MSO General Property Form—MCP 010 06 12
Updated November 25, 2019
June 20, 2013
Summary : The cornerstone of the MSO commercial property program is a twenty-three-page booklet that, according to MSO, incorporates the provisions of ten separate simplified forms. This is the General Property Form MCP 010 06 12. The booklet includes in a single document all primary property and business interruption coverages, all causes of loss options, and the applicable policy conditions. Commonly used endorsements are preprinted in the body of the policy, thereby eliminating the need for separate attachments; each of these endorsements can be triggered by listing the endorsement number in the declarations. MSO refers to these as endorsements preprinted in the form, but the form itself does not refer to these options as endorsements. A list of the form's preprinted endorsements follows this analysis.
State-specific requirements or unusual coverage needs may require additional, separate endorsement(s).
Topics covered:
Covered property—business personal property
Covered property—personal property of others
Business income/extra expense coverage
Part I B – supplemental coverages
Pollution cleanup cost coverage
PartI C – cause of loss options
Part I D – property exclusions/limitations
Part I E property loss limitations
Insuring Agreement
A. We provide insurance for those of the following coverages for which a specific limit of liability and related premium charge is shown in the Declarations (the term "Declarations" also includes a Supplemental Declarations or any other similar form), subject to all applicable provisions. If a series of Declarations or Change Endorsements are issued, then this term means the current Declarations or Change Endorsement.
B. Unless otherwise specifically provided in this policy, this insurance applies only to covered loss that takes place during the current policy term on the applicable described premises.
C. With respect to personal property covered by this policy (including any covered within the definition of or by Extension of Coverage A), coverage is extended to covered loss that also takes place outdoors (meaning not in a building) on, or within 100 feet of, the described premises.
D. Insuring Agreement Qualification
The Coverages in this policy are subject to certain Exclusions and Limitations, including Part I Common Exclusions and Parts I D, E, and F.
Analysis
Although many coverages are preprinted in the General Property Form, insurance applies only where a specific limit and premium for that coverage is shown in the declarations, the supplemental declarations, or an attached endorsement.
Insurance applies only to covered loss, a term defined at length in the perils section of the form. The term essentially refers to damage or destruction of covered property by a covered peril. If theft is a covered peril, then loss by theft is also a covered loss—even if the property is not damaged or destroyed.
Unless otherwise stated, a covered loss must take place during the policy period. This is substantially different from the wording in ISO's commercial property conditions, which covers loss or damage commencing during the policy period. Suppose a fire starts burning at 11:00 p.m. and the policy period ends at 12:01 a.m., before the fire is extinguished. ISO's commencing language makes it clear that fire damage taking place after 12:01 a.m. is still covered by the expiring policy. A literal interpretation of the MSO language holds that the policy in force when the fire started covers only the direct damage that takes place up until the moment when the policy expires. As regards business income and extra expense, a provision discussed later specifically states that the period of indemnity is not limited by expiration of the policy term.
To be covered, a loss must also take place on the applicable described premises. Described premises is not a defined term.
The form also covers loss to personal property that is outdoors or within 100 feet of the described premises. This phrasing could leave a coverage gap in some instances. Consider property on the first-floor loading dock that belongs to a business on the twentieth floor of a high-rise building that lists Suite 2000 as the described premises. The property is not outdoors, and it is not within 100 feet of Suite 2000. ISO addressed a similar coverage gap in the 2012 revision of its building and personal property coverage form.
Coverage A – Buildings/Structures
We cover described buildings (the general term buildings also includes other sorts of structures). Coverage A also includes the following property to the extent that such is part of, or incidental to the use of, described buildings:
1.Additions under construction.*
2.Alterations or repairs.
3.Building equipment, fixtures, materials, and supplies, intended for use in alteration, construction, or repair of described buildings.*
4.Completed additions.
5.Equipment, fixtures, and machinery permanently installed as part of described buildings.
6.Outdoor fixtures. For example, flag poles, ground lights, light standards.
*Such property is covered by this policy only on an excess basis, if covered by other insurance.
Analysis
Building coverage includes any buildings or structures (and their completed additions) shown on the declarations page with a limit of insurance. It does not matter whether the additions are in place when the policy is written or if they are added later. Coverage also applies to alterations and repairs in progress.
The provision for coverage of additions is common in forms relating to buildings, but it should not be taken for granted. Though beneficial to the insured by way of automatic coverage for new additions during the term of the policy, it can also lead to difficulty under the terms of the coinsurance clause if the overall amount of insurance is not adjusted to account for the increased values.
The form covers any additions under construction, as well as related building equipment, fixtures, materials, and supplies, on a primary basis if no other insurance exists for the project. If there is other insurance, coverage applies on an excess basis.
The building/structures coverage includes coverage for permanently installed equipment, fixtures, and machinery. Machinery and equipment easily includes drive-on scales, refrigerated lockers, pulleys, and the like.
Coverage disputes occasionally arise over the meaning of permanently installed. The phrase is not defined within the form, but install commonly means "to set up for use or service" and permanently means "continuing or enduring without fundamental or marked change; stable" (Webster's New Collegiate Dictionary). Fixtures, under this phrasing, are things that are permanently attached to the building and cannot be removed without affecting either the value or the aesthetics of the structure, and they can include everything from intercoms and public address systems to permanently installed blinds, drapery fittings, or hardware.
An item does not need to become a part of the structure of the building for it to be considered permanently installed. For example, a refrigerated locker is permanently installed if set up for use in the insured's building with the intent that it should remain there without change as long as the insured is in business at that location.
The form also specifically includes outdoor fixtures as building property. While the policy includes a few examples—flag poles, ground lights, and light standards—this is not an exhaustive list. Further examples might include parking stops, mailboxes, and in ground sprinkler systems (underground pipes are excluded, as discussed later).
Covered Property—Business Personal Property
Coverage B – Business Personal Property
We cover the following property located in or on described buildings:
1.Tangible personal property (including equipment, fixtures, and machines not subject to Coverage A) owned by you and used in your described business/operations.
2.Tangible personal property of others – but only to the extent of the value of the labor, materials, and supplies provided by you in connection with such property.
3.Tenant's improvements and betterments. This means your remaining use interest in additions, alterations, fixtures, and installations, not legally removable by you, that are both: made part of a building that you occupy (but do not own) and acquired or made at your expense.
This coverage applies only if the cost of such property is not included in your rent and repair or replacement is at your expense.
Analysis
The lead-in phrase appears to limit coverage to personal property in or on the building described in the declarations. However, the insuring agreement cited previously extends coverage to covered losses that occur outdoors on or within 100 feet of the premises.
Coverage is limited to tangible personal property. This would exclude coverage for intangible property such as data, copyrights and other intellectual property, or goodwill. Property is covered only if it is both owned by a named insured and used in the business/operations described in the declarations. If these conditions are met, coverage would apply to furniture, fixtures, machinery, equipment, stock, and other types of tangible personal property not excluded elsewhere in the form.
Business personal property also contemplates coverage of the labor, materials, and supplies provided by the named insured provided in connection with the tangible personal property of others. If, for example, an insured repairs a computer at a cost of $50 in labor, $75 in materials, and $10 for a special trip to acquire a necessary part, $135 is recoverable under this coverage, less any deductible, if the computer is damaged by an insured peril before it can be returned to the customer.
The form also covers, as personal property, a tenant's remaining use interest in improvements and betterments. Improvements and betterments consist of fixtures, alterations, installations, or additions of a permanent type that have been acquired at some expense by the tenant. They are items of real property such as store fronts, decorations, partitions, or elevators and are not legally removable by a tenant.
This is not the same as coverage on the full value of the improvements and betterments. A loss settlement provision later in the policy clarifies how improvements and betterments losses are to be settled. A tenant's use interest exists as long as any lease is in force. But if the lease contains an option to renew, then the use interest extends to the end of the option period. If the tenant does not promptly repair damage to improvements and betterments, the insurer's obligation is prorated based on the amount of time that has elapsed since the improvement was installed and the amount of time remaining on the lease or any renewal option. If the named insured promptly repairs the damage, it will be settled on the same basis as other covered property.
Improvements and betterments coverage does not apply if the landlord includes the cost of the improvements in the tenant's rent or if the landlord bears the cost of repairing damaged improvements and betterments.
As with any other item or class of covered property, the values of improvements must be taken into account when considering the amount of insurance necessary for compliance with the coinsurance clause.
Covered Property—Personal Property of Others
Coverage C – Personal Property of Others
We cover tangible personal property of others, located in or on described buildings, in your care, control, or custody in connection with your described business/operations.
Our payment under this coverage is solely for the account of the owner of such tangible personal property. Such beneficiary must comply with all relevant loss settlement and other conditions.
Analysis
The third type of direct property loss that can be covered under the building and personal property coverage form is tangible property of others in the insured's care, custody, or control and used in connection with the named insured's business/operations as described in the declarations. Although the wording here appears to limit coverage to personal property in or on the building described in the declarations, the insuring agreement cited earlier extends coverage to covered losses that occur outdoors on or within 100 feet of the premises.
Any loss to property of others is adjusted "solely for the account of the owner" of the property. The insurer has a right to adjust the loss with the property's owners.
Business Income/Extra Expense Coverage
Coverage D – Loss of Use Resulting from Direct Covered Loss
A. We cover your loss of Business Income/Extra Expense, as described in the following paragraphs, that is the direct result of a direct covered loss that results in either:
1.The necessary interruption of your described business/operations; or
2.The described premises being made incapable of being occupied.
We also cover such loss if access to the described premises is prohibited by order of any civil authority. This order must result from fortuitous direct physical loss to property at a premises other than the described premises (provided such other premises/property is not occupied or owned by you) caused by an applicable cause of loss covered under this policy.
Analysis
Business income and/or extra expense coverage is integrated into the General Property Form as coverage D. Approximately one and a half pages of the form describe this coverage, which applies only if appropriate entries are made in the declarations. The opening paragraphs outline the conditions that must exist for a business income and/or extra expense loss to be covered.
First, the named insured must suffer a loss of business income or incur extra expenses as the result of a direct covered loss. Direct covered loss is defined elsewhere in the policy as "fortuitous direct physical loss [by a covered cause of loss] which occurs at described premises occupied by you…which directly results in the subject covered business income loss/extra expense loss."
In short, the named insured must suffer a business income and/or extra expense loss as the result of fortuitous direct physical damage to, destruction of, or theft of property by a covered cause of loss. The damaged, destroyed, or stolen property need not belong to the named insured.
Second, the direct covered loss must result in a necessary interruption of the named insured's business/operations described in the declarations or the untenantability of the premises. Disputes could conceivably arise, in some cases as to whether an interruption was necessary.
Third, the business income and/or extra expense coverage can be triggered by an order of civil authority that prohibits access to the premises described in the declarations because of damage to another party's property at other premises by a covered cause of loss. For example, a tenant's store might not be damaged by a fire in another part of the shopping mall, but authorities might bar access to the entire mall until an investigation is complete and some of the damage has been cleared.
B.Coverage Description
1.The following coverages apply as described in the Declarations:
a.If Coverage D: Business Income (D.1) and Extra Expense (D.2).
b.If Coverage D.1: Business Income (Only).
c.If Coverage D.2: Extra Expense (Only).
Analysis
ISO uses three different forms to provide the three basic coverages or coverage combinations available in MSO's General Property Form. Entries in the MSO declarations indicate which coverages apply at each location. For example, if "D.1″ is entered in the "coverages" column for Location 1 Building 1, then business income and extra expense coverage applies at that location. Likewise, D.2 means that only business income coverage applies, and "D.3″ means that only extra expense coverage applies. If none of these "D" entries appears in the declarations for that location, then none of these coverages applies.
2. Coverage D. 1 – Business Income
We cover your following loss of Business Income, as described, to the extent that such would otherwise be earned or incurred by your business/operations had the direct covered loss not occurred.
a.Net Income
Your loss of net income (net profit or loss before income taxes) plus continuing necessary normal operating expenses to the extent that such would exist had the direct covered loss not occurred.
b.Rental Income
Your loss of rents from tenant occupancies (that you rent or customarily hold for rental to others under written leases) plus continuing expenses that are the obligation of tenants, under such leases, but which become your obligation because of the direct covered loss.
Coverage D. 1 does not extend to any expenses that do not continue, or need not continue, during the applicable coverage period.
Analysis
The purpose of business income insurance is to do for the insured during a period of business interruption what the business would have done had no loss occurred. Loss of business earnings, the prime source of money for continuing operating expenses as well as profit (if any) is the subject of this coverage. The form covers loss of net income plus continuing normal operating expenses that businesses would have earned or incurred if no direct damage loss occurred.
A landlord's income is derived from tenants' rents, and a landlord's business income loss involves a loss of rental income. It is not necessary that premises actually be rented at the time of the loss. Damage to property that is customarily held for rental to others but is temporarily vacant at the time of the loss can also result in a loss of rental income. Adjustment of claims of this type will depend upon proof of what is a reasonably anticipated rental income. For example, if the damaged apartment had gone unrented during the entire year prior to the loss, and the insured had no real prospects for its rental, it is not reasonable to anticipate rental income. If, however, the apartment had been rented consistently prior to the loss, and had only recently been vacated, or if the insured has verifiable prospects for a speedy re-rental, then it is appropriate to anticipate rental income.
The rental income coverage also applies to continuing expenses that are normally paid by the tenant but become the landlord's responsibility because of the direct covered loss. For example, a tenant might normally pay the costs of lighting and heating a building. However, if the building cannot be occupied, the landlord must pay these expenses until the premises are repaired and re-rented.
Continuing expenses are not covered if they do not actually continue or need to continue. For example, trash collection services might be discontinued while the business is not operating and is not producing any trash.
3.Coverage D. 2 – Extra Expense
a.We cover any sort of necessary reasonable expenses that you incur in order:
1.To continue, to the extent feasible, your normal business/operations at the same capability and quality of service as would otherwise exist had the direct covered loss not occurred – whether continued at the described premises or elsewhere (a replacement or temporary location); or
2.To minimize the period of interruption if you cannot continue your normal business/operations at the same capability and quality of service as would otherwise exist had the direct covered loss not occurred.
b.Extra expense means those increased expenses, incurred as described in the preceding Paragraphs a.1 and 2, that you would not otherwise incur in your normal business/operations had the direct covered loss not occurred – including the expenses to relocate at or equip and operate a replacement or temporary location .
Analysis
The form provides coverage for two categories of extra expense: costs to avoid or minimize the suspension of business at replacement or temporary locations and costs to minimize business suspension if operations cannot continue. Examples of extra expenses of doing business at a temporary or replacement location include costs to set up, rent, and move to the new location and the costs to obtain temporary equipment. If operations cannot be continued, some extra expenses may involve the hiring of additional workers or paying existing employees overtime in order to reopen the business.
Like business income coverage, direct physical damage or loss is required. Only expenses that the business would not otherwise experience except for the direct property loss are covered.
Extra expenses necessary to maintain the "same capability and quality of service as would otherwise exist" are covered. It might be difficult for some businesses to maintain the same level of service while damaged property is being restored. The insured is not required to make do by minimizing its extra expenses. At the same time, however, any extra expenses the insured incurs must be necessary and reasonable.
4.Special Costs or Expenses
We also cover any sort of special costs or increased expenses that you incur specifically to minimize or reduce covered loss: but not for an amount more than such costs or expenses reduce the amount we would be otherwise obligated to pay had you not incurred such costs or expenses.
Analysis
There is some overlap between this coverage and the extra expense coverage described previously. However, this provision makes it clear that expenses that reduce the covered business income or extra expense loss are covered whether business income and extra expense, business income only, or extra expense only coverage is purchased. If spending $10,000 on overtime pay to get back in operation sooner reduces the business income loss by $20,000, it is obviously in the insurer's best interest to cover the overtime pay. Special costs might also be incurred to expedite the delivery of stock or equipment needed that enables the business to reopen more quickly.
Unlike the extra expense coverage that is aimed at maintaining the same level of service or minimizing the period of interruption, these special costs or increased expenses are covered only to the extent they actually reduce the loss the insurer would otherwise be obligated to pay.
5.Cancellation of Contract
If the subject interruption or unoccupancy directly causes the cancellation, lapse, or suspension of a written agreement, contract, or lease, we also cover your loss of Business Income and/or Extra Expense directly arising out of such, provided that you can demonstrate that you otherwise would have been able to satisfy and meet all the requirements of the agreement, contract, or lease had the direct covered loss not occurred.
This does not apply to any loss of Business Income and/or Extra Expense that may continue beyond the applicable coverage period.
Analysis
Whether business income and/or extra expense coverage is provided, if a contract is canceled, lapsed, or suspended because of a covered interruption the insurer will pay for any resulting business income or extra expense loss. The burden of proof is on the insured to demonstrate that the loss would not otherwise have been incurred during the applicable coverage period, as described in the next set of provisions.
C.Coverage Period(s)
1.Basic Period of Indemnity
Our obligation begins on the date of the direct covered loss and ends on the date that (a) or (b) ends, whichever is the shorter period:
a.The period required with diligence and ongoing effort to restore your covered business/operations to substantially the same capability and quality of service that existed immediately prior to the direct covered loss; or
b.The period required with diligence and ongoing effort to repair, replace, or restore the damaged property for the same purpose and occupancy.
But, if you occupy a premises owned by others and do not have control of its repair or restoration then:
we provide coverage (if required) beyond this period for the additional time required to effect such repair, replacement, or restoration or 90 days, whichever one is the shorter period.
Analysis
The basic period of indemnity begins on the date property is damaged by a covered peril. Here the MSO form differs from ISO's forms, which impose a seventy-two-hour time deductible on its period of restoration. The basic period of indemnity ends on the earlier of two dates.
First, the period ends with "the period required with diligence and ongoing effort" to restore normal operations. Second, even if operations are not restored, the basic period of indemnity ends with the period required to restore the property so it is again ready for operations.
Both provisions refer to the period required. If it takes longer to restore operations or restore the premises because the named insured does not exercise the necessary degree of diligence and effort, the basic indemnity period ends whenever operations or premises could have been restored.
2.Civil Authority – Special Period of Indemnity
Our obligation for covered loss caused by order of any civil authority begins on the date of the order prohibiting access and runs for 14 consecutive days or the end of the period that access is denied, whichever one is the shorter period.
3.Electronic Media – Special Period of Indemnity
a.We cover your loss of Business Income, up to a period not exceeding 60 consecutive days (subject to the preceding Paragraph 1), if direct covered loss to electronic media causes or contributes to such loss:
any additional loss beyond such period caused by the failure to replace or restore electronic media is not covered by us.
b.Electronic media are: (1) any sort of electronic data processing, recording, or storage media, including the data stored on such media; (2) programming records used for electronic data processing or electronically controlled equipment.
c.If MCP 501 along with a number is listed in the Declarations, the number "60″ in the preceding Paragraph 3.a, is replaced by the number shown for the subject described premises.
d.If MCP 508 is listed in the Declarations, Exclusion 1 in Part I F does not apply.
Analysis
The period of indemnity for covered order of civil authority losses runs for a maximum of fourteen consecutive days.
The period of indemnity lasts a maximum of sixty days if damage to electronic media either causes or contributes to the business income loss. As mentioned earlier, intangible personal property—such as data or computer programs—is not covered property. Covered here is loss resulting from damage to the media—computer disks or drives—on which data are stored, including the data themselves. In other words, the business income coverage provided here does not apply to data that are accidentally erased or corrupted, but it does apply in the event of physical damage to the tangible media on which data or programming records are stored.
This special period of indemnity can be modified by triggering one of the policy's built-in endorsements.
Endorsement MCP 501 can lengthen or reduce the indemnity period. For example, the sixty-day period can be changed to a ninety-day period of indemnity by entering "MCP 501″ along with the number "90″ in the declarations.
If endorsement MCP 508 is triggered by an entry in the declarations, the exclusion for computer hacking or computer viruses is eliminated. The effect of MCP 508 is to cover a business income loss to electronic media caused by hacking or viruses.
4.Extended Period of Indemnity
a.To assist you in your recovery after the end of the basic period, we extend coverage (if required) for up to an additional 30 consecutive days beyond the basic period described in the preceding Paragraph 1.
b. If MCP 502 along with a number is listed in the Declarations, the number "30″ in the preceding Paragraph 4.a, is replaced by the number shown for the subject described premises.
Analysis
If required, the extended period of indemnity pays for additional loss of business income after property is actually repaired and operations are resumed, with reasonable speed, until the business generates the business income amount that would have existed had no loss occurred. The basic coverage, as shown in the form, applies for up to thirty consecutive days after the basic period of indemnity ends. A longer extended period of indemnity can be provided by triggering endorsement MCP 502 and inserting a higher number in the declarations. For example, entering "MCP 502″ and "90″ in the declarations would provide for a ninety-day extended period of indemnity.
Extended business income is designed to enable the insured to recapture its market position following the completion of repairs and the resumption of operations. For example, a retailer that endured a long closure for repairs may not see its customers return right away. The loss of income during this period would be covered by the extended period of indemnity.
5.Policy Term Extension
The described periods are not limited by expiration of the policy term.
6.Special/Extended Periods of Indemnity and Coverage D Limit
The described extended/special periods do not increase the applicable limit.
Analysis
Although the direct loss that results in a business income/extra expense loss must take place during the policy term, the period of indemnity may extend past the end of the policy period.
Although extended or special periods of indemnity extend the time period during which business income/extra expense loss is covered, they do not increase the dollar amount of coverage available.
D.Special Conditions
1.Your business/operations, as referred to in this policy, means those activities and the associated expenses and income that are normal to your described business/operations at the described premises.
2.You are required to resume, in whole or in part, your normal business/operations as soon as possible and to the maximum extent feasible.
E.Special Exclusions/Limitations
We do not cover expense or loss caused by or resulting from the following:
1.Cancellation
The cancellation or suspension of any agreement, contract, lease, or license, other than as provided for in Part I A, Coverage D, Item B. 5.
2.Finished stock
Loss to finished stock or the time required to reproduce finished stock: this does not apply to Extra Expense.
3.Interference
Delay caused by strikers (or others) with rebuilding, repairing, or replacing property or resuming your business/operations at the described premises, whether such delay arises at the described premises or elsewhere.
4.Antennas and Satellite Dishes
Loss to antennas and satellite dishes (including their lead-in wiring, masts, and towers): this is deleted if MCP 503 is listed in the Declarations.
Analysis
The first special condition applicable to business income and extra expense coverage reiterates an earlier definition of business/operations.
Finished stock is defined in the form's glossary as stock that is manufactured by the named insured except for stock held in a covered retail store. A manufacturer's finished stock begins with raw materials. Raw materials gain value as they are converted to finished stock over a period of time that sometimes includes an extended aging or drying process. Direct damage, destruction, or loss of stock—raw materials, goods in the process of manufacture, or finished stock—should be covered under the business personal property coverage.
The business income/extra expense coverages do not cover loss to finished stock, even if damage to the stock is the reason for a business interruption. Likewise, business income coverage does not apply to the manufacturing period; loss to goods in the process of manufacture are reflected in the value of the direct property loss.
The extra expense coverage, however, does apply to the time required to reproduce finished stock. Extra expenses that expedite the manufacturing process—such as working double shifts once the assembly line is restored—can reduce the business income loss or minimize the period of interruption.
Interference at the insured premises by strikers or others is specifically excluded, whether the strike occurs at the described premises or elsewhere.
Losses arising from direct physical loss or damage to radio or television antennas and their lead-in wires, masts, or towers are also not covered. This exclusion may be eliminated by triggering endorsement MCP 503 in the declarations.
Part I B – Supplemental Coverages
Supplemental Coverages – Additional Conditions
We provide the following Supplemental Coverages as extensions of the main coverages (but only when, and then to the extent that, such main coverages apply under this policy) subject to the following:
A.These Supplemental Coverages do not modify or waive any provisions in this policy except to the extent specifically described: such are subject to all underlying provisions applicable in this policy, except to the extent specifically modified in Part I B.
B.The limits shown for the following Supplemental Coverages are additional amounts of insurance unless otherwise indicated. However, these special limits are not increased or added together because we provide multiple coverages or cover multiple locations in one or more policies.
C.If the Supplemental Coverage is keyed to a percentage of the underlying main coverage and such coverage is provided on multiple items at different limits, then:
1.If the Supplemental Coverage can be keyed to a specific described item, we use the coverage limit for that item as the basis limit.
2.If the Supplemental Coverage cannot be keyed to a specific described item, we use the single greatest limit provided in this policy for that coverage as the basis limit.
D.If the Supplemental Coverage is keyed to property subject to different causes of loss, then:
1.If the Supplemental Coverage can be keyed to a specific described item, we use the causes of loss for that item.
2.If the Supplemental Coverage cannot be keyed to a specific described item, we use the most relevant causes of loss at the described premises for the subject property: if at a newly acquired location, we use the most relevant causes of loss at the described premises for the subject property.
E.The Coinsurance Condition is not applicable to these Supplemental Coverages, except where specifically stated. However, any additional amounts of insurance applicable to the Supplemental Coverages may not be used to satisfy the Coinsurance Condition requirements for the underlying main coverage.
Analysis
The nineteen supplemental coverages printed in this form extend the four main coverages and add additional amounts of insurance as described under each supplement, but they do not otherwise modify the policy.
Some of the supplemental coverages are "keyed to a percentage of the underlying main coverage." For example, coverage on newly acquired business personal property is keyed to 10 percent of the coverage B limit. This percentage is expressed in decimal form as a factor or multiplier; 10 percent is shown as 0.10.
Questions could arise when the form covers multiple items, such as personal property at more than one location. If the supplemental coverage can be keyed to a specific described item then the limit is keyed to the coverage limit for that location. For example, if there is a $100,000 limit on business personal property at Location 2, then the 10 percent limit on newly acquired personal property at Location 2 will be keyed to that limit. However, if the supplemental coverage cannot be keyed to a specific described item, then the greatest limit for that coverage is used. If the insured in the previous example also had a $200,000 business personal property limit at Location 1 and acquired personal property at a third location, there would be $20,000 of newly acquired property coverage available to both locations. The two limits are not added together to come up with $30,000 in coverage.
A similar situation arises when different property items are covered for different causes of loss. Again, coverage is keyed to the perils applicable to a specific described item. When this is not possible, the insurer will use the most relevant causes of loss at the described premises.
Unless otherwise stated, the coinsurance condition does not apply to the supplemental coverages. The insured is not required to meet a coinsurance requirement with respect to one of these coverages, and the dollar amount of any supplemental coverage cannot be used in satisfying a coinsurance requirement.
1.Accounts Receivable Coverage
A.We cover, up to the applicable limit shown in the Supplemental Declarations, loss arising out of your inability to collect on accounts receivable/credit card
billings because of covered loss to records of such accounts. This covers all sums due you from customers which are uncollectible because of such loss. This also includes your increased collection expenses as well as other reasonable necessary expenses incurred by you to replace or restore these records.
Parts I E and I F (other than 8 and 12.A) do not apply.
Coverage does not apply to loss:
1.Due to accounting, billing, or bookkeeping error or omission; or
2.Where proof is dependent upon an audit, or inventory computation. But such audit can be used in support of a claim which you prove through other sources.
B.Deductible
1.A $250 deductible applies to this coverage unless MCP 510 is listed in the Declarations: if MCP 510 is applicable, the general deductible amount shown in the Declarations applies to this coverage.
2.If a specific separate deductible amount is specified for this coverage in the Declarations, such specific deductible applies (the preceding paragraph does not apply in such cases).
C.This Supplemental Coverage applies only in connection with Coverage B.
Analysis
Accounts receivable coverage applies when the insured's business personal property is covered. A $3,000 limit is preprinted in the supplementary declarations, but this limit may be changed by entering a different number. A $250 deductible is standard, but this is also subject to change either by showing a different deductible amount in the declarations or by entering "MCP 510″ in the declarations. MCP 510 modifies the policy so that the policy's general deductible also applies to accounts receivable coverage.
Loss must be caused by a covered peril that applies to Coverage B. Coverage does not apply to loss caused by accounting, billing, or bookkeeping mistakes or where proof of the loss depends on an audit or inventory computation. Most other limitations and exclusions do not apply to this coverage. However, the intentional loss and wear and tear exclusions do apply.
2.Automatic Increase/Peak Season Coverages
A.Automatic Increase
The current limit of liability shown for Coverage A or Coverage B is increased on an annual pro rata basis by the factor shown in the Supplemental Declarations.
If no factor is shown in the Supplemental Declarations, then no automatic increase is applicable.
B.Peak Season
The current limit of liability shown for Coverage B is increased by the factor shown in the Supplemental Declarations during those periods of time during the year when it is your normal practice to increase the amount of business personal property at the described premises because of customary seasonal or holiday sales.
If no factor is shown in the Supplemental Declarations, then no peak season increase is applicable.
C.These increases do not apply to any Supplemental Coverages and are not applicable in determining the basis limit for the Supplemental Coverages.
Analysis
MSO does not use the inflation guard label, but inflation guard coverage applies if a factor is shown for coverage A and/or coverage B. No suggested factor is preprinted in the supplemental declarations, but entering a factor of 0.06 for coverage A would increase the building limit by 6 percent per year. This increase is prorated across the policy year; if the factor shown is 0.06, the limit has automatically increased by 3 percent after six months.
In other comparable policies, peak season coverage applies during a specific stated time period, presumably the time period when values normally increase. Rather than require specific dates, MSO simply increases coverage "during those periods of time during the year when it is your normal practice to increase the amount of business personal property at the described premises because of customary seasonal or holiday sales."
Inflation guard and peak season increases apply only to Coverages A and B, not to any of the supplemental coverages.
3. Building Extension Coverages
A. Glass Extension (Cause of Loss Options 3 and 5 Only) We cover, up to the applicable limits shown in the Supplemental Declarations, loss to glass (other than signs) that is part of a building. The "per item" limit applies separately to each pane, panel, plate (or multiple plate) and similar discrete item or unit.
If the loss is caused by any of the specified causes of loss (other than vandalism), or the building is constructed of glass curtain walls, the special limits do not apply.
This Supplemental Coverage does not provide an additional amount of insurance.
B. Outdoor Signs Extension
Coverage A is extended to cover, up to the applicable limits shown in the Supplemental Declarations:
1. Outdoor signs (including sign posts and poles) not attached to buildings. The applicable causes of loss are those applicable to outdoor signs attached to buildings: if there are no outdoor signs attached to buildings, cause of loss Option 2. B applies.
2. Outdoor signs (including sign posts and poles) attached to buildings for the causes of loss applicable to the subject building.
C. Personal Property Extension
Coverage A is extended to cover the following property when both owned by you and used primarily to maintain or service covered buildings/described premises: air conditioners; cooking, dishwashing, laundering, refrigeration, and ventilating appliances; fire extinguishers; floor coverings; lawn care and snow removal equipment – including riding mowers and similar items, but not other types of vehicles; outdoor fixtures/furniture.
This Supplemental Coverage does not provide an additional amount of insurance.
Analysis
The effect of these three supplements is to include coverage on building glass, outdoor signs, and certain types of personal property under coverage A.
Depending on the circumstances, glass breakage can be treated as a peril or as the result of another peril. Sometimes glass spontaneously breaks. Often, however, glass damage is the result of another peril such as vandalism or windstorm. The glass extension applies only when a causes of loss option includes glass breakage as a named peril and the glass in question is part of a building. Most glass display cases, for example, do not qualify as part of the building. As discussed later, the glass breakage peril covers damage caused by broken glass, not the broken glass itself, which is the subject of this coverage extension.
The basic limits printed in the supplemental declarations are $1,000, with a sublimit of $100 per item. Other limits may be entered. Vandalism is subject to these limits. Otherwise, these limits do not apply for loss caused by any of the specified causes of loss; instead, the Coverage A limit applies. As defined in Part I C, the specified causes of loss include fire; aircraft; explosion; falling objects; lightning; riot or civil commotion; sinkhole collapse; smoke; sprinkler leakage; vandalism; vehicles; volcanic eruption; water damage; weight of ice, sleet, or snow; and windstorm/hail when the applicable peril applies to coverage A.
Outdoor signs are covered for the same perils as the building they are attached to. If the insured has both attached and unattached signs, they are all covered for the same perils. If only unattached signs are involved, they are covered against the basic causes of loss, except for vandalism, which is not covered.
The policy makes no provision for covering signs belonging to a tenant who has not purchased building coverage under coverage A. Therefore, a tenant with a significant outdoor signs exposure should be advised to cover the signs under coverage A.
In ISO's Building and Personal Property Coverage Form, the building definition includes personal property used to maintain or service the building. MSO accomplishes essentially the same thing with a personal property extension that lists a nonexhaustive list of examples: "air conditioners; cooking, dishwashing, laundering, refrigeration, and ventilating appliances; fire extinguishers; floor coverings; lawn care and snow removal equipment—including riding mowers and similar items, but not other types of vehicles; outdoor fixtures /furniture."
Debates can develop over what constitutes "similar items." Restriction of eligibility to property that is used "primarily to maintain or service covered buildings" is also potentially confusing. The verb "to service" is virtually synonymous with "maintain," since its definition is "to repair or maintain." Thus, a literal interpretation of the provision eliminates all of the listed items—fire extinguishers, outdoor furniture, floor coverings, appliances—since none are among items generally used to repair or maintain a building or premises.
The supplemental coverage form specifically excludes outdoor fixtures because they are automatically included as building property under coverage A.
4. Building Code/Law Coverage
A. Coverage A is extended to cover the following losses or expenses that ensue as a direct consequence of covered loss at the described premises. We cover such for an amount determined by applying the applicable factor shown in the Supplemental Declarations to the Coverage A limit for the subject property: the product is the specified limit for this Supplemental Coverage (Items 1, 2, and 3 combined). The losses or expenses covered are:
1. The loss caused by enforcement of any building, land use, or zoning code/law in force the date of the covered loss, that:
a. Requires the demolition of parts of the same property not damaged by a covered cause of loss.
b. Regulates the construction or repair of buildings, or establishes building, land use or zoning requirements at the described premises.
2. The increased expense you incur to construct, rebuild, or repair the property caused by enforcement of building, land use, or zoning code/law in force on the date of the covered loss: the property must be intended for the same use/occupancy as the current property unless otherwise prohibited by such code/law.
3. The expense you incur to demolish undamaged parts of property and clear the site of such parts caused by enforcement of building, land use, or zoning code/law in force on the date of the covered loss. If MCP 504 is listed in the Declarations, then Coverage D is extended, as to Condition C. 1 under Part I A, to the increased period of time required to comply with the conditions described in the preceding Paragraph 1.
B. We are not liable for payment under this Supplemental Coverage:
1. Until the property is repaired or replaced by you or by us (at the same premises or elsewhere if permitted or required by this policy); and
Unless the repair or replacement is made as soon as possible after the loss, but no later than the period described in Part I G, Condition 2.C. 2.b.
2. For any loss or expense arising out of the enforcement of any code, directive, law, ordinance, or regulation requiring any insured or others to clean up, contain, detoxify, monitor, neutralize, remove, test for, or treat any pollutants, asbestos, fungi, mold or lead contamination.
C. Our maximum liability under this Supplemental Coverage (A.1, 2 and 3 combined), subject to (1), the specified limit and (2), the applicable limits and limitations on our liability described in Part I G, Condition 2.A, is the sum of the following:
1. The cost to demolish the property and clear the site.
And,
2. The cost to reconstruct/replace the property on the described premises.
D. If a Coinsurance Condition reduction applies to the underlying covered loss (See Part I G), then the same amount of reduction applies to this Supplemental Coverage.
E. This Supplemental Coverage applies only to buildings covered on a replacement basis (See Part I G, Condition 2) – unless MCP 506 is listed in the Declarations.
Analysis
This supplemental coverage applies when an ordinance or law regulating the construction or repair of buildings results in increased costs in order for the insured to comply with such ordinance or law. Codes requiring pollutant cleanup are not included. The insurer is not obligated to make any payments under this coverage unless or until the property is repaired as soon as possible.
The amount that the insurer will pay under this supplemental coverage is limited to 10 percent of the building limit unless a different factor is entered in the declarations. This amount is considered additional insurance, that is, not included in the limit of insurance set in the declarations page for covered buildings. There are also restrictions described in this clause as to when the insurer will not pay for demolition and the increased cost of construction: the property must be repaired or rebuilt at the same premises. Endorsement MCP 522, if triggered in the declarations, will permit reconstruction at another premises.
Unless endorsement MCP 506 is triggered by an entry in the declarations, this supplemental coverage applies only to buildings that are covered on a replacement cost basis. If a coinsurance penalty applies to the building coverage, it also applies under this supplemental coverage.
Triggering endorsement MCP 504 extends the business income/extra expense coverages basic period of indemnity to include the time required to comply with applicable building codes or laws.
5. Collapse – Cause of Loss Options 3 and 5 Only
A. Coverage is extended to cover the collapse of a building or any structural part of a building that ensues only as a consequence of the following:
1. Any cause of loss provided for in Cause of Loss Option 3. Under this coverage, these causes of loss apply to both covered buildings and business personal property.
2. Hidden decay, unless such decay is known to an insured prior to collapse.
3. Hidden insect or vermin damage, unless such damage is known to an insured prior to collapse.
4. Weight of contents, equipment, animals, or people.
5. Weight of rain that collects on a roof.
6. Use of defective material or methods in construction, remodeling, renovation or repair.
B. For the preceding Items A.2 through A.6, we do not cover the following unless the loss is a direct result of the collapse of a building or a structural part of a building:
antennas, including their lead-in wires, masts, or towers; awnings; beach or diving platforms and related equipment or structures; decks; docks, piers or wharves; downspouts or gutters; fences; outdoor swimming pools; paved
surfaces of any sort (including but not limited to, bridges, driveways, parking lots, patios, pavements, roads, walks); retaining walls; yard fixtures.
C. This Supplemental Coverage applies only to property covered in this policy by Cause of Loss Options 3 or 5.
This Supplemental Coverage does not provide an additional amount of insurance.
Analysis
When broad form (option 3) or open perils (option 5) coverage is provided, collapse is covered not as a cause of loss, but as a supplemental coverage. Unlike other supplemental coverages, this is not an additional amount of insurance.
The form's glossary makes it clear that coverage applies only to collapses that are abrupt in nature. The structure must fall down or cave in; sagging or bulging is not considered a collapse. A building or any part of it that is in danger of collapsing does not qualify as a collapse for purposes of this supplemental coverage.
Even when open perils coverage (option 5) is otherwise provided, the collapse coverage applies on a specified perils basis. Covered causes of loss include the broad causes of loss (option 3) as well as hidden decay or insect damage that an insured did not know of before the collapse; weight of contents, equipment, animals, or people; weight of rain on a roof; or the use of defective materials.
Coverage is not limited to the collapse of buildings or structures subject to coverage A. However, the damaged property must be covered under the policy, and the damage must be caused by the collapse of some building.
The distinction between buildings and structures must be considered in analyzing this coverage. Both buildings and structures can be insured under coverage A; in fact, coverage A states that "the general term buildings also includes other sorts of structures." However, the collapse supplemental coverage states that various specific types of nonbuilding structures listed in the supplemental coverage are not covered unless their loss directly results from the collapse of a building or a structural part of a building. Specifically excluded—unless resulting from the collapse of a building–is the collapse of antennas; awnings; beach or diving platforms; decks; docks, piers or wharves; downspouts or gutters; fences; outdoor swimming pools; paved surfaces of any sort; retaining walls; and yard fixtures.
6. Consequent Loss Coverages (Spoilage)
A. We cover, up to the applicable limits shown in the Supplemental Declarations, loss to covered business personal property spoiled as a consequence of the
disruption of cooling, electrical, heating, or refrigeration services on the described premises resulting from the following:
1. Loss of Utility Services
The loss of utility services to the described premises arising out of fortuitous direct physical loss to property of the utility caused by a cause of loss that
would be covered by this policy if it were your property.
2. Mechanical Breakdown
The abrupt accidental mechanical breakdown or faulty operation (including refrigerant leakage) of equipment providing cooling, electrical, heating, or
refrigeration services: the limit shown for this Extension is our total aggregate limit for all such loss during any annual (12 month) policy term.
This coverage does not include any loss arising out of conditions within your control. For example: failure to repair a defect or to repair or replace defective equipment or parts if the defect is known to you, your
employees, or those acting on your behalf; insufficient fuel, inadequate or improper maintenance; disconnection of or failure to connect units to power source; failure to turn on power or units; failure to set proper temperature.
If a $0 (zero) limit is specified, then the subject coverage is not applicable under this policy.
B. Spoilage that results from covered loss to covered cooling, electrical, heating, or refrigeration equipment on the described premises is not subject to the special limits.
Analysis
The supplemental coverage for spoilage of covered business personal property, such as food in a freezer, is subject to several limitations and exclusions. However, the limits of this supplemental coverage do not apply to spoilage resulting from damage by a covered peril to covered equipment on the described premises.
Spoilage resulting from an electrical outage or other loss of utility services is covered only when the loss results from damage by a covered peril to the utility's property (not the named insured's property). The basic limit in the supplemental declarations is $1,000; this can be increased by adding another entry, or coverage may be completely eliminated by entering a $0 limit.
Unless another limit is shown or coverage is deleted by entering a $0 limit, spoilage resulting from a mechanical breakdown is limited to $500 during any twelve-month period, provided the cause of loss was not within the insured's control.
7. Debris Removal Coverage – Coverages A, B, C
A. We cover, subject to the limits specified in the following Paragraphs B and C, the necessary reasonable expenses incurred to remove the debris of a covered loss.
B. We pay such debris removal expense that you incur – but only up to an amount not exceeding that equal to the product of the amount otherwise payable by us for the covered loss times the factor shown in the Supplemental Declarations. This amount is not additional insurance and does not increase our maximum limit of liability on the loss.
C. We also pay such debris removal expense, up to the applicable limit shown in the Supplemental Declarations, if either:
1. The debris removal expense incurred exceeds the amount available for debris removal expense calculated in the preceding Paragraph B; or
2. The sum of the debris removal expense incurred and the amount otherwise payable by us for the covered loss exceeds our maximum limit of liability on the loss.
We pay up to the shortfall or the special limit, whichever is the lesser amount.
D. This Supplemental Coverage does not apply to any of the following expenses:
1. To remove the debris of trees.
2. To extract pollutants (whether or not covered property) from land or water.*
3. To remove, replace, or restore land or water that is polluted or is a pollutant.*
4. To remove volcanic ash, dust, or particulate matter that does not cause loss.
* This also excludes the expense to safely dispose of such as required by any code, directive, law, ordinance, or regulation.
E. This Supplemental Coverage applies only to such covered expenses reported to us in writing within 180 days from the date of the covered loss.
F. Other than Extension C, these Extensions do not provide additional amounts of insurance.
Analysis
Because this coverage applies to the removal of debris of a covered loss, it applies to the damage or destruction of covered property by a covered peril. However, coverage is not limited to debris of covered property. It would, therefore, include removing the debris of an airplane that has crashed into a covered building.
The insurer agrees to apply up to 25 percent (the amount preprinted in the supplementary declarations) or another specified percentage of the limit on covered property toward debris removal expenses. This is not additional insurance. However, the insurer will also pay an additional amount of insurance, up to $5,000 (or other specified amount), if the debris removal expense exceeds this amount, or if the value of the direct property damage plus the cost of debris removal exceeds 125 percent (or other percentage) of the limit applicable to the covered property. The costs of removing downed trees, pollutants, or volcanic ash are not covered.
Debris removal expenses must be reported to the insurer within 180 days of the covered loss.
8. Electronic Data Coverage
A. Coverage is extended to cover, up to the applicable limit shown in the Declarations Supplement, your expenses to replace or restore electronic data corrupted or destroyed by direct physical loss covered by this policy.
B. Exclusion 1 in Part I F does not apply to this Supplemental Coverage. However, we do not cover any loss or damage caused by or resulting from manipulation of a computer or computer system, including its electronic data, by any of your employees or any entity retained, by or for you, to design, inspect, install, maintain, modify, repair or replace such computer or computer system.
C. The special limit specified for this Supplemental Coverage is our total liability for all such expenses for each annual (12 month) term of the policy – regardless of the number of occurrences or total expenses incurred.
The limit is not cumulative from year to year even if the occurrence takes place over a period of years. If an occurrence begins in one policy term and continues into another policy term, all loss or damage is considered to have been sustained in the policy term in which the occurrence began. Coverage for that occurrence will not apply under the subsequent policy term.
Analysis
The policy promises to replace or restore data that has been damaged or corrupted by damage to covered property by a covered cause of loss. Damage done to data by a hacker or a computer virus is covered as long as the virus was not introduced to the system by an employee or any entity hired by the insured to work on the computer system.
The limit for this coverage is an annual aggregate of $3,000 that may be modified in the supplemental declarations. If a loss begins in one policy period and extends into another, only the first policy period's limit applies.
9. Emergency Removal
We cover fortuitous direct physical loss to covered property when removed from the described premises because of imminent danger of loss by a covered cause of loss. This Supplemental Coverage applies for 30 consecutive days from the first day of removal.
Analysis
The policy covers loss by any direct physical cause to property that has been moved from the insured location because it was in imminent danger of loss or damage by a covered peril. Note that it does not have to be damaged by a covered cause of loss. For example, property is moved because of imminent wildfires. The location where the property is temporarily stored is flooded; this damage is covered. This coverage applies for thirty days. The supplemental declarations do not impose a dollar limit or provide for a modification of the thirty-day coverage period.
10. Fire Expense Coverages
A. Fire Department Service Charges
We cover, up to the applicable limit shown in the Supplemental Declarations, your written contractual obligation to pay service charges when a fire department
is called to protect or save property from imminent loss by an applicable covered cause of loss. The deductible does not apply.
This Supplemental Coverage does not cover service charges:
1. Incurred prior to assumption of your contractual obligation;
2. Arising in connection with a false alarm.
B. Fire Extinguisher Recharge Expense
We cover, up to the applicable limit shown in the Supplemental Declarations, the cost to recharge fire extinguishers/related equipment discharged in pursuit of extinguishing a fire at the described premises. The deductible does not apply.
Analysis
The insured's contractual obligations to pay service charges assessed by a fire department are paid up to $2,000, but coverage does not apply to false alarms. The cost to recharge used fire extinguishers is covered up to $5,000. These limits are preprinted in the supplemental declarations, and higher limits may be purchased. No deductible applies.
11. Newly Acquired Property Coverages
A. We cover property newly acquired or constructed by you, as well as Loss of Use (if covered by this policy) resulting from fortuitous direct physical loss to such property, as follows:
1. Coverage A
We cover, up to the applicable limits shown in the Supplemental Declarations, the following:
a. New buildings while being built on described premises.
We also cover temporary structures erected to assist in construction of new buildings or of additions/alterations to described buildings while such construction is taking place: but such are covered by this policy only on an excess basis if covered by any other insurance.
b. Buildings at a location newly acquired by you if such buildings are intended for use either similar to that of described buildings or as a warehouse.
2. Coverage B
We cover, up to the applicable limits shown in the Supplemental Declarations business personal property owned by you at a location newly acquired
by you, other than exhibitions and fairs. However, when you are moving covered property from a described premises under this policy to a newly
described premises under this policy, then the applicable Coverage B limit applies for all such premises for 10 days after moving begins.
3. Coverage D
We cover the subject loss arising out of direct covered loss to the following property:
a. Alterations or New Buildings at Described Premises
1. Alterations or additions to described buildings.
2. New buildings, whether under construction or completed.
3. Building materials or supplies and equipment or machinery which are used in alteration or construction at described
premises or incidental to your occupancy of the new building.
If the subject direct covered loss delays the start of your covered business/operations at the described premises, then this Extension begins on the projected start up date (had the direct covered loss not occurred).
This Extension is subject to the Coverage D limit and Coinsurance Condition. This Extension does not provide an additional amount of insurance.
b. Newly Acquired Locations
Property owned by you at any location that you newly acquire, other than exhibitions or fairs: we cover such up to the applicable limits shown in the Supplemental Declarations.
4.Special Limits
The special limits referred in the preceding paragraphs are developed by multiplying the subject coverage limit (Coverage A, B, or D) by the
applicable factor shown in the Supplemental Declarations: The product is the amount available for covered loss to new buildings (Coverage A) or covered loss at new locations (Coverages B and D) – all subject to the specified maximum limit per building or per location.
B.Coverage Period
This Supplemental Coverage applies for up to a period of 60 consecutive days from the beginning date of the subject acquisition or construction: but, in no case, beyond the end of the policy term or the date on which you report the values to us, whichever date is earlier.
This coverage period does not apply to the Extension in the preceding Paragraph A.3.a.
C. Additional Premium
Additional premium is applicable for the values you report to us based on the date of acquisition or the date that you first begin construction.
Analysis
The form includes newly acquired property coverage applicable to coverage A (building), coverage B (business personal property), and coverage D (loss of use). Except as noted, coverage is automatically provided for up to sixty days from the date acquisition or construction begins, but it does not extend past the end of the policy term. An additional premium for the values reported is charged from the date construction begins or the property is acquired.
Unless different numbers are shown in the supplemental declarations, newly acquired buildings are covered for 25 percent of the coverage A limit, subject to a maximum of $250,000 at each building. Protection applies to new buildings under construction on the insured's premises and to any buildings at another location that the insured acquires. As to the latter, the new acquisition must be for usage similar to insured buildings or for use as a warehouse.
Business personal property at acquired locations is insured for 10 percent of the coverage B limit, with a maximum of $100,000 at each location. This extension does not encompass personal property at fairs or exhibitions. There is no restriction that the newly acquired business personal property be intended for similar occupancies or purposes.
The full coverage B limit applies if the insured is moving business personal property "from a described premises under this policy to a newly described premises under this policy." The "described" requirement presumably means that this extension applies only after the new location has been added to the policy.
Loss of use, coverage D, applies when a direct covered loss to alterations or additions to described buildings, new buildings, or building materials or supplies associated with a new building delays the start of operations at the described premises. This extension presumably applies to newly acquired buildings only after the new location has been added to and described in the policy. It also applies to business income/extra expense coverages resulting from direct damage to business personal property. Unless different factors or limits are shown, this supplemental coverage is limited to 10 percent of the coverage D limit, subject to a $100,000 maximum; it is not an additional amount of business income/extra expense coverage. The extension is subject to the applicable coinsurance provisions.
12. Off Premises Coverages
A. Property at Other Locations
We cover, up to the applicable limit shown in the Supplemental Declarations, loss to covered property temporarily at locations that you do not lease, operate, or own.
This Extension does not apply to property: at exhibitions or fairs; in or on any vehicle; in the care, control, or custody of your sales people; that is stock.
B. Property in Transit – Cause of Loss Option 5 Extension
1. We cover, up to the applicable limit shown in the Supplemental Declarations, your business personal property covered by this policy (other than property in the care, control, or custody of your sales people)
while in course of transit away from the described premises. Such property is covered for fortuitous direct physical loss (as described in the following Paragraph 2) while in or on a motor vehicle leased, operated, or owned by you.
2. The direct physical losses we cover under this Extension are:
a. Collision, overturn, or upset of your vehicle.
b. Fire (hostile fire) or lightning, explosion, riot or civil commotion, vandalism, windstorm/hail.
c. Theft of an entire bale, case or package by forced entry (there must be marks of forced entry) into a securely locked body or compartment of the vehicle.
3. If MCP 505 is listed in the Declarations, we cover, subject to the applicable limit shown in the Supplemental Declarations (we may show a separate
sub-limit for loss by theft), your property while in the course of transit away from the described premises for all loss covered by Cause of Loss Option 5. The coverage described in the preceding Paragraph B.1,
is deleted and replaced by that of MCP 505 and the limitations of coverage described in the preceding Paragraphs 1 and 2 do not apply to loss covered by MCP 505.
4. This Extension and Option MCP 505:
a. Apply only to property covered by Loss Option 5 at the described premises from which the property is in transit.
b. Do not apply to property within 100 feet of any described premises.
C. The limits under this Supplemental Coverage do not apply to property moved pursuant to Supplemental Coverage 9 – Emergency Removal.
Analysis
Covered property temporarily at a location not owned, leased, or operated by the insured is insured up to $5,000 unless another amount is entered in the supplemental declarations. This extension specifically excludes property in or on a vehicle; property in the care, custody, or control of salespersons; and stock.
The property in transit coverage applies to covered business personal property (other than property in the custody of salespeople), and coverage is limited to a few causes of loss and to a maximum of $1,000 unless a different limit is shown in the supplemental declarations. Open perils coverage is available as an alternative, and this option is triggered by entering "MCP 505″ in the declarations and entering appropriate dollar limits. A separate sublimit, if listed, will apply to theft losses.
13. Outdoor Property Coverage
Coverage A is extended to cover, up to the applicable limit shown in the Supplemental Declarations, your outdoor: antennas, satellite dishes (including lead-in wiring, masts, and towers); fences; decorative plants, shrubs and trees (including any debris removal expense). Loss to any one plant, shrub, or
tree is also subject to the applicable limit per item shown in the Supplemental Declarations.
Such property is covered for fortuitous direct physical loss caused by fire (hostile fire), aircraft, explosion, lightning, or riot or civil commotion, to the extent such are covered causes of loss.
Analysis
The building coverage applies if any of the named perils of fire, lightning, explosion, riot, civil commotion, or aircraft cause damage to outdoor fences, radio antennas, television antennas, satellite dishes, or trees, shrubs, and plants. The policy does not cover the perils to which these types of property are especially susceptible: weather-related perils, vandalism, and vehicle damage.
Up to $1,000 applies to the loss, including debris removal expense (no other debris removal coverage is available for trees). As regards trees, shrubs, and plants, payment is restricted to $250 per item. Different limits may be entered in the supplemental declarations.
14. Personal Property Coverages
A. Creatures
Coverage B is extended to cover the following creatures:
1. Held for sale: but only if inside the building at the described premises at the time of loss.
2. Owned by others: but only if being boarded by you at the time of loss.
This Extension applies only to creatures destroyed by, or where their destruction is made necessary because of harm by, a specified cause of loss.
This Extension does not provide an additional amount of insurance.
B. Personal Effects
Coverage B is extended to cover, up to the applicable limit shown in the Supplemental Declarations, personal effects owned by you, or your directors, employees, officers, partners, or volunteer workers, while on the described premises.
C. Personal Property of Others
1. Coverage B is extended to cover, up to the applicable limit shown in the Supplemental Declarations, personal property of others in your care, control, or custody in connection with your covered business/operations (but see the Extension in the following Paragraph 2, as to leased property). Our payment under this coverage is solely for the account of the owner of such property, and such beneficiary must comply with all relevant loss settlement and other conditions.
This Extension is in addition to Coverage B. 2 under Part I A.
2. Coverage B is extended to cover leased property in your care, custody, or control for which you are contractually obligated to provide property insurance.
This Extension: (a) applies for the causes of loss for which you are contractually responsible to the extent such causes of loss are otherwise applicable to your property; (b) is not subject to the Extension in the preceding Paragraph 1 or Coverage B.2 under Part I A. This Extension does not provide an additional amount of insurance.
D. Valuable Papers and Records
1. Coverage B is extended to cover, up to the applicable limit shown in the Supplemental Declarations, your expenses, including the cost of research, incurred to replace or restore the information contained in your valuable papers and records (including electronic or magnetic media) for which duplicates do not exist because of covered loss to such property.
Parts I E and I F (other than 8 and 12. A) do not apply.
2. The full Coverage B limit applies to the cost of replacement of valuable papers and records in blank form.
3.Deductible
a. A $250 deductible applies to this coverage unless MCP 511 is listed in the Declarations: if MCP 511 is applicable, the general deductible amount shown in the Declarations applies to this coverage.
b. If a specific separate deductible amount is specified for this coverage in the Declarations, such specific deductible applies (the preceding paragraph does not apply in such case).
E. Vehicles
1. Coverage B is extended to cover the following property owned by you:
a. Aircraft, self-propelled machines, semi-trailers and trailers, watercraft, or other vehicles which you: hold for sale (other than automobiles), manufacture, process, or warehouse.
b. Canoes and rowboats while ashore at the described premises.
c. Vehicles principally operated at the described premises specifically to service the described premises or your described business/operations.
2. This Extension does not apply to vehicles: licensed for use on public roads; not customarily kept and operated at the described premises.
3. This Extension does not provide an additional amount of insurance.
Analysis
Five extensions modify the types of business personal property to which Coverage B applies but do not add additional amounts of coverage.
Coverage on creatures is limited to creatures held for sale that are inside a described building at the time of the loss and to creatures owned by others that the insured is boarding (as in a dog kennel). Creatures are not covered against injury, but only when they die or need to be killed because of harm by fire; aircraft; explosion; falling objects; lightning; riot or civil commotion; sinkhole collapse; smoke; sprinkler leakage; vandalism; vehicles; volcanic eruption; water damage; weight of ice, sleet, or snow; or windstorm/hail. Creature is not a term defined in the policy. Generally, creature refers to living things other than plants, a term that would include pets, farm animals, animals found in a zoo, and research specimens of all shapes and sizes.
Unless a different limit is indicated in the supplemental declarations, $3,000 per occurrence is available for loss or damage to personal effects (i.e., items usually worn or carried on the person) owned by the insured, the insured's directors, officers, partners, employees, or volunteer workers.
Personal property of others is a much broader category than personal effects. As discussed earlier in this analysis, coverage B covers damage to the personal property of others to the extent of the named insured's labor, materials, and supplies. This supplemental coverage automatically extends coverage B to apply $3,000 (or a different limit, if indicated in the supplemental declarations) to property of others in the insured's care, custody, or control that is used in connection with the insured's business or operations. The insurer has a right to adjust the loss with the property's owners. Personal property of others can also be covered under coverage C.
If the named insured has a contractual obligation to insure leased personal property owned by others but in its custody—such as a large photocopy machine—this supplemental coverage also extends coverage B to include the insured's contractual obligations for damage by a covered peril. The full coverage B limit includes this category of nonowned personal property, but this extension does not provide any additional limits of insurance.
Valuable papers coverage applies when business personal property is covered. The $3,000 limit is preprinted in the supplementary declarations may be changed. A $250 deductible is standard, but this is also subject to change either by showing a different deductible amount in the declarations or by entering "MCP 511″ in the declarations. MCP 511 modifies the policy so that the policy's general deductible also applies to valuable papers coverage. Loss must be caused by a covered peril that applies to coverage B. Most limitations and exclusions do not apply to this coverage, but the intentional loss and wear and tear exclusions do apply.
Coverage B also applies to some vehicles, provided they are customarily kept and operated at the described premises and are not licensed for use on public roads. This category obviously includes riding mowers and snow removal equipment and similar items that can also be covered under the building extension coverages, discussed earlier.
The vehicles category in this context is broad enough to include canoes and rowboats on shore at the described premises, as well as other types of watercraft, aircraft, other types of self-propelled machines, and trailers that the named insured holds for sale, manufactures, processes, or warehouses. Autos held for sale are specifically excluded.
Pollution Clean Up Cost Coverage
15. Pollution Clean Up Cost Coverage – Coverages A, B, C
A. We cover, up to the applicable limit shown in the Supplemental Declarations, the necessary reasonable expenses that you incur to extract pollutants from land or water at the described premises: but only if the discharge, dispersal, emission, escape, migration, release or seepage of pollutants is a consequence of a covered loss.
The special limit specified for this Supplemental Coverage is our total liability for all such expense for each annual (12 month) term of the policy – regardless of the number of occurrences or total expenses incurred.
This Supplemental Coverage applies only to such expenses reported to us in writing within 180 days from the date of the subject covered loss.
B. This Supplemental Coverage does not apply to the extraction of any sort of nuclear or radioactive materials – whether such is natural or human made.
C. If a specific deductible is shown for this Supplemental Coverage, such deductible applies in lieu of any other deductible otherwise shown as applicable in this policy.
Analysis
An additional coverage—with a separate annual aggregate limit of $10,000 unless the supplemental declarations show a different limit—applies to extract pollutants from land or water on the described premises if the "discharge, dispersal, emission, escape, migration, release or seepage" of pollutants (other than nuclear or radioactive materials)resulted from a covered cause loss.
Covered expenses must be reported to the insurer within 180 days of the date on which the covered loss occurs. The declarations may show a specific deductible for this coverage.
16. Precious Metals Coverage – Industrial Operations
We cover, up to the applicable limit shown in the Supplemental Declarations, your gold, silver, or other precious metals that are used by you for manufacturing purposes in connection with your industrial operations covered in this policy. This does not apply to the manufacturing of gold, silver, or other precious metal products.
Analysis
Another section of the policy excludes coverage for gold and other precious metals used in connection with industrial operations other than manufacturing objects made of precious metals. This supplemental coverage specifically covers such precious metals for up to $3,000 or whatever other amount is shown in the supplemental declarations.
17. Steam Equipment or Other Fired Vessel
A. We cover loss by explosion of fuel or gas within the furnace of a fired vessel or flues or passages through which the gases of combustion pass – including such explosion loss to steam boilers, engines, pipes or turbines.
B. We cover loss by explosion to hot water boilers or other equipment for heating water.
C. Unless Cause of Loss Option 5 applies, explosion does not include bursting, operation, or rupture of a pressure relief device.
This Supplemental Coverage does not provide an additional amount of insurance.
Analysis
It is most important to recognize that this supplemental coverage does not cover explosions that result from steam pressure. It does, however, cover the explosion of fuel or gas used to fire a steam boiler or a hot water heater or the explosion of a hot water heater or boiler. Damage caused by the operation of a boiler's safety valve is covered when open perils coverage (Option 5) applies. This supplemental coverage extends the types of losses that are covered but has no bearing on the applicable amount of insurance.
18. Water Damage/Related Damage Repair Expense Coverage
A. We cover the following additional expenses incurred in connection with an otherwise covered sprinkler leakage loss or water damage loss (including freezing), as described under Part I C, Cause of Loss Options, when the building containing the appliance, equipment, or system is covered property under this policy:
1. The expense to repair damage to the building that occurs because of necessary reasonable efforts to get at and repair damage to the appliance, equipment, or system from which the "water" escapes.
2. The concurrently incurred expense to repair or replace that particular defective/damaged part (joint, piece of pipe, valve, or similar specific item) of the appliance, equipment, or system from which the "water" escapes.
B. This Supplemental Coverage does not apply:
1. To the expense to repair or replace the subject appliances, equipment, or systems, other than the particular defective/damaged part as provided for in the preceding Paragraph A.2.
2. If others are responsible by contract or law for payment of such expenses.
This Supplemental Coverage does not provide an additional amount of insurance.
Analysis
As described elsewhere in the policy, coverage under the sprinkler leakage and water damage perils applies to damage to covered property resulting from the abrupt discharge of water. For example, the water might damage a hardwood floor. This supplemental coverage expands coverage to include expenses associated with repairing the leak itself, but it does not provide any additional amount of insurance.
Coverage applies to the cost of tearing out and replacing part of the building or structure to repair damage to the system or appliance. Coverage also applies to the cost to repair or replace the particular defective or damaged part of the appliance, equipment, or system that the water escaped from. Coverage is limited to the leaking or broken joint, pipe, valve, or item; the insurer will not pay under this coverage to repair the entire appliance, equipment, or system. If the pipes in a plumbing system are badly corroded and one suddenly springs a leak, the insurer will repair the leak but will not pay to replace the entire plumbing system.
This supplemental coverage does not apply if another party—such as a landlord or a contractor that installed defective plumbing—is legally or contractually obligated to pay for such expenses.
19. Weather Related Coverage – Cause of Loss Option 5
We cover the following loss to the interior of a covered building or covered personal property within a building by hail, ice, rain, sleet, or snow:
A. Loss arising out of the thawing of hail, ice, sleet, or snow on the building.
B. Loss by any such elements to the interior of the building although the exterior walls or roof are not first damaged by a covered Cause of Loss allowing these elements to enter into the interior: but, if MCP 515 is listed in the Declarations, this Extension is deleted.
C. Loss by such elements to personal property within a building.
This Supplemental Coverage applies only to property covered by Cause of Loss Option 5.
This Supplemental Coverage does not provide an additional amount of insurance.
Analysis
This supplementary coverage applies only to buildings and personal property inside a building to which open perils coverage (option 5) applies. It is directed at losses caused by ice dams and similar situations in which water seeps into a building even though the walls and roof are not otherwise damaged. This supplement clarifies what types of losses are covered, but it does not provide additional limits of coverage. Entering "MCP 515″ in the declarations triggers an exclusion for damage to a building's interior elements.
Part I C – Cause of Loss Options
General Cause of Loss Conditions – Coverages A, B, C
A. Subject to all applicable provisions in this policy, property covered under this policy is insured for that coverage option (see descriptions) which is designated in the Declarations as applicable to the specific item. Accordingly, the same sort of property – buildings, for example – can be insured for differing causes of loss based upon the option selected to apply to the specific item.
B. The various described causes of loss cover fortuitous direct physical loss not otherwise excluded or limited. Loss – covered loss – means: fortuitous direct physical damage to or destruction of covered property by a covered cause of loss, and if covered under Cause of Loss Option 5 the term "damage" includes the taking of the subject covered property by theft (including damage arising in the course of such theft). Covered cause of loss means a cause of loss contemplated by the following coverage options to the extent that such are described as applicable to the subject covered property.
Direct physical loss does not include or mean any sort of consequent loss, loss of use, or loss of utility. But such loss may otherwise be specifically provided for in this policy: for example, see Coverage D or Supplemental Coverage 6
Analysis
Nearly all of Part IC describes the causes of loss that apply to coverages A, B, and C. Different items of property can be covered against loss by different sets of perils; the causes of loss options listed for each property item in the declarations indicate which perils apply to which property items. In some cases, more than one option may apply to a single property item.
As respects coverages A, B, and C, covered loss must be fortuitous, direct, and physical in nature. Property that is stolen is not necessarily damaged; but it is no longer usable by its owner. The form makes it clear that theft can also result in a covered loss.
C. Causes of Loss Coverage Options
The following are subject to all applicable Exclusions and Limitations described in this policy:
1. Option 1 – Fire Coverage
Option 1 includes the following:
• Fire (hostile fire)
• Explosion
• Lightning
2. Option 2 – Basic Coverage
Option 2 includes the following:
• Fire (hostile fire)
• Aircraft*
• Explosion
• Lightning
• Riot or Civil Commotion*
• Sinkhole Collapse*
• Smoke*
• Vandalism*
• Vehicles*
• Volcanic Eruption*
• Windstorm/Hail
* See following cause of loss descriptions.
3. Option 3 – Broad Coverage
Option 3 includes the following:
• Fire (hostile fire)
• Aircraft*
• Explosion
• Falling Objects*
• Glass Breakage*
• Lightning
• Riot or Civil Commotion*
• Sinkhole Collapse*
• Smoke*
• Vandalism*
• Vehicles*
• Volcanic Eruption*
• Water Damage*
• Weight of Ice, Sleet, or Snow
• Windstorm/Hail
* See following cause of loss descriptions.
4. Option 4 – Sprinkler Leakage Coverage
Option 4 adds Sprinkler Leakage to Options 1, 2, or 3.
5. Option 5 – Expanded Coverage
Option 5 includes Options 3 and 4, plus other fortuitous direct physical loss to or theft of covered property not otherwise excluded or limited in this policy. The losses and costs excluded in the following descriptions of the listed causes of loss in the following paragraphs with regard to Falling Objects and Sinkhole Collapse also apply to Option 5.
6. Option 6 – Earthquake
Option 6 is Earthquake: Option 6 is described in Endorsement MCP 119.
Analysis
Option 1—Fire Coverage provides the very basic fire coverage of the traditional 165-line standard fire policy, which includes explosion and lightning.
Option 2—Basic Coverage provides basic coverage that includes the same perils as ISO's basic causes of loss form. These include the packages traditionally known as fire, extended coverage (EC), and vandalism or malicious mischief (VMM), plus sinkhole collapse and volcanic eruption. The perils are listed in alphabetical order; those marked with an asterisk are specifically described or defined later in this section of the policy.
Option 3—Broad Coverage in the MSO form likewise parallels ISO's broad causes of loss broad form and adds—while maintaining alphabetical order—the perils of falling objects, water damage, and weight of ice, sleet, or snow. It also adds glass breakage as a peril. As defined, this peril does not apply to the glass itself but rather to property damaged by broken glass. For example, merchandise inside a store's display window may be damaged if the glass breaks.
Option 4—Sprinkler Leakage Coverage, may be added to options 1, 2, or 3 when coverage applies to a building with an automatic sprinkler system. If sprinkler leakage is covered, the declarations entry for a sprinklered building with broad form coverage would then show both option 3 and option 4 for that building.
Option 5—Expanded Coverage provides open perils coverage. The expanded terminology nicely evades troublesome all-risk or risk-of-loss wording while having the same effect. This option specifically includes broad form coverage and sprinkler leakage coverage. Other open perils policies are invariably intended to be at least as broad as broad form policies with respect to the basic and broad forms' specified perils, but failure to be explicit on that point occasionally creates unintended coverage gaps. MSO's expanded coverage specifically includes broad form perils and sprinkler leakage, as well as "direct physical loss to or theft of covered property not otherwise excluded." However, coverage for falling objects and sinkhole collapse is still no broader than that of the broad coverage option.
Option 6—Provides earthquake coverage, as described in a separate endorsement that is not incorporated within the policy. A common exclusion precludes coverage for earthquake under all causes of loss options, so unless option 6 is activated, earthquake coverage is excluded.
7. Exclusion Option A – Theft
When Exclusion Option A is designated as applicable with Option 5, the covered causes of loss do not include theft (theft also includes burglary/robbery).
8. Exclusion Option B – Vandalism
When Exclusion Option B is designated as applicable along with any other option (for example, Option 2 B), the covered causes of loss do not include vandalism.
9. Exclusion Option C – Water Damage
When Exclusion Option C is designated as applicable along with any other option (for example, Option 3 C), the covered causes of loss do not include water damage – other than that caused by covered freezing of an appliance or system.
10. Exclusion Option D – Windstorm/Hail
When Exclusion Option D is designated as applicable along with any other option (for example, Option 5 D), the covered causes of loss do not include windstorm/hail.
Analysis
Options A, B, C, and D can be used to eliminate theft, vandalism, water damage, and windstorm/hail as covered perils. Mechanically, this is accomplished by adding one or more letters after the option number. So, if the intent is to provide coverage for a specific building against the basic causes of loss other than vandalism, the declarations would show Option 2B as the causes of loss option applicable to that item.
11. Description of Listed Causes of Loss
The following definitions apply to and limit the scope of the listed causes of loss:
a. Aircraft: This means direct physical contact of aircraft with covered property. Aircraft includes objects that fall from aircraft, spacecraft, or self-propelled missiles.
b. Falling Objects: This means damage to other property caused by the falling object.
This does not include:
1. Loss to personal property outdoors (not in buildings).
2. Loss to the interior of a building, or any property within a building, unless the falling object first penetrates the roof or exterior walls of the building.
c. Glass Breakage: This means damage to other property caused by breakage of glass that is part of buildings.
d. Riot or Civil Commotion: This includes, but is not limited to:
1. Acts of striking employees while occupying the described premises;
2. Looting occurring at the time and place of riot or civil commotion.
e. Sinkhole Collapse: This means abrupt collapsing or sinking of land causing loss to covered property: such collapsing or sinking must be into an underground empty space created by the action of water on limestone or similar rock.
This does not include: the cost of filling sinkholes; collapsing or sinking into man-made cavities.
f. Smoke: This means smoke causing abrupt accidental direct physical loss.
g. Sprinkler Leakage: This means accidental discharge or leakage from an automatic sprinkler system and the collapsing of a tank that is part of such system.
h. Vandalism: This means willful malicious damage to property, and includes such damage done to a building by burglars while breaking into or out of such building.
This does not include: breakage of building glass; loss by theft.
i. Vehicles: This means direct physical contact of a vehicle, or an object thrown up by a vehicle, with covered property.
This does not include: loss caused by vehicles you own or which are operated in the course of your business.
j. Volcanic Eruption: This means only:
1. Airborne blast or shock waves;
2. Ash, dust, or particulate matter other than that which can be swept or washed away without leaving physical damage; and
3. Lava flow;
caused by eruption of a volcano: but see Part I, Common Exclusion 1.
All volcanic eruptions that take place within a continuous 168 hour period are considered a single occurrence and constitute a single loss.
k. Water Damage: This means abrupt accidental discharge of water as a direct result of the breaking or cracking of any part of an appliance, equipment, or system containing water: but see Sprinkler Leakage
for an automatic sprinkler system. Water includes steam and, as to Cause of Loss Option 5, includes such discharge of other liquids or materials.
NOTE: The term "abrupt" refers to an event instantaneous in time – not gradual, ongoing, or repeated over time.
Analysis
Only the asterisked perils are specifically defined, and the definitions in this form are relatively brief.
Fire is not defined here, but the peril itself is listed as "Fire (hostile fire)." The courts have long interpreted the standard fire policy as covering only hostile fire, which is a fire that is out of bounds. For example, a fire within a furnace or stove fire box is considered friendly, and loss arising from it typically has not been held to be covered. For example, personal property that is burned in a trash fire would not typically be considered covered for the fire damage to it. However, when the fire escapes its normal boundaries—such as when flames jump from a campfire to a forest or buildings—it is transformed into a hostile fire and resulting damage to covered property typically is covered.
Although explosion is also not defined, the coverage for damage caused by explosion is narrowed through the explosion of steam equipment exclusion, discussed later.
In addition to physical contact with an aircraft or vehicle, including a spacecraft or self-propelled missile, the aircraft cause of loss applies specifically to objects falling from aircraft.
Loss or damage caused by falling objects to personal property outdoors is not covered. Another exception to the falling objects cause of loss precludes coverage for personal property within a structure or the interior of the structure itself unless the roof or an outside wall is first damaged by a falling object. Under this exception, there would be no coverage for damage to personal property located within a manufacturing plant if, for example, a piece of steel being lifted by an indoor crane were dropped and crushed the personal property. In that instance, even though the piece of steel can be considered a falling object, the steel did not pierce a hole in the roof or an outside wall on its way down.
The glass breakage coverage applies to property other than the glass that is damaged by broken building glass.
Acts of striking employees occupying the described premises are covered under the riot or civil commotion cause of loss, as is looting at the time and place of a riot or civil commotion.
The form clarifies that sinkhole collapse coverage does not include those instances where the ground sinks or collapses into manmade cavities in the earth. This exposure is more appropriately the subject of mine subsidence coverage. The cost of filling sinkholes is not covered.
Abrupt, accidental damage to covered property by smoke is covered. To clarify this and other uses of the term, the form states that abrupt makes it clear that an abrupt event is instantaneous—"not gradual, ongoing, or repeated over time." Other property policies make it a point to exclude smoke damage from agricultural smudging or industrial operations. The MSO form accomplishes the same effect in a separate exclusion discussed later.
When applicable, sprinkler leakage coverage is for damage caused by the leakage or discharge from an automatic sprinkler system, including the collapse of the system's tank if there is one. Automatic sprinkler system is defined in the form's glossary. It refers to an "automatic fire protection or extinguishing system" and includes sprinklers, nozzles, ducts, pipes, valves, fittings, tanks, pumps, and private fire protection mains. It also includes nonautomatic systems, hydrants, standpipes, and outlets supplied from an automatic system.
Vandalism is generally a covered peril, but as mentioned earlier, it can be excluded with cause of loss option B. Vandalism involves willful and malicious damage to or destruction of the insured property. Building damage caused by the break-in or exit of burglars is covered, but breakage of building glass and other loss caused by or resulting from theft is excluded under this peril.
Damage caused by direct physical contact with a vehicle is covered, but loss caused by vehicles owned by the named insured or by vehicles operated in the course of the named insured's business is excluded. Because of this exception, damage caused to an insured's building when a customer backs into the loading dock would be covered. However, if an employee driving a company-owned delivery van has the same accident, neither the basic nor the broad causes of loss forms would pay for the damage to the building.
The volcanic action peril includes damage from the above-ground effects of a volcanic eruption—airborne blast and shock waves, ash, dust, particulate matter, and lava flow. It does not include the seismic effects of a volcanic eruption, as detailed in one of the form's common exclusions.
All volcanic eruptions occurring within a seven-day period (168 hours) is considered a single occurrence. No provision is made for modifying this time period.
Coverage under the water damage peril applies to damage to covered property resulting from the abrupt discharge of water—including steam. For example, the water might damage a hardwood floor. A supplemental coverage discussed earlier expands coverage to include expenses associated with repairing the leak itself.
D. Specified Causes of Loss
Where the term specified causes of loss is used, the term means the following: fire; aircraft; explosion; falling objects; lightning; riot or civil commotion; sinkhole collapse; smoke; sprinkler leakage; vandalism; vehicles; volcanic eruption; water damage; weight of ice, sleet, or snow; windstorm/hail.
However, these apply only to the extent that the subject property is otherwise insured for such causes of loss.
Analysis
A definition clarifies which perils are included in the specified causes of loss that apply to some of the form's supplemental coverages. The perils are merely named in this definition, but the preceding descriptions or definitions provide any necessary elaboration.
E. Covered Loss
1. Coverages A, B, C
Covered loss is described in Part I C, General Cause of Loss Condition B.
2. Coverage D
Relevant to the context in which it is used:
a. Direct covered loss means: fortuitous direct physical loss as described in Part I C, General Cause of Loss Condition B which occurs at described premises occupied by you (occupancy is not a condition for Rental Income loss), which directly results in the subject covered Business Income Loss/Extra Expense.
b. Covered loss means: the subject covered Business Income loss/Extra Expense which results as a direct consequence of such described direct covered loss.
Analysis
The preceding causes of loss options involved direct damage to buildings, structures, and personal property covered under coverages A, B, and C. As described elsewhere, coverage D provides indirect loss coverage when a business income and/or extra expense loss results as the consequence of a direct covered loss.
Part I D – Property Exclusions/Limitations
We do not cover the following property or loss except to the extent otherwise specifically provided for in this policy.
1. All Property Coverages
A. Building Glass: but see Supplemental Coverage 3. A.
B. Crops of any sort, whether growing, harvested, or in any way held.
C. Land, including land on which covered property is located. Water.
D. Property not described in this policy.
E. Property that is more specifically described and insured under another coverage form in this policy or by any other insurance: but as to Coverage A, this insurance applies excess.
F. Outdoor property, as follows (but see Supplemental Coverage 13):
1. Antennas and satellite dishes, including their lead-in wiring, masts, and towers.
2. Fences.
3. Lawns.
4. Plants, shrubs, or trees.
G. Signs (outdoor signs): but see Supplemental Coverage 3.B.
H. Vehicles, as follows: aircraft, motorized land vehicles, self-propelled machines, or watercraft – including their accessories, equipment, motor, parts, tires, or trailers. This also includes: devices designed to be powered through their electrical systems, radar detectors, recorded discs and tapes in such vehicles for use in the vehicle.
But see Supplemental Coverage 14.E.
Analysis
Some types of property or losses excluded in this section of the policy are not covered at all. Others are excluded from the policy's full coverage because one of the form's supplemental coverages provides more limited or focused coverage. The first section of exclusions applies to all coverages, A, B, C, and D.
Building glass is not covered property except to the extent it is covered under the glass extension, discussed earlier, where it is subject to a sublimit except for damage by one of the specified causes of loss other than vandalism.
Crops, even harvested crops, are not covered at all. It seems questions could arise, in some circumstances, as to whether a bin full of wheat or a storeroom full of apples contains an excluded crop or covered stock.
Land and water are not covered property. Neither is generally susceptible to the causes of loss that a property insurance policy is designed to cover.
Other policy provisions attempt to limit coverage to described buildings, premises, locations, or operations or to covered property. An exclusion underscores this intent by specifically stating that coverage does not apply to property that is not described in the policy.
There is no coverage at all for personal property that is also the subject of other, more specific, insurance. However, the building coverage (coverage A) applies as excess over other more specific insurance. For example, an expensive piece of specialized machinery is insured with the building if permanently installed. If the insured has purchased other insurance identifying the machine and insuring it separately, then the machine is more specifically covered by the other contract. This form will pick up the difference, if any, between the insured's loss and the recovery under the other contract.
Certain types of outdoor property are covered by supplemental coverage 13, where coverage is subject to sublimits and coverage is limited to certain perils. Outdoor signs, likewise, are addressed under supplemental coverage 3.B.
Vehicles and their equipment should generally be covered under an auto, watercraft, aircraft, or inland marine policy such as a contractors equipment floater. However, supplemental coverage 14.E. extends coverage B to apply to certain types of vehicles.
2. Coverage A
A.Cost of backfilling or filling, excavations or grading.
B.Docks, piers, pilings, or wharves.
C.Foundations of buildings, boilers, or machinery that are below the lowest basement floor or, if no basement, below ground level.
D.Paved surfaces of any sort, including – but not limited to – bridges, driveways, parking lots, patios, roads, or walks.
E.Retaining walls that are not part of described buildings.
F.Underground drains, flues, or pipes.
Analysis
Certain types of property that might qualify as buildings or structures are excluded from coverage because they are not especially susceptible to damage by most of the perils that the policy covers. Because these items are not covered property, they also are not included in any coinsurance computations.
3.Coverages B and C
A.Creatures of any sort: but see Supplemental Coverage 14.A.
B.Money. Gold, silver, and other precious alloys or metals other than as provided for in the following Paragraph 4: but also see Supplemental Coverage 16.
C.Electronic Data. But see Supplemental Coverage 8
D.Property while airborne or waterborne.
E.Securities.
F.Valuable papers and records as well as the cost to replace, research, or restore the information on valuable papers and records: but see Supplemental Coverage 14.D.
4.Coverages B and C (Cause of Loss Option 5) Loss by theft to the following property is covered only up to the applicable limits shown in the Supplemental Declarations (these limits are aggregate limits for all described property per occurrence).
A.Furs (this also includes both fur and fur trimmed garments).
B.Jewelry-type property meaning: (1) jewels, jewelry, pearls, precious and semi-precious stones, watches and watch movements; (2) gold, silver, platinum and other precious alloys or metals used to make jewelry. This does not apply to items of jewelry-type property worth, at your regular retail price, less than the applicable limit per item shown in the Supplemental Declarations.
Analysis
Another set of excluded property and losses applies to business personal property of the insured and personal property of others. Creatures, money and securities, electronic data, precious metals, and valuable papers are not covered under coverages A and B, but they are covered to a limited extent by supplemental coverages.
Precious metals are not covered under coverages A and B. However, precious metals used in industrial operations are covered, subject to a sublimit, by supplemental coverage 16. Precious metals used in jewelry or used to make jewelry are covered—but only for loss by theft and even then only when open perils (option 5) coverage is provided. A standard $100 per item, $3,000 per loss limit applies (unless it is modified in the supplemental declarations) In short, the only coverage available on precious metals used in jewelry applies to theft (not fire or other perils) of items worth more than $100 (or other indicated sublimit) and then only up to $3,000 (or other indicated aggregate limit). Other jewelry-type property is covered subject to coverage B limits except that loss by theft is limited to $3000 per loss or $100 per item, and individual items with a retail value of less than the per-item limit (e.g., $100) are not covered at all.
Theft of furs is subject to a $3,000 per occurrence limit unless a different amount is indicated. The word aggregate is not used here in its usual sense. The form characterizes the $3,000 (unless modified) limits on jewelry and furs as "aggregate limits for all described property per occurrence." In other words, these are per-occurrence limits, not annual aggregate limits.
Item D. of this exclusion states that personal property is not covered at all under coverages A and B while it is airborne or waterborne. Coverages A and B apply to on-premises property. Although it is not mentioned at this point in the form, the off-premises supplemental coverage does apply to property in transit on a motor vehicle that the named insured leases, operates, or owns. Motor vehicle is not defined, but supplemental coverage 14.E. suggests that aircraft and watercraft, as well as cars and trucks, are vehicles. In summary, personal property is not covered if it is airborne (in a tethered balloon?) or waterborne on the premises, but it could arguably be covered—subject to limitations or restrictions—away from the premises.
Part I E Property Loss Limitations
We do not provide insurance under Part I for any sort of damage or loss directly or indirectly, wholly or partially, aggravated by, consisting of, or resulting from the following – even if loss otherwise covered contributes to such concurrently or in any sequence. The following exclusions and limitations of loss in connection with certain property apply to the extent that the subject loss and property are otherwise covered under this policy.
1.Builders/Building Items
A.Builders" Equipment
Loss to builders" equipment, machinery, or tools either owned by you or in your care, custody, or control while away from the described premises.
B.Building Property
Loss by theft of building materials or supplies – unless attached to and forming an integral part of the building under alteration, construction, or repair at the time of loss, other than such property held for sale by you.
2.Disappearance of Property
Loss, otherwise covered by this policy, in connection with covered property that is missing where there exists no physical evidence to show what happened to the property. Loss discovered or inferred upon taking inventory. Acts of appropriation, pilferage or shoplifting.
3.Fragile Items
Breakage of any sort of fragile items (including, but not limited to, chinaware, glassware, marbles, porcelains, or statuary). This does not apply to: loss caused by a specified cause of loss; building glass; containers of property held for sale by you; lenses of photographic or scientific instruments.
4.Hot Water/Steam Equipment
A.Hot Water Boilers
Loss to hot water boilers or other water heating equipment by any condition or event inside such boilers or equipment.
B.Steam Equipment
Loss to steam boilers, engines, pipes, or turbines by any condition or event inside such equipment. But see Supplemental Coverage 17.
5.Unauthorized/Voluntary Transfer of Property
A.Unauthorized Transfer
Loss in connection with property that is given or transferred to any persons or transferred to any place (not the described premises) on the basis of false/unauthorized instructions – however such are given or transmitted.
B.Voluntary Transfer
Loss in connection with property that you (or others to whom you have entrusted the property) voluntarily give or transfer to anyone on the basis of being induced to do so by false pretense or fraudulent device, scheme, or trick.
Analysis
This set of provisions does not apply to the accounts receivable or valuable papers supplemental coverages.
The title of this set of provisions contains the phrase "loss limitations"; the "exclusions and limitations" in this provision are not a list of excluded perils or a list of types of property that are not covered. Rather, they are characterized as provisions that apply in connection with certain property to the extent the loss and property are otherwise covered. In other words, these exclusions and limitations apply to losses that would otherwise be covered.
These provisions are not limited to any particular property coverage(s), so they apply not only to direct damage to buildings and personal property but also to loss of use and to the form's supplemental coverages. Most of the exclusions or limitations here relate to losses that can be minimized or mitigated with the use of sound loss control.
Direct damage or loss of use to builders' equipment, machinery, and tools away from the premises are excluded. These items are highly susceptible to loss, and they can more specifically be addressed with a contractors equipment floater.
Building materials that are not yet incorporated in the building are attractive to thieves, and the theft exposure is best addressed through loss control measures rather than insurance. This exclusion also impacts the loss of use coverage, since theft of critical building materials can seriously delay completion of a construction project.
Insurance practitioners commonly use the term mysterious disappearance to apply to property that has disappeared when theft is suspected, but it cannot be proven. The disappearance of property limitation makes it clear that disappearance is not a covered cause of loss. Voluntary parting with or transfer of property likewise is not covered, even if theft is involved.
Fragile items by definition are easily broken, and such breakage is excluded unless the breakage is caused by one of the specified causes of loss as defined: fire; aircraft; explosion; falling objects; lightning; riot or civil commotion; sinkhole collapse; smoke; sprinkler leakage; vandalism; vehicles; volcanic eruption; water damage; weight of ice, sleet, or snow; windstorm/hail. Including falling objects in this list seems like a loophole until one looks at the description of falling objects and realizes that coverage applies to property damaged by the falling object, not to the fallen object itself.
Damage caused by internal conditions to hot water or steam boilers is covered only to the extent that supplemental coverage 17 applies.
We do not provide insurance under Part I for any sort of loss directly or indirectly, wholly or partially, aggravated by, consisting of, or resulting from the following – even if loss otherwise covered contributes to such concurrently or in any sequence.
1.Computer Hacking and Computer Virus Exclusion
Computer hacking or computer viruses.
2.Delay or Loss of Market/Loss of Use Exclusions
Delay or loss of market or sale. Loss of occupancy. Because property cannot be occupied or used. Consequent loss. But see Coverage D and Supplemental Coverage 6 for certain described coverage.
3.Dishonesty Exclusion
Criminal or dishonest acts by you, by any of your employees, officers, partners, representatives, trustees, volunteer workers, or by any other person to whom you entrust property.
This applies whether any such persons act alone or in collusion with others or such acts take place within or outside of working hours.
This Exclusion does not pertain to acts of physical damage by your employees.
4.Electrical Damage Exclusion
Loss, however caused, by artificially generated electrical currents to electrical or electronic appliances, devices or wiring.
If loss resulting from fire ensues, we insure such resulting loss.
5.Explosion of Steam Equipment Exclusion
Explosion of steam boilers, engines, pipes, or turbines which are leased to you, owned by you, or operated under your control: but see Supplemental Coverage 17.
If loss resulting from fire or combustion explosion ensues, we insure such resulting loss.
Analysis
Except for the intentional loss and wear-and-tear exclusions, this set of provisions—which is sequenced in alphabetical order—does not apply to the accounts receivable or valuable papers supplemental coverages.
The lead-in language to this set of provisions closely resembles the lead-in to the property loss limitations. One difference is that this section does not refer to "damage or loss" but only to "loss." Also, it omits the sentence that says the provisions apply "to the extent that the subject loss and property are otherwise covered." Taken together, these differences indicate that the exclusions in this set of provisions describe losses that are not insured at all. However, that is not necessarily the case. Some of these exclusions do not apply to certain supplemental coverages, some relate to losses that are covered in some manner by a supplemental coverage, and others provide coverage for ensuing losses.
The computer hacking or computer viruses exclusion deals with defined terms whose definitions contain no surprises. What is noteworthy is that this exclusion does not apply to the supplemental electronic data coverage. The exclusion can also be deleted with respect to the electronic media—special period of indemnity provision that applies to business income/extra expense coverage.
Delay of market and other consequential losses are not covered unless and to the extent business income/extra expense and the spoilage supplemental coverage apply. Same here.
As is customary with property insurance policies, this one excludes employee dishonesty. That exposure is best covered under a fidelity bonds or crime insurance forms specifically designed to cover theft by employees.
Virtually all property insurance policies—including option 1 under this policy–cover loss by lightning, a form of naturally generated electrical current. Loss by short circuits, brownouts, or electrical or electronic malfunction is not covered unless it leads to an ensuing fire.
In conjunction with supplemental coverage 17, this policy excludes explosions caused by steam pressure but covers combustion explosions.
6.Flood/Flooding Exclusion
Flood, flooding, surface water, waves, storm surge, tidal water or tidal waves, overflow of streams or other bodies of water, or their spray, aggravated by or resulting from any natural or human made causes: all, whether or not caused by, or a consequence of, rain, snow, wind or other condition of the weather, or an otherwise covered cause of loss.
If loss resulting from fire, explosion, or theft (to the extent insured by this policy) ensues, we insure such resulting loss.
7.Freezing of Appliances or Other Equipment Exclusion
Leakage or overflow of any liquids or any other materials from air conditioning, heating, plumbing, or other appliances or equipment (other than fire protection systems), or damage to such appliances or equipment, caused by freezing.
If you (and others you designate to care for the premises) exercise ongoing care to maintain adequate heat in the building, or such appliances or equipment are drained and kept dry, this exclusion is waived to the extent that such loss is otherwise insured by this policy.
8.Intentional Loss Exclusion
Acts committed by, or at the direction of, any insured with the intent to cause a loss.
9.Law or Ordinance/Governmental Directive Exclusions
Enforcement of any code, law, ordinance, or regulation, including those pertaining to construction, repair, or use of property or demolition of property (including debris removal).
Any governmental directive. But see Supplemental Coverage 4.
10.Power, Heating, or Cooling Failure Exclusion
Power, heating, or cooling failure or loss of utility services that takes place off the described premises. If loss by a covered cause of loss ensues, we insure such resulting loss.
But see Supplemental Coverage 6.
11.Water Damage Exclusion
A.Underground, surface or subsurface water that exerts pressure on or flows, seeps or leaks through: basements; doors, windows, or other openings; driveways, floors; foundations; paved surfaces; sidewalks; swimming pools;
walls. See also mudflow or mudslide under Exclusion 12.E.
B.Water or sewage that backs up through sewers or drains or overflows from a sump; or the discharge of sewers or water mains originating off the described premises. If MCP 507 is listed in the Declarations, this Paragraph (B) is deleted with regard to water or sewage that backs up through sewers or drains or overflows from a sump originating on the described premises.
If loss resulting from fire, explosion, or sprinkler leakage (to the extent insured by this policy) ensues, we insure such resulting loss.
Analysis
Although the provisions in this section of the policy appear in alphabetical order, the flood/flooding exclusion is best understood when it is read together with the water damage exclusion. Taken together, these provisions are designed to preclude coverage for flooding loss caused by surface waters and for underground, subsurface water or pressure it might cause, while preserving loss for ensuing fire, explosion, or theft (when the policy covers theft). The water damage exclusion also precludes coverage for sewer backups, but this exclusion can be eliminated by triggering endorsement MCP 507 with an entry in the declarations. Sprinkler leakage ensuing from subsurface water or sewer backups is covered.
Freezing resulting from the insured's negligence is excluded, as are losses intentionally caused by any insured (including insureds that are not a named insured).
Ordinance or law coverage and loss of utility services occurring away from the described premises are excluded unless the designated Supplemental Coverage provides coverage.
12.Wear, Tear, and Other Specified Loss/Cause of Loss Exclusions
A.Wear and tear; birds, domestic animals, insects, raccoons, rodents, or vermin; contamination or pollution including, but not limited to: (1) the discharge, dispersal, emission, escape, migration, release, or seepage of pollutants; (2) the costs associated with enforcement of any governmental directive, law or ordinance which requires you or any others to cleanup, contain, detoxify, monitor, neutralize, remove, test for, or in any way respond to pollutants, asbestos, fungi, mold or lead contamination or assess the effects of pollutants, asbestos, fungi, mold or lead contamination: but see Supplemental Coverage 15 for certain coverage; corrosion; decay or deterioration; deficiency, error, or omission in design, materials, plans, or workmanship; disease; dry or wet rot; fungi, mold, spores, mildew, bacterium, or other natural growth; inherent vice (a customary characteristic of the property); latent defect (an original condition or fault leading to loss); mechanical breakdown; rust.
B.Buckling, bulging, contracting, cracking, expansion, settling, shrinkage, or sinking.
C.Contamination by any virus or other pathological agent that causes disease or illness in humans, animals, birds, or other creatures, or the costs associated with enforcement of any governmental directive, law or ordinance which requires you or any others to clean up, contain, detoxify, monitor, neutralize, remove, test for, or in any way respond to any virus or other pathological agent.
D.Continuous or repeated leakage or seepage from any part of an appliance or system which contains water or other liquids resulting from a condition which you fail to repair.
E.Earth/ground/land movement on or below the surface of the earth aggravated by or resulting from any natural or human made causes including, but not limited to: earth/ground/land collapsing (other than sinkhole collapse), pressure, rising, shifting, sinking, sliding, or subsidence; landslide; mine subsidence; mudflow; mudslide; rockslides or rock falls. See also Part I, Common Exclusion 1 as to catastrophic earth movement.
F.Marring or scratching: but these apply solely to personal property.
G.Smog, smoke, or vapor from agricultural or industrial activities.
If loss by a covered specified cause of loss ensues we insure such resulting loss.
Analysis
Property insurance policies generally include a group of exclusions typically referred to as wear-and-tear or maintenance exclusions. MSO's wear-and-tear exclusion is unusual in that pollution and mold exclusions are buried within the long list that begins with "wear and tear." Pollution cleanup costs are available in a supplemental coverage.
An earth movement exclusion is separately enumerated with a cross-reference to the common exclusion for earthquake/earth movement/volcanic action.
The smoke peril definition, which applies to abrupt losses, is supplemented by a provision that specifically precludes coverage for smoke—and for smog or vapor—from agricultural or industrial activities.
13.Weather/Related Exclusions
A.Cause of Loss Options 2 and 3
1.As to Windstorm/Hail: cold or frost; ice (other than hail), sleet or snow, whether or not wind driven.
2.Weight of hail, ice, sleet or snow: but these apply only to personal property while outdoors at the time of loss.
B.Cause of Loss Options 2, 3, and 5
1.Building Interior
Loss by dust, hail, ice, rain, sand, sleet, or snow, whether or not wind driven, to: (a) the interior of a building; or (b) property within a building: but see Supplemental Coverage 19. But, if the building first sustains loss by any covered cause of loss to the exterior roof or walls, which then allows these elements to enter the building, we insure the resulting loss by such elements.
2.Downspouts or Gutters Loss by weight of hail, ice, sleet, or snow to downspouts or gutters.
C.Cause of Loss Option 5
1.Drought.
2.Freezing, hail, ice, rain, sleet, or snow: but these only apply to personal property while outdoors at the time of loss;
3.Changes or extremes of temperature or dampness or dryness of the atmosphere: but these only apply to personal property; and
4.Any other weather conditions: but this only applies if weather conditions contribute with a cause, condition, or event, otherwise excluded by this policy, to produce the loss. If loss otherwise covered by this policy ensues, we insure such resulting loss.
Analysis
The weather-related exclusions restrict—or further define—coverage for certain perils. However, the restrictions vary depending on the applicable causes of loss option.
With options 2 and 3 (basic and broad form perils), windstorm/hail losses are covered without further definition or description. The weather-related exclusion restricts the hail cover by making it clear that cold, frost, ice, sleet, and snow—with or without wind—still are not covered under the windstorm/hail peril. Neither is damage caused by the weight of hail, ice, sleet, or snow to personal property outdoors.
With basic, broad, or open perils (options 2, 3, and 5), weather-related damage to interior property is limited to instances in which the building's roof or walls have first been breached. However, a supplemental coverage covers damage from thawing caused by ice dams and similar situations when option 5 (the open perils approach) applies to the damaged property. Unless an otherwise covered ensuing loss occurs (such as a fire), even open perils option 5 does not cover loss of certain enumerated weather-related types.
Part I G – Special Part I Conditions
1.Duties When Loss/Danger of Loss Occurs You, other insureds, and other coverage beneficiaries must do all of the following things:
A.Report the Loss
Give immediate written notice to us of any loss. Also, immediately notify the police in case of theft, vandalism, or other violation of law. As soon as possible, give us a description of how, when, and where the loss occurred.
B.Protect Property
Protect property if in imminent danger from a covered cause of loss or, if loss has occurred, from further loss. For example, by taking exposed property indoors, by covering openings or windows, or by making temporary
repairs. We cover the reasonable necessary expenses that you incur for such immediate temporary repairs or safeguards.
However, it is your ongoing obligation, at your expense, to – as soon as feasible after you, your employees, or those you authorize to act on your behalf become aware of any condition under your control which could lead to loss while this policy is in force – undertake all reasonable construction, maintenance, or repair necessary to protect property from such covered loss. Listing of all such conditions is not feasible, but examples include: if a roof is leaking, to repair such; if a flooring support is collapsing/deteriorating, to repair such; if new supports or retaining walls become required, to construct such.
Any additional or subsequent loss resulting from your neglect of these duties is not covered under this policy, and you must either rely on other insurance or absorb such loss yourself.
C.Cooperation on the Loss
As often as we may reasonably request/require:
1.Immediately exhibit all that remains of the damaged and undamaged property, and allow us to take samples of such property for examination and inspection.
2.Produce for examination and copying: the inventory described in the following Paragraph D; all relevant accounting procedures, affidavits, books of account, bills, contracts, deeds, documents, evidence, financial
records, invoices, liens, leases, receipts, records, tax returns, vouchers, or other sources of information, or facsimiles acceptable to us.
3.Submit to examination and provide statements under oath and sign and swear to such. If more than one person is examined, we reserve the right to make such examination of each person out of the presence of the others. We also reserve the right to video record any examinations.
4.Otherwise cooperate with us in the investigation/settlement of the claim.
D.Inventory
At our request, prepare and sign an inventory of all damaged and undamaged property, showing in detail: age; description; quantity; actual cash value and, if so covered, replacement cost; source; amount of loss claimed. To the extent possible, set the damaged property aside and put such in best possible order for our examination.
E.Statement of Loss/Proof of Loss
Submit to us a statement about the loss that includes all information reasonably required by us (including, but not limited to, that described in the preceding Paragraphs C.2 and D) to determine: coverage; our liability for the loss and the amount and scope of loss; specifications of any damaged buildings. The statement is also to include detailed repair estimates.
And if required: submit to us within 60 days after our request a signed, sworn proof of loss. This is to include the information described in the preceding paragraphs and any other information reasonably required by us, including all knowledge available to you, and others about:
1.The time and cause of loss.
2.Your interest and that of all others in the property involved (including a description of all encumbrances on such property).
3.All other insurance policies which may apply to the loss.
4.Any changes in occupancy, title, or use of the property during the policy term.
Failure to comply with these (or other Conditions) can alter or void our obligations under this policy.
Analysis
This form imposes the usual duties on parties who have suffered a property loss. These duties are not to be taken lightly, which is why this set of provisions concludes by stating in bold face print that failure to comply with these conditions can alter or void the insurer's obligations.
The lead-in sentence makes it clear that these duties apply not only to the named insured but also to other insureds and other coverage beneficiaries. The latter category would apply primarily to personal property of others. Recall that the insurer has a right to settle such losses directly with the property owner.
2.How Losses Are Settled
A.Limit of Liability per Loss Occurrence – Coverages A, B, C
Our maximum liability is that amount which is the least one of all the following:
1.The actual cash value or the replacement value (if MCP 520 is listed in the Declarations – see Condition 2.C.2) of the damaged portions of subject property at the time of loss. But, in no event, exceeding the lesser of Paragraph a or Paragraph b:
a.The lesser cost reasonably required, with diligence and ongoing effort, to:
1.Repair or restore the damaged property with like materials of comparable quality used for the same purpose/same occupancy, bringing such to the same general condition as existed immediately prior to the loss; or,
2.Replace the damaged property, at the same described premises, with like property of comparable quality used for the same purpose/same occupancy;
b.The necessary reasonable expense paid to repair, replace, or restore the damaged property.
2.Any factors, limits, special limits, or other recovery limitations described or specified in this policy as applicable to the subject loss and property, whether shown in the Declarations, any endorsements, or elsewhere in this policy.
The inclusion of any sort of recovery limitations or special limits or the inclusion of more than one item within any provision in this policy do not increase or otherwise modify any of the general limits shown in this policy – unless specifically stated to be additional insurance.
3.The insurable interest of the insured (or other named interests) at the time of loss.
And, in all cases subject to the following special conditions:
4.Glass
Loss to glass is settled on the basis of the cost of replacement with safety glazing material when such replacement is required by law or ordinance.
Loss to glass is subject to the applicable limits shown in the Supplemental Declarations; the "per item" limit applies to each individual pane or panel or similar item.
5.Money (If covered under this policy)
At face value: if foreign money, at its exchange rate (in dollars) on the date that the loss is reported to us by you.
6.Securities (If covered under this policy)
At their value at the close of business on the date that the loss is reported to us by you.
7.Stock
Loss to stock that you have sold but not delivered at the selling price, less discounts and expenses that you would otherwise have.
8.Tenant's Improvements and Betterments
a.If you make repairs as soon as feasible, loss is settled as described in the preceding paragraphs.
b.If you do not make repairs as soon as feasible, our obligation is limited to a proportion of your original cost for the improvements, determined as follows:
1.Divide the number of days from the date of loss to the expiration date of the lease by the number of days from the date of installation (of the improvement) to the expiration date of the lease, then
2.Multiply the original cost by the figure resulting from this division.
Note: If your lease contains a renewal option, we use the expiration date of the renewal option in lieu of the expiration date of the current lease.
9.Valuable Papers and Records
Loss to valuable papers and records (other than prepackaged software programs) not subject to Supplemental Coverage 14.D is settled on the basis of the cost of blank materials for reproducing such records plus the cost of labor to copy such records when duplicates of such exist.
Analysis
Most building and personal property losses are valued on an actual cash value basis. Replacement cost coverage can be substituted for actual cash value coverage by entering "MCP 520″ in the declarations for each item to be valued on a replacement cost basis. Actual cash value and replacement cost are described in more detail later in this section of the form.
The insurer will not pay more than the reasonable cost of repairing, restoring, or replacing damaged property. If the insured pays more than that reasonable cost or adds an upgrade, the insurer is not obligated to pay the extra amount. On the other hand, if the insured completes repairs for a lesser amount, the insurer will not pay more than the amount that is actually paid. The insurer (not the insured) is entitled to benefit from any negotiations that reduce the actual repair cost.
Of course, the insurer will not pay more than the amount of insurance applicable to the damaged property, nor will the insurer pay any amount that exceeds the extent of the named insured's insurable interest in the property unless another party with an insurable interest in the property is also named in the form.
Special valuation provisions apply to some types of property, even though they may be components of the building or tangible personal property.
A unique characteristic of glass is that ordinances may require that glass in certain locations, such as doors or shower stalls, must be replaced with safety glass even if the original glass was not safety glass. The insurer will pay the extra cost to replace broken ordinary glass with safety glass if necessary. However, glass coverage is still subject to the sublimits shown in the supplemental declarations.
U. S. money, if it is covered at all, is valued at its face value. The value of foreign currency and securities fluctuates, so to eliminate disputes, foreign money (if covered) is valued at its exchange rate, and securities (if covered) on their market value at the close of business on the date the loss is reported to the insurer.
A selling price clause (not labeled as such in this form) values sold-but-not-delivered stock at its net selling price.
The valuation of tenants' improvements and betterments was discussed earlier in connection with coverage B.
Valuable papers and records not subject to the supplemental coverage are valued on the cost of blank materials and the cost of copying any duplicates of the damaged records. In most cases the cost of blank materials is nominal compared to the value of the intellectual property contained in those records, and the cost of downloading backup data or photocopying duplicate paper records is also nominal.
B.Limit of Liability per Loss Occurrence – Coverage D Our maximum liability is determined based on consideration of all the following:
1.Coverage D.1 – Business Income
a.The net income/rental income of the business/operations before the date the direct covered loss occurred.
b.The likely net income/rental income of the business/operations had the direct covered loss not occurred.
c.The operating expenses, including payroll expenses, necessary to resume your normal business/operations at the same capability and quality of service as existed immediately prior to the date the direct covered loss occurred.
d.Any other relevant sources of information, including all information described under Part I G, Condition 1 – "Duties."
e.Any liability we otherwise have, as determined in the preceding Paragraphs, is reduced to the extent that you can resume your normal business/operations, in whole or in part, including by using any property (including damaged property) at the described premises or elsewhere: See Part I A, Coverage D, Condition D.2.
2.Coverage D. 2 – Extra Expense
a.All expenses that exceed the normal operating expenses that you would otherwise incur in your business/operations during the coverage period of indemnity had the direct covered loss not occurred.
b.All necessary expenses that reduce the Business Income loss that would otherwise be incurred: but this applies only if Coverage D.1 applies under this policy.
c.Any liability we otherwise have for Extra Expense, as determined in the preceding Paragraph 2.a. is reduced by the following:
1.The remaining salvage value of any property bought for temporary use during the coverage period of indemnity once your business/operations are resumed.
2.Any Extra Expense that is paid for by other insurance that is not subject to the same provisions that apply under this policy.
3.To the extent that you can resume normal business/operations.
3.Coverage D.1 and D.2
Conditions 1 and 2 apply to each described premises at which direct covered loss occurs, and our maximum liability for such loss does not exceed the limits or other recovery limitations otherwise shown in this policy applicable to the subject covered loss.
Analysis
In the Coverage D insuring agreement, the insurer may agree to cover a loss of business income. The provisions here include a nonexhaustive list of factors the insurer will consider when determining the maximum amount of the business income loss for which the insurer is liable, including those associated with the insured's post-loss duties. The insurer's liability is reduced to the extent the named insured can resume normal operations in whole or in part. The word can indicates that the insurer's obligations are reduced even if the insured fails to resume partial operations when it is possible to do so.
If the insurer provides extra expense coverage in coverage D, the loss adjustment takes into account whatever extraordinary expenses are incurred to maintain operations. If business income coverage is provided, the insurer also takes into account any expenses incurred to reduce the business income loss.
Extra expenses often involve acquiring equipment or other tangible property for use during the period of interruption. This is not a license to acquire property at the insurer's expense. If the property has any value after it has served its purpose, the insurer is entitled to reduce its obligations by that amount—referred to here as the property's salvage value. In this context, the salvage might be nearly new property, not scrap. The form does not say the insurer takes ownership of the salvage, merely that the insurer's liability is reduced by the value of the salvage.
The insurer's obligations are also reduced by any recovery from other type of insurance. If another party caused the insured's property loss, this might include recoveries from a third party's liability insurance. As with business income coverage, the insurer's obligations are reduced to the extent normal operations can be resumed.
The insurer's obligations do not exceed the dollar limits for business income and/or extra expense coverage at each location, as shown in the declarations.
C.Bases of Loss Settlement – Coverages A, B, C
1.Actual Cash Value Basis
Loss settlement under Coverages A, B, and C is on an actual cash value basis.
However, if the cost to repair a damaged building is less than the replacement threshold limit specified in the Supplemental Declarations, then loss settlement is on a replacement basis (pursuant to the provisions of the following Condition C.2) other than loss to the following property: awnings; cooking, dishwashing, laundering, refrigerating, or ventilating appliances; fire extinguishers; floor coverings; lawn care and snow removal equipment; outdoor fixtures/furniture.
2.Replacement Cost Coverage Option – Coverage's A/B
a.If MCP 520 is listed in the Declarations (or the replacement cost option is otherwise designated as applicable in this policy) then the expense of replacement applies in lieu of actual cash value as the basis for loss settlement on those buildings and that personal property designated
in this policy as subject to this Option. However, in any case, loss to the following property remains on an actual cash value basis:
1.Manuscripts.
2.Property of others.
3.Stock – Unless MCP 521 is listed in the Declarations.
4.Works of art, antiques, or rare articles, including – but not limited to – bronzes, bric-a-brac, etchings, marble, pictures, porcelains.
b.We are not liable for payment on a replacement basis until you complete repair, replacement, or restoration of the subject property.
You may submit a claim on an actual cash value basis and then, no later than 180 days following settlement on an actual cash value basis (or our offer of such if you decline settlement), make further claim in writing on repair, replacement, or restoration which you have completed at the time you make such claim.
3.Unless MCP 522 is listed in the Declarations as applicable to the subject property, you must make repair, replacement, or restoration at the same described premises. But see Supplemental Coverage 4, if such is prohibited by law or ordinance.
D.Appraisal
1.If you and we do not agree on the amount of the loss or values or on the amount of Business Income or operating expenses, either one can require that the items in dispute be set by appraisal. Within 30 days of receipt of a written demand for appraisal, each is to select a competent and disinterested appraiser.
Each party is to then notify the other of the appraiser selected.
2.The two appraisers are to select a competent and disinterested umpire. If the appraisers are unable to agree upon an umpire within fifteen days, you or we may petition a judge of a Court of Record to select an umpire.
3.The appraisers are to reach a mutual agreement on the items in dispute. If the appraisers fail to agree within a reasonable time, they are to submit their differences to the umpire. Written agreement signed by any two of these three persons constitutes settlement on the items in dispute.
4.Each appraiser is paid by the party selecting the appraiser. All other expenses of the appraisal are paid equally by you and us.
5.If we agree to appraisal, we specifically retain our right to deny the claim.
Analysis
Unless otherwise specified, buildings and business personal property of the named insured are valued on an actual cash value basis. As defined in the form's glossary, the insurer may consider the following factors in determining an item's actual cash value: "age; condition; cost to repair, replace, or restore the property, subject to deduction for depreciation; deterioration; economic value; market value; obsolescence (both structural and functional); original cost; use; utility; or other circumstances that may reasonably affect value."
As is commonly done in forms that cover buildings, the form also specifies that smaller losses to building property (with some exceptions) are to be settled on a replacement cost basis. In this case, the cut-off point for smaller losses is the replacement threshold limit stated in the supplemental declarations. The standard replacement threshold limit is $3,000, but this is subject to modification. Replacement cost coverage does not apply to these building items that tend to depreciate rapidly: awnings; cooking, dishwashing, laundering, refrigerating, or ventilating appliances; fire extinguishers; floor coverings; lawn care and snow removal equipment; or outdoor fixtures/furniture.
Replacement cost coverage replaces the standard actual cash value coverage for items for which MCP 520 is listed in the declarations. A statement in the declarations may also indicate that replacement cost coverage is applicable. Even when replacement cost coverage applies, certain hard-to-value or irreplaceable items are valued on an actual cash value basis: manuscripts, property of others, and antiques or works of art. Stock is also valued at actual cash value unless the selling price option (MCP 521) applies to stock that has been sold but not delivered.
Replacement cost coverage applies only when the property is actually repaired, replaced, or restored. An insured has the option of settling on an actual cash value basis and then 180 days to submit a claim for the difference between the actual cash value and the replacement cost of repairs that have actually been completed. As discussed earlier, the same limitation applies to additional ordinance or law costs incurred under supplemental coverage 4. The policy is silent as to what happens if repairs take longer than 180 days. In contrast, the ISO Building and Personal Property Coverage Form provides 180 days for the insured to notify the insurer of its intent to make a replacement cost claim once restoration is completed, but it does not limit payment to work that is completed within 180 days.
Repair, replacement, or restoration of the damaged property must be made at the same location unless the declarations include MCP 522 with respect to the property.
The described appraisal process may be used in settling disputes over the amount of any loss under either the main coverages or the supplemental coverages. The appraisal condition provides that if either the insurance company or the insured submits a written demand for an appraisal after a property loss, each has thirty days to choose an appraiser and the two appraisers, in turn, have fifteen days in which to select an umpire. In the event the appraisers fail to agree on both the value of the property and the amount of loss, the issue is given to the umpire (previously selected by the two appraisers or appointed by a judge from any court having jurisdiction). When an agreement is reached by any two of these parties (among the appraisers and umpire), the decision stands. Any expenses beyond the cost of each party's appraiser are divided equally between the insurance company and the insured. It is stated within the appraisal provision that the insurance company may still deny a claim even if an appraisal has been agreed to. The purpose of the statement is to avoid a legal argument that the insurer's participation in the appraisal process carries an implied agreement to pay that prevents subsequent denial.
E.Coinsurance Requirements – Coverages A, B, C When the Declarations show a Coinsurance factor, the following Conditions apply:
1.Full Liability
We pay the full amount of our obligation on the loss, as otherwise determined and limited in this policy, if the product of "a" times "b" is an amount equal to or less than the applicable limit for the property shown in the Declarations, where:
a."a" is 100% of the applicable value of the property at the time of loss (if two or more items are covered by one limit, use the sum of their separate values).
b."b" is the applicable Coinsurance factor specified in this policy.
But if this figure exceeds the applicable limit, our maximum obligation on the loss is reduced, as determined in Condition E.2. (But see the following Special Condition).
2.Reduced Liability
If the figure in the preceding Paragraph E.1 (that is, "a" x "b") exceeds the applicable limit for the property, our obligation, subject to all other provisions, is as follows:
a.Divide the applicable limit by the figure determined in Paragraph E.1; then
b.Multiply the amount of loss (less deductible) by the figure determined in Paragraph E.2.a: Our maximum obligation is this reduced amount (the product of [b]).
Analysis
As respects buildings and personal property, MSO's two-part coinsurance provision is laudably concise and clear. A coinsurance factor (typically 0.80, 0.90, or 1.00) is shown in the declarations for each building or personal property item. Full liability—meaning no coinsurance penalty—is applied if the amount of insurance equals or exceeds the coinsurance factor times the insurable value of the damaged, destroyed, or lost property at the time of the loss. Reduced liability—application of a coinsurance penalty—applies when the amount of insurance does not meet this standard. With reduced liability, the insurer's obligation is prorated in proportion to the ratio of the insurance limit to the amount of insurance that should have been carried to meet the coinsurance requirement.
To illustrate, suppose property with an insurable value of $100,000 is insured subject to a $60,000 limit under a policy with a 0.80 factor (also known as an 80 percent coinsurance clause). Applying the calculations described in the form, a is equal to $100,000 and b is 0.80. The product of a times b is $80,000. Because $80,000 exceeds (is larger than) the $60,000 limit, the insurer's maximum obligation is reduced. Full liability does not apply; reduced liability does.
To determine the insurer's reduced liability, first divide the applicable limit ($60,000 in the example) by the $80,000 figure previously determined by multiplying a times b. $60,000/$80,000 = .75, or 75 percent. The insurer's reduced liability is 75 percent of the amount of the loss minus the deductible. If the amount of the loss is $11,000 and a $1,000 deductible applies, first subtract the $1,000 deductible from the $11,000 loss ($11,000-$1,000 = $10,000). Then multiply $10,000 by .75 to determine the insurer's reduced liability of $7,500.
Unless otherwise stated, the coinsurance condition applies only to coverages A, B, and C; it does not apply to this form's supplemental coverages.
F.Coinsurance Requirements – Coverage D.1
When the Declarations show a Coinsurance factor, the following Conditions apply:
1.Full Liability
We pay the full amount of our obligation on the loss, as otherwise determined and limited in this policy, if the product of "a" times "b" is an amount equal to or less than the applicable limit for such loss shown in the Declarations, where:
a."a" is the sum of the net income (net profit or loss prior to income tax) plus all operating expenses (including payroll).
b."b" is the applicable Coinsurance factor specified in this policy.
But if this figure exceeds the applicable limit, our maximum obligation on the loss is reduced, as determined in Condition F. 2 (But see the following Special Condition).
The net income and operating expenses used are those that would have been earned (had the direct covered loss not occurred) by your business/operations at the described premises for the 12 months following the latest one of the following dates, as applicable to the policy: the inception date, if a new policy; the renewal date, if a renewal policy; the last applicable anniversary date, if a term policy.
2.Reduced Liability
If the figure in the preceding Paragraph F.1 (that is, "a" x "b") exceeds the applicable limit for the loss, our obligation, subject to all other provisions, is as follows:
a.Divide the applicable limit by the figure determined in Paragraph F.1; then
b.Multiply the amount of loss by the figure determined in Paragraph F.2.a: Our maximum obligation is this reduced amount (the product of [b]).
Special Condition – Waiver of Conditions E and F.
When the amount of covered loss is less than both: the Special Condition limit specified in the Supplemental Declarations and the product of the amount of insurance (applicable to the covered loss) times the Special Condition factor specified in the Supplemental Declarations – the Coinsurance Condition is waived on such loss.
Analysis
As respects business income coverage, MSO's two-part coinsurance condition parallels the approach taken with respect to buildings and personal property. However, it can be more difficult to establish business income values than it is to determine the insurable value of tangible property.
Calculations begin by determining the net income and operating expenses that would have been earned during the current twelve-month policy period if no direct covered loss had occurred at some point during the policy period. This amount, referred to as "a," is then multiplied by the coinsurance factor specified in the policy, referred to as "b." If the amount of business income insurance equals or exceeds the product of a times b, the insurer has full liability and will pay the business income loss in full, subject to policy terms and conditions.
Reduced liability applies when the amount of insurance is less than the amount previously determined, in which case the amount of the loss is prorated in proportion to the amount of insurance that should have been carried.
To illustrate, suppose the insured's net income and operating expenses during the current twelve-month policy term would have been $100,000, and the insured has business income coverage (coverage D.1.) subject to a $60,000 limit under a policy with a 0.80 factor (also known as an 80 percent coinsurance clause). Applying the calculations described in the form, a is equal to $100,000 and b is 0.80. The product of a times b is $80,000. Because $80,000 exceeds (is larger than) the $60,000 limit, the insurer's maximum obligation is reduced. Full liability does not apply; reduced liability does.
To determine the insurer's reduced liability, first divide the applicable limit ($60,000 in the example) by the $80,000 figure previously determined by multiplying a times b. $60,000/$80,000 = .75 or 75 percent. The insurer's reduced liability is 75 percent of the amount of the loss minus the deductible. (No dollar deductible applies to business income coverage.) If the amount of the business income loss is $10,000, multiply $10,000 by .75 to determine the insurer's reduced liability of $7,500.
The coinsurance condition is waived (that is, no coinsurance penalty applies) for smaller business income losses. The supplemental declarations include a dollar limit ($10,000 is standard but can be modified) and a factor (0.05 is standard but can be modified) that apply in determining which losses this applies to. The coinsurance penalty is waived for losses that meet both of two conditions. First, the amount of the covered business income loss must be less than the dollar limit (e.g., $10,000), and second it must be less than the factor (e.g., 0.05) times the applicable amount of insurance. In the preceding example, the coinsurance penalty would not apply to any loss that is less than $3,000 if the standard amounts in the supplemental declarations apply. That's because 0.05 (the factor) times $60,000 limit equals $3,000, which is also less than $10,000.
G.Deductible – Coverages A, B, C
1.We are liable for covered loss in any occurrence only when the loss is in excess of the deductible amount shown in the Declarations, and then only on the amount of loss less the deductible amount.
2.However, if MCP 512 is listed in the Declarations as applicable to the subject property loss and if the loss is 5 (five) times or more the deductible amount, then: reduce the applicable deductible by 2% (.02) of the amount of loss up to a maximum reduction of 100% of such deductible amount. For example, if the loss is $20,000 and the deductible is $1,000 the net deductible is $600 (.02 x $20,000 = $400; $1,000 – $400 = $600).
Analysis
The deductibles discussed here apply only to building and personal property coverage; no dollar deductible applies to business income or extra expense coverage. The applicable deductible amount appears in the declarations. The insurer has no obligation with respect to any loss that is less than the deductible, and the deductible is subtracted from larger losses.
When coinsurance and deductibles are involved, questions arise as to where in the sequence the deductible is applied. When a coinsurance penalty (reduced liability) is involved, the deductible in this form is to be subtracted from the amount of the loss, not the amount of the recovery. This approach was illustrated in the coinsurance example provided earlier.
MCP 512 offers a disappearing deductible option. Disappearing deductibles are attractive—in theory—but they have all but disappeared in practice. Property insurance deductibles are intended to encourage loss prevention, by ensuring that the insured has some skin in the game, and to eliminate the disproportionately high cost of settling small claims that are more efficiently handled outside the insurance mechanism. These objectives are most relevant to small losses. Disappearing deductibles apply to small losses but gradually become smaller, and eventually disappear, as the size of the loss increases. Disappearing deductibles are theoretically appealing because they meet the objectives of a deductible with respect to small losses without penalizing the insured who suffers a larger loss. Unfortunately, they are difficult to explain and often misunderstood by insureds.
H. Loss to a Portion of a Pair or Set of Articles – Coverages B/C
1. Loss to some portion of a pair or set of articles or to property consisting of two or more parts (when complete) is not considered a total loss unless: because of such loss, the remainder is of no use and repair or replacement is not feasible.
2. In case we agree to pay for total loss, you are required to give us the remainder of such property, at our request, prior to such payment.
I.Our Liability and Satisfaction of Your Loss
If the maximum liability payable by us on covered loss, as determined under this policy, does not fully satisfy your loss, then you must either seek insurance that may be provided by others for the difference or otherwise absorb the unsatisfied portion of the loss yourself.
Analysis
Loss to one item that is part of a pair or set of related items (for example, the second volume of a three-volume book set) often disproportionately affects the value of the remaining items. This form's pair or set clause makes it clear that loss of one component does not automatically create a total loss but, if the insurer agrees to pay for a total loss, the insurer is entitled to take possession of the remaining parts.
It should go without saying, but the form makes it clear that the insured is on its own to the extent any loss is not covered by this policy. The insurer has no obligation to pursue other sources of recovery.
J.Our Options in Settling Losses – Coverages A, B, C
1.We may pay for the loss in money.
2.We may repair or replace all or any part of the property as provided for in this policy, or take all or any part of such property at a mutually agreed, or appraised, value. We may give notice of our intent to do so at any time up to 30 days after our acceptance of our liability for the loss (i.e., proof of loss).
3.We may settle the claim with you, any loss payee named in this policy, or others legally entitled to receive payment. If the claim applies to property of others, we have the right to adjust the loss with the owners of the property: satisfaction of their claim is also satisfaction of your claim as to such property.
If legal action is taken in a claim against you, we have the right to conduct and control a defense at our expense (but without increasing our liability under this policy).
Analysis
Following a covered loss, the insurance company has four options. First—and most commonly—the insurer will simply provide money to pay the loss. Second, the insurer may repair or replace the property. For example, the insurer might arrange to have a glass contractor, with whom it does business, to replace damaged glass. Third, the company may take the property and pay the insured an agreed or appraised price. The insurer promises to notify the insured within thirty days of receipt of the sworn statement of loss if it intends to pursue this option. Finally, the company may settle the claim with the named insured, any named loss payee, or any other party legally entitled to payment—such as the owner of personal property of others.
Claims involving a loss payee or personal property of others in the insured's custody occasionally give rise to a legal action against the insured. When this happens, the insurer has a right to conduct and control a defense, at the insurer's expense, but defense costs are within applicable limits.
K.Recovery of Covered Property
In the event we make a payment for loss and a subsequent recovery is made of any of the property, you may choose to keep the property you have recovered or receive the property that we have recovered. If you choose this option, our liability is reduced accordingly: payment is adjusted for the amount which you received for the loss to such property, and you must compensate us for the amount we previously paid.
If you do not choose this option, the recovered property becomes our property: if you have such property, you are required to give us those items we request.
Analysis
This condition provides a method for loss readjustment in case damaged or stolen property is recovered after the insurer has paid a claim. The insured has the option to return the amount of any claim payment in return for the original item, in which case the insurer is to be compensated. Alternatively, the insured may keep the claims payment, but the recovered property then belongs to the insurer.
L.When Loss Becomes Payable/Payment to Others
1.Loss becomes payable 30 days after completion and acceptance by us of a written agreement between the parties, or after an award is filed with us as provided in this policy. Our payment does not reduce the amount of insurance provided under this policy.
2.With respect to any mortgagee or secured party named in this policy; governmental entity; or others with contractual, legal, or statutory rights in loss payable under this policy: we may make payment jointly to all interested parties at our option. But we need not pay any loss assignee, unless they receive a full assignment of the loss from you.
3.If an insurance trustee is named in this policy, we may negotiate the loss and make payment solely to such trustee – to the extent that the trustee represents those with an interest under this policy.
Analysis
The insurer must pay the claim within thirty days after reaching an agreement with the involved parties. The insurer has a right to decide whether the claim draft is payable to the insured, or it may be payable jointly to all interested parties. This is normally done by naming the various parties and adding "as their interests may appear." The insured may assign claims proceeds to another party, but the insurer will not pay the other party without the insured's consent. The insurer may settle a claim with a trustee who represents other interested parties.
The policy's limits are not aggregate limits, so payment of any claim does not reduce the amount that is still available to pay future claims.
3.Other Special Part I Conditions
A.Abandonment of Property
Abandonment of any property to us is prohibited.
B.Increase in Hazard/Related Conditions
1.Increased Hazards
a.This insurance is suspended while the hazards we initially undertook to insure are increased by means within your control or control of those you designate to act for you: loss, otherwise covered, is not insured during such suspension of this insurance. Lawful building alteration, construction, maintenance or repair, unless changing the use of premises, is not an increase in hazard.
b.An increase in hazard at one described premises does not affect this insurance at another described premises when no increase in hazard exists at such other described premises.
c.Increase in hazard includes changes which affect one or more of the following: use of the premises; the rates for this insurance; the acceptability of the hazard/risk to us, including breach of conditions which were the basis of our acceptance of such; the underwriting conditions and changes in physical conditions required by us for such hazard/risk; ongoing continuous effectiveness and use of any protectivesafeguards, required by us for which we have given premium consideration; circumstances which would affect the scope of coverage, covered causes of loss, or amounts of insurance otherwise acceptable to us for such hazard/risk.
2.Vacancy
This insurance is suspended when a covered building becomes vacant beyond a period of 60 consecutive days. Vacant means not containing the contents customary to occupancy of the building. A building in the course of lawful alteration, construction, or repair is not considered vacant.
3.Unoccupancy
This insurance is suspended when a covered building becomes unoccupied beyond a period of 60 consecutive days.
This Condition does not apply to unoccupancy during that part of the year when it is your normal previous custom to close because of seasonal use.
Analysis
The insured may not simply abandon damaged property to the insurance company.
An increase in hazard condition was a standard fixture in the 1943 Standard Fire Policy that once served as the foundation document for commercial property insurance. However, insurers have found it difficult to enforce this condition. Today, few policies include an increase in hazard condition per se.
Vacancy and unoccupancy represent an increase in hazard. A vacant building does not contain the contents that are customary to its occupancy, but a building under construction is not considered vacant. Coverage is suspended completely when a building is vacant or unoccupied for more than sixty consecutive days. However, this condition does not apply to a seasonal building that is normally closed during part of a year.
Because it completely suspends coverage, this condition is harsher than the vacancy condition in the ISO Building and Personal Property Coverage Form, which eliminates coverage for certain perils and reduces the amount of recovery for loss by other perils when a building is vacant for more than sixty days.
C.Mortgagee Agreement
Mortgagees named in this policy are covered for loss to the extent of their interest and in order of precedence of the mortgages. This Condition applies to those mortgagees (this term includes trustees) named in this policy who comply with the following Conditions.
Provided that the mortgagee will:
1.Without delay, notify us of any change in ownership or occupancy, foreclosure proceeding, or increased hazard known to the mortgagee.
2.Pay, on our demand, any required premium because the insured fails to do so.
3.Furnish proof of loss within 60 days after our request if the insured fails to do so.
4.Give us the mortgagee's rights of recovery against anyone liable for the loss. This does not impair the mortgagee's right to recover the full amount of the claim.
5.Permit us, after a loss, to satisfy the mortgage requirements and receive a full assignment of the mortgage and all collateral securities to the debt. We agree to provide this insurance to protect the mortgagee's interest in covered property even if we deny your claim.
See elsewhere in this policy for Conditions relating to Cancellation by us.
Analysis
This condition spells out the rights and duties of any mortgagees or trustees (here referred to as mortgageholders) that are named on the declaration and comply with certain conditions.
The mortgageholder is required to notify the insurance company of any known change in ownership or occupancy, as well as any foreclosure proceeding or increase of hazard. On the insurer's demand, the mortgageholder is also required to pay any required premium that the insured has not paid and to furnish a proof of loss, within sixty days, if the insured has not.
If claim payment is made to a mortgageholder, the insurance company inherits the mortgageholder's rights of recovery against a third party who may be responsible for the loss, but the mortgageholder still retains a right to recover the full amount of the claim.
At the insurance company's option, the mortgageholder may be paid the full payment of the principal and interest on the mortgage in exchange for transfer of the mortgage to the insurance company. The insured continues mortgage payments, but to the insurance company instead of the original mortgageholder.
If payment for a claim is denied to an insured (due to the insured's actions or lack of compliance with the terms for coverage) a mortgage holder is still entitled to loss payment as long as any obligations concerning premium or proof of loss due to the company are taken care of by the mortgageholder.
D.No Benefit to Bailee
This insurance does not apply to the benefit of any others having custody of covered property. Any assignment to such persons or organizations has no standing under this policy.
E.Special Factors, Limits, or Limitations
This Part includes references in certain provisions to factors, limits or special limits, and other limitations described or specified in this policy: these are shown in the Declarations and Supplemental Declarations (or other similar attachments) to this contract.
Analysis
Like many other property insurance forms, this policy will not cover the liability of a bailee for property that is in the bailee's possession.
The following words shown in italics are defined for the purposes of insurance under Part I to mean the following.
Actual Cash Value
Consideration may be given by us in our determination of actual cash value to: age; condition; cost to repair, replace, or restore the property, subject to deduction for depreciation; deterioration; economic value; market value; obsolescence (both structural and functional); original cost; use; utility; or other circumstances that may reasonably affect value.
Automatic Sprinkler System
Automatic sprinkler system means:
A.Any automatic fire protection or extinguishing system, including any of the following connected parts:
1.Ducts, fittings, pipes, or valves.
2.Pumps and private fire protection mains.
3.Sprinklers and other discharge nozzles.
4.Tanks, including their component parts and supports.
B.When supplied by an automatic fire protection or extinguishing system:
1.Hydrants, outlets, or stand pipes.
2. Non-automatic fire protection or extinguishing systems.
Collapse
Collapse means an abrupt falling down or caving in of a building or structural parts of a building.
Collapse does not include a building or part of a building that is:
1.In danger of falling down or caving in; or
2.Standing, even if it has separated from another part of the building.
Collapse does not include bulging, cracking, expanding, settling or
shrinking.
Computer Hacking
Computer hacking means unauthorized intrusion into a computer network, hardware, software or website including entry of a computer worm or Trojan Horse, spyware or adware, that results in:
1.Alteration, contamination, corruption, degradation, destruction or modification of the integrity, quality or performance of computer media, data, prepackaged programs, hardware or software;
2.Copying, observation or scanning of data records, programs and applications and proprietary programs;
3.Corruption, damage, degradation, destruction, inadequacy or malfunction of any hardware or media used with hardware;
4.Deletion, destruction, generation or modification of software; or
5.Denial of access to or denial of service from your computer network, hardware or website.
Computer Virus
Computer virus means the introduction into hardware, software or a website of any malicious self-replicating electronic data processing code or other code that is intended to result in, but is not limited to:
1.Alteration, contamination, corruption, degradation, destruction or modification of the integrity, quality or performance of computer media, data, prepackaged programs, hardware or software;
2.Corruption, damage, degradation, destruction, inadequacy or malfunction of any hardware or media used with hardware;
3.Deletion, destruction, generation or modification of software; or
4.Denial of access to or denial of service from your computer network, hardware or website.
Covered Loss
Covered loss: See Part I C – Cause of Loss Options.
Direct Covered Loss
Direct covered loss: See Part I C – Cause of Loss Options.
Finished Stock
Finished stock means – stock manufactured by you: but does not include such stock that is held for sale on the premises of a covered retail outlet.
Fungi
Fungi means any type or form of fungus, mold, mildew spores, algae, smut, protists, rusts or rot and decay organisms, and any similar or related organisms and any mycotoxin, substance, compounds, chemicals, mist or vapor produced by any fungi in any form, or any byproducts or waste produced by fungi, but does not include any fungi intended to be edible.
Insured
Insured means the person or entity designated as insured in the Declarations or otherwise named as an insured in this policy.
Money/Securities
Money means bank notes, bearer bonds, bullion, coins, currency, lottery tickets, money orders, prepaid phone cards, registered checks, stored value cards, and travelers checks held for sale to the public.
Securities means negotiable and non-negotiable contracts or instruments that represent obligations to pay money or pay other property and that are collectible at the time of loss: examples of such include – but are not limited to – accounts, bills, deeds, evidence of debt, notes, revenue and other stamps, tickets (not money), or tokens now in use.
Pollutants
Pollutants are any gaseous, liquid, solid, or thermal contaminant or irritant, including acids, alkalis, chemicals, fumes, smoke, soot, vapors, and waste (including materials to be reclaimed, reconditioned, or recycled).
Rot and Decay Organisms
Rot and decay organisms means any living organism that causes decomposition of physical property.
Stock
Stock means: merchandise held in storage or for sale; in-process or finished goods; raw materials; supplies used in packing or shipping of such goods, merchandise, or materials.
Valuable Papers and Records
Valuable papers and records includes: abstracts, books of account, card index systems, drawings, manuscripts, microfilm, microfiche; as well as cell, disk, drum, film, tape, or other data processing, recording, or storage media.
We/Us/Our
We, us, and our refer to the Insurance Company named in this policy.
You/Your/Yourself
You, your and yourself refer to the named insureds who are the insureds named in the Declarations. First named insured is the insured named first in the Declarations.
Analysis
Italicized terms and phrases elsewhere in the form have the meanings defined in this glossary. If a liability form is Part II of this policy, these definitions apply only to Part I—the property coverages.
Many of the defined terms are discussed elsewhere in this analysis. Others, though they are important, contain no surprises and require no elaboration.
These Common Conditions Apply in Addition to Part I G.
1.Action or Suit against Us
The conditions for bringing an action or suit against us are described elsewhere in this policy in the state mandatory endorsement.
Analysis
If the insured wishes to sue the insurer, the insured must comply with conditions expressed elsewhere in the policy or in a state-specific endorsement. Typically, the insured must first be in full compliance with the terms of the policy, and the action must be brought within a specified time period, such as one or two years, following the loss or damage.
2.Assignment of Your Interest
No assignment of an interest in this policy is binding on us without our written consent. However, if you are an individual and die this insurance applies:
A.To your legal representative, while acting within the scope of the representative's duties.
B.To those with custody of your property prior to appointment of a legal representative.
Analysis
The insurer's written consent is required for any transfer to another person of the insured's rights and duties under the policy. The single exception to this requirement of written consent is transfer to a legal representative upon the death of an individual named insured. In such cases, the legal representative exercises the deceased insured's rights and duties while acting as legal representative. Until a legal representative is appointed, rights and duties of the deceased insured with respect to the deceased insured's property pass to anyone having proper temporary custody of that property.
3.Cancellation/Termination
A.General
You may cancel this policy by: surrendering the policy to us or our agent or by mailing us or our agent notice stating a subsequent cancellation date for the policy. Such request made by the first named insured applies for all insureds/interests named under this policy. All cancellations are pro rata, but a minimum earned premium may apply. Any return premium is payable to the first named insured – within 30 days after the cancellation date.
If you secure insurance with another insurer to replace our policy and do not pay the premium, or installment payment, for this policy when due: this policy terminates at the time such other insurance becomes effective. If you sell the described business or premises to others, coverage under this policy terminates at the time title is transferred to others with respect to such business or premises – unless you retain an insurable interest.
B.Our Right to Cancel or Terminate
Our rights to cancel or terminate this insurance are described elsewhere in this policy in the state mandatory endorsement.
Analysis
Either the insurer or the insured may cancel the policy. Dealings between insurer and insured with respect to cancellation are to be carried out by "the first Named Insured shown in the Declarations" when more than one insured is named in the policy. It is the first named insured—not any insured—who must mail or deliver notice of cancellation to the insurer. Premium refund is also made to the first named insured.
The policy automatically terminates if the named insured purchases a replacement policy from another insurer and does not pay the premium on this policy when it becomes due. If the business or premises are sold, coverage automatically terminates at the time title is transferred unless the named insured retains an insurable interest in the property.
Whether the insured or the insurer cancels the policy, return premium is calculated on a pro rata basis, but the insurer may retain a minimum earned premium.
Insurers' cancellation, termination, and nonrenewal rights vary by state. Unless otherwise described in this policy, the insurer's rights are described in a state-specific endorsement.
4.Concealment/Misrepresentation/Fraud
This policy is void if, either before or after a loss, any insured misrepresents or knowingly conceals any material fact or circumstance, commits fraud, or swears falsely relating to any aspect of this insurance (including the information we relied upon in issuing this contract). However, if we specifically choose not to declare this policy void, we do not provide insurance under this policy to, or for the benefit of, any such insureds.
Analysis
This provision voids coverage should the named insured commit a fraudulent act or if the named insured or any other insured commits fraud or intentionally conceals or misrepresents a material fact about the coverage, the covered property, a claim, the named insured's interest in the property, or any other aspect of this insurance. Note that the concealment, misrepresentation, or fraud condition works to void coverage whether the fraud, concealment, or misrepresentation occurs before or after a loss.
The language does not state that the act of any other insured voids the policy only as to that individual. Conceivably, therefore, the act of any insured could void the policy as to all other insureds, including the named insured. However, the insurer may choose to honor the contract with respect to insureds other than the one who was personally guilty of concealment, misrepresentation, or fraud. In some jurisdictions or situations, the insurer may be required to provide coverage for a battered spouse or other innocent coinsured.
5.Conformity with Statute
It is agreed by us that the provisions in this policy are amended to conform to all applicable statutory requirements.
6.Coverage Territory
We cover damage or loss only within the fifty states of the United States of America (including its possessions and territories), the District of Columbia, Puerto Rico and Canada.
To be covered under the commercial property policy, loss or damage must occur within the coverage territory: the fifty United States (including its territories and possessions), Washington D.C., Canada, and Puerto Rico. The U.S. Government lists the following territories and possessions: the Northern Mariana Islands, Guam, American Samoa, Federated States of Micronesia, U.S. Virgin Islands, Midway Islands, Republic of the Marshall Islands, and Republic of Palau.
7.Examination/Changes
We may, at our option, inspect your property and operations at any time, make surveys, and make recommendations. However, our reports or recommendations or those of any inspection bureau or rating bureau do not constitute a determination or representation that any premises or operations
are in compliance with law or regulation, healthful, or safe. We may inspect and audit your books and records at any time (including up to 3 years after termination of this insurance contract) to the extent such pertains to the subject of this insurance or payment of premium. The first named insured is
required to keep all records necessary for such and send complete accurate copies to us at our request.
We may make premium adjustments based on the findings of our inspection and audit, or because of the application of MCP 550 (See Part I, Common Condition 11).
Analysis
This provision underscores the point that one should not assume an insurance provision's contents based on its title. Based on experience with other insurance policies' changes provisions, one might expect from the title of this provision that it explains that policy changes may be made only by the insurer and then only in writing. Not so; that issue is addressed in condition 14. Condition 7 deals with the insurer's right to conduct inspections and to examine the insured's books and records.
This condition gives the insurer the right (but does not impose any obligation) to conduct inspections, to make surveys, and to make recommendations. The nature of these recommendations is not specified, but recommendations made to the insured typically deal with safety or compliance issues. This condition does not place the insurer (or any rating, advisory, or similar organization making inspections under the policy) in the position of warranting that conditions connected with the insured's operations are safe or healthful or that the insured is in compliance with legal requirements that may pertain to those operations.
This condition also gives the insurer the right to audit books and records of the insured relating to the policy. The examination or audit may be made during the policy period or any time within three years after the policy period ends. The insurer may make premium adjustments based on the inspection and audit. This condition is linked to the premiums condition that appears later in the form's alphabetical sequence. The premiums condition allows the insurer to charge a provisional premium if MCP 550 is listed in the declarations, with a final premium, retroactive to policy inception, based on a rating inspection or investigation of the insured premises.
MSO conducts detailed property inspections on every nonresidential risk to develop specific rates for the building and its contents. The specific fire rate reflects the unique circumstances surrounding the individual risk, including building construction, operational hazards, and distance to the fire department and hydrants. In addition to the schedule rate, MSO develops an idealized rate that would apply if all correctable hazards were eliminated. For insureds that may not want or are not able to address all recommendations, MSO will develop tentative rates that show what the rate will be if some of the recommendations are complied with.
8.Insurance under More Than One Coverage
In the event that more than one coverage under this policy covers the same loss, we are liable only for the amount of our obligation, up to our limit of liability, not exceeding the amount of loss.
9.Liberalization
This policy is automatically extended to include provisions approved during the policy period or within 45 days prior to its inception, which would broaden coverage under this policy, if such are not subject to additional premium or concurrent with coverage restrictions.
Analysis
This anti-stacking provision prevents the insured from duplicate coverage.
Insurers periodically introduce new policy editions that contain some changes. Any broadening of coverage produced by a revision of the coverage form that is introduced during the policy period or in the forty-five days preceding its inception will immediately apply to the insured's unrevised policy. However, the liberalization clause does not apply if the revision that broadens coverage also includes coverage restrictions or requires any extra premium. This provision is standard in many insurance forms.
10.Other Insurance
A.This insurance is excess insurance over other insurance you may have applicable to the loss (whether you can collect on it or not) that is not subject to the same provisions contained in this policy.
B.When this insurance is excess over other insurance: We pay only our share of the remaining loss that exceeds the sum of both:
1.The total amount payable by all such insurance, as described, in the absence of this insurance, plus
2.The total of any deductibles or self-insured amounts under all such insurance.
Furthermore, any remaining loss is then shared by us with any other insurance remaining on the loss in accordance with the provisions described in the following Paragraph C.
C.With regard to other insurance subject to the same provisions contained in this policy or where we otherwise are a primary insurer (among others) we pay in one of the following ways:
1.If all such other insurers provide for contributions by equal shares: we and all other insurers contribute equal amounts until the amount of obligation is paid or the insurer's applicable limit of liability is used up, whichever comes first.
2.If any other insurer does not provide for equal shares: we pay no greater proportion of the total amount of loss than our obligation on the applicable limit of liability of this policy bears to the total amount of
insurance of all insurers covering the loss.
However, if you have any other insurance applicable to property covered by this policy – but not covering a cause of loss covered under this policy, then: any loss payable under this policy in connection with such cause of loss is apportioned and payable by us in the same way as if such other insurance covered the loss.
Analysis
The condition does not state that the insured cannot have other insurance. Rather, many insureds with commercial property to insure will carry more than one policy or more than one insurance company will insure a specific risk. The other insurance condition recognizes this but reduces all situations in which other insurance might apply to two: (1) the existence of other insurance written on any other basis than this policy, in which case the policy responds as excess insurance; and (2) the existence of other insurance written with the same provisions as this policy, in which case the policy and others are primary insurers. When two or more other primary insurers provide for contributions by equal shares, this policy contributes on that basis. Otherwise, this policy responds pro rata by limits.
If this policy covers loss by a peril that another policy would also cover except that the other policy does not cover that peril, then the loss will be apportioned the same as though the other policy did cover that cause of loss.
11.Premiums
The first named insured is responsible for the payment of all premiums, and will be the sole payee of any premiums we return.
MCP 550 – Provisional Rates and Premiums
If MCP 550 is listed in the Declarations, the rates for the subject items are interim provisional rates and the subject premiums are tentative premiums. When the final specific rates (based on rating inspection/investigation of the subjectpremises) are promulgated such rates are applicable from inception of the current policy term.
The applicable tentative premiums are then recalculated using the final rates, and either a return premium or additional premium is applicable for the current policy term.
Analysis
The first named insured is responsible for making all premium payments and receiving any return premiums. The rest of this provision was previously analyzed in connection with the examination/changes provision.
12.Recovery from Others
If any insured (or others) to whom, or for whom, we make payment has any rights of recovery on the loss from another, those rights are transferred to us to the extent of our payment under this policy. Insureds (or such others) must do whatever we require to secure these rights. You may waive such rights in writing prior to a covered loss. You may also waive such rights after a loss, but only if the waiver is given to either:
A.Another insured under this policy; or
B.A business either controlled or owned by you or that controls or runs your business.
But we have no obligation to pay under this policy on the loss if these rights are otherwise waived.
Analysis
The most important point here is that, if the insured waives it rights of recovery against a third party after a loss has occurred, the insurer may not be obligated to pay a claim that might otherwise be covered.
This condition defines the insurer's subrogation rights under the policy, which arise when the insurer makes a payment to or for "any insured (or others)." The reference to others preserves the insurer's subrogation rights with respect to third parties who might recover for a loss under the policy—a mortgagee or bailor, for instance. It clarifies that the insurer takes over the subrogation rights of not only the named insured, but also of any third-party claimant but only to the extent of any payment the insurer has made to that third party.
The insured's right to waive possible recovery against third parties is retained if the waiver is made before a loss. The insured is also permitted to waive its rights of recovery after a loss when the waiver is given to another insured or to a business owned or controlled by the insured or one owning or controlling the insured.
13.Time of Inception and Coverage Period
The time of inception and expiration is 12:01 A.M. Standard Time at the described premises. Unless otherwise specifically provided for under this policy, this insurance applies only to covered loss that takes place during the policy term.
Analysis
Coverage basically begins at midnight, but insurers refer instead to 12:01 A.M. This might seem like an unusual time for a policy period to begin, but it avoids ambiguity. 12:00 A.M. might arguably be interpreted to mean either noon or midnight, and midnight is ambiguous as to whether it is the moment in time that begins or ends a particular calendar date.
This policy covers losses that take place during the policy period, typically one year, between 12:01 A.M. on the policy's inception date and its expiration date unless otherwise specifically provided. For example, the coverage D policy term extension provision specifically states that the described periods of indemnity are not limited by expiration of the policy term.
14.Waiver or Change of Provisions
Only the first named insured may request changes in this policy. The terms in this policy may not be waived or changed except in writing, signed by our agent and attached to this policy. The exercise of our rights under this policy is not an act of waiver. This policy contains all related agreements between
you and us.
NOTE: Similar Common Conditions are included in Part II (if made part of this Contract).
Analysis
This condition stipulates that any changes in the terms of the policy can be made only by endorsement issued by the insurer. Requests for changes on the insured's part must be made by the first named insured.
The concluding note refers to conditions applicable to liability coverage that may be provided as Part II of the same policy.
We provide no insurance for any sort of damages, expenses, liability, or loss directly or indirectly, wholly or partially, aggravated by, consisting of, or resulting from the following – even if loss otherwise covered contributes to such concurrently or in any sequence.
These Common Exclusions Apply in Addition to Parts I D, E, and F.
1.Earth Movement/Earthquake/Volcanic Activity
Earthquake; volcanic activity (including volcanic effusion, eruption or explosion) other than that specifically described as included in volcanic eruption under Part I C, Cause of Loss Options; or other catastrophic earth movement. But if loss resulting from fire or explosion, or theft (to the extent otherwise insured by this policy) ensues, we insure such resulting loss.
2.Governmental/Legal/War
A.Any act or condition of: war (declared or not), civil war, invasion, insurrection, rebellion, revolution, or seizure of power, including acts done to defend against any such act or condition, whether actual or expected.
B.Knowing violation of penal law or ordinance committed by, or with the consent of, an insured. Statutory fines or liability. Exemplary or punitive damages.
C.Confiscation, loss, or seizure under customs, drug enforcement, or quarantine legislation or regulations. Loss to property that is contraband or in the course of illegal transportation or trade.
D.Damage or destruction of property ordered by civil authority, other than immediate acts of destruction ordered by authorized civil authorities for the purpose of preventing the spread of fire – provided the fire originates from a cause of loss covered in this policy.
3.Nuclear/Radioactive Loss
A.Any nuclear event, occurrence, or operation, including nuclear explosion, nuclear reaction, nuclear radiation, or radioactive contamination. These are not fire, explosion, smoke or any other covered cause of loss. However, if these result in fire we insure such resulting direct fire loss, but not any other direct physical loss which may ensue.
B.The explosive, radioactive, toxic, or other injurious properties of nuclear or radioactive materials – whether such materials are natural or manufactured.
Note: Similar Common Exclusions are included in Part II (if made part of this Contract).
Analysis
Like virtually all insurance policies, this one broadly excludes all coverage for war and for nuclear incidents, but it preserves coverage for direct fire damage that ensues from a nuclear incident. Whether it is war-related, damage or destruction of property that is ordered by civil authorities is also excluded; however, damage intentionally ordered to prevent the spread of fire (such as setting a backfire or clearing an open area) is covered.
Earth movement, including earthquakes and volcanic activity, are also broadly excluded. With respect to this peril, ensuing fire, explosion, or theft (if theft is a covered peril) is, however, covered. Volcanic eruption (including damage by shock waves, ash, or lava flow) is not excluded; it is a covered peril in most policies, as discussed earlier in connection with the form's cause of loss options.
Endorsements Preprinted in the MSO General Property Form
NUMBER | DESCRIPTION |
MCP 501 | Extends the 60 day electronic media period of indemnity under Coverage D to the number of days shown in the Declarations |
MCP 502 | Extends the 30 day extended period of indemnity under Coverage D to the number of days shown in the Declarations |
MCP 503 | Deletes the antenna exclusion under Coverage D |
MCP 504 | Extends Coverage D to the increased period of time needed to comply with the subject building code or law |
MCP505 | Extends Cause of Loss Option 5 to property in transit |
MCP 506 | Permits Building Code/Law Coverage although property is not covered on replacement basis |
MCP 507 | Modifies the Water Damage Exclusion to MCP cover backup of sewers and drains |
MCP 508 | Extends business income coverage to cover computer hacking or viruses. |
MCP 510 | Applies general policy deductible (instead of a standard $250 deductible) to Accounts Receivable Supplemental Coverage |
MCP 511 | Applies general policy deductible (instead of a standard $250 deductible) to Valuable Papers and Records Coverage |
MCP 512 | Provides a Disappearing Deductible |
MCP 515 | Deletes certain coverage for loss to the interior under Weather Related Supplemental Coverage |
MCP 520 | Provides replacement coverage in connection with Coverages A/B |
MCP 521 | Extends replacement coverage to stock |
MCP 522 | Permits replacement under replacement coverage at another premises |
MCP 550 | Permits the use of Provisional Rates |

