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SCHEDULE OF FORMS AND ENDORSEMENTS
GUSDEC-DIC-01
GUS-FS-01
NMA 1998
GUS-PPN
GUS-DIC
GUS-PPC-Addl
ENDPL-86-DIC
GUSUDE
LCA-01
CI-01
NEQ-XEQ-MASTER
SLC-3 USA GUS
DIC
6-12
10-05
6-12
6-12
9-10
03-01
10-05
4-08
6-12
10-05
10-09
Homeowner Difference In Conditions Declaration Page
Schedule of Forms & Endorsements
Service of Suit
Privacy Notice (Griffin)
Homeowners Difference In Conditions Coverage Form
Personal Property Coverage – Add’l
Inflation Guard
Un-Repaired Damage Excl
Loss Clause Amendment Endt
80% Co-Insurance Clause
Master Endorsement
NMA2340 (24/11/88) Land, Water and Air Excl ;
Seepage/Pollution/Contamination Excl; Debris Removal Endt
NMA1191 Radioactive Contamination Excl
NMA464 War and Civil War Excl
LMA5021 Applicable Law (U.S.A.)
NMA1331 Cancellation Clause
LMA5018 Microorganism Excl (Absolute)
NMA2915 Electronic Data Endorsement B
NMA2962 (06/02/03) Biological or Chemical Materials Excl
LMA5019 Asbestos Endt
NMA2920 Terrorism Excl
LSW 1135(b) Lloyd’s Privacy Policy Statement
LSW1001 Several Liability Notice
Policy Jacket
Dwelling Difference In Conditions (DIC) Application
ADDITIONAL FORMS:
GUS-FS-01 (10/05)
SERVICE OF SUIT CLAUSE (U.S.A.)
It is agreed that in the event of the failure of Underwriters hereon to pay any amount claimed to be due hereunder, Underwriters hereon, at the request of the Insured (or reinsured), will submit to the jurisdiction of any Court of competent jurisdiction within the United States and will comply with all requirements necessary to give such Court jurisdiction, and all matters arising hereunder shall be determined in accordance with the law and practice of such court.
It is further agreed that service of process in such suit may be made upon Mendes &
Mount, 520 Madison Ave, New York, NY 10022, and that in any suit instituted against any one of them upon this contract, Underwriters will abide by the final decision of such Court or any Appellate Court in the event of an appeal.
The above-named are authorized and directed to accept service of process on behalf of Underwriters in any such suit and/or upon the request of the insured (or reinsured) to give a written undertaking to the insured (or reinsured) and that they will enter a general appearance upon Underwriters' behalf in the event such a suit shall be instituted.
Further, pursuant to any statute of any state, territory, or district of the United States which makes provision therefore, Underwriters hereon hereby designate the Superintendent, Commissioner or Director of Insurance or other officer specified for that purpose in the statute, or his successor or successors in office, as their true and lawful attorney upon whom may be served any lawful process in any action, suit or proceeding instituted by or on behalf of the insured (or reinsured) or any beneficiary hereunder arising out of this contract of insurance (or reinsurance), and hereby designate the above-named as the person to whom the said officer is authorized to mail such process or a true copy thereof.
NMA 1998
PRIVACY POLICY NOTICE
The Gramm-Leach-Bliley Act of 1999 requires financial institutions (which includes banks, insurance
company’s agents and brokers) to notify you how they will use certain non-public personal financial
information you have given us. It is Griffin Underwriting Services policy to protect your privacy and the
personal information you have entrusted/given to us.
What is Griffin Underwriting Services policy on sharing your private information?
1. We will only use the information you have provided to us to assist you and your agent in
obtaining insurance coverage.
2. We will not distribute this personal information concerning you to other parties for anything
other than insurance underwriting purposes.
3. We will require anyone including our employees to whom we disclose your personal
information to protect its confidentiality and use it solely/only for the purpose which it is/was
disclosed.
PLEASE NOTE
The Gramm-Leach-Bliley Act allows financial institutions to share your personal information for
marketing purposes. In certain circumstances you can prohibit the sharing of your non-public
personal information. Griffin Underwriting Service voluntarily restricts this information and will not
distribute any of this information to non affiliated or affiliated third parties.
For more information on Privacy you can visit these web sites:
www.privacyrights.org/index.htm
www.privacy.net/resources
www.epic.org
www.ftc.gov
You can contact your agent if you have any questions regarding this matter.
Privacy Policy Notice
Concerning all certificate (policy) holders for Lloyds of London, Ace European Group Limited, Sirius
International Insurance Corp and Certain Underwriters at Lloyds.
“Neither the U.S. brokers that handled this insurance nor the insurers that have underwritten this
insurance will disclosed non-public personal information concerning the buyer to non affiliates of the
brokers or insurers except as permitted by law”
GUS-PPN
DIFFERENCE IN CONDITIONS
GUS DIC (6/12)
THIS IS A LIMITED COVERAGE POLICY. PLEASE READ IT CAREFULLY
HOMEOWNERS DIFFERENCE IN CONDITIONS COVERAGE FORM
GUS-DIC (6-12) Page 1
Includes copyrighted material of Insurance Services Offices, Inc with its permission
This Insurance is effected with Underwriters at Lloyds as
noted herein.
This Certificate is used in accordance with the limited
authorization granted to the correspondent by
Underwriters, whose names and proportions
underwritten by them can be ascertained from the office
of said correspondent, and in consideration of the
premium specified herein, the said Underwriters do
hereby bind themselves each for his own part and not for
another, their heirs, executors and administrators, to
insure in accordance with the terms and conditions
contained herein or endorsed hereon, the dwelling,
contents and appurtenant structures of the Assured
including extra living expenses at the address stated in
the Certificate against physical loss or damage by the
perils insured as defined and set forth in this Certificate.
In this Certificate “you” and “your” refer to the Named
Assured shown on the Declarations page, and “we”, “us”
and “our” refer to Underwriters at Lloyd’s, London
providing this insurance.
PERILS INSURED DEFINITION
The Perils covered by this Certificate are risks of direct
physical loss or damage from any external cause
including Flood, Landslide and Earthquake BUT THIS
CERTIFICATE DOES NOT COVER ANY LOSS OR
DAMAGE INVOLVING ANY PERILS EXCLUDED.
PERILS EXCLUDED
THIS CERTIFICATE DOES NOT COVER:
1. Loss or damage which is directly or indirectly caused
by, or which is contributed to by loss or damage
which is covered by Section I of the 1991
Homeowners Form HO-3 (edition8-96); or applicable
coverage form. WHETHER YOU ARE COVERED
FOR SUCH LOSS BY ANY OTHER INSURANCE
POLICY OR NOT. Loss or damage covered by
Homeowners Form HO- 3 is defined as follows:
a) in respect of Dwelling or other Structures-risks of
direct loss only if that loss is a physical loss to
property except as is excluded under Section 1,
Coverages A and B of Homeowners Form HO-3
(edition 8-96).
b) in respect of Personal Property –
i) Fire or lightning
ii) Windstorm or Hail as defined in
Homeowners Form HO-3 (ed. 8-96)
iii) Explosion
iv) Riot or Civil Commotion
v) Aircraft, including self-propelled missiles and
spacecraft
vi) Vehicles
vii) Smoke as defined in Homeowners Form
HO-3 (ed. 8-96)
viii) Vandalism or Malicious Mischief
ix) Theft as defined in Homeowners Form HO-3
(ed. 8-96)
x) Falling Objects as defined in Homeowners
HO-3 (ed. 8-96)
xi) Weight of ice, snow or sleet as defined in
Homeowners Form HO-3 (ed. 8-96)
xii) Accidental discharge or overflow of water or
steam as defined in Homeowners Form HO-
3 (ed. 8-96)
xiii) Sudden and accidental tearing apart,
cracking, burning, or bulging of a steam or
hot water heating system, an air
conditioning system or automatic fire
protective sprinkler system or an appliance
for heating water.
xiv) Freezing as defined in Homeowners Form
HO-3 (ed. 8-96)
xv) Sudden and accidental damage from
artificially generated electrical current as
defined in Homeowners Form HO-3 (ed. 8-
96)
xvi) Volcanic Eruption other than loss caused by
earthquake, land shock waves or tremors.
2. Loss or damage caused by or resulting from moth,
vermin, termites or other insects, inherent vice,
latent defect, wear, tear, or gradual deterioration,
contamination, rust wet or dry rot, mould,
dampness of atmosphere, smog or extremes of
temperature, or loss or damage by normal settling,
shrinkage or expansion in building or foundation, or
loss or damage by structural defects due to
defective workmanship, defective materials or
defective design.
GUS DIC (6/12) Page 2
3. Loss or damage caused by backing up of sewers or
drains, but this exclusion does not exclude loss or
damage arising as a consequence of flood.
4. Loss, damage, costs or expense in connection with
any kind or description of seepage and/or pollution
and/or contamination, direct or indirect, arising from
any cause whatsoever.
5. Breakdown or derangement of machinery, and/or
boiler explosion.
6. Any dishonesty on your part or any of your
employees, infidelity or unexplained disappearance.
7. Loss or damage to electrical appliances, devices,
fixtures or wiring caused by artificially generated
electrical current.
8. Loss or damage arising directly or indirectly from
nuclear reaction, nuclear radiation or radioactive
contamination, however such nuclear reaction
nuclear radiation or radioactive contamination may
have been caused.
9. Loss or damage to the property insured occasioned
directly or indirectly by war, invasion, hostilities, acts
of foreign enemies, civil war, rebellion insurrection,
military or usurped power or martial law or
confiscation by order of any government or public
authority.
10. Loss or damage to personal property caused by
processing, renovating repairing or faulty
workmanship thereon.
11. Loss or damage to personal property resulting from
shrinkage, evaporation, loss of weight, leakage,
breakage of glass or other fragile articles, marring,
scratching, exposure to light, or change in color,
texture, or flavor, unless such loss or damage is
caused directly by flood, earthquake or landslide.
12. Loss of market or other consequential loss of any
nature except as specifically provided by sections
13. Extra Living Expenses and 14 Prohibited Use.
13. Loss or damage caused by exposure to weather
conditions where any personal property covered is
left in the open and not contained in buildings on
permanent foundations.
14. Loss or damage occurring while the building
insured or containing the property insured, is to
your knowledge, vacant or unoccupied for more
than ninety (90) consecutive days. You shall
exercise due diligence in maintaining the property
and have the property checked on a periodic basis
during any period of vacancy.
15. Any loss or increased cost incurred by you because
of any Civil Authority's enforcement of any
ordinance or law regulating the reconstruction,
repair or demolition of any property covered except
with respect to section 14 (Prohibited Use) of this
Certificate.
16. Expenses, fines, penalties or costs that you incur or
sustain or which are imposed on you at the order of
any Government Agency, Court or other Authority,
in connection with any kind or description of
environmental impairment including seepage or
pollution or contamination from any cause.
17. Any loss which is covered by any other insurance
purchased by you, on your behalf or for your
benefit, but only to the extent that you are insured
for such a loss by such other insurance.
18. Any expense incurred or required to prevent ground
movement or flooding.
19. Loss or damage arising from land creep, ground
heave, subsidence, seepage, or wave action which
occurs gradually
SUMS INSURED
The Sums Insured, stated in the Declarations for
Buildings, Contents, and Appurtenant Structures, Extra
Living Expense, Fair Rental Value or Prohibited Use, is
the amount(s) that we will be liable for after each loss or
series of losses arising out of one occurrence at each
location covered by this Certificate.
DEDUCTIBLE
The following is applicable to any one loss for which this
insurance applies:
Unless otherwise noted in this policy, the following
deductible provision applies. Subject to the policy limits
that apply, we will only pay that part of the total of all loss
payable that exceeds the deductible amount in any one
occurrence.
The deductible amount shall be calculated as a
percentage of the Total Insured Value (TIV), listed in the
Declarations. TIV is the total sum of all the limits listed
on the declarations page for Dwelling, Other structures,
Personal Property, Additional living Expense or Loss of
Rents. The applicable deductible percentage is shown in
the Declarations.
2. Payment under Dwelling, Other Structures, Personal
Property, Extra Living Expense and/or Fair Rental
Value is available only after the Deductible has been
met.
EXAMPLE: Dwelling $100,000 plus Other Structures
$10,000 plus Personal Property $20,000 plus Additional
Living Expense $10,000.00 summed together total
$140,000. Deductible as listed on Declarations page is
shown as 20%. $140,000 x 20% equals $28,000. Loss
by a covered peril occurs is the amount of $40,000
minus $28,000 deductible. The most that will be paid is
$12,000.
GUS DIC (6/12) Page 3
PROPERTY EXCLUDED
THIS CERTIFICATE DOES NOT COVER ANY LOSS
OR DAMAGE TO:
1. Animals, birds or fish.
2. Motor vehicles or all other motorized land
conveyances.
3. Watercraft including their trailers, furnishings,
equipment and outboard motors.
4. Aircraft and parts.
5. Jewelry, watches, furs or garments trimmed with
fur, precious and semi- precious stones, silverware,
silver-plated ware, gold ware, gold-plated ware and
pewter ware, fine arts, object d'art, and firearms.
6. Money, bank notes, bullion, gold, silver, platinum,
medals, coins, securities, accounts, deeds,
evidence of debt, letters of credit, notes,
manuscripts, passports, tickets, stamps and
valuable papers.
7. Standing timber, growing crops, land, landscaping,
fences, bridges, swimming pools, outdoor sprinkler
systems, outdoor antennas and aerials, septic
systems, piers, jetties, boat docks, walks, trams,
trolleys, lifts, hoists, elevators and stairs outside the
insured dwelling, driveways and other paved
surfaces outside the insured dwelling, or retaining
walls not attached to the insured dwelling.
8. Any building, structure, barn or other outbuilding
used for commercial or farming purposes, or to
produce income, except for tenant occupied
residential housing income.
DEFINITIONS
1. LOCATION means the dwelling and other
structures, or that portion of any of the buildings at
the address shown in the Declarations.
2. LOSS means an occurrence, including exposure to
conditions which results in property damage.
3. PROPERTY DAMAGE means physical injury to,
destruction of, or loss of use of tangible property as
is insured by this certificate.
4. EARTHQUAKE means
a) Earthquake Shocks including land shockwaves
or tremors before, during, or after a volcanic
eruption;
b) Landslide, mudflow, earth sinking, rising or
shifting caused by such Shock(s) arising during
any one period of 72 consecutive hours during
the period of this Certificate. You may select the
time from which any such period shall
commence but no two such selected periods
may overlap.
5. FLOOD means a general and temporary condition of
partial or complete inundation of normally dry land
areas from surface water, waves, tidal water,
overflow of a body of water or spray from any of
these whether or not driven by wind arising during
any one period of 72 consecutive hours during the
period of this Certificate. You may select the time
from which any such period shall commence but no
two selected periods may overlap.
6. LANDSLIDE means the natural and sudden fall,
slipping or displacement of earth or rock, including
mudflow and land collapse other than that arising
out of Earthquake Shock.
7. REPLACEMENT COST MEANS:
a) In case of loss or damage to buildings,
“replacement cost” means the cost, at the time
of loss, to repair or replace the damaged
property with new materials of like kind and
quality, without deduction for depreciation.
b) In case of loss to personal property,
“replacement cost” means the cost, at the time
of loss, of a new article identical to the one
damaged or destroyed. When the identical
article is no longer manufactured or is not
available, replacement cost means the cost of a
new article similar to the one damaged or
destroyed and which is of comparable quality
and usefulness, without deduction for
depreciation.
CONDITIONS
1. VALUATION OF PROPERTY
Covered losses to property are settled as follows:
a. For Building and Appurtenant Structures-at the
cost to rebuild, repair or replace the dwelling and
appurtenant structures, up to Policy Limit;
b. For Personal Property at the cost to repair or
replace immediately prior to loss of contents,
but not for more than the limit specified under
Personal Property coverage amount.
2. NOTIFICATION OF CLAIMS
Upon knowledge of any loss or damage likely to give
rise to a claim hereunder, you shall immediately
advise:
Griffin Underwriting Services
P.O. Box 3867
Bellevue, WA 98009-3867
(425)453-8599 or (800)562-8095
(425)453-8696 Fax
in writing of the loss or damage.
3. Loss Settlement. Covered property losses are
settled at actual cash value unless Replacement
Cost is shown on the declaration page under
coverage description. At the time of loss losses are
settled not to exceed the smallest of the following
amounts:
GUS DIC (6/12) Page 4
a) The amount necessary to repair or replace the
damaged property; or
b) The limit of Liability under Section I of this policy.
4. PROOF OF LOSS
You shall render a signed and sworn proof of loss
within sixty (60) days after the occurrence of a loss
(unless such period be extended by our written
agreement), stating the time, place and cause of
loss, your interest and the interest of all others in
the property, the value of the property involved, and
the amount of loss or damage to the property.
5. SUBROGATION
If we become liable for any payment under this
Certificate in respect of loss or damage, we shall be
subrogated, to the extent of such payment, to all
your rights and remedies against any party in
respect of such loss or damage and shall be
entitled at our own expense to sue in your name.
You shall give us all such assistance in your power,
as we may require, to secure our rights and
remedies and, at our request, shall execute all
documents necessary to enable us to effectively
bring suit in your name, including the execution and
delivery of the customary form of loan receipt.
6. CANCELLATION
You may cancel this Insurance at any time by
written notice or by surrender of this Certificate. We
may cancel this Insurance only for the reasons
stated below by notifying you in writing of the date
cancellation takes effect. This cancellation notice
may be delivered to you, or mailed to you, at your
mailing address shown in the declarations. Proof of
mailing shall be sufficient proof of notice.
1) When you have not paid the premium we may
cancel at any time by notifying you at least 10
days before the date cancellation takes effect.
2) We may cancel this policy for any reason other
than nonpayment of premium by notifying you
at least 30 days before the date cancellation
takes effect.
If you cancel this Insurance, we shall retain the
customary short rate proportion of the premium
hereon, or $100, whichever is the greater.
If we cancel this Insurance, we shall retain the pro-
rata proportion of the premium hereon, or any
minimum premium stipulated herein, whichever is
the greater.
Payment or tender of any unearned premium by us
shall not be a condition precedent to the
effectiveness of Cancellation, but such payment
shall be made as soon as possible.
If the period or limitation relating to the giving of
notice is prohibited or made void by any law
controlling the construction thereof, such period
shall be deemed to be amended so as to be equal
to the minimum period or limitation permitted by
such law.
7. ABANDONMENT
There shall be no abandonment to us of any
property.
8. ASSIGNMENT
Assignment or transfer of this Certificate shall not be
valid except with our written consent.
9. DEBRIS REMOVAL
This Certificate also covers, within the Sum Insured,
expenses incurred in the removal of debris of the
property covered hereunder, from the premises
covered hereunder, which may be destroyed or
damaged by peril insured against. Removal of
Debris shall not include the costs of
decontamination of water, soil or any other
substance on or under such premises.
The cost of removal of debris shall not be considered
in determination of the valuation of the property
covered.
10. OTHER INSURANCE
This Certificate does not cover any loss or damage,
which at the time of happening of such loss or
damage is insured by, or would but for the
existence of this Certificate, be covered by any
other insurance policy or policies. Notwithstanding
the foregoing, permission is granted to you to
participate in the National Flood plan and we will be
liable for loss or damage only to the extent of loss or
damage in excess of the amount recoverable under
the National Flood Plan, if we would have been
liable for such loss or damage had the National
Flood Plan coverage not been effective.
11. INSPECTION AND AUDIT
We shall be permitted, but not obligated, to inspect
your property at any time. Neither our right to make
inspections, nor the making thereof, nor any report
thereon shall constitute an undertaking, on behalf
of or for your benefit or others, to determine or
warrant that such property is safe.
12. SALVAGES AND RECOVERIES
All salvages, recoveries and payments recovered or
received subsequent to a loss settlement under this
Certificate shall be applied as if recovered or
received prior to the said settlement and all
necessary adjustments shall be made by the
parties hereto.
13. FALSE OR FRAUDULENT CLAIMS
If you shall make any claim knowing the same to be
false or fraudulent, as regards amount or otherwise,
this Certificate shall become void and all claims
hereunder shall be forfeited.
GUS DIC (6/12) Page 5
14a.EXTRA LIVING EXPENSE
If property damage insured by this Certificate makes
your residence uninhabitable, this Certificate covers
any necessary increase in living expenses incurred
by you so that your household can maintain its
normal standard of living.
Payment shall be for the shortest time required to
rebuild, repair or replace the premises or, if you have
to be permanently relocated, the shortest time
required to settle elsewhere. The amount covered is
limited to the Sum Insured shown in the
Declarations for Extra Living Expense. This period of
time is not limited by expiration of this Certificate.
14b.FAIR RENTAL VALUE (if tenant occupied)
We cover the fair rental value if a loss to the
Dwelling described on the Declarations page by a
Peril Insured Against under this policy, makes that
part of the Described Location rented to others or
held for rental by you unfit for it’s normal use.
Payment shall be for the shortest time required to
repair or replace the part of the Described Location
rented or held for rental. This period of time is not
limited by expiration of this policy.
Fair rental value shall not include any expense that
does not continue while that part of the Described
Location rented or held for rental is unfit for its
normal use. If a civil authority prohibits you from
use of the described location as a result of direct
damage to a neighboring location by a peril insured
against in this policy, we cover any resulting fair
rental value loss for a period not exceeding two
weeks during which use is prohibited.
We do not cover loss or expense due to
cancellation of a lease or agreement.
15. PROHIBITED USE
If a civil authority prohibits you from use of the
residence premises as a result of direct damage to
neighboring premises by a peril insured against in
this Certificate, this Certificate covers any resulting
extra living expenses. The amount covered is
limited to the Sum Insured shown in the
Declarations for Prohibited Use.
16. MORTGAGE CLAUSE
Whenever a Mortgagee is noted on any individual
Certificate issued hereunder, the following
Mortgage Clause shall apply: (Applies only to
building items.)
Loss or damage, if any, under this Certificate shall
be payable to the Mortgagee (or Trustee) named in
the first page of this Certificate or named on an
endorsement attached hereto, as interest may
appear, under all present or future mortgages upon
the property herein described in which the aforesaid
may have an interest; and this insurance, as to the
interest of the Mortgagee (or Trustee) only therein
shall not be invalidated by any act or neglect of the
mortgagor or owner of the within described
property, nor by any foreclosure or other
proceedings or notice of sale relating to the
property, nor by the occupation of the premises for
purposes more hazardous than are permitted by
this Certificate, provided, that in case the Mortgagor
or Owner shall neglect to pay any premium due
under this Certificate, the Mortgagee (or Trustee)
shall, on demand, pay the same.
Provided, also, that the Mortgagee (or Trustee)
shall notify us of any change of ownership or
occupancy or increase of hazard which shall come
to the knowledge of said Mortgagee (or Trustee)
and, unless permitted by this Certificate, it shall be
noted thereon and the Mortgagee (or Trustee) shall,
on demand, pay the premium for such increased
hazard for the term of the use thereof, otherwise
this Certificate shall be null and void.
We reserve the right to cancel this Certificate at any
time as provided by its terms, but in such case
notice must be given simultaneously to the
mortgagee (or Trustee) named herein.
Whenever we shall pay the Mortgagee (or Trustee)
any sum for loss under this Certificate and shall
claim that, as to the Mortgagor or Owner, no liability
thereof existed, we shall, to the extent of such
payment, be thereupon legally subrogated to all the
tights of the party to whom such payment shall be
made, under all securities held as collateral to the
mortgage debt, or may, at its option, pay to the
Mortgagee (or Trustee) the whole principal due or to
grow due on the mortgage with interest, and shall
thereupon receive a full assignment and transfer of
the mortgage and all such other securities; but no
subrogation shall impair the right of the Mortgagee
(or Trustee) to recover the full amount of said
Mortgagee's (or Trustee's) claim.
17. CERTIFICATE RENEWAL
The term of this Certificate begins on its inception
date and ends on its expiration date, as shown on
the "Declarations Page". We are under no
obligation to send any renewal notice or other notice
to you, or any Mortgage or Loss Payee that this
Certificate term is coming to an end.
This Certificate shall not continue into any
successive Certificate term.
PERSONAL PROPERTY COVERAGE -
ADDITIONAL SPECIFIED COVERAGES AND
SPECIAL LIMITS OF INSURANCE If a Limit is shown on the Declarations for Personal Property, we agree to extend coverage C
– Personal Property to specific items of personal property listed below for direct loss to the
property caused only by the Perils Insured Against listed in the policy.
The limits of insurance shown below are sublimits of the limit of insurance (if any) for
Coverage C, Personal Property and do not increase the limits of insurance, as shown in the
DECLARATIONS. The sublimits shown below are the maximum amounts we will pay for
any one loss for all personal property in each numbered category below.
1. $2,500 on Computer Equipment, including all data processing equipment, printers,
scanners, fax machines, copiers and other computer related components, computer software and programs including the direct expense of re-creating and entering data into the computer which was lost due to the earthquake.
2. $1,500 on jewelry, watches, precious and semi-precious stones, articles of gold, silver,
platinum or other precious metals and alloys. 3. $1,500 on all items of glassware, ceramics, china, crystal and dishware, whether for
utility or decorative purpose, ornamental items of porcelain and silver. 4. $1,500 on silverware, silver-plated ware, gold ware, gold-plated ware or any item the
majority of the value of which is gold or silver, including but not limited to lamps or statuary.
5. $1,500 on fur and fur coats and any other articles containing fur. 6. $1,500 on film, electronic or video cameras of any kind and their related equipment and
accessories. 7. $1,500 on musical instruments. 8. $1,500 on sporting equipment and firearms including guns and collections. 9. $1,500 on fine arts.
GUS-PPC-Addl (6-12)
INFLATION GUARD
The limits of liability for Dwelling, Other Structures, Personal Property, and Extra Living
Expense or Fair Rental Value (if listed on the declaration page) will be increased annually by
the percentage amount that is:
1. Shown in the schedule below; and 2. Applied pro rata during the policy period.
Percentage Amount: *4%
*Entry may be left blank if shown elsewhere in this policy for this coverage
IMPORTANT NOTICE: The coverage provided by this “Inflation Guard” endorsement does
not guarantee that you will have adequate limits in the event of a covered loss, nor does it
guarantee that the “Percentage Amount” shown above will keep up with actual inflation. We
make no representations as to the adequacy of your limits of liability. It is your responsibility
to ensure that the limits of liability listed in this policy are adequate at all times to cover
potential losses and to satisfy other policy provisions, such as coinsurance requirements. If
you have questions about your limits, please contact your agent.
ENDPL-86-DIC (09-10)
UN-REPAIRED DAMAGE EXCLUSION
It is hereby understood and agreed that we do not insure for loss caused directly or indirectly
as a result of un-repaired damages caused by any occurrence which took place prior to the
inception date of this policy/certificate.
GUSUDE (03/01)
LOSS CLAUSE AMENDMENT ENDORSEMENT
It is understood and agreed that in the event of a total loss or constructive total loss under the
policy, the entire policy premium shall be earned in full and no return premium shall be due
to the named insured.
If the premium has not been paid to the company, or the company is required to return
premium to a financing company, the amount of that premium shall be deducted from the
amount of the loss payable to the insured or any finance company of the property or building.
LCA-01 (10/05)
80% CO-INSURANCE CLAUSE
We will not pay the full amount of any loss if the value of Covered Property at the time of loss, times
the 80% Coinsurance, is greater than the Limit of Insurance for the property.
Instead, we will determine the most we will pay using the following steps:
1. Multiply the value of Covered Property at the time of loss by the Coinsurance
percentage;
2. Divide the Limit of Insurance of the property by the figure determined in step (1);
3. Multiply the total amount of loss, before the application of any deductible, by the
figure determined in step (2); and
4. Subtract the deductible from the figure determined in step (3).
We will pay the amount determined in step (4) or the limit of insurance whichever is less. For the
remainder, you will either have to rely on other insurance or absorb the loss yourself.
CI-01 (4/08)
MASTER ENDORSEMENT
NEQ-XEQ-MASTER (6/12)
U.S.A. & CANADA NMA2340 (24/11/88)
LAND, WATER AND AIR EXCLUSION
Notwithstanding any provision to the contrary within the Policy of which this Endorsement forms part (or
within any other Endorsement which forms part of this Policy), this Policy does not insure land (including
but not limited to land on which the insured property is located), water or air, howsoever and wherever
occurring, or any interest or right therein.
SEEPAGE AND/OR POLLUTION AND/OR CONTAMINATION EXCLUSION
Notwithstanding any provision to the contrary within the Policy of which this Endorsement forms part (or
within any other Endorsement which forms part of this Policy), this Policy does not insure:
(a) any loss, damage, cost or expense, or
(b) any increase in insured loss, damage, cost or expense, or
(c) any loss, damage, cost, expense, fine or penalty, which is incurred, sustained or imposed by order,
direction, instruction or request of, or by any agreement with, any court, government agency or any
public, civil or military authority, or threat thereof, (and whether or not as a result of public or private
litigation),
which arises from any kind of seepage or any kind of pollution and/or contamination, or threat thereof,
whether or not caused by or resulting from a peril insured, or from steps or measures taken in connection
with the avoidance, prevention, abatement, mitigation, remediation, clean-up or removal of such seepage or
pollution and/or contamination or threat thereof.
The term "any kind of seepage or any kind of pollution and/or contamination" as used in this Endorsement
includes (but is not limited to):
(a) seepage of, or pollution and/or contamination by, anything, including but not limited to, any material
designated as a "hazardous substance" by the United States Environmental Protection Agency or as a
"hazardous material" by the United States Department of Transportation, or defined as a "toxic
substance" by the Canadian Environmental Protection Act for the purposes of Part II of that Act, or any
substance designated or defined as toxic, dangerous, hazardous or deleterious to persons or the
environment under any other Federal, State, Provincial, Municipal or other law, ordinance or regulation;
and
(b) the presence, existence, or release of anything which endangers or threatens to endanger the health,
safety or welfare of persons or the environment.
DEBRIS REMOVAL ENDORSEMENT
THIS ENDORSEMENT CONTAINS PROVISIONS WHICH MAY LIMIT OR PREVENT RECOVERY
UNDER THIS POLICY FOR LOSS WHERE COSTS OR EXPENSES FOR DEBRIS REMOVAL ARE
INCURRED.
Nothing contained in this Endorsement shall override any Seepage and/or Pollution and/or Contamination
Exclusion or any Radioactive Contamination Exclusion or any other Exclusion applicable to this Policy.
MASTER ENDORSEMENT
NEQ-XEQ-MASTER (6/12)
Any provision within this Policy (or within any other Endorsement which forms part of this Policy) which
insures debris removal is cancelled and replaced by the following:
1. In the event of direct physical damage to or destruction of property, for which Underwriters hereon
agree to pay, or which but for the application of a deductible or underlying amount they would agree to
pay (hereinafter referred to as "Damage or Destruction"), this Policy also insures, within the Sum
Insured, subject to the limitations and method of calculation below, and to all the other terms and
conditions of the Policy, costs or expenses;
(a) which are reasonably and necessarily incurred by the Assured in the removal, from the premises of
the Assured at which the Damage or Destruction occurred, of debris which results from the
Damage or Destruction; and
(b) of which the Assured becomes aware and advises the amount thereof to Underwriters hereon
within one year of the commencement of such Damage or Destruction.
2. In calculating the amount, if any, payable under this Policy for loss where costs or expenses for
removal of debris are incurred by the Assured (subject to the limitations in paragraph 1 above):
(a) the maximum amount of such costs or expenses that can be included in the method of calculation
set out in (b) below shall be the greater of US$25,000 (twenty-five thousand dollars) or 10% (ten
percent) of the amount of the Damage or Destruction from which such costs or expenses result;
and
(b) the amount of such costs or expenses as limited in (a) above shall be added to:
(i) the amount of the Damage or Destruction; and
(ii) all other amounts of loss, which arise as a result of the same occurrence, and for which
Underwriters hereon also agree to pay, or which but for the application of a deductible or
underlying amount they would agree to pay; and
the resulting sum shall be the amount to which any deductible or underlying amount to which this
Policy is subject and the limit (or applicable sub-limit) of this Policy, shall be applied.
RADIOACTIVE CONTAMINATION EXCLUSION CLAUSE-PHYSICAL DAMAGE-DIRECT N.M.A. 1191
This certificate does not cover any loss or damage arising directly or indirectly from nuclear reaction,
nuclear radiation or radioactive contamination. However, such nuclear reaction, nuclear radiation or
radioactive contamination may have been caused. NEVERTHELESS, if fire is an insured peril and fire
arises directly or indirectly from nuclear reaction, nuclear radiation or radioactive contamination any loss or
damage arising directly from that fire shall (subject to the provisions of this certificate) be covered
EXCLUDING however all loss or damage caused by nuclear reaction, nuclear radiation or radioactive
contamination arising directly or indirectly from that fire.
Note – If Fire is not an insured peril under this Certificate the words from “NEVERTHELESS” to the end of
the clause do not apply and should be disregarded.
MASTER ENDORSEMENT
NEQ-XEQ-MASTER (6/12)
WAR AND CIVIL WAR EXCLUSION N.M.A. 464
Notwithstanding anything to the contrary herein this Certificate does not cover loss or damage directly or
indirectly occasionally, happening through or in consequence of war, invasion acts of foreign enemies,
hostilities (whether war be declared or not), civil war rebellion, revolution, insurrection, military or usurped
power or confiscation or nationalization of requisition of or damage to property by or under the order of any
government or public or local authority.
APPLICABLE LAW (U.S.A.) LMA5021 (14/09/2005) Form approved by Lloyd’s Market Association
This Insurance shall be subject to the applicable state law to be determined by the court of competent
jurisdiction as determined by the provisions of the Service of Suit Clause (U.S.A.)
CANCELLATION CLAUSE NMA 1331
NOTWITHSTANDING anything contained in this Insurance to the contrary this Insurance may be cancelled
by the Assured at any time by written notice or by surrender of this contract of insurance. This insurance
may also be cancelled by or on behalf of the Underwriters by delivering to the Assured or by mailing to the
Assured by registered, certified or other first class mail, at the Assured's address as shown in this
Insurance, written notice stating when, not less than 20 days thereafter, the cancellation shall be effective.
The mailing of such notice as aforesaid shall be sufficient proof of notice and this Insurance shall terminate
at the date and hour specified in such notice.
If this Insurance shall be cancelled by the Assured, the Underwriters shall retain the customary short rate
proportion of the premium hereon, except that if this Insurance is on an adjustable basis the Underwriters
shall receive the earned premium hereon or the customary short rate proportion of any minimum premium
stipulated herein, whichever is greater.
If this Insurance shall be cancelled by or on behalf of the Underwriters, the Underwriters shall retain the pro
rata proportion of any minimum premium hereon, except that if this Insurance is on an adjustable basis the
Underwriters shall receive the earned premium hereon or the pro rata proportion of any minimum earned
premium herein, whichever is greater.
Payment or tender of any unearned premium by the Underwriters shall not be a condition precedent to the
effectiveness of Cancellation but such payment shall be made as soon as practicable.
If the period of limitation relating to the giving of notice is prohibited or made void by any law controlling the
construction thereof, such period shall be deemed to be amended so as to be equal to the minimum period
of limitation permitted by such law.
MASTER ENDORSEMENT
NEQ-XEQ-MASTER (6/12)
MICROORGANISM EXCLUSION (ABSOLUTE) LMA5018 14/09/2005
This Policy does not insure any loss, damage, claim, cost, expense or other sum directly or indirectly
arising out of or relating to:
mold, mildew, fungus, spores or other microorganism of any type, nature, or description, including but
not limited to any substance whose presence poses an actual or potential threat to human health.
This Exclusion applies regardless whether there is (i) any physical loss or damage to insured property; (ii)
any insured peril or cause, whether or not contributing concurrently or in any sequence; (iii) any loss of use,
occupancy, or functionality; or (iv) any action required, including but not limited to repair, replacement,
removal, cleanup, abatement, disposal, relocation, or steps taken to address medical or legal concerns.
This Exclusion replaces and supersedes any provision in the Policy that provides insurance, in whole or in
part, for these matters.
ELECTRONIC DATA ENDORSEMENT B NMA2915 25/01/01
Electronic Data Exclusion
Notwithstanding any provision to the contrary within the Policy or any endorsement thereto, it is understood
and agreed as follows:
(a) This Policy does not insure loss, damage, destruction, distortion, erasure, corruption or alteration of
ELECTRONIC DATA from any cause whatsoever (including but not limited to COMPUTER VIRUS)
or loss of use, reduction in functionality, cost, expense of whatsoever nature resulting therefrom,
regardless of any other cause or event contributing concurrently or in any other sequence to the
loss.
ELECTRONIC DATA means facts, concepts and information converted to a form useable for
communications, interpretation or processing by electronic and electromechanical data processing
or electronically controlled equipment and includes programmes, software and other coded
instructions for the processing and manipulation of data or the direction and manipulation of such
equipment.
COMPUTER VIRUS means a set of corrupting, harmful or otherwise unauthorised instructions or
code including a set of maliciously introduced unauthorised instructions or code, programmatic or
otherwise, that propagate themselves through a computer system or network of whatsoever nature.
COMPUTER VIRUS includes but is not limited to 'Trojan Horses', 'worms' and 'time or logic
bombs'.
(b) However, in the event that a peril listed below results from any of the matters described in
paragraph (a) above, this Policy, subject to all its terms, conditions and exclusions, will cover
physical damage occurring during the Policy period to property insured by this Policy directly
caused by such listed peril.
Listed Perils
Explosion
MASTER ENDORSEMENT
NEQ-XEQ-MASTER (6/12)
2. Electronic Data Processing Media Valuation
Notwithstanding any provision to the contrary within the Policy or any endorsement thereto, it is
understood and agreed as follows:
Should electronic data processing media insured by this Policy suffer physical loss or damage insured
by this Policy, then the basis of valuation shall be the cost of the blank media plus the costs of copying
the ELECTRONIC DATA from back-up or from originals of a previous generation. These costs will not
include research and engineering nor any costs of recreating, gathering or assembling such
ELECTRONIC DATA. If the media is not repaired, replaced or restored the basis of valuation shall be
the cost of the blank media. However this Policy does not insure any amount pertaining to the value of
such ELECTRONIC DATA to the Assured or any other party, even if such ELECTRONIC DATA cannot
be recreated, gathered or assembled.
BIOLOGICAL OR CHEMICAL MATERIALS EXCLUSION NMA2962 (06/02/03)
It is agreed that this Insurance excludes loss, damage, cost or expense of whatsoever nature directly or
indirectly caused by, resulting from or in connection with the actual or threatened malicious use of
pathogenic or poisonous biological or chemical materials regardless of any other cause or event
contributing concurrently or in any other sequence thereto.
ASBESTOS ENDORSEMENT LMA5019 14/09/2005
A. This Policy only insures asbestos physically incorporated in an insured building or structure, and then
only that part of the asbestos which has been physically damaged during the period of insurance by
one of these Listed Perils:
fire; explosion; lightning; windstorm; hail; direct impact of vehicle, aircraft or vessel; riot or civil
commotion, vandalism or malicious mischief; or accidental discharge of fire protective equipment.
This coverage is subject to each of the following specific limitations:
1. The said building or structure must be insured under this Policy for damage by that Listed Peril.
2. The Listed Peril must be the immediate, sole cause of the damage of the asbestos.
3. The Assured must report to Underwriters the existence and cost of the damage as soon as
practicable after the Listed Peril first damaged the asbestos. However, this Policy does not insure
any such damage first reported to the Underwriters more than 12 (twelve) months after the
expiration, or termination, of the period of insurance.
4. Insurance under this Policy in respect of asbestos shall not include any sum relating to:
(i) any faults in the design, manufacture or installation of the asbestos;
(ii) asbestos not physically damaged by the Listed Peril including any governmental or regulatory
authority direction or request of whatsoever nature relating to undamaged asbestos.
B. Except as set forth in the foregoing Section A, this Policy does not insure asbestos or any sum relating
thereto.
MASTER ENDORSEMENT
NEQ-XEQ-MASTER (6/12)
TERRORISM EXCLUSION ENDORSEMENT NMA 2920
Notwithstanding any provision to the contrary within this insurance or any endorsement thereto it is agreed
that this insurance excludes loss, damage, cost or expense of whatsoever nature directly or indirectly
caused by, resulting from or in connection with any act of terrorism regardless of any other cause or event
contributing concurrently or in any other sequence to the loss;
For the purpose of this endorsement an act of terrorism means an act, including but not limited to the use
of force or violence and/or the threat thereof, of any person or group(s) of persons, whether acting alone or
on behalf of or in connection with any organization(s) or government(s), committed for political, religious,
ideological or in similar purposes including the intention to influence any government and/or to put the
public, or any section of the public, in fear.
This endorsement also excludes loss, damage, cost or expense of whatsoever nature directly or indirectly
caused by, resulting from or in connection with any action taken in controlling, preventing, suppressing or
in any way relating to any act of terrorism.
If the Underwriters allege that by reason of this exclusion, any loss, damage, cost or expense is not covered
by this insurance the burden of proving the contrary shall be upon the Assured.
In the event any portion of this endorsement is found to be invalid or unenforceable the remainder shall
remain in full force and effect.
PRIVACY POLICY STATEMENT LSW 1135(b) 06/03
UNDERWRITERS
Underwriters want you to know how we protect the confidentiality of your non-public personal information.
We want you to know how and why we use and disclose the information that we have about you. The
following describes our policies and practices for securing the privacy of our current and former customers.
INFORMATION WE COLLECT
The non-public personal information that we collect about you includes, but is not limited to:
Information contained in applications or other forms that you submit to us, such as name, address, and
social security number
Information about your transactions with our affiliates or other third-parties, such as balances and
payment history
Information we receive from a consumer-reporting agency, such as credit-worthiness or credit history
INFORMATION WE DISCLOSE
We disclose the information that we have when it is necessary to provide our products and services. We
may also disclose information when the law requires or permits us to do so.
MASTER ENDORSEMENT
NEQ-XEQ-MASTER (6/12)
CONFIDENTIALITY AND SECURITY
Only our employees and others who need the information to service your account have access to your
personal information. We have measures in place to secure our paper files and computer systems.
RIGHT TO ACCESS OR CORRECT YOUR PERSONAL INFORMATION
You have a right to request access to or correction of your personal information
that is in our possession.
CONTACTING US
If you have any questions about this privacy notice or would like to learn more about how we protect your
privacy, please contact the agent or broker who handled this insurance. We can provide a more detailed
statement of our privacy practices upon request.
SEVERAL LIABILITY NOTICE LSW 1001
“The subscribing insurers’ obligations under contracts of insurance to which they subscribe are several and
not joint and are limited solely to the extent of their individual subscriptions.
The subscribing insurers are not responsible for the subscription of any co-subscribing insurer who for any
reason does not satisfy all or part of its obligations.”
Certificate of
(hereinafter called “Coverholder”)
Evidencing Placement of Insurance with certain Underwriters at Lloyds, London
Cover holder hereby certifies that, pursuant to the instructions of the Assured and acting on behalf of the Assured,
insurance as described herein has been effected with certain Underwriters at Lloyd's, London.
Such insurance has been placed in accordance with the limited authorization granted to the Coverholder by certain
Underwriters at Lloyd's London, whose names and the proportions underwritten by them can be ascertained form
the office of said Coverholder (such Underwriters being hereinafter called "Underwriters"), and in consideration
of the premium specified herein, Underwriters have agreed to bind themselves each for his own part and not one
for another, their heirs, executors and administrators.
The assured is requested to read this Certificate, and if not correct, return it immediately to the Coverholder for
appropriate alteration.
In the event of a claim under the insurance described in this Certificate, please notify the following Coverholder:
Griffin Underwriting Services, P.O. Box 3867, Bellevue, WA 98009
SLC-3 USA
GUS 10-05
Certificate Provisions
1. Signature Required. This certificate shall not be valid unless signed by the Coverholder on the
declaration page.
2. Coverholder not Insurer. The Coverholder is not an insurer of the insurance described herein and
neither is nor shall be liable for any loss or claim whatsoever. The Insurers of such insurance are those
individual Underwriters at Lloyd's London, whose names can be ascertained as hereinbefore set forth.
3. Cancellation. If the insurance described herein provides for cancellation and if said insurance is
cancelled after the inception date, earned premium must be paid for the time the insurance has been in
force.
4. Assignment. The insurance described herein shall not be assigned either in whole or in part without the
written consent of the Coverholder endorsed hereon.
5. Attached conditions incorporated. The insurance described in this Certificate is subject to all the
provisions, conditions and warranties set forth herein, attached or endorsed, all of which are to be
considered incorporated herein as further descriptive of the insurance the placement of which is
evidenced by this Certificate.
6. If the Assured shall make any claim knowing the same to be false or fraudulent, as regards amount or
otherwise; this Certificate shall become void, and all claim thereunder shall be forfeited.
7. The Assured shall immediately report to the said Insurer's representative, any occurrence likely to result
in a claim under this Certificate, and shall also file with the said Insurer's representative a detailed sworn
proof of loss within sixty days from the date of loss. Failure by the Assured either to report the said loss
or damage or to file such a written proof of loss as above provided, shall invalidate any claim under this
Certificate.
8. Loss, if any, to be payable in United States Currency.
9. Any provisions or conditions appearing in any forms attached hereto and made a part hereof, which
conflict with or alter the Certificate provisions stated above, shall supersede the provisions appearing in
this Certificate insofar as the latter conflict.