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“There’s No Place Like Home – Usually” Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

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 AAIS HO  13."Insured" means: ◦ a."you"; ◦ b."your" relatives if residents of "your" household; ◦ c."your" relatives under the age of 25 years who:  1) are financially dependent upon "you";  2) are students enrolled in school full time, as defined by the school; and d. other than "your" relatives, under the age of 21 years who:  1) reside in "your" household; and  2) are in "your" care or in the care of "your" resident relatives; ◦ e.persons, other than "your" relatives, under the age of 21 years who:  1) are in "your" care or in the care of "your" resident relatives;  2) are students enrolled in school full time, as defined by the school; and  3) were residents of "your" household just before moving out to attend school; or

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Page 1: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

“There’s No Place Like Home – Usually”

Ted A. Kinney, CIC CPCU ARM AAIKinney Training & Consulting, LLC

Columbus, OH

Page 2: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

ISO HO 00 03 05 11  "Insured" means:

◦ a. You and residents of your household who are: (1) Your relatives; or (2) Other persons under the age of 21 and is your relative;

◦ b. A student enrolled in school full-time, as defined by the school, who was a resident of your household before moving out to attend school, provided the student is under the age of:

(1) 24 and your relative; or (2) 21 and in your care or the care of a resident of your

household who is your relative;

An empty nest is a good thing – a student away at school has questionable coverage

Page 3: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

AAIS HO 00 03 09 08  13. "Insured" means:

◦ a. "you";◦ b. "your" relatives if residents of "your" household; ◦ c. "your" relatives under the age of 25 years who:

1) are financially dependent upon "you"; 2) are students enrolled in school full time, as defined by the school; and d. other than "your" relatives, under the age of 21 years who: 1) reside in "your" household; and 2) are in "your" care or in the care of "your" resident relatives;

◦ e. persons, other than "your" relatives, under the age of 21 years who: 1) are in "your" care or in the care of "your" resident relatives; 2) are students enrolled in school full time, as defined by the school; and 3) were residents of "your" household just before moving out to attend

school; or

An empty nest is a good thing – a student away at school has questionable coverage

Page 4: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

ISO HO 00 03 05 11

C. Coverage C – Personal Property 1. Covered Property We cover personal property owned or used by an

"insured" while it is anywhere in the world.

AAIS HO 00 03 05 11

3. Coverage C -- Personal Property a. "We" cover personal property owned or used by an "insured”.

 

For whom the cell tolls – a thief uses an insured’s cellphone for long distance

calls

Page 5: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

ISO HO 00 03 05 11

B. Coverage C – Personal Property ◦ We insure for direct physical loss to the property described in Coverage C

caused by any of the following perils unless the loss is excluded in Section I – Exclusions.

9. Theft a. This peril includes attempted theft and loss of property

from a known place when it is likely that the property has been stolen

AAIS HO 00 03 09 08  2. Coverage C -- Personal Property -- "We" insure against direct physical loss to property covered under Coverage C caused by the following perils, unless the loss is excluded under the Exclusions That Apply To Property Coverages:

◦ j. Theft -- This includes attempted theft and loss of property from a known place when it is likely that theft occurred.

For whom the cell tolls – a thief uses an insured’s cellphone for long distance calls

Page 6: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

Direct Losses◦ Direct loss refers to damage immediately inflicted by

a disaster, accident or other event, known in insurance language as "perils” or causes of loss.

Indirect losses◦ Indirect losses, often referred to in insurance policies

as "consequential losses," are not inflicted by the peril itself but describe losses suffered as a result or consequence of the direct loss.

Theft of the phone would be covered (direct loss). Theft of services would not (indirect loss).

 

For whom the cell tolls – a thief uses an insured’s cellphone for long distance calls

Page 7: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

ISO HO 00 03 05 11  B. Coverage C – Personal Property

◦ We insure for direct physical loss to the property described in Coverage C caused by any of the following perils unless the loss is excluded in Section I – Exclusions.

◦ 15. Sudden and Accidental Damage From Artificially Generated Electrical Current This peril does not include loss to tubes, transistors, electronic

components or circuitry that is a part of appliances, fixtures, computers, home entertainment units or other types of electronic apparatus.

This vacuum surely sucks – the insured gets shocked by a frayed power cord and loses her diamond

Page 8: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

AAIS HO 00 03 09 08  2. Coverage C – Personal Property – “We” insure against

direct physical loss to property under Coverage C caused by the following perils, unless the loss is

excluded under the Exclusions That Apply to Property Coverages:

p. Sudden and Accidental Damage From Artificially Generated Electrical Currents

However, "we" do not pay for loss to tubes, transistors, electronic components, or circuitry that are a part of any type of an electronic apparatus, including but not limited to appliances, fixtures, computers, and home entertainment units.

This vacuum surely sucks – the insured gets shocked by a frayed power cord

and loses her diamond

Page 9: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

“Proximate cause” – Active, direct, and efficient cause of loss in insurance that sets in motion an unbroken chain of events which brings about damage, destruction, or injury without intervention of a new and independent force.

The electrical current melted the prongs, which caused the diamond to fall out, which caused the diamond to disappear

The diamond is covered 

This vacuum surely sucks – the insured gets shocked by a frayed power cord and loses her diamond

Page 10: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

ISO HO 00 03 05 11  3. "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: (1) One or more activities, not described in (2) through (4) below,

for which no "insured" receives more than $2,000 in total compensation for the 12 months before the beginning of the policy period;

(2) Volunteer activities for which no money is received other than payment for expenses incurred to perform the activity;

(3) Providing home day care services for which no compensation is received, other than the mutual exchange of such services; or

(4) The rendering of home day care services to a relative of an "insured".

I wanna rock and roll all night – an insured plays in a rock band and has an unknown gap in coverage

Page 11: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

AAIS HO 00 03 09 08 6. “Business” means: a. a trade, a profession, or an occupation, including farming, all whether full time, part time, or occasional. This includes the rental of property to others, but does not include:

1) the occasional rental for residential purposes of that part of the "described location" normally occupied solely by "your" household; or

2) the rental or holding for rental of a portion of that part of the "described location" normally occupied by "your" household to no more than two roomers or boarders for use as a residence; or

◦ b. any other activity undertaken for money or other compensation, but this does not include: 1) providing care services to a relative of an "insured"; 2) providing services for the care of persons who are not relatives of an "insured" and for

which the only compensation is the mutual exchange of like services; 3) a volunteer activity for which:

a) an "insured" receives no compensation; or b) an "insured's" only compensation is the reimbursement of expenses incurred to carry

out the activity; or 4) an activity not described in 1) through 3) above for which no "insured's" total compensation for the 12 month period just before the first day of this policy period was more than $2,500.

I wanna rock and roll all night – an insured plays in a rock band and has an

unknown gap in coverage

Page 12: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

ISO HO 00 03 05 11  3. Special Limits Of Liability

The special limit for each category shown below is the total limit for each loss for all property in that category. These special limits do not increase the Coverage C limit of liability.

h. $2,500 on property, on the "residence premises", used primarily for "business" purposes.

j. $1,500 on property, away from the "residence premises", used primarily for "business“ purposes.

11. "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.

 

I wanna rock and roll all night – an insured plays in a rock band and has an

unknown gap in coverage

Page 13: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

AAIS HO 00 03 09 08  c . Limitations On Certain Property -- The special "limits" shown below

◦ do not increase the Coverage C "limit". The "limit" for each class is the total

"limit" per occurrence for all items in that class.◦ 8) For loss to personal property used primarily for "business" purposes, other

than property rented or held for rental to others:a) $2,500 on property while on the "described location"; andb) $500 on property while away from the "described location".

  8. "Described location" means the one- to four-family house, the

townhouse, or the row house where "you" reside and which is shown on the structures and grounds at that location.  

However, if the "described location" is a townhouse or a row house, it includes only related private structures and grounds at that location that are used or occupied solely by "your" household for residential purposes.

  

I wanna rock and roll all night – an insured plays in a rock band and has an

unknown gap in coverage

Page 14: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

ISO HO 00 03 05 11  E. Coverage E – Personal Liability And Coverage F – Medical Payments To Others

◦ Coverages E and F do not apply to the following:◦ 2. "Business"

a. “Bodily injury" or "property damage" arising out of or in connection with a "business" conducted from an "insured location" or engaged in by an "insured", whether or not the "business" is owned or operated by an "insured" or employs an "insured".

This Exclusion E.2. applies but is not limited to an act or omission, regardless of its nature or circumstance, involving a service or duty rendered, promised, owed, or implied to be provided because of the nature of the "business".

b. This Exclusion E.2. does not apply to: (1) The rental or holding for rental of an "insured location"; (a) On an occasional basis if used only as a residence; (b) In part for use only as a residence, unless a single-family unit is intended for

use by the occupying family to lodge more than two roomers or boarders; or (c) In part, as an office, school, studio or private garage; and (2) An "insured" under the age of 21 years involved in a part-time or occasional, self-

employed "business" with no employees;  

I wanna rock and roll all night – an insured plays in a rock band and has an

unknown gap in coverage

Page 15: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

AAIS HO 00 03 09 08  1. Exclusions That Apply to Coverages L and M – this policy does not apply

to:

◦ g. "bodily injury" or "property damage" arising out of or in any way related to a "business“ conducted from an "insured premises" or undertaken by an "insured", regardless of location, whether or not the "business" is owned or operated by an "insured" or employs an "insured". This includes but is not limited to "bodily injury" or "property damage"

arising out of an act or a failure to act, regardless of its circumstance, involving a service or duty owed, promised, provided, or implied to be provided because of the nature of the "business".

  However, this exclusion does not apply to the extent that coverage is provided:

1) for the use of a motorized golf cart while on a golfing establishment under the Incidental Liability Coverage for Motorized Vehicles; or

2) under the Incidental Liability Coverage for Business.

I wanna rock and roll all night – an insured plays in a rock band and has an

unknown gap in coverage

Page 16: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

AAIS HO 00 03 09 08

INCIDENTAL LIABILITY COVERAGES  This policy provides the following Incidental Liability Coverages. They are subject to all

of the "terms" of Coverage L and Coverage M. Except for Claims And Defense Cost, Damage To Property Of Others, First Aid Expense, and Loss Assessment, they do not increase the "limits" stated for the Principal Liability Coverages.

 1. Business   a. "We" pay for "bodily injury" or "property damage" that arises out of:

1) the rental or holding for rental of an "insured premises":   a) on an occasional basis for use only as a residence;

b) in part for use only as a residence (No family unit may include more than two roomers or boarders; or

◦ c) in part for use as a school, studio, office, or private garage; or   2) the "business" activities of an "insured" under the age of 21 years, but only if

such "insured" is involved in a part-time or occasional, self-employed "business" that does not employ others and the "bodily injury" or "property damage" arises out of activities related to that "business".

I wanna rock and roll all night – an insured plays in a rock band and has an

unknown gap in coverage

Page 17: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

ISO HO 00 03 05 11  B. Coverage B – 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.

C. Coverage C – Personal Property◦ Covered Property◦ We cover personal property owned or used by an "insured" while it is

anywhere in the world. E. Additional Coverages

◦ 12. Grave Markers We will pay up to $5,000 for grave markers, including mausoleums, on or

away from the "residence premises" for loss caused by a Peril Insured Against under Coverage C.

This coverage does not increase the limits of liability that apply to the damaged covered property.

Tombstone territory – vandals damage a family grave marker

Page 18: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

AAIS HO 00 03 09 08  2. Coverage B -- Related Private Structures

◦ "We" cover related private structures on the "described location" that are not attached to the residence covered under Coverage A. Structures that are connected to the residence covered under Coverage A by only a fence, a utility line, or a similar connection are not considered attached.

 3. Coverage C -- Personal Property◦ "We" cover personal property owned or used by an "insured".

 INCIDENTAL PROPERTY COVERAGES  8. Grave Markers -- "We" pay up to $2,500 for direct physical loss to

◦ grave markers and mausoleums on or away from the "described location"

caused by a Peril Insured Against described under Coverage C.◦ With respect to this Incidental Property Coverage, the peril of Weight of Ice,

Snow, or Sleet includes the weight of ice, snow, or sleet that causes damage to a mausoleum.

  

Tombstone territory – vandals damage a family grave marker

Page 19: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

ISO HO 00 03 05 11  SECTION I – EXCLUSIONS

◦ A. We do not insure for loss caused directly or indirectly by any of the following. Such loss is excluded regardless of any other cause or event contributing concurrently or in any sequence to the loss. These exclusions apply whether or not the loss event results in widespread damage or affects a substantial area.

8. Intentional Loss Intentional Loss means any loss arising out of any act an "insured" commits or

conspires to commit with the intent to cause a loss. In the event of such loss, no "insured" is entitled to coverage, even "insureds" who did

not commit or conspire to commit the act causing the loss.   L. Mortgage Clause 2. If we deny your claim, that denial will not apply to a valid claim of the mortgagee, if

the mortgagee: a. Notifies us of any change in ownership, occupancy or substantial change

in risk of which the mortgagee is aware; b. Pays any premium due under this policy on demand if you have

neglected to pay the premium; and c. Submits a signed, sworn statement of loss within 60 days after receiving notice from

us of your failure to do so. Paragraphs F. Appraisal, H. Suit Against Us and J. Loss Payment under Section I – Conditions also apply to the mortgagee.

Burn, baby, burn! – a spouse suffers financial loss when her husband torches the house

Page 20: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

AAIS HO 00 03 09 08   EXCLUSIONS THAT APPLY TO PROPERTY COVERAGES 1. "We" do not pay for loss or damage caused directly or indirectly by one

or more of the following excluded causes or events. Such loss or damage is excluded regardless of other causes or events that contribute to or aggravate the loss, whether such causes or events act to produce the loss before, at the same time as, or after the excluded causes or events.

These exclusions apply whether or not an extensive area suffers damage from or is affected by the excluded cause or event. ◦ i. Intentional Acts -- "We" do not pay any "insured" for loss that

results from any act committed: 1) by an "insured", alone or in collusion with another; or 2) at the direction of an "insured";

with the intent to cause a loss◦ This exclusion applies even with respect to an "insured" who was not

involved in the commission or direction of the act that caused the loss.    

Burn, baby, burn! – a spouse suffers financial loss when her husband torches the house

Page 21: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

4. Mortgage Clause   b. If "we" deny "your" claim, that denial does not apply to a

valid claim of the mortgagee if the mortgagee ◦ has:◦ 1) notified "us" of change in ownership, occupancy, or

substantial change in risk of which the mortgagee became aware;

◦ 2) paid the premium due under this policy on demand if "you“ neglected to pay the premium; and

◦ 3) submitted a signed, sworn statement of loss within 60 days after receiving notice from "us" if "you" failed to do so.

◦ All "terms" of this policy apply to the mortgagee unless changed by this clause.

Burn, baby, burn! – a spouse suffers financial loss when her husband torches the house

Page 22: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

ISO HO 00 03 05 11   SECTION I – PROPERTY COVERAGES

◦ A. Coverage A – Dwelling 1. We cover: a. The dwelling on the "residence premises" shown in the

Declarations, including structures attached to the dwelling; and

b. Materials and supplies located on or next to the "residence premises" used to construct, alter or repair the dwelling or other structures on the "residence premises".

2. We do not cover land, including land on which the dwelling is located.

Neighbors can be a nuisance – damage to a common driveway pits one neighbor against another

Page 23: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

ISO HO 00 03 05 11

B. Coverage B – Other Structures 1. 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.

SECTION I – PERILS INSURED AGAINST◦ Coverage A – Dwelling And Coverage B – Other Structures

1. We insure against direct physical loss to property described in Coverages A and B.

Neighbors can be a nuisance – damage to a common driveway pits one

neighbor against another

Page 24: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

AAIS HO 00 03 09 08  1. Coverage A -- Residence a. "We" cover the residence on the "described location". This includes

additions attached to the residence and built-in components and fixtures, as well as building materials and supplies located on or adjacent to the "described location" for use in the private structures on the "described location". ◦ b. "We" do not cover:

land, including the land on which covered property is located, except as provided under the Incidental Property Coverage for Liquid Fuel Remediation;

 2. Coverage B -- Related Private Structures◦ a. "We" cover related private structures on the "described location" that

are not attached to the residence covered under Coverage A. Structures that are connected to the residence covered under Coverage A by only a fence, a utility line, or a similar connection are not considered attached.

◦ b. "We" also cover fences, driveways, sidewalks, and other permanently installed outdoor fixtures.

Neighbors can be a nuisance – damage to a common driveway pits one

neighbor against another

Page 25: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

AAIS HO 00 03 09 08

PERILS INSURED AGAINST -- COVERAGES A, B, C, AND D   1. Coverage A -- Residence And Coverage B -- Related

Private Structures -- "We" insure property covered under Coverage A or Coverage B for risks of direct physical loss, unless the loss is excluded under the Exclusions That Apply To Coverage A And Coverage B.

Neighbors can be a nuisance – damage to a common driveway pits one

neighbor against another

Page 26: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

ISO HO 00 03 05 11

F. Coverage E – Personal Liability Coverage E does not apply to:

◦ 2. "Property damage" to property owned by an "insured". This includes costs or expenses incurred by an "insured" or others to repair, replace, enhance, restore or maintain such property to prevent injury to a person or damage to property of others, whether on or away from an "insured location

◦ 3. "Property damage" to property rented to, occupied or used by or in the care of an "insured". This exclusion does not apply to "property damage" caused by fire, smoke or explosion;

SECTION II – ADDITIONAL COVERAGES We cover the following in addition to the limits of liability:  C. Damage to Property Of Others

◦ 1. We will pay, at replacement cost, up to $1,000 per "occurrence" for "property damage" to property of others caused by an "insured".

Neighbors can be a nuisance – damage to a common driveway pits one

neighbor against another

Page 27: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

AAIS HO 00 03 09 08  EXCLUSIONS THAT APPLY TO LIABILITY COVERAGES 2. Additional Exclusions That Apply Only To Coverage L – Coverage L does not apply

to:◦ c. "property damage" to property owned by an "insured".◦ f. "property damage" to property that is rented to, occupied by, used by, or in the

care of an "insured". However, this exclusion does not apply to "property damage" to such property caused

by fire, smoke, or explosion. INCIDENTAL LIABILITY COVERAGES This policy provides the following Incidental Liability Coverages. They are subject to all of

the "terms" of Coverage L and Coverage M. Except for Claims And Defense Cost, Damage To Property Of Others, First Aid Expense, and Loss Assessment, they do not increase the "limits" stated for the Principal Liability Coverages.

 4. Damage To Property Of Others -- Regardless of an "insured's" legal liability, "we"

pay, at replacement cost, for "property damage" to property of others caused by an

"insured". The "limit" that applies to this coverage is $1,000 per "occurrence".  

Neighbors can be a nuisance – damage to a common driveway pits one

neighbor against another

Page 28: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

ISO HO 00 03 05 11  SECTION II – LIABILITY COVERAGES A. Coverage E – Personal Liability

◦ If a claim is made or a suit is brought against an "insured" for damages because of "bodily injury" or "property damage" caused by an "occurrence" to which this coverage applies, we will:

1. Pay up to our limit of liability for the damages for which an "insured" is legally liable. Damages include prejudgment interest awarded against an "insured"; and

2. Provide a defense at our expense by counsel of our choice, even if the suit is groundless, false or fraudulent. We may investigate and settle any claim or suit that we decide is appropriate. Our duty to settle or defend ends when our limit of liability for the "occurrence" has been exhausted by payment of a judgment or settlement.  

9. "Property damage" means physical injury to, destruction of, or loss of use ◦ of tangible property.

Help, the dog ate my hearing aid! – an insured’s dog ate the neighbor’s hearing aid

Page 29: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

AAIS HO 00 03 09 08  PRINCIPAL LIABILITY COVERAGES 1. Coverage L -- Personal Liability -- "We" pay, up to the "limit" that applies,

all sums for which an "insured" is legally liable because of "bodily injury" or "property damage" caused by an "occurrence" to which this coverage applies.

"We" will defend a suit seeking damages if the suit resulted from "bodily injury“ or "property damage" caused by an "occurrence" to which this coverage applies. Such defense will be provided at "our" expense by counsel that "we" choose.

"We" may make investigations and settle claims or suits that "we" decide are appropriate. "We" do not have to settle or provide a defense after “we” have paid an amount equal to the limit that applies as a result of a judgment or written settlement.

19. "Property damage" means:◦ a. physical injury to or destruction of tangible property; or◦ b. the loss of use of tangible property whether or not it is physically

damaged.

 

Help, the dog ate my hearing aid! – an insured’s dog ate the neighbor’s hearing aid

Page 30: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

ISO HO 00 03 05 11  SECTION I – PROPERTY COVERAGES

◦ A. Coverage A – Dwelling 1. We cover:

a. The dwelling on the "residence premises" shown in the Declarations, including structures attached to the dwelling;

SECTION I – PERILS INSURED AGAINST◦ A. Coverage A – Dwelling And Coverage B – Other Structures

1. We insure against direct physical loss to property described in Coverages A and B.

2. We do not insure, however, for loss: a. Excluded under Section I – Exclusions; (4) Vandalism and malicious mischief, and any ensuing loss caused by any

intentional and wrongful act committed in the course of the vandalism or malicious mischief, if the dwelling has been vacant for more than 60 consecutive days immediately before the loss. A dwelling being constructed is not considered vacant;

 

Like Rome: Sacked by the Vandals – vandals set fire to a vacant house

Page 31: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

AAIS HO 00 03 09 08  PRINCIPAL PROPERTY COVERAGES  1. Coverage A -- Residence

◦ a. "We" cover the residence on the "described location". This includes additions attached to the residence and built-in components and fixtures, as well as building materials and supplies located on or adjacent to the "described location" for use in the construction, alteration, or repair of the residence or related private structures on the "described location".

PERILS INSURED AGAINST -- COVERAGES A, B, C, AND D  1. Coverage A -- Residence And Coverage B -- Related Private Structures -- "We" insure property covered under Coverage A or Coverage B for risks of direct physical loss, unless the loss is excluded under the Exclusions That Apply to Coverage A And Coverage B.

◦ 5) Vandalism Or Malicious Mischief -- "We" do not pay for loss: a) caused by vandalism or malicious mischief; or b) that ensues from a wrongful act committed intentionally in the course of vandalism or

malicious mischief; if the residence covered under Coverage A was vacant for more than 60 days in a row just

before the loss. A residence being built is not vacant.  “Ensue” – “To follow after; to follow in order or train of events.”

Like Rome: Sacked by the Vandals – vandals set fire to a vacant house

Page 32: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

ISO HO 00 03 05 11   A. Coverage A – Dwelling

◦ 1. We cover: a. The dwelling on the "residence premises" shown in the

Declarations, including structures attached to the dwelling; SECTION I – PERILS INSURED AGAINST A. Coverage A – Dwelling And Coverage B – Other Structures

◦ 1. We insure against direct physical loss to property described in Coverages A and B.

◦ 2. We do not insure, however, for loss: c. Caused by: (6) Any of the following: (g) Birds, rodents or insects; (h) Nesting or infestation, or discharge or release of waste

products or secretions, by any animals;

Honey, we have a problem – bees come to visit and leave a gift

Page 33: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

AAIS HO 00 03 09 08  PRINCIPAL PROPERTY COVERAGES  1. Coverage A -- Residence

◦ "We" cover the residence on the "described location". This includes additions attached to the residence and built-in components and fixtures, as well as building materials and supplies located on or adjacent to the "described location" for use in the construction, alteration, or repair of the residence or related private structures on the "described location".

PERILS INSURED AGAINST --COVERAGES A, B, C, AND D  1. Coverage A -- Residence And Coverage B -- Related Private Structures -- "We" insure

property covered under Coverage A or Coverage B for risks of direct physical loss,

◦ unless the loss is excluded under the Exclusions That Apply to Coverage A And Coverage B.  Exclusions That Apply To Coverage A And Coverage B

◦ 9) Birds, Vermin, Rodents, Insects, Or Animals -- "We" do not pay for loss caused by: a) birds; b) "vermin"; c) rodents; d) insects; or e) any animal owned or kept by an "insured"; except as provided under the Incidental Property Coverages.

 

Honey, we have a problem – bees come to visit and leave a gift

Page 34: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

AAIS HO 00 03 09 08 21. "Vermin" means an animal of a type that is prone to

enter or burrow into or under a structure to seek food or shelter, including but not limited to:

a. armadillos; b. bats; c. opossums; d. porcupines; e. raccoons; f. skunks; and g. snakes.

Honey, we have a problem – bees come to visit and leave a gift

Page 35: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

ISO HO 00 03 05 11   C. Coverage C – Personal Property

◦ 4. Property Not Covered We do not cover:

c. "Motor vehicles". This includes a "motor vehicle's" equipment and parts. However, this

Paragraph 4.c. does not apply to: (1) Portable electronic equipment that: (a) Reproduces, receives or transmits audio, visual or data signals; and (b) Is designed so that it may be operated from a power source other than a

"motor vehicle's" electrical system (2) "Motor vehicles" not required to be registered for use on public roads or

property which are: (a) Used solely to service a residence; or (b) Designed to assist the handicapped; 7. "Motor vehicle" means: a. A self-propelled land or amphibious vehicle; or b. Any trailer or semitrailer which is being carried on, towed by or hitched for

towing by a vehicle described in a. above. 

Let it snow, let it snow, let it snow – snow tires are stolen out of a garage

Page 36: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

AAIS HO 00 03 09 08

3. Coverage C -- Personal Property◦ d. Personal Property Not Covered -- "We" do not cover:

3) "motorized vehicles". a) This includes: (1) their parts, equipment, and accessories, other than property

described in c.3) above; and (2) electronic devices and accessories that can be operated only from the electrical

system of a "motorized vehicle", including antennas, films, tapes, wires, discs, records, or other media that can be used with such devices;

while in or on a "motorized vehicle". b) However, this does not include a "motorized vehicle":

(1) that is designed to assist the handicapped; or (2) that is:

(a) owned by an "insured"; (b) designed only for use off of public roads; and (c) used only to service an "insured premises" or a premises of another;

if such "motorized vehicle" is not required by law or governmental regulation to be registered for use on public roads or property and is not used for "business" purposes;

 

Let it snow, let it snow, let it snow – snow tires are stolen out of a garage

Page 37: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

AAIS HO 00 03 09 08

16. "Motorized vehicle" means:◦ a. a self-propelled land or amphibious vehicle, regardless of

method of surface contact, but this does not include a: 1) "hovercraft"; 2) model hovercraft that is not designed or used to carry people

or cargo; 3) "watercraft"; or 4) model watercraft that is not designed or used to carry

people or cargo; or◦ b. a trailer or semitrailer that:

1) is attached to or being carried on or towed by; or 2) becomes detached while being carried on or towed by;

a vehicle described in a. above.  

Let it snow, let it snow, let it snow – snow tires are stolen out of a garage

Page 38: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

ISO HO 00 03 05 11  1. "Aircraft Liability", "Hovercraft Liability", "Motor Vehicle Liability" and "Watercraft Liability", subject to the provisions in b. below, mean the following:

◦ a. Liability for "bodily injury" or "property damage" arising out of the:

(1) Ownership of such vehicle or craft by an "insured"; (2) Maintenance, occupancy, operation, use, loading or

unloading of such vehicle or craft by any person; (3) Entrustment of such vehicle or craft by an "insured" to

any person; (4) Failure to supervise or negligent supervision of any

person involving such vehicle or craft by an "insured"; or (5) Vicarious liability, whether or not imposed by law, for

the actions of a child or minor involving such vehicle or craft.

The old gal is really hip – a child hits a neighbor with her toy car

Page 39: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

ISO HO 00 03 05 11

7. "Motor vehicle" means:◦ a. A self-propelled land or amphibious vehicle; or◦ b. Any trailer or semitrailer which is being carried on, towed by or hitched for towing by a

vehicle described in a. above. SECTION II – LIABILITY COVERAGES SECTION II – EXCLUSIONS A. "Motor Vehicle Liability"

◦ 1. Coverages E and F do not apply to any "motor vehicle liability" if, at the time and ◦ place of an “occurrence", the involved "motor vehicle":

a. Is registered for use on public roads or property;◦ b. Is not registered for use on public roads or property, but such registration is

required by a law, or regulation issued by a government agency, for it to be used at the place of the "occurrence"; or

c. Is being: (1) Operated in, or practicing for, any prearranged or organized race, speed

contest or other competition; (2) Rented to others; (3) Used to carry persons or cargo for a charge; or (4) Used for any "business" purpose except for a motorized golf cart while on a

golfing facility.

The old gal is really hip – a child hits a neighbor with her toy car

Page 40: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

ISO HO 00 03 05 11

2. If Exclusion A.1. does not apply, there is still no coverage for "motor vehicle liability", unless the "motor vehicle" is:

a. In dead storage on an "insured location"; b. Used solely to service a residence; c. Designed to assist the handicapped and, at the time of an

"occurrence", it is: (1) Being used to assist a handicapped person; or (2) Parked on an "insured location"; d. Designed for recreational use off public roads and: (1) Not owned by an "insured"; or (2) Owned by an "insured" provided the "occurrence" takes

place: (a) On an "insured location" as defined in Definition B.6.a., b.,

d., e. or h.; or

The old gal is really hip – a child hits a neighbor with her toy car

Page 41: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

◦ (b) Off an "insured location" and the "motor vehicle" is: (i) Designed as a toy vehicle for use by children under seven years of

age; (ii) Powered by one or more batteries; and (iii) Not built or modified after manufacture to exceed a speed of five miles

per hour on level ground; e. A motorized golf cart that is owned by an "insured", designed to carry up to four persons, not built or modified after manufacture to exceed a speed of 25 miles per hour on level ground and, at the time of an "occurrence", is within the legal boundaries of:

(1) A golfing facility and is parked or stored there, or being used by an "insured" to:

(a) Play the game of golf or for other recreational or leisure activity allowed by the facility;

(b) Travel to or from an area where "motor vehicles" or golf carts are parked or stored; or

(c) Cross public roads at designated points to access other parts of the golfing facility; or

(2) A private residential community, including its public roads upon which a motorized golf cart can legally travel, which is subject to the authority of a property owners association and contains an "insured's" residence.

The old gal is really hip – a child hits a neighbor with her toy car

Page 42: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

ISO HO 00 03 05 11

6. "Insured location" means: ◦ a. The "residence premises"; ◦ b. The part of other premises, other structures and grounds used by you as a

residence; and (1) Which is shown in the Declarations; or (2) Which is acquired by you during the policy period for your use as a residence;

◦ c. Any premises used by you in connection with a premises described in a. and b. above;

◦ d. Any part of a premises: (1) Not owned by an "insured"; and (2) Where an "insured" is temporarily residing;

◦ e. Vacant land, other than farm land, owned by or rented to an "insured"; ◦ f. Land owned by or rented to an "insured" on which a one-, two-, three- or

four-family dwelling is being built as a residence for an "insured"; ◦ g. Individual or family cemetery plots or burial vaults of an "insured"; or ◦ h. Any part of a premises occasionally rented to an "insured" for other than

"business" use.

The old gal is really hip – a child hits a neighbor with her toy car

Page 43: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

AAIS HO 00 03 09 08  EXCLUSIONS THAT APPLY TO LIABILITY COVERAGES 1. Exclusions That Apply To Coverage L And Coverage M --

Coverage L and Coverage M do not apply to:◦ c. "bodily injury" or "property damage" arising out of:

1) the ownership or leasing of a "motorized vehicle" or "watercraft" by an "insured";

2) the operation, maintenance, use, occupancy, loading, or unloading of a "motorized vehicle" or "watercraft" by any person;

3) the entrustment or loaning of a "motorized vehicle" or "watercraft" by an "insured" to any person; or

4) an "insured's" negligent supervision of or failure to supervise any person with respect to a "motorized vehicle" or "watercraft".

◦ However, this exclusion does not apply to "bodily injury" to a "domestic employee" arising out of and in the course of his or her employment by an "insured" or if coverage is provided under the Incidental Liability Coverage for Motorized Vehicles or the Incidental Liability Coverage for Watercraft.

The old gal is really hip – a child hits a neighbor with her toy car

Page 44: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

e. "bodily injury" or "property damage" for which an "insured" is vicariously liable if the "bodily injury" or "property damage" arises out of the actions of a child or minor with respect to a:

◦ 1) "motorized vehicle"; or◦ 2) "watercraft". ◦ This applies whether or not such liability is imposed by law.

However, this exclusion does not apply to the extent that coverage for the "motorized vehicle" or "watercraft" is provided under the Incidental Liability Coverage for Motorized Vehicles or the Incidental Liability Coverage for Watercraft.

 16. "Motorized vehicle" means:◦ a. a self-propelled land or amphibious vehicle, regardless of method of surface

contact, but this does not include a: 1) "hovercraft"; 2) model hovercraft that is not designed or used to carry people or cargo; 3) "watercraft"; or 4) model watercraft that is not designed or used to carry people or cargo; or

◦ b. a trailer or semitrailer that: 1) is attached to or being carried on or towed by; or 2) becomes detached while being carried on or towed by;

a vehicle described in a. above.

The old gal is really hip – a child hits a neighbor with her toy car

Page 45: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

INCIDENTAL LIABILITY COVERAGES  This policy provides the following Incidental Liability Coverages. They are subject to all of the "terms" of Coverage L and

Coverage M. Except for Claims and Defense Cost, Damage To Property Of Others, First Aid Expense, and Loss Assessment, they do not increase the "limits" stated for the Principal Liability Coverages.

  7. Motorized Vehicles 

◦ a. Subject to the limitations set forth in b. and c. below, "we" pay for "bodily injury" or "property damage" that arises

◦ out of a "motorized vehicle" that: 1) is in dead storage on an "insured premises"; 2) is used only to service:

a) an "insured premises", but only if the "occurrence" takes place on an "insured premises" as defined in 14.a.,

14.b., 14.c., 14.f., 14.g., or 14.h. under Definitions; or b) an "insured premises" or a premises of another, but only if such "motorized vehicle" is designed only for

use off of public roads;

3) is designed to assist the handicapped; 4) is designed for recreational use off of public roads and is:

a) not owned by an "insured"; or b) owned by an "insured", but only if the "occurrence" takes place on an "insured premises" as defined in 14.a.,

14.b., 14.c., 14.f., 14.g., or 14.h. under Definitions;

5) is operated only from electrical current supplied by a battery and is: a) not built or modified after manufacture to exceed a speed of 15 miles per hour on level ground; and b) not a motorized bicycle, moped, or golf cart; or

The old gal is really hip – a child hits a neighbor with her toy car

Page 46: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

6) is a motorized golf cart that:◦ a) is owned by an "insured";◦ b) is designed to carry no more than four persons; ◦ c) is not built or modified after manufacture to exceed a speed of 25

miles per hour on level ground; and◦ d) at the time of the "occurrence", is within the legal boundaries of:

(1) a golfing establishment and is: (a) parked or stored there; or (b) being used by an "insured" to:

(i) play the game of golf or for other recreational or leisure activity allowed by the establishment; (ii) travel to or from an area where "motorized vehicles" or golf carts are parked or stored; or (iii) cross public roads at designated points to access other parts of the golfing establishment; or

(2) a private residential community, including its public roads upon which a motorized golf cart can legally travel:

(a) that is subject to the authority of an association of property owners; and (b) in which an "insured premises" is located.

The old gal is really hip – a child hits a neighbor with her toy car

Page 47: Ted A. Kinney, CIC CPCU ARM AAI Kinney Training & Consulting, LLC Columbus, OH

b. The coverage described in a. above applies only to a "motorized vehicle" that, at the time of the "occurrence", is not:

◦ 1) registered for use on public roads or property; ◦ 2) required by law or governmental regulation to be registered for use at the location

of the "occurrence"; ◦ 3) being used in, or in the practice or the preparation for, a prearranged or

organized racing, speed, pulling or pushing, demolition, or stunt activity or contest;◦ 4) being rented to others;◦ 5) being used to carry people or cargo for a fee; or◦ 6) being used for any "business" purpose, except a motorized golf cart while on a

golfing establishment. c. This Incidental Liability Coverage for Motorized Vehicles is subject to all of the:

◦ 1) Exclusions That Apply To Coverage L And Coverage M, other than: a) exclusions c. and e.; and b) solely with respect to the use of a motorized golf cart while on a golfing

establishment, exclusion g.; ◦ 2) Additional Exclusions That Apply Only To Coverage L; and ◦ 3) Additional Exclusions That Apply Only To Coverage M.

The old gal is really hip – a child hits a neighbor with her toy car