(February 2024)
The American
Association of Insurance Services (AAIS) Cold Storage Locker Coverage Forms
provide coverage for loss to perishable food belonging to others while in a
rented locker within the named insured’s cold storage facility. The coverage
can be provided on a direct damage or legal liability basis. Damage while
processing coverage can be used with either option. Two versions of the coverage
form are available, with the only difference between the two being the covered
perils.
The IM 7315–Cold Storage Locker Coverage–Special Perils Form is analyzed first. The differences between it and the–Cold Storage Locker Coverage–Named Perils Form will follow.
Any commercial
business that offers cold storage lockers for rent to the public is eligible.
AAIS Cold Storage Locker coverage requires at least these four forms:
Related Article: CL 0100–AAIS Commercial Lines Common Policy Conditions
This Schedule of Coverages is used with IM 7315–Cold Storage
Locker Coverage–Special Perils Form or
IM 7316–Cold Storage Locker Coverage–Named Perils Form. IM 7317 contains the
following information:
The 01 12 edition added a space to enter the policy number.
The premises number
and location address or description is entered in the space provided.
Note: IM
7318–Additional Covered Premises Schedule–Cold Storage Locker Coverage is used
to schedule additional premises.
The 01 12 edition added quotation marks
around the word Limits (“Limits”) because Limit is a defined word.
Three different coverages are available for the premises listed on the schedule of coverages.
Only one of the following two can be selected:
o One limit is the most paid for covered property in a single cold storage locker at the designated location(s).
o The other limit is the most paid for a single loss to covered property in all cold storage lockers at the designated location(s).
o One limit that is the most paid for covered property in a single cold storage locker at the designated location(s).
o The other limit that is the most paid for a single loss to covered property in all cold storage lockers at the designated location(s).
This coverage can be used with either of the above selections:
The deductible amount must be entered in the space provided.
If Change in Temperature or Humidity Coverage is selected, the limit entered in the space provided is the most paid for a single loss that results from change in temperature or humidity.
The limit on the Schedule of Coverages for this coverage
applies to all covered locations:
The limit is $5,000 unless a different limit is entered.
There is no limit in the coverage form. As a result, policy limits apply
but defense costs reduce the amount available to pay for the loss. A limit
entered restricts the amount of defense costs coverage available. The previous edition had the word “covered”
in the space provided. The 01 12 edition has the words “See Form” in that
space.
The number of days is 365 unless a different number of days is entered.
This coverage provides additional coverage and limits.
The limit is $10,000 unless a different limit is entered.
This section of the schedule of coverages lists endorsements and forms included when the policy is issued.
The previous edition referred to this
section as Optional Coverages and Endorsements.
This analysis is of
the 10 06 edition.
The insurance company agrees to provide the coverage described in the coverage form and in the schedule of coverages. The named insured agrees to pay the premium. The agreement is subject to all the coverage form's terms, conditions, endorsements, and definitions.
Defined terms are used throughout the coverage form. Restricting their meaning to their definition is how all parties have a clearer understanding of the intended coverage. Thirteen terms are defined:
1. You and your
The party(ies) named on the declarations as the insured.
2. We, us, and our
The insurance company that has agreed to provide the coverage.
3. Earth movement
Earthquake is earth
movement, as is any landslide or mine subsidence. A volcanic eruption,
explosion, or effusion is also earth movement. The earth shifting, rising,
eroding, expanding, freezing, or thawing is earth movement, as is any mishandled
soil compacting. Any movement of water that causes foundations, buildings, or
structures to crack, settle, or shift is also considered earth movement.
Mine subsidence is earth movement regardless of whether the mine is natural
or man-made.
The only exception in this definition is that sinkhole collapse is not
considered earth movement.
4. Flood
A general but temporary condition where normally dry land becomes at least
partially inundated. The cause of the inundation can be due to an overflow of
inland or tidal waters, waves, tidal waves, or tsunamis. It may also be due to spray
from these that may be wind-driven or not.
Surface water runoff or unusually rapid accumulation is also flood,
regardless of the source of the water.
Mudslide or mudflow
is considered flood only when the cause is either surface water runoff or
unusually rapid accumulation or waves or because water exceeds the cyclical
levels that would be expected.
5. Limit
The amount of coverage that applies to the insured property.
6. Perishable food
Food that must be
stored or maintained under specific controlled conditions. When those specific
controlled conditions fail, the food is subject to loss or damage.
Note: Common
controlled conditions include heating, refrigeration, and humidity control but
are not limited to just these.
7. Pollutant
This is a broad and
expansive term. It is solids, liquids, thermal or radioactive contaminants, and
irritants. It includes, but is not limited to, acids, alkalis, chemicals,
fumes, smoke, soot, vapor, and waste. Waste includes materials intended for
recycling, reclamation, and reconditioning, as well as for disposal. Visible
and invisible electrical or magnetic emissions and sound emissions are also
considered pollutants.
Any page labeled as such that contains coverage information. Declarations
or supplemental declarations are included.
9. Sinkhole collapse
The earth’s surface
suddenly settling or collapsing into an underground opening created by water acting
on limestone or some other rock formation. The value of the collapsing land or
the cost of filling the sinkhole is not included in this definition.
10. Specified perils
The named perils of
aircraft, civil commotion, explosion, falling objects, fire, hail, fire
extinguishing equipment leakage, lightning, riot, sinkhole collapse, smoke,
sonic boom, vandalism, vehicles, volcanic action, water damage, weight of
sleet, snow or ice and windstorm. Two terms need further explanation.
Falling objects do not include loss to personal property stored in the
open. Damage to the interior of buildings or personal property stored in
buildings damaged by a falling object is not included unless that falling
object first breaches the building's exterior.
The cracking or breaking of part of a system or appliance that holds
water or steam that causes the sudden or accidental discharge or leakage of the
water or steam is water damage.
11. Suit
This is any type of
judicial proceeding used to determine the named insured’s liability and to
establish damages to covered property of others in the named insured's care,
custody, or control. Arbitration is one of the proceedings, but only when the
named insured is required to participate.
12. Terms
All policy
provisions, limitations, exclusions, conditions, and definitions that apply to
this coverage.
13. Volcanic action
An airborne
volcanic blast or shock waves, ash, dust, and particulate matter. The cost to
remove that ash, dust, and particular matter is paid only if the covered property
sustained direct damage from it.
Lava flow is also considered volcanic action.
Coverage applies to
the property described below, subject to any exclusions or limitations.
Note: The coverage can be either legal liability
or direct damage, and that selection is made on the schedule of coverages. Item
3. Processing is an option available if either 1 or 2 is selected. Item 3 is
not available as a stand-alone coverage.
1. Legal Liability
Coverage
A box must be marked
on the schedule of coverages to select this coverage.
a. The named insured is covered for only its legal liability for damage to perishable food of customers in its rented
cold storage lockers. The only damage covered is direct physical loss to that
food by a covered peril. The legal obligation is established by a cold storage
receipt, contract, or agreement the named insured issued.
b. The perishable
food must be in a rented locker at a covered premises for this coverage to
apply. The cold storage locker must be owned by the named insured.
c. If costs, fines, expenses, fees, penalties,
or damages are assessed against the named insured because it violated
claims-related laws or statutes, this coverage will not pay.
Example: Reginald’s Family Farm Storage provides
cold storage lockers to members of the Amish and Mennonite communities in his
county. He purchases only the legal liability coverage that his warehouse
receipt requires because he knows his customers will not pay for any
additional coverage and would not expect him to respond to any losses that
are not his legal liability. However, Reginald has gotten very lax in how he
responds to claims. A non-Amish client, David, is furious with Reginald and
notifies the state agency to get their help. The agency accesses a
significant fine, and Reginald must pay it himself. However, the insurance
company will pay David’s actual claim once Reginald submits it to them. |
2. Direct Coverage
A box must be
marked on the schedule of coverages to select this coverage.
a. The named insured is covered for damage to perishable food of customers in its rented
cold storage lockers. The only damage covered is direct physical loss to that
food by a covered peril.
b. The perishable food must be in a rented
locker at a covered premises for this coverage to apply. The cold storage
locker must be owned by the named insured.
|
Example: Cecil's
Cold n' Chilled Warehouse has a wide variety of customers. They range from
large institutional businesses with large amounts of refrigerated property to
much smaller "Mom and Pop" operations with limited quantities of
refrigerated goods. Cecil has the facilities to respond to their needs and
others that fall somewhere between the two. Cecil decides to purchase direct
coverage because he knows he will lose customers if losses are not covered – even
losses that are not his fault! |
3. Processing Coverage
A box must be
marked on the schedule of coverages to select this coverage. If this coverage
is not selected, all processing-caused losses are excluded in Exclusion 2.h.
Processing Work.
a. Perishable food
of customers is covered for direct physical damage by a covered peril. The cold
storage associated with that processing is also covered.
Note: When the Processing coverage is selected on
the schedule of coverages, the exclusion regarding processing work is removed
so that loss caused by processing becomes a covered peril.
b. Coverage does not
extend off site, so the perishable
food must be at a covered premises for this coverage to apply.
Example: Reginald was flash freezing product brought
to him by his customers when a small fire started in the processing area. The
food had to be destroyed because of smoke damage. Because Reginald had
purchased this addition coverage, all products being processed were covered. |
Five specific types of property are excluded:
1. Contraband
Property that is
illegal to possess is not covered. Property that is legal to possess but is being
used as part of an illegal trade or transported illegally is also not covered.
2. Furs
If a garment has any fur on it, that entire garment is not
covered.
3. Live Animals
There are no exceptions. Live animals are not covered.
4. No Charge for
Service
This applies only to Processing Coverage.
Coverage does not apply to any property of others accepted for processing or storage but for which no charge is made.
Note: This essentially excludes gratuitous work or service.
Example: Reginald was also flash freezing produce brought from a local community garden that was being processed free of charge when the small fire occurred. This food was also ruined, but Reginald was not paid for it because he was processing it without charging. |
5. Property Not Under
Receipt
This applies to
only Legal Liability Coverage and Direct Damage Coverage.
When a rental locker receipt has not been issued, there is no coverage for property of others in that locker.
When Optional
Coverage–Change in Temperature or Humidity Coverage is selected on the schedule
of coverages, and a limit is entered in the space provided, it is separate from
and not part of the applicable limit under Property Covered. This limit
is not added to or combined with limits for any other coverage extension or
supplemental coverage and is not subject to any coinsurance provisions that
apply elsewhere in the coverage form.
Change in Temperature or
Humidity Coverage
This coverage
applies only if it is selected on the schedule of coverages.
Coverage applies to direct physical loss to covered property due to a
change in temperature or humidity. The change must be due to one or more of the
following three situations below and only when the described situation results
from a covered peril.
The most paid is the limit shown for Change in Temperature or Humidity
Coverage on the schedule of coverages.
The deductible for this coverage is shown on the schedule of coverages
and applies only to it.
The Temperature/Humidity exclusion in the Perils Excluded section is deleted
but only for the coverage provided within this Coverage.
Provisions That Apply To Coverage Extensions
There are three coverage extensions. The limit for each is either the limit on the schedule of coverages or the default limit included in the coverage form. These limits are part of the applicable limit for covered property and not in addition to it, unless otherwise indicated. These limits are not added to or combined with limits for any other coverage extension or supplemental coverage and are not subject to any coinsurance provisions that apply elsewhere in the coverage form.
1. Debris Removal
When a covered
peril damages or destroys covered property, the cost to remove any created
debris is covered under this extension.
Debris removal does not
include any costs for removing,
restoring, or replacing polluted land or water or extracting pollutants.
There are two parts to the Limit section. The first is restricting any
debris removal payment to no more than 25% of the amount paid for the actual
direct physical loss. The second part is that when the debris removal and the
physical damage loss are added together, no more than the limit of insurance is
paid.
An additional $5,000 (or a higher
amount entered on the schedule of coverages) is available if the debris removal
expense is more than 25% of the loss amount or if the combined cost of loss and
debris removal is more than the limit of insurance for the covered property.
The named insured must report debris removal expenses to the insurance
company within 180 days of the loss date for this coverage extension to apply.
2. Defense Costs
Note: This coverage form is providing
third party coverage for the benefit of the named insured. Because of this, the
insurance company takes control of the loss and negotiates with the third party
that sustained damage. This section explains how the insurance company and the
named insured are to work together on any such claim.
The insurance company decides when to defend suits brought against the named insured that result from covered loss or damage to covered property. This is not the decision of the named insured. This means that the insurance company is in control of the investigation and how suits or claims are handled.
Once the insurance company has exhausted its limits based on a judgment or written settlement, the insurance company is no longer under an obligation to defend the named insured.
The named insured’s only involvement in the claim is to act within the written approval of the insurance company.
Once the insurance company agrees to defend
a suit, it also agrees to pay seven specific expenses related to it. These
expenses are not part of the limit of insurance, and no deductible applies to
any of them:
3. Emergency Removal
This covers direct physical loss to
covered property moved or stored to avoid loss or damage from an impending
covered peril. The loss can occur while in transit to the sanctuary location or
while being stored there. This coverage is unique because the property that is
being moved is not subject to any exclusion while in transit or at a sanctuary
location. However, the reason for moving the property must be due to covered
peril.
Coverage applies for up to 365 days after the property is first moved
but does not extend past the policy’s expiration date.
Note: Coverage does
not extend past the expiration date, which means that if the insured has
property at a sanctuary location when coverage renews, the sanctuary location
must be listed as a premises or coverage no longer applies.
Provisions That Apply
To Supplemental Coverages
There is one supplemental coverage. It has its own default limit that can be increased by
entering a higher limit on the schedule of coverages. Limits for any
supplemental coverage are separate from the applicable limit for covered
property, not part of it.
The limit available for coverage described under a supplemental coverage is the only one available. It is not the total of the limit for a supplemental coverage and the limit for covered property. The limits are not added to or combined with limits for any other supplemental coverage or coverage extension and are not subject to any coinsurance provisions that apply elsewhere in the coverage form.
Pollutant Cleanup and
Removal
The insurance company pays the named insured's expenses to extract pollutants from land or water if a covered peril that occurred during the policy period caused the pollutants to be released or discharged.
This is immediate coverage, so any expenses to extract pollutants are paid only when reported to the insurance company within 180 days of the date of loss.
Costs related to testing, evaluating, observing, or recording pollutants are excluded except for those costs that are part of the extraction process.
The most paid at any one location is $10,000 for all such
expenses that a covered peril that occurs at that location during each separate
12-month policy period causes. This limit can be increased.
Coverage applies to risks of direct physical loss unless the loss is limited or caused by an excluded peril.
1. Primary Exclusions
The first group of
exclusions is essentially absolute. Subject to specific exceptions, loss or
damage by each is totally excluded, regardless of any other cause or event that
contributes to a loss, either concurrently or in any other sequence. The
insurance company does not pay for any direct or indirect loss or damage caused
by or results from any of these events.
Related Article: Concurrent Causation and Anti-Concurrent
Causation Clauses–A Discussion
a. Civil Authority
There is no
coverage for loss that results from an order any civil or government authority
issues. These orders may include seizure, confiscation, destruction, or
quarantine of property, but this exclusion is not limited to only these. The
only exception is when the loss or damage is caused by a civil authority destroying
property as a means of controlling a fire. This exception applies only if the
fire results from a covered peril.
b. Earth Movement
Earth movement is not
covered except for the following three exceptions:
c. Flood
The insurance
company does not pay for loss or damage caused by flood. There is one exception.
If fire, explosion or sprinkler leakage results from a flood, the loss or
damage from the fire, explosion, or sprinkler leakage is covered but not the
flood damage.
d. Nuclear Hazard
The insurance
company does not cover loss or damage caused by or resulting from any nuclear
reaction, radiation, or contamination. This is absolute and applies whether or
not the nuclear incident was controlled and by whatever means caused. Any loss
the nuclear hazard causes is not treated as a loss that fire, explosion, or
smoke causes. The only exception is when a fire results from the nuclear fire.
Direct loss or damage from that fire is covered, but the damage from the
nuclear hazard remains excluded.
e. Sewer Backup and Water below the Surface
Loss due to water
backing up through a sewer or drain is not covered. Loss that occurs because water
below the ground’s surface exerts pressure on covered buildings or structures is
also not covered. There is one exception. Fire, explosion, and theft losses resulting
from such backup or hydrostatic pressure are covered.
f. War and
Military Action
The insurance company
does not pay for loss or damage caused by any act of war. Undeclared and civil
war or warlike action by a military force is all considered war. All actions
taken to hinder or defend against an actual or expected attack by any
government or sovereign authority that uses military personnel or other agents
are also considered war and excluded. In addition, acts of insurrection,
rebellion, revolution, or unlawful seizure of power and any action any
government authority takes to prevent or defend against any such acts are excluded.
If any action within the terms of this exclusion involves nuclear reaction,
radiation, or contamination, this exclusion applies in place of the nuclear
hazard exclusion.
Note: This means that the exception for resulting
fire under the nuclear hazard is not covered when it results from war.
2. Secondary Exclusions
The second group of
exclusions applies to loss or damage caused by or resulting from any of the
following loss events. Some of these exclusions have exceptions, conditions, or
limitations that should be noted and reviewed carefully. The insurance company
does not pay for any loss or damage caused by or that results from any of these
events.
a. Contamination
or Deterioration
Loss or damage that
is caused by contamination or deterioration is excluded. This applies to corrosion,
decay, fungus, mildew, mold, rot, and rust. It also applies to any quality,
fault, or weakness in covered property that causes it to damage or destroy
itself. However, this exclusion is not limited to only these described causes.
b. Criminal,
Fraudulent, Dishonest, or Illegal Acts
Coverage does not
apply to loss caused by, or that results from criminal, fraudulent, dishonest,
or illegal acts that any of the following commit alone or in collusion with
another:
Coverage applies if employees destroy property. It does not apply if
employees steal.
This exclusion does
not apply to covered property in the custody of carriers for hire.
Note: Crime coverages should be used to cover
this type of loss. However, because the property being covered is property of
others, the CR 04 01–Client’s Property will need to be attached for employee
dishonesty coverage to apply.
Related Article: CR 04 01–Clients’
Property
c. Electrical Currents
Loss caused by electrical arcing or currents is excluded unless the electrical is from lightning. The exception is when the excluded arcing or currents result in a specified peril, then any loss or damage from that specified peril causes is covered.
d.
Loss of Use
There is no coverage for loss caused by or resulting from delay, loss of use, or loss of market.
e. Mechanical Breakdown
When mechanical, structural, or electrical breakdown or malfunction causes a loss, it is excluded. The loss is excluded even if a breakdown results from a structural, mechanical, or reconditioning process. However, if a specified peril occurs due to any of these, coverage applies to the loss or damage that the specified peril causes.
f. Missing
Property
Unexplained or
mysterious disappearance of covered property is excluded when there is no
physical evidence to suggest what happened to it, and the only proof that a
loss occurred is based on an audit or physical inventory. This exception is
that covered property in the custody of carriers for hire is covered.
g. Pollutants
There is no
coverage for loss caused by or that results from any release, discharge,
seepage, migration, dispersal, or escape of pollutants. There are three exceptions:
h. Processing Work
The insurance company does not pay for loss to covered property of others caused by processing or other work performed on it. There are two exceptions:
i. Temperature/Humidity
Any loss caused by dryness, dampness, humidity, changes in, or extremes of temperature is excluded. The only exception is when a specified peril occurs due to any of these; coverage applies to the loss or damage that specified peril causes.
j. Voluntary
Parting
There is no coverage for loss or damage to covered property when voluntarily
given to others, even if the surrender was due to a fraudulent scheme, trick,
or false pretense.
Example: Paula received a call from Friendly Foods
explaining that a new employee would be picking up items from the cold
storage unit. When she arrived, Paula greeted the new employee and showed her
how to access the items and move them to her truck. The regular employee from
Friendly Foods arrived later in the day and was shocked to learn that
somebody else had already taken the product. Friendly Foods sued Paula for
the stolen goods because it did not make such a phone call, and there was no
“new employee.” Paula submitted the claim to the insurance company as a theft
claim. However, as the details emerged, the company refused to pay the claim
because Paula voluntarily parted with the product. |
k. Wear and Tear
Loss or damage
caused by wear, tear, marring, or scratching is excluded.
1. Notice
The named insured
must promptly notify the insurance company or its agent of a loss. The notice
must include a description of the property lost or damaged. If a criminal act
caused the loss, the appropriate law enforcement agency must also be notified.
The insurance company has the right to require that the notice be in writing.
2. You Must Protect
Property
During and after a
loss, the named insured must take all reasonable steps to protect covered
property from further loss. The insurance company pays reasonable costs the
named insured incurs, but to do so, the named insured must maintain accurate records to substantiate the
costs. Paying these costs is not in addition to the policy limits. There is no
coverage for any repairs or emergency measures performed on property not
already damaged by a covered peril.
Note: It is important to realize that any such costs incurred will reduce the amount available to pay the actual loss.
3. Proof of Loss
The named insured
must complete and return the insurance company's prescribed proof of loss forms
within 60 days after the company requests it. The information provided must
include the time, place, and circumstances involved with the loss and
information on any other insurance coverage that may apply. It must also
include the named insured’s interest and the interest of others concerning the
property involved, including lienholders, loss payees, and mortgagees. Any
changes in title to the property during the policy period must be disclosed, in
addition to providing any other reasonable information the company may require
to adjust and settle the loss.
4. Examination
Examination under oath
may be required in matters that relate to the loss. The insurance company may
request these examinations more than once, but such requests must be
reasonable. If multiple persons are examined, the company has the right to
examine each individual separately.
5. Records
The named insured
must produce any records related to the loss. The insurance company must be
allowed to make copies and take extracts of them as often as it reasonably
requests. Records include tax returns and bank microfilms of all related
cancelled checks, but records are not limited to just these.
6. Damaged Property
Damaged and
undamaged property must be made available for the insurance company's
inspection as often as reasonably necessary. It must also be allowed to take
samples of the property to the extent necessary to adjust and settle the loss.
7. Volunteer Payments
The named insured
may not voluntarily make payments, assume obligations, pay or offer rewards, or
incur other expenses without the insurance company's express approval. If it
does, it does so at its own expense. The only exceptions are those costs
incurred to protect property, as item 2. above describes.
8. Abandonment
The named insured does
not have the right to turn over ownership of property to the insurance company unless
that insurance company agrees to accept it. Any such agreement must be in
writing.
9. Cooperation
The named insured
must cooperate with the insurance company. Any actions required of the named
insured within this policy must be performed.
1. Actual Cash Value
The value of covered property is based on the actual cash
value at the time of loss. Actual cash is replacement cost new minus
depreciation.
2. Pair or Set
The value of a loss
that involves damage to or loss of one part of a pair or set is based on a
reasonable proportion of the value of the entire pair or set. However, the loss
of one part of a pair or set is not considered a total loss.
Note: This
recognizes that the value of the whole is greater than the value of individual
parts but that the remaining parts still have value as separates.
3. Loss to Parts
The value of a lost
or damaged part of property that consists of several parts is the cost to
repair or replace only the lost or damaged part.
1. Insurable Interest
The insurance
company does not pay more than the named insured's insurable interest in the
covered property at the time of loss.
Note: This coverage form insures only property of others. The
named insured has little, if any, financial insurable interest in the covered
property. It would be better if this condition was written to limit coverage to
the property owner’s insurable interest.
2. Deductible
The insurance
company pays only the amount of loss that exceeds the deductible amount on the schedule
of coverages.
3. Loss Settlement Terms
The insurance company
pays the least of the following:
Example: Kimberly
purchased a cow that Paula butchered, froze, and then placed in the cold
storage locker that Kimberly rented from Paula. A fire occurred that ruined
all of Kimberly’s meat. The cost to replace the meat was $1,000, which was
also its actual cash value. The earned charges for Paula’s processing were
$250. As long as the limit was sufficient, Kimberly should receive $1,000 and
Paula should receive $250. |
4. Insurance under More
Than One Coverage
Two or more coverages in the coverage form may apply to the same loss. In
that case, the insurance company does not pay more than the value of the actual
claim, loss, or damage sustained.
5. Insurance under More Than One Policy
a. Proportional
Share
The named insured
may have other coverage subject to the same terms as this coverage form. In
that case, this coverage form pays only its share of the covered loss. That
share is the proportion that its limit of insurance bears to the limits of
insurance of all insurance that covers on the same basis.
b. Excess Amount
There may be other coverage available to pay for the loss other than as described in 5. a. above. In that case, this coverage form pays on an excess basis. It pays only the amount of covered loss that exceeds the amount due from the other coverage, whether collectible or not. Any payment is subject to the limit of insurance that applies.
1. Loss Payment
Options
a. Our Options
The insurance company has the following four loss payment options if a
covered loss occurs.
b. Notice of Our
Intent to Rebuild, Repair, or Replace
The insurance
company has the right to decide how it wants to settle the loss, but it is
required to notify the named insured within 30 days of receiving a property
completed proof of loss when the decision is to rebuild, repair, or replace.
Note: This could be upsetting to the named insured’s customers, but
it is the right of the insurance carrier to decide.
2. Your Losses
a. Adjustment and
Payment of Loss
The insurance
company adjusts all losses with and pays the named insured unless another loss
payee named in the policy is involved.
b. Conditions for
Payment of Loss
The insurance
company pays a covered loss within 30 days after it receives a properly
prepared proof of loss and the amount of loss is established. The amount of
loss is determined through either a written agreement between the company and
the named insured or after an appraisal award is filed with the company.
3. Property of Others
a. Adjustment and
Payment of Loss to Property of Others
The insurance
company has the option to adjust and pay losses that involve property of others
either to the named insured acting on the property owner’s behalf or to the
property owner.
b. We Do Not Have
to Pay You if We Pay the Owner
The insurance
company is not obligated to pay the named insured when it pays the property
owner. In addition, if the property owner sues the named insured, the company
has the option to defend the named insured in that suit.
1. Appraisal
The insurance company and the insured may not always agree on the value
of a covered claim. This condition provides one method to resolve disputed
claims.
Either party can request an appraisal to determine the value of a
disputed claim. Once requested, the parties have 20 days to obtain their own
independent and competent appraisers and give their appraiser's name to the
other party. The two appraisers then have 15 days to select a competent
impartial umpire. If they cannot agree on an umpire within that time period,
either can request that a judge in the court of record in the state where the
property is located appoint one.
The appraisers then determine the claim’s value. They submit any
differences to the umpire. Once any two of the three parties agree, the amount
of loss is set.
Each party pays its own appraiser. Both parties share the umpire’s cost
and other expenses equally.
2. Bankruptcy of an
Insured
The insurance
company's obligations under the coverages provided are not changed if an
insured becomes bankrupt or insolvent.
3. Benefit to Others
The insurance
provided does not directly or indirectly benefit any party with custody of the named
insured's property.
Note: This does not appear to apply because the
named insured’s property is not covered.
4. Conformity with
Statute
Any condition in
this coverage form that conflicts with any applicable law is amended to conform
to that law.
5. Estates
Note: This condition applies only if the named
insured is an individual.
a. Your Death
If the named
insured dies, the person who has custody of the named insured's property is an
insured until a qualified legal representative is appointed. The named
insured’s legal representative becomes an insured once he or she is appointed.
Both are insureds, but only with respect to the property this coverage form
insures.
b. Policy Period
is not Extended
This coverage does
not extend past the policy’s expiration date.
6. Misrepresentation,
Concealment, or Fraud
This coverage is
void if any insured at any time willfully concealed or misrepresented a
material fact that relates to the insurance provided, the property covered, or
its interest in the property. It is also void if fraud or false swearing by any
insured took place concerning the insurance provided or the property covered.
Note: The named
insured must deal with the insurance company honestly. Its rights of recovery
may be voided if it intentionally misrepresents or conceals a material fact or
information. This means that the insurance is treated as simply having never
existed versus denying a particular claim.
7. Policy Period
Only covered losses
that occur during the policy period are paid.
8. Recoveries
Paying the loss
does not end the obligations of the named insured and the insurance company
toward one another. Additional provisions apply if the insurance company pays a
loss and the lost or damaged property is subsequently recovered, or the parties
responsible for the loss pay for it.
Either party that recovers property or payment must inform the other.
Recovery expenses that either party incurred are reimbursed first. If the named
insured keeps the recovered property, it must refund the amount of the claim
the insurance company paid unless the company agrees to a different amount. If
the claim paid is less than the agreed loss due to applying a deductible or
another limitation, any recovery is prorated between the named insured and the
insurance company based on the company's respective interest in the loss.
9. Restoration of
Limits
Payment of a claim
does not reduce the limit available for future claims.
10. Subrogation
The insurance company
acquires the named insured's rights of recovery from third parties after it
pays a loss. The named insured must help the insurance company secure those
rights. The company is not obligated to pay a loss if the named insured hinders
or impairs the company's rights of subrogation. However, the named insured can
agree in writing to waive recovery rights from others before a loss occurs.
11. Suit against Us
The insurance
company cannot be sued by anyone for any coverage until all the terms of the
coverage form are met and the amount of the insured’s liability has been
determined. The determination can be based on either a trial’s final judgment
or a settlement agreed to by the insurance company, the claimant, and the named
insured.
The insurance company is not to be joined with the insured while the
liability of the insured is being determined.
|
Example: Casey is visibly upset because his frozen
ice sculpture melted while stored in a locker at Finest Cold Storage, Inc. Scenario 1: He
sues Finest and Finest’s insurance company. This coverage form does not respond
to the suit against the insurance company. Scenario 2: Finest
is upset because the insurance company does not move fast enough to settle Casey’s
lawsuit, so Finest decides to sue the insurance company. This suit violates
the contract and is not honored. Scenario 3: The
trial determines that Finest is liable. The insurance company pays the amount
of the claim. Finest then sues the insurance company because of how it handled
the case. This suit is acceptable based on this provision. |
12. Territorial Limits
Covered property
must be located in the United States, its territories and possessions, Canada,
or Puerto Rico for coverage to apply.
This analysis is of the 10 06 edition.
This coverage form is identical to IM 7315–Cold Storage Locker Coverage–Special Perils Form analyzed above the Perils Covered Section. This analysis addresses only the one section that is different.
Risks of direct physical loss caused by only designated perils are covered unless the loss is limited or caused by an excluded peril. The designated perils covered are:
Both explosion and theft perils have additional wording stating that
they apply except when they are excluded.
Note: The explosion exclusion is found in the
Earth Movement exclusion, and the theft exclusion is in the Criminal,
Fraudulent, Dishonesty, or Illegal Acts exclusion.
AAIS has developed the following schedule for use with these coverage forms:
IM 7318–Additional Covered Premises Schedule–Cold Storage
Locker Coverage This schedule is used with either coverage form to list and
describe additional locations and to enter the coverages, limits, and
deductibles that apply.
Note: Additional company specific endorsements may be available and used. Each should be examined to determine its effect on policy coverage, especially when some may impose restrictions or controls that may be minimum requirements or prerequisites for the company to provide coverage or to accept a particular exposure.
There are two
general types of cold storage locker facilities. The most common is what might
be called limited service type that offers only locker facilities. Its customers
prepare their foods elsewhere or have others do it for them and simply bring
the packaged products to the cold storage locker facility to store. The other
type is sometimes called a complete service facility. It offers one or more
additional services, such as purchasing commodities at wholesale, dressing,
chilling, and cutting meat, blanching and packaging vegetables, and flash-freezing
incoming products. Some purchase and freeze fruits and vegetables in quantity
and later resell them to locker patrons and others. Some also distribute
commercially frozen foods and serve as local storage facilities for retail
businesses in the local area.
The most significant loss factors affecting
perishable food in cold storage locker facilities are temperature fluctuations
or complete refrigeration loss due to equipment breakdowns, refrigeration
leaks, leaks in seals, and electrical power interruptions. Proper and intensive
routine, periodic and preventive maintenance, backup generators, and
comprehensive emergency plans are the most important factors in anticipating
and being prepared if any loss of refrigeration occurs.
Many underwriting
considerations related to warehouses also relate to cold storage lockers, but
cold storage lockers are a more clearly defined and limited form of
warehousing. In addition to the specific areas outlined above, several general
factors are important to effectively and successfully underwrite cold storage
locker risks.
Legal liability
does not include most catastrophic perils, such as flood, earthquake,
windstorm, and the like. Commonly referred to as acts of God, these perils are
outside a warehouse operator's responsibility, but it still has responsibilities
related to these perils that could involve it in a legal liability loss
situation. Because the coverage form insures these perils, the insurance
company must be certain that the cold locker operator takes a common sense
approach to conduct its business to minimize the effects of one of these perils
if it occurs. Where flood might be a factor, goods susceptible to water damage
should be stored above grade or basement levels. Where earthquake is a factor,
construction should be earthquake resistant, or the goods stored inside should
not be as susceptible to damage if a building collapses because of an
earthquake event. Construction should be such that the building can withstand a
strong windstorm or rainstorm. Depending on the location, some external
exposures to loss are more significant than others, and the building's
construction and the way business is conducted should reflect it and, as much
as possible, minimize or eliminate the chances of loss.
Coverage depends on
the language in the receipt. These should be completed in a structured and
consistent manner and follow prescribed procedures to guarantee uniformity and
accuracy. There is no coverage on the food stored in the cold locker without a
rental receipt for that locker. Receipts should be duplicated, and the
duplicates stored off premises so that losses can be handled accurately and
promptly if the copy kept at the warehouse location is itself lost or
destroyed. Both the customer and the named insured should be able to produce
their copies of the storage receipt if a loss occurs.