AAIS MOBILE EQUIPMENT DEALERS COVERAGE ANALYSIS
(August 2024)
IM 1155–Schedule of Coverages–Mobile Equipment Dealers IM 1150–Mobile Equipment Dealers Coverage Analysis What Must Be Done in Case of Loss |
The American Association of Insurance Services (AAIS) Mobile Equipment Dealers Coverage was formerly called Implement Dealers Coverage. It covers losses incurred by mobile equipment dealers. The mobile equipment stock can include mobile agricultural and construction machinery along with equipment, material-handling machinery, and equipment. Vehicles that are designed for highway use cannot be covered and neither can aircraft or watercraft.
Dealers with stock of mobile agricultural and construction machinery and equipment, material-handling machinery and equipment, and similar related property, parts, accessories, and supplies are eligible. Stock of vehicles designed for highway use cannot be covered. Stock of watercraft or aircraft also cannot be covered.
AAIS Mobile Equipment 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 1150–Mobile Equipment Dealers Coverage. IM 1155 contains the following information:
Spaces are available to enter limits of insurance for the following:
Note: The Catastrophe Limit caps the limit for all coverages at all locations. It is important to adjust this limit when changes are made in the other limits to prevent an unanticipated capping following a catastrophe.
The deductible amount the named insured retains for each covered loss must be entered in the space provided.
There are two optional coverages. Each applies if there is an entry for it on the schedule of coverages.
· Excluded Property
The name of persons, firms, or organizations
whose property is not to be covered can be scheduled.
Note: This may be used when items are covered under a floor plan policy or when a contractual relationship releases the named insured from insuring certain properties.
· Peak Season Coverage
The peak season limit that is to be entered is the sum of the schedule of location limit above PLUS the peak season increase. This limit replaces the schedule of location limit during the peak season time period.
The inclusive dates during which the coverage applies and the location number where coverage applies is entered in the spaces provided.
Note: The dates are very important because the peak season limit applies during only the scheduled dates. Once the dates are over, the schedule of location limit for the entered location applies.
Two optional endorsements are available based on entries on the schedule of coverages.
This endorsement deletes the coinsurance provisions in the coverage form.
This endorsement extends coverage to additional classes of business personal property. Coverage applies only if a limit of insurance is entered in the spaces provided. The following coverages are available:
o Furniture, fixtures, office equipment, and supplies
o Machinery, tools, and their parts
o Patterns, molds, models, and dies
o Tenant improvements
Replacement cost applies if a checkmark is entered in the space provided.
Mobile Equipment Dealers Coverage is usually written on a non-reporting basis. This section has spaces to enter the annual premium and the non-reporting rate per $100 that applies.
This optional endorsement deletes the coinsurance provision and provides coverage on a reporting basis. If it is attached, the selection for this endorsement must be checked, and a reporting and adjustment period must be selected.
The available adjustment periods are monthly, quarterly, and annual.
Note: The named insured can select a different period for reporting than the period it selects for premium adjustment.
The premium basis for reports of value is entered in the space provided.
The reporting rate per $100, the deposit premium, and the minimum premium must be entered in the spaces provided.
Values must be reported for each location on the schedule of coverages. This section includes a provision that any additional premium developed after expiration based on reports of value submitted is due on the date on the billing invoice.
This analysis is of the 01 05 edition.
This section states that the insurance
company provides the coverage described in return for the named insured paying
the required premium. This agreement is subject to all the coverage form’s
terms, the schedule of coverages, and any additional
conditions that apply. Endorsements or additional schedules identified on the
schedule of coverages also apply.
A statement that certain words and phrases
identified in bold print in the coverage form are defined in the Definitions section
that is immediately following this Agreement.
Note: There is no clearly marked space
on the schedule of coverages to list endorsements or additional schedules that
apply at inception.
Defined words are used throughout the coverage form. When these terms are used in the coverage form, the meaning provided in this section must be applied. Ten terms are defined:
The
parties that are specifically named on the declarations as insureds.
The
insurance company that is providing the coverage.
Flood is flood, but it also is surface water, waves,
tidal water, and other overflow of bodies
of water. It may or may not be wind driven. Spray from any of these is also
flood regardless if driven by wind or not.
The amount of coverage that applies.
Note: There is no reference as to what it applies; it just applies.
Any
page labeled as such that contains coverage
information, including declarations or supplemental declarations.
The
earth’s surface suddenly settling or collapsing into an underground opening
created by water acting on limestone or some other rock formation. Sinkhole collapse does not include either the land’s value
or the cost to fill sinkholes.
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,
the weight of sleet, snow or ice and windstorm. Two terms need
further explanation.
Falling objects does not include loss to personal
property stored in the open. It also does not include damage to the interior of
buildings or personal property stored in buildings unless a falling object
first breaches the building's exterior.
Water damage is the sudden or accidental discharge or
leakage of water or steam. However, it must be a direct result of a part
of the system or appliance that holds the water or steam cracking or breaking.
These are all provisions, limitations,
exclusions, conditions, and definitions that apply to this coverage.
An
airborne volcanic blast or shock wave. It is also ash, dust, and
particulate matter along with any lava flow. The term does not include the cost
of removing dust, ash, or particulate matter from
the covered property unless there is direct physical damage to the
property.
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Examples of a mobile equipment dealer's
stock held for sale |
The insurance company covers property that is described below unless it is excluded or subject to limitations.
The named insured’s stock and similar property that belongs to others but is in the named insured’s care, custody and control is covered for direct physical loss or damage caused by a covered peril.
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Coverage applies to only the named insured’s stock and similar property of others. The only stock covered is mobile equipment such as agricultural, construction, or material-handling equipment and related accessories and supplies. These items are covered only while at locations on the schedule of coverages.
Example: Maybelline’s Fine, Inc. has established a reputation for selling and servicing any type of vehicle that can be driven. She sells new and used automobiles, agricultural equipment, construction equipment, recreational vehicles, and motorcycles. Her mechanics service anything she sells. This equipment dealer coverage form insures only Maybelline’s stock of mobile and agricultural equipment and similar property of others. Other coverage forms and policies must cover the automobiles, recreational vehicles, and motorcycles. |
Coverage applies off premises but only for the applicable limits on the schedule of coverages. Loss or damage caused by covered perils to the named insured’s stock and similar property of others that are in the named insured's care, custody, or control and away from locations listed on the schedule of coverages is covered.
Coverage does not apply while on a location that is listed on the schedule. Coverage applies only when the covered property stock is at another location or while it is in transit.
Coverage
for physical damage to covered property at a newly acquired location when
caused by a covered peril applies automatically when a limit is entered for
Newly Acquired Locations on the schedule of coverages. Only covered property of
the named insured or similar or related property of others is covered.
While coverage for the newly acquired location is automatic, it applies for no more than 30 days. During the time period, the acquisition must be reported to the insurance company. If not reported, coverage ends at the end of thirty days. Coverage also ends once the location is reported to the carrier.
Note: This limitation does not state that coverage ends on this policy’s expiration date. This could imply that the 30 days of coverage continues even after the expiration date.
This is not free coverage. The premium for the newly acquired location is calculated based on the date on which it was acquired.
There is no coverage for the following property:
Office
supplies, improvements and betterments, machines, tools, fittings,
patterns, dies, molds, and models are not covered, and neither are furniture and fixtures.
Note: IM 1263–Personal Property Coverage can be attached
to this coverage form to insure most of
this property and other property not listed here.
Property that is being manufactured or assembled is not covered.
Note: Once it has been manufactured it can become
covered property.
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Example: Maybelline
draws up plans for a machine that performs several functions. She imagines
making a lot of money on her invention as she works on it in a large, enclosed shed. A spark from the
welding unit ignites some combustible material nearby and burns down and
destroys both the shed and the machine. She submits a claim for the equipment
under this Mobile Equipment Dealers Coverage, but it is denied based on this
exclusion. |
Several
types of property are not covered under this item. Accounts, bills,
currency, food stamps, evidence of debt, and lottery tickets not held
for sale, in addition to money, notes, or securities are all not covered.
Note: This property is more
correctly insured under commercial crime coverage forms.
Related Article: Commercial Crime Coverage
Analysis
Coverage does not apply to any property the named insured leases, rents, or loans to others.
Note: The statement in the form is “property that is leased, etc.”; it doesn’t say “while it is leased.” This raises the question as to whether property that is available to be leased out is covered when it is not being leased, rented, or loaned to others. And if so, when does it become not covered?
When the named insured has responsibility for the property of others because it is arranging for its transportation or acting as a carrier for hire, there is no coverage for that property under this coverage form.
Property that has been sold remains covered until it is
delivered. Coverage ceases upon delivery, even if the property has been
sold under an installation agreement.
Example: Maybelline sells a front-end loader under a deferred sales contract. The customer reports that the loader caught on fire and refuses to make further payment. The loss to the loader is not covered because it had been sold. The refusal of the customer to pay is Maybelline’s loss and is also not covered. |
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Aircraft, watercraft, automobiles, trucks, and motorcycles are not covered property.
Other vehicles are also not covered property but only if designed for highway use.
Note: The other vehicles part is particularly important on this coverage form because it means that any mobile equipment designed for highway use is not covered. It is important to review any submitted list of items before scheduling because if a scheduled item is a vehicle designed for highway use, it is not covered. Remember it does not say that it is not covered if it is being used on a highway; it says it is not covered if it designed to be used on a highway regardless of how it is actually used.
Mobile equipment dealers may hold items on consignment or may have items insured under a floor plan coverage form. To prevent duplicate coverage, the property that belongs to the party listed in the schedule of coverages is not covered.
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, replacing polluted land or water or to
extract pollutants.
The Limit section has two parts:
·
The first is restricting any debris removal
payment to no more than 25% of the amount paid for the actual direct physical
loss or damage.
·
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 $10,000 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.
This coverage is part of the applicable limit for coverage described under Property Covered, not in addition to it.
Note: Item f. appears to contradict Item d. Item f. states that this coverage is included within the limit. However, Item d. states that $10,000 is available when debris removal expense plus the loss to property exceeds the limit.
This
covers direct physical loss to covered property that was removed from the
scheduled location to avoid loss or damage from an impending covered peril. The
loss can occur while in transit between the scheduled and sanctuary locations.
This coverage is unique in that 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 a covered peril.
Example: A wildfire in the next county went out of control, and officials warn all residents to collect their possessions and leave as quickly as possible. Maybelline arranges to move her most heat sensitive equipment to a warehouse outside the fire’s projected path. A flash flood washes the warehouse away the day after Maybelline’s equipment arrives and is stored. The damage to the equipment that the flood caused is completely covered because the equipment had been moved there to protect it from the wildfire. |
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The named
insured must notify the insurance company within ten days after it moves the
property. Coverage does not extend past the policy’s
expiration date.
This coverage is part of the applicable limit for coverage as Property Covered describes, not in addition to it.
Note: Coverage does not extend past the policy’s expiration date. If the named insured has property at an emergency location when coverage renews, the emergency location must be listed as a premises or coverage no longer applies.
The named insured's expenses to extract pollutants from land or water are covered if a covered peril that occurred during the policy period in any way caused their release or discharge.
The
expenses must be reported to the insurance company within 180 days of
the date of loss.
Testing for,
evaluating, observing, or recording pollutants costs are
excluded except for those required as part of a covered pollutant
extraction process.
A 12-month policy period
aggregate limit of $10,000 applies. This limit can be increased in
the schedule of coverages.
This limit applies in addition to the
applicable policy limit described under Property Covered.
Example: The semi-truck barrels onto Maybelline's property and plows through four pieces of equipment. Oil and gasoline pour out of the damaged equipment and into the ground and a retaining pond. This coverage responds to the necessary oil and gasoline cleanup, subject to the limit, as long as Maybelline incurs the expenses and reports the loss to the insurance company within 180 days. |
Coverage applies to direct physical loss or
damage that thieves cause to the part of the building the named insured
occupies. Thief-caused damage to equipment that is used to maintain or service
the building is also covered.
This coverage applies only if the named
insured owns the building or is legally liable to the building owner for this
type of damage. The covered property must be in
a premises that is on the schedule of coverages.
Damage or loss that is caused by fire is not covered. Damage to glass, glass
lettering, or glass decorations is also not covered.
This is not additional insurance. Any
payment is part of the limit for covered
property.
This optional coverage applies only if the required entries are on the schedule of coverages.
This coverage applies only when a location number, limit, and period of coverage are entered on the schedule of coverages for peak season. The limit entered replaces the regular limit for the described premises, but it applies only during the inclusive dates entered on the schedule of coverages.
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Example: Maybelline’s equipment inventory increases significantly twice a year. One period is from March 1 to April 15. The other is from August 15 to October 1. She doubles her limits of insurance during those time periods. Unfortunately, a very wet spring resulted in the amount of equipment on the premises still being very high on April 16 when a windstorm came through. Her limits of insurance had returned to normal even though her inventory had not. As a result, a coinsurance penalty reduced the amount of the loss she would have otherwise been paid. |
Coverage applies to risks of direct physical loss unless the loss is limited, or an excluded peril causes the loss.
Loss to
covered property when caused by a direct physical loss that involves collapse of a building or structure or any part
of a building or structure containing covered property.
The only collapse coverage provided is collapse caused by one or more of the following:
Collapse is the sudden and
unexpected falling in or caving in of a building or structure (or any part of
it) that prevents the building from being occupied for its intended
purpose.
The following buildings and structures are not considered to be
in a state of collapse:
This coverage does not provide any increase in the limit for covered property.
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 a civil
authority destroying property as a means of controlling a fire causes the loss
or damage. This exception applies only if the fire is the result of a covered
peril.
The
insurance company does not pay for loss or damage caused by flood.
There are two exceptions:
Note: This means that coverage applies to covered property in transit and at unlisted premises.
The insurance
company does not insure against loss or damage from any nuclear reaction,
radiation, or contamination, whether the nuclear incident was controlled or
not, or was caused by any means. Any loss caused by the nuclear hazard is
not treated as a loss caused by fire, explosion, or smoke. However, coverage applies to direct loss or
damage caused by fire that results from
the nuclear hazard.
Coverage
does not apply to loss or damage that any of the following causes:
There are two exceptions:
Note: This means that coverage applies to covered property in transit and at unlisted premises.
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 are 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 is the result of war.
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.
There is no coverage for loss caused by or
that results from any acts or decisions by any person, organization, or government entity. This also includes failing to
act or decide.
This exclusion has an exception. The act or decision, or the failure to act or
decide, may result in a covered peril. In that case, the loss or damage that
peril causes is covered.
Coverage does not apply to loss or damage
when it is due to nesting, infestation, discharge, or release of waste products
or secretions by animals. The term animal includes birds, insects, and vermin but is not limited to only these.
This exclusion has an exception. If any of
these excluded events results in a covered peril, the loss or damage that peril
causes is covered.
Loss caused by collapse is excluded.
This exclusion has two exceptions.
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.
Example: Vandals break into
Maybelline’s, and several outside items are damaged on their exterior, but
some others are damaged because their gas is contaminated with sugar. The
exterior damage caused by the vandals is covered
because vandalism is not excluded. The damage due to contamination is
excluded, but because the proximate cause is vandalism, an argument could be
advanced that because vandalism is covered the damage to the gas tanks is
also covered despite the contamination exclusion. |
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Coverage does not apply to loss caused by or that results from criminal, fraudulent, dishonest, or illegal acts, committed by any of the following 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 a carrier for hire.
There is no coverage for loss or damage that
is due to artificially generated electrical currents damaging electrical apparatus or wiring that is inside the insured
property. This exclusion applies only to the property that artificially
generated the current.
This exclusion has an exception. Electrical
currents may result in a fire or explosion. In that case, the loss or damage
the fire or explosion causes is covered.
Example:
Some smaller agricultural
equipment is battery operated. Maybelline keeps them plugged in overnight, so
they are fully charged for any customer who might want to try it during the
next day. A power surge one evening overpowers the surge protector and fries four of the battery chargers. The damage to the
chargers is not covered. |
Loss or
damage due to errors, faults or defects in planning, zoning, surveying, site plans, grading, compacting, land use, or
development is not covered. Loss or damage due to property related design,
blueprint, specification, workmanship, building, maintaining, installing,
renovating, remodeling, or the repairing errors,
faults or defects are also excluded.
An important provision is that this exclusion applies both on and away from the designated premises and applies regardless of negligence.
This exclusion has an exception. One of these events may result in a covered peril. In that case, the loss or damage that peril causes is covered.
There is no coverage for loss that is the result of delay, loss of use, or loss of market.
Loss that is
due to mechanical breakdown is excluded. The only
exception is that when such an excluded loss causes a covered peril then the
resulting loss from that covered peril is covered.
The 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.
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Example: When Maybelline arrives at work on Monday, she discovers that one of her most expensive excavators is gone. There is nothing to indicate that it was stolen because the fence is intact, and locks are in place. Maybelline can produce proof that she owns the excavator but has nothing to prove what happened to the excavator. Coverage is declined, so Maybelline reports the loss to the police and hopes the excavator will turn up someday. |
There
is no coverage for loss caused by or resulting from any release, discharge,
seepage, migration, dispersal, or escape of pollutants. There are two exceptions:
When loss or damage results from a repair
to, adjustment of, service of, or
maintenance of covered property is
excluded.
This exclusion has an exception. If any of
the above actions result in a fire or explosion the loss or damage from the
fire or explosion causes is covered.
Coverage is not provided when dryness,
dampness, humidity, or changes and extremes of temperature cause or result in
loss or damage to covered property.
This exclusion has an exception. If any of
the above result in a covered peril, the loss or damage from that peril is
covered.
Coverage does not apply if a loss occurs because property was given to another person or sent to another place based on unauthorized instructions.
There is no coverage for loss to
covered property voluntarily given to others, even if the surrender was due to
a fraudulent scheme, trick, or false pretense.
Loss or damage caused by wear and tear is excluded.
This
exclusion has an exception. Wear and tear may result in a covered peril. In
that case, the loss or damage that peril causes is
covered.
Example: Jerry attempts to evaluate an old lawnmower. He pulls the cord to get the mower going, and the cord breaks. The cord breaking is not a covered loss. However, the lawn mower, which does not have a safety-off switch, jerks away from Jerry and smashes into a shelf that holds a variety of accessories and other equipment. The shelf falls, and many items on it are damaged. The damage to the cord and the damage to the lawn mower is not covered because of the wear and tear exclusion. However, the damage to the shelf and the parts and accessories on it is covered because that damage was due to the shelf falling down. |
This exclusion has an exception. The weather conditions may result in a covered peril. In that case, the loss that peril causes is covered.
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 any notice to it be in writing.
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 to do so if the named insured maintains 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.
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 with respect to the property involved, including liens, and mortgage. Any changes in the title to the property during the policy period must be disclosed, in addition to providing any other reasonable information including inventories, specifications and estimates the company may require in settling the loss.
Examination of the named insured 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.
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 canceled checks, but records are not limited to just these.
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 and to inspect it.
The named insured has the right to make payments, assume obligations, pay or offer rewards, or incur other expenses. However, unless the insurance company has given written approval for such actions, the named insured cannot expect any reimbursement. The only exception is that the insurance company will pay for the costs incurred to protect property as item 2. above describes.
The insurance company decides when and if it will take ownership of the named insured’s property. The named insured is therefore not permitted to abandon damaged property to the insurance company until the insurance company agrees in writing to accept it.
The named insured must cooperate with the insurance company. Any actions required of the named insured within this policy must be performed.
The valuation of covered property is as follows, subject to 2. Pair or Set and 3. Loss to Parts below:
Property that has been sold but has not yet been delivered is valued at its selling price. The selling price is then reduced by all standard discounts and allowances.
The value of property that is not sold is its actual cash value at the time of loss. Actual cash is replacement cost new minus depreciation.
The value of property of others has two parts to it. The first part is the amount for which the named insured is liable to the owner. The second part is the value of the named insured labor and material that have been invested into that property. These two parts are added together.
If the valuation determined above is more than the actual cash value of the damaged property, the valuation is limited to only the actual cash value.
The value of all other covered property is its actual cash value at the time of loss. Actual cash is replacement cost new minus depreciation.
The
value of a loss that involves damage 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.
The
value of a lost or damaged part of the property that consists of
several parts is the cost to repair or replace only the lost or damaged part.
The insurance company does not pay more than the
named insured's insurable interest in the covered
property at the time of loss.
The insurance company pays only the amount of loss
that exceeds the deductible amount on the schedule of coverages.
The insurance company pays the least of the
following subject to items 1., 2., 3., and 5. in this section:
This applies only if a catastrophe limit is entered on the schedule of coverages.
When a covered peril causes loss or damage at more than one premises that is listed on the schedule, the most paid in a single occurrence is the lowest of either of the following:
Note: Whenever a catastrophe limit is entered it is very important to adjust it any time the other limits on the declarations are increased to prevent an inadvertent capping.
This provision applies to only losses at a covered premises listed on the schedule of coverages.
The insurance company does not pay the full amount of any loss if the value, at the time of the loss, of all covered property (subject to coinsurance) multiplied by 80% exceeds the limit of insurance. The following are the steps the insurance company takes to determine the amount it pays:
Step 1: Determine the value of items, at the time of the loss, of all covered property at the loss premises that is subject to coinsurance.
Step 2: Multiply Step 1 by the coinsurance
percentage of 80%.
Step 3. Divide the limit for the covered property at the premises
subject to coinsurance by the result determined in Step 2.
Note: Stop here if the result is 1.00 or higher because no
coinsurance penalty applies. Go to Step 4 only if the result is less than 1.00.
Step 4. Multiply the total
amount of loss, prior to the application of a deductible, by the percentage
determined in Step 3.
Step 5. Subtract the applicable
deductible from Step 4.
The insurance company does not pay more than the amount determined in Step 5. or the limit of insurance, whichever is less. It
does not pay any remaining part of the loss.
Two or more coverages in the coverage form may
cover the same loss. In that case, the insurance company does not pay more than
the actual value of the claim, loss, or damage sustained.
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 on all insurance that covers on the same basis.
There may be other coverage available to pay for the loss other than as described in item 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 it can be collected or not. Any payment is subject to the limit of insurance that applies.
The insurance company has
four loss payment options if a covered loss occurs.
The insurance company
must notify the named insured of its intent to rebuild, repair, or replace
within 30 days of receiving a properly completed proof of loss.
The insurance company adjusts all losses with and pays the named insured. The only exception is when a loss payee is on the policy.
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 either through a written agreement between the company and the named insured or after an appraisal award is filed with the company.
The insurance company has the option to adjust and pay losses that involve property of others to either the named insured on the property owner’s behalf or to the property 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.
Either party can request an appraisal to
determine a disputed claim’s value. 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.
The insurance
provided does not directly or indirectly benefit any party that has custody of
the named insured's property.
Any condition
in this coverage form that conflicts with any applicable law is amended to
conform to that law.
This
applies only when the named insured is an individual. When a named insured
dies, the person who has custody of the named insured's property is insured
until a qualified legal representative is appointed. Once the
named insured’s legal representative is named, that person is insured
but only for the property covered under this policy.
This
coverage does not extend past the policy’s expiration date.
A revision of this coverage form or an applicable endorsement that takes effect during the policy period or within six months of when this coverage takes effect may broaden coverage without an additional premium charge. In that case, the broadened coverage applies to this coverage.
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 any insured engaged in fraud
or false swearing with respect to 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 a particular claim being denied.
Only covered
losses that occur during the policy period are paid.
Payment of 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 incurs 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 other limitation, any recovery is prorated between the named insured and the insurance company, based on the company's respective interest in the loss.
Payment of a
claim does not reduce the limit available for future claims.
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 company secure those rights. The insurance company is not obligated to pay the loss if the named insured hinders or impairs its rights of subrogation.
The named insured has the right to agree in writing to waive recovery
rights from any party as long as it does so before a
loss occurs.
The insurance company cannot be sued by anyone for any coverage until all the terms of the coverage form have been met. Suits must be brought within two years after the named insured first knew about a loss. If a state law invalidates this condition, any suit brought must comply with that law’s provisions and begin within the shortest period of time allowed by law.
Note: It is normal for a basic coverage form to be modified by mandatory state-specific endorsements that address issues that relate to that state.
Covered property must be in the United States of America, its territories, and possessions, Canada, or Puerto Rico for coverage to apply.
The named insured is required to maintain business records throughout the policy period and keep them no less than three years after the policy expires. An itemized inventory of stock that is updated annually through a physical inventory is also required.
The business records the named insured is required to maintain must include all of the following:
The insurance company has the right to request access to the business records and inventory as often as it chooses, and the named insured is required to comply. However, such requests must be considered reasonable.
Note: This condition is very unusual because it requires the named insured to maintain records in a prescribed way. It is common in all Inland Marine dealer coverage forms but not in commercial property coverage forms.
The protective devices that are in operation as of the policy effective date are required to remain in proper working order throughout the policy term. Failure to have the device in place and in working condition at the named premises results in automatic suspension of coverage at the location. Also, failure to place the device into operation when the business is closed will result in automatic suspension of coverage at the location where the device is not in operation. Coverage is automatically restored when the device is back in working condition or is in operation.
AAIS has developed four endorsements to use with Mobile Equipment Dealers Coverage.
This endorsement deletes the coinsurance provisions from How Much We Pay.
This endorsement extends coverage to other personal property. This property consists of furniture, fixtures, office equipment and supplies, machinery, tools and their parts, patterns, molds, models, and dies. It also covers the named insured's interest as a tenant in improvements and betterments it makes to the premises it occupies. Entries must be made on the schedule of coverages.
This endorsement adds reporting requirements and conditions to Additional Conditions and deletes the coinsurance provisions under How Much We Pay. Entries must be made on the schedule of coverages.
This endorsement revises the coinsurance provision to be based on all premises instead of only one. All other terms and conditions remain the same.
To the extent that covered property is contained inside a building, the construction, private and public protection, and exposures to the building must be evaluated. Equipment dealers must further be evaluated based on the types of equipment they keep inside versus the types of equipment kept outside. If covered property is kept outside, the extent of fencing and other protection to restrict access to the premises must also be considered. The type and extent of repair work must be determined and thoroughly evaluated, especially if flammable liquids and welding activities are present.