Commercial Umbrella Excess of Loss Reinsurance Contract between Peerless Insurance Company and Subscribing Reinsurers (Effective January 1, 2007)
Peerless Insurance Company and a group of subscribing reinsurers entered into this contract effective January 1, 2007. The agreement provides reinsurance coverage for commercial umbrella insurance policies issued or renewed by Peerless and certain affiliated entities. The reinsurers agree to cover losses exceeding $5 million per occurrence, up to a maximum of $10 million, for policies in force during the contract period. The contract outlines the scope of coverage, exclusions, reporting requirements, and other key terms, and is effective until January 1, 2008.
REINSURANCE CONTRACT
No.  ###-###-####
Keene, New Hampshire
Interests and Liabilities Agreements attached to
and forming part of this Contract
Commercial Umbrella Excess | ||||
of Loss Reinsurance Contract | ||||
January 1, 2007 |
ARTICLE | CONTENTS | PAGE | ||||
PREAMBLE | 1 | |||||
I | BUSINESS COVERED | 1 | ||||
II | EFFECTIVE DATE AND TERMINATION | 2 | ||||
III | TERRITORY | 3 | ||||
IV | LIMIT AND RETENTION | 3 | ||||
V | NET LOSS | 5 | ||||
VI | LOSS IN EXCESS OF POLICY LIMITS | 5 | ||||
VII | EXTRA CONTRACTUAL OBLIGATIONS | 6 | ||||
VIII | EXCLUSIONS | 6 | ||||
IX | SPECIAL ACCEPTANCES | 10 | ||||
X | LOSS OCCURRENCE | 10 | ||||
XI | REINSURANCE PREMIUM | 12 | ||||
XII | REPORTS AND REMITTANCES | 12 | ||||
XIII | LOSS ADJUSTMENTS AND SETTLEMENTS | 13 | ||||
XIV | SALVAGE AND SUBROGATION | 13 | ||||
XV | FEDERAL TERRORISM EXCESS RECOVERY CLAUSE | 14 | ||||
XVI | ACCESS TO RECORDS | 14 | ||||
XVII | DIVIDENDS AND TAXES | 15 | ||||
XVIII | FEDERAL EXCISE TAX | 15 | ||||
XIX | GOVERNING LAW | 16 | ||||
XX | CURRENCY | 16 | ||||
XXI | OFFSET | 16 | ||||
XXII | ERRORS OR OMISSIONS | 16 | ||||
XXIII | INSOLVENCY | 16 | ||||
XXIV | MEDIATION | 17 | ||||
XXV | ARBITRATION | 18 | ||||
XXVI | SPECIAL CONDITIONS | 21 | ||||
XXVII | THIRD PARTIES | 23 | ||||
XXVIII | UNAUTHORIZED REINSURENCE | 23 | ||||
XXIX | SERVICE OF SUIT | 24 | ||||
XXX | CONFIDENTIALITY CLAUSE | 25 | ||||
XXXI | AMENDMENTS | 26 | ||||
XXXII | SEVERABILITY | 26 | ||||
XXXIII | INTEREST PENALTY | 26 | ||||
XXXIV | ASSIGNMENT | 27 | ||||
XXXV | ENTIRE AGREEMENT | 27 |
APPENDIX A DEFINITION OF PROFIT CENTER
APPENDIX B PHARMACEUTICAL/MEDICAL RISKS
INSOLVENCY FUNDS EXCLUSION CLAUSE
NUCLEAR INCIDENT EXCLUSION CLAUSE LIABILITY REINSURANCE U.S.A.
NUCLEAR INCIDENT EXCLUSION CLAUSE LIABILITY REINSURANCE CANADA.
NUCLEAR INCIDENT EXCLUSION CLAUSE REINSURANCE NO. 4.
Commercial Umbrella Excess | ||||
of Loss Reinsurance Contract | ||||
January 1, 2007 |
REINSURANCE CONTRACT
No.  ###-###-####
(hereinafter referred to as the Contract)
Keene, New Hampshire
(hereinafter referred to as the Company)
Interests and Liabilities Agreements attached to
and forming part of this Contract
(hereinafter referred to as the Subscribing Reinsurer)
A. | This Contract applies to all Policies, except as hereinafter excluded, written and classified by the Company and the Legal Entities (as defined below) as Commercial Umbrella, in force as of January 1, 2007, and new and renewal Policies becoming effective on or after said date, subject to the terms and conditions contained herein. | |
B. | This Contract is solely between the Company and the Subscribing Reinsurer, and nothing contained in this Contract shall create any obligations or establish any rights against the Subscribing Reinsurer in favor of any person or entity not a party hereto. | |
C. | The term Policies shall mean each of the Companys or a Legal Entitys binders, policies and contracts of insurance or reinsurance on the business covered hereunder. | |
D. | Under this Contract, the indemnity for reinsured loss applies only to Commercial Umbrella written by the Company or ceded to the Company directly or indirectly by a legal entity listed below (each, a Legal Entity and, collectively, the Legal Entities) |
America First Insurance Company, Keene, New Hampshire,
America First Lloyds Insurance Company, Richardson, Texas,
Colorado Casualty Insurance Company, Englewood, Colorado,
Consolidated Insurance Company, Indianapolis, Indiana,
Excelsior Insurance Company, Keene, New Hampshire,
Globe American Casualty Company, Loveland, Ohio,
Golden Eagle Insurance Corporation, San Diego, California,
Hawkeye-Security Insurance Company, Waukesha, Wisconsin,
Indiana Insurance Company, Indianapolis, Indiana,
Liberty Mutual Mid-Atlantic Insurance Company, Camp Hill, Pennsylvania, for business written by the
Liberty Mutual Agency Markets Profit Centers covered under this Contract as defined in Appendix A
Liberty Northwest Insurance Corporation, Portland, Oregon,
Mid-American Fire and Casualty Company, Loveland, Ohio,
Montgomery Mutual Insurance Company, Columbia, Maryland,
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North Pacific Insurance Company, Portland, Oregon,
Oregon Automobile Insurance Company, Portland, Oregon,
Peerless Indemnity Insurance Company, Lisle, Illinois,
The Midwestern Indemnity Company, Loveland, Ohio,
The Netherlands Insurance Company, Keene, New Hampshire,
Wausau General Insurance Company, Wausau, Wisconsin, and
Wausau Underwriters Insurance Company, Wausau, Wisconsin, and
Wausau Business Insurance Company, Wausau, Wisconsin, for business classified as Business Solutions Group or Wausau Business Unit only,
Corporation, LM Insurance Corporation, both of West Des Moines, Iowa, Liberty Insurance
Corporation, South Burlington, Vermont, Liberty Mutual Fire Insurance Company, Wausau,
Wisconsin, for business classified as Business Solutions Group only)
Bridgefield Casualty Insurance Company, Lakeland, Florida
A. | This Contract shall become effective at 12:01 a.m., Local Standard Time, with respect to Policies in force at 12:01 a.m., Local Standard Time, January 1, 2007, and new and renewal Policies becoming effective on or after said date and shall remain in force until 12:01 a.m., Local Standard Time, January 1, 2008. | |
B. | This Contract shall apply to loss occurrence and claims made Policies in accordance with the following provisions: |
1. | As respects Policies written on an occurrence basis: | ||
This Contract shall apply with respect to losses occurring on or after the inception date of this Contract. | |||
2. | As respects Policies written on a claims made basis: | ||
This Contract shall apply to claims made Policies as respects claims received and recorded by the Company or a Legal Entity, as applicable, or the insured, whichever comes first, at and after the effective date of this Contract, provided that each such Policy includes a specific retroactive date and the occurrence which results in each such claim takes place on or after such retroactive date, and provided further that such retroactive date is on or after the inception date of the first of one or more consecutive claims made Policies issued by the Company or a Legal Entity, as applicable, or another insurer(s) to the named insured. |
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A. | The Subscribing Reinsurer shall be liable for 100% of the Net Loss in excess of $5,000,000 for each and every loss, each and every occurrence, each and every Policy, but the Subscribing Reinsurer shall not be liable for more than $10,000,000, except that this Contract is subject to one additional Reinsurance contract limit per claim with regard to Losses In Excess of Policy Limits or Extra Contractual Obligations, in any one loss occurrence as respects each and every loss, each and every occurrence, each and every policy | ||
B. | Where the Companys or a Legal Entitys original Policy provides for aggregate limits of liability, this Contract shall cover excess of $5,000,000 in the aggregate any one original Policy during each original aggregate period; but the Subscribing Reinsurer shall not be liable for more than $10,000,000 in the aggregate any one original Policy during each original aggregate period. | ||
C. | As respects aggregate coverages provided in Paragraph B of this Article IV LIMIT AND RETENTION, this Contract shall apply to the whole of each original aggregate period, not exceeding twelve months, and notwithstanding the termination or expiration of this Contract, provided the inception of such original aggregate period commences during the term of this Contract. | ||
D. | The term original aggregate period as used in Paragraphs B and C of this Article IV LIMIT AND RETENTION, shall mean each separate original policy period, not exceeding twelve months commencing at the inception, anniversary or renewal date of each covered policy on or after January 1, 2007 and prior to the termination date of this Contract. | ||
E. | For purposes of this Contract, the date of loss shall be the inception, anniversary or renewal data of the policy as respects business covered on or after January 1, 2007 and thereafter but prior to the termination date for each separate original aggregate period, not exceeding twelve months. | ||
F. | The term aggregate shall mean the net loss incurred in the aggregate during any one original aggregate period, unless more specifically defined in the Policies, in which case this Contract will follow the definitions therein. | ||
G. | All Loss Adjustment Expenses paid by the Company or a Legal Entity as a result of Net Losses covered hereunder shall be divided between the Company and the Subscribing Reinsurers, without regard to the limit of this Contract, in proportion to their share of the total loss giving rise to a claim hereunder. | ||
H. | Loss Adjustment Expense(s) shall include but not be limited to the following amounts paid or due and payable by the Company or a Legal Entity : a) expenses sustained in connection with the settlement and litigation of claims and suits, satisfaction of judgments, resistant to or negotiations concerning a loss (which shall include the pro rata share of the Company or an affiliates field employees according to the time occupied in adjusting such loss and the expenses of the Company or an affiliates employees but shall not include any salaries of officers or normal overhead expenses of the Company or its affiliates), b) Attorneys Fees and Expenses c) all other defense, litigation and medical cost containment expenses, whether internal or external, arising |
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out of specific claims, d) all Post or Prejudgment Interest or Delayed Damages added to a settlement, verdict, award, or judgment based on the period of time prior to or after the settlement, verdict, award, or judgment that is not made part of the settlement, verdict, award, or judgment, e) expenses sustained to obtain recoveries, salvages and other reimbursements, or to secure the reversal or reduction of a verdict or judgment and f) Claim-Specific Declaratory Judgment Expenses. | |||
I. | Claim-Specific Declaratory Judgment Expenses shall be defined as fees and expenses incurred in actions brought to determine whether the Company or a Legal Entity has a defense and/or indemnification obligation for individual claims presented against Policies covered under this Contract. Any Claim-Specific Declaratory Judgment Expense shall be deemed to have been fully incurred on the same date as the insureds original loss (if any) giving rise to the action, unless otherwise provided for within this Contract. | ||
J. | The term Attorneys Fees and Expenses as used above, means the fees and expenses of attorneys, including the fees and expenses of the Companys or its affiliates in-house attorneys providing legal advice on coverage questions and/or defending the Company or a Legal Entity in coverage litigation, and fees and expenses of staff counsel in the defense of policyholder claims. Such Attorneys Fees and Expenses for in-house attorneys and staff counsel shall be calculated at the rate for such attorneys plus the expenses incurred by such attorneys, but excluding office expenses of the Company and its affiliates and salaries and expenses of their other employees. | ||
K. | It is understood and agreed that the Subscribing Reinsurer, in participation with the Company, , shall pay its proportionate share of the Loss Adjustment Expenses which are incurred by the Company or a Legal Entity: |
1. | In those instances where both the Primary and the Umbrella policy limits are tendered simultaneously, or where the Primary limits have been tendered but not actually paid. | ||
2. | In those instances where the Primary limit is paid and the defense continues, only the Subscribing Reinsurer shall be responsible for those adjustment expenses incurred by the Company or a Legal Entity after payment of the Primary limit and these Loss Adjustment Expenses shall be divided between the Company and the Subscribing Reinsurer in proportion to their share of the Net Loss. | ||
3. | In those instances where there is no Net Loss and only Loss Adjustment Expense, the Company or a Legal Entity shall retain the first $5,000,000 of Loss Adjustment Expense and the Subscribing Reinsurer shall be liable for 100% of the Loss Adjustment Expense in excess of $5,000,000, but the Subscribing Reinsurer shall not be liable for more than $10,000,000 for each and every loss, each and every occurrence, each and every Policy. |
L. | Notwithstanding the above, with regard to an Act of Terrorism, the Subscribing Reinsurer shall be liable for 100% of the Net Loss in excess of $5,000,000 for each and every loss, each and every occurrence, each and every Policy, but the Subscribing Reinsurer shall not be liable for more than $10,000,000 in any one loss occurrence as respects each and every loss, each and every occurrence, each and every Policy, subject to an annual aggregate limit of $10,000,000 for the term of this Contract. An Act of Terrorism for purposes of this Contract shall mean: |
1. | Any actual or threatened violent act or act harmful to human life, tangible or intangible property or infrastructure directed towards or having the effect of (a) influencing or protesting against any de jure or de facto government or policy thereof, (b) intimidating, |
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coercing or putting in fear a civilian population or section thereof for the purpose of establishing or advancing a specific ideological, religious or political system of thought, perpetrated by a specific individual or group directly or indirectly through agents acting on behalf of said individual or group or (c) retaliating against any country for direct or vicarious support by that country of any other government or political system. | |||
2. | Any act deemed or declared by the Federal Office of Homeland Security to be terrorism or a terrorist act shall also be considered an Act of Terrorism for purposes of this Contract |
M. | Reinsurance of the Companys retention shall not be deducted in arriving at the Ultimate Net Loss herein. |
A. | The term Net Loss as used in this Contract shall mean all amounts paid or due and payable by the Company or a Legal Entity within the terms and limits of their Policies or by way of compromise in settlement of claims or losses, payment of benefits, or satisfaction of judgments, settlements, verdicts or awards, including interest or delayed damages when made part of the judgment, settlement, verdict or award, 90% of any Losses in Excess of Policy Limits and 90% of any Extra Contractual Obligations incurred by the Company or a Legal Entity, but shall not include Loss Adjustment Expense. | ||
B. | All savages, recoveries, payments and reversals or reductions of verdicts or judgments whether recovered, received or obtained prior or subsequent to loss settlement under this Contract, shall be applied as if recovered, received or obtained prior to the aforesaid settlement an shall be deducted from the actual losses sustained to arrive at the amount of the Net Loss. | ||
C. | Nothing in this Article shall be construed to mean that losses under this Contract are not recoverable until the Net Loss has been ascertained. |
A. | This Contract shall protect the Company for any Loss in excess of the original Policy limit where Loss in excess of the limit has been incurred because of a failure by the Company, a Legal Entity or by a third-party claims administrator to settle within the Policy limit or by reason of alleged or actual negligence, fraud, or bad faith in rejecting an offer of settlement or in defending or prosecuting litigation, including appeals, arbitration, or any alternative dispute resolution or settlement discussions involving any claim, subject to one additional Reinsurance Contract limit per claim. | ||
B. | However, the above paragraph shall not apply where the Loss has been incurred due to the fraud of a member of the Board of Directors or a Corporate Officer of the Company or a Legal Entity acting individually or collectively or in collusion with any individual or corporation or any other organization or party involved in the presentation, defense or settlement of any claim covered hereunder. | ||
C. | With regard to excess of Policy limits, the word Loss shall mean any amounts for which the Company or a Legal Entity would have been contractually liable to pay had it not been for the limit of the original Policy. The date on which any Loss in excess of the original Policy limit is incurred by the Company or a Legal Entity shall be deemed, in all circumstances, to be the date of the |
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original occurrence, accident, casualty, disaster, Loss Occurrence or loss, as selected by the Company. | |||
D. | The amount of any Loss in excess of the Policy limit arising out of an original accident, casualty, disaster or loss occurrence covered by more than one Policy issued by the Company or Legal Entity to the same insured will be apportioned to each such Policy on a pro rata basis in the same proportion that the limit of each Policy bears to the total limit of coverage provided by all such Policies for the original accident, casualty, disaster or loss occurrence. |
A. | This Contract shall protect the Company for Extra Contractual Obligations losses on Policies exposing this Contract. Extra Contractual Obligations are defined as any actual or potential liabilities not covered under any other provision of this Contract, arising from or relating to any alleged or actual act, error or omission, whether intentional or otherwise, or from any alleged or actual negligence, tortious conduct, reckless conduct, violations of statutes or regulations governing the conduct of insurance companies and/or claims adjusters, or bad faith in connection with: (i) the handling of any claim under the Policies covered by this Contract, such liabilities arising because of, but not limited to, the following: failure by the Company, a Legal Entity or by a third party claims administrator to settle within the Policy limit, or by reason of alleged or actual negligence, fraud or bad faith of the Company, a Legal Entity or by a third party claims administrator in rejecting an offer of settlement, or in defending or prosecuting litigation, including appeals, arbitration, or any alternative dispute resolution or settlement discussions involving any claim; or (ii) the loss control or loss prevention of any Policy hereunder. | ||
B. | The date on which any Extra Contractual Obligation is incurred shall be deemed, in all circumstances, to be the date of the original Occurrence, loss occurrence, accident, casualty, disaster, or loss, as selected by the Company. | ||
C. | However, this Article shall not apply where the loss has been incurred due to the fraud of a member of the Board of Directors or a corporate officer of the Company or a Legal Entity acting individually or collectively or in collusion with any individual or corporation or any other organization or party involved in the presentation, defense or settlement of any claim covered hereunder. |
A. | THE FOLLOWING GENERAL CATEGORIES |
1. | Loss or damage caused directly or indirectly by: (a) enemy attack by armed forces including action taken by military, naval or air forces in resisting an actual or an immediately impending enemy attack; (b) invasion; (c) insurrection; (d) rebellion; (e) revolution; (f) intervention; (g) civil war; and (h) usurped power. | ||
2. | Reinsurance assumed by the Company, except intercompany reinsurance. | ||
3. | Business derived from any Pool, Association, including Joint Underwriting Association, Syndicate, Exchange, Plan, Fund or other facility directly as a member, subscriber or |
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participant, or indirectly by way of reinsurance or assessments; provided this exclusion shall not apply to Automobile or Workers Compensation assigned risks which may be currently or subsequently covered hereunder. | |||
4. | Pollution Liability to the extent excluded in the original Policies and endorsements except when a judicial entity invalidates the Policies exclusion or in any jurisdiction whose regulatory authorities have prohibited the exclusion. | ||
5. | Insolvency Funds as per the attached Insolvency Funds Exclusion Clause. | ||
6. | Pharmaceutical/Medical Risks per the attached Appendix B | ||
7 | Nuclear Incident Exclusion Clauses which are attached and made part of this Agreement: |
a. | Nuclear Incident Exclusion Clause Liability Reinsurance U.S.A. | ||
b. | Nuclear Incident Exclusion Clause Liability Reinsurance Canada. | ||
c. | Nuclear Incident Exclusion Clause Reinsurance No. 4. |
8. | Risks with umbrella coverage in excess of $200,000,000 |
B. | THE FOLLOWING INSURANCE COVERAGES |
1. | Fiduciary Liability. | ||
2. | Surety and Credit insurance. | ||
3. | Fidelity Bonds. | ||
4. | Credit and Financial Guarantee. | ||
5. | Securities and Exchange Liability. | ||
6. | Malpractice insurance, Directors and Officers Liability insurance or any form of Errors and Omissions or Professional Liability insurance, except as provided for under the Profit Centers Underwriting Guidelines | ||
7. | Advertisers, Broadcasters and Telecasters Liability as respects Personal Injury Liability except as provided for under the Profit Centers Underwriting Guidelines. | ||
8. | Kidnap, Extortion and Ransom Liability. | ||
9. | Protection and Indemnity (Ocean Marine) except for hulls under 50 feet. | ||
10. | Media business, defined as Feature Film and Major Motion Picture Studios, Commercial Negative Film Coverages, Cast Coverage, Completion Bond and Television Productions, with annual gross receipts greater than $25,000,000. | ||
11. | Asbestos liability to the extent excluded in the original Policies and endorsements except when a judicial entity invalidates the Policies exclusion or in any jurisdiction whose regulatory authorities have prohibited the exclusion. |
C. | ANY COMMERCIAL UMBRELLA COVERAGE AS RESPECTS ANY OF THE FOLLOWING: |
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1. | Autos as used in or being prepared for, any professional or organized racing or demolition contest or stunting activity except as provided for under ISOs Business Auto and Garage Policy. | ||
2. | All vehicles classified as Public Automobiles except school buses, church buses, social service agency automobiles, van pools, vehicles used for the transportation of employees and courtesy vans and buses. | ||
3. | All rental operations. An exception for rental vehicles shall apply as respects auto dealerships when customers vehicle is being serviced. | ||
4. | Vehicles regularly used to haul property of others and regularly operating beyond a 500 mile radius. | ||
5. | Newspaper delivery trucks except in non-metropolitan locations with a population of less than 50,000. | ||
6. | Vehicles engaged in the transportation or distribution of fireworks, fuses, explosives, ammunitions, natural or artificial fuel gas, or liquefied petroleum gases or gasoline, except when written as incidental coverage, as defined in the Profit Centers Underwriting Guidelines. This exclusion shall not apply to vehicles engaged in the transportation of natural or artificial fuel gas or liquefied petroleum gases or gasoline when operations are within a 500 mile radius. | ||
7. | Liability as respects Products and Completed Operations: |
a. | The manufacture, importation, labeling or re-labeling of: |
(i) | Drugs or pharmaceuticals. | ||
(ii) | Cosmetics, defined as: |
(iii) | Herbicides, insecticides or pesticides, except as respects risks involved in a farming operation. |
b. | The manufacture or importing of motorized or self-propelled vehicles and equipment. | ||
c. | The manufacture, sale, distribution, handling, servicing or maintenance of aircraft, aerospacecraft, missiles, satellites or any component or components thereof. |
8. | All railway operations except Railroad Protective Liability coverage as respects jobs which do not involve track work or service disruptions. | ||
9. | Amusement parks, carnivals or circuses, except county or country fairs, incidental family fun centers, ice or roller skating rinks, miniature golf courses and excursions to camps or parks. | ||
10. | Public assembly exposure in excess of 5,000 except for schools and colleges. | ||
11. | Gas or electric companies. | ||
12. | Subaqueous operations. |
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13. | Mining and quarrying operations, if blasting is involved | ||
14. | Demolition of buildings or structures in excess of three stories or 50 feet in height | ||
15. | Shoring, underpinning or moving of buildings or structures. | ||
16. | Manufacture, sale, rental, lease or repair of scaffolds. This exclusion shall not apply to incidental exposure on construction risks. | ||
17. | Construction of bridges unless the span is less than 75 feet between pillars, and tunnels or dams. |
18. | a. | Manufacturers or importers of fireworks, fuses, or any substance, as defined and noted below, intended for use as an explosive. | |
b. | Loading of fireworks, fuses, or any explosive substance defined below into containers for use as explosive objects, propellant charges or detonation devices and the storage thereof. | ||
c. | Manufacturers or importers of any product in which fireworks, fuses, or any explosive substance defined below is an ingredient. | ||
d. | Handling, storage, transportation or use of fireworks, fuses, or any explosive substance defined below. |
19. | Manufacture, production, refining, storage, wholesale distribution or transportation of natural or artificial fuel gas, butane, propane or liquefied petroleum gases or gasoline, except when written as incidental coverage, as defined in the Profit Centers Underwriting Guidelines, or when operations are within a 500 mile radius. This exclusion is not to apply to the construction and maintenance of such exposures which shall include, but not be limited to, landscaping, road construction, excavation and water hauling, plumbing and electrical services. | ||
20. | Onshore and offshore gas and oil drilling operations. This exclusion is not to apply to the construction and maintenance of such exposures which shall include, but not be limited to, landscaping, road construction, excavation, water hauling, plumbing and electrical services. | ||
21. | Ownership, maintenance, use or entrustment of any aircraft, owned, operated, rented or loaned including fueling, or any device or machine intended for and/or aiding in the achievement of atmospheric flight, projection or orbit, to the extent excluded in the original Policies and endorsements. | ||
22. | Municipalities except for those with a population less than 100,000. |
D. | Terrorism losses arising from Airports, Bridges, Government Buildings, Nuclear Facilities, Office Buildings over 25 stories, Security Services, Stadiums and Tunnels, Nuclear, Biological and Chemical exposures, Explosive Manufacturing risks, Fertilizer mixing plants, Railroads, Amusement/Theme parks with greater than 5,000 person capacity, Distribution and manufacturing of weapons/munitions. |
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E. | The Company and the Subscribing Reinsurer have agreed on the Profit Centers Underwriting Guidelines, as respects Policies covered under this Agreement. The Company shall advise the Subscribing Reinsurer of any change in such Underwriting Guidelines. | |
F. | In the event the Company or a Legal Entity is inadvertently bound on any risk which is excluded under this Agreement, the reinsurance provided under this Agreement shall apply to such risk until discovery by the Company within its Home Office of the existence of such risk and for 45 days thereafter or for the period required by statutes, and shall then cease unless within such period, the Company has received from the Subscribing Reinsurer written notice of its approval of such risk. |
A. | Risks which are beyond the terms, conditions or limitations of this Contract submitted to each Subscribing Reinsurer identified on the attached Interests and Liabilities Agreement for special acceptance hereunder. Upon receipt of approval from all Subscribing Reinsurers, such acceptance shall bind each Subscribing Reinsurer for its respective share in the interests and liabilities of said risk. A Subscribing Reinsurers failure to respond within 2 full business days shall be deemed approval of a risk submitted for special acceptance. | |
B. | When a risk is specially accepted, such risk shall be covered under the terms and conditions of this Contract, except as such terms shall be modified by such acceptance. Premiums and losses derived from any special acceptance shall be included with other data for rating purposes of this Contract. Once a risk has been accepted under the provisions of this Article, it will automatically be included at renewal unless there have been material changes to the risk, in which case the risk will be resubmitted. |
A. | As respects Products Bodily Injury and Products Property Damage Liability, injuries to all persons and all damage to property of others occurring during a Policy Period and proceeding from or traceable to the same cause or series of similar causes, shall be deemed to arise out of one Loss Occurrence, and the date of such Loss Occurrence shall be deemed to be the commencing date of the Policy Period. For the purpose of this provision, each annual period of a Policy which continues in force for more than one year shall be deemed to be a separate Policy Period. | |
B. | As respects Bodily Injury Liability (other than Automobile and Products), said term shall also be understood to mean, as regards each original assured, injuries to one or more than one person resulting from infection, contagion, poisoning, or contamination proceeding from or traceable to the same cause or series of similar causes. | |
C. | As respects Property Damage Liability (other than Automobile and Products), Loss Occurrence shall also, subject to provisions 1. and 2. below, be understood to mean loss or losses caused by a series |
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of operations, events, or occurrences arising out of operations at one specific site and which cannot be attributed to any single one of such operations, events or occurrences, but rather to the cumulative effect of the same. In assessing each and every Loss Occurrence within the foregoing definition, it is understood and agreed that: |
1. | The series of operations, events or occurrences shall not extend over a period longer than 12 consecutive months; and | ||
2. | The Company may elect the date on which the period of not exceeding 12 consecutive months shall be deemed to have commenced. |
In the event that the series of operations, events or occurrences extend over a period longer than 12 consecutive months, then each consecutive period of 12 months, the first of which commences on the date elected under 2. above, shall form the basis of claim under this Contract. | ||
D. | As respects those Policies which provide aggregate limits of liability, the total of all individual losses occurring during any one Policy year which proceed from or are traceable to the same cause or a series of similar causes. | |
E. | As respects an occupational or other disease or cumulative injury under Workers Compensation and Employers Liability, each case of an employee contracting any disease for which the Company or a Legal Entity may be liable shall be considered a separate and distinct occurrence and the date of each occurrence shall be deemed to be as follows: |
1. | If the case is compensable under the Workers Compensation Law or any Occupational Disease Compensation Act, the date of the beginning of the disability for which compensation is payable; | ||
2. | If the case is not compensable under the Workers Compensation Law or any Occupational Disease Compensation Act, the date of the disability due to said disease actually began; | ||
3. | Where claim is made after employment has ceased, then the date of the cessation of employment shall be deemed to be the date of disability; | ||
4. | Notwithstanding the foregoing, in the incidence of a sudden catastrophic event not exceeding 24 hours in duration including traumatic injury or death, all losses to all employers shall be deemed a Loss Occurrence. |
A. | The term Loss Occurrence shall mean each claim or series of claims made to the Company or a Legal Entity, or the insured, during the term of this Contract arising out of or following the same cause or series of similar causes. |
B. | As respects a Loss Occurrence involving one or more Policies written on a claims made basis, the date of Loss Occurrence for purposes of reinsurance, shall be considered the earliest date when notice of claims is first received and recorded by the Company or a Legal Entity or the insured, whichever comes first, and any related claims reported subsequent to such date shall be included in such loss. However, if notice of claims is first received and recorded by the Company or a Legal Entity or the insured during an Extended Reporting Period, the date of occurrence shall be deemed to be the last day of the policy period. |
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A. | In the event a Loss Occurrence involving one or more Policies written on an occurrence basis and one or more Policies written on a claims-made basis, it is understood that the earliest date on which bodily injury or property damage occurs, and any related claims reported subsequent to such date shall be included in such loss whether they are covered under occurrence or claims-made Policies. |
A. | The Company shall pay to the Subscribing Reinsurer a rate of 3.106% times the Subject Earned Premium for all Policies classified as Commercial Lines Umbrella by the Company and the Legal Entities. | |
B. | The term Subject Earned Premium as used herein is equal to the sum of the Net Premiums Written on the business covered hereunder during the period under consideration, plus the unearned premium reserve as respects premiums in force at the beginning of such period, less the unearned premium reserve as respects premiums in force at the end of the period, said unearned premium is to be calculated on a monthly pro rata basis, for Policies classified by the Company and the Legal Entities as Commercial Lines Umbrella. | |
C. | The term Net Premiums Written shall mean gross premiums written less returns, allowances and reinsurances which inure to the benefit of the Subscribing Reinsurer. | |
D. | Each claim reduces the amount of indemnity from the time the loss occurred by the sum paid. Any amount exhausted is reinstated from the time the Loss Occurrence begins. Reinstatements will be provided as follows: one at twenty-five percent, one at fifty percent and two at one hundred percent of the original premium. The additional premium will be calculated pro rata of the annual premium, as to the fraction of the limit of liability reinstated and 100% as to the term. |
ARTICLE XII REPORTS AND REMITTANCES |
A. | The Company shall furnish the Subscribing Reinsurer with all necessary data respecting premiums and losses for as long as one of the parties hereto has a claim against the other arising from this Contract. | |
B. | Quarterly Deposit Premiums equal to ¼ of the 100% of Annual Deposit Premium will be remitted on January 15, May 15, August 15 and November 15, according to the schedule below. The Company shall submit finalized accounts to the Subscribing Reinsurer on February 15, of the subsequent year, summarizing the actual subject earned premium for the previous Contract Year. The difference between the deposit premium and the actual subject earned premium will be settled to/from the Company within 15 days of February 15. However, in no event shall the annual adjusted premium | |
be less than the Annual Minimum Premium for each layer, set forth below: |
Annual | Annual | Quarterly | ||||||
Minimum | Deposit | Deposit | ||||||
$4,160,000 | $ | 5,200,000 | $ | 1,300,000 |
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C. | Payment by the Subscribing Reinsurer of its portion of Loss and Loss Adjustment Expenses paid by the Company or a Legal Entity shall be made by the Subscribing Reinsurer to the Company immediately upon reasonable evidence of the amount due or to be due, being furnished by the Company. |
1. | Are reserved by the Company or a Legal Entity for an amount in excess of 50% of its retention. |
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A. | Disputes to be Arbitrated. With the exception of any dispute resolution procedures that are otherwise contained in this Contract, any and all disputes between the Company and any Subscribing Reinsurer or Reinsurers (Party individually or Parties collectively) arising out of, relating to, or concerning this Contract, whether sounding in contract or tort and whether arising during or after this Contracts formation, or its termination, including disputes as to whether the Contract was validly formed or is voidable, shall be submitted to the decision of an arbitration panel (Panel). The Panel shall consist of an umpire and two party-appointed arbitrators unless a Party meets the requirements of Paragraph C of this Article and demands arbitration pursuant thereto, in which case the Panel would consist of an umpire only. | ||
B. | Procedures. Except as provided herein, any arbitration shall be based upon the Procedures for the resolution of U.S. Insurance and Reinsurance Disputes, Regular Panel Version, dated April 2004 (the Procedures), developed by the Insurance and Reinsurance Dispute Resolution Task Force, subject to the following modifications: |
1. | Qualifications of the arbitrators and umpires shall be in accordance with Alternative section 6.2 of the Procedures. | ||
2. | The Parties hereby designate the umpire list maintained by ARIAS (U.S.) as the list to be used in the event that section 6.7(a) of the Procedures is invoked. | ||
3. | Unless otherwise mutually agreed, the members of the Panel shall be impartial and disinterested. The members of the Panel may not be: (1) in the control of any Party or its parent, affiliate, or agent, (2) a former director or officer of any Party or its parent, affiliate, or agent, or (3) a likely witness in the arbitration. The requirement of impartiality means that all members of the Panel shall have the same obligation to approach the Panels |
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duties and decisions with fairness and without consideration for the fact that Panel members may have been appointed by one of the Parties. The requirement of impartiality does not mean that any arbitrator can have no previous knowledge of or experience with respect to issues involved in the dispute or disputes. | |||
4. | The first sentence of Section 10.4 of the Procedures shall be replaced by the following sentence: The Panel shall require that each Party submit concise written statements of position, including summaries of the facts and evidence a Party intends to present, discussion of the applicable law and the basis for the requested Award or denial of relief sought. | ||
5. | Once the Panel has been constituted, no Party (or anyone acting for a Party) shall have any communications concerning the arbitration or any of the issues before the Panel with any member of the Panel that is not also disclosed to all other Parties and all members of the Panel. Each Panel member shall have a continuing duty to disclose promptly to all Parties and all Panel members any violation of this prohibition and the specifics of any improper communications that occurred. This prohibition shall remain in place until all challenges to any arbitration awards and decisions have been either waived or finally concluded. | ||
6. | Section 11.1 of the Procedures shall be replaced by the following provision: The Parties may propound discovery seeking disclosure of such information and/or documents relevant to the dispute or necessary for the proper resolution of the dispute. | ||
7. | Position statements may be amended at any reasonable time, but not later than the close of discovery without a showing to the Panel that the amending Party could not reasonably have raised the new claim or issue at an earlier time. | ||
8. | The Panel shall hold an evidentiary hearing, if one is necessary, within one year of the arbitration demand, unless the Parties otherwise agree. Should a Party seek a reasonable extension to this time frame for good cause shown, the other Partys agreement shall not be unreasonably withheld. | ||
9. | To the extent permitted by the law, the Panel shall have the authority to issue subpoenas and other orders to enforce its decisions. | ||
10. | The Panel may award reasonable attorneys fees and arbitration costs to the prevailing Party, as determined by the Panel. | ||
11. | Section 14.3 of the Procedures shall be replaced by the following provision: The Panel shall make a decision and issue an award with regard to the terms expressed in this Contract, and the custom and practice of the property and casualty insurance and reinsurance business. The Panel shall not be obligated to follow the strict rules of law and evidence. |
C. | Alternative Streamlined Procedures. Notwithstanding the foregoing provisions of this Article, the Alternative Streamlined Procedures set forth in section 16 of the Procedures, as modified by sections B3, B4, and B9 through B11 of this Article, shall apply in the event that, in a consolidated proceeding or otherwise, the Party initiating arbitration is seeking payment of a total amount that is |
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no greater than one million dollars ($1,000,000), or the currency equivalent thereof. Sections 16.1, 16.2, 16.3 and the second sentence of section 16.4 of the Alternative Streamlined Procedures shall not apply. The Parties agree to comply with section 6.7 of the Procedures to appoint a single umpire, and hereby designate the umpire list maintained by ARIAS (U.S.) as the list to be used in section 6.7(a). | |||
D. | Hearing Location. The hearing shall be held in Boston, Massachusetts, unless the Parties mutually agree to a different location. | ||
E. | Confirmation. Either Party may apply to a court of competent jurisdiction for an order confirming any award of the Panel; a judgment of that court shall thereupon be entered on any award. If such an order is issued, the Party against whom confirmation is sought shall pay the attorneys fees incurred of the Party who applied for the confirmation order and all court costs of any such proceeding. | ||
F. | Equitable Relief from a Court of Law. Nothing herein shall be construed to prevent any participating Party from applying to a court of competent jurisdiction to issue a restraining order or other equitable relief to maintain the status quo of the Parties participating in the arbitration pending the decision and award by the Panel. | ||
G. | Consolidated Proceedings. |
1. | Same contract, single Subscribing Reinsurer. Both the Company and any single Subscribing Reinsurer on this Contract have the right to combine any and all disputes between them that concern this Contract (including any renewal of this Contract or any contract for which this Contract is a renewal) into a single arbitration proceeding before a single Panel, except that the standard for determining whether a Party may add a new issue, claim, or dispute to an arbitration proceeding shall be the standard for amending a Position statement, as set forth in Paragraph B7 of this Article. | ||
2. | Multiple contracts, single Subscribing Reinsurer. The Company has the right to combine any and all disputes between the Company and a single Subscribing Reinsurer into a single arbitration proceeding before a single Panel where such disputes involve this Contract and any additional contracts between the two Parties, except that the standard for determining whether a Party may add a new issue, claim, or dispute to an arbitration proceeding shall be the standard for amending a Position statement, as set forth in Paragraph B7 of this Article. | ||
3. | Same contract, multiple Reinsurers. At the Companys option, if more than one Subscribing Reinsurer is involved in arbitration relating to this Contract, where there are common questions of law or fact and a possibility of conflicting awards or inconsistent results, all such Reinsurers shall constitute and act as one Party for purposes of this Article and communications shall be made by the Company to each of the Reinsurers constituting the one Party; provided, however, that the Reinsurers shall have the right to assert several, rather than joint defenses or claims, and to be represented by separate counsel. This provision shall not change the liability of each of the Reinsurers under the terms of this Contract from several to joint. |
H. | Choice of Law. The law set forth in the Governing Law Article shall apply to this Arbitration Article. In addition, to the extent the Panel (or the umpire in an Alternative Streamlined Procedure) looks to applicable law, such Panel or umpire shall apply the law as set forth in the Governing Law Article of this Contract. | ||
I. | Survival of Article. This Article shall survive the termination or expiration of this Contract. |
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A. | A State Insurance Department or other legal authority orders the Subscribing Reinsurer to cease writing business or has imposed upon it any other restrictions on or conditions relating to the Subscribing Reinsurers license or conduct of business in any jurisdiction; or | ||
B. | The Subscribing Reinsurer has become insolvent or has been placed into liquidation or receivership (whether voluntary or involuntary), or there have been instituted against it proceedings for the appointment of a receiver, liquidator, rehabilitator, conservator, trustee in bankruptcy, or other agent known by whatever name, to take possession of its assets or control of its operations; or | ||
C. | The Subscribing Reinsurers policyholders surplus has been reduced by 25% of the amount of surplus at the inception of this Contract; or | ||
D. | The Subscribing Reinsurer has become merged with, acquired, or controlled by any company, corporation, or individual(s) not controlling the Subscribing Reinsurers operations at the inception of this Contract; or | ||
E. | The Subscribing Reinsurers A.M. Best Rating has been assigned or downgraded below A- or Standard and Poors Rating has been assigned or downgraded below A-; or | ||
F. | The Subscribing Reinsurer fails to maintain its surplus at a level of at least 200% of the Subscribing Reinsurers Risk-Based Capital; or | ||
G. | The Subscribing Reinsurer announces intentions to cease underwriting operations; or | ||
H. | The Subscribing Reinsurer voluntarily ceases underwriting operations; or | ||
I. | The Subscribing Reinsurer has reinsured its entire liability under this Contract, or has entered into a novation extinguishing its entire liability under this Contract without the Companys prior written consent. |
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A. | To pay or reimburse the Company for: |
1. | The Subscribing Reinsurers share under this Contract of premiums returned, but not yet recovered from the Subscribing Reinsurer, to the owners of Policies reinsured under this Contract due to cancellations of such Policies; and | ||
2. | The Subscribing Reinsurers share, under this Contract, of surrenders and benefits or liabilities paid by the Company, but not yet recovered from the Subscribing Reinsurer, under the terms and provisions of the Policies reinsured under this Contract; and | ||
3. | Any other amounts necessary to secure the credit or reduction from liability for reinsurance taken by the Company. |
B. | Where the Letters of Credit will expire without renewal or be reduced or replaced by Letters of Credit for a reduced amount and where the Subscribing Reinsurers entire obligations under this Contract remain unliquidated and undischarged ten (10) days prior to the termination date, to withdraw amounts equal to the Subscribing Reinsurers share of the liabilities, to the extent that the liabilities have not yet been funded by the Subscribing Reinsurer and exceed the amount of any reduced or replacement Letters of Credit, and deposit those amounts in a separate account in the name of the Company in a qualified U.S. financial institution apart from its general assets, in trust for such uses and purposes as specified above as may remain after withdrawal and for any period after the termination date. |
A. | If the statement shows that the Subscribing Reinsurers Obligations exceed the balance of credit as of the statement date, the Subscribing Reinsurer shall, within fifteen (15) days after receipt of notice of such excess, secure delivery to the Company of an amendment to the Letters of Credit increasing the amount of credit by the amount of such difference. | ||
B. | If, however, the statement shows that the Subscribing Reinsurers Obligations are less than the balance of credit as of the statement date, the Company shall, within fifteen (15) days after receipt of written request from the Subscribing Reinsurer, release such excess credit by agreeing to secure an amendment to the Letters of Credit reducing the amount of credit available by the amount of such excess credit. |
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A. | To reimburse the Company for the Subscribing Reinsurers share of premiums returned to the owners of Policies reinsured under this Contract because of cancellations of the Policies; | ||
B. | To reimburse the Company for the Subscribing Reinsurers share of surrenders and benefits or losses paid by the Company under provisions of the Policies reinsured under this Contract; | ||
C. | To fund an account with the Company in an amount, at least, equal to the deduction for reinsurance ceded from the Company liabilities for Policies ceded under this Contract. The account shall include, but not be limited to, amounts for Policy reserves, claims and |
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losses incurred (including losses incurred but not reported), loss adjustment expenses, and unearned premium reserves; and | |||
D. | To pay any other amounts the Company claims are due under this Contract. |
A. | If the statement shows that the Subscribing Reinsurers Obligations exceed the balance of credit as of the statement date, the Subscribing Reinsurer shall, within 30 days after receipt of notice of such excess, secure delivery to the Company of an amendment to the Letters of Credit increasing the amount of credit by the amount of such difference. | ||
B. | If, however, the statement shows that the Subscribing Reinsurers Obligations are less than the balance of credit as of the statement date, the Company shall, within 30 days after receipt of written request from the Subscribing Reinsurer, release such excess credit by agreeing to secure an amendment to the Letters of Credit reducing the amount of credit available by the amount of such excess credit. |
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A. | If a loss payment owed by the Subscribing Reinsurer to the Company is not received within 45 calendar days following the date of presentation to the Subscribing Reinsurer of information necessary to approve payment of the claim, and/or | ||
B. | If any premium payment owed by the Company to the Subscribing Reinsurer is not received within 45 calendar days following the date on which payment is due, and/or | ||
C. | If any premium adjustment, agreed by either Party to the other, is not received within 150 calendar days following the expiry or anniversary of this Contract, and/or |
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D. | If any return of premiums, commissions, profit sharing, or any amounts not provided in paragraphs A, B, and C above, are not received in accordance with the date specified in this Contract or if no date is specified, within 90 calendar days following the date the debtor Party received the billing. |
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Business Produced | ||||
By Agents Resident | ||||
Profit Center | Legal Entities Used By Profit Center | in the Following State | ||
America First Insurance: | America First Insurance Co. | AK, LA, OK, TX | ||
America First Lloyds Insurance Co. | AK, LA, OK, TX | |||
Peerless Insurance Co. | AK, LA, OK, TX | |||
Liberty County Mutual Insurance Co. | For business classified as LMAM and produced by this Profit Center only | |||
Wausau/Business Solutions Group* | (Multi-State Business **) | |||
Peerless Indemnity Insurance Co. | (Multi-State Business **) | |||
The Netherlands Insurance Co. | (Multi-State Business **) | |||
Colorado Casualty: | Colorado Casualty Insurance Co. | AZ, CO, NM, NV, WY, UT | ||
Golden Eagle Insurance Corp. | AZ, CO, NM, NV, WY, UT | |||
One Beacon Insurance Co. Cession to | AZ, CO, NM, NV, WY, UT | |||
Peerless Insurance Co. | ||||
Wausau/Business Solutions Group* | (Multi-State Business**) | |||
Peerless Indemnity Insurance Co. | (Multi-State Business**) | |||
The Netherlands Insurance Co. | (Multi-State Business**) | |||
Golden Eagle Insurance: | Golden Eagle Insurance Corp. | CA | ||
One Beacon Insurance Co. Cession to Peerless Insurance Co. | CA | |||
Peerless Insurance Co. | CA | |||
Wausau/Business Solutions Group* | (Multi-State Business**) | |||
Peerless Indemnity Insurance Co. | (Multi-State Business**) | |||
The Netherlands Insurance Co. | (Multi-State Business**) | |||
Hawkeye-Security Insurance: | Hawkeye-Security Insurance Co. | IA, KS, MN, MO, NE, ND, SD, WI | ||
Consolidated Insurance Co. | IA, KS, MN, MO, NE, ND, SD, WI | |||
Indiana Insurance Co. | IA, KS, MN, MO, NE, ND, SD, WI | |||
One Beacon Insurance Co. Cession to Peerless Insurance Co. | IA, KS, MN, MO, NE, ND, SD, WI | |||
Peerless Insurance Co. | IA, KS, MN, MO, NE, ND, SD, WI | |||
The Midwestern Indemnity Co | IA, KS, MN, MO, NE, ND, SD, WI |
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Business Produced | ||||
By Agents Resident | ||||
Profit Center | Legal Entities Used By Profit Center | in the Following States | ||
Hawkeye-Security Continued: | ||||
Wausau/Business Solutions Group* | (Multi-State Business**) | |||
Peerless Indemnity Insurance Co. | (Multi-State Business**) | |||
The Netherlands Insurance Co. | (Multi-State Business**) | |||
Indiana Insurance: | Indiana Insurance Co. | IL, IN, KY, MI, OH, TN | ||
Consolidated Insurance Co. | IL, IN, KY, MI, OH, TN | |||
Mid-American Fire and Casualty Co. | IL, IN, KY, MI, OH, TN | |||
One Beacon Insurance Co. Cession to | ||||
Peerless Insurance Co. | IL, IN, KY, MI, OH, TN | |||
Peerless Insurance Co. | IL, IN, KY, MI, OH, TN | |||
The Midwestern Indemnity Co. | IL, IN, KY, MI, OH, TN | |||
Globe American Casualty Co. | All States | |||
National Insurance Association | All States | |||
Wausau/Business Solutions Group* | (Multi-State Business**) | |||
Peerless Indemnity Insurance Co. | (Multi-State Business**) | |||
The Netherlands Insurance Co. | (Multi-State Business**) | |||
Liberty Northwest Insurance: | Liberty Northwest Insurance Corp. | All States | ||
North Pacific Insurance Company | All States | |||
Oregon Automobile Insurance Co. | All States | |||
Wausau/Business Solutions Group* | (Multi-State Business**) | |||
Montgomery Insurance: | Montgomery Mutual Insurance Co. | AL, DC, DE, FL, GA, MD, MS, NC, SC, VA, WV | ||
Colorado Casualty Insurance Co. | AL, DC, DE, FL, GA, MD, MS, NC, SC, VA, WV | |||
Excelsior Insurance Co. | AL, DC, DE, FL, GA, MD, MS, NC, SC, VA, WV | |||
One Beacon Insurance Co. Cession to Peerless Insurance Co. | AL, DC, DE, FL, GA, MD, MS, NC, SC, VA, WV | |||
Peerless Insurance Co. | AL, DC, DE, FL, GA, MD, MS, NC, SC, VA, WV | |||
The Midwestern Indemnity Co. | AL, DC, DE, FL, GA, MD, MS, NC, SC, VA, WV | |||
Wausau/Business Solutions Group* | (Multi-State Business**) | |||
Peerless Indemnity Insurance Co. | (Multi-State Business**) | |||
The Netherlands Insurance Co. | (Multi-State Business**) | |||
Peerless Insurance: | Peerless Insurance Co. | CT, MA, ME, NH, NJ, NY, PA, RI, VT | ||
Excelsior Insurance Co. | CT, MA, ME, NH, NJ, NY, PA, RI, VT |
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Business Produced | ||||
By Agents Resident | ||||
Profit Center | Legal Entities Used By Profit Center | in the Following States | ||
Peerless Insurance Continued: | Indiana Insurance Co. | CT, MA, ME, NH, NJ, NY, PA, RI, VT | ||
One Beacon Insurance Co. Cessions to | ||||
Peerless Insurance Co. | CT, MA, ME, NH, NJ, NY, PA, RI, VT | |||
Liberty Mutual Mid-Atlantic Insurance Co. | For business classified as LMAM and produced by this Profit Center only | |||
Wausau/Business Solutions Group* | (Multi-State Business**) | |||
Peerless Indemnity Insurance Co. | (Multi-State Business**) | |||
The Netherlands Insurance Co. | (Multi-State Business**) | |||
Summit: | Bridgefield Casualty Insurance Co. | All states, for WC and | ||
Bridgefield Employers Insurance Co. | Employers Liability business, classified as LMAM and produced by this Profit Center only | |||
Wausau/Business Solutions Group* | (Multi-State Business **) | |||
Wausau Insurance: | Employers Insurance Co. of Wausau | All states, for business | ||
(including Business | Wausau General Insurance Co. | classified as LMAM and | ||
Solutions Group) | Wausau Underwriters Insurance Co. | produced by this Profit Center | ||
Wausau Business Insurance Co. | only | |||
Liberty Mutual Insurance Co. | ||||
Liberty Mutual Fire Insurance Co. | ||||
LM Insurance Corp. | ||||
Liberty Insurance Corp. | ||||
The First Liberty Insurance Corp. |
* | Wausau/Business Solutions Group consists of the legal entities of: Liberty Mutual Insurance Co., Liberty Mutual Fire Insurance Co., LM Insurance Corp., Liberty Insurance Corp., The First Liberty Insurance Corp., Liberty County Mutual Insurance Co., Employers Insurance Company of Wausau, Wausau General Insurance Co., Wausau Underwriters Insurance Co. and Wausau Business Insurance Co. | |
** | Agent responsible for the risk resides in the Profit Center but the risk is located in multiple states both in and outside of states assigned to the Profit Center. |
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Pharmaceutical / medical risks | (Version 2005-Apr) |
# | Company Name | Headquarter location | ||
1 | ABBOTT LABORATORIES | USA | ||
2 | AKZO NOBEL | Netherlands | ||
3 | ALLERGAN | USA | ||
4 | ALPHARMA | USA | ||
5 | ALTANAAG | Germany | ||
6 | AMGEN | USA | ||
7 | ASTELLAS | Japan | ||
8 | ASTRAZENECA | UK | ||
9 | BARR LABORATORIES | USA | ||
10 | BAXTER INTERNATIONAL | USA | ||
11 | BAYER | Germany | ||
12 | BEAUFOUR IPSEN | France | ||
13 | BIOGEN | USA | ||
14 | BIOMET | USA | ||
15 | BOEHRINGER INGELHEIM | Germany | ||
16 | BOSTON SCIENTIFIC CORPORATION | USA | ||
17 | BRISTOL-MYERS SQUIBB | USA | ||
18 | CHIRON | USA | ||
19 | CSL | Australia | ||
20 | DAIICHI PHARMACEUTICAL | Japan | ||
21 | DAI NIPPON PHARMACEUTICAL | Japan | ||
22 | EDWARDS LIFESCIENCES | USA | ||
23 | EISAI | Japan | ||
24 | ELAN | Ireland | ||
25 | FOREST LABORATORIES | USA | ||
26 | GENENTECH | USA | ||
27 | GENERAL ELECTRIC Healthcare | USA | ||
28 | GENZYME | USA | ||
29 | GLAXOSMITH KLINE | UK | ||
30 | GUIDANT | USA | ||
31 | HOSPIRA | USA | ||
32 | IVAX | USA | ||
33 | JOHNSON & JOHNSON | USA | ||
34 | KING PHARMACEUTICALS | USA | ||
35 | KYOWA HAKKO KOGYO | Japan | ||
36 | LABORATOIRE SERVIER | France | ||
37 | LILLY (ELI) | USA | ||
38 | LUNDBECK | Denmark | ||
39 | MEDIMMUNE | USA | ||
40 | MEDTRONIC | USA | ||
41 | MERCK & CO | USA | ||
42 | MERCK KGAA | Germany | ||
43 | MINNESOTA MINING & MANUFACTURING | USA | ||
44 | MYLAN LABORATORIES | USA | ||
45 | NOVARTIS | Switzerland | ||
46 | NOVO NORDISK | Denmark | ||
47 | OTSUKA PHARMACEUTICAL | Japan | ||
48 | PFIZER | USA | ||
49 | PLIVA | Croatia | ||
50 | PROCTER & GAMBLE | USA |
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# | Company Name | Headquarter location | ||
51 | PURDUE FREDERICK / PRA Holding | USA | ||
52 | ROCHE | Switzerland | ||
53 | SANKYO | Japan | ||
54 | SANOFI-AVENTIS | France | ||
55 | SCHERING AG | Germany | ||
56 | SCHERING-PLOUGH | USA | ||
57 | SCHWARZ PHARMA | Germany | ||
58 | SERONO | Switzerland | ||
59 | SHIONOGI | Japan | ||
60 | SHIRE PHARMACEUTICALS | UK | ||
61 | SMITH & NEPHEW | UK | ||
62 | SOLVAY | Belgium | ||
63 | ST. JUDE MEDICAL | USA | ||
64 | STRYKER | USA | ||
65 | SUMITOMO PHARMACEUTICALS | Japan | ||
66 | SYNTHES-STRATEC | Switzerland | ||
67 | TAKEDA | Japan | ||
68 | TANABE | Japan | ||
69 | TAP Pharmaceutical Products | USA | ||
70 | TEVA PHARMACEUTICAL | Israel | ||
71 | TYCO Healthcare | USA | ||
72 | UCB | Belgium | ||
73 | WATSON PHARMACEUTICAL | USA | ||
74 | WYETH | USA | ||
75 | ZIMMER | USA |
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A. | Wherever the term Company or Reinsured or Reassured or whatever other term is used to designate the reinsured company or companies within the various attachments to the reinsurance agreement, the term shall be understood to mean Company or Reinsured or Reassured or whatever other term is used in the attached reinsurance agreement to designate the reinsured company or companies. | |
B. | Wherever the term Agreement or Contract or Policy or whatever other term is used to designate the attached reinsurance contract within the various attachments to the reinsurance contract, the term shall be understood to mean Agreement or Contract or Policy or whatever other term is used to designate the attached reinsurance contract. | |
C. | Wherever the term Reinsurer or Reinsurers or Underwriters or whatever other term is used to designate the reinsurer or reinsurers in the various attachments to the reinsurance agreement, the term shall be understood to mean Reinsurer or Reinsurers or Underwriters or whatever other term is used to designate the reinsuring company or companies. |
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NUCLEAR INCIDENT EXCLUSION CLAUSE LIABILITY REINSURANCE U.S.A. N.M.A. 1590 | ||
1. | This reinsurance does not cover any loss or liability accruing to the Reassured as a member of, or subscriber to, any association of insurers or reinsurers formed for the purpose of covering nuclear energy risks or as a direct or indirect reinsurer of any such member, subscriber or association. | |
2. | Without in any way restricting the operation of paragraph 1. of this Clause it is understood and agreed that for all purposes of this reinsurance all the original Policies of the Reassured (new, renewal and replacement) of the classes specified in Clause II. in this paragraph 2. from the time specified in Clause III. in this paragraph 2. shall be deemed to include the following provision (specified as the Limited Exclusion Provision): | |
LIMITED EXCLUSION PROVISION* |
I. | It is agreed that the policy does not apply under any liability coverage, to injury, sickness, disease, death or destruction, bodily injury or property damage with respect to which an insured under the policy is also an insured under a nuclear energy liability policy issued by Nuclear Energy Liability Insurance Association, Mutual Atomic Energy Liability Underwriters or Nuclear Insurance Association of Canada, or would be an insured under any such policy but for its termination upon exhaustion of its limit of liability. | ||
II. | Family Automobile Policies (liability only), Special Automobile Policies (private passenger automobiles, liability only), Farmers Comprehensive Personal Liabilities Policies (liability only), Comprehensive Personal Liability Policies (liability only) or Policies of a similar nature; and the liability portion of combination forms related to the four classes of Policies stated above, such as the Comprehensive Dwelling Policy and the applicable types of Homeowners Policies. | ||
III. | The inception dates and thereafter of all original Policies as described in II. above, whether new, renewal or replacement, being Policies which either |
(a) | become effective on or after 1st May, 1960, or | ||
(b) | become effective before that date and contain the Limited Exclusion Provision set out above; provided this paragraph 2. shall not be applicable to Family Automobile Policies, Special Automobile Policies, or Policies or combination Policies of a similar nature, issued by the Reassured on New York risks, until 90 days following approval of the Limited Exclusion Provision by the Governmental Authority having jurisdiction thereof. |
3. | Except for those classes of Policies specified in Clause II. of paragraph 2. and without in any way restricting the operation of paragraph 1. of this Clause, it is understood and agreed that for all purposes of this reinsurance the original liability Policies of the Reassured (new, renewal and replacement) affording the following coverages: | |
Owners, Landlords and Tenants Liability, Agreementual Liability, Elevator Liability, Owners or Agreementors (including railroad) Protective Liability, Manufacturers and Agreementors Liability, Product Liability, Professional and Malpractice Liability, Storekeepers Liability, Garage Liability, Automobile Liability (including Massachusetts Motor Vehicle or Garage Liability) shall be deemed to include with respect to such coverages, from the time specified in Clause V. of this paragraph 3., the following provision (specified as the Broad Exclusion Provision): |
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I. | Under any Liability Coverage to injury, sickness, disease, death or destruction, bodily injury or property damage |
(a) | with respect to which an insured under the policy is also an insured under nuclear energy liability policy issued by Nuclear Energy Liability Insurance Association, Mutual Atomic Energy Liability Underwriters or Nuclear Insurance Association of Canada, or would be an insured under any such policy but for its termination upon exhaustion of its limit of liability; or | ||
(b) | resulting from the hazardous properties of nuclear material and with respect to which (1) any person or organization is required to maintain financial protection pursuant to the Atomic Energy Act of 1954, or any law amendatory thereof, or (2) the insured is, or had this Policy not been issued would be, entitled to indemnity from the United States of America, or any agency thereof, under any agreement entered into by the United States of America, or any agency thereof, with any person or organization. |
II. | Under any Medical Payments Coverage, or under any Supplementary Payments Provision relating to immediate medical or surgical relief, first aid, to expenses incurred with respect to bodily injury, sickness, disease or death, bodily injury resulting from the hazardous properties of nuclear material and arising out of the question of a nuclear facility by any person or organization. | |
III. | Under any Liability Coverage, to injury, sickness, disease, death or destruction, bodily injury or property damage resulting from the hazardous properties of nuclear material, if |
(a) | the nuclear material (1) is at any nuclear facility owned by, or operated by or on behalf of, an insured or (2) has been discharged or dispersed therefrom; | ||
(b) | the nuclear material is contained in spent fuel or waste at any time possessed, handled, used, processed, stored, transported or disposed of by or on behalf of an insured; or | ||
(c) | the injury, sickness, disease, death or destruction, bodily injury or property damage arises out of the furnishing by an insured of services, materials, parts or equipment in connection with the planning, construction, maintenance, operation or use of any nuclear facility, but if such facility is located within the United States of America, its territories, or possessions or Canada, this exclusion (c) applies only to injury to or destruction of property at such nuclear facility, property damage to such nuclear facility and any property threat. |
IV. | As used in this endorsement: |
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(a) | any nuclear reactor, | ||
(b) | any equipment or device designed or used for (1) separating the isotopes of uranium or plutonium, (2) processing or utilizing spent fuel, or (3) handling, processing or packaging waste, | ||
(c) | any equipment or device used for the processing, fabricating or alloying of special nuclear material if at any time the total amount of such material in the custody of the insured at the premises where such equipment or device is located consists of or contains more than 25 grams of plutonium or uranium 233 or any combination thereof, or more than 250 grams of uranium 235, | ||
(d) | any structure, basin, excavation, premises or place prepared or used for the storage or disposal of waste |
V. | The inception dates and thereafter of all original Policies affording coverages specified in this paragraph 3., whether new, renewal or replacement, being Policies which become effective on or after 1st May, 1960, provided this paragraph 3. shall not be applicable to |
(i) | Garage and Automobile Policies issued by the Reassured on New York risks, or | ||
(ii) | Statutory liability insurance required under Chapter 90, General Laws of Massachusetts, until 90 days following approval of the Broad Exclusion Provision by the Governmental Authority having jurisdiction thereof. |
4. | Without in any way restricting the operations of paragraph 1. of this Clause, it is understood and agreed that paragraphs 2. and 3. above are not applicable to original liability Policies of the Reassured in Canada, and that with respect to such Policies, this Clause shall be deemed to include the Nuclear Energy Liability Exclusion Provisions adopted by the Canadian Underwriters Association or the Independent Insurance Conference of Canada. |
*NOTE: | The words printed in BOLD TYPE in the Limited Exclusion Provision and in the Broad Exclusion Provision shall apply only in relation to original liability Policies which include a Limited Exclusion Provision or a Broad Exclusion Provision containing those words. |
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NUCLEAR INCIDENT EXCLUSION CLAUSE LIABILITY REINSURANCE CANADA N.M.A. 1979 | ||
1. | This Contract does not cover any loss or liability accruing to the Company as a member of, or subscriber to, any association of insurers or reinsurers formed for the purpose of covering nuclear energy risks or as a direct or indirect reinsurer of any such member, subscriber or association. | |
2. | Without in any way restricting the operation of Paragraph 1. of this Clause, it is agreed that for all purposes of this Contract all the original liability Contracts of the Company, whether new, renewal or replacement, of the following classes, namely, |
Farmers Liability
Storekeepers Liability
which become effective on or after 31st December 1984, shall be deemed to include, from their inception dates and thereafter, the following provision: | ||
Limited Exclusion Provision | ||
This Policy does not apply to bodily injury or property damage with respect to which the Insured is also insured under a Contract of nuclear energy liability insurance (whether the Insured is unnamed in such Contract and whether or not it is legally enforceable by the Insured) issued by the Nuclear Insurance Association of Canada or any other group or pool of insurers or would be an Insured under any such Policy but for its termination upon exhaustion of its limits of liability. | ||
With respect to property, loss of use of such property shall be deemed to be property damage. | ||
3. | Without in any way restricting the operation of Paragraph 1. of this Clause, it is agreed that for all purposes of this Contract all the original liability Contracts of the Company, whether new, renewal or replacement, of any class whatsoever (other than Personal Liability, Farmers Liability, Storekeepers Liability or Automobile Liability Contracts), which become effective on or after 31st December 1984, shall be deemed to include, from their inception dates and thereafter, the following provision: | |
Broad Exclusion Provision | ||
It is agreed that this Policy does not apply: |
(a) | to liability imposed by or arising under the Nuclear Liability Act; nor | ||
(b) | to bodily injury or property damage with respect to which an Insured under this Policy is also insured under a Contract of nuclear energy liability insurance (whether the Insured is unnamed in such Contract and whether or not it is legally enforceable by the Insured) issued by the Nuclear Association of Canada or any other insurer or group or pool of insurers or would be an Insured under any such Policy but for its termination upon exhaustion of its limit of liability; nor | ||
(c) | to bodily injury or property damage resulting directly or indirectly from the nuclear energy hazard arising from: |
(i) | the ownership, maintenance, operation or use of a nuclear facility by or on behalf of an Insured; |
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(ii) | the furnishing of an Insured of services, materials, parts or equipment in connection with the planning, construction, maintenance, operation or use of any nuclear facility; and | ||
(iii) | the possession, consumption, use, handling, disposal or transportation of fissionable substances, or of other radioactive material (except radioactive isotopes, away from a nuclear facility, which have reached the final stage of fabrication so as to be usable for any scientific, medical, agricultural, commercial or industrial purpose) used, distributed, handled or sold by an Insured. |
(1) | The term nuclear energy hazard means the radioactive, toxic, explosive, or other hazardous properties of radioactive material; | |
(2) | The term radioactive material means uranium, thorium, plutonium, neptunium, their respective derivatives and compounds, radioactive isotopes of other elements and any other substances that the Atomic Energy Control Board may, by regulation, designate as being prescribed substances capable of releasing atomic energy, or as being requisite for the production, use or application of atomic energy; | |
(3) | The term nuclear facility means: |
(a) | any apparatus designed or used to sustain nuclear fission in a self-supporting chain reaction or to contain a critical mass of plutonium, thorium and uranium or any one or more of them; | ||
(b) | any equipment or device designed or used for (i) separating the isotopes of plutonium, thorium and uranium or any one or more of them, (ii) processing or utilizing spent fuel, or (iii) handling, processing or packaging waste; | ||
(c) | any equipment or device used for the processing, fabricating or alloying of plutonium, thorium or uranium enriched in the isotope uranium 233 or in the isotope uranium 235, or any one or more of them if at any time the total amount of such material in the custody of the Insured at the premises where such equipment or device is located consists of or contains more than 25 grams of plutonium or uranium 233 or any combination thereof, or more than 250 grams of uranium 235; | ||
(d) | any structure, basin, excavation, premises or place prepared or used for the storage or disposal of waste radioactive material; and includes the site on which any of the foregoing is located, together with all operations conducted thereon and all premises used for such operations. |
(4) | The term fissionable substance means any prescribed substance that is, or from which can be obtained, a substance capable of releasing atomic energy by nuclear fission. | |
(5) | With respect to property, loss of use of such property shall be deemed to be property damage. |
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1. | This Reinsurance does not cover any loss or liability accruing to the Reassured as a member of, or subscriber to, any association of insurers or reinsurers formed for the purpose of covering nuclear energy risks or as a direct or indirect reinsurer of any such member, subscriber or association. | |
2. | Without in any way restricting the operations of Nuclear Incident Exclusion Clauses, - Liability, - Physical Damage, - Boiler and Machinery and paragraph 1. of this Clause, it is understood and agreed that for all purposes of the reinsurance assumed by the Reinsurer from the Reinsured, all original insurance Policies or Contracts of the Reinsured (new, renewal and replacement) shall be deemed to include the applicable existing Nuclear Clause and/or Nuclear Exclusion Clause(s) in effect at the time and any subsequent revisions thereto as agreed upon and approved by the Insurance Industry and/or a qualified Advisory or Rating Bureau. |
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(hereinafter referred to as the Agreement)
REINSURANCE CONTRACT
No.  ###-###-####
(hereinafter referred to as the Company)
Boston, Massachusetts
(hereinafter referred to as the Subscribing Reinsurer)
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Interest & Liabilities Agreement |
ATTEST: | PEERLESS INSURANCE COMPANY | |
/s/ | /s/ Nancy C. Callender | |
Signature | Signature | |
Nancy C. Callender | ||
Name | Name | |
Assistant Secretary | Assistant Vice President-Reinsurance Mgmt. | |
Title | Title |
ATTEST: | LIBERTY MUTUAL INSURANCE COMPANY | |
/s/ John C. Maclean Jr. | /s/ | |
Signature | Signature | |
John C. Maclean Jr. | ||
Name | Name | |
Director-Ceded Reinsurance | Vice President | |
Title | Title |
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Interest & Liabilities Agreement |