25-64121509-ITB Miscellaneous Property Attachment L Expiring Policy.pdf
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- Attached to
- Inland Marine - Miscellaneous Property Insurance
- Solicitation number
- ITB-13034
- Issued by
- Leon County, Florida
About this file
This document is a Miscellaneous Property Insurance policy for The State of Florida and Eligible Users, issued by XL Specialty Insurance Company with policy number UM00030629MA24A. The policy covers various property assets, including radio and television towers, equipment, and other miscellaneous property across multiple locations, with a total coverage limit of $2,500,000 per location and occurrence, subject to specific item limits. The policy period runs from August 08, 2024 to August 08, 2025, and includes coverage for entities such as Florida Atlantic University, Florida Gulf Coast University, Florida International University, Florida State University, and other state departments and universities.
The policy includes several supplemental coverages and additional protections, with a total deposit premium of $86,314.60, which breaks down to $26,795 for Radio and Television Towers and Equipment Coverage, $58,665 for Scheduled Property Floater, and $854.60 for FL Insurance Guarantee Fund Assessment. The coverage includes provisions for debris removal, expediting expenses, fire department service charges, loss adjustment expenses, and reward coverage, with various specific limits for each type of coverage. The policy also includes endorsements for earthquake and flood coverage, windstorm deductibles, and a replacement cost option for certain items like the Seminole Dining Cruising Kitchen Trailer.
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Solicitation No. 25-64121509-ITB Miscellaneous Property Insurance
Attachment L Expiring Policy
The expiring Miscellaneous Property Policy No. UM00030629MA24A is provided on the following pages.
INSURANCE POLICY
Named Insured Or Assured The State of Florida and Eligible Users
Policy Number
UM00030629MA24A
Company Providing Coverage XL Specialty Insurance Company
Regulatory Home Office 505 Eagleview Boulevard Suite 100 Exton, PA 19341-1120
NOTICE TO POLICYHOLDERS
PN CW 01 0123 Page 1 of 3 © 2023 X.L. America, Inc. All Rights Reserved.
May not be copied without permission.
FRAUD NOTICE
Alabama Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or who knowingly presents false information in an application for insurance is guilty of a crime and may be subject to restitution fines or confinement in prison, or any combination thereof.
Arkansas Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.
California For your protection California law requires the following to appear on this form: Any person who knowingly presents false or fraudulent information to obtain or amend insurance coverage or to make a claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison.
Colorado It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance, and civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado Division of Insurance within the Department of Regulatory Agencies.
District of Columbia
WARNING: It is a crime to provide false or misleading information to an insurer for the purpose of defrauding the insurer or any other person. Penalties include imprisonment and/or fines. In addition, an insurer may deny insurance benefits if false information materially related to a claim was provided by the applicant.
Florida Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree.
Kansas A "fraudulent insurance act" means an act committed by any person who, knowingly and with intent to defraud, presents, causes to be presented or prepares with knowledge or belief that it will be presented to or by an insurer, purported insurer, broker or any agent thereof, any written, electronic, electronic impulse, facsimile, magnetic, oral, or telephonic communication or statement as part of, or in support of, an application for the issuance of, or the rating of an insurance policy for personal or commercial insurance, or a claim for payment or other benefit pursuant to an insurance policy for commercial or personal insurance that such person knows to contain materially false information concerning any fact material thereto; or conceals, for the purpose of misleading, information concerning any fact material thereto.
Kentucky Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime.
Louisiana Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.
Maine It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines, or denial of insurance benefits.
Maryland Any person who knowingly or willfully presents a false or fraudulent claim for payment of a loss or benefit or who knowingly or willfully presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.
New Jersey Any person who includes any false or misleading information on an application for an insurance policy is subject to criminal and civil penalties.
PN CW 01 0123 Page 2 of 3 © 2023 X.L. America, Inc. All Rights Reserved.
May not be copied without permission.
New Mexico ANY PERSON WHO KNOWINGLY PRESENTS A FALSE OR FRAUDULENT CLAIM
FOR PAYMENT OF A LOSS OR BENEFIT OR KNOWINGLY PRESENTS FALSE
INFORMATION IN AN APPLICATION FOR INSURANCE IS GUILTY OF A CRIME AND
MAY BE SUBJECT TO CIVIL FINES AND CRIMINAL PENALTIES.
New York General: All applications for commercial insurance, other than automobile insurance: Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claim for each such violation.
All applications for automobile insurance and all claim forms: Any person who knowingly makes or knowingly assists, abets, solicits or conspires with another to make a false report of the theft, destruction, damage or conversion of any motor vehicle to a law enforcement agency, the department of motor vehicles or an insurance company, commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed five thousand dollars and the value of the subject motor vehicle or stated claim for each violation.
Fire: Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance containing any false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime.
The proposed insured affirms that the foregoing information is true and agrees that these applications shall constitute a part of any policy issued whether attached or not and that any willful concealment or misrepresentation of a material fact or circumstances shall be grounds to rescind the insurance policy.
Ohio Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud.
Oklahoma WARNING: Any person who knowingly, and with intent to injure, defraud or deceive any insurer, makes any claim for the proceeds of an insurance policy containing any false, incomplete or misleading information is guilty of a felony.
WARNING: All Workers Compensation Insurance:
Any person or entity who makes any material false statement or representation, who willfully and knowingly omits or conceals any material information, or who employs any device, scheme, or artifice, or who aids and abets any person for the purpose of:
1. obtaining any benefit or payment,
2. increasing any claim for benefit or payment, or
3. obtaining workers' compensation coverage under the Administrative Workers'
Compensation Act, shall be guilty of a felony punishable pursuant to Section 1663 of Title 21 of the Oklahoma Statutes.
PN CW 01 0123 Page 3 of 3 © 2023 X.L. America, Inc. All Rights Reserved.
May not be copied without permission.
Pennsylvania Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties.
Automobile Insurance: Any person who knowingly and with intent to injure or defraud any insurer files an application or claim containing any false, incomplete or misleading information shall, upon conviction, be subject to imprisonment for up to seven years and the payment of a fine of up to $15,000.
Puerto Rico Any person who knowingly and with the intention of defrauding presents false information in an insurance application, or presents, helps, or causes the presentation of a fraudulent claim for the payment of a loss or any other benefit, or presents more than one claim for the same damage or loss, shall incur a felony and, upon conviction, shall be sanctioned for each violation by a fine of not less than five thousand dollars ($5,000) and not more than ten thousand dollars ($10,000), or a fixed term of imprisonment for three (3) years, or both penalties.
Should aggravating circumstances [be] present, the penalty thus established may be increased to a maximum of five (5) years, if extenuating circumstances are present, it may be reduced to a minimum of two (2) years.
Rhode Island Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.
Tennessee It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines and denial of insurance benefits.
Workers’ Compensation: It is a crime to knowingly provide false, incomplete or misleading information to any party to a workers’ compensation transaction for the purpose of committing fraud. Penalties include imprisonment, fines and denial of insurance benefits.
Utah Workers’ Compensation: Any person who knowingly presents false or fraudulent underwriting information, files or causes to be filed a false or fraudulent claim for disability compensation or medical benefits, or submits a false or fraudulent report or billing for health care fees or other professional services is guilty of a crime and may be subject to fines and confinement in state prison.
Virginia It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines and denial of insurance benefits.
Washington It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines and denial of insurance benefits.
West Virginia Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.
All Other States Any person who knowingly and willfully presents false information in an application for insurance may be guilty of insurance fraud and subject to fines and confinement in prison. (In Oregon, the aforementioned actions may constitute a fraudulent insurance act which may be a crime and may subject the person to penalties).
PN CW 02 0119 Page 1 of 3 © 2019 X.L. America, Inc. All Rights Reserved.
May not be copied without permission.
PRIVACY POLICY
The AXA XL insurance group (the “Companies”), believes personal information that we collect about our customers, potential customers, and proposed insureds (referred to collectively in this Privacy Policy as “customers”) must be treated with the highest degree of confidentiality. For this reason and in compliance with the Title V of the Gramm-Leach-Bliley Act (“GLBA”), we have developed a Privacy Policy that applies to all of our companies. For purposes of our Privacy Policy, the term “personal information” includes all information we obtain about a customer and maintain in a personally identifiable way. In order to assure the confidentiality of the personal information we collect and in order to comply with applicable laws, all individuals with access to personal information about our customers are required to follow this policy.
Our Privacy Promise
Your privacy and the confidentiality of your business records are important to us. Information and the analysis of information is essential to the business of insurance and critical to our ability to provide to you excellent, cost-effective service and products. We understand that gaining and keeping your trust depends upon the security and integrity of our records concerning you. Accordingly, we promise that:
1. We will follow strict standards of security and confidentiality to protect any information you share with us or information that we receive about you;
2. We will verify and exchange information regarding your credit and financial status only for the purposes of underwriting, policy administration, or risk management and only with reputable references and clearinghouse services;
3. We will not collect and use information about you and your business other than the minimum amount of information necessary to advise you about and deliver to you excellent service and products and to administer our business;
4. We will train our employees to handle information about you or your business in a secure and confidential manner and only permit employees authorized to use such information to have access to such information;
5. We will not disclose information about you or your business to any organization outside the AXA XL insurance group of Companies or to third party service providers unless we disclose to you our intent to do so or we are required to do so by law;
6. We will not disclose medical information about you, your employees, or any claimants under any policy of insurance, unless you provide us with written authorization to do so, or unless the disclosure is for any specific business exception provided in the law;
7. We will attempt, with your help, to keep our records regarding you and your business complete and accurate, and will advise you how and where to access your account information (unless prohibited by law), and will advise you how to correct errors or make changes to that information; and
8. We will audit and assess our operations, personnel and third party service providers to assure that your privacy is respected.
Collection and Sources of Information
We collect from a customer or potential customer only the personal information that is necessary for (a) determining eligibility for the product or service sought by the customer, (b) administering the product or service obtained, and (c) advising the customer about our products and services. The information we collect generally comes from the following sources:
Submission – During the submission process, you provide us with information about you and your business, such as your name, address, phone number, e-mail address, and other types of personal identification information;
Quotes – We collect information to enable us to determine your eligibility for the particular insurance product and to determine the cost of such insurance to you. The information we collect will vary with the type of insurance you seek;
PN CW 02 0119 Page 2 of 3 © 2019 X.L. America, Inc. All Rights Reserved.
May not be copied without permission.
Transactions – We will maintain records of all transactions with us, our affiliates, and our third party service providers, including your insurance coverage selections, premiums, billing and payment information, claims history, and other information related to your account;
Claims – If you obtain insurance from us, we will maintain records related to any claims that may be made under your policies. The investigation of a claim necessarily involves collection of a broad range of information about many issues, some of which does not directly involve you. We will share with you any facts that we collect about your claim unless we are prohibited by law from doing so. The process of claim investigation, evaluation, and settlement also involves, however, the collection of advice, opinions, and comments from many people, including attorneys and experts, to aid the claim specialist in determining how best to handle your claim. In order to protect the legal and transactional confidentiality and privileges associated with such opinions, comments and advice, we will not disclose this information to you; and
Credit and Financial Reports – We may receive information about you and your business regarding your credit. We use this information to verify information you provide during the submission and quote processes and to help underwrite and provide to you the most accurate and cost-effective insurance quote we can provide.
Retention and Correction of Personal Information
We retain personal information only as long as required by our business practices and applicable law. If we become aware that an item of personal information may be materially inaccurate, we will make reasonable effort to re-verify its accuracy and correct any error as appropriate.
Storage of Personal Information
We have in place safeguards to protect data and paper files containing personal information.
Sharing/Disclosing of Personal Information
We maintain procedures to assure that we do not share personal information with an unaffiliated third party for marketing purposes unless such sharing is permitted by law. Personal information may be disclosed to an unaffiliated third party for necessary servicing of the product or service or for other normal business transactions as permitted by law.
We do not disclose personal information to an unaffiliated third party for servicing purposes or joint marketing purposes unless a contract containing a confidentiality/non-disclosure provision has been signed by us and the third party. Unless a consumer consents, we do not disclose “consumer credit report” type information obtained from an application or a credit report regarding a customer who applies for a financial product to any unaffiliated third party for the purpose of serving as a factor in establishing a consumer’s eligibility for credit, insurance or employment. “Consumer credit report type information” means such things as net worth, credit worthiness, lifestyle information (piloting, skydiving, etc.) solvency, etc. We also do not disclose to any unaffiliated third party a policy or account number for use in marketing. We may share with our affiliated companies information that relates to our experience and transactions with the customer.
Policy for Personal Information Relating to Nonpublic Personal Health Information
We do not disclose nonpublic personal health information about a customer unless an authorization is obtained from the customer whose nonpublic personal information is sought to be disclosed. However, an authorization shall not be prohibited, restricted or required for the disclosure of certain insurance functions, including, but not limited to, claims administration, claims adjustment and management, detection, investigation or reporting of actual or potential fraud, misrepresentation or criminal activity, underwriting, policy placement or issuance, loss control and/or auditing.
PN CW 02 0119 Page 3 of 3 © 2019 X.L. America, Inc. All Rights Reserved.
May not be copied without permission.
Access to Your Information
Our employees, employees of our affiliated companies, and third party service providers will have access to information we collect about you and your business as is necessary to effect transactions with you. We may also disclose information about you to the following categories of person or entities:
Your independent insurance agent or broker;
An independent claim adjuster or investigator, or an attorney or expert involved in the claim;
Persons or organizations that conduct scientific studies, including actuaries and accountants;
An insurance support organization;
Another insurer if to prevent fraud or to properly underwrite a risk;
A state insurance department or other governmental agency, if required by federal, state or local laws; or Any persons entitled to receive information as ordered by a summons, court order, search warrant, or subpoena.
Violation of the Privacy Policy
Any person violating the Privacy Policy will be subject to discipline, up to and including termination.
For more information or to address questions regarding this privacy statement, please contact your broker.
PN CW 05 0519
©2019 X.L. America, Inc. All rights reserved. May not be copied without permission.
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
U.S. TREASURY DEPARTMENT’S OFFICE OF FOREIGN ASSETS CONTROL
(“OFAC”)
No coverage is provided by this Policyholder Notice nor can it be construed to replace any provisions of your policy. You should read your policy and review your Declarations page for complete information on the coverages you are provided.
This Policyholder Notice provides information concerning possible impact on your insurance coverage due to the impact of U.S. Trade Sanctions1. Please read this Policyholder Notice carefully.
In accordance with the U.S. Department of the Treasury’s Office of Foreign Assets Control (“OFAC”) regulations, or any other U.S. Trade Sanctions embargoes or export controls applied by any regulatory body, if it is determined that you or any other insured, or any person or entity claiming the benefits of this insurance has violated U.S. sanctions, embargoes or export controls law, is a Specially Designated National and Blocked Person (“SDN”), or is owned or controlled by an SDN, this insurance will be considered a blocked or frozen contract. When an insurance policy is considered to be such a blocked or frozen contract, neither payments nor premium refunds may be made without authorization from OFAC or the applicable regulator. Other limitations on the premiums and payments also apply.
1 “U.S Trade Sanctions” may be promulgated by Executive Order, act of Congress, regulations from the U.S. Departments of State, Treasury, or Commerce, regulations from the State Insurance Departments, etc.
PN FL 03 0524 © 2024 X.L. America, Inc. All Rights Reserved.
May not be copied without permission.
FLORIDA
FOR INFORMATION, OR
TO MAKE A COMPLAINT, CALL:
1-800-688-1840
AXA XL
677 WASHINGTON BLVD.
10TH FLOOR, SUITE 1000
STAMFORD, CT 06901
HAI 001 1122 © 2022 X.L. America, Inc. All Rights Reserved. Page 1 of 3 May not be copied without permission.
REGULATORY OFFICE
505 Eagleview Blvd., Ste. 100 Dept: Regulatory Exton, PA 19341-1120 Telephone: 800-688-1840
COMMERCIAL LINES POLICY
COMMON POLICY DECLARATIONS
Company: XL Specialty Insurance Company Policy Number: UM00030629MA24A Renewal Of: UM00030629MA23A
Policy Period Effective Date: August 08, 2024 Expiration Date: August 08, 2025
AT 12:01 A.M., Standard Time at your mailing address shown below
Named Insured and Address:
The State of Florida and Eligible Users
(Refer to HVI 401 0914)
4050 Esplanade Way, Suite 360
Tallahassee, FL 32399
Producer and Address: Arthur J. Gallagher & Co.
9155 S Dadeland Boulevard, Suite 1112
Miami, Florida 33156
Business Description: Municipality
Form of Business: Other
IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL TERMS OF THIS POLICY, WE
AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY.
This policy consists of the following coverage parts for which a premium is indicated.
This premium may be subject to adjustment.
PREMIUM
Part A: Radio and Television Towers and Equipment Coverage $ 26,795.00
Part B: Scheduled Property Floater $ 58,665.00
FL Insurance Guarantee Fund Assessment $ 854.60
Total $ 86,314.60
HAI 001 1122 © 2022 X.L. America, Inc. All Rights Reserved. Page 2 of 3
THESE DECLARATIONS TOGETHER WITH ANY APPLICABLE COMMON POLICY CONDITIONS, COVERAGE
PART DECLARATIONS, COVERAGE PART COVERAGE FORM(S) AND FORMS AND ENDORSEMENTS, IF
ANY, ISSUED TO FORM A PART HEREOF, COMPLETE THE ABOVE NUMBERED POLICY.
Number Description
All Parts
IL MP 9104 0124 XLS In Witness - XL Specialty Insurance Company
HVI 401 0914 Schedule Of Named Insureds And/ Or Assureds
IXI 300 0712 Schedule Of Taxes, Surcharges Or Fees
IXI 400 0906 Countersignature Endorsement
IXV 517-FL 0321 Florida Communicable Disease Exclusion Endorsement
Part A
IL 00 17 11 98 Common Policy Conditions
IL 01 75 09 07 Florida Changes - Legal Action Against Us
IL 02 55 03 24 Florida Changes - Cancellation And Nonrenewal
IL 09 35 07 02 Exclusion Of Certain Computer-Related Losses
IL 09 53 01 15 Exclusion Of Certified Acts Of Terrorism
CM 00 01 09 04 Commercial Inland Marine Conditions
CM 01 01 11 85 Florida Changes - Warranties
CM 01 16 05 22 Florida Changes
IH DS 77 12 06 Radio and Television Towers and Equipment Declarations
IH 00 77 06 14 Radio and Television Towers and Equipment Coverage Form
IH 99 08 09 09 Value Reporting Form
IXI 403a 07 14 Additional Coverages - Radio and Television Towers and Equipment Coverage Endorsement
IXI 403a 07 14 Windstorm Deductible Endorsement
Part B
CL 0100 03 99 Common Policy Conditions
CL 0160 08 23 Amendatory Endorsement Florida
CL 0610 01 15 Certified Act Of Terrorism Exclusion
CL 0700 10 06 Virus Or Bacteria Exclusion
IM 2019 08 09 Amendatory Endorsement Florida
IM 7500 10 09 Scheduled Property Floater
IM 7506 01 12 Schedule Of Coverages Scheduled Property Floater
IM 7807 01 12 Earthquake And Flood Schedule
IM 7854 04 04 Loss Payable Options
IM 7855 02 09 Replacement Cost Endorsement
IM 7857 07 08 Earthquake And Flood Coverage Endorsement
IM 7868 07 08 Reporting Conditions - Values
IM 7902 01 12 Loss Payable Schedule
IXI 403a 07 14 Additional Coverages - Scheduled Property Floater Endorsement
IXI 403a 07 14 Windstorm Deductible Endorsement
HAI 001 1122 © 2022 X.L. America, Inc. All Rights Reserved. Page 3 of 3
Date: August 12, 2024
By:
(Authorized Representative)
Michael Perrotti, Chief Underwriting Officer for Marine Americas
IL MP 9104 0124 XLS
©2024 X.L. America, Inc. All Rights Reserved. May not be copied without permission.
IN WITNESS
XL SPECIALTY INSURANCE COMPANY
REGULATORY OFFICE
505 EAGLEVIEW BOULEVARD, SUITE 100
DEPARTMENT: REGULATORY
EXTON, PA 19341-1120
PHONE: 800-688-1840
It is hereby agreed and understood that the following In Witness Clause supercedes any and all other In Witness clauses in this policy.
All other provisions remain unchanged.
IN WITNESS WHEREOF, the Company has caused this policy to be executed and attested, and, if required by state law, this policy shall not be valid unless countersigned by a duly authorized representative of the Company.
Lucy Pilko
President
Toni Ann Perkins
Secretary
HVI 401 0914 © 2014, XL America, Inc. All Rights Reserved. Page 1 of 1
ENDORSEMENT
This endorsement, effective 12:01 a.m., August 08, 2024 forms a part of Policy No. UM00030629MA24A issued to The State of Florida and Eligible Users by XL Specialty Insurance Company.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
SCHEDULE OF NAMED INSUREDS AND/OR ASSUREDS
This endorsement modifies insurance provided under the following:
All Applicable Coverage Parts
Named Insured/Assured:
The State of Florida and Eligible Users Department of Agriculture and Consumer Services Department of Emergency Management Department of Environmental Protection Department of Highway Safety and Motor Vehicles Department of Management Services Florida Atlantic University Florida Gulf Coast University Florida International University Florida State University University of Central Florida University of Florida University of North Florida University of South Florida University of West Florida
All other terms and conditions remain the same.
IXI 300 0712 © 2012, XL America, Inc. All Rights Reserved. Page 1 of 1
ENDORSEMENT
This endorsement, effective 12:01 a.m., August 08, 2024 forms a part of Policy No. UM00030629MA24A issued to The State of Florida and Eligible Users by XL Specialty Insurance Company
SCHEDULE OF TAXES, SURCHARGES OR FEES
State Surcharge, Tax or Fee Name Taxing Jurisdiction (For Kentucky Municipal Tax)
Amount
FL Insurance Guarantee Fund Assessment $ 854.60
IXI 400 0906 Page 1 of 1
COUNTERSIGNATURE ENDORSEMENT
Policy Number: UM00030629MA24A
Company: XL Specialty Insurance Company
Named Insured: The State of Florida and Eligible Users
State Premium
FL $85,460
The signature shown on this endorsement complies with the countersignature laws and regulations of the State shown.
Date of Countersignature August 12, 2024
(month, day and year)
Licensed Producer – Mark Sacco
IXV 517-FL 0321 © 2021 X.L. America, Inc. All Rights Reserved.
ENDORSEMENT
This endorsement, effective 12:01 a.m., August 08, 2024 forms a part of Policy No. UM00030629MA24A issued to The State of Florida and Eligible Users by XL Specialty Insurance Company.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
FLORIDA COMMUNICABLE DISEASE EXCLUSION ENDORSEMENT
This endorsement modifies the policy identified above and is subject to all definitions in that policy.
The policy is amended to include the following:
Notwithstanding any provision to the contrary within this policy or any endorsement attached thereto, this policy does not insure any loss, damage, claim, cost, expense, or other sum of any nature directly or indirectly based upon, arising out of, attributed to, caused by, or relating to:
1. any Communicable Disease;
2. any fear or threat (whether actual or perceived) of any Communicable Disease; or
3. any act, error, or omission in controlling, preventing, or suppressing, or failing to control, prevent, or suppress, or in any way relating to any outbreak of any Communicable Disease.
This exclusion applies regardless of any other cause or event contributing concurrently or in any other sequence with or to such loss, damage, claim, cost, expense, or other sum.
Any actual, alleged, threatened, perceived, or suspected presence or existence of any Communicable Disease at, on, in, affecting, impacting, or impairing any property, or preventing any use of any property, shall not constitute physical loss or damage.
However, losses concurrently, directly or indirectly caused by; contributed to; resulting from; arising out of;
or in connection with any otherwise covered liability claim under the policy and not otherwise excluded under this policy shall be covered.
With respect to this endorsement, the following definition is added:
Communicable Disease means any illness, sickness, disease, infection, condition, or disorder caused, in whole or in part, by any direct or indirect contact with or exposure to any virus, parasite, or bacteria or any disease-causing agent of any nature regardless of the method of transmission, contact or exposure.
All other terms and conditions remain unchanged.
IL 00 17 11 98
IL 00 17 11 98 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1
COMMON POLICY CONDITIONS
All Coverage Parts included in this policy are subject to the following conditions.
A. Cancellation
1. The first Named Insured shown in the Declara-tions may cancel this policy by mailing or deliv-ering to us advance written notice of cancella-tion.
2. We may cancel this policy by mailing or deliv-ering to the first Named Insured written notice of cancellation at least:
a. 10 days before the effective date of cancel-lation if we cancel for nonpayment of pre-mium; or
b. 30 days before the effective date of cancel-lation if we cancel for any other reason.
3. We will mail or deliver our notice to the first Named Insured's last mailing address known to us.
4. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date.
5. If this policy is cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rata. If the first Named Insured cancels, the refund may be less than pro rata. The cancellation will be ef-fective even if we have not made or offered a refund.
6. If notice is mailed, proof of mailing will be suffi-cient proof of notice.
B. Changes
This policy contains all the agreements between you and us concerning the insurance afforded.
The first Named Insured shown in the Declarations is authorized to make changes in the terms of this policy with our consent. This policy's terms can be amended or waived only by endorsement issued by us and made a part of this policy.
C. Examination Of Your Books And Records
We may examine and audit your books and rec-ords as they relate to this policy at any time during the policy period and up to three years afterward.
D. Inspections And Surveys
1. We have the right to:
a. Make inspections and surveys at any time;
b. Give you reports on the conditions we find;
and
c. Recommend changes.
2. We are not obligated to make any inspections, surveys, reports or recommendations and any such actions we do undertake relate only to in-surability and the premiums to be charged. We do not make safety inspections. We do not un-dertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not warrant that conditions:
a. Are safe or healthful; or
b. Comply with laws, regulations, codes or standards.
3. Paragraphs 1. and 2. of this condition apply not only to us, but also to any rating, advisory, rate service or similar organization which makes in-surance inspections, surveys, reports or rec-ommendations.
4. Paragraph 2. of this condition does not apply to any inspections, surveys, reports or recom-mendations we may make relative to certifica-tion, under state or municipal statutes, ordi-nances or regulations, of boilers, pressure ves-sels or elevators.
E. Premiums
The first Named Insured shown in the Declara-tions:
1. Is responsible for the payment of all premiums;
and
2. Will be the payee for any return premiums we pay.
F. Transfer Of Your Rights And Duties Under This Policy
Your rights and duties under this policy may not be transferred without our written consent except in the case of death of an individual named insured.
If you die, your rights and duties will be transferred to your legal representative but only while acting within the scope of duties as your legal repre-sentative. Until your legal representative is ap-pointed, anyone having proper temporary custody of your property will have your rights and duties but only with respect to that property.
IL 01 75 09 07
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
IL 01 75 09 07 © ISO Properties, Inc., 2006 Page 1 of 1
FLORIDA CHANGES – LEGAL ACTION AGAINST US
This endorsement modifies insurance provided under the following:
CAPITAL ASSETS PROGRAM (OUTPUT POLICY) COVERAGE PART
COMMERCIAL INLAND MARINE COVERAGE PART
COMMERCIAL PROPERTY COVERAGE PART
EQUIPMENT BREAKDOWN COVERAGE PART
FARM COVERAGE PART
The following replaces the second paragraph of the Legal Action Against Us Condition:
LEGAL ACTION AGAINST US
Legal action against us involving direct physical loss or damage to property must be brought within 5 years from the date the loss occurs.
IL 02 55 03 24
IL 02 55 03 24 © Insurance Services Office, Inc., 2023 Page 1 of 3
FLORIDA CHANGES – CANCELLATION
AND NONRENEWAL
This endorsement modifies insurance provided under the following:
CAPITAL ASSETS PROGRAM (OUTPUT POLICY) COVERAGE PART
COMMERCIAL INLAND MARINE COVERAGE PART
COMMERCIAL PROPERTY COVERAGE PART
CRIME AND FIDELITY COVERAGE PART
EQUIPMENT BREAKDOWN COVERAGE PART
FARM COVERAGE PART
STANDARD PROPERTY POLICY
A. Paragraph 2. of the Cancellation Common Policy Condition is replaced by the following:
2. Cancellation For Policies In Effect 60 Days Or Less
a. If this policy has been in effect for 60 days or less, we may cancel this policy by mailing or delivering to the first Named Insured written notice of cancellation, accompanied by the specific reasons for cancellation, at least:
(1) 10 days before the effective date of cancellation if we cancel for nonpayment of premium; or
(2) 20 days before the effective date of cancellation if we cancel for any other reason, except we may cancel immediately if there has been:
(a) A material misstatement or misrepresentation; or
(b) A failure to comply with underwriting requirements established by the insurer.
b. We may not cancel:
(1) On the basis of property insurance claims that are the result of an act of God, unless we can demonstrate, by claims frequency or otherwise, that you have failed to take action reasonably necessary as requested by us to prevent recurrence of damage to the insured property; or
(2) Solely on the basis of a single property insurance claim which is the result of water damage, unless we can demonstrate that you have failed to take action reasonably requested by us to prevent a future similar occurrence of damage to the insured property.
B. Paragraph 5. of the Cancellation Common Policy Condition is replaced by the following:
5. If this policy is cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rata. If the first Named Insured cancels, the refund may be less than pro rata. If the return premium is not refunded with the notice of cancellation or when this policy is returned to us, we will mail the refund within 15 working days after the date cancellation takes effect, unless this is an audit policy.
If this is an audit policy, then, subject to your full cooperation with us or our agent in securing the necessary data for audit, we will return any premium refund due within 60 days of the date cancellation takes effect. If our audit is not completed within this time limitation, then we shall accept your own audit, and any premium refund due shall be mailed within 10 working days of receipt of your audit.
The cancellation will be effective even if we have not made or offered a refund.
Page 2 of 3 © Insurance Services Office, Inc., 2023 IL 02 55 03 24
C. The following is added to the Cancellation Common Policy Condition:
7. Cancellation For Policies In Effect For More Than 60 Days
a. If this policy has been in effect for more than 60 days, we may cancel this policy only for one or more of the following reasons:
(1) Nonpayment of premium;
(2) The policy was obtained by a material misstatement;
(3) In the event of failure to comply, within 60 days after the effective date of coverage, with underwriting requirements established by us before the effective date of coverage;
(4) There has been a substantial change in the risk covered by the policy;
(5) The cancellation is for all insureds under such policies for a given class of insureds;
(6) On the basis of property insurance claims that are the result of an act of God, if we can demonstrate, by claims frequency or otherwise, that you have failed to take action reasonably necessary as requested by us to prevent recurrence of damage to the insured property;
(7) On the basis of a single property insurance claim which is the result of water damage, if we can demonstrate that you have failed to take action reasonably requested by us to prevent a future similar occurrence of damage to the insured property; or
(8) The cancellation of some or all of our policies is necessary to protect the best interests of the public or policyholders and such cancellation is approved by the Florida Office of Insurance Regulation.
b. If we cancel this policy for any of these reasons, we will mail or deliver to the first Named Insured written notice of cancellation, accompanied by the specific reasons for cancellation, at least:
(1) 10 days before the effective date of cancellation if cancellation is for nonpayment of premium;
(2) 45 days before the effective date of cancellation if:
(a) Cancellation is for one or more of the reasons stated in Paragraphs 7.a.(2) through 7.a.(7) above, and this policy does not cover a residential structure or its contents; or
(b) Cancellation is based on the reason stated in Paragraph 7.a.(8) above;
(3) 120 days before the effective date of cancellation if:
(a) Cancellation is for one or more of the reasons stated in Paragraphs 7.a.(2) through 7.a.(7) above; and
(b) This policy covers a residential structure or its contents.
c. If this policy has been in effect for more than 60 days and covers a residential structure or its contents, we may not cancel this policy based on credit information available in public records.
D. The following is added:
Nonrenewal
1. If we decide not to renew this policy, we will mail or deliver to the first Named Insured written notice of nonrenewal, accompanied by the specific reason for nonrenewal, at least:
a. 45 days prior to the expiration of the policy if this policy does not cover a residential structure or its contents, or if nonrenewal is for the reason stated in Paragraph D.5.; or
b. 120 days prior to the expiration of the policy if this policy covers a residential structure or its contents.
2. Any notice of nonrenewal will be mailed or delivered to the first Named Insured at the last mailing address known to us. If notice is mailed, proof of mailing will be sufficient proof of notice.
3. We may not refuse to renew this policy:
a. On the basis of property insurance claims that are the result of an act of God, unless we can demonstrate, by claims frequency or otherwise, that you have failed to take action reasonably necessary as requested by us to prevent recurrence of damage to the insured property;
IL 02 55 03 24 © Insurance Services Office, Inc., 2023 Page 3 of 3
b. On the basis of filing of claims for sinkhole loss. However, we may refuse to renew this policy if:
(1) The total of such property insurance claim payments for this policy equals or exceeds the policy limits in effect on the date of loss for property damage to the covered building; or
(2) You have failed to repair the structure in accordance with the engineering recommendations upon which any loss payment or policy proceeds were based;
or
c. Solely on the basis of a single property insurance claim which is the result of water damage, unless we can demonstrate that you have failed to take action reasonably requested by us to prevent a future similar occurrence of damage to the insured property.
4. Notwithstanding the provisions of Paragraph D.3., we may refuse to renew this policy if this policy includes Sinkhole Loss coverage. If we nonrenew this policy for purposes of removing Sinkhole Loss coverage, pursuant to section 627.706, Florida Statutes, we will offer you a policy that includes catastrophic ground cover collapse coverage.
5. Notwithstanding the provisions of Paragraph D.3., we may refuse to renew this policy if nonrenewal of some or all of our policies is necessary to protect the best interests of the public or policyholders and such nonrenewal is approved by the Florida Office of Insurance Regulation.
E. Limitations On Cancellation And Nonrenewal In The Event Of Hurricane Or Wind Loss – Residential Property
1. The following provisions apply to a policy covering a residential structure or its contents:
a. Except as provided in Paragraph E.1.b.:
(1) If a state of emergency is declared, and the residential structure or its contents have been damaged as a result of a hurricane or wind loss that is the subject of the declaration of emergency by the Governor and the Commissioner of Insurance Regulation files an Emergency Order, we may not cancel or nonrenew the policy until at least 90 days after the residential structure or its contents have been repaired. If we elect to not renew the policy, we will provide at least 120 days' notice that we intend to nonrenew 90 days after the substantial completion of repairs.
(2) If the residential structure or its contents have been damaged as a result of a covered peril, other than hurricane or wind loss subject to Paragraph 1.a.(1) above, we may not cancel or nonrenew the policy until either the dwelling or residential property has been repaired or one year after we issue the final claim payment, whichever comes first.
b. We may cancel or nonrenew the policy prior to restoration of the structure or its contents for any of the following reasons:
(1) Nonpayment of premium;
(2) Material misstatement or fraud related to the claim;
(3) We determine that you have unreasonably caused a delay in the repair of the structure; or
(4) We have paid the policy limits.
If we cancel or nonrenew for nonpayment of premium, we will give you 10 days' notice. If we cancel or nonrenew for a reason listed in Paragraph b.(2), b.(3) or b.(4), we will give you 45 days' notice.
2. With respect to a policy covering a residential structure or its contents, any cancellation or nonrenewal that would otherwise take effect during the duration of a hurricane will not take effect until the end of the duration of such hurricane, unless a replacement policy has been obtained and is in effect for a claim occurring during the duration of the hurricane.
We may collect premium for the period of time for which the policy period is extended.
3. With respect to Paragraph E.2., a hurricane is a storm system that has been declared to be a hurricane by the National Hurricane Center of the National Weather Service (hereafter referred to as NHC). The hurricane occurrence begins at the time a hurricane warning is issued for any part of Florida by the NHC and ends 72 hours after the termination of the last hurricane watch or hurricane warning issued for any part of Florida by the NHC.
IL 09 35 07 02
IL 09 35 07 02 © ISO Properties, Inc., 2001 Page 1 of 1
EXCLUSION OF CERTAIN COMPUTER-RELATED LOSSES
This endorsement modifies insurance provided under the following:
COMMERCIAL INLAND MARINE COVERAGE PART
COMMERCIAL PROPERTY COVERAGE PART
CRIME AND FIDELITY COVERAGE PART
STANDARD PROPERTY POLICY
A. We will not pay for loss ("loss") or damage caused directly or indirectly by the following. Such loss ("loss") or damage is excluded regardless of any other cause or event that contributes concurrently or in any sequence to the loss ("loss") or damage.
1. The failure, malfunction or inadequacy of:
a. Any of the following, whether belonging to any insured or to others:
(1) Computer hardware, including micro-processors;
(2) Computer application software;
(3) Computer operating systems and relat-ed software;
(4) Computer networks;
(5) Microprocessors (computer chips) not part of any computer system; or
(6) Any other computerized or electronic equipment or components; or
b. Any other products, and any services, data or functions that directly or indirectly use or rely upon, in any manner, any of the items listed in Paragraph A.1.a. of this endorse-ment;
due to the inability to correctly recognize, pro-cess, distinguish, interpret or accept one or more dates or times. An example is the inability of computer software to recognize the year 2000.
2. Any advice, consultation, design, evaluation, inspection, installation, maintenance, repair, replacement or supervision provided or done by you or for you to determine, rectify or test for, any potential or actual problems described in Paragraph A.1. of this endorsement.
B. If an excluded Cause of Loss as described in Paragraph A. of this endorsement results:
1. In a Covered Cause of Loss under the Crime and Fidelity Coverage Part, the Commercial In-land Marine Coverage Part or the Standard Property Policy; or
2. Under the Commercial Property Coverage Part:
a. In a "Specified Cause of Loss", or in eleva-tor collision resulting from mechanical breakdown, under the Causes of Loss – Special Form; or
b. In a Covered Cause of Loss under the Causes Of Loss – Basic Form or the Caus-es Of Loss – Broad Form;
we will pay only for the loss ("loss") or damage caused by such "Specified Cause of Loss", eleva-tor collision, or Covered Cause of Loss.
C. We will not pay for repair, replacement or modifi-cation of any items in Paragraphs A.1.a. and A.1.b. of this endorsement to correct any deficien-cies or change any features.
IL 09 53 01 15 © Insurance Services Office, Inc., 2015 Page 1 of 2
POLICY NUMBER: UM00030629MA24A IL 09 53 01 15
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
EXCLUSION OF CERTIFIED ACTS OF TERRORISM
This endorsement modifies insurance provided under the following:
BOILER AND MACHINERY COVERAGE PART
COMMERCIAL INLAND MARINE COVERAGE PART
COMMERCIAL PROPERTY COVERAGE PART
CRIME AND FIDELITY COVERAGE PART
EQUIPMENT BREAKDOWN COVERAGE PART
FARM COVERAGE PART
STANDARD PROPERTY POLICY
SCHEDULE
The Exception Covering Certain Fire Losses (Paragraph C) applies to property located in the following state(s), if covered under the indicated Coverage Form, Coverage Part or Policy:
State(s) Coverage Form, Coverage Part Or Policy
All Applicable Coverage Parts
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. The following definition is added with respect to the provisions of this endorsement:
"Certified act of terrorism" means an act that is certified by the Secretary of the Treasury, in accordance with the provisions of the federal Terrorism Risk Insurance Act, to be an act of terrorism pursuant to such Act. The criteria contained in the Terrorism Risk Insurance Act for a "certified act of terrorism" include the following:
1. The act resulted in insured losses in excess of $5 million in the aggregate, attributable to all types of insurance subject to the Terrorism Risk Insurance Act; and
2. The act is a violent act or an act that is dangerous to human life, property or infrastructure and is committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion.
B. The following exclusion is added:
CERTIFIED ACT OF TERRORISM EXCLUSION
We will not pay for loss or damage…
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