CTR056120_-_COI_adn_Endorsements__1_.pdf
PDF 1 MB Posted
- Attached to
- Master Agreement AZ|CTR056120
- Contract number
- CTR056120
- Issued by
- Arizona
About this file
This document is a comprehensive insurance certificate and series of policy endorsements for SAAVI Services for the Blind, an organization based in Tucson, Arizona. The insurance is provided by multiple carriers including Hanover Insurance Company, Massachusetts Bay Insurance Company, Allmerica Financial Alliance Insurance Company, and CopperPoint Indemnity Insurance Company. The certificate names the State of Arizona, its departments, agencies, boards, commissions, universities, and associated officials as additional insureds across various liability coverages.
The insurance policies cover multiple contract types with the State of Arizona, specifically for disability-related skills training and services for blind and visually impaired individuals. The contracts include CTR061626 for Disability Related Skills Training, CTR056120 for Pre-Employment Transition Services, and CTR061640 for Rehabilitation Instructional Services. The policies provide comprehensive coverage including commercial general liability, automobile liability, professional liability, workers' compensation, and sexual abuse/molestation liability. Coverage limits range from $1,000,000 to $3,000,000 depending on the specific type of liability, with policy periods extending from December 31, 2024 to December 31, 2025. The policies include additional provisions such as waiver of subrogation and primary non-contributory status in favor of the State of Arizona.
View the file
Other files
Show all 21
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
N / A
SUBR
WVD
ADDL
INSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
LIMITS(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY
PRO-
JECT LOC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
2/25/2025
Lovitt & Touche A Marsh & McLennan Agency LLC Co 4703 E Camp Lowell Drive, #101 Tucson AZ 85712
Andrea Paco 520-722-3000 520-722-7245 andrea.paco@marshmma.com
Hanover Insurance Company 22292 SAAVISERVI1 Massachusetts Bay Insurance Company 22306
SAAVI Services for the Blind 3350 E Grant Road Tucson AZ 85716
Allmerica Financial Alliance Ins Co 10202 CopperPoint Indemnity Insurance Company 13928
507908515 1
B X 1,000,000 X 100,000
10,000
1,000,000
3,000,000 X
Y Y ZD4J92910700 12/31/2024 12/31/2025
3,000,000
C 1,000,000
X
Y Y AW4 J929118 00 12/31/2024 12/31/2025
A X X 2,000,000UH4J92910900 12/31/2024 12/31/2025
2,000,000 X 10,000
D XY WC1021836 1/1/2025 12/31/2025
1,000,000
1,000,000
1,000,000 B Professional Liability
Sexual Abuse/Molestation
ZD4J92910700 12/31/2024 12/31/2025 $1,000,000
$1,000,000 $3,000,000 $3,000,000
Professional Liability: Occurrence Form;
Sexual Abuse/Molestation Coverage is Included; Sexual Abuse/Molestation Liability: Occurrence Form;
Certificate Holder is an additional insured as respects general liability, automobile liability and excess liability if required in a written contract.
*CONTRACT: CTR061626 Disability Related Skills Training Comprehensive Blind and Visually Impaired, Contract # CTR056120 Pre-Employment Transition Services; CTR061640 Rehabilitation Instructional Services for Blind & Visually Impaired Individuals (BVI) Additional Insured per attached endorsements: The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents and employees as addition insured with respect to liability arising out of the activities performed by, or on behalf of the Contractor involving automobiles owned, hired and/or non-owned by the Contractor.
Workers' Compensation Waiver of Subrogation in favor of the State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents and employees for losses arising from work performed by or on behalf of the Contractor
State of Arizona Department of Economic Security C/O: myCOI 1075 Broad Ripple Ave, Suite 313 Indianapolis IN 46220
AW4J929118 2301022
THE STATE OF ARIZONA, I T S
DEPARTMENTS, AGENCIES, BOARDS,
COMMISSIONS, UN IVERS IT IES AND
I T S OFFICERS, OFF I C I A LS , AGENT
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1
DESIGNATED INSURED
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement.
This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.
Endorsement Effective: Countersigned By:
Named Insured:
(Authorized Representative)
SCHEDULE
Name of Person(s) or Organization(s):
(If no entry appears above, information required to complete this endorsement will be shown in the Decla-rations as applicable to the endorsement.)
Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision con-tained in Section II of the Coverage Form.
, EMPLOYEES, SHALL BE NAMED AS
ADDITIONAL INSURED WITH
RESPECT TO L I A B I L I T Y AR IS ING
OUT OF THE ACT I V I T I E S PERFORME
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1
DESIGNATED INSURED
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement.
This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.
Endorsement Effective: Countersigned By:
Named Insured:
(Authorized Representative)
SCHEDULE
Name of Person(s) or Organization(s):
(If no entry appears above, information required to complete this endorsement will be shown in the Decla-rations as applicable to the endorsement.)
Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision con-
BY OR ON BEHALF OF CONTRACTOR,
INVOLVING AUTOMOBILES OWNED,
LEASED, HIRED OR BORROWED BY
CONTRACTOR.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1
DESIGNATED INSURED
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement.
This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.
Endorsement Effective: Countersigned By:
Named Insured:
(Authorized Representative)
SCHEDULE
Name of Person(s) or Organization(s):
(If no entry appears above, information required to complete this endorsement will be shown in the Decla-rations as applicable to the endorsement.)
Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision con-
461-0500 11 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission Page 1 of 1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.
Named Insured:
Endorsement Effective Date:
SCHEDULE
Name(s) Of Person(s) Or Organization(s):
Information required to complete this Schedule, if not shown above, will be shown in the Declarations
The Transfer Of Rights Of Recovery Against Others To Us Condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization.
THE STATE OF ARIZONA, ITS DEPARTMENTS, AGENCIES,
BOARDS, COMMISSIONS, UNIVERSITIES AND ITS
OFFICERS, OFFICIALS, AGENTS, EMPLOYEES, SHALL BE
NAMED AS ADDITIONAL INSURED WITH RESPECT TO
461-0500 11 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission Page 1 of 1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVEROF TRANSFER OF RIGHTS OFRECOVERY
AGAINST OTHERS TOUS (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.
Named Insured:
Endorsement Effective Date:
SCHEDULE
Name(s) Of Person(s) Or Organization(s):
Information required to complete this Schedule, if not shown above, will be shown in the Declarations
The Transfer Of Rights Of Recovery Against Others To Us Condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization.
LIABILITY ARISING OUT OF THE ACTIVITIES PERFORMED
BY OR ON BEHALF OF CONTRACTOR, INVOLVING
AUTOMOBILES OWNED, LEASED, HIRED OR BORROWED BY
CONTRACTOR.
461-0478 12 12 Includes copyrighted material of ISO Insurance Services Office, Inc., with its permission Page 1 of 1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED – PRIMARY AND NON-CONTRIBUTORY
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE PART
A. The following is added to SECTION II – LIABILITY COVERAGE, Paragraph A.1. Who Is An Insured:
Additional Insured if Required by Contract
If you agree in a written contract, written agreement or written permit that a person or organization be added as an additional “insured” under this Coverage Part, such person or organization is an “insured”; but only to the extent that such person or organization qualifies as an “insured” under paragraph A.1.c. of this Section.
If you agree in a written contract, written agreement or written permit that a person or organization be added as an additional “insured” under this Coverage Part, the most we will pay on behalf of such additional “insured” is the lesser of:
(1) The Limits of Insurance for liability coverage specified in the written contract, written agreement or written permit; or
(2) The Limits of Insurance for Liability Coverage shown in the Declarations applicable to this Coverage Part.
Such amount shall be part of and not in addition to the Limits of Insurance shown in the Declarations applicable to this Coverage Part. Regardless of the number of covered "autos", "insureds", premiums paid, claims made or vehicles involved in the "accident", the most we will pay for the total of all damages and "covered pollution cost or expense" combined resulting from any one "accident" is the Limit of Insurance for Liability Coverage shown in the Declarations.
B. The following is added to SECTION IV – BUSINESS AUTO CONDITIONS, Paragraph B.
General Conditions, subparagraph 5. Other Insurance:
Primary and Non-Contributory
If you agree in a written contract, written agreement or written permit that the insurance provided to a person or organization who qualifies as an additional “insured” under SECTION II – LIABILITY COVERAGE, Paragraph A.1. Who Is An Insured, subparagraph Additional Insured if Required by Contract is primary and non-contributory, the following applies:
The liability coverage provided by this Coverage Part is primary to any other insurance available to the additional “insured” as a Named Insured. We will not seek contribution from any other insurance available to the additional “insured” except:
(1) For the sole negligence of the additional “insured”; or
(2) For negligence arising out of the ownership, maintenance or use of any “auto” not owned by the additional “insured” or by you, unless that “auto” is a “trailer” connected to an “auto” owned by the additional “insured” or by you; or
(3) When the additional “insured” is also an additional “insured” under another liability policy.
C. This endorsement will apply only if the “accident” occurs:
1. During the policy period;
2. Subsequent to the execution of the written contract or written agreement or the issuance of the written permit; and
3. Prior to the expiration of the period of time that the written contract, written agreement or written permit requires such insurance to be provided to the additional “insured”.
D. Coverage provided to an additional “insured” will not be broader than coverage provided to any other “insured” under this Coverage Part.
ALL OTHER TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED.
THIS ENDORSEMENT CHANGES THE POL
ICY. PLEASE READ IT CAREFULLY.
BUSINESS AUTO COVERAGE
BROADENING ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
CoverageWith respect to coverage provided by this endorsement, the provisions of the Form apply unless modified by the endorsement.
1. CANCELLATION EXTENSION
Paragraph . of theA. CANCELLATION 2. b isCOMMON POLICY CONDITIONS replaced with the following:
b. 60 days before the effective date of cancellation if we cancel for any other reason.
SECTION I - COVERED AUTOS
2. EMPLOYEE HIRED "AUTOS"
Description Of Covered Auto isDesignation Symbols; Symbol 8 replaced by the following:
8 = Hired "Autos" Only - Only those "autos" you lease, hire, rent or borrow;
including "autos" your employee hires at your direction, for the purpose of conducting your business. This does not include any "auto" you lease, hire, rent, or borrow from any of your "employees" or partners or members of their households.
SECTION II - LIABILITY COVERAGE
3. BROADENED NAMED INSURED
The following is added to the SECTION II - , Paragraph 1.LIABILITY COVERAGE Who provision:Is An Insured
d. Any business entity for which you have a financial interest greater than 50% of the voting stock or otherwise have a controlling interest after the effective date of this policy or that is newly acquired or formed by you during the term of this policy.
The coverage provided by this provision is afforded until expiration or termination of this policy, whichever occurs earlier.
The coverage provided by this provision does not apply to any business entity described in d. above that qualifies as an insured under any other automobile liability policy issued to that business entity as a named insured or would have been an insured except for the exhaustion of the policy limits or the insolvency of the insurer.
The coverage provided by this provision does not apply to "bodily injury" nor "property damage" arising from an accident that occurred prior to your acquiring or forming the business entity described in d.
above.
Includes copyrighted material of Insurance Services Office, Inc. with its permission, Copyright, Insurance Services Office, Inc., 1996 461-0155 (9-97) 1 of 7Page 1 of 7
4. EMPLOYEES AS INSUREDS
The following is added to the SECTION II - , Paragraph 1.LIABILITY COVERAGE Who provision:Is An Insured
e. Any employee of yours is an "insured" while using a covered "auto" you do not own, hire or borrow in your business or your personal affairs.
5. SUPPLEMENTARY PAYMENTS
The following amends SECTION II - , Paragraph 2.LIABILITY COVERAGE provision:Coverage Extensions
Paragraph (2) is replaced by the following:
(2) Up to $2500 for cost of bail bonds
(including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds.
Paragraph (4) is replaced by the following:
(4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work.
6. AMENDED FELLOW EMPLOYEE
EXCLUSION
The following is added to the SECTION II - , B.LIABILITY COVERAGE Exclusions
Fellow Employee
This exclusion does not apply if the "bodily injury" arises from the use of a covered "auto" you own or hire. This coverage is excess over any other collectible insurance
SECTION III - PHYSICAL DAMAGE
.COVERAGE
7. EXPENSE OF RETURNING A STOLEN
and"AUTO" SIGN COVERAGE
The following is added to SECTION III -
PHYSICAL DAMAGE COVERAGE, A.1.
:COVERAGE
d. Expense Of Returning A Stolen
"Auto"
We will pay for the expense of returning a covered "auto" to you.
e. Sign Coverage
We will pay for loss to signs, murals, paintings or graphics, as part of equipment, which are displayed on a covered "auto".
The most we will pay for "loss" in any one "accident" is the lesser of:
1. The actual cash value of the property as of the time of the "loss"; or
2. The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality; or
3. $2,000.
8. GLASS BREAKAGE DEDUCTIBLE
The following is added to SECTION III -
PHYSICAL DAMAGE COVERAGE, A.
paragraphCOVERAGE 3. Glass Breakage -
Hitting a Bird or Animal - Falling Objects :or Missiles
Any deductible shown in the Declarations as applicable to the
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
Copyright, Insurance Services Office, Inc., 1996 461-0155 (9-97) 2 of 7Page 2 of 7 covered "auto" will not apply to glass breakage if such glass is repaired, rather than replaced.
9. TRANSPORTATION EXPENSE
Paragraph . of4. Coverage Extension
SECTION III - PHYSICAL DAMAGE
is replacedCOVERAGE, A. COVERAGE with the following:
4. Coverage Extension
We will pay up to $50 per day to a maximum of $1500 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 24 hours after the theft and ending, regardless of the policy s expiration, when the covered "auto" is returned to use or we pay for its "loss".
10. HIRED AUTO PHYSICAL DAMAGE
The following is added to SECTION III -
PHYSICAL DAMAGE COVERAGE, A.
:COVERAGE
5. Hired Auto Physical Damage
If hired "autos" are covered "autos" for Liability Coverage and if Physical Damage Coverage of Comprehensive, Specified Causes of Loss, or Collision is provided under this Coverage Form for any "auto" you own, then the Physical Damage Coverage(s) provided is extended to "autos" you hire without a driver or your employee hires, without a driver, at your
AW4J929118 2301022
direction, for the purpose of conducting your business, for a period of 30 days or less, of like kind and use as the "autos" you own, subject to the following:
The most we will pay for any one loss is the lesser of the following:
a. $50,000 per accident, or
b. cash value, or
c. the cost of repair, minus the deductible equal to the lowest deductible applicable to any owned "auto" for that coverage. Any deductible shown in the Declarations does not apply to "loss" caused by fire or lightning. Subject to the limit and deductible stated above, we will provide coverage equal to the broadest coverage provided to any covered "auto" you own, that is applicable to the loss.
If the loss arises from an accident for which you are legally liable and the lessor incurs an actual financial loss from that accident, we will cover the lessor s actual financial loss of use of the hired "auto" for a period of up to seven consecutive days from the date of the accident, subject to a limit of $1,000 per accident.
AUDIO, VISUAL AND DATA
ELECTRONIC EQUIPMENT COVERAGE
The following is added to SECTION III -
PHYSICAL DAMAGE COVERAGE, A.
:COVERAGE
6. Audio, Visual and Data Electronic
Equipment Coverage
We will pay for "loss" to any electronic equipment that receives
Copyright, Insurance Services Office, Inc., 1996 461-0155 (9-97) 3 of 7Page 3 of 7 or transmits audio, visual or data signals and that is not designed solely for the reproduction of sound. This coverage applies only if the equipment is permanently installed in the covered "auto" at the time of the "loss" or the equipment is removable from a housing unit which is permanently installed in the covered auto at the time of the "loss", and such equipment is designed to be solely operated by use of the power from the "auto s" electrical system, in or upon the covered "auto", including its antennas and other accessories.
However , this does not include tapes, records or discs.
The exclusions that apply to
PHYSICAL DAMAGE COVERAGE,
except for the exclusion relating to Audio, Visual and Data Electronic Equipment, also apply to coverage provided herein. In addition, the following exclusions apply:
We will not pay , under this coverage, for either any electronic equipment or accessories used with such electronic equipment that is:
1. Necessary for the normal operation of the covered "auto" or the monitoring of the covered "auto s" operating system; or
2. Both:
a. An integral part of the same unit housing any sound reproducing equipment designed solely for the reproduction of sound if the sound reproducing equipment is permanently installed in the covered "auto", and
b. Permanently installed in the opening of the dash or console normally used by the manufacturer for the installation of a radio.
With respect to coverage herein, the LIMIT OF INSURANCE provision of PHYSICAL DAMAGE is replaced by theCOVERAGE following:
1. The most we will pay for all "loss" to audio, visual or data electronic equipment and any accessories used with this equipment as a result of any one "accident" is the lesser of
a. The actual cash value of the damaged or stolen property as of the time of the "loss"; or
b. The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality; or
c. $500.
2. An adjustment for depreciation and physical condition will be made in determining actual cash value at the time of the "loss".
3. Deductibles applicable to
PHYSICAL DAMAGE
COVERAGE, do not apply to this Audio, Visual and Data Electronic Equipment Coverage.
If there is other coverage provided by this policy for audio, visual and data electronic equipment, the coverage provided herein is
Copyright, Insurance Services Office, Inc., 1996 461-0155 (9-97) 4 of 7Page 4 of 7 excess. However, you may elect to apply the limit or any portion thereof of coverage provided herein to pay any deductible that is applicable under the provisions of the other coverage.
12. RENTAL REIMBURSEMENT and
MATERIAL TRANSFER EXPENSE
The following is added to SECTION III -
PHYSICAL DAMAGE COVERAGE, A.
:COVERAGE
7. Rental Reimbursement and
Material Transfer Expense
This coverage provides only those Physical Damage Coverages where a premium is shown in the Declarations. It applies only to a covered "auto" described or designated to which the Physical Damage Coverages apply.
We will pay for auto rental expenses and the expenses, incurred by you because of "loss" to a covered "auto", to remove and transfer your materials and equipment from the covered "auto" . Payment applies in addition to the otherwise applicable amount of each coverage you have on a covered "auto". No deductibles apply to this coverage.
We will pay only for those auto rental expenses incurred during the policy period beginning 24 hours after the "loss" and ending, regardless of the policy s expiration, with the lesser of the following number of days:
1. The number of days reasonably required to repair or replace the
AW4J929118 2301022
covered"auto". If loss is caused by theft, this number of days is added to the number of days it takes to locate the covered "auto" and transport it to a repair shop.
2. 60 days.
Our payment is limited to the lesser of the following amounts:
1. Necessary and actual expenses incurred, including loss of use.
2. $3000.
This auto rental expense coverage does not apply while there are spare or reserve "autos" available to you for your operations.
If "loss" results from the total theft of a covered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided for under the SECTION
III - PHYSICAL DAMAGE
COVERAGE, A. 4. Coverage Extension.
13. AIRBAG COVERAGE
SECTION III -
PHYSICAL DAMAGE COVERAGE, B.
, paragraph .Exclusions 3
The portion of this exclusion relating to mechanical or electrical breakdown does not apply to the accidental discharge of an airbag. This coverage is excess of other collectible insurance or warranty. No deductible applies to this Airbag Coverage.
Copyright, Insurance Services Office, Inc., 1996 461-0155 (9-97) 5 of 7Page 5 of 7
14. AUTO LOAN PHYSICAL DAMAGE
EXTENSION
The following is added to SECTION III -
PHYSICAL DAMAGE COVERAGE, C. Limit provision:Of Insurance
When a "loss" results in a total loss to a covered auto you own for which a Loss Payee is designated in this policy, the most we will pay for "loss" in any one "accident" is the greater of:
1. The actual cash value of the damaged or stolen property as of the time of the "loss"; or
2. The outstanding balance of the initial loan, less any amounts for taxes, overdue payments, overdue payment charges, penalties, interest , any charges for early termination of the loan, costs for Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan, and carry-over balances from previous loans.
15. AUTO LEASE PHYSICAL DAMAGE
EXTENSION
The following is added to SECTION III -
PHYSICAL DAMAGE COVERAGE, C. Limit provision:Of Insurance
If, because of damage, destruction or theft of a covered "auto", which is a long-term leased "auto", the lease agreement between you and the lessor is terminated, "we" will pay the difference between the amount paid under paragraph C. LIMIT OF
. or . and the amount dueINSURANCE 1 2 at the time of "loss" under the terms of the lease agreement applicable to the leased "auto" which you are required to pay: less any fees to dispose of the auto;
any overdue payments; financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage;
security deposits not refunded by the lessor; cost for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan; and carry over balances from previous leases.
This coverage applies only to the initial lease for the covered "auto" which has not previously been leased. This coverage is excess over all other collectible insurance.
SECTION IV - CONDITIONS
16. DUTIES IN THE EVENT OF ACCIDENT,
CLAIM, SUIT OR LOSS
The following is added to SECTION IV -
BUSINESS AUTO CONDITIONS, A. Loss
Conditions, 2. Duties In The Event Of :Accident, Claim, Suit Or Loss
d. Knowledge of any "accident", claim, "suit" or "loss" will be deemed knowledge by you when notice of such "accident", claim, "suit" or "loss" has been received by:
(1) You, if you are an individual;
(2) Any partner or insurance manager if you are a partnership; or
(3) An executive officer or insurance manager if you are a corporation.
17. BLANKET WAIVER OF SUBROGATION
Paragraph 5. Transfer Of Rights Of
Recovery Against Others To Us, SECTION
IV - BUSINESS AUTO CONDITIONS, A.
is replaced by theLoss Conditions following:
Copyright, Insurance Services Office, Inc., 1996 461-0155 (9-97) 6 of 7Page 6 of 7
5. Transfer Of Rights Of Recovery
Against Others To Us
If any person or organization to or for whom we make payment under this Coverage Form has rights to recover damages from another, which have not been waived through the execution of an "insured contract", written agreement, or permit, prior to the "accident" or "loss" giving rise to the payment, those rights to recover damages from another are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after the "accident" or "loss" to impair them.
18. UNINTENTIONAL FAILURE TO
DISCLOSE INFORMATION
The following is added to SECTION IV
BUSINESS AUTO CONDITIONS. B.
, paragraphGeneral Conditions 2.
:Concealment, Misrepresentation Or Fraud
Your unintentional error in disclosing, or failure to disclose, any material fact existing after the effective date of this Coverage Form shall not prejudice your rights under this Coverage Form.
However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or nonrenewal.
AW4J929118 2301022
19. HIRED AUTO - WORLDWIDE
COVERAGE
The following is added to SECTION IV -
Business Auto Conditions, B. General , paragraphConditions 7. Policy Period, provision:Coverage Territory
e. Outside the coverage territory described in a., b., c., and d.
above for an "accident" or "loss" resulting from the use of a covered "auto" you hire, without a driver, or your employee hires without a driver, at your direction, for the purpose of conducting your business, for a period of 30 days or less, provided the suit is brought within The United States of America or its territories or possessions.
SECTION V - DEFINITIONS
20. MENTAL ANGUISH
Paragraph C. "Bodily injury", SECTION V -is replaced by the following:DEFINITIONS
C. "Bodily injury" means bodily injury, sickness or disease sustained by a person including death or mental anguish resulting from any of these.
Copyright, Insurance Services Office, Inc., 1996 461-0155 (9-97) 7 of 7Page 7 of 7
File details come from the government source that posted it. Updated .