Forms and types of homeowner policies Flashcards

1
Q

H-02

A

Broad forms covers broad perils , owner occupant, covers BIG AFFECT burglary, ice sleet and snow, glass breakage , accidental discharge of water or steam , freezing objects , falling objects , electrical currents, collapse , tearing asunder (sudden accidental tearing apart)

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2
Q

HO-3

A

Special forms - owner occupant. Most exclusive open peril coverage on dwelling and structures excluded perils intentional damage ,

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3
Q

BASIC PERILS ( BASIC BITCHES )

A

FIRE , LIGHTENING , INTERNAL EXPLOSIONS ( EXPLOSIONS INSIDE A COVERED LOCATION

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4
Q

EXTENDED COVERAGE EC PERILS - INCLUDED IN MOST STATE PLOCIES

A

WCSHAVVER :
WIND, CIVIL COMMOTION , SMOKE , HAIL , AIRCRAFT, VEHICLES , VOLCANIC ERUPTION, EXPLOSION, RIOT , & VMM VANDALISM AND MALICIOUS MISCHIEF ,

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5
Q

BROAD PERILS - AKA NAMED PERIL COVERAGE - LIST WHAT IS COVERED

A

ALL BASIC FORM PERIL ( basic bitches included , fire lightnening , internal explosion, + EC extended coverage WCSGAVVER V&MM + BIG AFFECT

BIG AFFECT = BURGLARY DAMAGE , WT OF ICE SLEET SNOW, GLASS BREAKAGE , ACCIDENTAL DISCHARGE OF WATER WITHIN PLUMBING FREEZING OBJECTS FALLING OBJECTS, ELECTRICAL CURRENT COLLAPSE , TEARING ASUNDER

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6
Q

SPECIAL PERILS (OPEN) ERRRTHANGGG , UNLESS I SAY NAH

A

coverage insures against all risks of direct physical loss , unless they specifically are excluded.

NAH NAH NAH NAH : flooding, earthquake , intentional damage caused by insured , losses due to enforcement of building codes, damage caused by power interruption occurring off premises, gov seizers,

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7
Q

HO-4 - TENANTS OR RENTERS

A

FOR RENT/ PERSONAL PROPERTY

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8
Q

HO-5

A

COMPREHENSIVE FORM ; OWNER OCCUPANT/ BEST

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9
Q

HO-6

A

CONDOMINIUM CONDO OWNERS- WALLS IN , CIELING /WALL.FLOORS AND PERSONAL PROPERTY

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10
Q

HO-8

A

MODIFIED FORM FOR SPECIAL RISKS ( OLDER HOMES / MODIFICATIONS.

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11
Q

DWELLING POLICIES
DP-1, BASIC FORM
DP-2 , BROAD FORM
DP-3 , SPELCIAL FORM

A

DP-1 - ALL THE BASIC BITCHES AUTOMATICALLY INSURED FIRE (unfriendly fire, friendly fire not covered )
lightening ( natural electrictiy )
internal explosion ( furnace , stove, hot water heater INSIDE DWELLING)
FOR ADDITIONAL PREMIUM. EC- WCSHAVVER AND V&MM

DP-2 - ALL THE BASIC BITCHES PLUS… BIG AFFECT :
basic ( fire, lightening, intenral explosion,
exclusions , WT OF SNOW AND ICE FALLING OBJECTS, NOT COVERED on awnings , fences, patios, swimming pools, docks, retaining walls , accidental dischage of water FROM CONTINOUS LEAKS / flood . burglary from vacant 60 days buildings.
DP- 3 - RISK OF DIRECT PHYSICAL LOST ARE COVERED! -OPEN - DWELLING AND OTHER STRUCTURES ;;;;; EXCLUDES, intentional damage, theft, freezing of plumbing if unoccupied and care not taken , wear and tear, foundations.

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12
Q

COMMERCIAL LINES

COMMERCIAL PACKAGE POLICYS (CPP)

A

BEGINS WITH COVERAGE FOR PROPERTY / GENERAL LIABILITY INSURANCE AND THEN OTHER FORMS OF INSURANCE ARE ADDED ON TO CREATE A “BUNDLE”

ELIGIBLE COVERGES : building and personal property, builders risk, condominium association, condominium commercial unit owners, business income , extra expense, COMMERCIAL INLAND MARINE, COMMERCIAL CASUALTY FORMS. commerical auto, general liability, crime, farm liabiity,

CPP - CANNOT INCLUDE : workers comp, life insurance , health and disability insurance , certain types of professional liability , CPP MUST INCLUDE AT LEAST ONE PROPERTY COVERAGE AND ONE CASUALTY COVERAGE.

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13
Q

COMMERCIAL PROPERTY

A

BUSINESSES NEED: PROPERTY INSURANCE ( coverage on real property, office buildings, factories, warehouses,
NEED: INSURANCE ON BUSINESS PERSONAL PROPERTY examples. fixtures , machinery, inventory, machinery.
COMMERICAL PROPERTY…
MUST INCLUDE: COMMERIAL PROPERTY DECLARATIONS FORM
COMMERCIAL PROPERTY CONDITIONS FORM, ONE OR MORE COMMERCIAL PROPERTY COVERAGE FORMS. - CAUSES AND LOSS FORM. & MANDATORY ENDORSEMENTS.

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14
Q

COMMERCIAL PROPERTY DECLARATIONS FORM

A

PROVIDES ADDTIONAL INFORMATION ABOUT THE PREMISES BEING INSURED & THE SPECIFIC PROPERTY FORMS THAT WILL APPLY.

NAME / ADDRESS OF ANY MORTGAGE LEIN HOLDERS

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15
Q

COMMERCIAL PROPERTY COVERAGE FORMS

A

DESCRIBES SPECIFIC COVERAGES BEING PROVIDED TO THE BUSINESS
DEFINES PROPERTY IS COVERED, WHT PROP IS NOT COVERED, HOW LIMITS AND DEDUCTIBLES APPLY, WHT SPECIAL CONDITIONS APPLY.

can be added; building & personal property , builders risk , condo association, condominium commercial unit owner, business income with extra expense, legal liability ( considered property insurance . )

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16
Q

Commercial building & Business personal property form.

A
  • most commonly purchased form.
  • core of the commercial property coverage part, the building and personal property coverage

COVERS buildings, the insureds business personal property, the personal property of others located at the buisness premises, COVERAGE IS ONLY provided for coverages that have a limit of insurance shown in the declarations.
INCLUDES; completed additions, fixtures, (including outdoor) , personal property used to maintain the premise, fire extinguishers, outdoor furniture, floor coverings, certain appliances,
WITHIN 100 FT OF PREMISE additions under construction and alterations or repairs to the building materials, equipment, supplies

business personal property: covered while it is in the building , in the open or in a vehicle within 100 ft of premise. (includes furniture, fixtures, machinery, equipment, stock. value of labor + parts, if insured is a tenant the improvements + betterments added by insured, leased personal prop

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17
Q

not covered in BUIDLING AND PERSONAL PROPERTY COVERAGE FORM

A

money accounts, food stamps, notes, securities, animals unless they are boarded or held for sale , autos for sale , bridges, roads, walks, patios, other paved surfaces. conraband, cost of excavations other groud prep. bulkheads, underground pipes and drains, watercrafts and air crafts lic for public use, the follwoing while outside buildings except as provided in coverage extensions ( fences, antennas, signs that are not attached, trees shrubs, plants.

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18
Q

CAUSES OF LOSS FORMS ( BBS)

A

..LIST THE PERILS THT THE PROPERTY IS INSURED AGAINST, 3 forms.

  • BASIC - CP1
  • BROAD - CP2
  • SPECIAL- CP3 ( OPEN)
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19
Q

BUSINESS INCOME (BUISNESS INCOME COVERAGE FORM)

A

PAY FOR LOSS OF INCOME THAT THE INSURED SUSTAINS DUE TO A DIRECT PHYSICAL LOSS FROM A PERIL INSURED AGAINST THT FORCES THE INSURED TI SUSPEND OPERATIONS DURING RESTORATION.

RESTERATION BEGINS: date of direct physical loss, ends when property can be repaird/rebuilt/replaced. time element coverage: coverage for the loss of business income over a period of time tht resulted in direct physical loss , net income//continuing normal operations. payroll.

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20
Q

extra expense: COVERAGE FOR A BUISNESS THT MUST CONTINUE AT ALL COST (; NEWSPAPER, BANK)

A

the coverage that reimburses the insured for expenses incurred to keep a business going after a loss caused by a covered peril.

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21
Q

BUSINESS INCOME with extra expense coverage form - includes extra expense coverage tht reimburses the insured for money spent to avoid or minimize business shut down. (covers expenses the insured would not have incurred if the property had not been damaged) BANK MOVE TO TEMP LOCATION

BUSINESS INCOME WITHOUT extra expense coverage form: replaces the extra expense coverage with EXPENSES TO REDUCE LOSS COVERAGE , ( without extra expense don’t need coverage , ex restaurant closes and then repens.

A
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22
Q

equipment breakdown “

A

means the following types of direct loss, that cause damage to covered equipment, requiring the equipment’s repair or replacement
COVERS” FAILURE or pressure / vacuum equipment, mechanical failure including rupture or bursting caused by centrifugal force, electrical failure, including arcing,

NOT A MAINTENANCE POLICY: does not include,,, malfunction, defects leakage, damage to any vacumm TUBE, GLASS TUBE OR BRUSH, damage to any structure or foundation supporting the covered equipment or any of its parts, , cracking of any part of an internal combustion. gas turbine

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23
Q

BUSINESS OWNERS POLCIY (BOP)
MOM AND POP (SMALL - MED SIZED BUSINESS) less than 100 employees
- 6 million or less in revenue
business occupying 35,000 square feet.

A

COMPLEX CPP .. SIMILAR TO THE HOMEOWNERS ( HO) POLICY for individuals in that property, liability and other coverages are automatically included. additional coverages can be added for small premium.

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24
Q

Builders risk

A
  • personal inland marine forms. - BRAODER COVERAGE FOR PERSONAL PROPERTY , inland marine insurance originally developed from ocean marine insurance

ocean marine insurance - provides coverage for property being transported over water.
inland marine insurance- same type of broad, flexible, coverage for personal portable property ON LAND (INLAND) AKA FLOATERS.

2 MOST COMMONLY USED PERSONAL INLAND MARINE FORMS ARE
PERSONAL ARTICLES/ PERSONAL EFFECTS
PERSONAL INLAND MARINE FLOATERS PROVIDE OPEN PERIL COVERAGE , FEW EXCLUSIONS , war, nuclear hazard wear and tear graudual deteriotation , insects, vermin and inherent vice

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25
Q

inland marine insurance :

A

coverage for property and merchandise while in transit or floating.
valuable papers, and documents,, as well as mobile equipment and other supplies are covered by these types of policies ,
generally borader. property held by bailee , actually in transit , at a fixed location that is an instrument of transportation, movable good that is often at different locations.

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26
Q

personal articles form:

A

provides coverage for nine optional classes of personal property same as scheduled personal property in homeowners.

  • jewelry, furs, cameras, musical instruments, silverware, golf equipment, fine arts, stamps and coins. appraisal may be required,

pair set: insurance will not be liable for entire value of set when only part of it is damaged.
auto coverage / jewlerry /furs/camaras/music instruments/ fine art.
coverage for 30 days BUT FINE ART IS 90 DAYS 25% of applicable insurance limit 10k or whichever is less.

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27
Q

personal articles floaters

A

aka travelers baggage- ensure belongings while traveling

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28
Q

commercial property floaters

A

nationwide definition: laid out what types of property were eligible for inland , marine insurance coverage. 6 categories of eligible marine risks .

IMPORTS, EXPORTS»» ( OCEAN MARINE INSURANCE )

INLAND MARINE
PERSONAL FLOATERS. DOMESTIC SHIPMENTS, INSTRamentalities of transportation or communication, commercial property floaters risk

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29
Q

NATIONAL FLOOD INSURANCE PROGRAM

A

NATIONAL FLOOD INSURANCE PROGRAM ( NFIP ) TO MAKE FLOOD INSURNACE AVAIABLE TO ELIGIBLE COMMUNITIES THROUGH FEDERAL SUBSIDATION. &raquo_space;>managed by&raquo_space;> FEMA - federal emergency managment agency.

  • communities voluntarily apply
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30
Q

personal lines - casualty

A

umbrella insurance : liability insrance tjat os om excess of specified other policies - potentially for insurance for losses not covered by other policies. WHEN INSURER NEEDS HIGHT LIMITS OF LIABILITY COVERAGE THAT IS NOT COVERED BY AUTO OR HOMEOWNERS.

SIR = SELF - INSURED RETENTION , AMOUNT OF LOSS THE INSURED MUST COVER OUT OF POCKET. DOES NOT APPLY TO UMBRELLA POLICY ACTING AS EXESS COVERAGE TO

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31
Q

EARTHQUAKE

casuses of loss

A

NONE OF THE COVERED LOSS COVER EARTHQUAKE OR VOLCANIC ERUPTION ( land movement ) they need to be added by endorsement in conjuction with cause of loss form

  • volcanic eruption: eruption , explosion, effusion of a volcano. within 168 hour period single earthquake or volcanic eruption.
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32
Q

MOBILE HOMES

A
  • PERMANTLY PLACED ON FOUNDATIONS ARE ELIGIBLE
    HO-4 FORMS CAN USED TO COVER THE CONTENTS OF A MOBLE HOME but NOT FOR MOBILE HOME ITESELF

separate MOBILE HOME PACKAGE POLICY
IN ADDITION TO MOBILE HOME ENDORSEMENT can be attached to HO-2 , OR HO-3 to modify coverage of mobile homeowners.

  • up to 10% of coverage can be extended to cover other structures. personal property reduced to 40% and dwelling is 50% of HOME OWNERS POLICY
    loss of use 20% ( 30% in homeowners )
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33
Q

watercraft

A

limited coverage
homeowners: will pay up to 1500 if something happens to boat while in your house
3 catagories
BOATS LESS THAN 26FT
YACHTS : 26FT OR GREATER
PERSONAL WATERCRAFT: JET SKIS , RUNNERS, OTHER PERSONAL WATERCRAFT
liability covered is excluded for boats with motors of more than specified horsepower or boats of more than specified length. . usually need to get inland marine insurance forms , ocean marine policies or specialized policies
COMBINE PROPERTY/MEDICAL/LIABILITY losses paid: ACTUAL CASH VALUE. personal use boats only

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34
Q

FARM OWNERS

A

cover direct, physical loss to a variety of properties insured can select any combination of 3 separate forms.

farm dwellings , appurentenants structures, household personal property coverage form. similar to HO section 1

coverage A - DWELLINGS
COVERAGE B - other structures apurtenant to dwelling
COVERAGE C - household personal property
COVERAGE D- loss of use
1,000 per occurance of damage to outdoor radio intenna , sateleites
trees/ plants/ shrubs . excluded.

35
Q

farm property coverage

A

coverage E - scheduled prop , choice of items, grain , farm product, livestock , machinery, vehicles , toolds supploed

coverage F - unscheduled. blanket basis. on or away from property
mule. horse, cattle under 1 year pf age at time of loss 1000.
coverage G- other farm structures - not dwellings
coverage H - bodily injury and property damage liability
coverage I - personal and advertising injury and liability
coverage J - medical payments within 3 years from the date of accident /injury regardless of fault.

36
Q

insurance

A

contract transfers risk of financial loss from an individual or business to an insurance company.

designed to cover only losses that involve risk.

37
Q

law of large numbers

A

the principle that makes insurance possible. the larger the group the more accurately losses can be predicted.

38
Q

insurable interest

A

defined as legitimate risk of financial loss in the person or thing being insured.

39
Q

RISK

A

the possibility that a loss will occur .

insurance is a contract that transfers the risk of financial loss from an individual or business to an insurance company.

40
Q

pure vs speculative

A

speculative - loss or gain

pure - pure losses no gains

41
Q

hazard

A

anything that increases the chances that a loss will occur

42
Q

moral

A

hazards arise from an individuals character

43
Q

morale

A

hazards are a state of mind or careless attitude

44
Q

physical

A

physically identifiable hazard increase chance of loss .

45
Q

peril

A

the cause of loss

46
Q

loss

A

the unintended unforeseen damage to property, injury m amount paid,

direct : physical loss to property . no intervening cause ( lightnening striking house, car hitting tree,

indirect : consequential loss as a result of a direct loss ( rental income loss due to a house fire )

47
Q

loss valuation ( claim settlement )

A

insurance has the legal duty to determine the amount of a claim payment, according to the terms of the policy. duties are contained in the valuation…
or “ how losses will be paid condition “ synonymous terms

insurable interest. policy limits, actual cash value , cost to repair , replacement cost,

48
Q

actual cash value

A

the current cost of replacing an asset that is damaged or destroyed

ACV = REPLACEMENT - DEPRECIATION ( COST TO REPLACE IT NOW )

49
Q

REPLACEMENT COST

A

REPLACEMENT COST DOES NOT SUBTRABT DEPRECIATION , MUST BE SIMILAR KIND AND QUALITY

FUNCTIONAL REPLACEMENT - COST OF AQUIRING ANOTHER ITEM OF PROPERTY THAT WILL PERFROM SAME FUNCTION.

50
Q

MARKET VALUE

A

THE PRICE ONE WOULD PAY BASED UPON THE FREE MARKET CONDITIONS ADJUSTING FOR SUPPLY AND DEMAD.

51
Q

STATED /AGREED VALUE

A

stated: allows the insured to determine the value of that property insurance policy is written for that amount, at time of loss insurance will pay lesser of amount stated on dec, or ACTUAL CASH VALUE. WHICHEVER IS LESS .

AGREED: INSURED AND INSURER WILL AGREE ON A VALUE BEOFRE THE POLICY IS ISSUED, ANTIQUES FINE ARTS WILL MOST LIKELY HAVE AN AGREED VALUE. IS LOSS OCCURS THE AGREED VALUE WILL BE THE AMOUNT THE INSURED WILL RECEIVE. THE AGREED VALUE IS RESET YEARLY.

52
Q

SALVAGE

A

condition states that the insurance company can take possession of damaged property after payment of a total loss . if company determines it will cost more to fix the damage than its actual cash value, the company will pay loss.

53
Q

proximate cause

A

establishing negligence:

  1. LEGAL DUTY OWED
  2. BREACH OF LEGAL DUTY OWED
  3. PROXIMATE CAUSE - cause of damage to the other persons car was insured swerving into next lane,
  4. DAMAGES
54
Q

deductible

A

the amount that must be paid out of pocket by the policy owner before insurance pays any expenses. purpose is to prevent small claims and overuse of of insurance claims.

55
Q

indemnity

A

the contract is intended to restore the insured, to the financial state that they were in before the loss. NO MORE NO LESS

56
Q

limits of liability ( dollar amounts of coverage )

A

the policy limit for liability may be issued in several different formats

Bodily injury BI , per person and per accident and property damage ( PD) . has

57
Q

PERIL

A

THE CAUSE OF A LOSS

58
Q

HAZARD

A

anything that increases the chance that a loss will occur

59
Q

3 types of hazards

A

physical , moral , morale

physical: physically identifiable - increase the chance of loss.
MORAL : hazards arise from persons character, - lack morals - individual LIES
LIES ON INSURANCE APPLICATION. OR FAKES A LOSS.

MORALE: state of mind or careless attitude. - unconscious change in a person’s actions or behavior. leaving doors open or unlocked…

60
Q

hazards

A

wet floor -PHYSICAL
dishonesty - MORAL
leaving door open- MORALE

61
Q

METHODS OF HANDELING RISK

STAR

A
SHARING: RIsk sharing sharing the risk amoungst a number of ppl , or business 
TRANSFER 
AVOIDANCE - avoid risk 
RETENTION - retain the risk, 
REDUCTION
62
Q

peril

A

cause of loss

63
Q

loss

A

unintended , unforseen damage to property , injury , amount paid

64
Q

hazard

A

anything that increases the chance that loss will occur

65
Q

3 types of hazards

A

physical - wet floor
moral - dishonesty
moral- leaving door open.

66
Q

adverse selection

A

tendency for a higher risk individuals to get and keep insurance as compared to individuals that represent an average risk.

underwriters determine risk/ higher premiums.

67
Q

reinsurance

A

like insurance for insurers , helps spread risk.

68
Q

stock insurers

A

business formed as a corporation and owned by its stockholders also known as shareholders. dividends, surplus > goes to share holders. ( taxable )

69
Q

mutual insurers ,

A

owned by policy holders , not taxable, consider refund in form of premium. issue participating policies.

70
Q

fraternal, - must be a member to benefit

reciprocal insureres: unincorporated group of ppl that agree to insure each others losses under a contract, ( suscribers, handled by attorney in fact. members assesd if a loss occurs.

A
71
Q

lloyds association

A

insurance provided by individual underwriters , insure unusual risks. celebrity hair or arm.

72
Q

domestic: IN STATE

A

insurer that is organized in the state of CT

73
Q

FOREGIN : US STATE

A

organized under the laws of another US state or territory

74
Q

ALIEN : CANADA

A

charted or organized under the law of the state or country OUTSIDE OF US.

75
Q

INDEPENDENT AGENTS REPRESENT THE INSUER , NOT THE INSURED.

A

BROKERS REPRESENT THE INSURED.

76
Q

ELEMENETS OF A LEGAL CONTRACT

A

CLOAC /
consideration: exchage in value
legal purpose: risk transfer does not violate the law
offer: proposal
acceptance: offer must be unconditional / unqualified
competent parties: legal capacity to make contract ,

77
Q

misrepresentation : wrong name on applicaion..

Luke s walker ,,,, vs luke walker ( does not voide contract

HOWEVER , MATERIAL MISREPRESENTATION does void contract lying on an application, ex. Luke never disclosed his licence was suspended.

A
78
Q

DICE

A
DECLARATIONS: 
INSURING AGREEMENTS
CONDITIONS 
ENDORSEMENTS  additional supplementary coverages 
EXCLUSIONS:
79
Q

GLBA

A

PROTECTS CONFIDENTIALITY OF PERSONAL INFORMATION,

CONSUMER , CUSTOMER

80
Q

real property: permanent structures and buildings

personal propeerty, furniture, appliances, clothing, tools, other movable property .

A
81
Q

policy limits , limit of coverage , limit of liability

A

maximum of what insurance company will pay for

82
Q

open peril, policy insures against all risk of direct physical loss, except those specifically excluded in the policy. aka comprehensive coverage .

A
83
Q

negligence , to establish negligence

A
  • legal duty owed
  • breach of legal duty owned
  • proximate cause
  • damages

to be guilty of negligence you have to cause harm to another