Download pdf - SCHEDULE OF FORMS AND · PDF fileschedule of forms and endorsements gusdec-diq-01 gus-fs-01 nma 1998 gus-ppn diq-gus-comp gus-ppc-addl endpl-86 gusude lca-01 neq-xeq-master s

SCHEDULE OF FORMS AND ENDORSEMENTS

GUSDEC-DIQ-01

GUS-FS-01

NMA 1998

GUS-PPN

DIQ-GUS-COMP

GUS-PPC-Addl

ENDPL-86

GUSUDE

LCA-01

NEQ-XEQ-MASTER

SLC-3 USA GUS

6-12

10-05

6-12

6-12

10-05

03-01

10-05

6-12

10-05

Dwelling Earthquake Declaration Page

Schedule of Forms & Endorsements

Service of Suit

Privacy Notice (Griffin)

Dwelling Earthquake Coverage Form

Personal Property Coverage – Add’l

Inflation Guard

Un-Repaired Damage Excl

Loss Clause Amendment Endt

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

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

http://www.privacyrights.org/index.htm

http://www.privacy.net/resources

http://www.epic.org/

http://www.ftc.gov/

THIS IS A LIMITED COVERAGE POLICY. PLEASE READ IT CAREFULLY

DWELLING EARTHQUAKE COVERAGE FORM

DIQ-GUS-COMP (6-12) Page 1

Includes copyrighted material of Insurance Services Offices, Inc with its permission

INSURING AGREEMENT

We will provide the insurance described in this policy in

return for the premium and compliance with all

applicable provisions of this policy.

DEFINITIONS

Throughout this policy, “you” and “your” refers to the

“named insured” shown on the Declaration page. “We”,

“us” and “our” refers to the Company providing the

insurance, as indicated on the Declaration page.

“Earthquake” means shaking or trembling of the

earth, whether caused by volcanic activity, tectonic

process or any other cause.

“Pollutants” means any solid, liquid, gaseous, or

thermal irritant or contaminant including smoke, vapor,

soot, fumes, acid, alkalis, chemicals and waste. Waste

includes material to be recycled, reconditioned or

reclaimed.

"Business" means

a. a trade, profession or occupation engaged in on a

full-time, part-time or occasional basis; or

b. Any other activity engaged in for money or other

compensation, except the following:

I. One or more activities, not described in (II)

through (IV) below, for which no "insured"

receives more than $2,000 in total

compensation for the 12 months before the

beginning of the policy period;

II. Volunteer activities for which no money is

received other than payment for expenses

incurred to perform the activity;

III. Providing home day care services for which no

compensation is received, other than the mutual

exchange of such services; or

IV. The rendering of home day care services to a

relative of an "insured".

“Actual Cash Value” means:

a. When the damage to property is economically

repairable, actual cash value means the cost of

repairing the damage, less reasonable deduction

for wear and tear, deterioration and

obsolescence.

b. When the loss or damage to property creates a

total loss, actual cash value means the market

value of property in a used condition equal to that

of the destroyed property, if reasonably available

on the used market.

c. Otherwise actual cash value means the market

value of new, identical or nearly identical property

less reasonable deduction for wear and tear,

deterioration and obsolescence.

"Replacement Cost"

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 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 no longer

available, replacement cost shall mean the cost

of a new article similar to the one damaged or

destroyed and which is of comparable quality

and function, without deduction for depreciation.

"Residence premises" means:

a. The one family dwelling where you reside;

b. The two, three or four family dwelling where you

reside in at least one of the family units; or

c. That part of any other building where you reside;

and which is shown as the residence premises

in the Declarations.

Residence premises also includes other structures and

grounds at that location

PROPERTY COVERAGES

This insurance applies to the Residence Premises

Location in the Declarations, Coverages for which a Limit

of Liability is shown and Perils Insured Against for which

a Premium is stated in the Declarations.

A. Coverage A - Dwelling

We cover:

a. the dwelling on the residence premises shown

in the Declarations, including structures

attached to the dwelling; and

b. structures attached to the dwelling.

We do not cover:

a. land, including land on which the dwelling is

located, except as noted under Additional

Coverages, Land Stabilization; any diminution

of land value, landscaping, trees, shrubs,

lawns or plants, even if damaged by the repair

process;

b. swimming pools, hot tubs, masonry fences,

walkways and patios not necessary for the

regular entry or exit of the dwelling, awnings or

other patio coverings and any loss in value to

the dwelling due to the requirements of any

ordinance or law



B. Coverage B – Adjacent or Other Structures

We cover other structures on the residence premises set

apart from the dwelling by clear space. This includes

structures connected to the dwelling by only a fence,

utility line, or similar connection.

We do not cover:

a. land, including land on which the dwelling is

located, except as noted under Additional

Coverages, Land Stabilization; any diminution

of land value, landscaping, trees, shrubs,

lawns or plants, even if damaged by the repair

process;

b. other structures rented or held for rental by any

person not a tenant of the dwelling, unless

used solely as a private garage;

c. other structures from which any “business” is

conducted

d. land used in whole or in part for commercial,

manufacturing or farming purposes; or

e. other structures used to store "business"

property. However, we do cover a structure

that contains "business" property solely owned

by an "insured" or a tenant of the dwelling

provided that "business" property does not

include gaseous or liquid fuel, other than fuel

in a permanently installed fuel tank of a vehicle

or craft parked or stored in the structure.

C. Coverage C - Personal Property

We cover personal property owned or used by you

while located at the residence premises.

We do not cover:

a. articles separately described and specifically

insured in any other insurance.

b. glassware, china, goldware, silverware,

porcelain or ceramic item, art work or other

decorative item; animals, birds, fish,

landscaping, trees, shrubs, lawns or plants,

motor vehicles or any other motorized land

conveyances including their equipment,

aircraft, aircraft parts, watercraft, watercraft

equipment, outboard motors, trailers, property

of boarders or tenants not related to any

insured; business property located on or away

from your premises, credit cards, fund transfer

cards, money, bank notes, bullion, gold, silver,

platinum, coins and medals, rare coins,

securities, accounts, deeds, evidence of debt,

letters of credit, notes other than bank notes,

manuscripts, tickets, passports, stamps, grave

markers, software, data or records stored on

media designed for use with a computer.

D. Coverage D – Loss of Use

1. Additional Living Expenses

a. If an earthquake makes the part of the residence

premises where you reside not fit to live in, we

cover any necessary increase in living expenses

you incur so that your household can maintain

its normal standard of living.

b. If a civil authority prohibits you from use of the

residence premises as a result of direct damage

to neighboring premises by an earthquake we

cover the Additional Living Expense loss as

provided under "a".

Payment shall be for the shortest, most reasonable time

required to make your dwelling ready for occupancy or, if

you permanently relocate, the shortest, most reasonable

time required to settle elsewhere but not to exceed:

a. the Additional Living Expense limit of liability

stated on the Declarations, or

b. the direct financial loss you incur under

Additional Living Expense; whichever is less.

This coverage is not limited by expiration of this policy.

We do not cover loss or expense due to cancellation of a

lease or agreement.

2. Fair Rental Value

If a loss covered under Property Coverages makes that

part of the residence premises rented to others or held

for rental by you not fit to live in, we cover the fair rental

value of such premises less any expenses that do not

continue while it is not fit to live in.

Payment will be for the shortest time required to repair or

replace such premises.

E. Additional Coverages

Land Stabilization. We will pay up to an additional

$5,000, for the cost required to replace, rebuild,

stabilize or otherwise restore the land necessary to

support the covered dwelling sustaining a covered loss.

The deductible must be met before Land Stabilization

coverage is available. Loss under this coverage will not

be included in meeting your deductible.

F. Other Coverages

1. Building Ordinance Coverage. We will pay up to

$10,000 for the purpose of Building Code Costs

required to bring the covered dwelling up to current

local residential dwelling building code. The

building code costs must be required by local entity

as part of the approval of the reconstruction permit

process following a covered loss. This is not

additional coverage, it is included in the Coverage

A (dwelling) limit.



2. Debris Removal. We will pay up to 5% of the

Dwelling value or a maximum of $50,000,

whichever the lesser amount, for the removal of

debris from a property loss covered by this policy.

Debris removal expense is included in the limit of

liability applying to the damaged property.

3. Reasonable Repairs. We will pay the reasonable

cost incurred by you for necessary repairs made

solely to protect the property covered by this policy

from further damage if there is coverage under this

policy for the peril causing the loss. This cost is

included in the limit of liability that applies to the

property being repaired.

PERILS INSURED AGAINST

We insure for direct loss to the property caused by:

1. Earthquake

One or more earthquake shocks occurring within a

seventy-two hour period will be considered a single

earthquake.

Special Exclusion

We do not cover loss:

(1) Caused directly or indirectly by flood of any nature

or tidal wave, even if attributable to or resulting

from or made worse by earthquake.

(2) Caused directly or indirectly by landslide, mine

subsidence, mudslide or mudflow, earth sinking,

rising, settling or shifting and volcanic eruption.

(3) To exterior masonry veneer other than stucco on

wood frame walls caused by earthquake or

volcanic eruption. The value of such veneer will

not be included in the value of Covered Property

or the amount of loss when applying the

Deductible applicable to this form.

This limitation does not apply if:

a. The premises description in the

Declarations specifically states

“Including Masonry Veneer"; or

b. Less than 10% of the total outside wall

area is faced with masonry veneer

(excluding stucco).

GENERAL EXCLUSIONS We do not cover loss resulting directly or indirectly by

any of the following. Such loss or damage is excluded

regardless of any other cause or event that contributes

concurrently or in any sequence to the loss:

1. Fire; lightning; windstorm; explosion; strike; riot;

civil commotion; aircraft, spacecraft, self-

propelled missiles, and objects that fall from

these items; vehicles; vandalism or sprinkler

leakage.

2. dishonest or illegal acts, whether committed by

you or others, including but not limited to

burglary, theft, robbery, and conversion of

property.

3. loss by mysterious disappearance.

4. the following:

a. corrosion or rust.

b. rot or mold.

c. leakage, evaporation, shrinkage or loss of

weight.

d. the covered property being soured, scented,

discolored or changed in flavor.

e. smog, fumes or vapors.

5. cleanup or demolition of any structure or personal

property located on the residence premises

contaminated by smoke, fumes or residue caused

by, or resulting from any illegal use of the

residence premises as a laboratory for the

production of controlled or illegal chemicals or

narcotics. In addition, the company has no

obligation to defend or indemnify the insured as a

result of any claims or incidents relating to this

exclusion.

6. cleanup, demolition, repair, replacement or any

form of rehabilitation of any structure or personal

property located on the residence premises

contaminated by lead, lead based paints, or any

other lead containing material. Contamination as

used in this context includes deliberate application

of any product containing lead. Cleanup and

abatement expenses related to the removal of

contaminated materials are also excluded. In

addition, the company has no obligation to defend

or indemnify the insured as a result of any claims

or incidents relating to this exclusion.

7. water damage, meaning

a. flood, surface water, waves, tidal water, overflow

of a body of water or spray from any of these,

whether or not driven by wind;

b. water which backs up through sewers or drains;

or

c. water below the surface of the ground, including

water which exerts pressure on or seeps or leaks

through a building, sidewalk, driveway,

foundation, swimming pool or other structure.

8. power interruption, meaning the interruption of

power or other utility service if the interruption takes

place away from the Described Location.

9. war, including undeclared war, civil war,

insurrection, rebellion, revolution, warlike act by a

military force or military personnel, destruction or

seizure or use for a military purpose, and including

any consequence of any of these. Discharge of a

nuclear weapon shall be deemed a warlike act

even if accidental.

10. loss or damage from any peril to lawns, plants,

shrubs or trees outside of buildings.

11. loss or damage to land, no matter where it is

located, and regardless of the origin or cause of the

damage, except as provided under Additional

Coverages, Land Stabilization.



12. loss or damage from any peril not specifically listed

as a Peril Insured Against

CONDITIONS

1. Policy Period. This policy applies only to loss which

occurs during the policy period.

2. Insurable Interest and Limit of Liability. Even if

more than one person has an insurable interest in the

property covered, we shall not be liable:

a. for an amount greater than the interest of a

person insured under this policy; or

b. for more than the limit of liability that applies.

3. Concealment or Fraud. We do not provide coverage

if you have intentionally concealed or misrepresented

any material fact or circumstance relating to this

insurance.

4. Your Duties After Loss. In case of a loss to which

this insurance may apply, you shall see that the

following duties are performed:

a. give immediate notice to us or your agent;

b. protect the property from further damage, make

reasonable and necessary repairs required to

protect the property, and keep an accurate record

of repair expenditures;

c. prepare an inventory of damaged personal

property showing in detail, the quantity,

description, actual cash value and amount of

loss. Attach to the inventory all bills, receipts and

related documents that substantiate the figures in

the inventory;

d. as often as we may reasonably

require:

I. exhibit the damaged

property

II. provide us with records and documents

we request and permit us to make

copies; and

III. submit to examination under oath and

subscribe to the same.

e. submit to us, within 60 days after we request,

your signed sworn proof of loss which sets forth,

to the best of your knowledge and belief:

I. the time and cause of loss;

II. interest of you and all others in the

property involved and all encumbrances

on the property;

III. other insurance which may cover the

loss;

IV. changes in title or occupancy of the

property during the term of the policy;

V. specifications of any damaged building

and detailed estimates for repair of the

damage;

VI. an inventory of damaged personal

property described in 4c;

5. 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:

a. The amount necessary to repair or replace the

damaged property; or

b. The Limit of Liability under Property Coverages

of this policy.

6. Loss to a Pair or Set. In case of a loss to a pair or

set we may elect to:

a. repair or replace any part to restore the pair or

set to its value before the loss; or

b. pay the difference between actual cash value of

the property before and after the loss.

7. Glass Replacement. Covered loss to glass shall be

settled on the basis of replacement with safety

glazing materials when required by ordinance or law.

8. Appraisal. If you and we fail to agree on the amount

of loss, either can demand that the amount of the

loss be set by appraisal. If either makes a written

demand for appraisal, each shall select a

competent, independent appraiser and notify the

other of the appraiser's identity within 20 days of

receipt of the written demand. The two appraisers

shall then select a competent, impartial umpire. If

the two appraisers are unable to agree upon an

umpire within 15 days, you or we can ask a judge of

a court of record in the state of the Described

Location to select an umpire. The appraisers shall

then set the amount of the loss. If the appraisers

submit a written report of agreement to us, the

amount agreed upon shall be the amount of the

loss. If the appraisers fail to agree within a

reasonable time, they shall submit their differences

to the umpire. Written agreement signed by any two

of these three shall set the amount of the loss. Each

appraiser shall be paid by the party selecting that

appraiser. Other expenses of the appraisal and the

compensation of the umpire shall be paid equally by

you and us.

9. Other Insurance. If a loss covered by this policy is

also covered by other insurance, we will pay only the

proportion of the loss that the limit of liability that

applies under this policy bears to the total amount of

insurance covering the loss.

10. Subrogation. You may waive in writing before a loss

all rights of recovery against any person. If not

waived, we may require an assignment of rights of

recovery for a loss to the extent that payment is

made by us. If an assignment is sought, the person

insured shall sign and deliver all related papers and

cooperate with us in any reasonable manner.

11. Suit Against Us. No action shall be brought unless

there has been compliance with the policy provisions

and the action is started within one year after the

loss.



12. Our Option. If we give you written notice within 30

days after we receive your signed, sworn statement

of loss, we may repair or replace any part of the

property damaged with equivalent property.

13. Loss Payment. We will adjust all losses with you.

We will pay you unless some other person is named

in the policy or is legally entitled to receive payment.

Loss will be payable 30 days after we receive your

proof of loss and:

a. reach agreement with you; or

b. there is an entry of a final judgment; or

c. there is a filing of an appraisal award with us.

14. Abandonment of Property. We need not accept

any property abandoned by you.

15. Mortgagee Clause.

a. If a mortgagee is named in this policy, any

loss payable under this policy will be paid to

the mortgagee and you, as interests appear.

If more than one mortgagee is named, the

order of payment will be the same as the

order of precedence of the mortgages.

b. If we deny your claim, that denial will not

apply to a valid claim of the mortgagee, if the

mortgagee:

I. Notifies us of any change in ownership,

occupancy or substantial change in risk

of which the mortgagee is aware;

II. Pays any premium due under this policy

on demand if you have neglected to pay

the premium; and

III. Submits a signed, sworn statement of

loss within 60 days after receiving notice

from us of your failure to do so.

Paragraphs 7. Appraisal, 10. Suit Against

Us and 12. Loss Payment under the

Conditions section also apply to the

mortgagee.

c. If we decide to cancel or not to renew this

policy, the mortgagee will be notified at least

10 days before the date cancellation or

nonrenewal takes effect.

d. If we pay the mortgagee for any loss and

deny payment to you:

I. We are subrogated to all the rights of the

mortgagee granted under the mortgage

on the property; or

II. At our option, we may pay to the

mortgagee the whole principal on the

mortgage plus any accrued interest. In

this event, we will receive a full

assignment and transfer of the mortgage

and all securities held as collateral to the

mortgage debt.

e. Subrogation will not impair the right of the

mortgagee to recover the full amount of the

mortgagee's claim.

16. No Benefit to Bailee. We will not recognize any

assignment or grant any coverage for the benefit of

any person or organization holding, storing or

transporting property for a fee regardless of any

other provision of this policy.

17. Cancellation.

a. You may cancel this policy at any time by return-

ing it to us or by notifying us in writing of the date

cancellation is to take effect.

b. We may cancel this policy by mailing to you or

your representative, or any lienholder shown in

the policy, at the last address known by us or at

the last address shown in our records, written

notice stating when not less than thirty (30) days

thereafter such cancellation shall be effective;

provided that in the event of nonpayment of

premium, such notice shall state when not less

than ten (10) days thereafter such cancellation

shall be effective.

c. When this policy has been in effect for sixty (60)

days or more, or at any time if it is a renewal with

us, we may cancel if there has been a material

misrepresentation of fact which if known to us

would have caused us to not issue the policy or if

the risk has changed substantially since the

policy was issued. This can be done by notifying

you at least thirty (30) days before the date

cancellation takes effect.

d. When this policy is written for a period longer than

one year, we may cancel for any reason at

anniversary by notifying you at least thirty (30)

days before the date cancellation takes effect.

e. When this policy is cancelled, the Policy Fee shall

be fully earned and the premium for the period

from the date of cancellation to the expiration date

will be refunded, subject to a Minimum Earned

Premium if one is indicated on the Declarations of

this policy. When you request cancellation, the

return premium will be based on our rules for

such cancellation, and will be less than a full pro

rata refund. When we cancel, the return premium

will be pro rata.

f. If the return premium is not refunded with the

notice of cancellation or when this policy is

returned to us for cancellation, we will refund it as

soon as possible, but no later than:

I. 45 days after we send a notice of

cancellation to you; or

II. 30 days after we receive the policy or a

notice of cancellation from you.

g. If the policy is cancelled by us, any mortgagee or

other person with a financial interest in the

property, who is named in the Declarations or in

any endorsement attached to this policy, will be

notified in writing at least ten (10) days before the

date cancellation takes effect. The cancellation

notice may be delivered or mailed; proof of

mailing will be sufficient proof of notice.



18. Non-Renewal. We may elect not to renew this

policy. We may do so by delivery to you or mailing to

you at your mailing address shown in the

Declarations, written notice at least thirty (30) days

before the expiration date of the policy. Proof of

mailing shall be sufficient proof of notice.

19. Liberalization Clause. If we adopt any revision

which would broaden the coverage under this policy

without additional premium within 60 days prior to or

during the policy period, the broadened coverage will

immediately apply to this policy.

20. Waiver or Change of Policy Provisions. A waiver

or change of any provision of this policy must be in

writing by us to be valid. Our request for an

appraisal or examination shall not waive any of our

rights.

21. Assignment. Assignment of this policy shall not be

valid unless we give our written consent.

22. Death. If you die, we insure:

a. your legal representatives, but only with respect

to the property covered under the policy at the

time of death;

b. with respect to your property, the person having

proper temporary custody of the property until

appointment and qualification of a legal

representative. 21. Nuclear Hazard Clause.

a. “Nuclear Hazard” means any nuclear reaction,

radiation, or radioactive contamination, all

whether controlled or uncontrolled or however

caused, or any consequence of any of these.

b. Loss caused by the nuclear hazard shall not be

considered loss caused by fire, explosion, or

smoke, whether these perils are specifically

named in or otherwise included within the Perils

Insured Against.

c. This policy does not apply to loss caused directly

or indirectly by nuclear hazard.

DEDUCTIBLE

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.

The deductible amount shall be calculated as a

percentage of the Total Insured Value listed in the

Declarations. The applicable percentage is shown in

the Declarations.

Example:

When:

- The Total Insured Value under a policy is $100,000

- The Earthquake Deductible is 5%

- The amount of loss is $20,000

Step (a): $100,000 x 5% = $5,000

Step (b): $20,000 - $5,000 = $15,000

The most we will pay is $15,000.

The remaining $5,000 is not covered as this is the

calculated deductible amount

COINSURANCE

If a Coinsurance percentage is shown in the

Declarations, the following condition applies.

We will not pay the full amount of any loss if the value

of Covered Property at the time of loss times the

Coinsurance percentage shown for it in the

Declarations 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.

Example (Underinsurance):

When:

The value of the property is $250,000

The Coinsurance percentage for it is 80%

The Limit of Insurance for it is $100,000

The Deductible is $250

The amount of loss is $40,000

Step (1): $250,000 x 80% = $200,000

(the minimum amount of insurance to meet your

Coinsurance requirements)

Step (2): $100,000 Error! AutoText entry not

defined. $200,000 = .50

Step (3): $ 40,000 x .50 = $20,000

Step (4): $ 20,000 – $250 = $19,750

We will pay no more than $19,750. The remaining

$20,250 is not covered.

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 Coverages A, B, C & D (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 (10-05)

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)

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


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


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


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


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


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.

CONFIDENTIALITY AND SECURITY

MASTER ENDORSEMENT


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.