ISO Market Segments Program

Summary: The Insurance Services Office (ISO) has developed a market segments program providing specialized coverages for certain specialty insurance markets. This program offers “wrap-around endorsements” that are used to enhance the coverages provided by standard coverage forms, like the commercial property and general liability forms.

This article provides information on the hardware and home improvement stores coverage form, MS HI 01 08 04 . The endorsement modifies the CGL forms, the building and personal property coverage form, and the causes of loss—special form. These policies are analyzed in the following pages: see CGL Coverage Form–Coverage A ; see [IDL:CGL Coverage Form—Coverage B] ; see Medical Payments ; see General Provisions of the CGL ; see Building and Personal Property Coverage Form ; and see Causes of Loss .

Topics covered:
Introduction
Changes to the commercial property form
Additional coverages
Coverage extensions
Changes to the causes of loss form
Changes to the CGL form
Definitions
Endorsements

Introduction

MS HI 01 is an endorsement that modifies the CGL forms, the commercial property form, and the causes of loss—special form; the provisions of these forms apply to the risk except as otherwise provided under MS HI 01. The endorsement enhances the coverages provided by the standard forms by offering additional property coverages, some crime coverages, and home improvement design and delivery errors and omissions coverage.

Also offered through this market segments program are coverages for equipment breakdown protection, hired and nonowned auto liability, and direct primary coverage for loss or damage to customersautos.

Changes to the Commercial
Property Form

The commercial property coverage form considers personal property of others as covered property under certain conditions. MS HI 01 adds the following to that list: property sold under an installment agreement where the named insured's insurable interest continues until the purchaser for whom the project is to be performed accepts the property.

So, if a customer buys a water softening system or a large TV/stereo sound system from the insured hardware store and pays for the systems with some money down and the remainder to be paid upon final installation, MS HI 01 will protect the insured's interest in those systems until the customer accepts the finished product. The insured's interest is protected from the same causes of loss as the insured has for his building and business personal property.

Additional Coverages

MS HI 01 declares that it replaces the debris removal additional coverage that is found on the commercial property form, CP 00 10 04 02 . However, the wording of the additional coverage is the same on both MS HI 01 and CP 00 10 with the exception that MS HI 01 offers an additional $25,000 for debris removal expense instead of the $10,000 offered on CP 00 10. So, MS HI 01 will pay up to an additional $25,000 for debris removal expense for each location, in any one occurrence of physical loss or damage to covered property, under certain conditions. And the total payment for direct physical loss or damage and debris removal will never exceed the limit of insurance on the covered property that has sustained loss or damage, plus $25,000.

The fire department service charge when the department is called to save or protect covered property from a covered cause of loss is increased by MS HI 01 to $5,000 from the $1,000 that CP 00 10 offers.

There are ten other coverages that MS HI 01 adds to the additional coverages section of the commercial property form.

Money and Securities. The insurer will pay for loss of money and securities used in the business of the named insured, either on or off the described premises. The coverage is for loss due to theft, disappearance, or destruction. The most that the insurer will pay for all loss in any one occurrence is $10,000, unless a different limit for money and securities is shown on the declarations page. MS HI 01 notes that all loss caused by one or more persons and involving a single act or series of related acts is considered one occurrence. So, for example, if an employee steals cash out of the cash register over a period of several months before being discovered, that is considered one occurrence for payment of loss purposes.

Fire Extinguisher Systems Expense. The endorsement offers up to $5,000 in payment of the cost of recharging or replacing (whichever is less) fire extinguishers and extinguishing systems. The discharge must occur on or within 100 feet of the described premises. The $5,000 is also available to pay for loss or damage to covered property if the loss is the result of an accidental discharge of chemicals from a fire extinguisher or extinguishing system. No deductible applies to this coverage.

Reward Payment. The insured can be reimbursed for rewards paid up to $5,000. This coverage is for an eligible person for information leading to the arrest and conviction of any person committing a crime that results in loss to covered property from a covered cause of loss. An obvious example would be a reward paid for information leading to the arrest and conviction of someone who started an arson fire in the insured's store.

There are some restrictions to note under this coverage. The person eligible for the reward cannot be the named insured, a family member, an employee, an employee of a law enforcement agency, or an employee of a business engaged in the business of property protection. And, no reward will be reimbursed unless and until the person who committed the crime is convicted, or the covered property is returned. So, if an employee of the named insured reports a theft and helps the police arrest a suspect, MS HI 01 will not reimburse the named insured if it gives the employee a reward for his efforts. Similarly, if a customer of the insured store reports a crime and helps the police arrest a suspect, but there is no conviction, MS HI 01 will not reimburse the named insured if it has given the customer a reward.

Money Orders and Counterfeit Paper Currency. If a customer pays his store bill with a money order and that money order is not honored upon presentation, or if a customer uses counterfeit money to purchase something from the insured store, MS HI 01 will pay for the loss the insured suffers. The most that will be paid is $1,500 in any one occurrence.

Forgery or Alteration. The insurer promises to pay for loss resulting directly from forgery (a defined term) or alteration of checks, drafts, promissory notes, or similar written promises to pay a sum certain in money. As an example, if a clerk in the store forges the signature of the manager, or if an accountant alters the amount of a check that is to be drawn against the hardware store, and the insured store loses money due to the fraud, the insurer will pay for the loss. The most to be paid in any one occurrence is $5,000. This amount includes legal expenses of the insured in case the insured is sued for refusing to pay the forged or altered instrument. For example, if the clerk used the check with the forged signature to purchase some item, and the store put a stop payment order on that check for when it was presented for payment, leading to a lawsuit against the store, MS HI 01 will pay any reasonable legal expenses incurred by the store in its defense (after the insurer has consented to the defense against the lawsuit).

Outdoor Signs. MS HI 01 offers up to $5,000 for direct physical loss or damage (in any one occurrence) to all outdoor signs at the described premises. The signs have to be owned by the named insured, or owned by others but in the care, custody, or control of the named insured. The policy will not pay for loss or damage caused by or resulting from wear and tear, hidden or latent defect, rust, corrosion, or mechanical breakdown.

Employee Dishonesty. The endorsement will pay for direct loss of or damage to the named insured's business personal property, money, and securities resulting from dishonest acts committed by any of the named insured's employees. The employees have to have the manifest intent to cause the named insured to sustain loss, and to obtain financial benefit. As an example, the employee intends to—and does—steal spare parts from the hardware storage room in order to sell the parts on the side for cash. The loss suffered by the insured will be paid up to $25,000 in any one occurrence. MS HI 01 declares that all loss or damage caused by one or more employees and involving a single act or series of related acts is considered one occurrence. As an example, if the employee takes five boxes of spare parts over a period of three months, that is considered one occurrence for coverage purposes.

There are several limitations to this coverage.

MS HI 01 will not pay for loss or damage resulting from any dishonest or criminal act committed by the named insured, partners, members, officers, managers, directors, trustees, authorized representatives, or by anyone to whom the named insured entrusts the property that is taken or damaged. This limitation can lead to interesting contrasts. For example, if the employee steals spare parts from the storage room, that is covered; if the employee steals the parts while taking them off premises for repair or transport to another of the insured's store, this is not covered as an employee dishonesty loss.

MS HI 01 will not pay for loss or damage, the proof of which as to its existence or amount is based on an inventory computation or a profit and loss computation.

The endorsement will not pay for loss or damage that the named insured sustains through acts not committed during the policy period, and the coverage will apply only for loss or damage discovered no later than one year from the end of the policy period. The limits of insurance for this type of loss do not cumulate from policy period to policy period.

Finally, this additional coverage does not apply to loss caused by any employee after discovery by the named insured of any dishonest act committed by that employee before or after being hired by the named insured. If the named insured hires someone who it knows has been convicted of theft or fraud, and that employee then proceeds to steal from the named insured after being hired, the loss is not covered by MS HI 01.

Brands and Labels. If branded or labeled merchandise that is covered property is damaged by a covered cause of loss, the insurer promises to pay up to $25,000 in any one occurrence. If such merchandise is damaged, the insurer reserves for itself the right to take all or part of the property at an agreed or appraised value. If that happens, the insured can stamp the word “salvage” on the merchandise or remove the brands or labels (in accordance with law); this is in order to prevent such damaged property from being sold to an unsuspecting public as new goods.

Lock Replacement. MS HI 01 will pay for the cost to repair or replace locks at the described premises due to theft or other loss to keys. The most the insurer will pay for all loss in any one occurrence is $5,000; however, there is a per occurrence deductible of $100. So, if an employee steals the set of master keys, MS HI 01 will pay the cost if the insured wants to have all the locks changed.

Artificially Generated Electrical Current. This endorsement will pay for loss or damage to computers (a defined term) due to artificially generated electrical current is such loss is caused by an occurrence that takes place within 1,000 feet of the described premises. For example, if something caused a power surge from the on-premises electrical generators into the insured's computers, this policy will pay for the damage caused.

Coverage Extensions

MS HI 01 makes several changes to the coverage extensions section of CP 00 10.

Newly Acquired or Constructed Property. The first change is to the period of coverage for newly acquired or constructed property. MS HI 01 declares that coverage will end when any of the following first occurs: the policy expires; thirty days expire after the named insured acquires the property or begins construction; or with respect to computers, when specific insurance at the newly acquired premises is obtained; or when the named insured reports values to the insurer. The insurer will charge additional premium for values reported from the date the named insured acquires the property or begins construction of that part of the building that would qualify as covered property.

Personal Effects and Property of Others. The coverage extension for personal effects and property of others is also changed. MS HI 01 offers up to $5,000 in any one occurrence for loss or damage to personal effects owned by the named insured, officers, partners, and employees, and to personal property of others in the care, custody, or control of the named insured. This extension does not apply to loss or damage by theft.

Valuable Papers and Records. When it comes to valuable papers and records (other than electronic data), MS HI 01 extends coverage to such papers and records that the named insured owns, or that are in the named insured's care, custody, or control. Coverage is for loss caused by or resulting from a covered cause of loss, and the coverage includes the cost to research lost information on valuable papers and records for which duplicates do not exist. The most that the insurer will pay for this coverage extension is $25,000 in any one occurrence at each described premises, or $10,000 not at a described premises. This extension does not apply to property held as samples or for delivery after sale, or to property in storage away from the premises shown in the declarations.

Property Off-Premises. The named insured may extend coverage to covered property while it is away from the described premises under certain conditions. The property must be temporarily at a location the named insured does not own, lease, or operate; the property must be in storage at a location leased by the named insured; or the property must be at a fair, trade show, or exhibition. This extension applies to computers for not more than 90 days while such property is in the course of transit, or is located at a premises the named insured does not own, lease, or operate. The extension does not apply to property in or on a vehicle) except for computers), or to property in the care, custody, or control of the named insured's salespersons (unless the property is at a fair, trade show, or exhibition).

The most the insurer will pay for loss or damage under this extension is $10,000 in any one occurrence.

Outdoor Property. MS HI 01 will pay for loss or damage to fences and retaining walls that are not a part of a building; the most that will be paid in any one occurrence is $10,000. The endorsement will pay for loss or damage to outdoor radio, TV, satellite, or other antennas; the most to be paid for this extension is $3,000 in any one occurrence. Covered also are trees, shrubs, and plants other than stock; the most paid here is $2,500 for any one occurrence, but not more than $500 for any one tree, shrub, or plant. This coverage for outdoor property is only for the following covered causes of loss: fire, lightning, explosion, riot or civil commotion, and aircraft.

Installation Coverage. MS HI 01 adds installation coverage for the insured hardware or home improvement stores. MS HI 01 allows the named insured to extend the coverage for business personal property to apply to loss of or damage to the following property: materials, supplies, equipment, machinery, and fixtures owned by the named insured or in the named insured's care, custody, or control and which are to be installed by the named insured or at his direction; and temporary structures built or assembled by the named insured on site, including cribbing, scaffolding, and construction forms.

This property is covered while at any site not owned, leased, or operated by the named insured; while awaiting and during installation; in transit; or at a temporary storage location. The most the insurer will pay for loss or damage to property covered under this extension is $10,000 per occurrence.

This extension does not apply to the following items: an existing building or structure to which an addition, alteration, improvement or repair is being made; property stored at a permanent warehouse or storage yard that the named insured owns; a plan, blueprint, design, or specification; and machinery, tools, equipment, supplies, or similar property that do not become a permanent part of the project.

Finally, the extension does not apply to loss or damage caused by or resulting from any of the following: the cost to make good or replace faulty or defective materials or workmanship; testing; a fault, defect, deficiency, error, or omission in a plan, blueprint, design, or specification; or the weight of a load when it exceeds the designed capacity of any property covered under this extension to lift, move, or support the load from any position.

Accounts Receivable. The insurer will pay up to $10,000 for loss or damage to the named insured's records of accounts receivable in any one occurrence at each described premises. The amount paid is up to $1,500 for accounts receivable not at the described premises.

The coverage extension applies to: all amounts due from the named insured's customers that cannot be collected; interest charges on any loan required to offset amounts that are not able to be collected; collection expenses in excess of the normal collection expenses made necessary by loss or damage; and other reasonable expenses that the named insured incurs to reestablish the records of accounts receivable.

Changes to the Causes
of Loss Form

MS HI 01 modifies the causes of form—special form, CP 10 30 04 02 , in several ways.

The first change is that the mechanical breakdown exclusion is stated not to apply to loss or damage to computers.

Next, MS HI 01 states that the paragraphs referencing the excluded causes of loss to personal property in the exclusions section of CP 10 30 are replaced. MS HI 01 excludes loss or damage to personal property caused by or resulting from dampness or dryness of atmosphere or changes in or extremes of temperature. Also excluded is damage caused by marring or scratching. However, if these exclusions result in a specified cause of loss (a defined term) or building glass breakage, the insurer will pay for the loss or damage caused by that specified cause of loss.

Finally, MS HI adds four exclusions to the exclusions section that apply only to coverage for computers. These exclusions deal with loss by errors or omissions, electrical disturbance, computer-related losses, and computer advice or consultation.

Errors or Omissions. The endorsement does not apply to loss or damage caused by errors or omissions in processing, recording, or storing information on computers. However, the insurer will pay for direct loss or damage caused by resulting fire or explosion if these causes of loss would be covered by the policy.

Electrical Disturbance. Loss due to electrical or magnetic injury, disturbance, or erasure of electronic recordings is not covered. Direct loss or damage caused by lightning is covered.

Computer-Related Losses. The inability to correctly recognize, process, distinguish, interpret, or accept one or more dates or times is another cause of loss that MS HI 01 does not cover. This relates to the failure, malfunction, or inadequacy of the following: computer hardware, software, operating systems, networks, microprocessors (computer chips) that are not part of any computer system, and any other computerized or electronic equipment or components.

Computer Advice or Consultation. MS HI 01 will not respond to a loss or damage caused by any advice, consultation, design, evaluation, inspection, maintenance, repair, replacement, or supervision provided or done by or for the named insured in order to rectify or test for any potential or actual problems described in the computer-related loss exclusion clause.

In an exception to these exclusions, if an excluded cause of loss as described in these four clauses results in a specified cause of loss (a defined term), or in elevator collision resulting from mechanical breakdown, the insurer will pay for the loss or damage caused by these things.

Endorsement MS HI 01 next presents exclusions that relate to specific coverages that are offered under the provisions of the endorsement. Under employee dishonesty coverage, MS HI 01 notes that its exclusions section does not apply except for the exclusions of governmental action, nuclear hazard, and war and military action. Under the outdoor signs coverage, the exclusions section of MS HI 01 does not apply except for the following exclusions: governmental action; nuclear action; war and military action; wear and tear, rust or other corrosion or decay or hidden or latent defect; and mechanical breakdown. Finally, as to valuable papers and records coverage, the exclusions section of MS HI 01 does not apply except for the following exclusions: governmental action; nuclear hazard; war and military action; computer-related losses; computer advice o consultation; seepage of water; water leaking from plumbing; weather conditions; and faulty or defective planning, design, workmanship, materials, or maintenance.

The final clause in the exclusions section of the endorsement applies only to the accounts receivable coverage extension offered by MS HI 01. The insurer will not pay for loss or damage caused by or resulting from alteration, falsification, concealment, or destruction of records of accounts receivable done to conceal the wrongful giving, taking, or withholding of money, securities, or other property. The exclusion applies only to the extent of the wrongful giving, taking, or withholding. The insurer also will not pay for loss or damage caused by or resulting from bookkeeping, accounting, or billing errors or omissions. And, the insurer will not pay for any loss or damage that requires any audit of records or any inventory computation to prove its factual existence.

Changes to the CGL Form

The CGL form has three insuring agreements: coverage A, bodily injury and property damage liability; coverage B, personal and advertising injury liability; and coverage C, medical payments. MS HI 01 adds three other insuring agreements: home improvement design errors and omissions coverage; delivery errors and omissions coverage; and merchandise withdrawal expenses coverage.

The home improvement design errors and omissions coverage applies when the insured becomes legally obligated to pay damages to a claimant because of making an error or omission (that is, a defective design or defective home improvement specifications or, basically, not doing a professional job when it comes to home improvement designs). There is a $250 deductible written into this insuring agreement to prevent minor mishaps or omissions from overwhelming the coverage. The most the insurer will pay for this coverage in any annual period is $10,000. And, there are exclusions that apply. The coverage does not apply to: intentional error or omission; any intentional dishonest or criminal conduct; fines, penalties, or liquidated damages imposed on any insured; the cost of faulty workmanship performed by the named insured; express warranties or guarantees; professional services if the insured is covered under any professional liability policy; bodily injury, property damage, or personal and advertising injury; and contractual liability.

The delivery errors and omissions coverage is for those sums that the insured becomes legally obligated to pay because of a failure to deliver (or a misdelivery of) items that the named insured holds for sale by any employee or by a concessionaire trading under the name of the named insured. There is a $250 deductible here also, and the most the insurer will pay because of all failures or misdeliveries is $10,000. The exclusions are as follows: intentional misdelivery or failure to deliver; BI, PD, or personal and advertising injury; discrimination based on a customer's race, color, national origin, religion, gender, marital status, sexual orientation, or residence location.

The third insuring agreement—merchandise withdrawal expenses—reimburses the named insured for reasonable and necessary expenses made by the named insured because of recalling or withdrawing items from the market due to a known or suspected defect. MS HI 01 places a $250 deductible on this coverage plus the following exclusions: a merchandise withdrawal due to any breach of warranty, copyright or patent infringement, transformation of a chemical nature, deterioration, or spoilage, or due to the expiration of the designated shelf life of items held for sale; a withdrawal of items because of a defect known to exist by the named insured (or its executive officers) prior to the inception date of the policy; recall of specific items for which BI or PD is excluded; recall of items which have been banned from the market by a governmental authority; and the defense of a claim or lawsuit against the named insured for merchandise withdrawal expenses. The most the insurer will pay for reimbursement of these expenses in any one occurrence is $25,000.

MS HI 01 amends the who is an insured section of the policy to include as an insured the following: any person or organization with respect to their liability arising out of their financial control over the named insured or out of their ownership of premises leased by the named insured; any other person who is a manager or lessor of premises leased to the named insured; and any person or organization with respect to their liability as a concessionaire trading under the named insured's name with permission.

Definitions

The definitions on MS HI 01 are basically the same as those found on the hotels, motels, and inns coverage form, MS HI 01. For information on the common definitions, see Hotels, Motels, and Inns ; the article is on the Commercial Hot- pages.

However, MS HI 01 does have certain definitions that befit the coverages and exclusions pertaining to hardware and home improvement stores.

Defect. A defect means a defect, deficiency, inadequacy, or dangerous condition.

Merchandise Withdrawal. This means the recall or withdrawal of items that the named insured holds for sale from the market or from use by any person or organization because of a known or suspected defect in the item; also, an item recalled or withdrawn because of a known or suspected tampering with the item which has caused or is reasonably expected to cause bodily injury or physical injury to tangible property.

Merchandise Withdrawal Expenses. These are reasonable and necessary extra expenses listed on MS HI 01 that are paid and directly related to a merchandise withdrawal. The list includes: the costs of notification; costs of stationary, envelopes, and postage; costs of overtime paid to employees of the named insured; costs of computer time; costs of hiring independent contractors and other temporary employees; costs of transportation, shipping, or packaging; costs of warehouse or storage space; and costs of proper disposal of items that can not be reused. Merchandise withdrawal expenses do not include costs of the replacement, repair, or redesign of items held for sale, or the costs of regaining market share, goodwill, revenue, or profit.

Temporary Storage Location. This means a location where property that is to become a permanent part of a completed project is stored while waiting to be delivered to a job site. The location must not be owned, leased, or operated by the named insured, and the work must be in progress or begin in thirty days.

Endorsements

There are four endorsements to discuss with this article on MS HI 01.

Equipment Breakdown Protection Coverage, MS HI 02 08 04 . This endorsement applies to direct loss of or damage to covered property at the described premises that is caused by or results from a mechanical breakdown or electrical failure to pressure, mechanical, or electrical machinery and equipment. This is coverage akin to boiler and machinery coverage and in fact, MS HI 02 specifically states that the exclusion on the causes of loss form relating to explosion of steam boilers does not apply.

Hired Auto and Nonowned Auto Liability Insurance, MS HI 03 08 04 . This endorsement provides liability coverage for the use of a hired auto by the named insured or an employee, and for the use of nonowned autos by any person in the course of the named insured's business. The terms “hired auto” and “nonowned auto” are defined on MS HI 03 and match the definitions that are on the business auto coverage form, CA 00 01 10 01 .

Loss or Damage to CustomersAutos, MS HI 04 08 04 . This endorsement pays for direct physical loss of or damage to customersautos and auto equipment while the autos are at a premises shown in the declarations. The coverage is on a direct primary basis, but does not apply to theft or conversion caused in any way by the named insured or employees, and does not apply to loss or damage to property that is paid under the personal property of others coverage that the commercial property form provides. MS HI 04 provides coverage that is similar to garagekeepers coverage in that the endorsement applies to the insured's liability for damage (from a covered cause of loss) to a customer's car while the car is in the care of the insured.

Extortion Coverage, MS HI 05 08 04 . This endorsement provides payment up to $25,000 for a loss as a result of a threat communicated to the named insured to do damage to the property or premises of the named insured. There is also a provision for payment up to $50,000 for a loss as a result of a threat to do bodily harm to the named insured, directors, officers, employees, partners, or invitees who are, or who are allegedly, being held captive. This insurance applies to the surrender of money, securities, or other property away from the premises, provided that the person receiving the threat has made a reasonable effort to report the demand to an associate or law enforcement agency.