibson asked on cross,
“What would have been your loss if you had to assume that the
whole thing had to be torn down?” Gibson responded, “You
know, I wouldn’t even wing that.”). The admission of inadmissi-
ble testimony, “when responding to an inquiry by [appellant’s]
counsel, creates ‘invited error’.” United States v. Parikh, 858
F.2d 688, 695 (11th Cir. 1988). “[I]nvited error constitutes nei-
ther plain nor reversible error.” /d.
12a
physical loss to the insured property, and the amount
of the loss. See Pelas v. Amer. Emp. Ins. Co., 299
So.2d 815, 817 (La. App. 1974) (“As in any action on
an insurance policy, the burden is upon the plaintiff
to prove the loss insured against.”) (Schott, J., dis-
senting); Brouillette v. Phoenix Assur. Co., 340 So.2d
667, 672 (La. App. 1977) (“Plaintiff had the burden of
proof on the amount of the loss.”). Once an insured
has met this initial burden, the burden then shifts to
the insurer to prove by a preponderance of the evi-
dence that the loss falls within a policy exclusion.
Turnstall, 809 So.2d at 921 (“The insurer, however,
bears the burden of showing policy limits or exclu-
sions?). The segregation or allocation of the causes of
the loss is left to the finder of fact once the parties
have met their initial burdens. See Broussard v. State
Farm Fire & Casualty Co., No. 07-60443, 2008 WL
921699, at *5-6 (5th Cir. Apr. 7, 2008). It is with this
appropriate burden of proof in mind that we now turn
to Preis’ arguments.
A. Directed Verdict
We review a district court’s ruling on a judgment
as a matter of law under Rule 50 de novo, examining
the evidence in the light most favorable to the non-
moving party. Optimum Tech. v. Henkel Consumer
Adhesives. Inc., 496 F.3d 1231, 1251 (11th Cir. 2007).
“Judgment as a matter of law is appropriate when a
plaintiff presents no legally sufficient evidentiary ba-
sis for a reasonable jury to find for him on a material
element of his cause of action.” Proctor v. Flor Enter-
prises, Inc., 494 F.3d 1337, 1347 n.5 (11th Cir. 2007).
Preis argues that the district court erroneously
granted Lexington’s Rule 50 motion with regards to
the contents because “the Plaintiffs have not identi-
fied any evidence that affords the jury a reasonable
13a
basis for separating losses due to wind from losses
due to flood.” Preis contends that this placed an in-
appropriately high and erroneous burden of proof
upon him, arguing that all he needed to do was es-
tablish the coverage, the loss and the loss amount,
and not the cause of the injury. We agree with Preis
regarding his burden, but agree with the district
court that this initial burden was not met by Preis in
this case. Had Preis simply established that he had
the requisite accidental damage coverage and that he
had been damaged in a specific amount, he would
have met his burden of proof under his all-risk policy.
Lexington would then have the burden to prove that
the damages claimed were the result of water, which
was a cause explicitly excluded by the coverage.
Here, however, Preis failed to initially establish a
basis from which the jury could have awarded an
amount for the personal property in the house that
was covered by the Lexington policy. Each of Preis’
witnesses in his case-in-chief conceded that there was
water damage and debris on the inside of the home
from the flooding, and the parties do not dispute that
water damage is not covered under the Lexington
policy. None of Preis’ witnesses testified regarding
any damage to the contents of the home not caused
by water, and Preis conceded that he submitted iden-
tical claims for the contents to both his flood insurers
and to Lexington. In short, Preis did not present any
evidence in his case-in-chief which would support a
jury finding that the contents were destroyed by any-
thing but water. Given the absolute lack of evidence
that the contents of the house were damaged by a
covered peril, no reasonable jury could find that Preis
had met his burden of proving the amount of covered
loss by a preponderance of the evidence. Under these
circumstances, we cannot find that the district court
l4a
erred by granting Lexington’s motion for judgment as
a matter of law regarding the contents of the Preis’
home.
B. Jury Instructions Regarding Burden of Proof
We review the challenged jury instructions under a
deferential standard of review. United States uv.
Puche, 350 F.3d 1137, 1148 (11th Cir. 2003). We do,
however, review them de novo to “determine whether
they misstate the law or mislead the jury to the
prejudice of the objecting party.” Brochu v. City of
Riviera Beach, 304 F.3d 1144, 1155 (11th Cir. 2002).
Having reviewed the jury instructions delivered by
the district court in their entirety, we cannot agree
with Preis that the district court misstated the law.
The district court accurately recited the burden of
proof under Louisiana law. The court instructed the
jurors that the initial burden is on the plaintiffs to
prove “the existence of the policy sued on, its terms
and provisions, that their claim is within its cover-
age, and the amount of their covered damage.” The
district court also instructed the jury that “it is the
insurer who bears the burden of proving the applica-
bility of any exclusion from coverage of the policy.”
Thus, the district court’s jury instructions regarding
the applicable burden of proof was an accurate state-
ment of law.
3. Jury Instruction Based on Debris
Preis next argues that the district court erred by
instructing the jury that “wind driven wood debris
was water damage and not covered.” The actual in-
struction the court delivered follows:
The exclusion for water damage excludes loss re-
sulting either directly or indirectly from flood,
and loss from debris that strikes covered prop-
15a
erty when carried there by flood waters is loss
caused indirectly by flood and is thus excluded.
We again review the challenged jury instruction
under a deferential standard of review. Puche, 350
F.3d at 1148.
The instruction given by the court limits the exclu-
sion from coverage to debris damage caused by flood
waters, and does not implicate “wind driven wood de-
bris” as suggested by Preis. Though the word “debris”
does not appear in the language of the water damage
exclusion, the language of the policy unambiguously
excludes damage caused directly or indirectly from
flood. Thus, the district court did not err in instruct-
ing the jury that damage from debris which strikes
the covered property as a result of floods is excluded
under the clear language of the water damage exclu-
sion.
4. Summary Judgment Rulings*
Finally, we have carefully reviewed this record and
find no error in the district court’s grant of summary
judgment against Preis on his claim that Lexington
acted in bad faith or on his claims against T&B and
Ladd.
AFFIRMED.
* We review a district court’s rulings on summary judgment
de novo. Mega Life and Health Ins. Co. v. Pieniozek, 516 F.3d
985, 989 (11th Cir. 2008). “Summary judgment is appropriate
when the evidence; viewed in the light most favorable to the
nonmoving party, presents no genuine issue of material fact and
compels judgment as a matter of law.” Jd.; Fed. R. Civ. P. 56(c).
16a
APPENDIX D
IN THE UNITED STATES COURT OF APPEALS
FOR THE ELEVENTH CIRCUIT
No. 07-14228-CC
Filed August 4, 2008
RICHARD PREIS, VICTORIA HEARIN PREIS,
Plaintiffs-Appellants,
,
LEXINGTON INSURANCE COMPANY,
T&B, LTD, d.b.a. Thames, Batre’, Mattel.,
Beville, and Ison, et al.,
Defendants-Appellees.
On Appeal from the United States District Court
for the Southern District of Alabama
ON PETITION(S) FOR REHEARING AND
PETITION(S) OR REHEARING EN BANC
Before: DUBINA and BARKETT, Circuit Judges, and
SCHLESINGER, District Judge.
PER CURIAM:
The Petition(s) for Rehearing are DENIED and no
Judge in regular active service on the Court having
requested that the Court be polled on rehearing en
* Honorable Harvey E. Schlesinger, United States District
Judge for the Middle District of Florida, sitting by designation.
17a
banc (Rule 35, Federal Rules of Appellate Procedure),
the Petition(s) for Rehearing En Banc are DENIED.
ENTERED FOR THE COURT:
/s/ Rosen Barkett
ROSEN BARKETT
United States Circuit Judge
18a
APPENDIX E
IN THE UNITED STATES COURT OF APPEALS
- FOR THE ELEVENTH CIRCUIT
[Filed June 3, 2008]
No. 07-14228
D. C. Docket No. 06-00360-CV-WS-C
RICHARD PREIS, VICTORIA HEARIN PREIS,
Plaintiffs-Appellants,
Vv.
LEXINGTON INSURANCE COMPANY, T&B, LTD, d.b.a.
THAMES, BATRE’, MATTEI, BEVILLE, and ISON, et al.,
Defendants-Appellees.
Appeal from the United States District Court
for the Southern. District of Alabama
JUDGMENT
It is hereby ordered, adjudged. and decreed that
the attached opinion included herein by reference, is
entered as the judgment of this Court.
Entered: June 3,2008 ~—
For the Court: Thomas K. Kahn, Clerk
By: Gilman, Nancy
Issued As Mandate August 12, 2008.
19a
APPENDIX F
Title 28 UNITED STATES CODE
Rules of Evidence for United States
Courts and Magistrates
Article VII. Compromise and Offers to Compromise
Rule 408. Compromise and Offers to Compromise
(a) Prohibited uses.—Evidence of the following is
not admissible on behalf of any party, when of-
fered to prove liability for, invalidity of, or
amount of a claim that was disputed as to va-
lidity or amount, or to impeach through a prior
inconsistent statement or contradiction:
(1) furnishing or offering or promising to fur-
nish—or accepting or offering or promising
to accept—a valuable consideration in com-
promising or attempting to compromise the
claim; and
(2) conduct or statements made in compromise
negotiations regarding the claim, except
when offered in a criminal case and the ne-
gotiations related to a claim by a public of-
fice or agency in the exercise of regulatory,
investigative, or enforcement authority.
(b) Permitted uses.—This rule does not require
exclusion if the evidence is offered for purposes
not prohibited by subdivision (a). Examples of
permissible purposes include proving a wit-
ness's bias or prejudice; negating a contention
of undue delay; and proving an effort to ob-
struct a criminal investigation or prosecution.
(Pub.L. 93-595, § 1, Jan. 2, 1975, 88 Stat. 1933; Apr.
12, 2006, eff. Dec. 1, 2006.)
20a
APPENDIX G
Title 28 UNITED STATES CODE
Rules of Evidence for United States Courts
and Magistrates
Article VII. Opinions and Expert Testimony
Rule 701 Opinion Testimony by Lay Witnesses
If the witness is not testifying as an expert, the
witness’ testimony in the form of opinions or infer-
ences is limited to those opinions or inferences which
are (a) rationally based on the perception of the
witness, (b) helpful to a clear understanding of the
witness’ testimony or the determination of a fact in
issue, and (c) not based on scientific, technical, or
other specialized knowledge within the scope of Rule
702.
(Pub.L. 93-595, § 1, Tan. 2, 1975, 88 Stat.1937; Mar.
2, 1987, eff. Oct. 1, 1987; Apr. 17, 2000, eff. Dec. 1,
2000.)
2la
APPENDIX H
Title 28 UNITED STATES CODE
Rules of Evidence for United States Courts
and Magistrates
Article VII. Opinions and Expert Testimony
Rule 702 Testimony by Experts
If scientific, technical, or other specialized knowl-
edge will assist the trier of fact to understand the
evidence or to determine a fact in issue, a witness
qualified as an expert by knowledge, skill, experi-
ence, training, or education, may testify thereto in
the form of an opinion or otherwise, if (1) the
testimony is based upon sufficient facts or data,
(2) the testimony is the product of reliable principles
and methods, and (3) the witness has applied the
principles and methods reliably to the facts of the
case.
(Pub.L. 93-595, § 1, Jan. 2, 1975, 88 Stat. 1937; Apr.
17, 2000, eff. Dec. 1, 2000.)
22a
APPENDIX I
Federal Rules of Civil Procedure Rule 51
United States Code Annotated
Federal Rules of Civil Procedure for the United
States District Courts
Title VI. Trials
Rule 51. Instructions to the Jury; Objections; Pre-
serving a Claim of Error
(a) Requests.
(1) Before or at the Close of the Evidence. At the
close of the evidence or at any earlier reason-
able time that the court orders, a party may
file and furnish to every other party written
requests for the jury instructions it wants the
court to give.
(2) After the Close of the Evidence. After the close
of the evidence, a party may:
(A) file requests for instructions on issues that
could not reasonably have been anticipated
by an earlier time that the court set for re-
quests; and
(B)with the court's permission, file untimely
requests for instructions on any issue.
(b) Instructions. The court:
(1) must inform the parties of its proposed in-
———__structions and proposed action on the requests
before instructing the jury and before final jury
arguments;
(2) must give the parties an opportunity to object
on the record and out of the jury's hearing be-
23a
fore the instructions and arguments are deliv-
ered; and
(3) may instruct the jury at any time before the
jury is discharged.
(c) Objections.
(LD) How to Make. A party who objects to an in-
struction or the failure to give an instruc-
tion must do so on the record, stating dis-
tinctly the matter objected to and the
grounds for the objection.
(2) When to Make. An objection is timely if:
(A)before that opportunity to object, and
the party objects promptly after learning
that the instruction or request will be, or
has been, given or refused.
(B)a party was not informed of an instruc-
tion or action on a request before that
opportunity to object, and the party ob-
jects promptly after learning that the
instruction or request will be, or has
been, given or refused
(d) Assigning Error; Plain Error.
(1) Assigning Error. A party may assign as er-
ror:
(A)an error in an instruction actually given,
if that party properly objected; or
(B)failure to give an instruction, if that
party properly requested it and—unless
the court rejected the request in a de-
finitive ruling on the record--also prop-
erly objected
(2) Plain Error. A court may consider a plain
24a
error in the instructions that has not been
preserved as required by Rule 51(d)(1) if the
error affects substantial rights.
(Amended March 2, 1987, effective August 1, 1987;
March 27, 2003, effective December 1, 2003; April
30, 2007, effective December 1, 2007.) 7
BEST AVAILABLE COPY
“TGNGTON INSURANCE COMPANY
LENA Zo: HOS HoWEOWMERDEClananows Pate —Subbrter copy -
Policy Number: LE DSH632 03
'Hame of insured and Walling Address: = = = =~ ~ —~*|
Richard Preis Thames Satre Matte! Bevie & Ison
Ge Mogan Co. PO Box 4769
pete nes -* Gulf Shores, AL 36547
Coverage Part 1 - Homeowners Past 2 - Personal Umbrelia
~ Coverage A: $ ep . $ t)
- Coverage B: $ 63.400 Self insured Retention $ v)
- Coverage C: $ 37900 Part 3- Excess Flood
- Coverage D: $ 53,400 - ry 0 cee $ mp0
- Loss Assessment 5 1,000 ~ Contents § 0 Emessol § 190,009
~ Ordinance or Law. 10% Part 4 ~ Scheduled
- Coverage €: $ 50,000 . .
- Coverage F: $ —° sp
Anivual Premium. $ ~ F3 |
Homecwners Deductoles 4 —
Al Other Perits: $ 1000 tespection Fee: 3 0.00
Wind and Halt: % Fee: s =e
Earthquake: — Surplus Lines Tax: $ 446.82
WA
f XIGNAddVv
8%
26a
Policy Number LE 0541632 03
Effective Date: 09/22/2004
Date Issued:08/26/2004
SCHEDULE FORMS AND ENDORSEMENTS
LEX 04 33 04 02
HO 00 03 04 91
HO 01 01 05 97
HO 04 14 04 91
HO 04 16 0491
HO 04 90 04 91
HO 04 96 04 91
HO 05 80 05 97
LEX 00 04 01 01
LEX 00 14 03 01
LEX 00 30 05 03
LEX 01 09 03 03
LEX 03 140101
LEX 05 80 01 01
LEX 15 31 08 01
Limited Mild Related Coverage
Homeowners 3 Special Form
Special Provisions — Alabama
Special Computer Coverage
Premises Alarm or Fire
Protection System
Personal Property Replacement
Cost
Home Day Care Exclusion
Remediation, Limited Lead & Es-
caped Liquid Fuel Liability Cov-
erages
Lexington Standard Policy Condi-
tions
Important Flood Insurance Notice
Exterior Insulation and Finish
System Exclusion
Special Provisions
Windstorm or Hail Percentage
Deductible
Advisory Notice to Policyholders —
Explanatory Memo
Special Personal Property Cover-
age
27a
POLICY NUMBER: LE 0541632 03
HOMEOWNERS
LEX 04 33 04 02
THIS ENDORSEMENT CHANGES THE POL-
ICY. PLEASE READ IT CAREFULLY.
LIMITED MOLD RELATED COVERAGE
(Coverage Part 1- Homeowners Only)
SCHEDULE”
These limits of liability apply to the total of all loss
or costs payable under this endorsement, regardless
of the number of “occurrences”, the number of claims
made, or the number of locations insured under this
endorsement and listed in this Schedule.
1. | Section 1— Property Coverage Limit | $5,000
Of Liability for the Additional Cover-
age “Mold Related Items”
2. | Section II — Coverage E Aggregate | $5,000
Sublimit Of Liability for “Mold Related
Items’
*Entries may be left blank if shown elsewhere in this
policy for this coverage.
DEFINITIONS
The following definitions are added:
1.
“Mold Related Items” include the following defi-
nitions for “Fungus(i)”, “Mold(s)”, “Spore(s), but
also includes, Wet or Dry Rot, Bacteria, Mildew
or Yeast.
a. Fungus(i)’ includes, but is not limited to, any of
the plants or organisms belonging to the major
28a
group Fungi, lacking chlorophyll, and including
mids, rusts, mildews, smuts, mushrooms, and
any mycotoxins, spores, scents or byproducts
produced or released by fungi.
b. “Mold(sy includes, but is not limited to, any super-
ficial growth produced on damp or decaying or-
ganic matter or on living organisms, and fungi
c. “Spore(s)” means any dormant or reproductive
body produced by or arising or emanating out
of any “fungus(i)”, “mold(s), mildew, plants, or-
ganisms or microorganisms.
SECTION I PROPERTY COVERAGES
ADDITIONAL COVERAGES
The following Additional Coverage is added:
12. “Mold Related Items”
a. The amount shown in the Schedule above is
the most we will pay for:
(1) The total of all loss payable under Sec-
tionl— Property Coverages caused by ‘mold
related items”;
(2) The cost to remove “mold related items”
from properly covered under Section 1 —
Property Coverages;
(3) The cost to tear out and replace any part of
the building or other covered property as
needed to gain access to the “mold related
items’; and
(4) The cost of testing of air or property to con-
firm the absence, presence or level of *mold
related items’ whether performed prior to,
during or after removal, repair, restoration
29a
or replacement The cost of such testing will
be provided only to the extent that there is
a reason to believe that there is the pres-
ence of “mold related items”.
b. The coverage described in 12.a. only: applies
when such loss or costs are a result of a Peril
Insured Against that occurs during the policy
period and only if all reasonable means were
used to save and preserve the property from
further damage at and after the time the Peril
Insured Against occurred.
c. The amount shown in the Schedule for this cov-
erage is the most we will pay for the total of all
loss or costs payable under this Additional
Coverage regardless of the:
(1) Number of locations insured under this en-
dorsement or
(2) Number of claims made.
d. If there is covered loss or damage to covered
property, not caused, in whole or in part, by
“mold related items”, loss payment will not be
limited by the terms of this Additional Cover-
age, except to the extent that “mold related
items” causes an increase in the loss. My such
increase in the loss will be subject to the terms
of this Endorsement.
This coverage does not increase the limit of li-
ability applying to the damaged covered prop-
erty.
(This is Additional Coverage 11. in Form HO 00 06.)
SECTION I — PERILS INSURED AGAINST
30a
In Form HO 00 03 or HO 00 03, HO 00 04 and HO 00
06 with LEX 15 31:
Paragraph 2;043) or 1.b.(5X(c) (if LEX 15 31 Is at-
tached) is deleted and replaced by the following:
(3) or (c) Smog, rust or other corrosion; —
Paragraph 2.e.(9) or 1.b.(4(c) (if LEX 15 31 is at-
tached) is added:
(9) or (I) Constant or repeated seepage or leakage
of water or the presence or condensation of
humidity, moisture or vapor, over a period of
weeks, months or years unless such seepage or
leakage of water or the presence or condensa-
tion of humidity, moisture or vapor and the re-
sulting damage is unknown to all insureds”
and is hidden within the wails or ceilings or
beneath the floors or above the ceilings of a
structure.
In Form HO 00 06 with HO 17 31:
Paragraph 3.d.(3) is deleted and replaced by the
following:
(3) Smog, rust or other corrosion; Paragraph 34.(9)
is added:
(9) In Form HO 00 06 with HO 17 32:
Paragraph 2.e.(3) is deleted and replaced by the
following:
(3) Smog, rust or other corrosion; Paragraph
2.e.(9) is added:
(9) Constant or repeated seepage or leakage of wa-
ter or the presence or condensation of humid-
ity, moisture or vapor, over a period 01 weeks,
months or years unless such seepage or leak-
3la
age of water or the presence or condensation of
humidity, moisture or vapor and the resulting
damage is unknown to all “insureds” and Is
hidden within the walls or ceilings or beneath
the floors or above the ceilings of a structure.
SECTION I — EXCLUSIONS
Exclusion 1.1 is added.
I.
“Mold Related items”
“Mold Related Items” including the presence,
growth, proliferation, spread or any activity of
“mold related items”.
This Exclusion does not apply:
(1) When “Mold Related Items’ results from
fire or lightning; or
(2) To the extent coverage is provided for in the
“Mold Related Items” Additional Coverage
under Section 1 — Property Coverages with
respect to loss caused by a Peril Insured
Against other than fire or lightning.
Direct loss by a Peril Insured Against resulting
from “Mold Related Items” is covered.
(This is Exclusion 9. in Form HO 00 04 and HO 00
064
SECTION II — CONDITIONS
Condition 1. Limit Of Liability is deleted and re-
placed by the following:
1. Limit Of Liability
Our total liability under Coverage E For all dam-
ages resulting from any one “occurrence” will not .
be more than the Coverage E limit of liability
32a
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 acci-
dent or from continuous or repeated exposure to
substantially the same general harmful conditions
will be considered to be the result of one “occur-
rence”.
Our total liability under Coverage F for all medi-
cal expense payable for “bodily injury” to one per-
son as the result of one accident will not be more
than the Coverage F limit of liability cnewn | in the
Declarations.
However, our total liability under Coverage E for
the total of all damages arising directly or indi-
rectly, in whole or in part, out of the actual, al-
leged or threatened inhalation of, Ingestion of,
contact with, exposure to, existence of, or presence
of any “Mold Related Items” will not be more than
the Section II — Coverage E Aggregate Sublimit
Of Liability for “Mold Related items’. That sub-
limit is the amount shown in the Schedule. This is
the most we will pay regardless of the:
a. Number of locations insured under the pol-
icy to which this endorsement is attached;
b. Number of persons injured;
Number of persons whose property is dam-
aged;
d. Number of “insureds”-, or
e. Number of “occurrences” or claims made.
This sublimit is within, but does not In-
crease, the Coverage E limit of liability. It
applies separately to each consecutive an-
33a
nual period and to any remaining period of
less than 12 months, starting with the be-
ginning of the policy period shown in the
Declarations.
With respect to damages arising out of “Mold Related
Items” described in 1. Limit Of Liability of this en-
dorsement, Condition 2. Severability Of Insurance is
deleted and replaced by the following:
2. Severability Of Insurance
This insurance applies separately to each “in-
sured” except with respect to the Aggregate Sub-
limit of Liability described in this endorsement
under Section II — Conditions 1., Limit Of Liabil-
ity. This condition will not increase the limit of li-
ability for this coverage.
SECTION I AND II CONDITIONS
Condition 1. Policy Period is deleted and replaced by
the following:
1. Policy Period
This policy applies only to loss or costs in Section I
or “bodily Injury” or “property damage” in Section
Ii, which occurs during the policy period.
All other provisions of the policy apply. This limited
coverage applies to Coverage Part I Homeowners
only. No other coverage parts provide this type of
coverage.
HOMEOWNERS
HO 00 03 04 91
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 seine 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’ mean’s bodily harm, sickness or
disease, including required care, loss of ser-
vice’s and death that results.
2. “Business” includes trade, profession or occu-
pation.
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 or-
ganization legally responsible for these
animals or watercraft which are owned by
you or any person in-. eluded In 3.a. or 3.b.
35a
above, A person or organization .using or
having custody of these animals or water-
craft in the course of any “business” or
without consent of the owner is not an In-
sured”;
. 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 consent.
4. “insured location” means:
. The “residence premises”;
. 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 pol-
icy period for your use as a residence;
. Any premises used by you in connection
with a premises in 4.a. and 4.b, above;
. Any part of a premises:
(1) Not owned by an Insured”; and
(2) Where an Insured” is temporarily resid-
ing;
. Vacant land, other than farm land, owned
by or-rented to an Insured”;
36a
f. Land owned by or rented to an “insured” en
which a one or two family dwelling is being
built as a residence for an “insured”;
g. Individual or family cemetery plots or bur-
ial vaults of an “insured”; or
h. Any part of a premises occasionally rented
to an “insured” for other than “business”
aise.
5. “Occurrence” means an_ accident, including
continuous or repeated exposure to substan-
tially 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 prop-
erty.
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.”
8. “Residence premises” means:
a. The one family dwelling, other structures,
and grounds; or
b. That part of any other building;
where you reside and which is shown as the
“residence premises” in the Declarations.
37a
“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 “resi-
dence premises” in the Declarations.
SECTION I — PROPERTY COVERAGES
COVERAGE A Dwelling
We cover:
1. The dwelling on the “residence premises
shown in the Declarations, including struc-
tures attached to the dwelling: and
2. Materials- and supplies- located on or next, to
the “residence premises” used to construct, al-
ter 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 prem-
ises” 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
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 for that applies
38a
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 “in-
sured” while it is anywhere in the world.- At your
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”;
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 lo-
cated 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. Per-
sonal property in a newly acquired principal resi-
dence is not subject to this limitation for the 30 days
from the time you begin to move the property there.
Special Limits of Liability. These limits do not in-
crease 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, accownts, deeds, evidences
of debt, letters of credit, notes other than bank
notes, manuscripts, personal records, pass-
ports, 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.
10.
39a
This limit includes the cost to research, replace
or restore the information from the lost or
damaged material.
$1000 on watercraft, including their trailers,
furnishings, equipment and outboard motors.
$1000 on trailers not used with watercraft.
$1000 for loss by theft of jewelry, watches,
furs, precious and semi-precious stones.
$2000 for loss by theft of firearms
$2500 for loss by theft of silverware, silver-
plated ware, goldware, gold-plated ware and
pewterware. This includes flatware, hollow-
ware, tea sets, trays and trophies made of or
including silver, gold or pewter.
$2500 on property, on the “residence prem-
ises,” used at any time or in any manner for
any “business” purposes
$250 on property, away from the “residence
premises,” used at any tme or in aany manner
for any “business” purpose. However, this
limit does not apply to loss to adaptable elec-
tronic apparatus as described in Special Limits
10 and 11 below.
$1000 for loss to electronic apparatus, while
not in or upon a motor vehicle or other motor-
ized land conveyance, if the electronic appara-
tus is equipped to be operated by power from
the electrical system of the vehicle or convey-
ance while retaining its capability of being op-
erated by other sources of power. Electronic
apparatus includes:
a. Accessories and antennas; or
40a
b. Tapes: wires, records, discs or other media;
for use with any electronic apparatus.
11.$1000 for loss to electronic apparatus, while
not in or upon a motor vehicle or other motor-
ized land conveyance, if the electronic appara-
tus:
a. is equipped to be operated by power from
the electrical system of the vehicle or con-
veyance while retaining its capability of be-
ing operated by other sources of power
b. is away from the “residence premises”; and
is used at any time or in any manner for
any “business purpose”.
Electronic apparatus includes:
a. Accessories and antennas’ or
b. Tapes, wires, records, discs or other media;
for use with any electronic apparatus.
Property Not Covered We do not cover:
1.
2.
3.
Articles separately described and specifically in-
sured in this or other insurance;
Animals, birds or fish;
Motor vehicles or all other motorized land convey-
ances. This includes:
a. Their equipment and accessories; or
b. Electronic apparatus that is designed to be op-
erated solely by use of the power from the elec-
trical system of motor vehicles or all other mo-
torized land conveyances. Electronic apparatus
includes:
(1) Accessories or antennas; or
4la
(2) Tapes, wires, records, discs or other media;
for use with any electronic apparatus.
The exclusion of properly 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;
. Aircraft and parts. Aircraft means any contriv-
ance used or designed for flight, except model or
hobby aircraft not used or designed to carry peo-
ple or cargo;
. Property of roomers, boarders and other tenants,
except property of roomers and boarders related to
an Insured”;
. Property In an apartment regularly rented or held
for rental to others by an Insured,” except as pro-
vided in Additional Coverages 10.;
. Property rented or held for rental to others off the
“residence premises”;
. “Business” data, including such data stored in:
a. Books of account, drawings or other paper re-
cords; or
b. Electronic data processing tapes, wires, re-
cords, discs or other software media;
However, we do cover the cost of blank re-
cording or storage media, and of pre-recorded
computer programs available on the retail
market; or
42a
9. Credit cards or fund transfer cards except as pro-
vided 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 nec-
essary 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 lee’s 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 shor:est
time required for your household to settle
elsewhere.
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 fit 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,
43a
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 this 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 ex-
pense 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 toss to a building or
property contained in a building.
This expense is included in the limit <f liability
that applies to the damaged property. If the
amount to be paid for the actual damage to the
property plus the debris removal expense is
more than the lirnit of liability for the dam-
aged property, an additional 5% of that limit of
liability is available for debris removal ex-
pense.
44a
We will also pay your reasonable expense, up
to $500, for the removal from the “residence
premises” of:
a. Your tree(s) felled by the peril of Wind-
storm or Hail;
b. Your tree(s) felled by the peril of Weight of
Ice, Snow or Sleet; or
c. A neighbors tree(s) felled, by a Peril In-
sured 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 In-
sured Against, we will pay the. reasonable cost in-
curred 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 prop-
erly 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 ap-
plies to the covered property;
b. Does not relieve you of your duties, in case of a
loss to covered’ property, as set forth in SEC-
TION 1-CONDITION 2.d.
3. Trees, Shrubs and Other Plants. We cover trees,
shrubs, plants or lawns, on the “residence prem-
ises,” for toss caused by the following Perils In-
sured Against: Fire or lightning, Explosion, Riot
6.
45a
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.
Fire Department Service Charge. We will pay up
to $500 for your liability assumed by contract or
agreement for fire department charges incurred
when the fire department is called to save or pro-
test covered property Win 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 deducti-
ble applies to this coverage.
Property Removed. We insure covered property
against direct loss from any cause while being re-
moved from a premises endangered by a Peril In-
sured 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 re-
moved.
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 be-
cause of the theft or unauthorized use of credit
46a
cards issued to or registered in an “insured’s”
name;
Loss resulting from ‘theft or unauthorized use
of a fund transfer card used for deposit, with-
drawal or transfer of funds, issued to or regis-
tered in an “insured’s” name;
Loss to an “insured” caused by forgery or al-
teration of any check or negotiable instrument;
and
Loss to an “insured” through acceptance In
good faith of counterfeit United States or Ca-
nadian paper currency.
We do not cover use of a credit card or fund transfer
card:
a.
b.
By a resident of your household:
By a person who has been entrusted with ei-
ther type of card; or
If an “insured” has not complied with all terms
and conditions under which the cards are is-
sued.
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 dishonesty of an “insured.”
This coverage is additional insurance. No deducti-
ble applies to this coverage.
Defense:
a.
We may investigate and settle any claim or
suit that we decide is appropriate. Our duty to
47a
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, li-
ability under the Credit Card or Fund Transfer
Card coverage, we will provide a defense at our
expense by counsel of our choice.
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 a corporation or asso- )
ciation of properly 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
wave’s or tremors before, during or after a vol-
canic 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 prop-
erty owners by any governmental body.
The limit of $1000 is the most we will pay with re-
spect 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 cov-
erage.
48a
8. Collapse. We insure for direct physical loss to cov-
ered 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
covered 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 con-
strrction, remodeling or renovation if the col-
lapse occurs during the course of the construc-
tion, remodeling or renovation.
Loss to an awning, fence, patio, pavement, swim-
ming 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 liabil-
ity applying to the damaged covered property.
9. Glass or Safety Glazing Material.
We cover:
49a
a. The breakage of glass or safety. glazing mate-
rial which is part of a covered building, storm
door or storm window; and
b. Damage to covered property by glass or safety
glazing material which is part of a building,
storm door or storm window.
This coverage does not include loss on the “resi-
dence premises” if the dwelling has been vacant
for more than 30 consecutive days immediately
before the toss. A dwelling being constructed is
not considered vacant.
Loss for damage to glass will be settled on the ba-
sis of replacement with safety glazing materials
when required by ordinance or law.
This coverage does not increase the limit of liabil-
ity that applies to the damaged property.
10. Landlord’s Furnishings. We will pay up to $2500
for your appliances, carpeting and other house-
hold furnishings, in an apartment on the “resi-
dence 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 properly
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
50a
engines or motors, only while inside a fully en-
closed
c. Explosion.
d. Riot or civil commotion.
e. Aircraft, including self-propelled missiles and
spacecraft.
f. Vehicles.
g. Smoke, meaning sudden and accidental dam-
age from smoke
This peril does not include loss caused by smoke
from agricultural smudging or industrial opera-
tions.
h. Vandalism or malicious mischief.
i. Falling objects.
This peril does not include loss to property con-
tained 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 In-
cluded.
j. Weight of ice, snow or sleet which causes dam-
age 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 sprin-
kler system or. from within a household appli-
ance.
This peril does not include loss:
(1) To the system or appliance from which the
water or steam escaped;
5la
(2) Caused by or resulting from freezing except
as provided in the peril of freezing below: or
(3) On the “residence premises” caused by ac-
cidental 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 heat-
ing 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.
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, (transis-
tor or similar electronic component).
o. Volcanic eruption other than_ loss caused by
earthquake, land shock waves or tremors.
52a
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.
SECTION I —PERILS INSURED AGAINST
COVERAGE A — DWELLING and COVERAGE B —
OTHER STRUCTURES
We insure against risk of direct loss to properly de-
scribed in Coverages A and B only if that loss is a
physical loss to property. We do not insure, however,
for loss:
1. Involving collapse, other than as provided in Ad-
ditional Coverage Be
2. Caused by:
a. Freezing of a plumbing, heating, air condition-
ing or automatic fire protective sprinkler sys-
tem or of a household appliance, or by dis-
charge, leakage or overflow from within the
system or appliance caused by freezing. This
exclusion applies only while the dwelling is va-
cant, 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;
53a
c. Theft in or to a dwelling under construction, or
of materials and supplies: for use in the con-
struction until the dwelling is finished and oc-
cupied;
d. Vandalism and malicious mischief if the dwell- .
ing has been vacant for more than 30 consecu-
tive days immediately before the loss. A dwell-
ing 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 in-
dustrial operations;
(5) Discharge, dispersal, seepage, migration,
release or escape of pollutants unless the
discharge, dispersal, seepage; migration, re-
lease or 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, includ-
ing smoke, vapor, soot, fumes, acids, alka-
lis, chemicals and Waste. Waste includes
materials to be recycled, réconditioned or
reclaimed;
(6) Settling, shrinking, bulging or expansion,
including resultant cracking, of pavements,
patio’s, foundations, walls, floors, roofs or
ceilings;
54a
(7) Birds, vermin, rodents, or insects; or
(8) Animals owned or kept by an “Insured.” If
any of these cause water damage not oth-
erwise excluded, from a plumbing, heating,
air conditioning or automatic tire protective
spire Kier 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 1 — Exclusions,
Under items 1. and 2., any ensuing loss to property
described in Coverages A and B not excluded or ex-
cepted in this policy is covered.
COVERAGE C — PERSONAL PROPERTY
We insure for direct physical loss to the property ‘de-
scribed 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 this opening.
This peril includes loss to watercraft and their
trailers, furnishings, equipment, and outboard
55a
engine’s or motors, only while inside -a fully en-
closed building. |
. Explosion.
. Riot or civil commotion
. Aircraft, including self-propelled missiles and
spacecraft.
. Vehicles.
. Smoke, meaning sudden and accidental damage
from smoke.
This peril does not include toss caused by smoke
from agricultural smudging or industrial Opera-
tions.
. Vandalism or malicious mischief.
. Theft, including attempted theft and loss of prop-
erty 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 construc-
tion until the dwelling is finished and occu-
pied; or
c. From that part of a “residence premises”
rented by an “insured” to other than an “in-
sured.”
This peril does not include ‘loss caused by theft
that 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.
56a
Property of a student who is an “insured” is
covered while at a residence 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
c. Trailers and campers,
10. Falling objects.
This peril does not include loss to property con-
tained 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 in-
cluded:
11. Weight of ice, snow or sleet which causes damage
to properly 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 wa-
ter 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 acciden-
tal 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
57a
heating system, an air conditioning or auto-
matic 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 condition-
ing or automatic fire protective sprinkler sys-
tem or of a household appliance. a
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.
15.Sudden and accidental damage from artifi-
cially generated electrical current.
This peril does not include loss to a tube, transis-
tor or similar electronic component.
16. Volcanic eruption other than loss caused by
earthquake, land shock waves or tremors.
SECTION | a EXCLUSIONS
. We do not insure for loss caused directly or indi-
rectly by any of the following. Such loss is ex-
cluded regardless of any ‘other cause or event con-
tributing concurrently or in any sequence to the
loss.
a. Ordinance or Law, Meaning enforcement of
any ordinance or law regulating the construc-
tion, repair, or demolition of a building or other
structure, unless specifically provided under
this policy.
58a
b. Earth Movement, meaning earthquake- includ-
ing land shock waves or tremors before, during
or after a volcanic eruption; landslide; mine
subsidence; mudflow; earth sinking, rising or
shifting; unless direct loss by:
(1) Fire;
(2) Explosion; or
(3) Breakage of glass or safety glazing material
which is part of a ‘building, storm door or
storm window;
ensues and then we will pay only for the ensu-
ing loss.
This exclusion does not apply to loss by theft. c.
Water Damage, meaning:
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, in-
cluding water which exerts pressure on or
seeps or leeks through a building, sidewalk,
driveway, foundation, swimming pool or
other structure.
Direct loss by fire, explosion or. theft resulting
from water damage is covered.
. Power Failure, meaning the failure of power or
other utility service if the failure takes place
off the “residence premises.” But, if a Peril In-
59a
sured Against ensues on the “residence prem-
ises,” we will pay Only for that ensuing loss.
Neglect, meaning neglect of the “insured’ to
use all reasonable means to save and preserve
property at and after the time of a loss.
War, including the following and any conse-
quence of any of the following:
(1) Undeclared war, civil war, insurrection, re-
bellion 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.
. Nuclear Hazard, to the extent set forth in the
Nuclear Hazard Clause of SECTION [I —
CONDITIONS
. Intentional Loss, meaning any loss arising out
of any act committed:
(1) By or at the direction of an “insured”; and
(2) With the intent to cause a loss.
2. We do not insure for loss to property described in
Coverages A and B caused by any of the following.
However, any ensuing loss to property described
in Coverages A and B not excluded pr excepted 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;
60a
b. Acts or decisions, including the failure to act or
decide, of any person, group, organization or
governmental body;
Faulty, inadequate defective:
(1) Planning, zoning, development, surveying,
siting;
(2) Design, specifications, workmanship, re-
pair, 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
the property covered, we will not be liable in any
one loss:
a.
b.
To the “Insured” for more than the amount of
the “insured’s” interest at the time of loss; or
For more than the applicable limit of liability.
2. Your Duties After Loss. In case of a loss to covered
property, you roust see that the Following are
done:
a. Give prompt notice to us or our agent;
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;
6la
. Protect the property from further damage. If
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 record
Prepare an inventory of damaged personal
property showing the quantity, description, ac-
tual cash value and amount of loss. Attach all
bills, receipts and relate documents that justify
the figures in the inventory.
As often as we reasonably require:
(1) Show the damaged properly;
(2) Provide us with records and documents we
request and permit us to make copies; and
(3) Submit to examination under oath, while
not in the presence of any other “insured”
and sign the same.
g. Send to us, within BO days after our request,
your signed, sworn proof of loss which sets
forth, to the best of your knowledge and belief:
(1) The time and cause of loss;
(2) The interest of the “insured” and all others
in the properly involved and all liens on the
property;
(3) Other insurance which may cover the loss;
(4) Changes In title or occupancy of the prop-
erty during the term of the policy;
(5) Specifications of damaged buildings and de-
tailed repair estimates;
62a
(6) The inventory of damaged personal prop-
erty described in 2.e. above;
(7) Receipts for additional living expenses in-
curred and records that support the fair
rental value toss; and
(8) Evidence or affidavit that, supports a claim
under the Credit Card, Fund Transfer
Card, Forgery and Counterfeit Money cov-
erage stating the amount and cause of loss.
3. Loss Settlement Covered property losses are set-
tled 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 re-
place:
b. Buildings under Coverage A or B at replace-
merit cast without deduction for depreciation;
subject to the following:
(1) if, at the time of loss, the amount of Irmo- -
ance 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 lost to repair or replace, af-
ter application of deductible and without
deduction for depreciation, but not more
than the least of the following amounts:
63a
(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 insur-
ance 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
ability 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 re-
quired 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 undersur-
face of the lowest basement floor;
64a
(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 re
pair or replacement is complete, we will set
tie the kiss 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 insur-
ance in this policy on the building; and
(b) Less than $2500;
we will settle the loss according to the pro-
visions of b.(1) and b.(2) above whether or
not actual repair or replacement is com-
plete.
(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 accord-
ing 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:
65a
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 ordinance or law.
. Appraisal. If you and we fail to agree on the
amount of loss, either may demand an appraisal
of the loss. In this event, each party will choose a
competent appraiser within 20 days after receiv-
ing a written request from the other. Tne two ap-
praisers will choose an umpire. If they cannot
agree upon an umpire within 15 days, you or we
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 will sepa-
rately set the amount of loss. 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 differ-
ences 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.
. 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.
66a
8. Suit Against Us. No action can be brought unless
the policy provisions have been complied with and
the action is started within one year after the date
of loss.
9. Our Option. It 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.
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 and:
a. 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 13 will be paid to the
mortgagee and you, as interests appear. If more
than one mortgagee is earned, the order of pay-
ment 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 of any change in ownership, occu-
pancy or substantial change in risk of which
the mortgagee is aware;
67a
b. Pays any premium due under this policy on
demand It you have neglected to pay the pre-
mium; 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 Appraisal, Suit- Against Us and Loss Pay-
ment apply to the mortgagee.
If we decide to cancel or not to renew. this policy,
the mortgagee wilt be notified at least 10 days be-
fore the date cancellation or nonrenewal takes ef-
fect.
If we pay the mortgagee for any loss and deny
payment to you:
a: We are subrogated to all the rights of the
mortgagee granted under the mortgage on the
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 mortgage
and all securities held as collateral to the fried-
gage debt.
Subrogation will not impair the right of the mort-
gagee to recover the full amount of the mort-
gagee’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.
68a
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 theta perils are specifically
named in or otherwise included within the Per-
ils Insured Against in Section 1.
c. This policy does not apply under Section 1 to
lost 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 re-
turned 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 ad-
justed 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 a suit is brought against an “in-
sured for damages because of “bodily injury” or
“property damage” caused by an “occurrence” to
which this coverage applies, we will:
1. Pay up to our limit of liability for the damages for
which the “insured” is legally liable. Damages in-
69a
clude prejudgment interest awarded against the
“insured”; and
Provide a defense at our expense by counsel of our
choice, even if the suit is groundless, false or
fraudulent. WO may investigate and settle any
claim or suit that we decide is appropriate. 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 Medical 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.”
Medicale 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.
2.
To a person on the Insured location” with the
permission of an “insured”; or
To a person off the “insured location,” if the “bod-
ily injury”:
a. Arises out of a condition on the “insured loca-
tion” or the ways immediately adjoining;
b. Is caused by the activities of an “insured”;.
Is caused by a “residence employee” in the
course of the “residence employee’s” employ-
ment by an Insured”; or
d. Is caused by an animal owned by or in the care
of an “insured.”
SECTION II — EXCLUSIONS
70a
1. Coverage E - Personal Liability and Coverage F —
Medical Payments to Others do not apply to “bod-
ily injury” or “property damage”:
a.
b.
Which is expected or intended by the “insured”;
Arising out of or in connection with a “busi-
ness” engaged in by an “Insured.” This exclu-
sion applies but is not limited to an act or
omission, regardless of Its nature or circum-
stance, involving a service or duty rendered,
promised, owed, or implied to be provided be-
cause of the nature of the “business”;
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 hold-
ing for rental of an “insured location”:
(1) On an occasional basis if used only as a
residence;
(2) In part for use onlyas 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 pri-
vate garage;
Arising out of the rendering of or failure to
render professional services;
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:
Tla
(1) The ownership, maintenance, use, loading
or unloading of 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 a motor
vehicle or any other motorized land convey-
ance to any person; or
(3) Vicarious liability, whether or not statuto-
rily imposed, for the actions of a child or
minor using a conveyance excluded In
paragraph (1) or (2) above.
Ti.is exclusion does not apply to;
(1) A trailer not towed by or carried on a Mo-
torized 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 art Insured”; or
(b) Owned by an Insured” and on an In-
sured location”;
(3) A Motorized golf cart when used to play golf
on a golf course;
(4) A vehicle or conveyance not subject to mo-
tor 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 put of:
72a
(1) The ownership, maintenance, use, loading,
or unloading of an excluded watercraft de-
scribed below;
(2) The entrustment by an “insured” of an wa-
tercraft described to any person; or
(3) Vicarious liability, whether or not statuto-
rily imposed, for the actions of a child or
minor using an excluded watercraft de-
scribed below
Excluded watercraft are those that are princi-
pally designed to be propelled by engine power
or electric motor or are sailing vessels whether
owned by or rented to an “insured. This exclu-
sion 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 “insured”;
(b) Inboard or inboard-outdrive engine or
motor power of 50 horsepower or more
not rented to “insured”;
(c) One or more outboard engines or motors
with 25 total horsepower
(d) One or more outboard engines or motors
with more than 25 horsepower owned by
an “insured” if: |
(i) You acquire them prior to the policy
period; and
(a) You declare them at policy incep-
tion; or
73a
(b) Your intention to insure is re-
ported to us in writing within 45
days after you acquire the out-
board engines or motors.
(ii) You acquire them during the policy
period
This coverage applies for the policy pe-
riod.
(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 air-
craft to any person; or
(3) Vicarious liability, whether or not statuto-
rily imposed, for the actions of a child or
minor using an aircraft.
i. Caused directly or indirectly by war, including
the following and any consequence of any of
the following
(1) Undeclared war, civil war, insurrection, re-
bellion or revolution
j. Which arises out of the transmission of a com-
municable disease by an “insured”;
74a
k. Arising out of sexual molestation, corporal
punishment or physical or mental abuse; or
1. Arising out of the use, sale, manufacture, de-
livery, 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
and 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, corpora-
tion or community of property owners;
(2) Under any contract or agreement. However,
this exclusion does not apply to written con-
tracts:
(a) That directly relate to the ownership,
maintenance or use of an “insured loca-
tion”; or
(b) Where the liability of others is assumed
by the “insured” prior to an “occurrence”;
unless excluded in (1) above or else-
where in this policy,
b.
75a
“Property damage” to property owned by the
“insured”;
“Property damage” to property rented to, occu-
pied or used by or in the care of the “insured.”
This exclusion does not apply to “property
damage” caused by fire, smoke or explosion;
“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;
“Bodily injury” or “property’ damage” for which
an “insured” under this policy:
(1) Is also an insured under a nuclear energy
liability policy; or
(2) Would be art 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 Under-
writers; .
(3) Nuclear. Insurance Association of Canada.;
or any of their successors; or
76a
f. “Bodily injury” to you or an “insured” within
the meaning of part a_ or b. of Insured” as de-
fined.
3. Coverage F — Medical Payments to Others, does
not apply to “bodily injury”:
a. To a “residence employee” if the “bodily in-
jury”:
(1) Occurs off the “insured location”; and
(2) Does net 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 disaoility 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 em-
ployee” of an “Insured,” regularly residing on
any part of the “insured location.”
77a
SECTION II — ADDITIONAL COVERAGES
We cover the following in addition to the limits of li-
ability:
1. Claim Expenses. We pay:
a.
b.
Expenses we incur end costs texed against an
“insured” in any suit we defend;
Premiums on bonds required in a suit we de-
fend, but not for bond amounts more than the
limit of liability for Coverage E. We need not
apply for or furnish any bond;
Reasonable expenses incurred by an “insured”
-at our request, including actual loss of earn-
ings (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.
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 li-
ability 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 re-
placement cost, up to $50a 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], of this policy;
9
78a
caused intentionally by an Insured” who is 13
years of age or older;
To property owned by an “insured”;
To property owned by or rented to a tenant of
an Insured” or a resident in your household; or
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 air-
craft, 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 arid not owned by an “insured.”
. Loss Assessment. We will pay up to $1600 for
your share of loss assessment charged during the
policy period against you by a corporation or asso-
ciation of property owners, when the assessment
is made as a result of:
a.
b.
“Bodily Injury” or “property damage” not ex-
cluded under Section II of this policy; or
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
79a
(2) The. director, officer or trustee serves with-
out deriving any income from the exercise
of duties which are solely on behalf of a
corporation .or association of property own-
ers..
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 knit
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 Ex-
clusion 2.a.(1);
2. Condition 1. Policy Period, under SECTIONS I
AND II - CONDITIONS.
SECTION II - CONDITIONS
. Limit of Liability, Our total liability under Cover- ©
age E for all damages resulting from any one “oc-
currence” will not be more than the limit Of liabil-
ity for Coverage E as shown in the Declarations.
This limit is the seine regardless of the number of
“insured’s,” claims made or persons injured: All
80a
“bodily injury” and “property damage” resulting
from any one accident or from continuous or re-
peated exposure to substantially the same general
harmful Conditions shall be considered to be the
result of and “occurrence.”
Our total liability under. Coverage F for all medi-
cal expense payable for “bodily injury! to one per-
son as .the result of one accident will not be more
than the limit of liability for Coverage F as shown
in the Declarations.
. Severability of Insurance. This Insurance applies
separately to each Insured: This condition will not
increase our limit of liability for any one “occur-
rence.”
. Duties After Loss. in case of an accident or “occur-
rence,” 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 or our agent as soon
as is practical, which sets forth:
(1) The identity of the policy and Insured”;
(2) Reasonably available information on the
time, piece and circumstances ‘of the acci-
dent 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 acci-
dent or “occurrence”;
c. At our request, help us:
(1) To make settlement;
8la
(2) To enforce any right of contribution or in-
demnity against any person or organization
who may be liable to an “insured”;
(3) With the conduct of suits and attend hear-
ings 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 In the “insured’s” control;
e. The “insured” will not, except at the “insured’s”
own cost, .Voluntarily, make payment, assume
obligation or incur expense other than for first
aid to others at the tir e of the “bodily injury”
4. Duties of an injured Person - Coverage F - Medical
Payments to Others.
The injured person or someone acting for the in-
jured 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 re-
ports and records.
The injured person will submit to a physical exam
by a doctor of our choice when and as often as we
reasonably require,
5. Payment of Claim - Coverage F - Medical Pay-
ments to Others. Payment under this coverage is
not an admission of liability by an ‘insured” or us.
6.
82a
Suit Against Us. No action can be brought against
us unless there has been compliance with the pol-
icy 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 Coverages can be brought against
us until the obligation of the “insured” has been
determined by final judgment or agreement
Signed by us.
Bankruptcy of an Insured. Bankruptcy or insol-
vency of an “insured” will not relieve us of our ob-
ligations under this policy.
Other Insurance — Coverage E — Personal Li-
ability. This insurance is excess over other valid
and collectible insurance except insurance written
specifically to cover as excess over the limits of li-
ability that apply in this policy.
SECTIONS I AND II CONDITIONS
lL.
Policy Period. This policy applies only to loss in
Section 1 or “bodily injury” or “property damage”
in Section II, which occurs during the policy pe-
riod.
. Concealment or Fraud. The entire policy will be
void If, whether before or after a loss, an Insured”
has:
a. Intentionally concealed or misrepresented any
material fact or circumstance;
b. Engaged in fraudulent conduct; or
c. Made false statements; relating to this insur-
ance.
Liberalization Clause. if we make a change which
broadens coverage under this edition of our policy
83a
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.
. Waiver or Change of Policy Provisions.
A waiver or change or 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.
. Cancellation
a. You may cancel this policy at any time by re”
turning it to us or by letting us know in writ-
ing 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 cancel-
lam 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 knew
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
6.
84a
know at least 10 days before the date can-
cellation takes effect.
(3) When this policy has been in effect for 60
days or more, or at any time if it is a re-
newal with us, we may cancel:
(a) If there has been a material misrepre-
sentation 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 I. the
expiration date will be refunded pro rata.,
d. If the retuin premium is not refunded with the
notice of cancellation or when this policy is re-
turned to us, we will refund it within a reason-
able time after the date canceliation takes ef-
fect.
Nonrenewable. We may elect not to renew this
policy: We may do so by delivering to you, or mail-
ing to you at your mailing address shown in the
Declarations, written notice at least 30 days be-
fore the expiration date of this policy. Proof of
mailing will be sufficient proof of-notice,
85a
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 alt rights of recovery against any
person. If not waived, we may require an assign-
ment 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 Prop-
erty of Others.
9. Death. If any person named in the Declarations or
the spouse, if a resident of the same “household,
dies:
a. We insure the legal representative of the de-
ceased but only with respect to the premises
and property of the deceased covered under the
policy at the time of death;
b. ‘Insured” includes:
(1) 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
(2) With respect to your properly, the person
having proper temporary custody of the
property until appointment and qualifica-
tion of a legal representative.
86a
HOMEOWNERS
HO 01 01 05 97
THIS ENDORSEMENT CHANGES THE. POLICY.
PLEASE READ IT CAREFULLY.
SPECIAL PROVISIONS ALABAMA
- SECTION 1— PROPERTY COVERAGES
Throughout this policy, the following is added to any
provision which uses the term actual cash value.
Actual cash value is calculated is the amount it
would cost to repair, or replace covered property, at
the time of loss or damage, with material of like kind
and quality, subject to a deduction for deterioration,
depreciation and obsolescence. Actual cash value ap-
plies ‘to valuation of covered property regardless of
whether that property has sustained partial or total
loss or damage.
The actual cash value of the lost or damaged property
may be significantly less than its replacement cost.
COVERAGE C — PERSONAL PROPERTY
SPECIAL LIMITS OF LIABILITY
Items 10. and 11 are deleted and replaced by- the fol-
lowing (These are Items 7. and 8. in Form HO 00 06):
10. $1,000 for lots to electronic apparatus, while in or
upon a motor vehicle or other motorized land con-
veyance, if the electronic, apparatus is equipped to
be operated by power from the electrical system of
the vehicle or conveyance While retaining its, ca-
pability of being operated by other sources of
power. Electronic apparatus includes:
a. Accessories or antennae; .or
87a
b. Tapes, wires, records, discs or other media; for
user with any electronic, apparatus described
4n this item-10:
11. $1,000 for loss to eletronic 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 sources of power;
Is away from the “residence premises”; and
Is used at any time or in any manner for any
“business” purpose.
Electronic apparatus includes:
a. Accessories and antennas; Or
b. Tapes; wires, records, discs or other media;
for use with any electronic apparatus described
this item 11.
PROPERTY NOT COVERED
Item 3.b. Is deleted and replaced by the following:
Motor-vehicles other motorized and conveyances.
This includes;
b. Electronic apparatus that Is designed to be op-
erated ‘solely by use cline power from the elec-
trical system of motor vehicles or all other’ mo-
torized land conveyances. Electronic apparatus
includes:
(1) Accessories or antennas: or
88a
(2) Tapes; wires, records; discs or other media;
for use with any electronic apparatus de-
scribed in this Item 3.b.
The 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 cater vehicles or conveyances riot subject to
motor vehicle registration which are:
a. Used to service an ‘insured’s” residence; or
b. Designed for assisting the handicapped;
COVERAGE D— LOSS OF USE
For all forms other than HO 00 04 and HO 00 06,
‘Item”™ 1, is deleted and replaced by the following:
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 the Additional Living
' Expense, meaning any necessary Increase, in liv-
ing expenses incurred by you so that your house-
hold can maintain its normal standardof living.
Payment will-be for the shortest-time required to
repair or replace toe damage, or, if you perma-
nently relocate, the shortest time required for
your household to settle elsewhere.
For Forms HO 00 04 and HO 00 06, Item 1. is deleted
and replaced by the following:
)..
if a loss by a Peril Insured Against under this pol-
icy to covered property or the building containing
the property makes .the “residence premises” not
fit to live in, we cover the Additional Living Ex-
pense, meaning any necessary increase in living
expenses incurred by you so that your household
can maintain its normal standard of living.
89a
Payment, will be for the shortest time required 10,
repair or replace the damage, or, if you perma-
nently relocate the shortest time required for your
household to settle elsewhere.
ADDITIONAL COVERAGES
9. Glass or Safety Glazing Material is deleted and re-
placed by the following:
9. Glass Or Safety Glazing Material
a. We cover:
(1) For all forms other than HO 00 04 and HO
00 06, the breakage of Glass or Safety Glaz-
ing Material which is part of a covered
building, storm door or storm Window, and
for
(a) Form HO 00 04, the breakage of Glass
or Safety Glazing Material which is part
of a building, storm door or-storm win-
dow, and covered as Building Additions
And Alterations; and
(b) Form HO 00 06, the breakage of Glass
or Safety Glazing Material which is part
‘of-a-building storm window, and cov-
ered under Coverage A; and
(2) For all forms other than HO 00 04 and HO
00 06, the breakage, caused directly by
Earth Movement, of Glass or Salty Glaz-ing
Material which Is part of a covered build-
ing, storm door or storm window, and for:
(a) Form HO 00 04; the breakage, caused
directly by Earth Movement, of Glass or
Safety Glazing Material which is part of
it building, storm door or storm window,
90a
and covered as Building Additions And
Alterations; and
(b) Form HO 00 06, the breakage, caused
directly by Earth Movement, of Glass or
Safety Glazing Material which is part of
a building, storm door or storm window,
and covered under Coverage A; and
(3) The direct physical force to cowered prop-
erty caused solely by the pieces, frag-ments,
splinters of broken glass or Safety Glazing
Material which is part of a build-ing, storm
door or storm window.
b. This coverage does not include loss:
(1) To covered properly 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 for more then 30 consecu-
tive days immediately before the loss. ex-
cept 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 Cov-
erage 9. will be settled on the basis of replacement
with safety, glazing materials when requited by
ordinance or law.
For Forms HO 00 01 and HO 00 08, we will pay
up to $100 for loss under this coverage.
This coverage does not increase the limit of liabil-
ity that applies to the damaged property.
9la
(This is Additional Coverage 8. in Forms HO 00 01
and HO 00 08.)
The following additional Coverage is forms except HO
00 08. With respect to Form HO 00 04, the .words
“covered building” used below, refer to property cov-
ered under Additional Coverage 10. Building Addi-
tions And Alterations.
11.Ordinance or Law
a. You may use up to 10% of the limit of liability
that applies to Coverage. A (or for Form HO 00
04, you may use up to 10% of the limit of liabil-
ity that applies to Building Additions And Al-
terations) for the increased costs you incur due
to the enforcement of any ordinance or law
which requires or regulates:
(1) The construction, demolition, remodel-ing.
renovation or repair of that parrot’s 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 be-
cause 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 cov-
ered building or other structure necessary
to complete the remodeling, repair or re-
placement of that part of the covered build-
ing or other structure damaged’ by a Peril
insured Against.
92a
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 con-
struction, demolition, remodeling, renovation,
repair or replacement of property as slated in
a. above.
c. We do not cover:
(1)The loss in value to any covered building or
other structure due to the require-ments of
any ordinance or law; or
(2)The costs to comply with any ordinance law
which requires any “insured” or others to
test for. monitor, clean up ‘remove, contain,
treat, detoxify or neutralize, or in any way
respond le, or assess the effects of, pollut-
ants on any covered building or other struc-
ture
Pollutants means any solid liquid, gaseous or
thermal irritant or contaminant, including
smoke, vapor, soot, fumes, acids, alkalis,
cl.cmicals and waste. Waste includes materials
to be recycled, reconditioned or reclaimed.
This coverage is additional insurance.
(This is Additional Coverage 10. in Forms HO
00 01 and HO 00 064
SECTION I - EXCLUSIONS
1. Ordinance or Law is deleted and replaced by the
following
1. Ordinance Or Law, meaning any ordinance or
law: :
a. Requiring or regulating the construction,
demolition, remodeling, renovation or repair of
93a
property, including removal of any result-ing
debris. This Exclusion l.a. in all forms other
than HO 00 03, 1.a.(1) in Form HO 00 03, does
not apply to the amount of, coverage that may
he provided for under Additional Coverage,
Class or Safety Glazing Material or Ordinance
or Law; |
b. The requirement’s of which result in a loss in
value to property, or
c. Requiring any “insured” or others to test for,
monitor, clean up, remove, contain, treat, de-
toxify or neutralize, or in any way respond to,
or assess the effects of, pollutants.
Pollutants means any. solid, liquid, gaseous
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 Prop-
erty has been Physically damaged.
(This is Exclusion 1.a. in Form HO 00 03.
. Earth Movement is deleted and replaced by the
following:
. Earth Movement, meaning earthquake, include-
ing land shock waves -or tremors before, during or
after a volcanic eruption; landslide; mine subsi-
dence; mudflow; earth sinking, rising or shifting;
unless direct loss by:
a. Fire; or
b. Explosion;
ensues and then we will pay only for the ensuing
loss.
94a
This exclusion does not apply to loss by theft.
(This is Exclusion 1.b. in Form HO 00 03.)
Power Failure. is deleted and replaced by the fol-
lowing:
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,
(This is Exclusion 1.d. in Form HO 00 03,)
SECTION I CONDITIONS
3.
Loss Settlement
Under Form HO 00 06, Item b.(2) is deleted end
replaced by the following:,
(2) If the damage is not repaired or replaced
within. a reasonable time, at actual cash
value but ‘not more than the amount re-
quired to repair or replace.
SECTION II- EXCLUSIONS
Under 1. Coverage E Personal Liability and Coverage
F Medical Payments “To Others, Item a is deleted and
replaced by the following:
a. Which is expected or intended by one or more.
Insureds”;
SECTIONS I AND IT CONDITIONS
«>
See
‘)
ade
Concealment or Fraud is deleted and replaced by
the following:
Concealment or Fraud-
95a
a. Under Section I - Property Coverages, with re-
spect to all “insureds” covered. under this pol-
icy, we provide no coverage for lose under Sec-
tion I Property Coverages if, whether. been
before or after a loss, one or more “insureds”
have:
(1) intentionally concealed or misrepresented
any material fact or circumstance:
(2) Engaged in fraudulent conduct: or
(3) Made false statements; relating to this in-
surance.
b. Under Section II—Liability coverages, we do
not provide coverage to one or more “insureds”
who, whether before or after a loss, have:
(1) Intentionally concealed or misrepresented
any material fact or circumstanced;
(2) Engaged in fraudulent conduct; or
(3) Made false statements relating to this in-
surance. 7
All other provisions of this policy apply.
96a
THIS ENDORSEMENT CHANGES THE POLICY.
PLEASE READ IT CAREFULLY.
SPECIAL COMPUTER COVERAGE
All Forms Except HO 00 03 with HO 00 15
And HO 00 06 with HO 17 31
THIS ENDORSEMENT: (1) DOES NOT IN-
CREASE THE LIMIT OF LIABILITY WHICH AP-
PLIES TO COVERAGE C, AND (2) DOES NOT
MODIFY THE SPECIAL LIMITS OF LIABILITY OR
THE PROVISIONS OF PROPERTY NOT COVERED
UNDER COVERAGE C.
For an additional premium, the Perils Insured
Against which apply to Coverage C are deleted arid
replaced by the following with respect to “computer
equipment”:
Perils Insured Against We cover an “insured’s”
“computer equipment,” as defined in this endorse-
ment, against risk of direet physical loss.
We do not insure, however, for loss:
a. Excluded under SECTION 1 — EXCLUSIONS.
b. Caused by:
(1) Freezing of a plumbing, heating, air condi-
tioning or automatic fire protective sprin-
kler 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 reason-
able care to:
(a) Maintain heat in the building; or
97a
(b) Shut off the water supply and drain the
system arid appliances of water;
(2) Theft in or to a dwelling under construc-
tion, until the dwelling is finished and oc-
cupied;
(3) Any of the following:
(a) Wear and tear, marring, deterioration;
(b) Inherent vice, latent defect, mechanical
breakdown;
(c) Smog, rust or other corrosion, mold, wet
or dry trot
(d) Smoke from agricultural smudging or
industrial operations;
(e) Discharge, dispersal, seepage, migra-
tion, release or escape of pollutants
unless the discharge, dispersal, seepage,
migration, release or escape is itself
caused by one or more of the Perils In-
sured Against that would apply under
Coverage C of the policy form if this en-
dorse merit were not attached to the pol-
icy form.
Pollutants means any solid, liquid, gaseous
or thermal Irritant or contaminant, includ-
ing smoke, vapor, soot, fumes, acids, alka-
lis, chemicals and waste. Waste includes
materials to be recycled, reconditioned or
reclaimed;
(f) Settling, shrinking, bulging or expan-
sion, including resultant cracking, of
pavements, patios, foundations, walls,
floors, roofs or ceilings;
a
98a
(g) Birds, vermin, rodents or insects; or
(h) 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 house-
hold appliance, we cover loss caused by
the water.
Under items (1) through (3), any ensuing loss not
excluded or excepted in this policy is covered.
(4) Vandalism and malicious mischief if the
dwelling has been vacant for more than 30
consecutive days immediately before the
loss. A dwelling being constructed is not
considered vacant;
(5) Dampness of atmosphere or extremes of
temperature unless the direct cause of loss
is rain, snow, sleet or hail;
(6) Refinishing, renovating or repairing prop-
erty;
(7) Collision, other than collision with a land
vehicle, sinking, swamping or stranding of
watercraft, including their trailers, furnish-
ings, equipment and outboard engines or
motors;
(8) Destruction, confiscation or seizure by or-
der of any government or public authority;
or
(9) Acts or decisions, including the failure to
act or decide, of any person, group, organi-
zation or governmental body. However, any
ensuing loss not excluded or excepted in
this policy is covered.
| 99a
DEFINITION
With respect to the coverage provided by this en-
dorsement, “computer equipment’ means:
1. Electronic data processing hardware and related
peripheral equipment, including CRT screens, disc
drives, printers and modems; and
2. Discs, tapes, wires, records or other software
media used with the equipment in 1. above.
All other provisions of this policy apply.
100a
HOMEOWNERS
HO 04 16 04 91
PREMISES ALARM OR
FIRE PROTECTION SYSTEM
For a premium credit, we acknowledge the installa-
tion of an alarm system or automatic sprinkler sys-
tem approved by us on .the “residence premises.” You
agree to maintain this system in working order and
to let us know promptly of any change made to the
system or if it is removed.
10la
HOMEOWNERS
HO 04 90 04 91-
THIS ENDORSEMENT CHANGES THE POLICY
PLEASE READ IT CAREFULLY
PERSONAL PROPERTY REPLACEMENT COST
SECTION I
For an additional premium, covered losses to the fol-
lowing property are settled at replacemerit cost’ at
life tithe alas:
a. Coverage 9 — Personal Property;
b. If covered in this policy, awnings, carpeting,
household appliances, outdoor antennas. and
outdoor equipment. whether or not attached to
buildings.
Personal Property Replacement Cost coverage will
apply to following articles or classes of property if
they are separately described and specifically in-
sured in this policy:
a. Jewelry;
b. Furs and garments, trimmed with tut Or con-
sisting principally of fur;
c. Cameras, projection machines, films and re-
lated articles of equipment;
d. Musical equipment and related ‘articles of
equipment;
e. Silverware,, silver-plated ware, goldware, gold-
plated ware and pewterware, but excluding
pens, pencils,. flasks, smoking Implements or
jewelry; and
102a
f. golfer’s equipment meaning golf clubs, golf
clothing and golf equipment.
Personal Property Replacement Cost coverage will
not apply to other classes of property separately
described and specifically insured.
1. PROPERTY NOT ELIGIBLE
Property listed below Is not eligible for replace-
ment cost settlement. Any foss will -be settled at ac-
tual casts value at the -time of loss but not more than
the amount required to repair or replace.
a. Antiques, fine arts, paintings and similar arti-
cles of rarity or antiquity which cannot be re-
placed.
b. Memorabilia; souvenirs, collectors items and
similar articles whose age or -history contrib-
ute to their value.
c. Articles not- maintained in good--or-workable-
a: condition.
d. Articles that are outdated or obsolete and are
stored or not being used.
2. REPLACEMENT COST
The following loss settlement procedure applies to
all property insured under this endorsement:
a. We will pay no more than the least of -the fol-
lowing amounts:
(1) Replacement cost at the time of loss with-
out deduction for depreciation;
(2) The full cost of repair at the time of loss;
(3) The limit of liability that applies to Cover-
age C. if applicable;
103a
(4) Any applicable. special limits of liability
stated in this policy; or
(5) For loss to any item separately described
and specifically insured in this policy the
limit of liability that applies to the item.
b. When the replacement cost for the entire loss
under this endorsement is more than $500, we
will pay no more than the actual cash value for
the leas or damage until the actual repair or
replacement is complete.
c. You may make a claim for loss on an actual
cash value basis and then make claim within
180 days after the loss for any additional liabil-
ity in accordance with this endorsement.
All other provisions of this policy apply.
&
104a
HOMEOWNERS
HO 04 96 04 91
NO SECTION II - LIABILITY COVERAGES FOR
HOME DAY CARE BUSINESS LIMITED SECTION
I - PROPERTY COVERAGES FOR HOME DAY
CARE BUSINESS
If an “insured” regularly provides home day care
services to a person or persons other than “insureds”
and receives monetary or other compensation for
such services, that enterprise is a “business.” Mutual
exchange of home day care services, however, is not
considered. compensation. The rendering of home day
care services by an Insured” to a relative of an “in-
sured” is not considered a “business.”
Therefore, with respect to a home day care enter-
prise which is considered to be a “business,” this pol-
icy:
1. Does not provide Section II — Liability Coverages
because a “business” of an “insured” is excluded
under exclusion 1.b. of Section IT — Exclusions;
2. Does not provide Section I — Coverage B coverage
where other structures are used in whole or in
part for “business”;
3. Limits coverage for property used on the ‘resi-
dence premises” for the home day care enterprise
to $2,500, because Coverage C Special Limits of
Liability — item 8. imposes that limit on “busi-
ness” property on the “residence premises.’ (Item
8, corresponds to item 5. in Form HO 00 08.);
4. Limits coverage for property used away from the
“residence premises” for the home day care enter-
prise to $250, because Coverage C Special Limits
of Liability — item 9. lmposes that limit on “busi-
105a
ness” property away from the “residence prem-
ises.” Special Limit of Liability item 9. does not
apply to adaptable electronic apparatus as de-
scribed in Special Limit of Liability items 10. and
11. (Items 9. 10. and 11. correspond to items 6., 7
and 8. respectively in Form HO 00 08.)
THIS ENDORSEMENT DOES NOT CONSTITUTE
A REDUCTION OF COVERAGE.
106a
POLICY NUMBER: HOMEOWNERS
HO 05 80 05 97
THIS ENDORSEMENT CHANGES THE POLICY.
PLEASE READ IT CAREFULLY.
PROPERTY REMEDIATION FOR ESCAPED
LIQUID FUEL AND LIMITED LEAD AND ES-
SAPED LIQUID FUEL LIABILITY COVERAGES
ALL FORMS EXCEPT FORMS
HO 00 04 AND HO 00 06
SCHEDULE
For the credit given or the premium charged, the cov-
erage provided by this endorsement and the applica-
ble Limits of Liability shown in this Schedule apply.
These limits of liability apply to the total of all loss,
damage or expense payable under this endorsement,
regardless of the number of locations insured under
this endorsement and listed in this Schedule.
1. Aggregate Limited Lead And Es- | $50,000
caped Liquid Fuel Liability Limit Of
Liability
2. Property Remediation For Escaped | $10,000
Liquid Fuel Limit Of Liability
This Property Remediation For Es-
caped Liquid Fuel Limit Of Liability
applies to the “residence premises” as
defined in Paragraphs a., b. or c. of
Definition 8. “Residence premises” In
this endorsement and any of the fol-
lowing locations as defined in Para-
graph d. of Definition 8. “Residence
premises”:
107a
* Entries may be left blank if shown elsewhere in
this policy for this coverage.
A. Definitions
The definitions applying to the policy form, other
than Definition 8. “Residence premises”, apply to
this endorsement. Definition 8. ‘Residence prem-
ises” is amended and Definitions 9. through 11.
are added only with respect to the coverage pro-
vided by this endorsement.
8. “Residence premises” means:
a. The one family dwelling, other structures,
and grounds where you reside;
b. That part of any other building where you
reside; or
c. 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; and
d. Any location shown in the Schedule of this
endorsement.
9. “Covered real property’. The following applies
only to the Section I — Additional Coverage — .
Property Remediation For Escaped Liquid
Fuel:
a. “Covered real property” means:
(1) Property owned by an Insured” and cov-
ered under Coverage A — Dwelling of
this policy;
(2) Any other one, two, three or four family
dwelling building owned by an “insured”
108a
and shown in the Schedule under item
et
(3) 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 prem-
ises”;
(4) Property owned by an “insured” and
covered under Coverage B — Other
Structures of this policy, provided such
property is located on the “residence
premises”; and
(5) Land, other than farm land:
(a) Which is within the “residence
premises”;
(b) Which is owned by an Insured”; and
(c) On which a building or structures
described in Paragraphs 9.a.(1), (2),
(3) or (4) is located.
b. “Covered real property” does not include:
(1) Water;
(2) Other structures that are part of the
“fuel system”; or
(3) Trees, shrubs, plants or lawns, except to
the extent permitted by Paragraph 8.3.c.
of this endorsement.
10.“Covered personal property”. The following ap-
plies only to the Section 1 — Additional Cover-
age — Property Remediation For Escaped Liq-
uid Fuel:
109a
a. “Covered personal property” means personal
property:
(1) Owned or used by an “insured” and cov-
ered under Coverage C Personal Prop-
erty of this policy, and
(2) Located on the “residence premises”,
b. Loss or damage to such property shall be
subject to those Coverage C Special Limits
of Liability that apply.
11. “Fuel System” means:
a. One or more containers, tanks or vessels
which have a total combined storage capac-
ity of 100 or more U.S. gallons of liquid fuel;
and:
(1) Are, or were, used to hold liquid fuel
that is intended to be used solely for one
or more of the following:
(a) To heat or cool a building;
(b) To heat water;
(c) To cook food; or
(d) To power motor vehicles, other mo-
torized land conveyances or water-
craft owned by an Insured” and not
used at any time or in any manner
for “business”; and
(2) Are, or were, located on:
(a) “Covered real property”; or
(b) An “insured location”;
(c) Any pumping apparatus, which in-
cludes the motor, gauge, nozzle, hose
110a
or pipes that are, or were, connected
to one or more containers, tanks or
vessels described in Paragraph 11.a.;
c. Filler pipes and flues connected to one or
more containers, tanks or vessels described
in Paragraph 11.a.;
d. A boiler, furnace or a water heater, the liq-
uid fuel for which Is stored in a container,
tank or vessel described in Paragraph 11.a.,
and which is located on:
(1) “Covered real property”; or
(2) An insured location”;
e. Fittings and pipes connecting the boiler,
furnace or water heater to one or more con-
tainers, tanks or vessels described in Para-
graph 11.a.; or
f. A structure that is specifically designed and
built to hold the liquid fuel that escapes
from one or more contairiers, tanks or ves-
sels described in Paragraph 11.a.
B. Section 1— Additional Coverages
The following Additional Coverage Is added:
PROPERTY REMEDIATION FOR ESCAPED
LIQUID FUEL
1. With respect to the total of all escapes of liquid
fuel from a “fuel system” which an “insured”
first discovers or learns of during the policy pe-
riod, we will pay up to the Limit of Liability
shown in the Schedule for loss, damage or ex-
pense described in Paragraph B.3.
oS
llla
2. The Limit shown in the Schedule for this cov-
erage is the most we will pay for the total of all
loss, damage or expense payable under Para-
graph B.3. regardless of the:
a.
b.
c.
Number of locations insured under this en-
dorsement;
Number of escapes of liquid fuel from a
“fuel system” an Insured” first discovers or
learns of during the policy period; or
Number of claims made.
3. Loss, Damage Or Expense Covered This Cover-
age pays for:
a.
Loss or damage to:
1. “Covered real property”; or
2. Covered personal property;
caused directly or indirectly by the escape
of such fuel from a “fuel system”;
The reasonable expense you incur to:
(1) Take temporary measures to stop the
further escape of liquid fuel from any
part of the “fuel system”;
(2) Retard or stop the spread of escaped liq-
uid fuel;
(3) Clean up, remove or treat loss or dam-
age to:
(a) “Covered real property”; or
(b) “Covered personal property”; or
(4) Test, monitor or assess the effects of the
escape of liquid fuel on or away from
“covered real property”:
“ss
112a
(a) As required by law; or
(b) In response to a request, demand or
order by a governmental authority or
court of law.
We will pay for such expense only if it
results from the same escape that is
payable under Paragraph 8.3.a., or b.;
Loss or damage to trees, shrubs, plants or
fawns, located on the “residence premises”,
but only if there is loss, damage or expense
caused by the same escape that is payable
under Paragraph 8.3.a. or b. However, we
will not pay more than an amount equal to
5% of the Limit of Liability shown in the
Schedule for the total of all loss or damage
to trees, shrubs, plants or lawns. No more
than $500 of this amount will be payable
for any lawn or any one tree, shrub, or
plant We do not cover property grown for
“business’.
Under Form HO 00 08, no more than $250
of the amount of insurance available under
this coverage will be payable for lawns or
any one tree, shrub or plant; and
. Additional Living Expense
(1) Additional Living Expense means any
necessary increase in living expenses
you incur, so that your household can
maintain its normal standard of living,
if the escape of liquid fuel:
(a) Results in loss, damage or expense
payable under Paragraph B.3.a. or b.;
and
113a
(b) Makes that part of the “residence
premises” where you reside not fit to
live in.
(2) Payment for Additional Living Expense
will be for the shortest time required:
(a) To make that part of the “residence
premises” where you reside fit to live
in; or
(b) For your household to settle else-
where, if you permanently relocate.
This period of time applies even if it ex-
tends past the expiration date of this
policy.
We do not cover loss or expense due to cancellation
of a lease or agreement.
(3) This coverage does not increase the
Limit of Liability shown in the Schedule.
(4) Section I — Property Coverages, Cover-
age D — Loss Of Use in the policy form
does not apply to this endorsement.
4. Deductible
The deductible amount, equal to that which
applies to the peril of Fire, applies to loss,
damage or expense covered under this addi-
tional coverage. We will pay only that part of
the total of all loss, damage or expense. payable
under Paragraph 8.3. that exceeds that de-
ductible amount.
5. Loss, Damage Or Expense Not Covered We
will not pay:
ll4a
a. For any diminution or reduction in the mar-
ket value of any:
(1) “Covered real property”; or
(2) “Covered personal property”;
b. For any damage resulting from the loss of
or reduction in value of a pending sale of:
(1) “Covered real property”; or
(2) “Covered personal property”;
c. To replace any fuel;
d. For any expense to:
(1) Demolish or remove; or
(2) Repair, replace, rebuild or restore;
any part of a “fuel system”, other than
those expenses provided for in Paragraph
B.3.a. or b.; or
e. For any damage that results from an escape
from:
(1) One or more containers, tanks or ves-
sels, that are, or were, used to hold iiq-
uid fuel and are a part of a motor vehi-
cle, motorized land conveyance or
watercraft; or
(2) Related lines or parts, that are, or were,
connected to a motor vehicle, motorized
land conveyance or watercraft.
. For Form HO 00 03, under Section 1— Perils
Insured Against, Paragraph 2.e.(5) does not
apply to this Property Remediation For Es-
caped Liquid Fuel Coverage.
115a
7. When Special Computer Coverage Endorse-
ment is attached, Paragraph B.(3)(e) in that
endorsement, under Perils insured Against,
does not apply to this Property Rernediation
For Escaped Liquid Fuel Coverage.
8. For Form HO 00 03 when the Special Personal
Property Coverage Endorsement is attached,
Paragraph 1.b.(4)(e) in that endorsement, does
not apply to this Property Remediation For Es-
caped Liquid Fuel Coverage.
9. The Section I — Exclusions and Section 1 —
Additional Coverages apply to this Property
Remediation For Escaped Liquid Fuel Cov-
erage.
10.The Section 1— Conditions apply to this Prop-
erty Remediation For Escaped Liquid Fuel
Coverage except as provided in Paragraph C.
Section I — Conditions below.
11.This Property Remediation For Escaped Liquid
Fuel Coverage does not apply to any “residence
premises” at which the containers, tanks or
vessels, described in Paragraph A.11.a., have a
total combined storage capacity of less than
100 U.S. gallons of liquid fuel.
Coverage, if any, for escape of liquid fuel from
such containers, tanks or vessels is subject to
those;
a. Exclusions:
b Conditions;
c. Other provisions; and
d Limits of Liability;
116a
that apply to real and personal property under
the policy to which this endorsement is at-
tached.
C. Section 1 — Conditions — Property Remediation
For Escaped Fuel
With respect to loss, damage or expense described
in Paragraph B. Section I — Additional Cover-
ages, Section 1 Condition 7. Other Insurance, is
deleted and replaced by the following:
7. Other Insurance And Service Agreement
a. OtherInsurance _
If loss, damage or expense covered in pre-
ceding Paragraph B. is also covered by
other insurance, we will pay only the pro-
portion of the foss, damage or expense that
the limit of liability that applies under this
endorsement bears to the total amount of
insurance covering the loss, damage or ex-
pense.
b. Service Agreement
If loss, damage or expense covered in pre-
ceding Paragraph B. is also covered by a
service agreement, then this Property
Remediation for Escaped Liquid Fuel Cov-
erage is excess over any amounts payable
under any such agreement. Service Agree-
ment means a “fuel system” service plan,
property restoration protection plan, or
similar service or warranty agreement,
even if it is characterized as insurance.
D. Section II — Liability Coverages
117a
LIMITED LEAD AND ESCAPED LIQUID FUEL
LIABILITY COVERAGE
1. With respect to “bodily injury” or “property
damage” described In Paragraph D.2,, the cov-
erages provided by Section 0 — Liability Cov-
erages, Coverage E — Personal Liability and
Coverage F — Medical Payments To Others in
the policy form, and the Limits of Liability
stated on the Declarations page do not apply.
2. This coverage applies if a claim is made or a
suit is brought against an “insured” for dam-
ages because of:
a. “Bodily injury’ or “property damage” caused
by an “occurrence” involving the escape of
fuel from a “fuel system”. However, this
limited coverage does not apply to an “oc-
currence” of fire or explosion that results
from such escaped fuel. Damages resulting
from such an “occurrence” of fire or explo-
sion are subject to the Coverage E — Per-
sonal Liability limit of liability of the policy
to which this endorsement is attached;
b. “Bodily injury” caused by an *occurrence”
involving the absorption, ingestion or inha-
lation of lead which is in or on an Insured
location”; or
c. “Property damage” caused by an “occur-
rence” of lead contamination, but only if,
immediately prior to the ‘occurrence”, the
lead was located at an Insured location”.
NO OTHER LEAD OR ESCAPED LIQUID
FUEL LIABILITY COVERAGE APPLIES
118a
UNDER THIS POLICY EXCEPT AS PRO-
VIDED IN THIS PARAGRAPH.
. If coverage applies as stated in Paragraph
D.2., we will:
a. Pay up to the Aggregate Limit of Liability
stated in the Schedule for damages for
which an insured” is legally liable. Dam-
ages include prejudgment Interest awarded
against en “insured”; and
b. 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 stilt that we decide is
appropriate. Our duty to settle or defend
ends when the amount we pay for damages
resulting from “bodily injury” or “property
damage” described in Paragraph D.2. ex-
hausts the Aggregate Limit of Liability
stated in the Schedule.
. With respect only to applying the provisions of
this coverage as described in Paragraph 1)2.,
“bodily injury” or “property damage” caused in
whole or in part by an “occurrence” described
in Paragraph D.2. shall be deemed to have
been caused solely by such an “occurrence” re-
gardless of any other covered cause or event
contributing to the “bodily injury” or “property
damage”.
. The Section II — Additional Coverages in the
policy form apply with respect to this coverage
as described in Paragraph D. except as pro-
vided in Paragraph E. Section II — Additional
Coverages.
119a
6. The Section 11— Conditions in the policy form
apply with respect to this coverage as de-
scribed in Paragraph D. except as provided in
Paragraph F. Section 1I — Liability Con4i-
tions.
7. This coverage does not apply to an “insured lo-
cation” at which the containers, tanks or ves-
sels described in Paragraph Alta. have a total
combined storage capacity of less than 100
U.S. gallons of liquid fuel.
Coverage, if any, for an “occurrence” involving
the escape of liquid fuel from such containers,
tanks or vessels is subject to those:
a. Exclusions;
b. Conditions;
c. Other provisions; and
d. Limits of Liability;
that apply to Personal Liability and Medical
Payments To Others coverage in the policy to
which this endorsement is attached.
E. Section II — Additional Coverages
With respect to coverage described in Paragraph
D. Section II — liability Coverages, Additional
Coverage 4. Loss Assessment is deleted and re-
placed by the following:
4. Loss Assessment
a. We will pay up to the Aggregate Limit of Li-
ability stated in the Schedule for your share of
loss assessment charged during the policy pe-
riod against you by a corporation or association
120a
of property owners, when the assessment is
made as a result of:
(1) An “occurrence” involving the escape of fuel
from a “fuel system”;
(2) Sections I and II Conditions, Item 1. Policy
Period in this endorsement and in the pol-
icy form to which this endorsement is at-
tached.
F. Section 11- Liability Conditions
With respect to coverage described in Paragraph
D. Section U- Liability Coverages:
1. Conditions 4. - Duties Of An injured Person
Coverage F Medical Payments To Others and
5. - Payment Of Claim - Coverage F -Medical
Payments To Others are deleted; and
2. Conditions 1. - Limit Of Liability and 2. - Sev-
erability Of insurance in the policy form are
deleted and replaced by the following:
1. Aggregate Limit of Liability
Our total liability in any one policy period for
all damages resulting from the total of all “bod-
ily injury” or “property damage” during the
policy period will not be more than the Limited
Lead and Escaped Liquid Fuel Liability Cover-
age Aggregate Limit of Liability stated in the
Schedule. This is the most we will pay regard-
less of the:
2. Number of locations insured under the
policy to which this endorsement is at-
tached;
b. Number of persons injured;
12la
c. Number of persons whose property is
damaged;
d. Number of “insureds”; or e. Number of
claims made.
The “occurrence” limit of liability does not
apply to this coverage.
2. Severability Of Insurance
This insurance applies separately to each “in-
sured” except with respect to the Aggregate
Limit of Liability described in Paragraph F.2.1.
This condition will not increase the Limit for
this coverage.
G. Sections I and II - Conditions
Sections I and II - Conditions, item 1. Policy Pe-
riod is deleted with respect to the provisions of
this endorsement and replaced by the following:
1. Policy Period - Section II - Liability
This endorsement applies to “bodily injury” or
“property damage” described in Paragraph D.2.
All other provisions of the policy not specifically
modified by this endorsement apply.
LEXINGTON INSURANCE COMPANY
STANDARD POLICY CONDITIONS
THIS ENDORSEMENT CHANGES THE POLICY
PLEASE READ IT CAREFULLY
MINIMUM EARNED PREMIUM CLAUSE
In the event of cancellation of this policy by you,
the minimum premium listed on the Declaration
page shall become fully earned, any provision of the
policy to the contrary notwithstanding.
122a
Your failure to make timely payment of premium
shall be considered a request by you for us to cancel
on your behalf In the event of such cancellation for
non-payment of premium, the minimum. earned
premium shall be due and payable; provided, how-
ever, such cancellation shall be rescinded if you remit
and we receive the full policy premium within 10
days after the date of issuance of the cancellation no-
tice. Such remittance and acceptance by us shall not
alfect the minimum earned provision of this en-
dorsement. In the event of any other cancellation by
us, the earned premium shall be computed pro-rata,
not subject to the minimum earned premium.
SERVICE OF SUIT CLAUSE
Service of Suit - In the event of our failure to pay
any amount clammed to be due hereunder, we, at
your request, will submit to the jurisdiction of a court
of competent jurisdiction within the United States.
Nothing in this condition constitutes or should be
understood to constitute a waiver of our rights to
commence an action in any court of competent juris-
diction in the United States to remove an action to a
United States District Court or to seek a transfer of a
case to another court as permitted by the laws of the
United States or of any state in the United States, It
is further agreed that service of process in such suit
may be made upon Counsel, Legal Department, Lex-
ington Insurance Company, 200 State Street, Boston,
Massachusetts, 02109 or his or her representative,
and that in any suit instituted against us upon this
policy, we will abide by the final decision of such
court or of any appellate court in the event of an ap-
peal.
Further, pursuant to any statute of any state, terri-
tory, or district of the United States which makes
123a
provision therefor, we hereby designate the Superin-
tendent, Commissioner or Director of Insurance, or
other officer specified for that purpose in the statute,
or his or her successors in office as our true and law-
ful attorney upon whom may be served any lawful
process in any action, suit, or proceeding instituted
by you or on your behalf or any beneficiary hereunder
arising out of this policy of insurance and hereby des-
ignate the above named Counsel as the person to
whom the said officer is authorized to mail such proc-
ess or a true copy thereof.
AUTHORIZATION CLAUSE
IN WITNESS WHEREOF, we have caused this pol-
icy to be executed and attested, but this policy shall
not be valid unless signed on the Declaration page by
our duly authorized representative.
/s/ Elizabeth M. Tuck /s/ Ilegible
SECRETARY CHAIRMAN AND CEO
124a
[Logo]
IMPORTANT FLOOD INSURANCE NOTICE
Your homeowners or dwelling policy does NOT
provide coverage for loss caused by flood or mudslide,
which is defined, in part, by the National Flood In-
surance Program as:
A general and temporary condition of partial or
complete inundation of normally dry land areas from
overflow of inland or tidal waters or from the unusual
and rapid accumulation or runoff of surface waters
‘from any source.
If you are required by your mortgage lender to
have flood insurance on your property, or if you feel
that your property is susceptible to flood damage, in-
surance covering damage from flood is available on
most buildings and contents in participating commu-
nities through the National Flood Insurance Pro-
gram.
Information about flood insurance and whether
your community participates in the program can be
obtained from your insurance company from your in-
surance agent/broker, or directly from the National
*lood Insurance Program by calling 1-800-638-6620.
If you purchase the maximum limits available
through the National Flood Insurance Program, and
require additional limits, contact your agent/broker
for information regarding the Lexington Insurance
Company’s Excess Flood Program.
125a
THIS ENDORSEMENT CHANGES THE POLICY
PLEASE READ IT CAREFULLY.
EXTERIOR INSULATION AND FINISH SYSTEM
EXCLUSION
THIS ENDORSEMENT IS ADDED TO YOUR
HOMEOWNERS POLICY AND APPLIES TO ALL
COVERAGES AND COVERAGE PARTS THAT
FORM PART OF THIS POLICY.
This coverage does not apply to any of the follow-
ing, regardless of any other cause or event that con-
tributes thereto, concurrently or in any sequence: .
1. “Bodily injury”, “property damage”, or any other
loss including but not limited to seepage,
&lamination, detachment, cracking, insect dam-
age, collapse or imminent collapse, caused directly
or indirectly, in whole or in part, by the design,
manufacture, construction, fabrication, prepara-
tion, installation, application, maintenance or re-
pair, including remodeling, service, correction, or
replacement, of an “exterior insulation and finish
system” or any part thereof, or any -substantially
similar system or any part thereof, including the
application or use of conditioners, primers, acces-
sories, flashings, coatings, caulking or sealant in
connection with such a system; or
2. Any moisture-related or dry rot-related. “property
damage” to an “inured location” or other building
to which an “exterior insulation and finish sys-
tem” has been applied, if that “property damage”
is caused directly or indirectly, in whole or in part,
by the “exterior insulation and finish system”;
For the purpose of this endorsement, an “exterior
insulation and finish system” means an exterior
126a
cladding or finish system applied to an “insured loca-
tion” or other building, and consisting of:
a) A rigid or semi-rigid insulation board made of
expanded polystyrene or other material; and
b) The adhesive and/or mechanical fasteners used
to attach the insulation board to the substrate;
and
c) A reinforcing mesh that is embedded in a base
coat applied to the insulation board; and
a) A finish coat providing surface texture and
Color. |
However, an “exterior insulation and finish sys-
tem” does not include a cement-based, enhanced
stucco cladding system which;
a) Incorporates a weather resistive building
wrap; and
b) Incorporates ribbed insulation board to provide
drainage.
Nothing in this exclusion is deemed to supersede
coverage provided by the Limited Mold Coverage Re-
lated endorsement (LEX 04 33 04 02); (LEX 00 25 11
01); (LEXELITE 00 25 02 03); (LEXELITE 00 25 04
02); (LEX DP 04 33 05 03).
All other terms, conditions and exclusions of the
policy remain unchanged.
127a
[Logo]
HOMEOWNERS
LEX 01 09 03 G3
THIS ENDORSEMENT CHANGES THE POLICY.
PLEASE READ IT CAREFULLY
SPECIAL PROVISIONS
SECTION 1-- PROPERTY COVERAGES
COVERAGE B —Other Structures. The last para-
graph is deleted and replaced by the following:
The limit of liability for this coverage shall not
exceed the amount shown in the Declarations.
DEDUCTIBLE CLAUSE — is added as follows:
Unless otherwise noted in this policy, the fol-
lowing deductible provision applies:
Subject to the policy limits that apply, we will
pay only that part of the total of all losses pay-
able under Section I Property Coverages that
exceed the applicable deductible amount
shown in the Declarations, under no circum-
stance shall the applicable deductible be Tess
than the All Other Peril (AOP) deductible
listed on the Declarations.
SECTION I ADDITIONAL COVERAGES
11. Ordinance or Law is deleted and replaced on
Homeowners 4 — Contents Broad Form (HO 00
04 04 91) or Homeowners 8— Unit-Owners Form
(HO 00 06 04 91) as follows:
11. Ordinance or Law does not apply and no
coverage is provided.
128a
SECTION I PERILS INSURED AGAINST
COVERAGE A — DWELLING and COVERAGE
B — OTHER STRUCTURES
2.a. is deleted and replaced by. the following:
a. Freezing of a plumbing, heating, air condi-
tioning or automatic fire protective sprin-
kler system or of a household appliance, or
by discharge, leakage or overflow from
within the system or appliance caused by
freezing. This provision does not apply if
you have used reasonable care to:
(1) Maintain heat In the building; or
(2) Shutoff the water supply and drain all
systems and appliances of water,
However, if the building is protected by, an
automatic fire protective sprinkler system,
you must use reasonable care to continue
the water supply and maintain heat in the
building for coverage to apply.
SECTION 1— EXCLUSIONS
Paragraph 1.i. Act of Terrorism. is added;
i. Act of Terrorism. meaning an act, including
but not limited to the use of force or violence
and/or the threat thereof, of any person or
group(s)-of persons, whether acting alone or on
behalf of or in connection with any organization(s)
or government(s), committed for political, reli-
gious, ideological or similar purposes including
the Intention to influence any government and/or
to put the public, or any section of the public, in
fear.
129a
It is hereby understood and agreed, that notwith-
standing any provision to the contrary, it is
agreed that this policy. excludes, damage, cost or
expense of whatsoever nature directly or indi-
rectly caused by, resulting from or in connection
with biological, chemical, or nuclear pollution or
contamination arising out of any act of terrorism
regardless of any other cause or event contribut-
ing concurrently or in any other sequence to the
loss.
The policy else excludes damage, cost or expense o
whatsoever nature directly or indirectly caused
by, resulting from or in connection with any action
taken in controlling, preventing, or suppressing or
in any way relating to any biological, chemical, or
nuclear pollution or contamination arising out of
an act of terrorism.
Nothing in this exclusion shall be construed to ex-
clude loss, damage or cost or expense of whatso-
ever nature arising out of fire following any nu-
clear incident.
SECTION I - CONDITIONS
3.b. Loss Settlement- the following is added:
(6) if, at the time of loss, the building(s) under
Coverage A or B are being repaired, reno-
vated, rebuilt or under construction, the
amount of insurance be the proportion of
the value of the building that the actual
cash value of the building, on that date,
bears to the value when completed. You and
we agree that, for insurance purposes only,
the value-of the building is the amount
shown on the Declarations.
130a
SECTION II -EXCLUSIONS
Coverage E — Personal Liability and Coverage F
Medical Payments To Others
Paragraph 1.a is deleted and replaced by the fol-
lowing
a. Which is expected or which may reasona-
bly, be from the intentional acts or omis-
sions or criminal acts or omissions of one or
more “insured” persons. This exclusion ap-
plies even if the resulting “bodily injury” or
“property damage”
(1) is committed by an “insured” person(s)
lacking the mental capacity to govern
their own conduct;
(2) Is of a different kind, quality or degree
than initially expected or intended;
(3) Is sustained by, a different person, en-
tity, real or personal property, than ini-
tially expected or intended.
This provision applies regardless of an in-
sured” person(s) actually being charged
with, or convicted of a crime.
Paragraph 1.j. is deleted and replaced by the fol-
lowing:
j.
Which arises out of the transmission of a
communicable disease by one or more “in-
sured”person(s) or by any other person for
whom the “insured” is legally responsible.
In addition, ‘We’ shall have no duty to de-
fend any claim or stilt seeking “bodily in-
jury’ or “properly damage”
Paragraph 1.m. is added: —_..
13la
m. Arising out of any claim of or indemnifica-
tion for punitive or exemplary damages. We
shall not have an obligation to pay for any
costs, interests or damages attributable to
punitive or exemplary dam ages.
SECTION I and II — CONDITIONS
2. Concealment or Fraud’s deleted and replaced b
the following:
2. We do not provide any coverage to one or
more “insureds” who, whether before or af-
ter a loss has:
(1) Intentionally concealed or misrepre-
sented real material fact or circum-
stance;
(2) Engaged in fraudulent conduct; or
(3) Made false statements
relating to coverage, we at our option may
choose to void the entire policy.
* *k *
5. Cancellation and 6. the following is added:
Regardless of another special provision and
or clauses to the contrary, these two sec-
tions are not modified by any other forms or
endorsements attached to this policy. This
policy is subject to the contract terms speci-
fied in Section 1 and II-Conditions, 5. Can-
cellation and 6. Nonrenewal. of the stan-
dard unendorsed Homeowners’ Form,
unless prohibited by applicable slate law.
If any provision of this endorsement is expressly pro-
hibited by applicable state law or applicable insur-
ance department regulation, that provision does not,
apply.
132a
[Logo]
THIS ENDORSEMENT CHANGES THE POLICY
PLEASE READ IT CAREFULLY.
WINDSTORM OR HAIL PERCENTAGE DEDUCTI-
BLE ALL FORMS EXCEPT
HO 00 04 and HO 00 06
For the premium charged, we will pay only that
part of the total of the loss for all Section 1 Property
Coverages that exceeds the windstorm or hail per-
centage deductible stated in this endorsement. This
deductible applies in the event of direct physical loss
to property covered under this policy caused directly
or indirectly by windstorm or hail Such deductible
applies regardless of any other cause or event con-
tributing concurrently or in any sequence to the loss.
No other deductible provision in the policy applies to
direct physical loss caused by windstorm or hail.
In determining the amount, if any, that we wilt pay
for loss or damage, we will deduct an amount equal to
___%* of the limit of liability that applies to Coverage
A — Dwelling, in the policy to which this endorse-
rnent is attached, subject to a minimum $1,000 wind-
storm or hail deductible.
*Entries may be left blank if shown elsewhere in
this policy for this coverage. All other provisions of
this policy apply.
All other provisions of this policy apply.
133a
[Logo]
HOMEOWNERS PROPERTY REMEDIATION FOR
ESCAPED LIQUID FUEL AND LIMITED LEAD
AND ESCAPED LIQUID FUEL LIABILITY COV-
ERAGES
ADVISORY NOTICE TO POLICYHOLDERS
This notice does not provide coverage nor does this
notice replace any provisions of your policy you
should read your policy and review your declarations
page for complete information on the coverages you
are provided with. If there is any conflict between the
policy and this notice, the provisions of the policy
shall prevail.
The policy you have just applied for or received has:
added coverage for damage to your property
caused by the escape of certain petroleum prod-
ucts that may be found in or on your home, your
residential unit in an apartment, condominium
or cooperative building, your household or per-
sonal property, other real property you own that
is covered in this policy and land on which your
home or unit or covered personal property is lo-
cated; and
reduced liability coverage for injury to another
person, or damage to the property of others, that
is caused by the escape of certain petroleum
products or by lead on or emanating from an in-
sured location such as your house, any other
premises where you are living but which you do
not own, or vacant land that you own.
ESCAPED FUEL REMEDIATION
If liquid fuel escapes flora a fuel storage system on
your property, kiss or damage caused by the escaped
134a
fuel to your home, personal property, any other one,
two, three or four family dwelling building you own
and insure for remediation coverage will
This text is long and has been trimmed here. Open the source document for the complete record.
This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.