o o o o o policy document 3 - ecclesiasticalthe need for more action. advice about the law in...
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POLICYDOCUMENT 3
Introduction
Thank you for choosing Ecclesiastical
Pleasereadthisinsurancedocumentverycarefully,togetherwithanyclausesandtheschedule,asthisisacontractbetweenyouandusandexplainsthecoversandconditionsofyourpolicyindetail.Ifanythingisincorrectpleasecontactusoryourbrokerimmediately.
Weagreetoprovidetheinsurancedescribedinthispolicyinreturnforthepremiumyouhavepaidus.
ThepolicywillbegovernedbyEnglishlawunlessyouliveinScotlandinwhichcasethelawofScotlandwillapply(excepttheLegalexpensessectionwhichissubjecttothelawofthatpartoftheUnitedKingdom,ChannelIslandsorIsleofManwhereyounormallylive).Inthecaseofadisputeastowhichlawapplies,itwillbeEnglishlaw.
How we use your data
Yourprivacyisimportanttous.Wewillprocessyourpersonaldatainaccordancewithdataprotectionlaws.
EcclesiasticalInsuranceOfficeplc("we","us","our")isthedatacontrollerinrespectofanypersonaldatawhichyouprovidetousorwhichweholdaboutyouandanypersonaldatawhichisprocessedinconnectionwiththeservicesweprovidetoyou.
Whereyouprovideuswithpersonaldataaboutapersonotherthanyourself(suchasadependantornamedpersonunderapolicy),youmustinformthemthatyouareprovidingtheirpersonaldatatousandreferthemtothisnotice.
Toprovideourinsurancerelatedservices,wewillcollectandprocessyourpersonaldatasuchasyourname,contactdetails,financialinformationandanyinformationwhichisrelevanttotheinsurancepolicyweareproviding.Inordertoprovideyourinsurancepolicyorwhenmakingaclaim,wemayalsoneedtocollectorprocess‘specialcategoriesofpersonaldata’suchasinformationrelatingtoyourhealthorcriminalconvictionsorinformationwhichislikelytorevealyourreligiousbeliefs.
Weprocessyourpersonaldataforthepurposesofofferingandcarryingoutinsurancerelatedservicestoyouortoanorganisationorotherpersonswhichyourepresent.Yourpersonaldataisalsousedforbusinesspurposessuchasfraudprevention,businessmanagement,systemsdevelopmentandcarryingoutstatisticalandstrategicanalysis.
Providingourserviceswillinvolvesharingyourpersonaldatawith,andobtaininginformationaboutyoufrom,ourgroupcompaniesandthirdpartiessuchasbrokers,lossadjusters,creditreferenceagencies,fraudpreventionagencies,ourserviceprovidersandprofessionaladvisors,orbusinesspartnersandourregulators.
InsomecircumstanceswemaytransferyourpersonaldatatocountriesoutsideoftheEuropeanEconomicArea.Wewillputappropriatesafeguardsinplacetoensurethatyourpersonaldataisprotected.
Wherewehaveyourconsent,wemaymarketourservicestoyouorprovideyourpersonaldatatoourrelatedcompaniesorbusinesspartnersformarketingpurposes.Youcanoptoutofmarketingcommunicationsatanytimebyclickingonthelinkatthebottomofanyemailorbycontactingus.
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4 POLICYDOCUMENT
Fraud Prevention
Weneedtocarryoutfraudandanti-moneylaunderingchecks,andthiswillinvolvesharingyourpersonaldata(suchasyourname,contactdetailsandfinancialinformation)withcreditreferenceandfraudpreventionorganisationssuchastheClaimsandUnderwritingExchange,runbyMIB.Ifyoumakeaclaim,wewillshareyourpersonaldata(totheextentnecessary)withothercompaniesincludingotherinsurersandanti-fraudorganisationstopreventfraud.Forthepurposesofdecidingwhethertoacceptandpayaclaimoranypartofit,wemayappointlossadjustersorexternalinvestigationservicestoactonourbehalf.
Iffalseorinaccurateinformationisprovidedandfraudisidentified,yourpersonaldatawillbepassedtofraudpreventionagenciesincludingtheInsuranceFraudRegister,runbytheInsuranceFraudBureau.Lawenforcementagenciesmayaccessandusethisinformation.
Pleasenotethatwhencarryingoutanyfraudpreventionactivities,wemayneedtoprocessyourspecialcategoriesofdatasuchascriminaloffenceinformationandshareitwithfraudpreventionagencies.
Further Information
ForfurtherinformationonhowyourpersonaldataisusedandyourrightsinrelationtoyourpersonaldatapleaserefertoourPrivacyPolicyatwww.ecclesiastical.com/privacypolicyorcontactourDataProtectionOfficeratBeaufortHouse,BrunswickRoad,GloucesterGL11JZoron0345 6073274 [email protected].
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POLICYDOCUMENT 5
AtEcclesiastical,weliketokeepclaimssimple.
Whenyouclaim,we’lllookatyourcovertoseehowwecanbesthelpyou.We’llworkswiftly,anddealwithyourclaimfairly.Ifwecanresolveyourclaimwhenyoufirstcontactus,wewill.Butifit’salittlemorecomplicated,we’llmakesureyoualwaysknowwhat’sgoingon.We’llalsogiveyoudirectaccesstotheexpertclaimshandlerdealingwithyourclaim,whowillbeabletomakekeydecisionsaboutyourclaim.
We’lltakeaproactiveapproachtoprotectingyourinterestsagainstthirdpartylegalliabilityclaims.Andwe’llalwaysconsultyoubeforemakinganyadmissionofliability.
Claimsserviceandcontactnumbers(notformingpartofthepolicy)
Ourclaims promise
Weareheretohelpwhenyouneedtomakeanewclaim–24hoursaday,sevendaysaweek Youcanclaimbytelephone,byemailoronline Fornewpropertyclaimswewillrespondquicklyandwithinamaximumofoneworkingday Newpersonalinjuryclaimswillbereviewedandaconsideredresponseprovidedtoyouwithinamaximumof
threeworking days Wewillgiveyouthenameanddirectcontactdetailsofthespecialistwhoishandlingyourclaim,soyou
alwaysknowwhototalktoforhelp,adviceandsupport Wewillkeep itassimpleaspossible,guidingandassistingyou throughyourclaim Wehavecarefullychosenoursuppliers,workingwithprovenspecialiststoprovideyouwiththesupportyou
needinresolvingyour claim Wewillpayyourclaimwithinoneworkingdayofagreeingthesettlementamount Wewilldefendclaimsmadeagainstyouforpersonalinjuryrobustlywherewehavetheevidencetodoso
Wewilllookforcoverandwillnothidebehindthesmallprint,payingyouexactlywhatyouareentitledto,quicklyandwithout fuss.
Claimspromise
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6 POLICYDOCUMENT
For all claims other than Home emergency, Legal expenses or Travel
Claimsshouldbemadetoyourbrokerorusdirectlyusingthecontactmethodslistedbelow.Newclaimscanbereported24hoursaday,sevendaysaweek.Claimupdatescanberequestedduringourofficehoursof8am–6pm,Monday-Friday.
Calluson
0345 268 6020 (UKonly)
+44 (0)1452 528 533 (outsideUK)
(24hoursaday,sevendaysaweek)
Claim online at
www.ecclesiastical.comEmail
Home emergency claims
ThiscoverhasbeenarrangedbyusthroughDASLegalExpensesInsuranceCompanyLimited(DAS).Theirfulldetailsareshownonpage50ofthispolicy.
Callthefollowingnumber24hoursaday,sevendaysaweek:
0345 601 3151
Legal expenses claims
ThiscoverhasbeenarrangedbyusthroughDASLegalExpensesCompanyLimited(DAS).Theirfulldetailsareshownonpage50ofthispolicy.
Callthefollowingnumber,24hoursaday,sevendaysaweek:
0345 601 3153 (UKonly)
+ 44 (0)1452 875 925 (outsideofUK)
Makingyourclaim
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POLICYDOCUMENT 7
Travel claims
Thiscoveronlyappliesifshownonyourpolicyschedule.TheEmergencyAssistanceandpre-traveladviceservicehasbeenarrangedthroughourselectedspecialistprovider.
Ifyouwishtoreportanewclaimorenquireaboutanexistingclaim,pleasequotethepolicynumberstatedinthepolicyschedule.
For 24 hour Emergency Assistance and pre-travel advice
Pleasephonetheassistancecompanyon
+44 (0) 1452 872 794 (available24hoursaday,sevendaysaweek)
For Personal liability, Baggage and Personal money claims
Ifyourclaimrelatestoyourpersonalliability,baggageandpersonalmoney,thiscoverisprovidedunderSection2ContentsandSection5Liabilities.
Pleasephoneuson
0345 603 8381 (UKonly)
+44 (0)1452 528 533 (outsideUK)
(available24hoursaday,sevendaysaweek)
For all other claims
ThisserviceisprovidedbyaclaimsmanagementcompanyonbehalfofEcclesiasticalInsuranceOfficeplc.Pleasecall
0345 606 1018 (UKonly)
+44 (0)1452 872 701 (outsideofUK)
(availablefromMondaytoFriday9amto5pm)
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8 POLICYDOCUMENT
Helplines
Emergency Glass Replacement
Telephone
0345 600 0148Ifyousufferglassbreakageyoucancallupontheservicesofourselectedspecialistproviderwhowilleffectarapidrepair.
Ifyouarecoveredforglassbreakageunderthispolicytheywillissuetwoseparateinvoices,aninvoiceforyoutocovertheamountofanypolicyexcessandrecoverableVATandaninvoicewhichissentdirectlytousfortheremainingcosts.
Iftheglassisnotinsuredyouwillbesolelyresponsiblefortheentirecostofrepairs.
Legal and advice helplines
WehavearrangedthehelplineservicesdescribedbelowforthebenefitofallArtandPrivateClientpolicyholders.Whencallinganyoftheemergencyhelplineservices,pleasemakesurethatyoucangiveyourpolicynumber.
ThesehelplinesareprovidedbyDASLawLimitedorapreferredlawfirmonbehalfofDAS.TohelpDAScheckandimprovetheirservicestandards,DASrecordsallinboundandoutboundcalls,exceptthosetothecounsellingservice.
DASwillnotacceptresponsibilityifthehelplineservicesareunavailableforreasonstheycannotcontrol.YoucancontactthisUK-basedcallcentre24hoursaday,sevendaysaweek.However,DASmayneedtoarrangetocallyoubackdependingonyourenquiry.
For all the following helplines (except Counselling): Telephone
0345 268 9124 (UKonly)
+44 (0)1452 875 925 (outsideUK)
Eurolaw legal adviceThiswillgiveyouconfidentiallegaladviceonanypersonallegalproblemunderthelawsofthemembercountriesoftheEuropeanUnion,theIsleofMan,theChannelIslands,SwitzerlandandNorway,whichinmanycaseswillsavetheneedformoreaction.AdviceaboutthelawinEnglandandWalesisavailable24hoursaday,sevendaysaweek.Legaladvicefortheothercountriesisavailable9am-5pm,MondaytoFriday,excludingpublicandbankholidays.Ifyoucalloutsidethesetimesamessagewillbetakenandareturncallarrangedwithintheoperatinghours.
Tax adviceThiswillgiveyouconfidentialadviceoverthephoneonpersonaltaxmatters.Taxadviceisprovidedbytaxadvisors9am-5pm,MondaytoFriday,excludingpublicandbankholidays.Ifyoucalloutsidethesetimesamessagewillbetakenandareturncallarrangedwithintheoperatinghours.
Identity theftThehelplineisopen8am-8pm,sevendaysaweek.
IfyouarearesidentintheUKortheChannelIslands,thiswillprovideyouwithdetailedguidanceandadviceoverthephoneforanyconcernsaboutbeingorbecomingavictimofidentitytheft.
IfyouridentityisusedorstolenwhileabroadorintheChannelIslandsorIsleofMan,theadviceavailablefromtheIdentityTheftHelplineandSupportServicesmaybelimited.
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POLICYDOCUMENT 9
Health and medical informationWewillgiveyouinformationoverthephoneongeneralhealthissuesandadviceonawidevarietyofmedicalmatters.Wecanprovideinformationonwhathealthservicesareavailableinyourarea,includinglocalNHSdentists.
Healthandmedicalinformationisprovidedbyqualifiednurses9am-5pm,MondaytoFriday,excludingpublicandbankholidays.Ifyoucalloutsidethesetimes,amessagewillbetakenandareturncallarrangedwithintheoperatinghours.
Veterinary assistanceIfyourpetisillorinjured,thiscanhelpfindavetwhocanoffertreatment.
Youareresponsibleforpayinganycostsforthehelpprovided.
Childcare helpThiswillhelpyoufindarangeofchildcareoptionsinyourareaifanunforeseeneventoccurs(suchasillnessorinjurytoyou)andyouneedtomakealternativechildcarearrangements.
Youareresponsibleforpayinganycostsforthehelpprovided.
Home helpThiswillarrangeassistancefollowinganemergency(suchasillnessorinjurytoyou)whenhelpisneededtorunthehome.Itcanhelpfindcleaningstaff,aupairs,andhousekeepers.
Youareresponsibleforpayinganycostsforthehelpprovided.
Counselling Telephone
0345 266 9667 (UKonly)
+44 (0)1452 875 927 (outsideUK)
Thiswillprovideyouwithaconfidentialcounsellingserviceoverthephoneifyouareaged18orover(oragedbetween16and18andinfull-timeemployment)including,whereappropriate,onwardreferraltorelevantvoluntaryorprofessionalservices.Youwillpayanycostsforusingtheservicestowhichwereferyou.Thishelplineisopen24hoursaday,sevendaysaweek.
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10 POLICYDOCUMENT
Complaints procedure
Ifyouareunhappywithourproductsorservice,pleasecontactusassoonaspossible.Youcancomplaininwritingorverballyatanytimeto:
For all complaints other than Legal expenses and Home emergency complaints
EcclesiasticalInsuranceOfficeplcBeaufortHouseBrunswickRoadGloucesterGL11JZ
Tel:0345 777 3322Email:[email protected]
For Legal expenses or Home emergency complaints
Wealwaysaimtogiveyouahighqualityservice.Ifyouareunhappywiththeserviceprovidedbyanappointedrepresentativepleasecontactusononeofthemethodsbelow:
DASLegalExpensesInsuranceCompanyLimitedDASHouseQuaySideTempleBackBristolBS16NH
Tel:0344 893 9013Email:[email protected] Onlinecomplaintform:www.das.co.uk/about-das/complaints
Furtherdetailsofourinternalcomplaint-handlingproceduresareavailableonrequest.
Ifyouarenothappywiththecomplaintoutcomeorifwe’vebeenunabletorespondtoyourcomplaintwithineightweeks,youcanasktheFinancialOmbudsmanServiceforafreeandindependentreviewofyourcomplaint.
Youcancontactthemusingtheirdetailsshownbelow.
Ecclesiastical’s promise to you
Wewillaimtoresolveyourcomplaintwithinonebusinessday.
Toresolveyourcomplaintwewill:
Investigateyourcomplaintdiligentlyandimpartially; Keepyouinformedoftheprogressoftheinvestigation; Formorecomplexissues,wemayneedalittlelongertoinvestigateandwemayaskyouforfurther
informationtohelpusreachadecision; Respondinwritingtoyourcomplaintassoonaspossible.
Generalinformation
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POLICYDOCUMENT 11
Ifyou'renotsatisfiedwithourresponse,orwehavenotcompletedourinvestigationaftereightweeks,we'llinformyouofyourrighttotakethecomplaintto:
FinancialOmbudsmanServiceExchangeTowerLondonE149SR
Tel:0800 023 4567Email:[email protected]:www.financial-ombudsman.org.uk
Ifyouhaveboughtyourinsuranceonline,youcanalsoregisteryourcomplaintontheOnlineDisputeResolutionwebsitehttp://ec.europa.eu/consumers/odr/whichhasbeensetupbytheEuropeanCommission.
This complaints procedure does not affect your right to take legal proceedings.
The Financial Services Compensation Scheme
TheFinancialServicesCompensationScheme(FSCS)istheindependentbody,setupbygovernment,whichgivesyouyourmoneybackifyourauthorised*financialservicesproviderisunabletomeetitsobligations.
TheFSCSprotectsarangeofproductsforbothindividualsandsmallbusinesses.Limitsapplydependingontheproductyouhavebought.TheFSCSdoesnotchargeindividualconsumersforusingitsservice.TheFSCScannothelpyouifthefirmyouhavedonebusinesswithisstilltrading.
Forfurtherinformationontheschemeyoucanvisitthewebsiteat:www.fscs.org.uk
orwriteto:
FinancialServicesCompensationScheme10thFloorBeaufortHouse15StBotolphStreetLondonEC3A7QU
Tel:0207 741 4100 or 0800 678 1100Email: [email protected]
*TheFSCScanonlypaycompensationforcustomersoffinancialservicesfirmsauthorisedbythePRAorFCA.
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12 POLICYDOCUMENT
Eachtimeanyofthefollowingwordsorphrasesappearinthisdocumentinbolditalictypeorcapitallettersinthescheduletheywilltakethespecificmeaningshownbelowunlessmorespecificallydefinedundereachindividualpolicysection.
Wherewordsorphrasesarenothighlightedinthismannerthenormaleverydaymeaningofthewordorphrasewillapply.
Art and antiquesmeansanythingthatcouldbeboughtorsoldatareputableauctionhouseincluding,butnotlimitedto,paintings,worksonpaper,furniture,tapestriesandrugs,antiqueguns(i.e.thosenotinactiveuse),manuscriptsandbooks,sculptures,ceramicsandotherbrittleitems,gold,silverandgoldandsilver-plateditems,clocksandbarometers,collectiblesincludingwinecollections,glass,coins,stampsandmedals.
Excludingpersonal valuables.
Buildingsmeansthebuildingsatthepremiseswhichbelongtoyouorforwhichyouarelegallyresponsibleincluding:1. thehome;2. fixtures and fittings;3. outbuildings;4. driveways,terraces,footpaths,walls,gates,hedgesandfences;5. artificialplayingsurfaces,tenniscourts,swimmingpoolsandassociatedapparatus;6. domesticfixedfueltanks;7. undergroundservicepipesandcables,sewersanddrains;8. aerialandsatellitedishesandtheirfittingsandmastsfixedtothebuildings;9. thefollowingitemsfixedtothebuildings:
a. windturbinesfordomesticpurposes;b. solarpanelsfordomesticpurposes;c. photovoltaicpanelsfordomesticpurposes;
excluding:1. bridgesinexcessof£50,000,landpiers,jettiesandexcavations;2. naturalorartificial:
a. watercourses;b. confinesofanybodyofstandingwaterincludingbutnotlimitedto:
i. dams,reservoirs,culvertsinexcessof£100,000,canals,moats,riversandlakes;ii. anyman-madeelementsattachingtoorformingpartofsuchstructures;
unlessmorespecificallymentionedinthepolicyoronyour schedule.
Businessmeansanybusinessorprofessionincludingincidental business,whichwehaveacceptedandnotedontheschedule,whichisconductedsolelyfromthebuildingsanddoesnotincludeanyworkundertakenonanyoffshoreplatform,rig,serviceoraccommodationvesselorinstallationorwhilstinthecourseofajourneytoorfromsuchlocation.
Business contentsmeansequipment,furnishingsandsuppliesnotinsuredelsewhereusedtoconductthebusinessincluding:1. yourbusinessbooks(otherthanelectronicbusinessrecordswhicharecoveredunderBusiness
interruptionparagraph3.onpage32);2. personaleffectsbelongingtoemployeesandvisitorsupto£250perperson;3. businessstockupto£500oranyhigherlimitagreedandnotedinyourschedule.Excludingmusicalinstrumentsandcamerasandtheirrelatedequipment.
Generaldefinitions
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POLICYDOCUMENT 13
Business moneymeansmoneyrelatingtothebusiness.
Contentsmeanshouseholdgoods,clothing,personalbelongings(itemsworn,usedorcarriedaboutthepersonincludingglasses,dentures,hearingaidsandfurs)andoutdoor items allbelongingtoyouorforwhichyouarelegallyresponsible.Thetermcontentsdoesnotincludethefollowing:1. money;2. motor vehicles,caravans,aircraft,hovercraftandanyaccessorywhichisdesignedtobeusedwithanyof
these(otherthanaccessoriesformotor vehiclesandcaravanswhentheyareremovedandstoredinyourbuildings);
3. trailers(otherthantrailersandnon-motorisedhorseboxesuptofivemetresinlengthasprovidedforundertheinnerlimitsoftheContentssection);
4. watercraftandanyassociatedequipment(exceptforwatercraftasprovidedforundertheinnerlimitsoftheContentssection);
5. anylivingcreatures,trees,shrubs,plantsorgrass(exceptasprovidedforunderOthercovers5oftheBuildingssectionandOthercovers15oftheContentssection);
6. landlord'sfixtures and fittings;7. propertyinsuredseparatelyorpropertyspecifiedseparatelyelsewhereunderthispolicy.
Damagemeansphysicalloss,destructionordamage.
Datameansinformationrepresentedorstoredelectronicallyincludingbutnotlimitedtocodeorseriesofinstructions,operatingsystems,software,programsandfirmware.
Depreciationmeansthereductioninvalueofanitemcauseddirectlybydamagetotheitemandarrivedatwithreferencetothefullinsuredvalueoftheitemasperthebasisofsettlementanditsconditionpriortothedamage.
Domestic staffmeansanypersonwhoisemployedbyyouorself-employedandworkingonalabouronlybasisunderyourdirection,controlandsupervisionnotinconnectionwithanybusinessundertaking.
Employee(s)meansanypersonemployedbyyouunderacontractofserviceorapprenticeshipandcarryingoutdutiesinconnectionwiththebusiness.
Excessmeanstheamountyoumustpaytowardsanyclaim.
Note:ifoneincidentresultsinaclaimbeingmadeundermorethanonesectionofthispolicy,onlyoneexcess(thehigheramount)willapply.
Fixtures and fittingsmeansallitemsthatarefixedtoandformpartofthestructureofyour homeincludingwalldecorations,bathroomsuites,fittedkitchensandflooring.
Garden statuesmeansstatuesandsculpturesnormallysituatedoutdoorswithintheboundariesofthelandbelongingtothehome.
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14 POLICYDOCUMENT
Geographical limitsmeansEngland,Scotland,Wales,NorthernIreland,RepublicofIreland,theChannelIslandsandtheIsleofMan.
Homemeansyourresidenceshownonyour schedule.
Heavemeansupwardmovementofthegroundbeneaththebuildingsasaresultofthesoilexpanding.
Incidental businessmeans1. clericaloradministrativeactivities;2. theprovisionofbedandbreakfastaccommodationforamaximumofsixpersonsatanyonetime;3. loanorhiringofthehomeandgardenstoothers;4. incidental farming and country pursuits;aslongastheannualincomeintotaldoesnotexceed£25,000.
Incidental farming and country pursuitsmeansfarmingincludinghunting,shooting,fishing,raisingorcaringforanimalsandprovisionofstablingandlivery(excludingridingestablishmentsandridingschools),carriedoutbyyouonapart-timebasisatyourhomenotedontheschedule,aslongasanypeopleyouemployforthispurposedonotworkmorethan1,000hoursbetweenthemduringtheperiodofinsurance.
Landslipmeansdownwardmovementofslopingground.
Market valuemeansthepriceawillingbuyerwouldpaytoawillingsellerwithgoodtitleattheplacetheitemwaslocatedimmediatelypriortotheloss,afterareasonableperiodformarketing,takingintoaccountthestateofthemarketforgoodsofthattypeandthesizeandconditionofthegoods.
Marqueemeanshiredmarqueesortentsincludinggazebos,staging,flooring,chairs,tables,lightingandotherancillaryequipment.
Moneymeansmoneybelongingtoyouincludingcurrentnotesandcoins,cheques,travellers'cheques,postalormoneyorders,postagestamps(notformingpartofastampcollection),NationalSavingsstampsorcertificates,premiumbonds,gifttokens,travelticketsandotherseasontickets.
Motor vehiclemeansanyelectricallyormechanicallypoweredvehicleotherthan:1. avehicleusedonlyasdomesticgardeningequipment;2. avehicledesignedfordisabledpeopleprovidedthevehicleisnotrequiredtoberegisteredunderthe
RoadTrafficActs;3. golfbuggiesorcarts;4. quadbikesusedforhorseandpetcare,gardeningandincidental farming and country pursuitsonly;5. atoyormodelcontrolledbysomeoneonfoot.
Office contentsmeansofficefurnitureandequipment,stationeryandofficesuppliesyouownorleasewhileatyourhome.
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POLICYDOCUMENT 15
Outbuildingsmeansanypermanentstructureusedfordomesticorincidentalbusinessusewithinthegroundsofyour homewhichisnotattachedtothemainbuildingincludinggreenhousesanddomesticgarageswhichbelongtoyouorforwhichyouarelegallyresponsible.
Outdoor itemsmeansgardenfurniture,ornamentsandothersimilaritemsthatarenormallyleftoutsideotherthangarden statues.
Personal valuablesmeansjewellery,watches,gemstones,pearls,itemsofgoldorsilverorotherpreciousorsemi-preciousmetaland/orarticlescomprisingofthem,designedtobewornonthepersonandguns.
Policymeansthisinsurancedocumentandtheschedule.
Reinstatement techniques and materialsmeanstechniquesandmaterialsthatwillallowthebuildingstobesympatheticallyrepairedinasimilarformtotheexistingstructuresusingmaterialswhicharesubstantiallythesameastheoriginal,butmaynotbeofthesameperiod.
Settlementmeansdownwardmovementasaresultofthesoilbeingcompressedbytheweightofthebuildingswithin10yearsofconstruction.
Schedulemeansthemostrecentdocumentinwhichthecoversthatareinforceandtheamountsinsured,whereappropriate,areshown.ThisincludesanyclausesandtheStatementofFact.
Subsidencemeansdownwardmovementofthegroundbeneaththebuildingsotherthanbysettlement.
Tenant’s improvementsmeansimprovementsmadetothebuildingsbyyouorforwhichyouarelegallyresponsibleincludingfixtures and fittingsandanyradioandtelevisionaerials,satellitedishesandtheirfittingsandmaststhatbelongtoyou.Thisapplieswhereyoudonotownorarenotresponsibleforinsuringthebuildings.
Terrorismmeansanactincludingbutnotlimitedtotheuseofforceorviolenceand/orthethreatthereofofanypersonorgroup(s)ofpersonswhetheractingaloneoronbehalfoforinconnectionwithanyorganisation(s)orgovernment(s)committedforpolitical,religious,ideologicalorsimilarpurposesincludingtheintentiontoinfluenceanygovernmentand/ortoputthepublicoranysectionofthepublicinfear.
Unoccupiedmeansnotlivedinbyyouoranypersonauthorisedbyyouformorethan60consecutivedays.
Watercraftmeanshandorwindpropelledwatercraftwhichisnomorethanfivemetresinlengthandanyassociatedequipment,includingtrolleysandtrailers.
We, our, usmeansEcclesiasticalInsuranceOfficeplc.
You, yourmeansthepeoplenamedasinsuredinthescheduleandtheirfamilywhonormallylivewiththem.
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1 Duty of care
Youmusttakeallreasonablestepstopreventorreducelossof,ordamageto,propertyinsuredbythispolicyandtomaintainthepropertyinagoodconditionandinagoodstateofrepair.
2 Other insurances
Atthetimeofanyloss,damageorliabilityresultinginaclaimunderthispolicy,ifyouhaveanyotherinsurancecoveringthesameloss,damageorliability,wewillonlyberesponsibleforourproportionoftheclaim.
3 More than one property
Ifthispolicyinsuresmorethanonepropertyasshownonyourschedule,thepolicylimitsandexclusionsapplyseparatelytoeachpropertyinthesamewayasifeachpropertyhadbeeninsuredbyaseparatepolicy.
4 Notifying us of a change
Pleasetellusassoonaspossibleifthereareanychangestotheinformationsetoutinthemostrecentscheduleissuedtoyou.Thisincludesanychangetothepersonstobeinsuredunderthepolicy,theaddressofthepropertytobeinsuredandtheamountsorlimitsyouritemsareinsuredfor.
Youmustalsotellusassoonaspossibleaboutanyofthefollowing:
1. Anychangetoyourcorrespondenceaddressforthispolicy;2. Anychangetoyouroccupation,trade,professionornatureofbusinessactivity;3. Ifanypersoninsuredunderthispolicyreceivesacriminalconvictionwhichresultsinacustodialsentence;4. Anyplannedbuildingworks(otherthanthoseautomaticallyprovidedfor,asexplainedinGeneralcondition11);5. Ifthereisachangeintheuseofthebuildingsorchangetothebusinessconductedfromthebuildings;6. Ifanyofyourbuildingsaretobeunoccupied.Ifindoubt,youshouldcontactusoryourbroker;7. Anyalterationtothefireand/orsecurityarrangementsorprotectionspreviouslyadvisedtous,includingany
fireand/orintruderalarmsystemnolongerbeingmaintained,operationalorusedorifthereareanychangestotheresponsetoanalarmactivation.
Ifyoutellusaboutachangeaffectingyourpolicy,wewilltellyouwhetherweareabletoacceptthechangeandifso,whetherthechangewillresultinrevisedtermsand/orpremiumbeingappliedtoyourpolicy.
Ifyoudonottellusaboutachangedescribedabove,oriftheinformationthatyouprovideisnotcompleteandaccuratewemay,dependingonthecircumstances:1. refusetopayorreducetheamountwepayfortherelevantclaim;2. revisethetermsand/orpremiumofyourpolicy;or3. cancelyourpolicyinaccordancewithGeneralcondition6.
5 Changes to premium
Ifyoumakeachangeinthepolicycoverandthisresultsinachargeorarefundofthepremiumfortheperioduptotherenewaldateofthepolicy,thensuchchargeorrefundwillonlybemadebyusifexceeding£50.Wedonotmakeanadministrationchargeforprocessingchangesyourequire.
6 Cancelling the policy
1. Your right to cancel in the cooling-off period Ifafterinsuringwithusandreceivingthefullwrittenpolicydocumentationincludingthescheduleyou
subsequentlychangeyourmind,youhave14daystowritetousconfirmingthatyoudonotwishtocontinue.
Generalconditions
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Nochargewillbemadeandanypremiumyouhavealreadypaidwillberefunded,providedyouhavenotmadeaclaimandyouarenotawareofanyincidentsthatmaygiverisetoaclaim.
Ifyoudomakeaclaimorthereisanincidentwhichmaygiverisetoaclaimthenyoumustpaytheannualpremiuminfull.
2. Your right to cancel after the cooling-off period Ifyoudonotcancelthepolicywithinthe14-daycooling-offperiodmentionedabove,thepolicyisinforce
andyouarecommittedtopaythepremium.However,youcanstillcancelthepolicyprovidingyougiveusadvancenoticeinwriting.Aslongasyouhavenotmadeaclaimyouwillreceivearefundofthepartofyourpremiumwhichcoversthecancelledperiod,providingthisexceeds£50.Ifyouhavemadeaclaimthenthefullannualpremiumisdue.
3. Our right to cancel
a. Non-paymentofpremium
i. Ifyoudonotpayyourpremiumbyinstalments Unlessotherwiseagreedwithus,wewillnotprovidecoverunderthispolicyunlessyoupaythe
premiumbythedateitisdue.Ifyoudonotpaythepremiumbythisdate,wewillsendnoticeoftheoutstandingpremiumtoyouandgiveyouafurtherperiodofatleast14daysfromthedateitbecamedueinwhichtopaytheoutstandingamount.Ifpaymentisstillnotreceivedinthetimescalewehaveadvisedthepolicyiscancelledfromtheoutset.
ii. Ifyoupayyourpremiumbyinstalments Unlessotherwiseagreedwithus,wewillnotprovidecoverunderthispolicyunlessyoupaythefirst
instalmentofpremiumwhenrequested.Ifthefirstinstalmentofpremiumisnotreceived,thepolicyiscancelledfromtheoutset.
Ifyoupaythefirstinstalmentofpremiumbutdefaultonanysubsequentinstalments,wemaycancelthepolicywitheffectfromthedatethefirstoutstandinginstalmentwasduebynotifyingyouinwriting.
Ifyourinstalmentplanisprovidedbyus,wewillsendnoticeofanyoutstandinginstalmenttoyouandadvisethedatewhenwewillre-presentourpaymentrequesttothebank.Thiswillnotbelessthan14daysfromthedateonwhichourpaymentrequestwasoriginallypresented.
Wewillnotcancelthepolicyforfailuretopaythepremiumoranyinstalmentofpremiumifsuchfailureisduetoerroronourpartoronthepartofyourbroker,bankorbuildingsociety.
b. Othercancellationrights
Inadditiontoourrightsunder:i. non-paymentofpremiumabove;andii. Generalcondition10Fraudulentclaims;andiii. Generalcondition13Sanctions;
wehavetherighttocancelyourpolicyatanytimebygivingyouatleast14days’noticeinwriting,sentbyspecialdeliverytoyourlastknownaddress,wherewehaveavalidreasonfordoingso.Ourcancellationletterwillsetoutthereasonwhywearecancellingyourpolicy.Validreasonsforcancellingyourpolicymayincludebutarenotlimitedto:
1. circumstanceswhichareoutsideourreasonablecontrol,forexample:a. wherethelawrequiresthatwecancelyourpolicy;b. wherethecontinuationofyourpolicywouldresultinusbreachinganyapplicablelawor
regulationthatappliestoyourpolicy.2. youreceivingacriminalconvictionwhichresultsinacustodialsentence.
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Ifwecancelyourpolicyforavalidreasoninaccordancewithourrightsunderb.aboveandyoudonotpayyourpremiumbyinstalments,wewillrefundthepartofyourpremiumwhichrelatestotheperiodremainingunderyourpolicywhichhasbeencancelledbyus.
Ifyouhavemadeaclaimunderyourpolicy,wewillnotrefundanypartofyourpremiumandyouwillberequiredtopayusanyunpaidpremium.
7 Making a claim
1. Ifanyeventwhichmayresultinaclaimunderthispolicyoccurs,youmusttellusassoonasisreasonablypossibleandwithinsevendaysintheeventofriot.
Otheractiontotakethendependsonthetypeofclaim. Accidental loss outside the home, theft, vandalism, or malicious acts Tellthepoliceassoonasreasonablypossibleandobtainacrimereferencenumberfortheft,vandalismor
maliciousacts. Legal liability for injury or damage Immediatelysendusanywrit,summons,orotherlegaldocument. Youmustnotnegotiate,admitordenyanyclaimwithoutourwrittenpermission. Legal expenses TellDASLegalExpensesInsuranceCompanyLtdassoonaspossible. Travel Youmustplaceyourselfunderthecareandfollowtheadviceofaqualifiedmedicalpractitionerintheeventof
bodilyinjuryorsicknesswhichmaybethesubjectofaclaimunderthispolicy. Youmustgiveusreasonablenoticebeforetheintermentorcremationortheholdingofanyinquest,enquiryor
proceedingconcerningthedeathordisappearanceofaninsuredperson.2. a. Tohelpprogressyourclaimwemayrequireyoutoprovideoriginalpurchasereceipts,invoices,bankor
creditcardstatements,instructionbooklets,photographs,utilitybills,pre-purchasesurveysorplansanddeedsofyourproperty.Wemayalsorequireyourconsenttoobtaininformationaboutyourlossfromthepoliceorotherrelevantlawenforcementagency.
b. Tohelpassistindealingwithyourclaimwemayrequireyoutoobtainestimatesforthereplacementorrepairofdamagedproperty.
Wewillonlyaskforinformationrelevanttoyourclaimandwewillpayforanyreasonableexpensesyouincurinprovidinguswiththeaboveinformationaspartofyourclaim.c. Followingnotificationofyourclaimanypropertydamagedbeyondrepairmustberetainedforatleast30
days(oranyotherperiodweagree)andbemadeavailableforourinspection.
8 Rights and responsibilities
Wemayenteryourpropertywheredamagehasoccurredtodealwithyourclaim,temporarilytakeforsafekeepinganyofthepropertyinsuredandtodealwithanysalvage.However,youmustnotabandonanypropertytous.Wemaytakeoveranddealwith,inyourname,thedefenceorsettlementofanyclaim.
Wemaytakeproceedingsinyourname,butatourexpense,torecovertheamountofanypaymentwehavemadeunderthispolicy.Youmustgiveusalltheinformationwemayneedtomaketheserecoveries.
9 Rights of third parties
ApersonorcompanywhoisnotpartytothispolicyhasnorightundertheContract(RightofThirdParties)Act1999toenforceanytermofthispolicy,butthisdoesnotaffectanyrightorremedyofathirdpartywhichexistsorisavailableapartfromthatAct.
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10 Fraudulent claims
Ifaclaimmadebyyouoranyoneactingonyourbehalf,oranyotherpersonclaimingtoobtainbenefitunderthispolicy,isfraudulentorexaggerated,whetherultimatelymaterialornot,orifanydamageiscausedbyyourwilfulactorwithyourknowledgewemayatouroption:1. repudiatetheclaim;2. recoveranypaymentsalreadymadebyusinrespectoftheclaim;3. cancelthepolicyfromthedateofthefraudulentactandretainthepremiumduefortheunexpiredperiodof
insurancefromthedateofcancellationuptotherenewaldate.Ifwecancelthepolicywewillnotifyyouinwriting,byspecialdeliverytoyourlastknownaddress.
11 Misrepresentation
Itisyourdutytotakereasonablecarenottomakeamisrepresentationtousifweaskyouaquestioninconnectionwithyourinsuranceorweaskyoutoconfirmoramenddetails.
Ifyoufailinthisdutyitmayhaveadverseconsequencesonyourpolicyincluding,intheworstcasescenario,refusingallclaims,cancellingthepolicyfromthebeginningandretainingallpremiumspaid.
12 Sanctions
Weshallnotprovideanycoverunderthispolicyorbeliabletopayanyclaimorprovideanybenefittotheextentthattheprovisionofsuchcover,paymentofsuchclaimorprovisionofsuchbenefitwouldexposeustoanysanction,prohibitionorrestrictionunderUnitedNationsresolutionsorthetradeoreconomicsanctions,lawsorregulationsoftheEuropeanUnion,UnitedKingdomorUnitedStatesofAmerica.
Ifanysuchsanction,prohibitionorrestrictiontakeseffectduringtheperiodofinsuranceyouorwemaycancelthatpartofthispolicywhichisaffectedwithimmediateeffectbygivingsuchnoticeinwriting.
Insuchcircumstancesweshallreturnaproportionatepremiumfortheunexpiredperiodofcoverprovidednoclaimshavebeenpaidorareoutstanding.
13 Assignment
Youshallnotassignanyoftherightsorbenefitsunderthispolicyoranysectionofthispolicywithoutourpriorwrittenconsent.
Wewillnotbeboundtoacceptorbeaffectedbyanynoticeoftrust,charge,lienorpurportedassignmentorotherdealingwithorrelatingtothispolicyoranysectionofthispolicy.
14 Building works
Youmustprovideuswithfulldetailsofanyconversions,renovations,extensionsorotherstructuralworktothebuildingsiftheestimatedcostexceeds£125,000intotalinanyoneperiodofinsurance.Oncenotified,wehavetheoptiontochangetheconditionsofthispolicy.
Ifyoufailtonotifyandprovideuswithfulldetailsatleast30daysbeforetheworkisduetostart,wemaynotpayforanylosscausedbyorrelatingtothebuildingworksunderyourpolicy.
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Whilstweaimtomakeourpolicycomprehensive,therearecertainthingswedonotinsure.Eachsectioncontainsexclusionsspecifictoit.Thefollowingapplytoallsectionsofthepolicyunlessstatedotherwise.
This policy does not cover
1 Radioactive contamination
Wewillnotcoverloss,damage,liabilityorexpensedirectlyorindirectlycausedbyorcontributedtobyorarisingfrom:- ionisingradiationfrom,orcontaminationby,radioactivityfromanynuclearfuelorfromanynuclearwasteor
fromthecombustionofnuclearfuel;- theradioactive,toxic,explosiveorotherhazardousorcontaminatingpropertiesofanynuclearinstallation,
reactororothernuclearassemblyornuclearcomponentofanyofthese;- anyweaponordeviceemployingatomicornuclearfissionand/orfusionorotherlikereactionorradioactive
forceormatter;- theradioactive,toxic,explosiveorotherhazardousorcontaminatingpropertiesofanyradioactivematter.This
doesnotextendtoradioactiveisotopes(otherthannuclearfuelornuclearwaste)whensuchisotopesareinthebuildingsandarebeingprepared,storedorusedinthenormalcourseofyouroperationsforthecommercial,agricultural,medical,scientificorothersimilarpeacefulpurposesforwhichtheywereintended.
2 War risks
Wewillnotpayforloss,damageorliabilitydirectlyorindirectlyoccasionedby,happeningthroughorinconsequenceofwar,invasion,actsofforeignenemies,hostilities(whetherwarisdeclaredornot)civilwar,rebellion,revolution,insurrection,militaryorusurpedpower.
3 Terrorism
PartA-PropertyApplicabletotheBuildings,Contents,Art,antiquesandpersonalvaluablesandHomeemergencysectionsofthepolicy.Regardlessofanycontributorycausethisinsurancedoesnotcoveranyloss,damageorexpensedirectlyorindirectlycausedby,resultingfromorinconnectionwith:
1. ContaminationorthethreatofContamination;2. anyactiontakenincontrolling,preventingorinanywayrelatingtoContaminationorthethreatof
Contamination;duetoanyactofterrorism.
Forthepurposesofthisexclusion,Contaminationmeansbiological,chemicalornuclearpollution,contaminationorforce.
Ifweallegethatbyreasonofthisexclusionanydirectorindirectloss,damageorexpenseisnotcoveredbythisinsurancetheburdenofprovingthecontraryshallbeuponyou.
Generalexclusions
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PartB-ThirdpartyliabilityApplicabletoanysectionorpartofasectioninsuringlegalliabilitytothirdparties.Thisinsurancedoesnotprovideanindemnityinrespectofanyliabilitytothirdpartiesoranyliabilityincurredbyyoufordamages,costsorexpensesdirectlyorindirectlycausedbyresultingfromorinconnectionwithanyactofterrorism.Thispolicyalsoexcludesanysuchthirdpartyliabilityoranyliabilityincurredbyyoudirectlyorindirectlycausedby,resultingfromorinconnectionwithanyactiontakenincontrolling,preventing,suppressingorinanywayrelatingtoanyactofterrorism.Ifweallegethatbyreasonofthisexclusionanydirectorindirectloss,damageorexpenseisnotcoveredbythisinsurancetheburdenofprovingthecontraryshallbeuponyou.
4 Uninsurable risks
Wewillnotcoverthefollowing:- Thecostofmaintainingbuildingsorcontents;- Damagethathappenedbeforecoverunderthispolicystarted;- Damagecauseddeliberatelybyyouoranyoneactingonyourbehalf.Thisdoesnotapplytotheftby
domestic staffofanyinsuredpropertyunderthispolicy;- Damagecausedbywearandtear,atmosphericorclimaticconditions(otherthanstormorflood)frost,rot,
fungus,inherentvice,latentdefect,insects,verminoranygradualcause;- Damagecausedbyfaultyworkmanship,materials,specificationordesign;- Damagecausedbycleaning,dyeing,repair,orrestoration(otherthanasprovidedbytheRestorationand
repaircoveroftheArt,antiquesandpersonalvaluablessection);- Mechanicalorelectricalbreakdown;- Propertybeingconfiscatedordetainedbyanygovernment,publicorpoliceauthority;- Coastalorrivererosion;- Damagecausedbychewing,scratching,tearing,denting,vomitingorfoulingbyyourpetswherethetotal
amountofallsuchclaimsduringtheperiodofinsuranceexceeds£5,000;- Damagecausedbyorconsistingofyounotreceivinggoodsorservicesyouhavepaidfor.
5 Pollution or contamination
Wewillnotcoveranyclaimorexpenseofanykindcauseddirectlyorindirectlybypollutionorcontaminationotherthancausedbyasudden,identifiable,unintendedandunexpectedincidentwhichtakesplaceinitsentiretyataspecificmomentintimeandplaceduringtheperiodofinsurance.
Allpollutionorcontamination,whicharisesoutofoneincident,shallbedeemedtohaveoccurredatthetimesuchincidenttakesplace.
6 Date recognition
(ThisexclusiondoesnotapplytotheLegalexpensesorTravelsectionswhereaseparateexclusionapplies)
Wewillnotcoverdamagetoany:- computerorotherelectricalequipmentcontainingamicrochiporintegratedcircuitoranycomponentpart
insuredbyus;and- computerrecords,programs,discs,softwareortheinformationcontainedonthem;whichiscaused,atanytime,byafailureofanypropertyinsuredbyustorecognise,accept,processorrespondtoanydateasitstruecalendardateorafailuretocontinuetofunctioncorrectlybeyondthatdate.
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7 Indirect loss
Wewillnotpayforanyindirectlosseswhichresultfromtheincidentthatcausedyoutoclaim,exceptasspecificallyprovidedforunderthispolicy.
8 Electronic risks
(ApplicabletoanysectionorpartofsectioninsuringdamagetopropertyorbusinessinterruptionotherthantheCybersection).
Definition specific to this exclusion
Virus or similar mechanismmeansprogramcode,programminginstructionoranysetofinstructionsintentionallyconstructedwiththeabilitytodamage,interferewithorotherwiseadverselyaffectcomputerprograms,datafilesoroperations,whetherinvolvingselfreplicationornot.VirusorsimilarmechanismincludesbutisnotlimitedtoTrojanhorses,wormsorlogicbombs.
Wewillnotcoverdamage:1. todata,orcorruptionofdata,exceptasspecificallyprovidedforelsewhereinthispolicy;2. causedbyorarisingfromunauthorisedaccesstoanycomputerorcomputerrelatedequipmentorsystem,or
byunauthorisedappropriationofdataorbytheunauthoriseduse,modificationortransmissionofdata;3. arisingoutofanymisinterpretationofdata,theuseormisuseofdataoranyoperatorerrorinrespectofdata;4. arisingfromthetransmissionorimpactofanyvirusor similar mechanism;5. arisingfrominterruptionoforinterferencewithanyelectronicmeansofcommunicationincludingthe
performanceofanywebsite;6. arisingfromthefailureorinabilitywhetherintermsofavailability,functionality,performanceorotherwiseofany
computerorcomputerrelatedequipmenttooperateatanytimeasrequired.
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What is covered
Thissectionofthepolicyprovidesinsuranceagainstdamagetoyourbuildingsortenant’s improvementsduringtheperiodofinsuranceunlessstatedotherwiseinourpolicyoranexclusionapplies.
How we will pay your claim
Wewillpayuptothesuminsuredshownforbuildingsasdetailedintheschedule.
Providedtheworkiscarriedoutwithoutdelaywewillpaythecostforyoutoeitherrepairorrebuildasnewthedamagedpartofthebuildingsusingreinstatement techniques and materials.However,ifyouandweagreethatitisnotreasonabletorepairthebuildings usingreinstatement techniques and materials,wewillpayyouanamountwhichwebothagreeisfair.
Fortenant's improvementswewilldecidewhethertoreplaceorrepairthedamagedparts.
Ifthebuildingsarenotinagoodstateofrepairatthetimeoftheloss,wewillreducetheamountwewillpaytotakeintoaccountwearandtear.
Underthissectionwewillalsopaythefollowingcosts:1. architects',surveyors’,engineers’andotherprofessionals'reasonableandnecessaryfees;2. thecostofdemolishingthebuildings,supportingthebuildings,removingdebrisandmakingthesitesafe;3. thecostofkeepingtolocalauthorityorotherlegalconditionsmadeafterthedamage.
Wewillnotpayforthecostofpreparingaclaim.
Reinstatement of sum insuredUnlessweadviseotherwisewithin30daysofyoureportinganydamagetous,weagreetoreinstateyoursumsinsuredfromthedateuponwhichrepairorreplacementhasbeencompleted.Thisisprovidedyoucarryoutourrequirementstopreventfurtherdamage.
Extended replacement costIfyouhavehadavaluationbyoursurveyor,orbyanindependentprofessionalvaluerwhichwehaveacceptedinwriting,andyouhavesetyoursumsinsuredaccordingly,wewillpaythefullcostofrepairingorrebuildingthebuildingsevenifthisamountisgreaterthanthesuminsuredshowninyourschedule.Thiscoverwillonlybeprovidedifyoutellusaboutanyrefurbishmentsorextensionsyouhavemadetothebuildingssincethevaluationwasconductedandyouamendthesuminsuredtoaccountforthis.
Thiswillalsoapplyifyouarewaitingforourvaluationandinthemeantimethesuminsuredhasbeenbaseduponanalternativevaluationwhichwehaveapprovedinwritingbutsubjecttoourfurthervaluation.Thisisprovidedyouagreetothesumsinsuredandpremiumbeingamended,fromthepolicystartdate,inlinewithourvaluationoncethisisavailable.
Wehavetherightnottoacceptanalternativevaluationunderthetermsofthiscover.
Excess waiverWewillwaiveanyexcessof£1,000orlesswhereyour claimexceeds£10,000.
Index LinkingWewilladjustthesuminsuredforbuildingsandtenants’ improvementsinlinewiththeHouseRebuildingCostIndex(preparedbytheRoyalInstitutionofCharteredSurveyors)oranalternativeindex.
1 Buildings (Yourschedulewillshowifthissectionapplies)
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Wewillnotchargeyouforincreasesmadetothesumsinsuredafterindexlinking.However,attheendofeachperiodofinsurance,therenewalpremiumwillbebasedontheadjustedsumsinsured.
Index-linkingwillcontinuefromthedateofthedamageuntiltheresultingclaimissettled.
Other Covers
This section also covers the following:
1 Temporary accommodation and loss of rent
1. Ifyourhomecannotbelivedinfollowingdamageinsuredunderthissection,wewillpayfor:a. thereasonablecostoftemporaryaccommodationforyouandyourdomestic staff wholivewithyou;b. thecostoftemporarilystoringyourfurnitureandforre-housingyourpets,horsesorponiesuntilyour
homeisfittoliveinagain;c. rentincludinggroundrentwhichyoustillhavetopayandisnotrecoverableelsewhere;ord. lossofanyrentyouwouldhavebeenpaid.
2. Ifalocalauthoritypreventsyoufromlivinginyourhomeasaresultof:a. anemergencyevacuation;orb. aneighbouringpropertybeingdamagedbyanydamageinsuredbythissection;wewillpaythereasonablecostofyournecessaryalternativeaccommodation.
Wewillpayfortheaboveforuptofiveyearsundercover1.andforuptooneyearundercover2.SubjecttoanoverallmaximumpaymentforTemporaryaccommodationandlossofrentunderallsectionsofthispolicyof£1,000,000.
2 Archaeological costs
Withourconsentwewillpaytheon-sitecostsofarchaeologicalrescuework(includingtherecordingofstandingandcollapsedfabricanddamagedfloorsurfacesbutnottheexcavationofbelowgrounddeposits)necessarilyandreasonablyincurredtorecordinformationwhichwouldotherwisebelostasaresultofdamagetothebuildings.
Wewillnotpayfor:1. thecostsofanyarchaeologicalresearchworkwhichmaybeenabledorfacilitatedasaresultofdamagebut
whichisnotanecessarypartoftheprocessofrepairorrebuilding;2. thecostsofanalysisofdatasubsequenttoarchaeologicalrescuework(exceptinsofarassuchcostsarea
necessaryandintegralpartoftheprocessofrepairorrebuilding);3. thecostsofconservationorscientificanalysisofmaterialsorobjectsretrievedinthecourseofan
archaeologicalexercise.
Themostwewillpayis£250,000anyoneclaim.
3 Damage to services
Accidentaldamagetoservicepipes,cables,sewersanddrainsservingyourhomeforwhichyouarelegallyresponsible.Thisincludesthecostofclearingblockages.
4 Locating a leak
Thecostsandexpensesnecessarilyandreasonablyincurredbyyouwithourconsentinlocatingthesourceofaleakageofgas,oilorwateratyourhomeandthesubsequentrepairofdamagecausedbylocatingthesourceforwhichyouarelegallyresponsible.
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5 Trees, plants and shrubs
1. Wewillpayfordamagetoyourtrees,plantsorshrubsexcludingdamagecausedbystormorflood,weightofsnow,frostoranimals.
Themostwewillpayis£2,500peritemand£50,000intotalforallclaimsinanyoneperiodofinsurance.
2. Wewillpayforthecostofremovingtrees,branches,fences,telegraphpoles,lamppostsorpylonswhichhavefalleninthegroundsofyourhomefollowingastorm.
Themostwewillpayis£500peritemand£5,000intotalforallclaimsinanyoneperiodofinsurance.
6 Construction materials
Wewillpayfordamagetobuildingwork,materials,suppliesandotherpermanentstructuresforwhichyouarelegallyresponsiblethatareusedinbuilding,conversion,renovation,extension,repairormaintenancetoyourbuildings.
Wewillonlyinsurebuildingworks,materialsandsupplieswhilelocatedwithinthegroundsofyourhome.
ProvidedthatyoucomplywithGeneralCondition14relatingtothenotificationofworkestimatedtoexceed£125,000.
Themostwewillpayis£125,000anyoneclaim.
Wewillnotpayfor:
1. fixtures and fittingsmorespecificallyinsuredunderOthercovers14ofthissection;2. constructionmaterialswhicharetheresponsibilityof,orareinsuredby,thecontractororsub-contractor;3. damagewheremorespecificinsuranceisinplace.
7 Environmental upgrades
If,followinginsureddamageunderthissection,youchoosetoinstallasolar,windorgeothermalpowergeneratingsystemaspartoftherepair,wewillpaytowardsthecostofinstallingthis,aslongas:
1. damagetotheheatingsystematyour homeispartofthedamagewe haveagreedtopayfor;and2. thedamagewehaveagreedtopayforismorethan£10,000;and3. atthetimeofthedamagethereisnosolar,windorgeothermalpowergeneratingsysteminstalledatyour
home.
Themostwewillpayforallclaimsinanyoneperiodofinsuranceis10%ofthetotalcostoftherepairsfortherelevantdamageor£5,000,whicheveristheless.
8 Environmental expenses
Ifwepayunderthissectionfordamagetosolarpanelsorwindturbineswhicharefixedtothebuildingsandusedfordomesticpurposes,wewillalsopayfor:1. theincreaseinyourenergyexpensesifitisnecessaryforyoutopurchaseallofyourelectricalpowerfroma
powerutilitycompany;and2. thelossofincomewhichwouldhavebeenpayabletoyoufromyourenergysupplierhadthedamagenot
occurred.Wewillonlydothisprovidingyouproceedtorepairorreplacethesolarpanelsorwindturbinesfollowingthedamage.
Themostwewillpayis£5,000forallclaimsinanyoneperiodofinsurance.
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9 Oil decontamination
Wewillpaythecostofdecontaminatingthegroundsofyour homefollowinganidentifiable,unintendedandunexpecteddischargeofoilfromastoragetankusedfortheheatingsystematyourhome.
Themostwe willpayis5%ofthebuildingssuminsuredor£50,000,whicheveristheless,forallclaimsinanyoneperiodofinsurance.
10 Locks and keys
Ifyoulosethekeystoyourhomeortoanysafeoralarminyourhome,orthekeysarestolen,wewillpayforreasonableandnecessarycostsofgainingaccesstoyourhomeandrepairingorreplacingthekeysorlocks.Thereisnoexcessforthiscover.Wewillonlypayaclaimunderonesectionofthispolicyforeachclaim.
11 Security upgrade
Wewillpaysubjecttoourprioragreementforthecostofupgradingyourhome'salarmandphysicalprotectionsfollowingathreattoyouorathreatmadeinthecourseofanaggravatedburglary,acriminalassaultoracarjackingoccurringwithinthegeographical limits.
Subjecttoanoverallmaximumpaymentforsecurityupgradesunderallsectionsofthispolicyof£15,000.
12 Trespassing and fly tipping
Wewillpayforcostsandexpensesincurredbyyouinremovinganythingillegallyormaliciouslydepositedatyourhome oritsgrounds,butwewillnotpayforpollutionorcontaminationofanyproperty,land,waterorair.Thiscoverwillnotapplyifyourhomeisunoccupied.
Themostwewillpayforallclaimsis£15,000intotalinanyoneperiodofinsurance.
13 Loss prevention
Ifweagreeyourclaimfordamagecausedbyescapeofwater,fire,floodorstormwewillalsopaytowardsthecostofimprovementsintendedtomitigateorpreventafutureoccurrenceofthesamedamage.Wewillonlydothisiftheclaimweagreetopayforthedamageismorethan£10,000.
Subjecttoanoverallmaximumpaymentforlosspreventionunderallsectionsofthispolicyof£5,000.
14 New fixtures and fittings
Wewillincreasethesuminsuredforbuildingsforanynewfixtures and fittingsthathavebeeninstalledatyourhomeprovidedyouadviseuswithin60daysfromthedateofdeliveryofthematerialsandpaythefulladditionalpremiumfromthedatedelivered.
Themostwewillpayis30%ofthebuildingssuminsuredor£250,000,whicheveristheless.
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15 Temporary removal of fixtures and fittings
Wewillcoverunderthissectionpermanentfixtures and fittingswhilsttheyareremovedfromthebuildingsforupto60daysforrepair,restorationorsafekeeping.
Themostwe willpayis30%ofthebuildingssuminsuredor£250,000,whicheveristheless,forallclaimsinanyoneperiodofinsurance.
Wewillnotpayforfixtures and fittingsleftinunattendedvehiclesunless:
1. thevehicleislockedatallpointsofaccessandalarmed;2. therearevisiblesignsofforcibleorviolententrytothevehicle;3. thepropertyisoutofsightinalockedcompartmentorlockedbootwithinthevehicle.
16 Damage by emergency services
Damageatanypartofyourhomeincludingitsgroundscausedbytheemergencyservices(withtheexceptionofpoliceraids)incircumstanceswheresuchdamagewouldnototherwiseformpartofavalidclaimunderthissection.
Thisincludesdamagewhichoccurswhentheemergencyservicesarerespondingtopotentialdangertopropertyorinjurytopersons.
17 Selling your home
Ifyourhomeisnotinsuredelsewhere,thepersonbuyingyourhomewillhavethebenefitoftheinsuranceunderthissectionfortheperiodfromexchangeofcontracts(orifinScotlandthewrittenofferandacceptance)untilthesaleiscompleted.
What is not covered
Inadditiontothegeneralexclusionsonpages20to22,thefollowingextraexclusionsapplytothissection:1. Damagecausedbystormorfloodtogates,fencesorhedgesand/orthecostofremovinganytree,branch,
fence,telegraphpole,lamppostorpylon.However,wewillpayfortheremovalofanytree,branch,fence,telegraphpole,lamppostorpylonifthisisnecessarytocarryoutrepairstothemainbuildingoroutbuilding,ifdamagedatthesametime.
2. Damagecausedbywateroroilescapingfromanyfixedwaterorheatingsystem,washingmachine,dishwasher,refrigerator,freezer,waterbedorfishtankwhileyourhomeisunoccupiedunlessyoukeepyourhomeheatedthroughoutataminimumconstanttemperatureof10degreesCelsiusoryoushutoffanddrainfixedwatertanks,apparatusandpipes.
3. Damagecausedbysubsidence,heaveorlandslip:a. toswimmingpools,tenniscourts,paths,drives,terraces,patios,walls,fences,hedgesorgates(unlessthe
mainbuildingofyourhomeisdamagedatthesametime);orb. tosolidfloorslabsordamageresultingfromtheslabsmoving(unlessthefoundationsbeneaththe
outsidewallsofthemainbuildingaredamagedatthesametime);orc. resultingfromsettlement,shrinkageorexpansion;ord. causedbynewstructuresornewlymade-upgroundsettlingorbeddingdown;ore. resultingfromdemolishing,alteringorrepairingthehome;orf. wherecompensationisprovidedbylaw.
4. Theamountofanyexcessshowninyourschedule unlessstatedotherwise.5. Wewillnotmakeanyextrapaymentforareductioninthemarket valuefollowingarepair,reinstatement,or
replacementpaidforunderthissection.
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What is covered
Thissectionofthepolicyprovidesinsuranceagainstdamageanywhereintheworldtoyourcontentsownedbyyouorforwhichyouarelegallyresponsibleduringtheperiodofinsuranceunlessstatedotherwiseinourpolicy,oranexclusionapplies.
How we will pay your claim
Atouroption,wewilleitherrepairtheitemorpaythecostofreplacingtheitemasnew.
Reinstatement of sum insuredThemostwewillpayisthesuminsured,dependingonanyspecificlimitshowninthispolicy or your schedule.Unlessweadviseotherwisewithin30daysofyoureportingthedamagetous,weagreetoreinstateyoursumsinsuredfromthedateuponwhichrepairorreplacementhasbeencompleted.Thisisprovidedyoucarryoutourrequirementstopreventfurtherdamage.
Extended replacement costIfyouhavehadanindependentprofessionalvaluationthatislessthanthreeyearsoldatthetimeoftheclaimwhichwehaveacceptedinwriting,andyouhavesetyoursumsinsuredaccordingly,wewillpaythefullcostofrepairingorreplacingthecontentsevenifthisamountisgreaterthanthesuminsuredshowninyourschedule.Thiscoverwillonlybeprovidedifyoutellusaboutanychangesyouhavemadetothecontentssincethevaluationwasconductedandyouamendthesuminsuredtoaccountforthis.
Themostwewillpayisanadditional25%ofthecontentssuminsuredor£250,000,whicheveristheless,intotalforanyoneclaim.
Wehavetherightnottoacceptanalternativevaluationunderthetermsofthiscover.
Excess waiverWewillwaiveanyexcessof£1,000orlesswhereyour claimexceeds£10,000.
Inner limitsFordamagetothefollowingtypesofcontents,wewillnotpaymorethanthelimitsshownbelowforanyoneclaim.Thelimitsshownarepartofthetotalsuminsuredforcontentsanddonotincreasethesuminsuredofanyotheritemcoveredelsewhereinthispolicy.- personal valuables£5,000- watercraft £7,500- trailersandnon-motorisedhorseboxes£10,000- garden statues(thatarenotasdefinedunderbuildingsorart and antiques)£10,000- quadbikes,golfbuggiesorcarts£10,000- digitalmusic,videoandphotographs£10,000- office contents£20,000
Index LinkingWewilladjustthesuminsuredinlinewiththeConsumerDurablesSectionoftheRetailPriceIndex(preparedbytheGovernment)oranalternativeindex.
Wewillnotchargeyouforincreasesmadetothesumsinsuredafterindexlinking.However,attheendofeachperiodofinsurancetherenewalpremiumwillbebasedontheadjustedsumsinsured.
Index-linkingwillcontinuefromthedateofthedamageuntiltheresultingclaimissettled.
2 Contents (Yourschedulewillshowifthissectionapplies)
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Other Covers
This section also covers the following:
1 Temporary accommodation and loss of rent
1. Ifyourhomecannotbelivedinfollowingdamageinsuredunderthissection,wewillpayfor:a. thereasonablecostoftemporaryaccommodationforyouandyourdomestic staffwholivewithyou;b. thecostoftemporarilystoringyourfurnitureandforre-housingyourpets,horsesorponiesuntilyour
homeisfittoliveinagain;c. rentincludinggroundrentwhichyoustillhavetopayandisnotrecoverableelsewhere;ord. lossofanyrentyouwouldhavebeenpaid.
2. Ifalocalauthoritypreventsyoufromlivinginyourhomeasaresultof:a. anemergencyevacuation;orb. aneighbouringpropertybeingdamagedbyanydamageinsuredbythissection;
wewillpaythereasonablecostofyournecessaryalternativeaccommodation.
Wewillpayfortheaboveforuptofiveyearsundercover1.andforuptooneyearundercover2.SubjecttoanoverallmaximumpaymentforTemporaryaccommodationandlossofrentunderallsectionsofthispolicyof£1,000,000.
2 Student contents away from the home
Wewillpayforanydamagetoyourcontentswhilstlivingawayfromhomeandattendinguniversity,college,orboardingschoolorwhilstonaworkplacementaspartofyourcourseorstudies.
Themostwewillpayis10%ofyour contentssuminsuredor£50,000anyoneclaim,whicheveristheless.
3 Contents in Care Homes
Wewillpayforanydamagetocontentsofanymemberofyourimmediatefamilywhilsttheyareresidentinacarehome.
Themostwewillpayis10%ofyour contentssuminsuredor£50,000anyoneclaim,whicheveristheless.
4 Personal effects belonging to guests or domestic staff
Wewillcoverdamageduringtheperiodofinsurancetothepersonaleffectsofyourprivateguestsanddomestic staffinthehomeshownonyourschedule.Thiscoverexcludesdamagetotheirpersonal valuables,creditordebitcards,money,oritemsthatareinsuredelsewhere.
Themostwewillpayis£10,000anyoneclaim.
5 Hired marquees
Duringthehireperiodwewillcoveranydamagetoamarqueewhichissituatedatyourhomeandforwhichyouhaveacceptedresponsibility,providednootherinsuranceapplies.
Themarqueemustbeinstalledbythehirecompanyaccordingtothemanufacturer’sinstructions.
Themostwewillpayis£50,000anyoneclaim.
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6 Locks and keys
Ifyoulosethekeystoyourhomeortoanysafeoralarminyourhome,orthekeysarestolen,wewillpayforreasonableandnecessarycostsofgainingaccesstoyourhomeandrepairingorreplacingthekeysorlocks.Thereisnoexcessforthiscover.Wewillonlypayaclaimunderonesectionofthispolicyforeachclaim.
7 Security upgrade
Wewillpaysubjecttoourprioragreementforthecostofupgradingyourhome'salarmandphysicalprotectionsfollowingathreattoyouorathreatmadeinthecourseofanaggravatedburglary,acriminalassaultoracarjackingoccurringwithinthegeographical limits.
Subjecttoanoverallmaximumpaymentforsecurityupgradesunderallsectionsofthispolicyof£15,000.
8 Loss of oil, gas and water
Wewillpayfor:1. lossofoil,gasormeteredwaterfromthewaterorheatingsystemafteraccidentaldamagetothatsystem;2. theftofoilfromanystoragetankusedfortheheatingsystematyourhome;
Themostwewillpayundereachparagraph1.or2.is£25,000anyoneclaim.
9 Documents and personal data
Fordamagecoveredbythissection,wewillpaythenecessarycostsinvolvedin:1. preparinganypersonaldocumentsandnewtitledeedstoyourhomeiftheoriginalsarelostordamaged
whilethedeedsareinyourhome,abankorasafedeposit;2. retrievingyourpersonaldatafromyourcomputer.
Themostwewillpayundereachparagraph1.or2.is£15,000anyoneclaim.
10 Credit cards and money
Wewillinsureyouagainstlossandtheftofyour moneyandcreditanddebitcardsanywhereintheworldduringtheperiodofinsurance.
Formoney,themostwewillpayis£7,500foranyoneclaimunlessthemoneyiscontainedinalockedsafeinthebuildingswhenthelimitisincreasedto£10,000anyoneclaim.
Forcreditanddebitcards,coverisprovidedforanyamountsyouareliabletopayifyourcardshavebeenusedwithoutyourpermissionaftertheyhavebeenlostorstolen,providedallthetermsunderwhichthecardswereissuedhavebeenfollowed.Forcreditcardsyourcardprovidermaycoverallcostsover£100resultingfromunauthorisedtransactions.
Themostwewillpayis£30,000anyoneclaim.
11 Freezer Contents
Wewillpayforthecostofreplacingspoiledcontentsinrefrigeratorsandfreezersinyour homecausedbyaccidentalfailureoftheunitinwhichthesearecontained.
Wewillalsopaythecostofhiringatemporaryrefrigeratororfreezerifthisisnecessary.
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12 New contents
Wewillallowanincreasetocoveranyitemsofcontentsyouacquireduringtheperiodofinsurance.
Providedthatyouadviseuswithin60daysfromthedateofpurchaseandpaythefulladditionalpremiumfromthedateacquired.
Themostwe willpayis30%ofthetotalsuminsuredforcontentsor£250,000,whicheveristheless.
13 Loss prevention
Ifweagreeyourclaimfordamagecausedbytheescapeofwater,fire,floodorstormwewillalsopaytowardsthecostofimprovementsintendedtomitigateorpreventafutureoccurrenceofthesamedamage.Wewillonlydothisiftheclaimweagreetopayfordamageismorethan£10,000.
Subjecttoanoverallmaximumpaymentforlosspreventionunderallsectionsofthispolicyof£5,000.
14 Memorial headstones
Wewillpayfordamagetomemorialheadstonesorplaquesofyourimmediatefamilywithinthegeographical limits.
Themostwewillpayis£5,000anyoneclaim.
15 Trees, plants and shrubs
Wewillpayfordamagetoyourpottedtrees,pottedplantsorpottedshrubsexcludingdamagecausedbystormorflood,weightofsnow,frostoranimals.
Themostwewillpayis£2,500peritemand£50,000intotalforallclaimsinanyoneperiodofinsurance.
Business cover
This cover only applies if you have requested the cover and it is noted on your schedule.
Wewillprovidethefollowingcoverforabusinesswhichyourunfromyourhome,thiscoverappliesonlyandinsofarasthebusinessnotedonyourschedule.
Business contentsCoverforcontentsisextendedtoincludebusiness contentsyouownorleasewhileatyourhomeoranywhereintheworld,uptothelimitagreedandnotedinyourschedule.
Business moneyWewillinsureyouagainstlossandtheftofyourbusiness moneyanywhereintheworlduptothefollowingamounts:1. lossofbusiness moneyexcludingcash,bankorcurrencynotes,limit£100,000;2. lossofcash,bankorcurrencynotesusedforbusinesspurposeswhileinthebuildingsorindirecttransittoa
bankorinabanknightsafesubjecttoalimitof£7,500unlesscontainedinalockedsafeinthebuildingswhenthelimitisincreasedto£10,000;
3. lossofbusiness moneyduetomisappropriation,deceptionorfalseaccountingbyemployeesauthorisedtohandlemoney,discoveredwithin14daysofitsoccurrence,uptoalimitanyonepersonof£2,000andintotalinanyoneperiodofinsurance£5,000;
4. thereplacementorrepairofanybusinesssafeinthebuildingsfollowingdamagebytheftorattemptedtheft.
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Wewillnotpayfor:a. lossduetoitemsbeingconfiscatedorlosingvalueandmistakesinreceipts,paymentsoraccounting;b. lossfromanyunattendedvehicle;c. lossarisingfromfraudordishonestyotherthanasprovidedforunder3.above.
Business interruptionBusinessinterruptioncoverisincludedasfollows:
1. Lossofincome IfthebusinessisinterruptedfollowingdamageforwhichwehaveacceptedaclaimundertheBuildingsor
Contentssection,wewillpayfortheamountofincomeyouloseinconnectionwiththebusiness,solelyinconsequenceofthedamageanduptoamaximumperiodof12months.
Wewilldeductfromtheclaimanysavingsyoumakeinrespectoftheexpensesofthebusinesswhichstoporarereducedbecauseofthedamage.
Themostwewillpayunderthisparagraphis£50,000unlessstatedotherwiseinyourschedule.
2. Additionalexpenditure Wewillpayforyouradditionalcostsnecessarilyandreasonablyincurredforthesolepurposeofreducinga
lossofincomeasinsuredunder1,butnotexceedingthereductioninincomeavoided.
Themostwewillpayunderthisparagraphis£50,000unlessstatedotherwiseinyourschedule.
3. Businessdata IfwehaveacceptedaclaimfordamagetocomputerequipmentundertheContentssection,wewillalsopay
forthenecessarycostsofreconstitutingyourbusinessrecordsandelectronicdata,providedthisisnecessarytocontinueyourbusiness.
Wewillnotpayforthevaluetoyouofthelostinformation.
Themostwewillpayis£15,000forallclaimsintotalinanyoneperiodofinsurance.
4. Preventionofaccess Wewillpayunder1.or2.aboveforyourlossofincomeoradditionalexpenditurefollowingdamageunder
theBuildingsandContentssection,topropertyinthevicinityofyourhomewhichhindersorpreventsaccesstoyourhome,whetheryourhomeisdamagedornot.
5. Lossoftelephone,electricity,gasorwater Wewillpayforyourlossofincomeoradditionalexpenditurefollowingaccidentalfailureof:
- thetelephonesystemservingyourhome;or- theelectricity,gasorwatersuppliesatthepointofconnectiontoyourhome.
Wewillnotpayfor:a. anysuchfailureoflessthan30minutes;orb. failureduetothedeliberateactofthetelephoneorsupplyauthoritiesorasaresultofstrikesorother
industrialaction.
Themostwewillpayis£5,000anyoneclaim.
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6. Bookdebts Wewillpayforoutstandingdebitbalancesnotestablishedortracedasaresultofdamageunderthe
BuildingsorContentssection,withadditionalcostsnecessarilyandreasonablyincurredforthesolepurposeoftracingandestablishingoutstandingbalances(butnotexceedingtheestimatedamountofthedebitbalancestobetraced).
Wewillnotpayforlossesarisingfrommisfiling,mislaying,erasure,distortion,deliberatefalsificationofbusinessrecordsorfrombaddebts.
Themostwewillpayis£10,000anyoneclaim.
7. Professionalaccountants’charges Wewillpayforprofessionalaccountants’orauditors’chargesreasonablyincurredforproducingandcertifying
detailsofanyclaimunderthissectionaswemayrequire.
What is not covered
Inadditiontothegeneralexclusionsonpages20to22,thefollowingextraexclusionsapplytothissection.1. Damagecausedbywaterescapingfromanyfixedwaterorheatingsystem,washingmachine,dishwasher,
refrigerator,freezer,waterbedorfishtankinyourhomewhileyourhomeisunoccupiedunlessyoukeepyourhomeheatedthroughoutataminimumconstanttemperatureof10degreesCelsiusoryoushutoffanddrainfixedwatertanks,apparatusandpipes.
2. PropertyinsuredundertheArt,antiquesandpersonalvaluablessection.3. Theamountofanyexcessshowninyourscheduleunlessstatedotherwise.4. Wewillnotmakeanyextrapaymentforareductioninthemarket valuefollowingarepair,reinstatementor
replacementpaidforunderthissection.5. Quadbikesbeingusedbyanypersonunder17yearsold.6. Wewillnotpayforcontentsleftinunattendedvehiclesunless:
a. thevehicleislockedatallpointsofaccessandalarmed;b. therearevisiblesignsofforcibleandviolententrytothevehicle;c. thecontentsareoutofsightinalockedcompartmentorlockedbootwithinthevehicle.
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What is covered
Wewillpayfordamagetoart and antiquesandpersonal valuablesownedbyyouorforwhichyouarelegallyresponsible,happeninganywhereintheworldandduringtheperiodofinsuranceunlessstatedotherwiseinthepolicy,oranexclusionapplies.
Singleitemsofart and antiquesworthmorethan£30,000andsingleitemsofpersonal valuablesworthmorethan£17,500mustbespecifiedindividuallyonyour schedule.
How we will pay your claim
Specified itemsFordamageofitemswhichareindividuallylistedinanindependentprofessionalvaluation,andyoursumsinsuredreflectthisvaluation,wewillpaytheamountshownforthoseitemsinthevaluation.
Unspecified itemsFordamageofitemswhicharenotindividuallylistedinanindependentprofessionalvaluation,wewillpaythemarket valueimmediatelypriortothedamageorthereplacementcostoftheitems,butinnocaseexceedingthesuminsuredforunspecifieditems.Themostwewillpayforanyoneunspecifieditem,pairorsetis:- £30,000forart and antiques- £17,500forpersonal valuables
Extended replacement costIfyouholdanindependentprofessionalvaluationthatislessthanthreeyearsoldatthetimeoftheclaim,andyoursumsinsuredreflectthisvaluation,weagreetoinsureanyitemsincludedinthevaluationonanextendedreplacementbasis.Thismeansthatwewillpaythevalueoftheitematthetimeofthedamageevenifitismorethanthevalueshownintheindependentprofessionalvaluation.
Forart and antiquesThemostwewillpayisanadditional50%ofthevalueshownforeachindividualitemandinnocasewillwepaymorethananadditional£500,000intotalforanyoneclaim.
Thisincludesincreasestothevalueofartfollowingthedeathoftheartistduringtheperiodofinsuranceprovidingthatyoucanprovetheincreaseinvaluewithanindependentprofessionalvaluation.
Forpersonal valuablesThemostwewillpayisanadditional50%ofthevalueshownforeachindividualitemandinnocasewillwepaymorethananadditional£100,000intotalforanyoneclaim.
Partial damageIntheeventofpartialdamagetoanyitemwewillpaythecostofrepairplusanyresultingdepreciationbutnotexceedingtheamountwewouldhavepaidundertheabovelimits.
Excess waiverWewillwaiveanyexcessof£1,000orlesswhereyour claimexceeds£10,000.
Matching itemsIfanyitemswhichhaveanincreasedvaluebecausetheyformpartofapairorsetarelostordamaged,anypaymentwemakewilltakeaccountofthelossinoverallvalue.
3 Art,antiquesandpersonalvaluables (Yourschedulewillshowifthissectionapplies)
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SalvageIntheeventofatotallossclaimforanyitem,oncewehavepaidyourclaimwemaytakepossessionandownershipofthedamageditem.YoumustcomplywithGeneralCondition7point2.c.whenyoudisposeofanyitem.
Recovered propertyIfwerecoveranyofyourpropertyafterwehavepaidaclaim,wewillcontactyouandyoucanbuyitbackfromuswithin60days.Wewillcharge:1. theamountwepaidforyourclaim,lossadjustmentandrecoveryexpenses;or2. themarket valueoftheitematthetimewerecoverit;whicheverisless.
Other Covers
This section also covers the following:
1 New acquisitions
Fornewacquisitionsofart and antiquesandpersonal valuables youacquireduringtheperiodofinsurance,wewillautomaticallyprovidecoverfordamage,providedyouadviseuswithin60daysfromthedateofthepurchaseandpaythefulladditionalpremiumfromthedateacquired.
Themostwewillpayforallclaimsinanyoneperiodofinsurancefor:1. art and antiquesis30%ofthetotalofthesuminsuredunderthissectionor£2,500,000,whicheveristheless;2. personal valuablesis30%ofthetotalofthesuminsuredunderthissectionor£250,000,whicheveristheless.
Ifyoudonotnotifyuswithinthetimescaleallowed,wereservetherightnottoinsuretheitem(s)concerned.
2 Defective title
Ifanotherpartyclaimsthatanitemofart and antiquesisnotrightfullyyoursandyouarerequiredtoreturntheitemtoitsrightfulownerortopaydamagesbecauseitisprovedthatyoudonothavegoodtitletoit,wewillpayyoutheamountyoupaidfortheitemorthevalueoftheitemshowninthemostrecentvaluationyouhold,whicheveristheless.
Wewillonlydothisif:1. thepurchasewasmadeafterthedateyoufirstinsuredyourart and antiqueswithusunderthispolicy;2. theclaimismadeagainstyouduringtheperiodofinsurance;3. youmadereasonableenquiriesabouttheitem'sprovenancebeforeyouboughtit,andpurchaseditingood
faith.
Themostwewillpayintotalforallclaimsduringanyoneperiodofinsuranceis£100,000.
3 Restoration and repair
Ifart and antiquesareinsuredandaredamagedbyaprofessionalconservator,restorerorframerwewillpaythereasonablecostofrepairandanydepreciationdirectlycausedbythedamage.
Providedthatourliabilityunderthisextensionshallnotexceedthesuminsuredfortheindividualpieceofart and antiquesbeingrestored.
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4 Emergency evacuation
Thereasonablecostwithouragreementofmovingyourart and antiquesandpersonal valuablestoandfrom,andkeepingthemin,securestorageif:1. yourhomebecomesuninhabitableduetosuddendamagetoyourhome;or2. astatutoryorregulatorybodyprohibitsoccupationoruseofyourhome;untileitherthedamageisrectifiedorthelocalauthorityallowsyoutooccupyyourhomeagain.
5 Work in progress
Wewillcoveruncompletedworksofartandjewellerybyanartistcommissionedbyyouwhicharedamagedpriortocompletion,orwhichcannotbecompletedduetotheartist'sdeathduringtheperiodofinsurance.Wewillpayforthecostsyouhaveincurredforthematerialsandsuppliesfortheartistandthecontractedcostsforlabour.
Foranyoneclaimwewillnotpaymorethantheamountofnon-recoverabledepositsorthefullcommissionpriceifpre-paid.
Themostwewillpayunderthiscoverforallclaimsinanyoneperiodofinsuranceis£50,000.
What is not covered
Inadditiontothegeneralexclusionsonpages20to22,thefollowingextraexclusionsapplytothissection.
1. Damagecausedbywaterescapingfromanyfixedwaterorheatingsystem,washingmachine,dishwasher,refrigerator,freezer,waterbedorfishtankinyourhomewhileyourhomeisunoccupiedunlessyoukeepyourhomeheatedthroughoutataminimumconstanttemperatureof10degreesCelsiusoryoushutoffanddrainfixedwatertanks,apparatusandpipes.
2. Theamountofanyexcessshowninyourscheduleunlessstatedotherwise.3. Damagetoaniteminsuredunderthissectionwhileintransitunlessitissecurelyandadequatelypacked
giventhenatureoftheitemandhowitisbeingtransported.4. Wewillnotpayfor art and antiquesandpersonal valuablesleftinunattendedvehiclesunless:
a. thevehicleislockedatallpointsofaccessandalarmed;b. therearevisiblesignsofforcibleandviolententrytothevehicle;c. theart and antiquesandpersonal valuablesareoutofsightinalockedcompartmentorlockedboot
withinthevehicle.
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Definitions
ThefollowingdefinitionsapplytotheCybercoversection:
Computer virusmeansanymalware,programcodeorprogramminginstructiondesignedtodamage home systems.
Cyber eventmeans1. maliciousdeletion,corruption,unauthorisedaccessto,ortheftofdata;or2. damage ordisruptioncausedbycomputer virus,hacking ordenial of service attack;affectingyour home systems.
Damagemeanstotalorpartialloss,damage,destruction,orcorruption.
Damagesmeans1. financialcompensationyou havetopay,exceptforfines,penalties,liquidateddamages(contractual
penalties),punitiveorexemplarydamages(extradamagestopunishyou)oraggravateddamages(moreseveredamagestoreflecttheseriousnessofanoffence);or
2. thirdparties’costsandexpensesyou havetopayasaresultofaclaimbeingbroughtagainstyou.
Datameansfacts,concepts,information,ideas,text,recordingsandimageswhichareconvertedtoaformwhichcanbeprocessedbyhome systems,butnotincludingsoftwareandprograms.
Defence costsmeanscostsandexpensesweagreetoinwritingforinvestigating,settlingordefendingaclaimagainstyou.
Denial of service attackmeansmaliciousandunauthorisedattackwhichoverloadsanyhome systems.
Hackingmeansunauthorisedormaliciousaccesstoanyhome systems byelectronicmeans.
Home systemsmeansanypersonalcomputingorelectronicdevicethatconnectstotheinternetortootherelectronicdevicesandanyassociateddata,softwareandprograms.
Period of insurancemeanstheperiodoftime,asshownintheschedule,duringwhichyou arecoveredbythepolicy,unlessitiscancelled.
Personal datameansinformationwhichcouldidentifyyou orallowyour identitytobestolenorfraudtotakeplaceonyou.
Sum insuredmeanstheamountshownintheschedule.
4 Cyber (Theschedulewillshowifthissectionappliesandthe coverinforce)
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You/yourmeanstheperson(s)showninthescheduleandallpermanentmembersofthatperson’shome,includinganyemployeeswholiveinthehome whosedutiesarefordomesticpurposesrelatingtothehome anditsgardens.
For'Whatiscovered'3Cyberonlineliability,you meanstheperson(s)showninthescheduleandallmembersofthatperson’sfamilywhopermanentlyliveatthehome.
How we will pay your claim
Themostwewillpayforallclaimsweacceptunderthispolicyintotalfortheperiod of insurance isthesum insured,regardlessofthenumberofclaims.
Ifthereismorethanonepersonnamedintheschedule,thetotalamountwewillpayfollowingaclaimwillnotexceedtheamountwewouldbeliabletopaytoanyoneofyou.
DefencecostsAnydefence costs wepaywillbeincludedwithin,notinadditionto,thesum insured.
PayingoutthesuminsuredForanyandallclaimsarisingfortheperiod of insurance wemaypaythefullsum insured thatapplies.
Whenwehavepaidthefullsum insured,wewillnotpayanyfurtheramountsforanyclaimsorforassociateddefence costs.
What is covered
1 Cyber home systems damage (This cover automatically applies)
Wewillpayforthefollowingarisingasaresultofacyber event you discoverduringtheperiod of insurance:
1. HomesystemsrestorationThecostofinvestigating,reconfiguringandrectifyinganydamage toyour home systems,andrestoringdata(butnotthecosttorecreatedata ifyou cannotrestoreitfromothersources).Thisdoesnotincludethevalueofdata toyou,evenifthedata cannotberestored.
2. ComputervirusremovalThecostoflocatingandremovingacomputer virus fromyour home systems;and
3. ProfessionalassistanceThecostofhiringprofessionalconsultantstomakerecommendationsonhowtopreventyour home systemsfrombeinginfectedbycomputer virus ortopreventhacking.
2 Cyber crime (This cover only applies if shown in your schedule)
Wewillpayforthefollowingwhichyou discoverduringtheperiod of insurance:
1. FraudYour financiallossastheresultofafraudulentcommunicationorinput,destructionormodificationofdata inyour home systems whichresultsin:a. moneybeingtakenfromanyaccount;b. goods,services,propertyorfinancialbenefitbeingtransferred;orc. anycreditarrangementbeingmade;aslongasyou havenotreceivedanybenefitinreturn.
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Wewillalsopaythecostofprovingthattransactionsarefraudulentandthatcontractsoragreementswereenteredintofraudulently.
2. TelephonehackingYour liabilitytomakeanypaymenttoyour telephoneserviceproviderastheresultofhacking intoyour home systems.
3. CyberransomThecostofresponding,andwithourwrittenagreementthepaymentofaransomdemand,ifanyonehasorthreatensto:a. disruptyour home systems byintroducingacomputer virus,ortoinitiateahacking attackordenial of
service attack againstyou;b. release,publish,corrupt,deleteoralteryour data ifthiswouldcauseyou harmordamageyour reputation;aslongasyou candemonstratethatyou havereasonablegroundstobelievethatthethreatisnotahoax,andyou havereportedittothepolice.
4. IdentitytheftassistanceThecostofidentitytheftassistance,andmonitoringyourcreditrecords,tohelpyou tocorrectyour creditrecordsandtotakebackcontrolofyour identityfollowingthefraudulentuseofyour personal data.
3 Cyber online liability (This cover only applies if shown in your schedule)
Wewillpaydamages anddefence costs arisingfromaclaimfirstmadeagainstyou byathirdpartyduringtheperiod of insurance astheresultof:
1. DataprivacyYou failingtosecure,orpreventunauthorisedaccessto,publicationoforuseofdata (includinganyinadvertentinterferencewithanyrighttoprivacyorpublicityorbreachofconfidence);
2. ComputervirustransmissionYou unintentionallytransmitting,orfailingtopreventorrestrictthetransmissionof,acomputer virus,hacking attackordenial of service attack fromyour home systems toathirdparty;or
3. DefamationandDisparagementLossofreputation(includingthatofaproduct)orintellectualpropertyrightsbeingbreachedasaresultofyour activitiesonline.
Conditions
1. Reportingaclaim
Assoonasyou knowaboutanyincidentorcircumstancethatmayresultinaclaimagainstyou oraclaimunderyour policyyou must:a. takeallreasonablestepsandprecautionstopreventfurtherdamageorotherlosscoveredbyyour policy;b. immediatelytellthepoliceaboutanylossordamagerelatingtocrimeandgetacrimereferencenumber;c. tellthepersonwhoarrangedyour policy(orus),providingfulldetails,assoonaftertheincidentor
circumstancesaspossible;d. tellthepersonwhoarrangedyour policy(orus),providingfulldetails,within14daysinthecaseofyou
knowingaboutanincidentorcircumstancethathasresultedinormayresultinyou receivingaclaimagainstyou.
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Inadditionyou mustalso:i. immediatelysenduseveryletter,writ,summonsorotherdocumentyou receiveinconnectionwiththe
claimorcircumstance,andrecordallinformationrelatingtoaclaimagainstyou coveredunder'Whatiscovered'3-‘Cyberonlineliability’;
ii. keepanydamagedhome systems andotherevidence,andallowustoinspectit;iii. co-operatewithusfullyandprovidealltheinformationweneedtoinvestigateyour claimor
circumstance;iv. giveusdetailsofanyotherinsurancesyou mayhavewhichmaycoverlosscoveredbythispolicy;v. attempttorecoverfinanciallossrelatingtoyour claimunder'Whatiscovered'2-Cybercrimefroma
bankorotherfinancialinstitutionthatmayberesponsibleforrefundingallorpartoftheloss;andvi. tellusifyou recovermoneyfromathirdpartyinrelationtoaclaim(you mayneedtogivethemoneyto
us).
You mustnotadmitresponsibilityorliability,oragreetopayanymoneyorprovideanyservicesonourbehalf,withoutourwrittenpermission.
2. Protectingdata
You mustmakesurethatyou takeprecautionsfordisposingofanddestroyinghome systems inordertoprotectdata.
3. Controllingdefence
Wecan,butdonothaveto,takecontrolofinvestigating,settlingordefendinganyclaimmadeagainstyou.Wewouldtakethisactioninyour name.Ifnecessary,wewillappointanadjuster,solicitororanyotherappropriatepersontodealwiththeclaim.Wemayappointyour solicitor,butonlyonafeebasissimilartothatofourownsolicitor,andonlyforworkdonewithourpermissioninwriting.Wewillonlydefendclaimsifwethinkthatthereisareasonablechanceofbeingsuccessful,andaftertakingthecostsofthedefenceintoaccount.
4. Reasonablecare
Youmust:a. makesurethatyour home systems areusedandmaintainedasrecommendedbythemanufacturer orsupplier;andb. takeallreasonablestepsandprecautionstopreventorreducedamage orotherlosscoveredbyyour
policy.
5. Defencesoftware
Your home systems mustbeprotectedbyanti-virussoftware,whereavailable,whichisupdatedregularlyinaccordancewiththeprovider’srecommendations.
6. Correctinformation
You mustgiveuscorrectinformation.Ifyou failtodosoand:a. your failurewasdeliberateorreckless,wewilltreatyour policyasifitneverexisted,refuseallclaims
andkeepanypremiumyou havepaid.Ifyour failureoccursduringachangetoyour policywewillterminateyour policyfromthedateofthatchange,refusesubsequentclaimsandkeepanypremiumyou havepaid.
b. your failurewascarelessandwewouldnothaveissuedyour policyhadyou toldusthecorrectinformation,wewilltreatyour policyasifitneverexistedandreturnanypremiumyou havepaid.Ifyour failureoccursduringachangetoyour policywewilltreatyour policyasthoughthechangewasnotmadeandwhereappropriatereturnanyadditionalpremiumchargedforthechange.You maywanttocancelyour policyifitdoesnotmeetyour needs(see‘Yourrightstocancelyourpolicy’).
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c. your failurewascarelessandwewouldhaveinsuredyou ondifferenttermshadyou givenuscorrectinformation,wewill;i. alterthetermsofyour policytothosewewouldhaveimposed(otherthanthoserelatingto
premium);andii. reducetheamountpaidorpayableonanyclaiminproportiontotheamountofadditionalpremium
wewouldhavecharged.
What is not covered
Inadditiontothegeneralexclusionsonpages20to22,thefollowingextraexclusionsapplytothissection.
1. Advancefeefraud Anadvancefeefraudorotherfraudwhereyou providemoneybasedonanexpectationofreceivingatsome
futuretimealargeramountofmoneyorsomethingwithagreatervaluethanthemoneyprovided.2. Businessactivities Anyactivitiescarriedoutbyyou forbusinessorprofessionalpurposes.3. Circumstancesbefore your policystarted
a. Circumstanceswhichexistedbeforeanycoverprovidedbyyour policystarted,andwhichyou knewabout;
b. Claimsorcircumstanceswhichyou havealreadyreported,orwhichyou shouldhavereported,toapreviousinsurerbeforetheperiod of insurance.
4. Excess Theamountspecifiedasthe‘Excess’intheschedule.5. Externalnetworkfailure Failureorinterruptionofanyelectricalpowersupplynetworkortelecommunicationnetworknotownedand
operatedbyyou.Thisexclusionshallnotapplytoanycostorlosscausedbyorresultingfromphysicaldamage,ifotherwiseinsuredbyyour policy,totheelectricalpowersupplynetwork,telecommunicationnetworkorotherproperty.
Telecommunicationnetworksinclude,butarenotlimitedto,theinternet,internetserviceproviders,DomainNameSystemserviceproviders,cableandwirelessproviders,internetexchangeproviders,searchengineproviders,internetprotocolnetworks(andsimilarnetworksthatmayhavedifferentdesignations)andotherprovidersoftelecommunicationsorinternetinfrastructure.
6. Maliciousdefamation Defamatoryordisparagingstatementsorpublicationsmademaliciouslyanddeliberatelyifitcouldbe
anticipatedbyareasonablepersonthatthestatementscouldresultinaclaimagainstyou.7. Otherinsuredparties Anydisputeorclaimbetweenyou.8. Patent Infringementofanypatent.
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Definitions
ThefollowingdefinitionsapplytotheLiabilitiescover:
Asbestosmeansasbestos,asbestosfibresoranyderivativesofasbestosincludinganyproductcontaininganyasbestos,asbestosfibresoranyderivativesofasbestos.
Bodily injurymeansbodilyinjury,death,diseaseorillness.
Employed personmeansanyemployeeorpersonsuppliedtoorhiredorborrowedbyyouoronyourbehalforanyvolunteer,workexperiencestudentoryouthtrainingschemeparticipantactingunderyourdirectcontrolandsupervisionwhilstengagedinyour business.
Event(s)meansanyoneoccurrenceorseriesofoccurrencesarisingoutoforattributabletoonesourceororiginalcause.
Legal costsmeans:1. claimant'scostsandexpensesrecoverablefromyou inrespectofanyclaimwhichisthesubjectmatter
ofindemnityunderthissectionofthepolicy.2. a. thecostsoflegalrepresentationat:
i. anycoroner'sinquestorinquiryinrespectofanydeath;ii. proceedingsinanycourtarisingoutofanyallegedbreachofstatutoryduty;whichmaybethesubjectofindemnityunderthissectionofthepolicy;
b. allothercostsandexpensesinrelationtoanymatterwhichmayformthesubjectofaclaimforindemnityunderthissectionofthepolicy;
incurredwithour priorwrittenconsent.
Pollution or contaminationmeansbodilyinjury ordamage directlyorindirectlycausedbyorarisingoutofpollutionorcontaminationofbuildingsorotherstructuresorofwater,landortheatmosphere.
Productsmeansgoods(includingcontainersandpackaging)notinyourcustodyorcontrolsold,supplied,installed,erected,serviced,repaired,alteredortreatedbyyouinconnectionwithyour business.
Anyerrorinthesale,supplyorpresentationofsuchgoodsisincludedinthisdefinition.
How we will pay your claim
Wewillpayuptothelimitofindemnityshownbeloworinyour schedulewhicheveristhelessandinclusiveoflegal costs.
Themostwewillpayfor:1. anyoneevent;2. alleventshappeningduringanyperiodofinsurancecausedbyproducts;3. alleventsarisingfrompollution or contaminationwhichwedeemtohaveoccurredduringanyperiodof
insurance;
5 Liabilities (Theschedulewillshowifthissectionappliesandthe coverinforce)
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4. anyoneeventwhichisdirectlyorindirectlycausedby,resultsfromorisinconnectionwithterrorism;shallnotexceedthelimitofindemnityshownintheschedule.
What is covered
1 Property owner’s liability
Thiscoverwillonlyapplyifyouhaveyour buildingsinsuredundertheBuildingssection.
Wewillindemnifyyouagainstyourlegalliabilitytopaydamagesandlegal costs arisingoutofbodily injuryoraccidentaldamagetomaterialpropertyhappeningduringtheperiodofinsuranceandcausedinconnectionwith:
1. youowningthehomeanditslandwithinthegeographical limits;2. anyhomeyouusedtoownwithinthegeographical limits,whichhasbeensold,butwhichyouhaveliability
forunderSection3oftheDefectivePremisesAct1972orSection5oftheDefectivePremises(NorthernIreland)Order1975aslongasnootherinsurancecoversthisliability.
Noindemnitywillbeprovidedfor:1. anyprofession,businessoremploymentinvolvingyou;2. thecostofremedyinganydefectorallegeddefectinthepremisesdisposedof.
Limitofindemnity:£10,000,000.
2 Tenant’s liability
Thiscoverwillonlyapplyifyouhaveyour contentsinsuredundertheContentssection.
Wewillindemnifyyouuptothelimitofindemnityagainstyourlegalliabilitytopaydamagesandlegal costs astenantofyourhomewithinthegeographical limitsfordamagetoyourlandlord’spropertyhappeningduringtheperiodofinsurance,ifsuchdamagewouldbecoveredundertheBuildingsorContentssectionofthispolicy,ifyouownedtheproperty.
Noindemnitywillbeprovidedfor:1. liabilitywhicharisesoutofanycontractunlessyouwouldhavebeenliableifthecontracthadnotexisted;2. liabilitywhicharisesfromanagreementtomaintaininforceinsuranceagainstlossofordamagetothe
propertyandtheirfixtures,fittingsorcontents;3. damagetopropertybelongingto,heldintrustorcontrolledbyyou.
Limitofindemnity:£10,000,000.
3 Occupier’s and personal liability
Thiscoverwillonlyapplyifyouhaveyour contentsinsuredundertheContentssection.
Wewillindemnifyyouagainstyourlegalliabilitytopaydamagesandlegal costs arisingoutofaccidentalbodily injuryoraccidentalphysicaldamagetomaterialpropertyhappeningduringtheperiodofinsuranceandarising:1. solelyfromyouroccupationofthebuildingsanditslandwithinthegeographical limits;2. your occupationofanyotherbuilding,caravanorboathiredorborrowedandusedbyyouastemporary
holidayaccommodation;
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3. solelyinapersonalcapacity;4. asanemployerofanydomestic staff;5. inconnectionwithincidental business.
Noindemnitywillbeprovidedinrespectof(a) bodily injurytopersonsorphysicaldamagetomaterialpropertywhichhappensintheUnitedStateof
AmericaorCanadaifyouhavestayedinbothoreitherofthesecountriesformorethan90daysinanyoneperiodofinsurance
(b) bodily injurytoanyemployed person
Limitofindemnity:£10,000,000.
4 Unpaid damages
Whereajudgementfordamageshasbeenobtainedbyyou inapersonalcapacityduringtheperiodofinsurancebyanycourtinthegeographical limitsforbodily injuryorphysicaldamagetomaterialpropertyandyouhavenotreceivedthefullamountofanydamagesandcostsawardedwithinthreemonths,wewillpaytheamountyouareowed.
Limitofindemnity:£5,000,000.
Thiscoverappliesaslongas:1. theeventwhichresultsinthedamagesoccurswithintheperiodofinsurance;2. theeventdidnotoccurinthecourseofyourbusinessoranyotherprofession,businessoroccupation;3. thereisnoappealoutstanding;4. youallowustotakeactioninyour nametorecoveranypaymentsandyourepaytousanypayment
subsequentlyrecoveredbyorpaidtoyou.
5 Additional land (including newly-acquired land)
Thiscoverwillonlyapplyifyouhaveyour buildingsinsuredundertheBuildingssection.
Wewillindemnifyyou againstyourlegalliabilitytopaydamagesandlegal costs arisingoutofbodily injurytopersonsoraccidentalphysicaldamagetomaterialpropertyhappeninganywhereinthegeographical limitsduringtheperiodofinsuranceandcausedinconnectionwith:
1. yourownershipoflandwhichyouhavetoldusaboutandwhichwehaveacceptedinwritinganddoesnotformpartofyourbuildings;
2. anynewlandwhichyoutakeownershipofintheperiodofinsuranceprovidedyounotifyuswithin60daysoftheacquisitionandpaythefulladditionalpremiumfromthedateacquired.
Limitofindemnity:£5,000,000.
Noindemnitywillbeprovidedforanylandacquiredforpropertydevelopmentorforanybusinesspurpose.
Business liability Cover
These covers only apply if you have requested the cover and your schedule will show which covers you have selected.
ThefollowingdefinitionsapplytoBusinessliabilitycover:
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Principalmeansanyparty(otherthanadirector,trustee,partneroremployeeofyours)onwhosebehalfyouareundertakingwork(excludingthesaleorsupplyofproducts)inconnectionwithyour business.
You, your, yoursmeansthepeoplenamedasinsuredinthescheduleandtheirfamilywhonormallylivewiththemandyourpersonalrepresentativesinrespectoflegalliabilityincurredbyyou.
Unlesswespecificallystateotherwisewewillalsoindemnify:1. atyourrequest:
a. anyprincipal;b. anydirector,trustee,partneroremployed personofyours;inrespectofliabilityforwhichyouwouldhavebeenentitledtoindemnityhadtheclaimbeenmadeagainstyou;
2. anydirector,trustee,partneroremployeeofyoursinrespectofprivateworkcarriedoutwithyourpriorconsentbyanemployed personforsuchdirector,trustee,partneroremployee.
6 Employers’ Liability
We willindemnifyyou againstyour legalliabilitytopaydamagesandlegal costs in respect ofbodily injury toanemployed person causedduringtheperiodofinsuranceandarisingoutofandinthecourseoftheiremploymentwithyou:1. withinthegeographical limits;2. whiletemporarilyoutsidetheseterritories.
Limitofindemnity:£5,000,000anyoneeventwhichisdirectlyorindirectlycausedby,resultsfrom,orisinconnectionwithterrorism.£10,000,000anyotheroneevent.
Wewillnotpayforanyliabilityforbodily injuryforwhichyouarerequiredtoarrangemotorinsuranceorsecurityinaccordancewithanyroadtrafficlegislationwithintheEuropeanUnion.
7 Public and products liability
Wewillindemnifyyouagainstyourlegalliabilitytopaydamagesandlegal costsarisingoutofaccidentalbodily injurytoanypersonoraccidentalphysicaldamagetomaterialpropertyhappeningduringtheperiodofinsuranceandcausedeitherinconnectionwiththebusiness orbyproducts.
Limitofindemnity:£10,000,000.
Noindemnitywillbeprovidedfor:1. bodily injurytoanemployed person;2. advicedesignorspecificationprovidedforafeeorforwhichafeewouldnormallybecharged;3. damagetopropertybelongingtoyouorheldinyourtrust,custodyorcontrolbutthisexclusionshallnotapply
topersonaleffectsincludingvehiclesandtheircontentsbelongingtoemployeesorvisitors;4. themakinggood,replacementorreinstatementofanyproductsuppliedbyyougivingrisetoaclaim.
Public and products liability extensions
Cross liabilitiesIfyouconsistofmorethanoneparty(andinthecaseofpartnershipsshallmeaneachindividualpartner)wewillindemnifyeachpartyinthetermsofthispolicyagainstliabilityincurredtotheotherinthesamemannerandtothesameextentasifaseparatepolicyhadbeenissuedtoeachsubjecttothemaximumamountpayableinrespectofdamagesarisingoutofoneevent notexceedingthelimitofindemnity.
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Contingent motor liabilityNotwithstanding‘Whatisnotcovered’8.onpage49regardingmotorvehicleswewillindemnifyyoualoneinrespectoflegalliabilityforbodily injuryordamagearisingoutoftheusebyanyemployeeinthecourseofthebusinessofanymechanicallypropelledvehiclewhichisneitherownedbynorprovidedbyyou.
Noindemnitywillbeprovidedfor:1. damagetosuchvehicleoranypropertycontainedorbeingtransportedinit;2. bodily injuryordamagearisingwhilethevehicleisbeingdrivenbyyouoranypersonwhotoyourknowledge
doesnotholdalicencetodrivesuchavehicle(unlesstheyhaveheldandarenotdisqualifiedforholdingorobtainingsuchalicence);
3. circumstanceswhereyouareentitledtoindemnityunderanyotherinsurance;4. bodily injuryordamagearisingoutsidethegeographical limits.
Data protection
Definition specific to this extension
Data protection legislationmeanstheDataProtectionAct2018oranysubsequentlegislationthatspecificallyreplacesthisact.
We willindemnifyyou againstyour:1. legalliabilitytopaydamagesandlegal costs formaterialandnon-materialdamage;2. defencecostsandprosecutioncostsawardedagainstyou;resultingfromanybreachorallegedbreachofdata protection legislation happeningduringtheperiodofinsurancearisingoutoftheconductofyour business.
Noindemnitywillbeprovidedfor:1. thepaymentoffines,penalties,punitiveorexemplarydamages;2. thecostsofreplacing,reinstating,rectifying,erasing,blockingordestroyinganypersonaldata;3. liabilityarisingfromorcausedbyadeliberateorintentionalactoromissionbyyou;4. liabilityarisingoutofcircumstanceswhichmaygiverisetoaclaimorprosecutionwhichhavebeennotifiedto
oroughttohavebeennotifiedtopreviousinsurersorwhichwereknowntoyou attheinceptionofthisextension;
5. legalliabilitywhereindemnityisprovidedbyanyotherinsurance.
Intheeventthatanypolicyofinsuranceinforceimmediatelypriortothisextensionexpresslyprovidedcoverfordata protection legislation onthebasisofanindemnityforclaimsmadeduringtheperiodofinsurance,andintheeventthataclaimisfirstmadeagainstyou intheperiodofinsurance,inrespectofdata protection legislation thentheindemnityprovidedbythisextensionisextendedtoindemnifyyou providedthatwe shallnotbeliablefor:a. claimsnotinsuredbythisextension;b. anyclaimornoticenotifiedlaterthan28daysafterreceiptofsuchclaimornotice.
Thetotalamountwe willpayinrespectofcover1.shallnotexceed£10,000,000anyoneeventandforcover2.shallnotexceed£100,000anyoneeventandintheaggregateanyoneperiodofinsurance.
Prosecution defence costsWewillindemnifyyouinrespectof:1. legalcostsandexpensesincurredwithourwrittenconsent;2. costsawardedagainstyou;inconnectionwiththedefenceofanycriminalproceedingsoranappealagainstaconvictionarisingfromsuchproceedingsbroughtforabreachof:
a. theHealth&SafetyatWorketc.Act1974;b. PartIIoftheConsumerProtectionAct1987;
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c. theFoodSafetyAct1990; allegedtohavebeencommittedduringtheperiodofinsuranceinconnectionwiththebusiness.
Limitofindemnity:£500,000.
Noindemnitywillbeprovided:1. whereindemnityisprovidedbyanyotherinsurance;2. incircumstanceswherebodily injuryordamagehasoccurredwhichmaybethesubjectofaclaimunder
eithertheemployers'liabilityorpublicliabilitycoversofthissection(apartfromthisextension);3. inrespectoffinesorpenaltiesofanykind;4. inrespectofanycostsexpensesorreimbursementsresultingfromanordermadeunderSection9or resultingfromanyRegulationinrespectofchargesunderSection45oftheFoodSafetyAct1990;5. wheretheproceedingshaveresultedfromanydeliberateactoromissionby:
a. youoranydirector,trustee,officer,committeememberorpartnerofyours;b. anyemployeeofyourswhohasspecificresponsibilityforcompliancewiththeabovelegislation;
whichcouldreasonablyhavebeenexpectedtoconstituteabreachoftheabovelegislation.
Corporate manslaughterWewillindemnifyyouinrespectoflegalcostsandexpensesincurredwithourpriorwrittenconsentinconnectionwiththedefenceofanycriminalproceedingsoranappealagainstconvictionwhicharisefromcriminalproceedingsforanyoffenceasdefinedinSection1oftheCorporateManslaughterandCorporateHomicideAct2007committedorallegedtohavebeencommittedduringtheperiodofinsuranceinthecourseofthebusiness.
Providedthat:1. ourliabilityunderthisextensionshallnotexceedthePublic&productsliabilitylimitofindemnity. Thislimitwillformpartofandnotbeinadditiontothelimitofindemnitystated;2. wherewehavealreadyprovidedanindemnityinrespectofanylegalcostsincurredinthedefenceofany
criminalproceedingsarisingoutofthesameeventwhichhasgivenrisetotheproceedingsinrespectofcorporatemanslaughterorcorporatehomicide,anyamountalreadypaidbyuswillbetakenintoaccountincalculatingourliabilityunderthisextension;
3. wemustconsentinwritingtotheappointmentofanysolicitororcounselwhoistoactforandonyourbehalf;4. anyappealcanonlycommenceifcounselhasadvisedthatitismorelikelyforanappealtobesuccessfulthan
not.
Limitofindemnity:£5,000,000.
Noindemnitywillbeprovided:1. whereindemnityfordefencecostsisavailablefromanyothersourceorisprovidedbyanyotherinsuranceor
where,butfortheexistenceofthisextension,indemnitywouldhavebeenprovidedbysuchothersourceorinsurance.
2. inrespectofanyproceedingswhichresultfromyourdeliberateactoromissionordeliberateactoromissionofanytrustees,managerialemployees,partners,directorsofyourswhileactingintheircorporatecapacityandwhichcouldreasonablyhavebeenexpectedhavingregardtothenatureandcircumstancesofsuchactoromission;
3. inrespectoffinesorpenaltiesofanykindincludingthecostsofremedialorpublicityordersorthestepsrequiredtobetakenbysuchorders.
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Additional clean up costs
Definitions specific to this extension
Environmental legislationmeansanylegislationenactedwithintheUnitedKingdomgoverningthe:1. preventionandcontrolofpollutionandcontamination;2. protectionoftheenvironment.
Regulatory authoritymeansanystatutoryauthority,regulatororlegalbodywhichhasauthorityunderenvironmental legislationtolegallyrequireororderremediationortoconductremediationitselfandtorecoverthecostsofdoingsofromothers.
Remediationmeanstheminimumlevelofworksoroperationsnecessarilyconductedundertheprovisionsoftheenvironmental legislationtoinvestigate,treat,remove,disposeof,curtailorminimisepollutionbutthiswillnotincludeanyworksoroperations:1. toreinstate,reintroduceorrestorefloraorfauna;2. torestorenaturalhabitatsorspeciesprotectedbyenvironmental legislationortheservicesthatthose
naturalhabitatsorspeciesperform;3. whichimprovethestateorconditionoflandorwaterincomparisonwithitsstateorcondition
immediately; priortotheincidentthatcausedthepollution or contamination.
Wewillindemnifyyouagainstyourlegalliabilityinrespectofthecostof:1. remediationwhichyouarelegallyrequiredororderedtoconductbyaregulatory authority;2. reimbursingaregulatory authoritywhereremediationhasbeenconductedbyoronbehalfofthe
regulatory authority arisingfrompollution or contaminationcausedbyasudden,identifiable,unintendedandunexpectedincidentwhichtakesplaceinitsentiretyataspecificpointintimeandplaceduringtheperiodofinsuranceandinconnectionwiththebusiness.
Allpollution or contaminationwhicharisesoutofoneincidentshallbedeemedtohaveoccurredatthetimesuchincidenttakesplace.
Youshallbeliablefor10%ofthecostofanyclaimgivingrisetoindemnityunderthisextensionsubjecttoaminimumcontributionof£2,500.
Themaximumamountpayableunderthisextensionshallnotexceed£1,000,000intheaggregateinrespectofallincidentsoccurringduringtheperiodofinsurance.
Noindemnitywillbeprovidedinrespectoftheremovalordisposalofanywastedepositedbyyou oronyour behalf.
What is not covered
Inadditiontothegeneralexclusionsonpages20to22,thefollowingextraexclusionsapplytothissection:
1. damagetopropertybelongingto,heldintrustorcontrolledbyyou;2. thecostofremedyinganydefectorallegeddefectinpremisesdisposedof;
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3. anyliabilityarisingdirectlyorindirectlyfrompollution or contaminationunlessthe pollution or contaminationiscausedbyasudden,identifiable,unintendedandunexpectedincidentwhichtakesplaceinitsentiretyataspecificmomentintimeandplaceduringtheperiodofinsurance.
Forthepurposesofthisexclusionallpollution or contaminationwhicharisesoutofoneincidentshallbedeemedtohaveoccurredatthetimesuchincidenttakesplace;
4. anyliabilityarisingfromproductsincorporatedin:a. anycraftdesignedtotravelthroughairorspace;b. anywaterbornecraftwhichcouldaffectitssafety,navigationorpropulsion;c. mechanicallypropelledvehicleswhichcouldaffecttheirsafety;d. gas,chemical,petrochemicalorpowergenerationplantwhichisdirectlyconnectedtomanufacture,
processing,storageorpowergeneration; andwhichhavebeenspecificallysuppliedbyyouforthatpurpose;5. anyliabilityarisingdirectlyorindirectlyfrommining,processing,manufacturing,removing,handling,disposing
of,treatmentof,distributingorstoringofasbestos. Howeverthisshallnotapplywhereremoving,handlingordisposingofasbestosdoesnotformpartofyour
usualbusinessoranycontractworkundertakenand:a. youhavecompliedwithanylegalobligationstomanageasbestos;b. anydiscoveryofasbestosbyyouisunintentionalandaccidental;c. whereupondiscoveryofasbestosallworkimmediatelystops;d. aHSElicensedasbestosremovalcontractorisemployedtomakesafetheareainwhichthediscoveryis
madeassoonasispracticableandwhohasEmployers’andPublicliabilityinsuranceinforcewhichprovideslimitsofindemnitynolessthanthoseprovidedbyyourpoliciesandwhichdonotexcludetheworktobecarriedout;
6. anyagreementyouhavemade,unlessyouwouldhavebeenliableevenwithouttheagreement;7. anyfinesorpenaltiesorpunitive,exemplary,aggravated,multipliedorliquidateddamages;8. youowningorusingmotor vehicles,caravans(otherthancaravanshiredorborrowedandusedbyyouas
temporaryholidayaccommodation)oranycraftdesignedtotravelin,onorthroughwater,airorspace(otherthanwatercraftwhilstoperatedoninlandwaterwaysorwithinthreemilesofthecoast);
9. theuseofquadbikesbyanypersonundertheageof17yearsold;10. theuseofquadbikesorwatercraftforracing,pace-making,trialsorcompetitions;11. anyliabilityarisingfromanydogspecifiedunderSection1oftheDangerousDogsAct1991orspecifiedin
theDangerousDogs(NorthernIreland)Order1991S.I.2292(N.1.21);12. damagetodata.
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Guidance note
Thecoverunderthissectionhasbeenarrangedbyususingathirdpartyprovider,DASLegalExpensesInsuranceCompanyLimited(DAS).EcclesiasticalareresponsibleforpayinganyclaimsunderthissectionbutDASwilldealwithanyclaimsmattersandcorrespondenceonourbehalf.
TomakeaclaimunderthissectionpleasecallDASonthenumbershownonpage6ofthispolicy.DASwillaskyouaboutyourlegalissueandifnecessarycallyoubackatanagreedtimetogiveyoulegaladvice.
Ifyourissuecannotbedealtwiththroughlegaladviceandneedstobedealtwithasaclaimunderthissection,DASwillgiveyouaclaimreferencenumber.AtthispointDASwillnotbeabletotellyouwhetheryouarecoveredbuttheywillpasstheinformationyouhavegiventhemtotheirclaimshandlingteamsandexplainwhattodonext.
PleasedonotaskforhelpfromasolicitororaccountantbeforeDAShaveagreed,ifyoudo,wewillnotpaythecostsinvolvedevenifweacceptaclaim.
IfthereisadisagreementaboutthewayDAShandleaclaim,pleaserefertothecomplaintsprocedureonpage10ofthispolicy.
DAS Head and Registered Office:DASLegalExpensesInsuranceCompanyLimitedQuaySideTempleBackBristolBS16NH
RegisteredinEnglandandWalesnumber103274.Websitewww.das.co.ukDASLegalExpensesInsuranceCompanyLimitedisauthorisedbythePrudentialRegulationAuthorityandregulatedbytheFinancialConductAuthority(FRN202106)andthePrudentialRegulationAuthority.
DAS Law Limited Head and Registered Office: DASLawLimitedNorthQuayTempleBackBristolBS16FL
DASLawLimitedisauthorisedandregulatedbytheSolicitorsRegulationAuthority(registerednumber423113).
DAS Data Protection (applying to sections 6 and 9)
Inadditiontoanyotherdataprocessingnoticeprovidedinrelationtothispolicy,dataunderthispolicywillbeprocessedbyDASLegalExpensesInsuranceCompanyLimited(DAS),whoarecommittedtoprocessingyourpersonalinformationfairlyandtransparently.ThissectionisdesignedtoprovideabriefunderstandingofhowDAScollectandusethisinformation.
DASmaycollectyourpersonaldetails,includingyourname,address,dateofbirth,emailaddressand,onoccasion,dependentonthetypeofcoveryouhave,sensitiveinformationsuchasmedicalrecords.Thisisforthepurposeofmanagingyourproductsandservices,andthismayincludeunderwriting,claimshandlingandprovidinglegaladvice.DASwillonlyobtainyourpersonalinformationeitherdirectlyfromyou,thethirdpartydealingwithyourclaimorfromtheauthorisedpartnerwhosoldyouthepolicy.
6 Legalexpenses(Thissectionautomaticallyapplies)
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Who DAS areDASispartofDASLegalExpensesInsuranceCompanyLimitedwhichispartofDASUKHoldingsLimited(DASUKGroup).TheusesofyourpersonaldatabyDASandmembersoftheDASUKGrouparecoveredbytheirindividualcompanyregistrationswiththeInformationCommissioner'sOffice.DAShasaDataProtectionOfficerwhocanbecontactedthroughdataprotection@das.co.uk.
How DAS will use your informationDASmayneedtosendyourinformationtootherparties,suchaslawyersorotherexperts,thecourt,insuranceintermediaries,insurancecompanies,appointedserviceproviders,specialistagenciessotheymaycontactyoutoaskforyourfeedback,ormembersoftheDASUKGroup.IfyourpolicyincludeslegaladviceDASmayhavetosendtheinformationoutsideoftheEuropeanEconomicArea(EEA)inordertogivelegaladviceonnon-EuropeanUnionlaw.Dependentonthetypeofcoveryouhave,yourinformationmayalsobesentoutsidetheEEAsotheserviceprovidercanadministeryourclaim.
DASwilltakeallstepsreasonablynecessarytoensurethatyourdataistreatedsecurelyandinaccordancewiththisPrivacyNotice.AnytransferoutsideoftheEEAwillbeencryptedusingSSLtechnology.
DASwillnotdiscloseyourpersonaldatatoanyotherpersonororganisationunlesstheyarerequiredtobytheirlegalandregulatoryobligations.Forexample,DASmayuseandshareyourdatawithotherorganisationsandpublicbodies,includingthepoliceandanti-fraudorganisations,forthepreventionanddetectionofcrime,includingfraudandfinancialsanctions.Iffalseorinaccurateinformationisprovidedandfraudisidentified,detailswillbepassedtofraudpreventionagenciestopreventfraudandmoneylaundering.Furtherdetailsexplaininghowtheinformationheldbyfraudpreventionagenciesmaybeusedcanbeobtainedbywritingto,ortelephoningDAS.Acopyisalsoaccessibleandcanbedownloadedviatheirwebsite.
What is DAS’ legal basis for processing your information? ItisnecessaryforDAStouseyourpersonalinformationtoperformtheirobligationsinaccordancewithanycontractthattheymayhavewithyou.Itisalsointheirlegitimateinteresttouseyourpersonalinformationfortheprovisionofservicesinrelationtoanycontractthatyoumayhavewiththem.
How long will your information be held for? DASwillretainyourpersonaldataforsevenyears.DASwillonlyretainandusepersonaldatathereafterasnecessarytocomplywiththeirlegalobligations,resolvedisputes,andenforcetheiragreements.IfyouwishtorequestthatDASnolongeruseyourpersonaldata,[email protected].
What are your rights?Youhavethefollowingrightsinrelationtothehandlingofyourpersonaldata:• therighttoaccesspersonaldataheldaboutyou• therighttohaveinaccuraciescorrectedforpersonaldataheldaboutyou• therighttohavepersonaldataheldaboutyouerased• therighttoobjecttodirectmarketingbeingconductedbaseduponpersonaldataheldaboutyou• therighttorestricttheprocessingforpersonaldataheldaboutyou,includingautomateddecision-making• therighttodataportabilityforpersonaldataheldaboutyou
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52 POLICYDOCUMENT
Anyrequests,questionsorobjectionsshouldbemadeinwritingtotheDataProtectionOfficer:
DataProtectionOfficerDASLegalExpensesInsuranceCompanyLimitedDASHouseQuaySideTempleBackBristolBS16NH
OrviaEmail:[email protected]
How to make a complaint Iftheinsuredpersonisunhappywiththewayinwhichtheirpersonaldatahasbeenprocessed,theinsuredpersonmayinthefirstinstancecontacttheDataProtectionOfficerusingthecontactdetailsabove.
IftheinsuredpersonremainsdissatisfiedthentheyhavetherighttoapplydirectlytotheInformationCommissioner'sOfficeforadecision.TheInformationCommissionercanbecontactedat:
InformationCommissioner’sOfficeWycliffeHouseWaterLaneWilmslowCheshireSK95AF
www.ico.org.uk
Definitions
ThefollowingdefinitionsapplytotheLegalexpensescover.
Costs and expenses1. Legalcosts-allreasonableandnecessarycostschargedbytherepresentativeandagreedbyDASin
accordancewiththeDAS standard terms of appointment.2. Opponents’costs-thecostsincurredbyopponentsincivilcasesifyouhavebeenorderedtopaythem,
orpaythemwiththeagreementofDAS.3. CommunicationcostsinrespectofWhatiscovered10IdentityTheft-costsyouincurforphonecalls,
faxesorpostagetocommunicatewiththepolice,creditagencies,financial-serviceproviders,othercreditorsordebt-collectionagenciesandthecostofreplacementdocumentstohelprestoreyouridentityandcreditstatus.
Countries covered1. FortheinsuredincidentsofPersonalinjury,ClinicalnegligenceandContractdisputes: Worldwide2. Forallotherinsuredincidents: TheUnitedKingdomofGreatBritainandNorthernIreland,theIsleofManandtheChannelIslands.
DASDASLegalExpensesInsuranceCompanyLimited.
DAS standard terms of appointmentThetermsandconditions(includingtheamountwewillpaytoarepresentative)thatapplytotherelevanttypeofclaimwhichcould,dependingonthecircumstances,includeaconditionalfeeagreement(no-win,no-fee).Wherealawfirmisactingasarepresentativetheamountiscurrently£100perhour.Thisamountmayvaryfromtimetotime.
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Date of occurrence1. Forcivilcasesthedateoftheeventwhichleadstotheclaim.Ifthereismorethanoneeventarisingat
differenttimesorfromthesameoriginatingcause,thenthedate of occurrenceisthedateofthefirstoftheseevents.(Thisisthedatetheeventhappenedwhichmaybebeforethedateyoufirstbecameawareofit.)
2. Forcriminalcases–thedatewhenyoubeganorareallegedtohavebegun,tobreakthecriminallawinquestion.
3. Fortaxprotection,thedate of occurrenceiswhenHMRevenue&Customsfirstnotifiesyouinwritingoftheirintentiontomakeanenquiry.
Identity theftThetheftorunauthoriseduseofyourpersonalidentification,whichhasresultedintheunlawfuluseofyour identity.
Period of insuranceTheperiodforwhichwehaveagreedtocoveryou.
Preferred law firmAlawfirmorbarristers’chambersDASchoosetoprovidelegalservices.TheselegalspecialistsarechosenastheyhavetheprovenexpertisetodealwithyourclaimandmustcomplywithDAS’agreedservicestandardlevels,whichDASauditregularly.TheyareappointedaccordingtotheDAS standard terms of appointment.
Reasonable prospectsForcivilcases,theprospectsthatyouwillrecoverlossesordamages(orobtainanyotherlegalremedythatDAShaveagreedto,includinganenforcementofjudgment),makeasuccessfuldefenceormakeasuccessfulappealordefenceofanappeal,mustbeatleast51%.DAS,orapreferred law firmontheirbehalf,willassesswhethertherearereasonable prospects.
RepresentativeThepreferred law firm,lawfirm,accountantorothersuitablyqualifiedpersonDASappointtoactonyourbehalf.
Secondary homePrivatedwellingandorprivatelandinthegeographical limitswhichisownedbyyou.
We, our, usEcclesiasticalInsuranceOfficeplcorDASLegalExpensesInsuranceCompanyLimitedactingonbehalfofEcclesiasticalInsuranceOfficeplc.
What is covered
Weagreetoprovidetheinsurancedescribedinthissectionprovidedthat:1. reasonable prospectsexistforthedurationoftheclaim;2. thedate of occurrenceoftheinsuredincidentisduringtheperiod of insurance;3. anylegalproceedingswillbedealtwithbyacourt,orotherbodywhichDASagreeto,withinthecountries
covered;and4. theinsuredincidenthappenswithinthecountries covered.
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Wewillpayarepresentative,onyourbehalf,costs and expensesincurredfollowinganinsuredincident,providedthat:1. themostwewillpayforallclaimsresultingfromoneormoreeventarisingatthesametimeorfromthesame
originatingcauseis£100,000(£50,000inrespectofWhatiscovered11InheritanceDisputesand13DefectiveTitle);
2. themostwe willpayincosts and expenses isnomorethantheamountwe wouldhavepaidtoapreferred law firm.Theamountwe willpayalawfirm(whereactingasanappointed representative)iscurrently£100perhour.Thisamountmayvaryfromtimetotime.Ifyou decidenottousetheservicesofapreferred law firm,you willberesponsibleforanycoststhatfalloutsidetheDAS Standard Terms of Appointment andthesewillnotbepaidbyus;
3. inrespectofanappealorthedefenceofanappeal,youmusttellDASwithinthetimelimitsallowedthatyouwanttoappeal.Beforewepaythecosts and expensesforappeals,DASmustagreethatreasonable prospectsexist;
4. foranenforcementofjudgmenttorecovermoneyandinterestduetoyouafterasuccessfulclaimunderthissection,DASmustagreethatreasonable prospectsexist;and
5. whereanawardofdamagesistheonlylegalremedytoadisputeandthecostofpursuingthelegalactionislikelytobemorethananyawardofdamages,themostwewillpayincosts and expensesisthevalueofthelikelyaward.
1 Employment disputes
Wewillpaycosts and expensesforyourlegalrights;1. inadisputerelatingtoyouremploymentwhereyouareanemployee,workerorofficeholder;2. followingadisputerelatingtoorarisingfromthecontractofemploymentbetweenyouanddomestic
employees,ex-domesticemployeesorprospectivedomesticemployees;3. againstdomesticemployeesorex-domesticemployeestorecoverpossessionofpremisesyouownorare
responsiblefor.
Wewillnotpayforanyclaimrelatingtothefollowing:1. disciplinaryhearingsorinternalgrievanceprocedures;2. anyclaimrelatingsolelytopersonal injury;3. asettlementagreementwhileyouarestillemployed.
2 Contract disputes
Wewillpaycosts and expensesfor:1. yourlegalrightsinacontractualdisputearisingfromanagreementoranallegedagreementwhichyouhave
enteredintoinapersonalcapacityfor:a. buyingorhiringgoodsorservices;b. sellinggoods;
2. yourlegalrightsinadisputeormisrepresentationarisingfromanagreementorallegedagreementwhichyou haveenteredintoinapersonalcapacityforthebuyingorsellingofyourprincipalorsecondary home.
Wewillnotpayforanyclaimrelatingtothefollowing:1. acontractregardingyourprofession,businessoremployment;2. thesettlementpayableunderaninsurancepolicy;3. adisputearisingfromanyloan,mortgage,pension,investmentorborrowing;4. aleaseoflessthaneightyears,oralicenceortenancyoflandorbuildings.However,wedocoveradispute
withaprofessionaladviserinconnectionwiththedraftingofalease,licenceortenancyagreement.
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3 Personal injury
Wewillpaycosts and expensesforyourlegalrightsfollowingaspecificorsuddenaccidentthatcausesyour deathorbodilyinjury.
Wewillnotpayforanyclaimrelatingtothefollowing:1. anyillnessorbodilyinjury,whichhappensgradually;2. clinicalnegligence(pleaserefertoInsuredincident4ClinicalNegligence);3. defendingyourlegalrightsotherthandefendingacounterclaim;4. psychologicalinjuryormentalillnessunlesstheconditionfollowsaspecificorsuddenaccidentthathas
causedphysicalbodilyinjurytoyou.
4 Clinical negligence
Wewillpaycosts and expensesforyourlegalrightsfollowinganidentifiednegligentactofsurgeryoridentifiednegligentclinicalormedicalprocedure,whichcausesdeathorbodilyinjurytoyou.
Wewillnotpayforanyclaimrelatingtothefollowing:1. thefailureorallegedfailuretocorrectlydiagnoseyourcondition;2. psychologicalinjuryormentalillnessthatisnotassociatedwithyouhavingsufferedphysicalbodilyinjury.
5 Property protection
Wewillpaycosts and expensesforyourlegalrightsinacivilactionand/orarrangemediationforadisputerelatingtomaterialpropertyyouown(includingyourprincipalandsecondary home)following:1. aneventwhichcausesphysicaldamagetosuchpropertyprovidedthattheamountindisputeismorethan
£100;2. anylegalnuisance(meaninganyunlawfulinterferencewithyouruseorenjoymentofyourland,orsomeright
over,orinconnectionwithit)ortrespass.
Pleasenoteyoumusthave,ortheremustbereasonableprospectsofestablishingyouhave,thelegalownershiporrighttothelandorpersonalpossessionsthatarethesubjectofthedispute.
Wewillnotpayfor:1. anyclaimrelatingto:
a. acontractenteredintobyyou;b. anybuildingorlandotherthanyourprincipalorsecondary home;c. someonelegallytakingyourmaterialpropertyfromyouwhetheryouareofferedmoneyornot,or
restrictionsorcontrolsplacedonyourmaterialpropertybyanygovernmentorpublicorlocalauthority;d. workdonebyoronbehalfofanygovernmentorpublicorlocalauthorityunlesstheclaimisforaccidental
physicaldamage;e. miningsubsidence;f. adversepossession(meaningtheoccupationofanybuildingorlandeitherbysomeonetryingtotake
possessionfromyouorforwhichyouaretryingtotakepossessionfollowingatleast10yearsofoccupancy);
g. theenforcementofacovenantbyoragainstyou(acovenantisaclauseinacontract,suchasadeedortransfer,relatingtoyourproperty);
2. defendinganyclaimrelatingtoaneventthatcausesphysicaldamagetomaterialpropertybutdefendingacounterclaimiscovered.
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6 Planning application refusal appeals
WewillnegotiateonyourbehalffollowingtherefusaloftheLocalPlanningAuthoritytograntplanningpermissionfollowingyourrequestforplanningapproval.
Providedthat:1. themaximumwe willpayforplanningapplicationappealsis£5,000;2. you mustensureyou takeallreasonablestepstoensureplanningpermissionisgranted,suchasconsulting
withtheLocalAuthoritypriortosubmittingyour application;3. you mustexhausteveryalternativeoptiontosecureplanningapprovalpriortolaunchingaplanningapplication
appeal.
We willnotpayforclaimsarisingfromorrelatingtoplanningapplicationsyoumakewhicharenotforlandyoualreadyownatthesiteofyourprincipalhome.
7 Tax protection
Wewillpaycosts and expensesforacomprehensiveexaminationbyHMRevenue&Customsthatconsidersallareasofyourselfassessmenttaxreturn,butnotenquirieslimitedtooneormorespecificarea.
Wewillnotpayfor:1. anyclaimifyouareself-employed,orasole-trader,orinabusinesspartnership;2. aninvestigationorenquiriesbyHMRevenue&CustomsSpecialistInvestigationsortheHMRevenue&
CustomsProsecutionOffice.
8 Jury service and court attendance
Wewillcoveryourabsencefromwork:1. toattendanycourtortribunalattherequestoftherepresentative;or2. toperformjuryservice;or3. tocarryoutactivitiesspecifiedinyouridentitytheftactionplanunderinsuredincident10IdentityTheft.
Wewillnotpayforanyclaimifyouareunabletoproveyourloss.
Themaximumwewillpayisyournetsalaryorwagesforthetimethatyouareabsentfromworklessanyamountthecourtgivesyou.
9 Legal Defence
Wewillpaycosts and expensestodefendyourlegalrights:1. ifaneventarisingfromyourworkasanemployeeleadsto:
a. youbeingprosecutedinacourtofcriminaljurisdiction;b. civilactionbeingtakenagainstyouunder:
i. legislationforunlawfuldiscrimination;ii. dataprotectionlegislation;
2. ifaneventleadstoyourprosecutionforanoffenceconnectedwiththeuseordrivingofamotorvehicle.
Wewillnotpayforanyclaimrelatingto:1. parkingorobstructionoffences;2. drivingofamotorvehiclebyyouforwhichyoudonothavevalidmotorinsurance;3. anyclaimresultingfromhacking(unauthorisedaccess)orothertypeofcyberattackaffectingstoredpersonal
data.
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10 Identity Theft
Identitytheftsupportservice
Followingacalltotheidentitythefthelplineservice,wewillhelptorestoreyouridentityandcreditstatusifyouhavebecomeavictimofidentity theft.Wewillassignapersonalcaseworkerwhowillprovidephoneadviceandapersonalactionplantohelpregainyouridentity.
Legalcosts
Followingyouridentity theft:1. wewillpaycosts and expensesandcommunication coststoreinstateyouridentityincludingcostsforthe
signingofstatutorydeclarationsorsimilardocuments;2. wewilldefendyourlegalrightsinadisputewithdebtcollectorsoranypartypursuinglegalactionagainstyou
arisingfromorrelatingtoidentity theft;3. wewillpayloan-rejectionfeesandanyre-applicationadministrationfeeforaloanwhenyouroriginal
applicationhasbeenrejected.
Providedthat:1. younotifybanksandbuildingsocietiesassoonaspossible;and2. youtakeallreasonableactiontopreventcontinuedunauthoriseduseofyouridentity;and3. youinformDASifyouhavepreviouslysufferedidentity theft.
Wewillnotpayfor:1. fraudcommittedbyyouoranotherpersonwhoiscoveredbythispolicy,underthissection;2. lossesarisingfromyourbusinessactivities.
11 Inheritance Disputes
Wewillpaycosts and expensesupto£50,000tonegotiateforyourlegalrightsinadisputeconcerningaUnitedKingdombasedassetlefttoyou,orwhichyoubelieveyouareentitledto,pursuanttoawillortheintestacyrulesrelatingtoanestate.
We willnotpayforaclaimrelatingtothefollowing:1. AnydisputewithHMRC;2. Anymedicalorforensicdisbursementsincurred;3. Aclaimwhereyouareanexecutorofawillaspartofyourbusinessactivities,tradeoremployment;4. Anydisputeforanitemthathasnomonetaryvalue.
Providedthatyouareabeneficiary,executor(otherthanasdescribedunderexclusion3.above),potentialclaimantorcreditortotheestate.
12 Education Admission Appeals
Wewillpaycosts and expensestonegotiateforyourlegalrights:1. inanappealagainstarefusaltoadmityourchildtotheirchoseneducationalestablishment;2. inadisputearisingfromthetemporaryexclusionorpermanentexpulsionofyourchildfromtheireducational
establishment.
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13 Defective title
Wewillpaycosts and expensesupto£50,000todefendyourlegalrightsinadisputearisingfromyour ownershipofanitemofartandantiqueswhereanotherpartyclaimsyoudonotholdgoodtitletoit.
Providedthat:1. youhavemadethepurchaseoftheitemwithintheUnitedKingdomfromaUnitedKingdom-basedseller
duringtheperiod of insurance;and2. youmadereasonableenquiriesabouttheitem’sprovenancebeforeyouboughtit,andyoupurchaseditin
goodfaith.
What is not covered
Anyclaimrelatingtothefollowing:1. AnyclaimwhereyouhavefailedtonotifyDASoftheinsuredincidentwithinareasonabletimeofithappening
andwherethisfailureadverselyaffectsthereasonable prospectsofaclaimorDASconsidertheirpositionhasbeenprejudiced.
2. Costs and expensesincurredbeforethewrittenacceptanceofaclaimbyDAS.3. Fines,penalties,compensationordamagesthatacourtorotherauthorityordersyoutopay.4. AnylegalactionyoutakethatDASortherepresentativehavenotagreedto,orwhereyoudoanythingthat
hindersDASortherepresentative.5. Anyclaimrelatingtowrittenorverbalremarkswhichdamageyourreputation.6. Anyclaimwhereyouarenotrepresentedbyalawfirm,barristerortaxexpert.7. Costs and expensesarisingfromorrelatingtoaJudicialReview,coroner’sinquestorfatalaccidentinquiry.
Conditions
1. a. Onreceivingaclaim,iflegalrepresentationisnecessary,DASwillappointapreferred law firmasyourrepresentativetodealwithyourclaim.Theywilltrytosettleyourclaimbynegotiationwithouthavingtogotocourt.
b. Iftheappointedpreferred law firmcannotnegotiatesettlementofyourclaimanditisnecessarytogotocourtandlegalproceedingsareissuedorthereisaconflictofinterest,thenyoumaychoosealawfirmtoactastherepresentative.
c. Ifyouchoosealawfirmasyourrepresentativewhoisnotapreferred law firm,DASwillgiveyourchoiceoflawfirmtheopportunitytoactonthesametermsasapreferred law firm.However,iftheyrefusetoactonthisbasis,themostwewillpayistheamountwewouldhavepaidiftheyhadagreedtotheDAS Standard Terms of Appointment.Theamountwewillpayalawfirm(whereactingastherepresentative)iscurrently£100perhour.Thisamountmayvaryfromtimetotime.
d. Therepresentativemustco-operatewithDASatalltimesandmustkeepDASup-to-datewiththeprogressoftheclaim.
2. a. Youmustco-operatefullywithDASandtherepresentative.b. YoumustgivetherepresentativeanyinstructionsthatDASaskyouto.
3. a. YoumusttellDASifanyoneofferstosettleaclaim,youmustnotnegotiateoragreetoasettlementwithoutthewrittenconsentofDAS.
b. Ifyoudonotacceptareasonableoffertosettleaclaim,wemayrefusetopayfurtherlegalcosts.
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c. Wemaydecidetopayyouthereasonablevalueofyourclaim,insteadofstartingorcontinuinglegalaction.InthesecircumstancesyoumustallowDAStotakeoverandpursueorsettleanyclaiminyourname.YoumustallowDAStopursueatourownexpenseandforourownbenefit,anyclaimforcompensationagainstanyotherpersonandyoumustgiveDASalltheinformationandhelptheyneedtodothis.
4. a. Youmustinstructtherepresentativetohavecosts and expensestaxed,assessedoraudited,ifDASaskforthis.
b. Youmusttakeeverysteptorecovercosts and expensesandcourtattendanceandjuryserviceexpensesthatwehavetopay,andmustpayusanycosts and expensesthatarerecovered.
5. Iftherepresentativerefusestocontinueactingforyouwithgoodreason,orifyoudismisstherepresentativewithoutgoodreason,thecoverweprovidewillendimmediatelyunlessDASagreetoappointanotherrepresentative.
6. IfyousettleorwithdrawaclaimwithouttheagreementofDAS,ordonotgivesuitableinstructionstotherepresentative,wecanwithdrawcoverandwillbeentitledtoreclaimfromyouanycosts and expenseswehavepaid.
7. DASmayrequireyoutoget,atyourownexpense,anopinionfromanexpertthatDASconsiderappropriate,onthemeritsoftheclaimorproceedings,oronalegalprinciple.TheexpertmustbeapprovedinadvancebyDASandthecostagreedinwritingbetweenyouandDAS.Subjecttothis,wewillpaythecostofgettingtheopinioniftheexpert’sopinionindicatesthatitismorelikelythannotthatyouwillrecoverdamages(orobtainanyotherlegalremedythatDAShaveagreedto)ormakeasuccessfuldefence.
8. Youmust:a. keeptothetermsandconditionsofthissection;b. takereasonablestepstoavoidandpreventclaims;c. takereasonablestepstoavoidincurringunnecessarycosts;d. sendeverythingDASaskforinwriting;ande. reporttoDASfullandfactualdetailsofanyclaimassoonaspossibleandgiveDASanyinformationthey
need.
9. Anyoneclaimingunderthissectionmusthavetheagreementoftheperson(s)namedasinsuredinthescheduletoclaim.
10. ThissectionisgovernedbythelawthatappliesinthepartoftheUnitedKingdom,ChannelIslandsorIsleofManwhereyounormallylive.OtherwisethelawofEnglandandWalesapplies.
AllActsofParliamentmentionedinthissectionofthepolicyincludeequivalentlawsinScotland,NorthernIreland,theIsleofManandtheChannelIslandsasthecasemaybe.
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How we will pay your claim
Wewillpayuptothelimitsofindemnityforanyliabilityasshownbelow.
Definitions
ThefollowingdefinitionsapplytotheTrustees’indemnitycover.
Charitymeansalegallyrecognisedcharityforwhichyouareatrustee.
Charity moneymeansmoneybelongingtoacharity.
Trusteemeanstrustee,director,officerormemberofthemanagementcommitteeofthecharity.
Wrongful actmeansanyactualorallegedactwhichiswrongfullycommittedorattemptedbyyouwhencarryingoutyourdutiesasatrusteeofacharity.
What is covered
Thissectionofthepolicyprovidesinsuranceagainstanyamountwhich:
1. youbecomelegallyliabletopayasdamages,costsandexpensesasaresultofawrongful actwhichgivesrisetoaclaimmadeagainstyouasatrusteeofacharityandnotifiedtousduringtheperiodofinsurance;
Themostwewillpayintotalforallclaimsarisinginanyoneperiodofinsuranceis£25,000 (allclaimsarisingfromasinglewrongful actwillbedeemedtohavebeenmadeduringtheperiodinwhich
thefirstclaimwasacceptedbyus);2. youbecomelegallyliabletopayasdamagesandcostsandexpensesasaresultofanydocument(otherthan
computersystemsrecords)relatingtoyourworkforacharitysufferingdamageduringtheperiodofinsuranceandnotifiedtouswithin30daysofdamage;
3. hasreasonablybeenincurredbyyouinreplacingorrestoringanydocument(otherthancomputersystemsrecords)relatingtoyourworkforacharitysufferingdamageduringtheperiodofinsuranceandnotifiedtouswithin30daysofdamage.
Themostwewillpayunder2.and3.intotalis£5,000inanyoneperiodofinsuranceincludingcostsandexpenses.
7 Trustees’indemnity (Thissectionautomaticallyapplies)
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Other covers
Fidelity Cover
Wewillindemnifyyouinrespectoflossof:
1. charity money;2. materialproperty;belongingtoacharityandforwhichyouarelegallyresponsibleoccurringduringtheperiodofinsuranceandsustainedinconsequenceofanydishonest,fraudulent,criminalormaliciousactcommittedbyatrustee,otherthanyou,ofacharitywiththeintenttoobtainimproperpersonalgainforthemselvesorforanyotherparty.
Coverexcludesanydishonest,fraudulent,criminalormaliciousactoromissioncommittedbyanypersonafterthediscoverybyyouofreasonablecauseforsuspicionofsuchactoromissioninrelationtothatperson.
Coverunderthisextensionislimitedtotheextentthatthesaidlossisnotreasonablyrecoverablefromthetrustee.Themostwewillpayis£25,000inanyoneperiodofinsuranceincludingcostsandexpenses.
What is not covered
Inadditiontothegeneralexclusionsonpages20to22,thefollowingextraexclusionsapplytothissection.
1. Wewillnotpayforliabilityarisingfrom:a. bodilyinjurytoanyperson;b. anagreementunlessliabilitywouldhaveexistedwithouttheagreement;c. counselling,adviceorprofessionalservices;d. anythingwhichwasdonewhenknowntobeawrongful actorignoringthatpossibility;e. theconsequencesofanycircumstancesknowntoyouatthecommencementofthiscoverwhichmay
giverisetoaclaim;f. failureoromissiontoeffectandmaintainadequateinsurance;g. infringementofintellectualpropertyrights;h. damagetomaterialpropertyotherthancoveredunder'Whatiscovered'2.and3.andthefidelitycoverof
thissection;i. anyunexplainedorinexplicabledisappearanceorunexplainedshortageorshortages;j. anylegalactionbroughtinanycourtoflawoutsidethegeographical limits;k. fines,penaltiesorpunitive,exemplary,aggravatedormultiplieddamages;l. anyclaimforunfairorwrongfuldismissaloranyotheremploymentdispute.
2. Wewillnotpayforliability:a. resultingfromyouactinginthecapacityastrusteeoradministratorofanypension,retirement,or
superannuationschemeorprogramme;b. coveredbyanyotherpolicy;c. resultingfromyoucommittingorcondoningadishonest,fraudulent,criminalormaliciousactoromission.
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Definitions
ThefollowingdefinitionsapplytotheFamilyprotectioncover.
Accident/accidentalmeansasudden,unexpected,unforeseenandidentifiableincident.
Annual salary meansthetotalgrossbasicannualsalary(excludingovertime,commissionorbonuspayments)payabletotheinsured personatthedatebodily injuryissustained.
Iftheinsured personispaidweeklytheannualsalarywillbecalculatedbytakingtheaveragegrossbasicweeklysalaryoftheinsured personforthe13weekspriortosustainingbodily injuryandmultiplyingthisamountby52.
Bodily injury meansaccidental bodilyinjuryresultingdirectlyandindependentlyofanyothercausewithin104weeksindisablementordeath.
Deferment periodmeanstheinitialperiodfollowingbodily injuryduringwhichthetemporarytotal disablement benefitisnotpayable.
Insured person(s) meansthepeoplenamedasinsuredinthescheduleandtheirfamilywhonormallylivewiththem.
Loss of hearingmeanspermanenttotalandirrecoverablelossofhearinginoneorbothears.
Loss of limb(s) meanslossbypermanentphysicalseveranceatorabovetheankleorofthefourfingersatorabovethemetacarpophalangealjoints(wherethefingersjointhepalmofthehand)orpermanenttotalandirrecoverablelossofuseofacompleteleg,foot,armorhand.
Loss of sightmeanspermanenttotalandirrecoverablelossofsight:1. inbotheyesresultingintheinsured person’snamebeingaddedtotheRegisterofBlindPersons;2. inoneeyewhichisassessedat3/60orlessontheSnellenscaleaftercorrectionwithspectaclesor
contactlenses.
Loss of speechmeanspermanenttotalandirrecoverablelossoftheabilitytospeak.
Medical expenses meansthecostofmedicalsurgicalorotherremedialattentionortreatmentgivenorprescribedbyaqualifiedmedicalpractitionerandallhospital,nursinghomeandambulancechargesnecessarilyincurredinthetreatmentoftheinsured personinconnectionwithavalidclaim.
Medical practitionermeansamedicallyqualifiedpersonotherthananinsured personorarelativeofaninsured person,whoiscurrentlyregisteredwiththeGeneralMedicalCouncilintheUnitedKingdom(orforeignequivalent)topracticemedicine.
8 Familyprotection (Thissectionautomaticallyapplies)
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Paraplegiameansthepermanenttotalandirrecoverableparalysisofbothlegs.
Period of insurance meanstheperiodshownintheschedule.
Permanent total disablementmeanspermanenttotalandirrecoverabledisablement(otherthanbyloss of limb(s)orloss of sightorloss of hearing or loss of speech)fromgainfulemploymentforwhichtheyaresuitedbyknowledge,trainingandexperiencewhichhaslastedfor104weeksandwhichinallprobabilitywilllastfortheremainderoflife.
Psychiatry and psychotherapy meansthetreatmentofamentaldisordercarriedoutbyapsychiatristorclinicalpsychologist.
Quadriplegiameansthepermanenttotalandirrecoverableparalysisofbotharmsbelowtheshoulderandbothlegs.
Temporary total disablementmeanstotaldisablementfromengaginginorgivingattentiontotheirusualoccupationforaperiodnotexceeding52weeksinallfromthecommencementofsuchdisablement.
Weekly wagemeanstheaverageweeklygrossbasicsalary(excludingovertime,commissionorbonuspayments).Iftheinsured personispaidweeklythismeanstheaveragegrossweeklybasicsalaryforthe13weekspriortosustainingbodily injury(ortheaveragefortheperiodofemploymentiflessthan13weeks).Iftheinsured personispaidmonthlythiswillbecalculatedbydividingtheinsured person’sannual salaryby52.
How we will pay your claim
Themaximumamountwewillpayunderthissectioninrespectofallbenefitstoinsured personsinvolvedinthesameaccidentshallnotexceed£2,500,000.
Intheeventthattheamountofallbenefitspayableexceedsthemaximumlimitourliabilityinrespectofeachinsured personshallbeproportionatelyreduceduntilthetotaldoesnotexceedthatlimit.
What is covered
1 Fatality at home
Wewillpayforthedeathofaninsured personfollowingbodily injuryasadirectresultoffireoraccidentatthehome ifthedeathoccurswithin12monthsofthefireoraccident.
We willpay:1. £50,000perinsured personover16yearsofage;2. £10,000perinsured personunder16yearsofage.
We willnotpayforany:1. domestic staff;2. consequenceofsuicideordeliberateself-injury;3. consequenceofacriminalactbyaninsured person.
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2 Property alteration costs
Wewillpayforalterationstothehome madewithouragreementwhicharenecessarytoallowaninsuredpersontoliveatthehomeunassistedfollowinganinsured personsustainingbodily injury whichresultsinloss of limb(s),loss of sight inbotheyes, permanent total disablement, paraplegia, quadriplegiaoranyotherformoftotalandirrecoverableparalysis.
Themostwewillpayintotalforallclaimsis£100,000inanyoneperiod of insurance.
We willnotpayforany:1. domestic staff;2. consequenceofsuicideordeliberateself-injury;3. consequenceofacriminalactbyaninsured person.
3 Assault
Ifduringtheperiod of insuranceaninsured personsustainsbodily injuryasadirectresultofanysuddenandunprovokedassaultwewillpaytheinsured personuptothelimitassetoutbelow.
Wewillpaythefollowingscaleofbenefits:
1. Death £100,000
Reducedto£10,000foraninsured personunder16yearsofage.2. Loss of limb(s) £100,0003. Loss of sight £100,0004. Loss of speech £100,0005. Loss of hearing £100,0006. Permanent total disablement £100,0007. Temporary total disablement (perweek) 75%ofweekly wage Payableforamaximumof52weekswitha14daydeferment periodsubjecttoamaximumbenefitof
£1,000perweek.
Providedthat:1. benefitshallnotbepayableinrespectofanyinsured personforanylateraccidentafteranaccidentgiving
risetoaclaimotherthanfortemporary total disablement; 2. benefitforpermanent total disablementmaybepayablefollowingbenefitfortemporary total disablement.
Oncedisablementisdeemedpermanentallweeklybenefitswillcease;3. otherthan2.aboveonebenefitonlyshallbepayableinrespectofanyoneinsured personinconnectionwith
thesameaccident;4. otherthanperiodicpaymentsfor temporary total disablement we willnotpayabenefituntilthetotal
amounthasbeenascertained;5. thetotalamountpayableunderthepermanentpartialdisablementextensioninrespectofanyoneinsured
personinconnectionwiththesameaccidentshallnotexceed100%ofthebenefitforloss of limb(s)orpermanent total disablement;
6. theweeklyamountpayableundertemporary total disablementinrespectofanyoneinsured personinconnectionwiththesameaccidentshallnotexceed100%oftheirweekly wage.
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We willalsopaythefollowing:1. Medical expenses If we acceptaclaimforbodily injury underthissection we willpay:
a. medical expensesincurredbytheinsured person uptoamaximumof£2,500;b. £20adayupto£200ifasaresultofthebodily injurytheinsured persongoesintohospitalfor
in-patienttreatment.
2. Paralysis Ifwe acceptaclaimforbodily injury underthissection andwithin24calendarmonthsthisisthesoleand
independentcauseoftheinsured person sufferingparalysis we willpay:a. anadditional20%ofthebenefitspayableunderpermanent total disablementinrespectof
quadriplegia; b. anadditional10%ofthebenefitspayableunderpermanent total disablementinrespectof
paraplegia.
Wewillnotpayforbodily injury: 1. arisingfrom:
a. anyconsequenceofsuicideordeliberateself-injury;b. anypsychologicalorpsychiatricconditionotherthanPostTraumaticStressDisorder;c. anysicknessordiseasenotresultingfromabodily injury;d. anyrepetitivestressinjuryorsyndromeoranygraduallyoperatingcause.
2. arisingfromanyinsured persontakingpartinpractisingortrainingforanyofthefollowingexcludedactivities:a. flying(exceptasapassenger);b. huntingonhorseback,polo,showjumpingorsteeplechasing;c. driving,ridingorsailinginanykindofrace;d. playinginanysportprofessionally;e. serviceinanyofthearmedforces.
3. directlyorindirectlycausedorcontributedtobyanactof terrorisminvolvingtheuseorreleaseorthethreatthereofofanynuclearweaponordeviceorchemicalorbiologicalagentregardlessofanycontributorycause.
4. arisingfromtraveltoadestinationtowhichtheForeignandCommonwealthOffice(FCO)hasadvisedagainstallorallbutessentialtravelbeforethejourneycommences.
4 Psychiatric services
Ifduringtheperiod of insuranceaninsured personsustainsbodily injuryasadirectresultofanysuddenandunprovokedassault,orisawitnesstoanysuddenandunprovokedassaultofanyotherinsured person,orisawitnesstoanysuddenandunprovokedassaultatthehomewhichwithin12monthsofandmedicallydiagnosedbyamedical practitionerasaresultoftheincidentresultsinanyformofmentaldisorderwewillpaytheinsured personforpsychiatry and psychotherapyprovidedbyaregisteredpsychiatristorclinicalpsychotherapist.
Wewillpay:1. upto£350foraninitialconsultationanddiagnosisfollowingreferralfromtheinsured personsGeneral
MedicalPractitionerorothermedicaldoctor;2. upto£1,650foradditionalconsultations;3. amaximumperinsured personof£2,000perincident;4. amaximumof£10,000payableinrespectofmultipleinsured personsforthesameincident;5. amaximumof£30,000intheaggregateperperiod of insurance.
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Wewillnotpayunderthissectionfor:1. anytreatmentarisingfromanyconsequenceofsuicideordeliberateself-injuryofaninsured personor
invitedguestatthehome;2. anytreatmentarisingfromalcoholabuse,drugabuseorsubstanceabuse;3. anytreatmentarisingfromanyincidentthathasnotbeenreportedtotheauthorities;4. anytreatmentcarriedoutbyaninsured personormemberoftheinsured person'sfamily,unlessthisis
referredtoandagreedbyus.
5 Other medical expenses
Ifduringtheperiod of insuranceaninsured personsustainsbodily injuryasadirectresultofanysuddenandunprovokedassaultbutwherenoclaimisbeingmadeunderanyothercoverunderthissectionforbodily injury,wewillpaytheinsured personforanyreasonablyincurredmedical expenses.
Themostwewillpayis:1. upto£2,000perincident;2. amaximumof£10,000payableinrespectofmultipleinsured personsforthesameincident;3. amaximumof£30,000intheaggregateperperiod of insurance.
Wewillnotpayunderthiscoverfor:1. anytreatmentarisingfromanyincidentthathasnotbeenreportedtotheauthorities;2. anytreatmentcarriedoutbyaninsured personormemberoftheinsured personsfamily,unlessthisis
referredtoandagreedbyus.
6 Sponsorship cover
Ifduringtheperiod of insuranceaninsured personsustainsbodily injurywhichresultsintheinsured personbeingunabletoparticipateinascheduledsponsoredeventwewillpaythelostsponsorshiptotheinsured person'scharityforwhichtheeventwasintendedtobenefit.
Themostwewillpayis£500anyoneclaimand£1,000inanyoneperiod of insurance.
Wewillnotpayunderthiscoverfor:1. anyclaimarisingdirectlyorindirectlyfromapre-existingcondition;2. anyclaimarisingfrombodily injurynotsubstantiatedbyawrittenreportfromthetreatingmedical
practitionerconfirmingtheinsured person'sinabilitytoattendthescheduledevent;3. anymoniesnotreturnedtothesponsoroftheinsured person.
7 Hole-in-one cover
Ifduringtheperiod of insuranceaninsured personachievesagolfinghole-in-oneinanorganisedclubeventorcompetitionwe willpayadonationtotheinsured person'snominatedcharity.
Themostwewillpayis£500anyoneclaimand£1,000inanyoneperiod of insurance.
Providedthat:1. anyhole-in-onemustbewitnessedandconfirmedinwritingbyacluborcompetitionofficial;2. thehole-in-onemustbebasedonthepubliclyadvertiseddistanceandnormalstrokeparofanyparticularhole.
Wewillnotpayunderthiscoverfor:1. Anyinsured personwhoisregisteredasaprofessionalgolfer;2. AnycoursethatisadvertisedasaPitchandPutt,PuttingGreenorCrazyGolforsimilar.
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Guidance note
Thecoverunderthissectionhasbeenarrangedbyusthroughathirdpartyprovider,DASLegalExpensesInsuranceCompanyLimited(DAS).EcclesiasticalisresponsibleforpayinganyclaimsunderthissectionbutDASmanageallclaimmattersandcorrespondenceonourbehalf.
Tomakeaclaimunderthissection,pleasephoneDASonthefollowing24hourclaimsservicenumber:
0345 601 3151DASrecordsandmonitorsallphonecallsfrompolicyholdersandotherconsumers.
Beforeaskingforhelp,pleasecheckthattheproblemiscoveredbythispolicy.Itisimportantthatyoucontactourassistancecentreassoonaspossibleafterthehomeemergency.Ourphonelinesareopen24hoursaday,365daysayear.
Donotarrangeforacontractoryourself,aswewillnotpayforthis.Wewillalsonotpayforanyworkwhichhasnotbeenauthorisedinadvancebyus.
Wewillprovideassistanceonlyifwehavegivenouragreementandonlyifthereissomeoneaged18oroverathomewhenourapprovedcontractorarrives.
Whenyouhavegivenusdetailsofyourclaimandwehaveacceptedit,wewillarrangeforoneofourapprovedcontractorstohelpyouasquicklyaspossible.Wewilltellyouwhattodonext.
Inasituationthatcouldresultinseriousrisktoyouorsubstantialdamagetoyourhome,youshouldimmediatelycontacttheemergencyservices(fire,policeorambulance).IfyouthinkthereisagasleakyoushouldcontacttheNationalGasEmergencyServiceon0800111999.Ifthereisanemergencyrelatingtoaservicesuchaswaterorelectricity,youshouldalsocontactanycompanyresponsibleforsupplyingtheservice.
Pleasenotethatourusualservicestandardsmaybeaffectedbycircumstancesbeyondourreasonablecontrolsuchasremotelocations,badweatheroravailabilityofparts.
Wewillnotbeabletohelpifconditionsmakerepairsdangerous,forexamplewecannotcarryoutroofrepairsinhighwindsorrepairdampelectrics.
PleasealsorefertoWhatwewillnotpay,WhatisnotcoveredandtheConditionsshowninthissectionofthepolicy.
Atalltimeswewilldecidethebestwayofprovidinghelp.
DAS Head and Registered Office:DASLegalExpensesInsuranceCompanyLimitedDASHouseQuaySideTempleBackBristolBS16NH
RegisteredinEnglandandWalesnumber103274Website:www.das.co.uk
DASLegalExpensesInsuranceCompanyLimitedisauthorisedbythePrudentialRegulationAuthorityandregulatedbytheFinancialConductAuthorityandthePrudentialRegulationAuthority.
9 Homeemergency (Yourschedulewillshowifthissectionapplies)
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Definitions
DASDASLegalExpensesInsuranceCompanyLimited.
EmergencyThesuddenorunexpectedoccurrenceofaninsuredincidentduringtheperiodofcoverwhichnecessitatesimmediatecorrectiveactionto:1. preventdamageorfurtherdamagetoyourhome;or2. makeyourhomesecure;or3. relieveunreasonablediscomfort,riskordifficultytoaninsured person;or4. addressahealthrisktoyouoranyoneelseinyourhome.
Emergency assistance limit£1,500(includingVAT)forthecall-outcharge,labourcosts,partsandmaterials;£2,500(includingVAT)forallcostsassociatedwithverminclaims.Theselimitsdonotincludeanyamountpayableinrespectofhotelaccommodation.
Home(s)meansyourprincipalprivateresidenceasshownintheschedule,comprisingprivatedwelling,garageandoutbuildingsusedfordomesticpurposesorforabusinessusewhichisnotedintheschedule,inthegeographical limits.
Hotel accommodationTheroom-onlycostofonenight’saccommodationfor insured peopleifyourhomeremainsuninhabitablefollowinganinsuredevent.Themostwewillpayforhotelaccommodationis£250(includingVAT).
Insured person/peopleYouandanypersonwholivesinorisstayingatyourhome.
Main heating systemmeansthemainhotwaterorcentralheatingsysteminyourhome.Thisincludespipesthatconnectcomponentsofthesystembutnotcoldwatersupplyordrainagepipes.Itdoesnotincludeanynon-domesticheatingornon-domestichotwatersystems(thosewithaKilowattoutputabove70)oranyformofsolarheating.
Plumbing and drainagemeansthecoldwatersupplyanddrainagesystemwithintheboundaryofyourhomeandforwhichyouarelegallyresponsible.Thisdoesnotinclude:1. pipesforwhichyourwatersupplyorseweragecompanyareresponsible;2. rainwaterdrainsandsoakaways.
Verminmeansrats,miceandwaspsandhornet’snests.
We, us, ourEcclesiasticalInsuranceOfficeplcorDASLegalExpensesInsuranceCompanyLimitedactingonbehalfofEcclesiasticalInsuranceOfficeplc.
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Cover
Weagreetoprovidetheassistancedescribedinthissection,providedthattheinsuredincidenthappensduringtheperiodofcoverandwithintheUnitedKingdomofGreatBritainandNorthernIreland,theIsleofManortheChannelIslands.
Ifthissectionofthepolicydoesnotcovertheserviceyouneedwewilltry(ifyouwish)toarrangeitatyour expense.Thetermsofsuchaserviceareamatterforyouandthesupplier.
What we will pay
1. Wewillarrangeandpayforacontractortotakeactiontoresolvetheemergency.Theactiontakenwilldependonwhatwouldbefairandreasonableinthecircumstancesandwillbeeitherto:a. carryoutatemporaryrepair(orapermanentrepairifthisisnomoreexpensive);orb. takeotheraction,suchasisolatingaleakingcomponentorgainingaccesstoyourhomeiftheonly
availablesetofkeyshavebeenlost,stolenordamagedandunusable.2. Wewillpayuptotheemergency assistance limitforeachinsuredincidentfollowinganemergency.3. Ifyourhomeremainsuninhabitableovernightfollowinganinsuredincident,wewillpayforhotel
accommodation.Thedecisiononwhetheryourhomeisuninhabitablewilltakeintoaccountwhetheritwouldbefairandreasonabletoremaininyourhome.
What we will not pay
1. Anycostsperemergencywhichexceedtheemergency assistance limit;and/or2. Anycostsofovernightaccommodationwhichexceedtheamountsspecifiedunderhotel accommodation.
Insured incidents
1 Emergency repairs
Anyexternaldamagewhichthreatensfurtherimmediatedamagetoyourhomeoritscontents.
2 Plumbing and drainage
Damageto,orblockage,breakageorfloodingof,thedrainsorplumbingsysteminyourhomethatyouareresponsiblefor.
3 Main heating system
Failuretofunctionofthemainheatingsysteminyourhome.
4 Domestic power supply
Failureofyourhome’sdomesticelectricity,ordomesticgassupply,butnotthefailureofthemainssupply.
5 Toilet unit
Impactdamageto,ormechanicalfailureof,atoiletbowlorcisternthatresultsincompletelossoffunctionofanytoiletinyourhome.
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6 Home security
Damageto,orthefailureof,doors,windows,gates,electronicgatesorotherpointsofaccesstoyourhomewhichleavesyourhomeinsecureormakesitimpossibletogainaccesstoit.
7 Vermin
Thesuddeninfestationofyourhomebyverminwhichpreventstheuseoftheloftoroneormoreoftheroomsinyourhome.
8 Lost keys
Theonlyavailablesetofkeystoyourhomearelost,stolenordamagedandunusableandyoucannotreplacethem,orcannotgainnormalaccess.
What is not covered
Nocoverappliesinrespectofthefollowing.
1. Anincidentormatterarisingpriortothestartdateofthissection.
2. Aclaimwhereyourhomeisunoccupied.
3. Aclaimwherewehavegiveninstructionsrelatingtothehelpweareprovidingandyouhavenotfollowedthem.
4. Costsincurredwhereourapprovedcontractorhasattendedyourhomebutnobodywasin.
5. Costsincurred:− beforeyouhavenotifiedusofaninsured event;− withoutouragreement.
6. Aclaimarisingfromyourdeliberateactoromission.
7. Normalday-to-dayhomemaintenancethatyoushouldcarryoutorpayfor(suchasservicingofheatingandhotwatersystems)andthereplacementofpartsduetonaturalwearandtear.
8. Aclaimforpartsorlabouriftheequipmentorfacilityisstillunderguaranteeorwarrantyfromthemaker,supplierorinstaller.
9. Aclaimrelatingtothefailureofequipmentorfacilitiesthatresultsfromthembeingincorrectlyinstalled,repaired,modifiedormaintained,orthatiscausedbyadesignfaultthatmakestheminadequateorunfitforuse.
10. Damagecausedgainingnecessaryaccessto,orinreinstatingthefabricof,yourhome.
11. Aclaimrelatingtotheinterruption,failureordisconnectionofthemainselectricity,mainsgasormainswatersupply,oryourfailuretobuyorprovideenoughgas,electricityorotherfuelsource.
12. Damagetoboundarywalls,gates,hedgesorfences.
13. Themalfunctionorblockageofseptictanks,cesspitsorfueltanks.
14. Aclaimarisingfromsubsidence,heaveorlandslip.
15. Anyclaimwhichwouldrequireustoundertakerepairsoranyotherremedialorcorrectiveactionto:a. anysharedareasorcommunalpartsofaproperty(orforwhichyoudonothavesoleresponsibility);orb. anysharedfixturesandfittings,facilitiesorservicesoutsidethelegalboundaryofyourhome.
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16. Aclaimwheretheinsuredincidentcannotberesolvedsafelybyourapprovedcontractor(orwhichrequiresspecialistassistance)becauseofthepresenceofdangeroussubstancesormaterials(suchasasbestos)orwhereconditionsmakeattemptingarepairdangerous.
17. Thecosts(oranycontributiontowardsthecosts)ofreplacingaboilerorstorageheateroranyotherheatingordomesticapplianceif:a. itcannotberepaired;orb. theapplianceisbeyondeconomicrepair(thecostofrepairingtheapplianceismorethanthecostof
replacingit);orc. repairswillcostmorethantheemergencyassistancelimit(wewillpayuptotheemergencyassistance
limitforanyrepairsthatarecarriedout).
Conditions
1. Youmust:a. keeptothetermsandconditionsofthispolicy;b. maintainthehomeinareasonablecondition,carryoutanyinspectionsorservicesoffittingsin
accordancewiththemanufacturer’sinstructionsandcompleteanynecessarymaintenancetothestructureofthehome;
c. trytopreventanythinghappeningthatmaycauseaclaim;d. takereasonablestepstokeepanyamountwehavetopayaslowaspossible.
2. Wewillmakeeveryefforttoprovidetheserviceatalltimes,butwewillnotberesponsibleforanyliabilityarisingfromabreakdownoftheserviceforreasonswecannotcontrol.
3. Wewillattempttoprovidereplacementpartswherenecessarybutcannotbeheldresponsibleifthesearedelayedorunavailable.
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Guidance note
IfthereareanycircumstancesthatmaygiverisetoaclaimunderthispolicytheInsured person(orhis/herlegalorpersonalrepresentatives)mustinrespectofanyclaim,contactususingtheappropriatetelephonenumbershownonpage7ofthispolicy.
Ifyouwishtoreportanewclaimorenquireaboutanexistingclaim,pleasequotethepolicynumberstatedinthepolicyschedule.
Contactusassoonaspracticablebutinanyeventwithin30daysofsuchcircumstancesarising(orwithin30daysofreturningfromthejourneyifsuchcircumstancesariseduringthejourney)givingbriefdetailsofthecircumstancesandrequestingaclaimform.
Travel Information
Guidance note - Cover for Pre-existing Medical ConditionsPleasenotethatforthefollowingunder'Whatiscovered':Cover1-Medicalandotherexpenses;Cover2- Cancellationorcurtailment; whenyoubookorbeginajourneywewillnotcoveranyclaimduetoamedicalconditionorachangeinhealthof:1. anyoneinsuredunderthispolicy;2. arelativeorclosebusinesscolleague; where:
a. theyknewaboutthemedicalcondition;b. theyareawaitingtestsortestresultsconnectedtothemedicalcondition;
unlesstheconditionisnormallystable,undercontrolandnotreatmenthasbeenrequiredasanin-patientorout-patientmorethanonceinthelast12monthsortheconditionisonewewillaccept(seelistofacceptablemedicalconditionsonpage81'Whatisnotcovered'paragraph9).
Foreign and Commonwealth OfficeYoumustobservetraveladviceprovidedbytheForeignandCommonwealthOffice(FCO).NocoverisprovidedunderthissectionofthepolicyinrespectoftraveltoadestinationtowhichtheFCOhasadvisedagainstallorallbutessentialtravelbeforethejourneycommences.
Ifthestatusofthecountryyouaretravellingtochangesduringtheperiodofinsurance,pleasecontactusandwewilladviseyouifwecancontinuetoprovidecover,andifnot,thealternativesthatapply.
TraveladvicecanbeobtainedfromtheFCObyvisitingtheirwebsiteatwww.fco.gov.uk
Leisure holiday activities covered(excludingorganisedsportstripsortoursorengaginginanactivityasaprofessionalorwhereanInsured person receivesanyfinancialrewardorgain)
Pleasefindlistedbelowthetypeofleisureholidayactivitycoveredunderyourpolicy.Pleaserefertothegeneralexclusionsforactivitiesthatwewillnotcoverunderyourpolicy.
abseiling,angling,aerialsafaris,archerywhichisproperlysupervised, badminton,bananaboating,baseball,basketball,beachgames,bungeejumping(throughalicensedtour
operator)bobsleighing,bowls,claypigeonshootingcarriedoutundersupervision,
10 Travel (Yourschedulewillshowifthissectionapplies)
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cricket,croquet,crosscountryskiingonrecognisedpaths,curling,cycling(excludingBMXstuntriding),deepseafishing,fencing,fellrunning,fellwalking,amateurfootball,gliding,gokarting,golf,non-competitivegymnastics,
hanggliding(tandemwithlicensedorganisation),highdivingfromapurposebuiltdivingboardoveramanmadepool,hikingonestablishedordocumentedpaths,tracksormappedroutes,hockey,hotairballooning(withlicensedorganisation),horseridingifprotectiveheadgearisworn(excludingjumpingtrials,hunting,showjumpingandcompetitiveriding),huskysledgingasapassenger(withlicensedoperator),
iceskating,icehockeyonanindooricerink,jetboating,jetskiing,marathonrunning,mountainbikingifprotectiveheadgearisworn,netball,offpisteskiing(inareasconsideredsafebytheskiresortmanagementorlocalskischool),
paragliding(tandemwithlicensedoperator),parasailingiftowedbyboat,parachuting(maximumheightforjump10,000feet),
polo,ponytrekkingifprotectiveheadgearisworn,rivercanoeing,kayakingandraftingincalmwaternotseaorwhitewaterabovegrade3,
rambling,rollerblading,rounders,rowing,rugby,safarisprovidedthattheInsuredpersonwillnotbeusingafirearm,sailboarding,sailingandyachtingoninshore/coastalwaters–within12milesofcoastline,
scubadivinguptoadepthof30metresmaximum(aslongasPADIqualifiedorequivalenttothatdepth),sandsurfing,sandsafaris,skating,skiboarding,skindiving,sledging,snorkelling,snowboarding,snowshoeing,snowskiing,andsnowmobiling,squash,surfing,swimming,
tabletennis,tenpinbowling,tennis,trekkingonestablishedordocumentedpaths,tracksormappedroutes,tug-of-war,
undergroundactivitiesaspartofanorganisedexcursionortour,via-ferrata,volleyball,wargames,waterpolo,waterskiing(excludingjumping),weightliftingandwindsurfing.
Definitions
ThefollowingdefinitionsapplytotheTravelcoversection.
Assistance companymeanstheassistancecompanywehaveappointedtohandleemergencytravelassistance:+44 (0) 1452 872 794
Claims handlermeansthecompanywehaveappointedtohandleallclaimsotherthanpersonalliability,baggage,personalmoneyandlegalexpenses:0345 606 1018 (UKonly)+44 (0) 1452 872 701 (outsideofUK)
Close business colleaguemeansapersonemployedbythesamecompanyastheInsured personandinwhoseabsencefromthebusinessitwillbeessentialthattheInsured personbepresentintheirplace.
Curtailment, curtailedmeansreturningtotheInsured person’shomeorplaceofbusinessintheUnited KingdomortheChannelIslandspriortothescheduleddateofreturnfromthejourney.
Date of issuemeansthedatethispolicywasissuedasshowninthepolicyschedule.
Excessmeanstheamountyoumustpaytowardsanyclaim.
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Insured person(s)meanseachpersonstatedinthepolicyscheduleasbeinginsured(providedthatsuchpersonisaresidentoftheUnited KingdomortheChannelIslandswithanaddressintheUnited KingdomortheChannelIslands).
Journey(s)meansanypre-bookedtripofupto90daysdurationforInsured person(s)agedupto75yearsatdate of issue forsocial,domestic,pleasure,educationalorcommercialbusinesspurposescommencingfromandreturningtotheInsured person’shomeorplaceofbusinesswithintheUnited KingdomortheChannelIslands.
TripstotheUnitedStatesofAmericaorCanadaareonlycoveredforupto90daysintotalduringtheperiod of insurance.
Loss of limb(s)meanstotalpermanentandirrecoverablelossofusebyphysicalseparationorotherwiseofoneorbothhandsatorabovethewristjointand/oroneorbothfeetatorabovetheankle.
Loss of sightmeanstotalpermanentandirrecoverablelossofsight.
Operative time of covermeans:1. ThecancellationinsuranceprovidedunderCover2–Cancellationorcurtailmentiseffectivefromthe
dateofbookingajourneyorthedateofcommencementoftheperiod of insurance(whicheveristhelater)andendswhenduringtheperiod of insurancetheInsured personleaveshis/herhomeorplaceofbusiness(whicheverisleftlast)withintheUnited KingdomortheChannelIslandstocommencesuchjourneyoruponexpiryoftheperiod of insurance(whicheveristheearlier).
2. ThecurtailmentinsuranceprovidedunderCover2–CancellationorcurtailmentandtheinsuranceprovidedunderallotherapplicableCoversofthissectioncommenceswhenduringtheperiod of insurancetheInsured personleaveshis/herhomeorplaceofbusiness(whicheverisleftlast)intheUnited KingdomortheChannelIslandstocommenceajourneyandendsupon:a. theInsured person’sdirectreturntosuchhomeorplaceofbusiness(whicheverisreachedfirst)at
theendofsuchjourney;orb. expiryoftheperiod of insurance
whicheveristheearlier.
Period of insurancemeanstheperiodshowninthepolicyschedule.Thisisautomaticallyextendedforupto30daysintheeventthatcompletionofthejourneyisdelayedduetoanycircumstancesbeyondtheInsured person’scontrolprovidedthattheInsured personisnotbeingdetainedbythepoliceoranyotherlawfulauthorityforanycriminalactorbreachofanylaworenactmentandprovidedthattheInsured personmakesallreasonableeffortstocompletethejourneyassoonaspossibleaftertheoriginalscheduledcompletiondateofthejourney.
Permanent total disablementmeanspermanenttotalandabsolutedisablement(otherthanbyloss of limb(s)orloss of sightinoneorbotheyes)fromgainfulemploymentofanyandeverykindwhichshallhavelastedfor52weeksandwhichinallprobabilitywilllastfortheremainderoflife.
Relativemeansspouse,fiancé(e),civilpartner,partner,parent,step-parent,parent-in-law,grandparent,child,step-child,son-in-law,daughter-in-law,grandchild,step-grandchild,brother,sister,step-brother,step-sister,brother-in-law,sister-in-lawoftheInsured personorofthepersonwithwhomtheInsured personistravellingorhadarrangedtostay.
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United KingdommeansEngland,Scotland,Wales,NorthernIrelandandtheIsleofMan.
What is covered
Wewillpayuptothelimitforanyliabilityasshownbelow.
1 Medical and other expenses
Wewillpay:
1. upto£10,000,000intotalinrespectof:a. medical,hospitalandtreatmentexpensesincludingthecostofemergencydentaltreatmentforthe
immediatereliefofpainonlybutlimitedto£400intotal;b. ambulancecharges,costofrescueservices;c. accommodationand/ortravellingexpensesand/orrepatriationexpensestotheUnited Kingdomorthe ChannelIslandsandanysimilarexpensesofonerelativeorfriendrequiredonmedicaladvicetostayor
travelwiththeInsured personoractasanescortforachildnecessarilyandreasonablyincurredoutsidetheUnited KingdomortheChannelIslandsonmedicaladviceasadirectresultoftheInsured personsustainingaccidentalbodilyinjuryorsufferingtheonsetofillnessduringtheoperative time of cover;
d. reasonableadditionalhotelandtravelcostsincurredintheeventofthenecessaryrepatriationoftheInsured persontohis/herhomeorplaceofbusinesswithintheUnited KingdomortheChannelIslandsasaresultofthesuddenandunexpecteddeath,seriousinjuryorseriousillnessoccurringduringtheoperative time of coveroftheInsured person’srelativeorclose business colleague.
2. thereasonablechargesintheeventofdeathoccurringoutsideoftheInsured person’scountryofresidenceduringtheoperative time of coverof:a. burialorcremationoftheInsured personinthelocalitywheredeathoccurs;orb. transportingtheInsured person’sremainsorashestohis/hercountryofdomicile(excludingfuneralor
intermentcosts);subjecttoourpriorapproval.
Providedthat:
1. thiscovershallapplyonlyinrespectofjourneysoutsidetheUnited KingdomexceptinrespectofresidentsoftheChannelIslandswherethiscoverwillapplywithintheUnited Kingdom;
2. theamountpayableshallnotexceedtheamountsstatedor£10,000,000intotalandshallonlybeinrespectofcostsincurredwithin12monthsofthedateoftheincidentgivingrisetotheclaim;
3. wereservetherighttorepatriatetotheUnited KingdomortheChannelIslandswhenintheopinionofour medicaladviserstheInsured personisfittotravel;
4. theassistance companyisnotifiedandhasauthorisedanycoststobeincurred:a. priortotheInsured personbeingadmittedasaninpatienttoanyhospital,clinicornursinghome.Ifthis
isnotpossiblebecauseoftheseriousnessoftheconditionthenyoumustcontacttheassistance company assoonaspossibleafterbeingadmitted;
b. priortoanyrepatriationarrangementsbeingmade;c. intheeventofthedeathoftheInsured person–priortoburial,cremationortransportationofthe
Insured person’sremainstotheUnited KingdomortheChannelIslands.
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Reciprocal Health AgreementItisstronglyrecommendedthatifyouaretravellingtoacountryintheEuropeanEconomicArea(EEA)orSwitzerlandyouobtainaEuropeanHealthInsuranceCard(EHIC)-seewww.gov.uk/european-health-insurance-cardorphone03003301350.ThisEHICentitlesyoutobenefitfromthereciprocalhealthagreementswhichexistbetweenEEAcountries.
TheUnitedKingdomhasreciprocalhealtharrangementswithcertainothercountries.
Visitwww.dh.gov.uk/travellersforalistofthosecountriesinwhichyoumaybeentitledtofreetreatmentortreatmentatreducedcost.
Excess
Thisinsurancedoesnotcoverthefirst£50perInsured personinrespectofeachseparateincidentgivingrisetoaclaimexceptwheremedicalexpenseshavebeenreducedbytheuseofanEHICorcontributionfromtheInsured person’sprivatehealthinsuranceinwhichcaseprovidedthatliabilityhasbeenacceptedbyusforsuchreducedmedicalexpensestheexcesswillbereducedbytheamountofsuchreductionorcontributionuptoamaximumreductionof£50perInsured person.
2 Cancellation or curtailment
Wewillpayupto£15,000perInsured personinrespectoftheotherwiseirrecoverablelossofdeposits,instalmentsandbalancespaidorcontractedtobepaidbytheInsured personforthejourneyinrespectoftravel,accommodation,carhireandpre-bookedexcursionsbookedpriortothescheduleddateofdepartureofsuchjourneyandincurredasaresultofthenecessaryandunavoidablecancellationorcurtailmentofsuchjourneyduringtheoperative time of coverdueto:
1. thedeath,seriousinjuryorseriousillnessoccurringormanifestingitselfduringtheoperative time of cover ofthe:a. Insured person;orb. personwithwhomtheInsured personistravellingorhadarrangedtostay;orc. relativeorclose business colleagueoftheInsured personorofthepersonwithwhomtheInsured
personistravellingorhadarrangedtostay;
Nocoverwillapplyunderthiseventinrespectofdeath,injuryorillnessofanypersonsnotspecificallymentionedunder1a,b,orc;
2. thecancellationordelayeddeparturefor24hoursormoreofthescheduledtransportonwhichtheInsured personisbookedtotravelbecauseofstrike,industrialaction,riotorcivilcommotion,adverseweatherconditionsormechanicalbreakdown;
3. theInsured personorpersonwithwhomhe/shehadarrangedtotravelorstaybeingsummonedforjuryservice,subpoenaedasawitnessatacourtoflaw,involuntarilymaderedundantfrompermanentemploymentandentitledtopaymentunderthecurrentredundancypaymentslaworcompulsorilyquarantinedduringtheoperative time of cover;
4. theInsured person’shomewithintheUnited KingdomortheChannelIslandsorthehomewithintheUnited KingdomortheChannelIslandsofanypersonwithwhomtheInsured personistravellingbeingrendereduninhabitablebyfire,stormorfloodupto14daysbeforethedeparturedate;
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5. thepresenceoftheInsured personortravellingcompanionbeingrequiredbythepolicefollowingburglaryathis/herhomeornormalplaceofbusinessintheUnited KingdomortheChannelIslandsprovidedthatatthetimeofeffectingthisinsuranceorbookingthejourneytheInsured personwasnotawareofanyreasonwhysuchjourneymayhavetobecancelledorcurtailed.
Providedthat:1. Forcancellationclaims–notificationofcancellationofthejourneymustbegiven:
a. verballyorinwritingtotheclaims handler;b. inwritingtothetouroperatorortravelagentorinrespectofjourneysnotarrangedviaatouroperatoror
travelagenttotheaccommodationandtransportprovidersimmediatelythecircumstancesgivingrisetotheclaimoccur.
2. Forcurtailmentclaims–notificationofcurtailmentofthejourneymustbegiventotheassistance companypriortodepartingtoreturnhome.
3 Travel delay
Ifasaresultof:1. strike,2. industrialaction,3. riotorcivilcommotion,4. adverseweatherconditionsor5. mechanicalbreakdown;
thedepartureofanycoach,train,seavesseloraircraftinwhichtheInsured personisbookedtotravelduringtheoperative time of coverisdelayed,wewillpaytheInsured person:£50forbetweenfourand12hoursdelayinanysinglelegofthejourney;£100forbetween12and24hoursdelay;£200inexcessof24hoursdelay.
ProvidedthattheInsured personchecksinattheinternationalcoachterminal,railterminal,portorairportaccordingtotheofficialitinerarysuppliedandobtainswrittenconfirmationfromthecarriers(ortheirhandlingagents)ofthenumberofhoursdelayindepartureofthecoach,train,seavesseloraircraftinwhichtheInsured personwasbookedtotravelandthereasonforsuchdelay.
4 Missed departure
WewillpaytheInsured personupto£1,000inrespectofreasonableadditionalandotherwiseirrecoverabletravelandaccommodationexpenseswhichtheInsured personnecessarilyandreasonablyincursduringtheoperative time of covertopurchaseaticketforanalternativejourneytoreachhis/heroverseasdestinationorreturnfromhis/heroverseasdestinationtotheUnited KingdomortheChannelIslandsasaconsequenceof:
1. mechanicalbreakdownorstrike,riot,civilcommotion,industrialactionoradverseweatherconditionscommencingduringtheperiod of insuranceandcausinginterruptionofscheduledpublictransportservicesprovidedthatnowarningofsuchstrike,riot,civilcommotion,industrialactionoradverseweatherconditionshadbeengivenpriortobookingthejourneyorcommencementoftheperiod of insurance(whicheveristhelater);
2. accidentormechanicalfailureoftheprivatemotorvehicleinwhichtheInsured personistravelling;
occurringduringtheoperative time of coverandwhichcausestheInsured persontoarriveatthecoach,terminal,railterminal,portorairporttoolatetoboardthecoach,train,seavesseloraircraftuponwhichhe/shehadbeenbookedtotravelonhisorher:
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a. finalinternationaldepartureontheoutboundjourneyfromtheUnited KingdomortheChannelIslands;b. finalinternationaldepartureonthereturnjourneytotheUnited KingdomortheChannelIslands;c. finalinternationaldepartureontheoutboundjourneyfromanairportintheRepublicofIrelandtoadestination
outsidetheUnited Kingdom;d. finalinternationaldepartureonthereturnjourneytoanairportintheRepublicofIrelandfromadestination
outsidetheUnited Kingdom.
ProvidedthattheInsured personchecksinatthecoachterminal,railterminal,portorairportaccordingtotheofficialitinerarysuppliedandobtains:1. writtenconfirmationfromthecarriers(ortheirhandlingagents)ofthenumberofhoursdelayandthereason
forsuchdelay;2. arepairer’sreportintheeventofaclaiminrespectofaccident,damagetoorbreakdownoftheprivatemotor
vehicleinwhichtheInsured personwastravelling.
5 Hospitalisation
WewillpaytheInsured person£50foreachfullperiodof24hoursduringtheoperative time of cover thathe/shespendsinhospitalprovidedthatwehaveacceptedliabilityunderCover1–Medicalandotherexpensessubjecttoamaximumoverallbenefitof£1,000.
Providedthatyouprovidetheclaims handlerwithin30daysofreturningfromthejourneywiththeappropriatemedicalschedule.
6 Hijack and kidnap benefit
WewillpaytotheInsured person£500foreachfullperiodof24hoursduringtheoperative time of coverthathe/sheisunlawfullydetainedagainsthis/herwill(whetherhijacked,kidnappedorotherwise)byanypersonorpersonsnotknowntohim/herprovidedthatsuchdetentionbeginsduringtheperiod of insurancesubjecttoamaximumoverallbenefitof£5,000.
Providedthatyouprovidetheclaims handlerwithin30daysofreturningfromthejourneywiththeappropriatepolicereport/writtenevidence.
7 Personal accident
WewillpaytotheInsured person£50,000ifduringtheoperative time of covertheInsured personsustainsaccidentalbodilyinjurybyviolentexternalandvisiblemeans(includingunavoidableexposuretothenaturalelements)whichindependentlyofanyothercauseresultswithin12monthsfromthedateofsuchbodilyinjuryinthedeath,loss of limb,loss of sightinoneorbotheyesorpermanent total disablement oftheInsured person.
Weshallnotpaymorethanonebenefitinconnectionwiththesameaccident.
ForanyInsured personundertheageof16yearsatthetimeofbodilyinjuryintheeventofdeaththemostwe willpayis£7,500.
8 Loss of passport
Wewillpayupto£1,000intotalforthereplacementcostofpassportplusreasonableadditionalaccommodationandtravelexpensesincurredonlybytheInsured personasaresultofthelossofhis/herpassportoccurringwhilstoutsidetheUnited KingdomortheChannelIslandsduringtheoperative time of cover.
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Providedthat:1. upondiscoverynotificationwithin24hoursofdiscoverymustbegiventothenearestBritishConsulateorif
notholdingaBritishpassporttotheInsured person’snearestEmbassyandawrittenreportofthelossobtainedfromthem;
2. whennotbeingcarriedbytheInsured personthepassportmustbekeptinasafeorsafetydepositboxifoneisavailablewithinthebookedaccommodationoccupiedbytheInsured person.
9 Temporary loss of baggage
Wewillpayupto£300fortheemergencypurchaseorhiringofessentialclothingandtoiletryarticlesifduringtheoperative time of covertheInsured personisdeprivedofhis/herpersonal baggageforeighthoursormore.
Providedthatthenon-arrivaloftheInsured person’sbaggageisreportedimmediatelytothecarrierandawrittenreport(orinthecaseofanairlineaPropertyIrregularityReport)obtainedfromthem.Allreceiptsforitemspurchasedmustbesenttotheclaims handler.
10 Catastrophe
Wewillpayupto£1,000forequivalentadditionalandotherwiseirrecoverableaccommodationexpensesincurredbytheInsured personasaresultofbeingforcedtomovefromtheaccommodationbookedinadvanceforthejourneyfollowinganemergencyoragovernment,provincialgovernment,municipalorlocaldeclarationofsuchemergencyoccurringduringtheoperative time of cover.
11 Winter sports
Ski equipment hire chargesWewillpay£50perdaysubjecttoalimitof£750totheInsured personinrespectoftheequivalentandnecessarychargesfortheemergencyhireofski equipmentifduringtheoperative time of covertheInsured personisdeprivedoftheski equipmenttakenonthejourneyforeighthoursormorefromthetimeofarrivalatthebookeddestinationontheoutwardlegofthejourneyduetodelayormisdirectionbythecarrier(e.g.airline).
Providedthatthenon-arrivaloftheInsured person’sski equipmentisreportedimmediatelytothecarrierandawrittenreport(orinthecaseofanairlineaPropertyIrregularityReport)obtainedfromthem.
Allreceiptsforitemspurchasedmustbesenttotheclaims handler.
Piste closureIMPORTANTthiscoverisonlyvalidforjourneysduringtheresortpeakskiseason.
Wewillpay£50perdaysubjecttoalimitof£750totheInsured personifduringtheoperative time of coveritisnotpossiblefortheInsured persontoskiintheresorttowhichhe/shehadpre-bookedtotravelandinwhichhe/shehadintendedtoskiduetothetotalclosureofallonpisteskiingfacilitiessolelyanddirectlyasaresultoflackofsnoworexcessivesnoworavalancheorthreatofavalanche.
Providedthatyouprovidetheclaims handlerwithin30daysofreturningfromthejourneywithwrittenconfirmationfromthetouroperator’srepresentative(orifunavailable–theskiliftoperators)ofthedatesofclosureandreasonforclosureofsuchonpisteskiingfacilities.
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Unused ski packWewillpay£250perweeksubjecttoalimitof£1,000totheInsured personinrespectofthecostoftheliftpass,ski-schoolorski equipmenthireasadirectresultoftheInsured personsustainingaccidentalbodilyinjuryorsufferingtheonsetofillnessduringtheoperative time of coverwhichpreventshim/herfromusingskiingfacilitieswhilstcertifiedmedicallyunfittodoso.
ProvidedthatwehaveacceptedliabilityunderCover1Medicalandotherexpensesofthissectionforthemedical,hospitalortreatmentcostsorexpensesincurredinrespectofsuchinjuryorillness.
What is not covered
Inadditiontothegeneralexclusionsonpage20to22,thefollowingextraexclusionsapplytothissection:
1. Wewillnotpayfor:a. theexcess;b. anypersonaged76yearsoroveratthedate of issue;c. loss,damage,bodilyinjury,death,disease,illness,liabilitycostsorexpensesarisingoutoforinconnection
withanywilful,maliciousorcriminalactoftheInsured personorbreachofanylaworenactmentbytheInsured person;
d. anyclaimcausedbyorarisingfrom:i. pregnancyorchildbirthinrespectofanyjourneystartingand/orfinishingwithin12weeksofthe
expecteddateofbirth;ii. wilfullyselfinflictedillnessorinjury,theabuseofalcohol,drugaddiction,theinfluenceofdrugs
(exceptdrugstakeninaccordancewithtreatmentprescribedanddirectedbyaregisteredmedicalpractitionerotherthanfordrugaddiction),solventabuse,sexuallytransmitteddiseases,travelwherethepurposeoftravellingistoobtainmedicaltreatmentoradvice;
iii. mentalillness,anxietyordepression;e. loss,damage,bodilyinjury,death,disease,illness,liabilitycostsorexpensesattributabledirectlyor
indirectlytoHumanImmunodeficiencyVirus(HIV)and/oranyHIVrelatedillnessincludingAcquiredImmuneDeficiencySyndrome(AIDS)and/oranymutantderivativesorvariationsthereof;
f. death,injury,illnessordisablementdirectlyorindirectlyresultingfromorconsequentupontheInsured person’sownsuicideorattemptedsuicideordeliberateexposuretodanger(exceptinanattempttosavehumanlife)ortheInsured person’sowncriminalact;
g. anInsured personengaginginmilitary,navalorairservicesoroperations(otherthanreserveorvolunteertrainingasamemberofoneoftheofficiallyrecognisedUnitedKingdomvolunteerreserveforces);
h. anyclaimdirectlyorindirectlycausedby,contributedtoorarisingfromajourneytoadestinationwheretheForeignandCommonwealthOfficehasadvisedagainstalltravelorallbutessentialtravelbeforethejourneycommences.
2. Anyclaim:a. arisingifatthetimeofpurchasingthisinsurancetheInsured personortravellingcompanionisawareof
anycircumstanceswhichcouldreasonablybeexpectedtogiverisetoaclaimunderthisinsurance;b. iftheInsured persontravelsagainstmedicaladvice;c. forelectivemedicalordentaltreatmentorexploratorytests;d. fordentalworkinvolvingpreciousmaterial;e. fortreatmentwhichintheopinionofamedicalordentalpractitionercouldreasonablybedelayeduntilthe
returnoftheInsured persontotheUnited KingdomortheChannelIslands;f. formedical,hospitalortreatmentexpenseswhichtheInsured personknowsatthetimeofdepartureon
thejourneywillberequiredorrequiredtobecontinuedduringthecourseofsuchjourney;
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g. forchargesleviedforservicesrenderedortreatmentreceivedafter12monthsfromthedateofanyincidentgivingrisetoaclaim.
3. Thefollowingcostsandexpensesunlesstheyhavebeenauthorisedbytheassistance company:a. inpatient,hospital,clinicornursinghomeexpenses;b. repatriationtransportationoradditionalhotelortravelcostsandexpenses;c. burialorcremationcostsoutsidetheUnited KingdomortheChannelIslands;d. chargesleviedforservicesrenderedortreatmentreceivedintheUnited KingdomortheChannel
Islands;e. curtailmentnotnotifiedtoandauthorisedbytheassistance company.
4. ThedisinclinationtotraveloftheInsured personoranypersonwithwhomhe/sheistravelling.5. AnytripwithintheUnited KingdomunlesstheInsured personhaspre-bookedaccommodationortraveland
thetripisforaminimumoftwonights.6. ThisinsurancedoesnotapplywhilsttheInsured personisengagingin:
a. airtravelotherthanasapassengerinalicensedaircraftbeingoperatedbyalicensedcommercialaircarrier;
b. hunting,diving,potholing,caving,mountaineering(ordinarilynecessitatingtheuseofropesorguides)speedortimetrialsorracingofanykindotherthanonfoot.
7. Weshallnotbeliableforanyclaimcausedbyorarisingfromthefailureofanycomputerhardwareorsoftwareorotherelectricalequipmenttorecogniseorprocessanydateasthetruecalendardate.ThisexclusiondoesnotapplytoCover1–MedicalandOtherExpensesorCover7–Personalaccident.
8. Weshallnotbeliableforanyclaimsarisingdirectlyorindirectlyforjourneysthatareexpectedtoexceed90daysdurationunlessdeclaredtoandacceptedinwritingbyus.
9. Thisexclusiononlyappliestothefollowingcoversunder'Whatiscovered':Cover1-MedicalandotherexpensesCover2-Cancellationorcurtailment Atthetimeajourneybeginsorisbookedwe willnotcoveranyclaimarisingfromamedicalconditionorchangeinhealthofanInsured person, relative orclose business colleaguewhere:a. theInsuredpersonrelative orclose business colleagueknewaboutthemedicalcondition;b. theInsuredpersonrelative orclose business colleagueisawaitingtestsortestresultsinconnection
withthemedicalcondition;c. theInsuredpersonrelative orclose business colleagueisscheduledtoreceivetreatmentforthe
medicalcondition;unlessthemedicalconditionisnormallystable,undercontrolandtheInsured person,relative orclose business colleaguehasnotreceivedtreatmentasanin-patientorout-patientmorethanonceinthelast12monthsortheconditionisonewewillaccept(seelistbelow).
Acceptable ConditionsAcidRefluxorDyspepsiaAcneADHD(AttentionDeficitHyperactivityDisorder)Allergicreaction(Anaphylaxis)providedthatyouhavenotneededhospitaltreatmentinthelasttwoyearsAllergicrhinitisArthritis(theaffectedpersonmustbeabletowalkindependentlyathomewithoutusingmobilityaids)Asthma(thediagnosismusthavebeenmadewhentheaffectedpersonwasundertheageof50,andtheasthmacontrolledbynomorethantwoinhalersandnoothermedication)BlindnessorpartialsightednessCarpeltunnelsyndromeCataractsChickenpox(ifcompletelyresolved)Commoncoldorinfluenza
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Cutsandabrasions(thatarenotself-inflictedandrequirenofurthertreatment)Cystitis(providingthereisnoongoingtreatment)DeafnessDiabetes(controlledbydietortabletsonly)Diarrhoeaandvomiting(ifcompletelyresolved)EczemaEnlargedprostate(benignonly)EssentialtremorGlaucomaGoutHayfeverHaemorrhoidsHypothyroidism-UnderactiveThyroidHyperthyroidism-OveractiveThyroidIBS-IrritableBowelSyndromeLigamentortendoninjury(providedtheaffectedpersonisnotcurrentlybeingtreated)MaculardegenerationMenopauseMigraine(providingtherearenoongoinginvestigations)NasalpolypsPMT-PremenstrualTensionRSI-RepetitiveStrainInjurySinusitis(providingthereisnoongoingtreatment)Skinorwoundinfections(thathavecompletelyresolvedwithnocurrenttreatment)SinusitisTinnitusTonsillitisUrinaryincontinence(notrelatedtoinfections)UrticariaVaricoseveinsinthelegs
Conditions
1 Precautions
TheInsured personmusttakeallreasonablecare:1. toavoidandpreventbodilyinjuryandsickness;2. nottobookorundertakethejourneyagainstmedicaladviceorifhe/shehasanyreasontobelievethatsuch
journeymayhavetobecancelledorcurtailed.
2 Our rights in the event of a claim
Theclaims handlershallbeentitledbutnotboundtotakeoverandconductinthenameoftheInsured personthedefenceorsettlementofanyclaimortoprosecuteinthenameoftheInsured personforourownbenefitanyclaimforindemnityordamagesorotherwiseandshallhavefulldiscretionintheconductofanyproceedingsandinthesettlementofanyclaim.
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