CH 11: Property Insurance - Causes of Loss Form(s)

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78 Terms

1

What is the purpose of the cause of loss forms?

Specifies the peril that triggers coverage or ‘what must happen in order for coverage to be available’

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2

What are the four cause of loss forms available?

  1. Basic

  2. Broad

  3. Special

  4. Earthquake

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3

The mortgage holder gets ___ days notice for nonrenewal and cancellation due to nonpayment of premium

10 days

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4

If a claim is denied due to the actions of the insured, can the mortgage holder still be entitled to claim payment?

YES

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5

The majority of exclusions for commercial property are found where?

In the cause of loss forms

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6

What forms cover windstorm as a peril?

  1. Basic

  2. Broad

  3. Special

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7

The peril of explosion excludes what?

Machinery and steam boiler explosion

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8

What does the peril of riot/civil commotion also include?

Looting

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9

Where is the peril of theft covered?

On the Special form

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10

What is required if you want BI coverage?

An insured direct loss

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11

Business Income can be purchase with / without what?

Extra Expense

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12

What is BI coverage?

Covers the loss of income when operations are suspended due to damage to the property by an insured peril

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13

Loss of income, rents, tuition are examples of?

BI loss

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14

When does BI coverage start?

72 hours after the loss

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15

BI payment is …

The pre-tax net profit or loss, continuing expenses, including payroll

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16

The peril that triggers BI depends on what?

The cause of loss form listed on the declaration page

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17

What is extra expense?

An indirect coverage that prevents suspension of business operations by paying the extra expenses needed to stay open

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18

Extended BI will continue coverage up to how many days after REOPENING?

30 Days

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19

What is Extended Period of Indemnity?

Extends BI beyond the 30 days after reopening, up to the number of days stated on the declaration page

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20

Net incomes = ?

NI = Revenue - Expenses

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21

What are indirect forms forms listed on the declaration page?

Business Income and Extra Expense

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22

EE can also include _____ expenses

expediting expenses

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23

What are expediting expenses?

Expenses such as overnight shipping, overtime so that repairs speed up

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24

Increased cost of repairs, reconstruction, or demolition that occur due o building code changes and upgrades pertain to?

Ordinance or Law

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25

Ordinance and law is excluded or included in a policy?

Excluded and must be ENDORSED to cover those expenses

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26

What does builders risk cover?

Buildings under construction

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27

Which of the following is NOT covered in builder’s risk?

a) the building

b) materials within 100 feet

c) contractors tools

Contractors tools

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28

Which of the following is NOT a requirement for the termination of Builders Risk coverage?

a) policy expires/cancelled

b) property accepted as is

c) 90 days after construction is complete

d) a claim is made within 30 days

e) 60 days after building is occupied

f) insured’s interest in property ceases

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29

What perils are excluded with property under construction?

Theft and CANNOT be declared vacant

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30

What coverage forms does Commercial General Liability (CGL) consist of?

  1. Occurrence

  2. Claims-made

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31

What is the major difference between an occurrence form and a claims made form?

The coverage trigger

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32

What is the coverage trigger in an occurrence form?

The policy that was in force when the occurrence happened

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33

What is the coverage trigger in a claims-made form?

When the claim was filed

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34

What can be used instead of a retroactive date in a claims-made form?

A laser beam endorsement

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35

What is the endorsement used to eliminate coverage for certain exposures, projects etc.?

Laser beam endorsement

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36

An undendorsed CGL claims made contains a BERP which is a?

Basic Extended Reporting Period

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37

What is a BERP?

Basic Extended Reporting Period - the insured has up to 60 days after the policy expires to report an incident that happened and have it covered

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38

A claims made CGL can be endorsed with a ________ to extend the reporting period indefinitely

SERP: Supplemental Extended Reporting Period

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39

CGL extends coverage to which loss exposures?

  1. Premises and operation

  2. Product

  3. Completed operations

  4. Contractual

  5. Contingent

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40

Premises & Operations pertains to?

The exposure for the insured’s location and activities

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41

The CGL has how many limits in which Section?

6 limits in Section III

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42

What are the two CGL’s aggregate limits called?

  1. General aggregate

  2. Product & completed operations aggregate

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43

All claims are deducted from the ___________ aggregate except ______ ________ claims

General aggregate; except product & completed operations claims

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44

What does Section I of CGI pertain to?

A: Bodily injury and property damage

B: Personal & advertising injury

C: Medical payments

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45

Supplementary payments are provided for Coverage __ &__ and paid in addition to policy limits

Coverage A & B

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46

In Coverage C: Medical payments pays all expenses within ___ year/s

Within 1 year only, NOT 3 years

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47

Unauthorized release of confidential information would be covered under?

Personal injury

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48

What is the difference between personal injury and bodily injury?

Personal injury can include an unauthorized release of confidential information while bodily injury cannot

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49

Should a bodily injury occur during a false arrest or wrongful eviction, it would be included in the?

‘Offense’ category and be covered as a personal injury

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50

The insured contracts/incidentals include?

  1. Lease

  2. Agreement to indemnify a municipality

  3. Sidetrack (railroad) agreement

  4. Elevator maintenance

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51

Which of the following are NOT mobile equipment?

Forklifts

Earth movers

Automobiles

Automobiles

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52

CGL defines an automobile as?

NOT licensed for public roads

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53

CGL defines mobile equipments as

Licensed for public roads

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54

Which of the following is NOT covered under the CGL?

Host liquor

Forklifts

Automobiles

Mobile equipment

Automobiles

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55

What is the requirement for host liquor to NOT be excluded under the CGL?

If the insured is a alcoholic business

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56

Which of the following are EXCLUDED under the CGL?

Injuries to customers/patrons

Pollution

Injuries to employees

Pollution & injuries to employees (this is worker’s comp)

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57

Who is insured under the CGL?

  • Named insured and spouse

  • Officers, directors, stockholders

  • Employees

  • Real estate

  • Volunteer workers

  • Named insured legal rep upon their death

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58

“Everything is covered unless it’s excluded” is which form?

Special Form

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59

Which form would you buy if you wanted to buy a Contingent Business Interruption form?

Business income from Dependent Properties

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60

Breakage, ornamentation, chemical damage are all covered perils under the Glass Coverage form but NOT FIRE, why?

Fire damage is already covered under all three Causes of Loss forms on the CPP

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61

What is the limit for glas coverage under the Glass Coverage form/endorsement?

Coverage provided without limitation but is settled on an ACV basis

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62

Aggregate limit refers to?

The most an insurer will pay in any one policy period

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63

Which are NOT exclusions under the CGL policy - why?

  • Products and completed operations coverage

  • Auto liability coverage

  • Professional liability coverage

  • Liquor liability coverage

Products and completed operations coverage because it is a necessary coverage for someone like a contractor

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64

The Commercial Broad Form Causes of Loss include all of the following EXCEPT:

  • Collapse

  • All of these are included

  • Ordinance or Law

  • Breakage of glass

Ordinance or Law is a common exclusion in all 3 Causes of Loss forms

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65

In the Definitions Section of a CGL policy, “occurrence” means:

  • An event that is not discovered until years later

  • A one time event

  • An accident involving continuous or repeated exposure to the same general harmful conditions

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66

Coverage A of the CGL policy covers:

Bodily Injury and Property Damage Liability

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67

What form could cover tenants for financial loss resulting from the cancellation of a lease due to property damage?

Leasehold Interest Coverage Form

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68

The peril that trigger coverage under the BI form are found:

On the declarations page

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69

Glass Breakage under a broad Form Cause of Loss is covered for up to:

$500 per occurrence

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70

What Commercial Property cause of loss form has the broadest coverage?

Special Causes of Loss

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71

Not subject to the per occurrence limit on the CGL would be:

Personal & Advertising

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72

This form covers risk of direct physical loss subject to exclusions pertains to?

Special form

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73

A cause of loss form that doesn’t list the covered losses is named all of the following except:

  • All risk

  • Special

  • Open peril

  • Broad form

Broad form

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74

The Glass Coverage form pays:

ACV without limitation per plate or pane, unless stated as replacement cost on the policy

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75

All of the following are exclusions on the Commercial Causes of Loss Special form policy EXCEPT:

  • Wear and tear

  • Faulty workmanship

  • Insects, birds, rodents

  • Sinkhole collapse

Sinkhole collapse - it is covered on all 3 Causes of Loss forms

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76

Which of the following is NOT a covered peril under the Specified Cause of Loss form?

  • Water damage from accidental discharge of water or steam

  • Leaking from fire extinguishers and equipment

  • Volcanic Action

  • Falling objects

Leaking from fire extinguishers and equipment

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77

An exclusion section that limits the application of covered perils is found in:

All causes of loss forms: special, broad and basic

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