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Revised 3/31/2009 |

PERILS INSURED AGAINST: Fire, Lightning, Explosion, Extended Coverage
(Windstorm, Hail, Riot, Riot Attending a Strike, Civil Commotion,
Aircraft, Vehicles and Smoke), Vandalism and
Malicious Mischief, Time Element (Rental Value and Additional Living
Expense); Broad Form Coverage (includes Extended Coverage and Vandalism and Malicious Mischief, property damage by burglars (not theft of property), falling objects, weight of ice, snow or sleet, accidental discharge of water or steam, sudden cracking of a steam or hot water heating system, freezing, and sudden damage from artificial electric currents). |
INSURANCE SERVICES OFFICE FORM: DP 00 01 (BASIC FORM)
| STANDARD DEDUCTIBLE: |
$250 |
| OPTIONAL DEDUCTIBLES: |
$500, $1,000, $2,500 |
| ELIGIBILITY: |
1-4 FAMILY DWELLINGS
HOUSEHOLD FURNISHINGS |
| MINIMUM LIMITS: |
NONE |
| MAXIMUM LIMITS: |
COVERAGE TYPE
___________
|
OCCUPIED
___________
|
SUBJECT TO LOSS CONTROL
_____________
|
VACANT OR
UNOCCUPIED
_____________
|
| 1-4 FAMILY DWELLING
|
$600,000 |
N/A |
$100,000 |
HOUSEHOLD FURNISHINGS
AND ADDITIONAL
LIVING EXPENSE |
$250,000 |
N/A |
N/A |
RENTAL VALUE PER LOCATION |
$50,000 |
N/A |
N/A |
NOTE: RENTAL VALUE IS NOT AVAILABLE FOR UNOCCUPIED / VACANT BUILDINGS.
| MINIMUM PREMIUM: |
$50.00 |
| LOSS VALUATION METHOD: |
ACTUAL CASH VALUE |
| DEPOSIT REQUIREMENTS: |
HOUSEHOLD FURNISHINGS - $50.00
DWELLING COVERAGE - $75.00 FOR EACH $50,000 OF COVERAGE REQUESTED OR FRACTION THEREOF |
| RATING FORMULA: |
LOSS COSTS PUBLISHED BY THE INSURANCE SERVICES OFFICE (X)
ISO KEY FACTOR (X) NYPIUA LOSS COST MULTIPLIER (X) NYPIUA ADJUSTMENT
FACTOR |
|
| LOSS COST MULTIPLIER: |
Effective 02/01/09 New Business
Effective 04/01/09 Renewal
|
| FIRE: |
2.071 |
| ALL OTHER LINES: |
2.033 |
|
| NYPIUA ADJUSTMENT FACTOR: |
| HOUSEHOLD FURNISHINGS: |
1.10 |
| OWNER OCCUPIED DWELLINGS: |
1.05 |
| NON-OWNER OCCUPIED DWELLINGS: |
1.30 |
| BROAD FORM: |
1.20 |
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