Residentsline
Roads and Private Estates Insurance
Property Owners Liability Insurance Roads and Private Estates
Authorised and Regulated by the Financial Conduct Authority: FRN 305998. Residentsline is a trading name of Residentsline Limited. Registered in England & Wales CRN 3874789. Registered Office: 3rd Floor, St. David's Court, Union Street, Wolverhampton, WV1 3JE.
0800 281 235 info@residentsline.co.uk www.residentsline.co.uk
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Contents About Residentsline.................................................................................................................... 5 Insurer............................................................................................................................................... 5 Introduction to Your Policy...................................................................................................... 6 What makes up this Policy What You should read Duty of fair presenta on Renewing Your policy
Cancellation – How Your Policy may be cancelled....................................................... 7 14-day cooling off period Cancella on by You Cancella on by Us Refund of premium No refund of premium
Claim Notification........................................................................................................................ 8 Claim contacts What You must do What You must not do What other reasonable steps can You take to limit or contain any loss or damage
Helplines...........................................................................................................................................9 Complaints.................................................................................................................................... 10 Compensation.............................................................................................................................. 11 Payment of Premium................................................................................................................. 12 Data Protection........................................................................................................................... 13 Property Owners Liability Insurance; Roads and Private Estates......................... 14 General defini ons General condi ons General exclusions Claims Informa on
Section 1 – Employers’ Liability........................................................................................... 26 Section 2 – Public Liability.................................................................................................... 31
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About Residentsline Residentsline Limited is a specialist insurance intermediary who is authorised and regulated by the Financial Conduct Authority; registra on number: 305998. Residentsline specialises in residen al flats insurance and roads and private estate insurance. From their experience they have accumulated a wealth of knowledge in rela on to this type of insurance. They are the leaders in innova on and Policy design; ensuring the assets and liabili es of the landlord, management company and the leaseholders are protected.
Insurer This Policy is underwri en by Irwell Insurance Company Limited.
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Introduction to Your Policy This document, which is Your insurance Policy, contains important informa on to help You understand this insurance and choose the cover You need. No part of this publica on, or any varia on of it, may be reproduced, stored in a retrieval system or transmi ed in any form, or by any means, without prior permission in wri ng of Residentsline - it is an offence to do so and legal ac on will be taken. It is very important that You read this Policy carefully and make sure You are sa sfied with this insurance.
What makes up this Policy? This Policy and the Schedule must be read together as they form Your insurance contract. This Policy sets out what You are insured for and those circumstances where You will not be insured. Some words and expressions have been given a specific meaning in this Policy and You will find their meaning under Defini ons. These specific meanings only apply to these words when they begin with a capital le er. Important: Some mes We need to change the wording of Your Policy because the insurance varies depending on a number of factors. We do this by adding what is called an Endorsement: which is issued whenever a change is made to Your Policy.
What You should read To understand the features, benefits and risks of this insurance and to determine if it is appropriate for You, it is important that You read: a. Introduc on to Your Policy; i. what makes up this Policy ii. claim no fica on; what You must do, and what You must not do iii. what reasonable steps can You take to limit or contain any loss or damage iv. cancella on – how Your Policy may be cancelled v. Complaint / Compensa on vi. payment of premium vii. duty of fair presenta on viii. privacy promise b. Property Owners Liability Insurance; Roads and Private Estates; c. the relevant Statement of Fact when issued to You; d. any Schedule when it is issued to You; and, e. any other documents We may give You that vary Our standard terms of cover set out in this document. These should be read carefully together. It is important that they are kept in a safe place.
Duty of fair presentation You must make a fair presenta on of the risk (as set out in the Insurance Act 2015 or successor or amending legisla on) in proposing for, or proposing to vary, this insurance. If, during the Policy period, You become aware that informa on You have given Us is inaccurate or the informa on You have provided to Us changes in a manner likely to affect this insurance, You must inform Us as soon as prac cable. Changes to the informa on You have provided may result in an addi onal premium or Us amending the terms of Your insurance. No fica ons must be in wri ng, by email, or by telephone - see the Policy adminstra on details on page 9.
Renewing Your policy When We invite renewal of the Policy, Residentsline will endeavour to tell You at least 21 days before the expiry of the Policy the premium and terms and condi ons that will apply for the following year. Before entering into this insurance or renewing this insurance with Us, You are reminded to take appropriate steps to ensure accurate and up-to-date informa on is given and any altera ons to the property, Your circumstances, or changes to Your claims or insurance history, are no fied to Us in order that a fair presenta on of the risk, as set out in the Insurance Act 2015, is provided.
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Cancellation - how Your Policy may be cancelled – sections 1 - 2 14-day cooling off period If You want to return Your insurance a er Your decision to buy it, You may cancel it and receive a full refund. To do this We must receive Your request either in wri ng, by email, or by telephone - see the Policy administra on details on page 9. This cooling off right does not apply if You have made or no fied Us of circumstances which may give rise to a claim. If You have made a claim or no fy Us of circumstances which may give rise to a claim, then the premium has to be paid in full. Even a er the cooling off period ends You s ll have cancella on rights; however, We may deduct certain amounts from any refund (see below).
Cancellation by You You may cancel all or part of this Policy at any me by giving Residentsline fourteen (14) days no ce in wri ng, by email, or by telephone - see the Policy administra on details on page 9.
Cancellation by Us We may cancel all or part of this Policy by giving You thirty (30) days no ce of cancella on by registered post to Your last known address.
Refund of premium Provided this insurance is an annual contract and providing no claim has been made against the Policy, You will be en tled to a refund of premium calculated equal to the unexpired period of this Policy and insurance premium tax.
No refund of premium If a claim has been submi ed or paid, or an incident is no fied as likely to give rise to a claim during the Period of Insurance, no refund of the premium will be given.
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Claim notification We recognise that losses can mean disrup on to both Your property and Your residents' safety and lifestyle and to minimise the impact of a loss, Our aim is to provide a fast, effec ve claims service. Having the required documenta on and possibly photographs of the items will assist in having Your claim assessed and se led. Should You wish to make a claim You should, as soon as possible, contact
For sections 1 & 2 DWF Claims Management & Adjus ng, Redcliff Quay, 120 Redcliff Street, Bristol, BS1 6HU. Tel: 0344 892 3937 or email to irwell@dwfclaims.com What You must do When You wish to make a claim, You must: i. provide details of the incident and, if requested, complete the claim form We send You and return it promptly together with all le ers, documents, valua ons, receipts or evidence of ownership that You have been asked to provide; ii. provide wri en statements if We require it; iii. be interviewed about the circumstances of the claim, if We require this; iv. allow Us to inspect Your Insured Property and take possession of any damaged item to deal with it in a reasonable way; v. provide Us, as soon as possible, with every no ce or communica on received concerning a claim by another person or concerning any prosecu on, inquest or other official inquiry arising from the Event; vi. comply with all the requirements of this Policy; and, vii. give Us all informa on and assistance that We reasonably require in rela on to the claim and any proceedings. What You must not do Whatever the circumstances, You must not: i. admit guilt or fault (except in court or to the Police); ii. offer or nego ate to pay a claim; iii. admit or deny liability; iv. dispose of any damaged items without first seeking Our approval. Our approval needed for repairs You are not authorised to commence repairs without Our approval. What other reasonable steps can You take to limit or contain any loss or damage: ♦ immediately ring the: > fire brigade or emergency service in the case of a fire; > ambulance service if a person is injured, however caused; > police following the , vandalism or malicious damage; > appropriate u lity provider for failure or escape of gas, electricity, water etc.; ♦ turn off water supply at the stop cock if a pipe bursts; ♦ turn off main tap on the storage system if oil leaks from the central hea ng system; ♦ where appropriate obtain the name and address details of any witnesses to an incident.
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Helplines Policy administration - Do You need to tell Residentsline about any changes? - Do You need to discuss Your insurance requirements? - Contact the Policy handling team - Call 0800 281235 or write to: Residentsline, 3rd Floor, St. David's Court, Union Street, Wolverhampton, WV1 3JE.
Peninsula SafeCheck As a new customer, in conjunc on with the Peninsula Group, We are providing You with a health and safety review of Your business; the review being conducted through video. The video review enables Peninsula to deliver this review service to You with minimal disrup on. The SafeCheck Consultant engages with You, wherever You are, to carry out Your review.
What does the Video SafeCheck comprise of? The SafeCheck Consultant connects with You via Video technology, which includes a: H&S Documenta on Review Ques ons, Advice & Solu ons regarding Your work ac vi es Tour of Your premises (via live, web streaming technology) At the conclusion of the review the SafeCheck Consultant will provide You with a presenta on of the findings. The Peninsula Group will not share the outcome of any SafeCheck with Us.
What are the key stages and outcomes? Step 1: Making Your video appointment, at a me that suits You Step 2: Peninsula's SafeCheck experts reviewing Your per nent documenta on (and any photographs) prior to the appointment Step 3: Carrying out the SafeCheck, including a presenta on of the document review findings and even a remote tour of Your workplace Step 4: Answering Your Health and Safety ques ons and offering best prac ce solu ons Step 5: Providing full feedback to You, via the SafeCheck Report. You can contact the Peninsula SafeCheck team to ac vate this inclusive benefit and arrange the appointment by calling them directly on 0844 892 2486, or by scanning this QR Code and reques ng a call-back:
Who are Peninsula? Peninsula have been providing professional exper se and services to UK businesses since 1983, ini ally via employment law and health & safety and over the years expanding the range of services to meet the needs of business owners. Peninsula help UK small and medium sized businesses, taking care of the details with the kind of exper se and professional backup that larger companies take for granted.
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Complaints If Your complaint is about the way a Policy was sold to You If Your complaint is about the way a Policy was sold to You, please contact the insurance adviser who sold the Policy to You.
If Your complaint is about Your claim We are commi ed to providing a high level of service, but if You believe that We have not delivered the service You expected from Us, please let Us know so that We can put things right. If You wish to make a complaint, please contact: The Complaints Officer Irwell Insurance Company Limited 2 Cheetham Hill Road Manchester M4 4FB Email: complaints@irwell.co.uk Telephone: 0344 892 0164 We will contact You within 3 days of receiving Your complaint to inform You of what ac on We are taking. We will try to resolve Your complaint within 4 weeks. If it will take Us longer, We will explain why and let You know when You can expect Our final response. If You are a policyholder in the UK, You may be able to refer the ma er to the Financial Ombudsman Service. The Financial Ombudsman Service is an independent service in the UK for se ling disputes between consumers and businesses providing financial services, they can normally deal with complaints from private individuals and from small organisa ons; further informa on is available from: Financial Ombudsman Service (FOS) Exchange Tower London E14 9SR Helpline: 0800 0234 567 0044 20 7964 0500 (if outside UK) Switchboard: 0044 (0) 20 7964 1000 Fax: 0044 (0) 20 7964 1001 Email: complaint.info@financial-ombudsman.org.uk Website: www.financial-ombudsman.org.uk Making a complaint to the Financial Ombudsman Service (FOS) does not affect Your rights under this Policy but if You are not an eligible complainant then the informal complaint process ceases.
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Compensation The insurer named in this Policy is covered by the Financial Services Compensa on Scheme (FSCS). You may be en tled to compensa on from the scheme if We cannot meet Our obliga ons. This depends on the type of business and the circumstances of the claim. Further informa on about compensa on scheme arrangements is available from the FSCS. Financial Services Compensa on Scheme 10th Floor Beaufort House 15 St Botolph Street London EC3A 7QU Tel: 0044 (0) 20 7741 4100 Helpline: 0044 (0) 800 678 1100 Fax: 0044 (0) 20 7741 4101 Website: www.fscs.org.uk The FSCS opening hours are: Monday to Friday 8:30am to 5:30pm excluding public holidays.
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Payment of premium This Policy will provide insurance as described in the following sec ons for the Period of Insurance provided the premium and other charges are paid to and accepted by Us on or before the commencement date shown on the Schedule or as otherwise agreed. The premium is deemed paid and accepted on receipt by Us or the intermediary appointed to place this insurance with Us.
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Data Protection The insurance provided by this Policy is underwri en by Irwell Insurance Company Limited who are registered in England, registra on number 02887406. Registered Office: 2 Cheetham Hill Road, Manchester, M4 4FB. Irwell is authorised by the Pruden al Regulatory Authority and is authorised and regulated by the Financial Conduct Authority and the Pruden al Regulatory Authority. PRA Registra on No. 202897.
Use of Your Information by Irwell Insurance Company Limited Irwell Insurance Company Limited (the Data Controller) is commi ed to protec ng Your privacy in accordance with the current Data Protec on Legisla on as per the terms set out in the General Data Protec on Regula ons 2016 (GDPR) and the Data Protec on Act 2018 (DPA). This fair processing no ce sets out the details of the informa on that We may collect from You, as well as the ways in which We may process data rela ng to You and Your company. This no ce should be read in conjunc on with Our products terms and condi ons. The specific company also ac ng as a data controller of Your personal informa on will be listed in the Policy documenta on we provide to You. Irwell Insurance Company Limited may process Personal Data in order to arrange Your insurance cover (including renewals and claims), to comply with a legal requirement, to administer accounts, for research and sta s cal purposes, to provide customer service, to perform credit checks, to engage in fraud preven on and market Our products and services and any other related purposes which may include underwri ng decisions made via automated means. In addi on, We may use it for the purposes more par cularly described below. Irwell Insurance Company Limited may share Personal Data with Peninsula Business Services Limited (including Your name, telephone number and address). We are sharing Your data to enable Us to fulfil a contractual obliga on We have to You. Peninsula Business Services Limited provide and administer SafeCheck and will contact You to provide this service. Peninsula Business Services Limited will not share the outcome of any SafeCheck with Us. If You have any concerns about the way in which Your data is being handled by Us please get in touch: The Data Protec on Officer Irwell Insurance Company Limited 2 Cheetham Hill Road Manchester M4 4FB Telephone: 0344 892 0118 Email: data.protec on@irwell.co.uk
What personal information do we collect and use? For the provision of Our products in some circumstances, We may need to obtain and process more sensi ve personal informa on about You and Your company, such as informa on rela ng to health, criminal convic ons, or civil offence data. We may also process other sensi ve personal informa on including details of Your race; ethnicity; religious or philosophical beliefs; poli cal opinions; trade union membership; gene c or biometric data; or data concerning Your sex life or sexual orienta on if relevant to Your Policy or claim. This informa on once gathered may form part the underwri ng of the Policy or form part of the claims handling process. The provision of such data is condi onal for Us to be able to provide insurance or manage a claim. Any such data will only be used for the specific purposes set out in Our no ce.
How long will we keep your data for? Your data will not be retained for longer than is necessary and will be managed in accordance with Our data reten on Policy. In most cases, the reten on period will be for a period of ten years following the expiry of the insurance contract, the closure of Your claim, or Our business rela onship with You, unless We are required to retain the data for a longer period due to business, legal or regulatory requirements.
Will your data leave the United Kingdom? We may store, process or transfer informa on We collect about You to des na ons outside of the United Kingdom (“UK”). Where this happens, We ensure that Your informa on is treated securely using appropriate safeguards. For example, We would protect any transfer of data to another party with standard contractual clauses (SCCs) built in as part of the contractual obliga ons in accordance with GDPR legisla on.
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Property Owners Liability Insurance; Roads and Private Estates General definitions The words listed below have been given a specific meaning in this Policy and these specific meanings apply when the words begin with a capital le er.
Aggregate Is the total amount We will pay in any one Period of Insurance for any and all claims.
Asbestos Asbestos, asbestos fibres or any deriva ves of asbestos including any substance or product containing any asbestos fibres or deriva ves.
Authority Any governmental or statutory authority or other body implemen ng or enforcing legisla on or regula on, including byelaws of any municipal or local authority, or European Union Direc ve, within the Territorial Limits.
Binding Underwriter Is the legal en ty which We have authorised under contract to underwrite and bind insurance on Our behalf, their details are stated in the Schedule.
Bodily Injury Bodily injury including physical injury, death, disease or illness (including but not limited to mental anguish or shock).
Business Business means: a. the ownership, maintenance and repair of Your Insured Property and Common Areas; b. the provision and management of canteen, sports, social or welfare organisa ons for the benefit of Employees and fire, security, first aid medical and ambulance services; c. the provision of security services for the benefit of the Insured; d. private work undertaken with Your prior consent by Employees for any of Your directors or senior officials; e. the sponsorship of events or involvement in galas, carnivals, fetes, corporate hospitality or exhibi ons happening at Your Premises.
Business Partner Any person in business with You under the terms of a partnership agreement whether express or implied or under legisla on.
Common Area Common Area means the area at Your Premises to which all residents have access.
Communicable Disease 1)
Coronavirus being a) b) c)
2)
Any coronavirus or Any disease caused by any coronavirus; or Any muta on or varia on of any coronavirus or of any disease caused by any coronavirus
Any other infec ous disease in humans which has been determined or declared to: a) b)
Cons tute a Public Health Emergency of Interna onal Concern under the Interna onal Health Regula ons (2005) (as amended or replaced from me to me) and/or: An outbreak iden fied as a major health incident in the United Kingdom, for which a scien fic Advisory Group for Emergencies has been ac vated by the Cabinet office Briefing Room
Damage Physical loss, destruc on or damage to tangible property.
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Employee 1. 2.
Person under a contract of service or appren ceship with You; and Upon the wri en confirma on of the first named party stated in the Schedule any person whilst working for You in connec on with Your Business who is a: a) person who is hired to or borrowed by You; b) person engaged by You in connec on with work experience or training scheme; c) labour master or person supplied by him under Your control or supervision; d) self-employed person working on a labour only basis under Your control or supervision; e) voluntary helper;
Endorsement(s) Endorsement means a wri en altera on to the terms, condi ons and limita ons of this Policy that are shown on and form part of the Schedule.
Excess Excess means the amount You must pay towards a claim. You will find the amount of any Excess shown on the Schedule.
Flats(s) Flat(s) means an area shown on a lease as a self-contained unit of residen al accommoda on or other type of occupancy in Your Insured Property.
Insured Insured means the person(s) and/or other en ty(ies) named on the Schedule.
Insured Property Insured Property means: a. Common Area buildings being: i. car parks, roads, pavements, drives, pedestrian malls and service areas; ii. fixed fuel oil, diesel fuel and liquid petroleum gas tanks; iii. outbuildings, garages, carports, pa os, terraces, walls, gates and fences; iv. authorised satellite dishes, radio, television and other antennas including their associated wiring, masts, foo ngs, founda ons, moorings and towers; v. security ligh ng, security cameras, other security devices, fire protec on devices and signs; vi. swimming pools, spas, tennis courts; vii. underground and overhead services; viii. sep c tanks and cess pits; that You own or have legal responsibility ▪ at, in or adjacent to Your Premises, or ▪ temporarily removed elsewhere in the United Kingdom including transit to and from Your Premises. Common Area buildings does not include aircra , caravans, trailers, Vehicles, hovercra and Watercra including their accessories or spare parts whether fi ed or not. b.
Common Area contents being: i. furniture, furnishings, household goods, light fi ngs, internal blinds, curtains; ii. carpets (whether fixed or unfixed), floor rugs; iii. garden equipment including garden appliances not required to be registered; iv. swimming pool or spa covers and accessories; that You own or have legal responsibility for: ▪ at, in or adjacent to Your Premises, or ▪ temporarily removed elsewhere in the United Kingdom including transit to and from Your Premises. Common Area contents does not include: i. aircra , caravans, trailers, Vehicles (other than garden appliances not required to be registered), hovercra and Watercra including their accessories or spare parts whether fi ed or not; ii. livestock, fish, birds or other animals; iii. Lessee's Contents and resident's contents and any other personal property of theirs; iv. money v. plants, hedges, trees, shrubs, gravel, shale, stones, clay or soil on paths or driveways or tennis courts, soil or bark or mulch in gardens
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Lessee(s) Lessee(s) means the person(s) and/or other en ty(ies) being the proprietor of the leasehold interest in the Insured Property. Their interest or liability as an occupier of a Flat is not included unless otherwise specifically provided by this Policy.
Lessee's Contents Lessee's Contents means (but are not limited to): a. freestanding appliances such as dryers; b. computers, electronic and electrical equipment, garden equipment; c. furniture, furnishings, carpets, floor rugs, clothing, personal effects and the like.
Limit of Indemnity The maximum amount We will pay as stated in the Schedule.
North America Means the United States of America or Canada or their territories, possessions or protectorates.
Notifiable Asbestos Asbestos that by the Control of Asbestos Regula ons 2012 is required to be handled, removed, stripped out, demolished, stored, transported or disposed of by a Health and Safety Execu ve (HSE) licensed contractor.
Offshore From the me of embarka on onto a vessel or aircra at the point of final departure for conveyance to offshore installa ons un l the me of final disembarka on from a vessel or aircra from such offshore installa ons onto land.
Policy Policy means this document and the Schedule (including any issued in subs tu on) and any Endorsements a aching to those documents that will be considered part of the legal contract.
Premises The Buildings and the land inside the boundaries at the risk address(es) stated in the Schedule used for the Business.
Products Any goods (including their containers, packaging, labelling and instruc ons for use) manufactured, sold, supplied, hired out, repaired, renovated, serviced, altered, erected, installed or treated, by or on Your behalf, in connec on with the Business and no longer in Your charge or control.
Schedule Schedule means the document tled Schedule that includes the name and address of the Insured, the premium and other variables to this standard Policy (including any Endorsement clauses) and is incorporated in this Policy and accepted by the Insured. Schedules (including renewal Schedules) may be re-issued from me to me where each successor overrides the earlier document.
Territorial Limits Great Britain, Northern Ireland, the Isle of Man or the Channel Islands.
War War means war, invasion, acts of foreign enemies, hos li es or warlike opera ons (whether war be declared or not), civil war, mu ny, revolu on, rebellion, insurrec on, uprising, military or usurped power or confisca on by order of any public authority or government or mar al law but not including Terrorism.
Watercraft Watercra means any vessel cra or thing made or intended to float on or in or travel through water.
We, Our, Us, Insurer We, Our, Us, Insurer means; Irwell Insurance Company Limited.
You, Your, Yours, Insured You, Your, Yours, Insured means: The Insured named on the Schedule.
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General conditions 1. Access You will allow Us access at reasonable mes to examine any property insured.
2. Care and Prevention You will take all care to prevent accidents and to maintain and keep in proper repair Your Premises plant and everything used in the Business. You will make good or remedy any defect or danger which becomes apparent and take such addi onal precau ons as the circumstances may require.
3. Certificate of Employers' Liability Insurance - applicable to section 1 If this sec on is cancelled, any Cer ficate of Employers' Liability Insurance will be similarly cancelled from the same date.
4. Change of Risk or Interest This Policy will cease to be in force if: 1. Your interest in the Business ends, other than by death; 2. the Business is to be wound up or carried on by a liquidator, administrator or receiver or permanently discon nued unless We otherwise agree in wri ng.
5. Combined Limit of Liability for Sudden and Accidental Seepage, Pollution and Contamination - applicable to section 2 Subject to the General Exclusion for Industries Gradual Seepage, Pollu on and Contamina on, Our total combined maximum liability for seepage, pollu on or contamina on will be limited to and not exceed the per occurrence Limit of Indemnity stated in the Schedule and will become a combined single aggregate amount (inclusive of all costs and expenses) for the Period of Insurance for this sec on.
6. Compliance To the extent that this Policy requires anything to be done or complied with by You, You will provide such proof of compliance as We may reasonably require at Your expense. Without limi ng any of Our other rights, in the event that You breach any term or condi on in Your Policy, We may reject or reduce claims to the extent that Our liability under this Policy has been incurred or increased by reason of the breach.
7. Compliance with government guidance regarding working safely during a pandemic - applicable to section 1 You will ensure compliance, as far as reasonably prac cable, with the latest government guidance on working safely during a pandemic, including the COVID-19 pandemic, this will include: a) b) c) d)
comple ng a suitable and sufficient assessment of the risks in the workplace and reviewing and upda ng (where required), when government guidance changes. iden fying suitable and sufficient control measures to manage that risk implement sufficient control measures to manage the risk providing informa on and instruc on to Employees and those visi ng Your Premises.
8. Contracts (Rights of Third Parties) Act 1999 A person who is not a party to this contract has no right under the Contracts (Rights of Third Par es) Act 1999 to enforce any term of this contract but this does not affect any right or remedy of a third party which exists or is available apart from that Act.
9. Cross Liability If more than one party is named as the Insured, We will treat each party as if a separate Policy had been issued to each Insured provided that Our liability to all par es indemnified will not exceed the total Limit of Indemnity as stated in the Schedule.
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10. Data Protection You should understand that any informa on You have given Us will be processed by Us in compliance with the provisions of the data protec on legisla on, for the purpose of providing insurance and handling claims or complaints, if any, which may necessitate providing such informa on to other par es. Some of the personal informa on We ask You for may be sensi ve personal data as defined by the data protec on legisla on (such as informa on about criminal convic ons and civil proceedings). We will not use such sensi ve personal data about You or others except for the specific purpose for which You provide it and to provide the services described in Your Policy. You have a right of access to, correc on of, and, in certain circumstances, erasure of, informa on that We hold about You. If You would like to exercise either of these rights, You should contact: The Data Protec on Officer Irwell Insurance Company Limited 2 Cheetham Hill Road, Manchester, M4 4FB Email: Telephone:
data.protec on@irwell.co.uk 0344 892 0118
11. Disputes with Us a)
If there is a dispute between an You and Us over this Policy, which cannot be resolved through Our internal complaints handling process, You are en tled to seek a resolu on through the Financial Ombudsman Service as long as You are eligible to complain.
b)
Where the Financial Ombudsman Service cannot deal with that complaint, the dispute may be referred to arbitra on where disputes are resolved by independent arbitrators in accordance with the Arbitra on Act. The decision of the appointed arbitrator is binding, and the arbitrator may require You or Us to pay the costs.
c)
The arbitrator will be chosen jointly by You and Us. If We are not able to agree on the appointment of the arbitrator with You, the President of the Chartered Ins tute of Arbitrators will decide.
d)
Nothing in this clause will limit Your right to pursue legal ac on against Us.
12. Duty of fair presentation - remedies for breach – proposing for this insurance If You or anyone ac ng on Your behalf breaches Your duty of fair presenta on then Our remedies will be as follows: a. if such breach is deliberate or reckless, We may: i. treat this Policy as having been terminated from its incep on and refuse to pay any claim; and, ii. retain the premium; b. if such breach is not deliberate or reckless and We would not have entered into this Policy but for the breach, We may, by no ce to You, treat this Policy as having been terminated from its incep on in which case We will return the Premium; and, c. in all other cases if, but for the said breach, We would have entered into this Policy but: i. on different terms (other than terms rela ng to the premium), We may require that this Policy is treated as if it had been entered into on those different terms from the outset; or ii. would have charged a higher premium, We may reduce propor onately the amount to be paid on a claim (and, if applicable, the amount already paid on prior claims). In those circumstances, We will pay only X% of what We would otherwise have been required to pay, where X = (premium actually charged/higher premium) x 100.
13. Duty of fair presentation - remedies for breach – variation If You or anyone ac ng on Your behalf breaches Your duty of fair presenta on in rela on to a varia on of this Policy, Our remedies will be as follows: a. if such breach is deliberate or reckless, We may: i. by no ce to You treat this Policy as having been terminated from the me when the varia on was concluded; and, ii. retain the premium; b. if such breach is not deliberate or reckless, and We would not have entered into the varia on but for the breach, We may treat this Policy as if the varia on was never made, in which case We will return any addi onal premium rela ng to the varia on; and c. in all other cases if, but for the said breach, We would have entered into the varia on but: i. on different terms (other than terms rela ng to the premium), We may require that the varia on is treated as if it had been entered into on those different terms;
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ii.
would have increased the premium by more than it did or at all, We may reduce propor onately the amount to be paid on a claim arising out of events a er the varia on. In those circumstances, We will pay only X% of what it would otherwise have been required to pay, where X = (premium actually charged/higher premium) x 100; or iii. would not have reduced the premium by as much as it did or at all, We may reduce propor onately the amount to be paid on a claim arising out of events a er the varia on. In those circumstances, We will pay only X% of what We would otherwise have been required to pay, where X = (premium actually charged/reduced total premium) x 100.
14. Excess - applicable to section 2 Before We cover You under this sec on, You will be responsible for any Excess.
15. Inspection and Audit We will be permi ed to inspect the Premises and the means of storing or recording Your books and records and to examine and audit Your books and records at any me during the Period of Insurance, any extension of the Period of Insurance and within three (3) years a er the final termina on of this Policy, as far as they relate to the premium basis or the subject ma er of this insurance, and to verify any statements of accounts receivable submi ed by You and the amount of accounts receivable on which We have made any se lement.
16. Other Insurance Subject to General Exclusions Clause 11 (Other Insurance), if at the me of any claim made under this Policy there is other valid and collec ble insurance covering the same claim or any part thereof, or there would be such cover but for the existence of this Policy, the insurance provided by this Policy will operate in excess of the limits of the other insurance and will not contribute with such other insurance. You will on request provide Us with copies of the terms of any other insurance to which this condi on or General Exclusions Clause 11 (Other Insurance) may apply.
17. Personal protective equipment for employees and provision of work equipment - applicable to section 1 a)
b)
You will ensure compliance with the requirements of the Personal Protec ve Equipment at Work Regula ons 1992 and/or Provision and Use of Work Equipment Regula ons 1998 (PUWER) or any subsequent legisla on amending or replacing such Regula ons; and You must hold for Our inspec on for a period of not less than five (5) years a copy of up to date records regarding the issue, maintenance and any other informa on which needs to be recorded in compliance with Personal Protec ve Equipment at Work Regula ons 1992 and/or Provision and Use of Work Equipment Regula ons 1998 (PUWER).
18. Premium Adjustment If any part of the premium is based on es mates provided by You, You will keep an accurate record containing all relevant informa on and will at any me allow Us to inspect such record. You will within ninety (90) days a er the expiry of each Period of Insurance furnish Us the relevant informa on, including but not limited to wage roll and turnover, as We may require. The premium will then be adjusted and the difference paid by or allowed to You, subject to any minimum premium required, within thirty (30) days of receipt of Our adjusted premium calcula ons. We reserve the right to request You to supply an auditor's cer ficate a es ng to the accuracy of any informa on furnished to Us. Where such es mates include remunera on to Employees, the required declara on will also include remunera on to all persons defined as Employees by this Policy. Your failure to declare such relevant informa on to Us, will en tle Us to assess Our own es mate(s) if We so wish and calculate any further premium payment, which will become payable by You.
19. Provisions of Compulsory Law - applicable to section 1 The indemnity provided by this sec on is deemed to be in accordance with the provisions of any law rela ng to compulsory insurance of legal liability to Employees within the Territorial Limits but You agree to repay to Us all sums paid by Us which We would not have been liable to pay but for the provisions of such law.
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20. Reasonable Precautions You will: 1. take all reasonable precau ons to prevent any event which may give rise to a claim under this Policy; 2. take all reasonable precau ons to comply with all statutory requirements and regula ons imposed by any Authority.
21. Sanctions We will not provide any benefit under this Policy to the extent of providing cover, payment of any claim or the provision of any benefit where doing so would breach any sanc on, prohibi on or restric on imposed by law or regula on.
22. Survey Requirements You will comply with all requirements which We may specify following any survey We commission in rela on to Your Business within the me limits specified by Us and remain in compliance therea er throughout the Period of Insurance and any subsequent Period of Insurance.
23. Tracing office database - applicable to section 1 Where We provide an indemnity under the Employers' Liability (Compulsory Insurance) Regula ons 1998, We are required by regula on to maintain a database of all the companies and subsidiary companies covered by such insurance. We support and will add details of all company names to the Employers' Liability Tracing Office database. Accordingly, it is a condi on of this insurance that You supply full details (as required by the Employers' Liability Tracing Office) of the company and all subsidiary companies to Us at incep on of this Policy and promptly therea er following acquisi on or disposal of any subsidiary company.
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General exclusions The following exclusions apply to this Policy and will keep the same meaning wherever they appear unless an alterna ve is stated to apply. They operate only as exclusions of cover and do not extend the cover provided by this Policy in any way. These Exclusions operate in addi on to the sec on exclusions unless stated expressly not to apply. The following General exclusions numbered 1, 3, 4, 5, 6, 7, 9, 11 and 12 will not apply to sec on 1 (Employers' Liability) of the Policy.
1. Asbestos Exclusion This Policy does not cover legal liability arising from or contributed to by: a)
the mining, processing, manufacture, produc on, storage, handling, removal, stripping out, demoli on, transporta on, sale, ownership, disposal, products or materials containing Asbestos;
b)
inhala on or inges on of Asbestos;
c)
exposure to or fear of the consequences of exposure to Asbestos;
d)
the presence of Asbestos in any property or buildings or on land;
e)
inves ga ng managing removing controlling or remedia on of Asbestos.
2. Biological or Chemical Materials Exclusion This Policy does not cover legal liability arising from, rela ng to or contributed to by the actual or threatened malicious use of pathogenic or poisonous biological or chemical materials.
3. Communicable Disease Exclusion This Policy does not cover legal liability in respect of any claim for damages in respect of Bodily Injury or Damage arising directly or indirectly and regardless of any other cause contribu ng concurrently or in any sequence, origina ng from, caused by, arising out of, contributed to by, resul ng from, or otherwise in connec on with a Communicable Disease or the fear or threat (whether actual or perceived) of a Communicable Disease.
4. Confiscation Requisition Exclusion This Policy does not cover legal liability arising from delay, embargo, na onalisa on, confisca on, requisi on, seizure or destruc on, by or by order of the government or any public authority.
5. Cyber Exclusion This Policy does not cover legal liability arising from: a)
any computer virus, malicious code or other malware which causes the malfunc on of or prevents access by You or any external party to any Computer System used in connec on with Your Business;
b)
the onward transmission of any computer virus or other malware to any external party who uses Your website or has authorised connec on to Your Computer System;
c)
the denial of access or use by You or any authorised party to Your Computer System;
d)
the content of Your website, email, intranet or extranet, including altera ons or addi ons made by a hacker or any unauthorised external party;
e)
the failure of electronic, electromechanical data processing or electronically controlled equipment or electronic data, to correctly recognise any given date, or to process data, or to operate properly due to failure to recognise any given date due to inherent defect or computer virus, malicious code or other malware;
f)
actual or alleged infringement of any intellectual property rights, including any copyright, trademark, passing off or linking to or framing of another page;
g)
defama on, libel, slander or malicious falsehood;
h)
any breach, viola on or infringement of any right to privacy, consumer data protec on law, or other legal protec on for personal data;
21
i)
the unauthorised collec on or misuse of any data concerning any customer or poten al customer which is either confiden al or subject to statutory restric ons on its use and which You obtained through the internet or extranet or website and hold in Your possession.
j)
any loss of use, reduc on in func onality, repair, replacement, restora on or reproduc on of any data including data that is recorded or transmi ed in a form to be used, accessed, processed, transmi ed or stored by a Computer System, including any amount pertaining to the value of such data, nor will it be considered as physical loss or damage for the purposes of this exclusion;
k)
unauthorised, malicious or criminal act or series of related unauthorised, malicious or criminal acts, regardless of me and place, or the threat or hoax thereof involving access to, processing of, use of or opera on of any Computer System;
l)
any error or omission or series of related errors or omissions involving access to, processing of, use of or opera on of any Computer System;
m) any par al or total unavailability or failure or series of related par al or total unavailability or failures to access, process, use or operate any Computer System. Defini ons applicable to this Exclusion: Computer System means any computer, hardware, so ware, communica ons system, electronic device (including, but not limited to, smart phone, laptop, tablet, wearable device), server, cloud or microcontroller including any similar system or any configura on of the aforemen oned and including any associated input, output, data storage device, networking equipment or back up facility.
6. Industries Gradual Seepage, Pollution and Contamination Exclusion This Policy does not cover legal liability arising from: a)
Bodily Injury or Damage to, or loss of use of property caused by seepage, pollu on or contamina on. This paragraph a) will not apply to liability for Bodily Injury or Damage to or destruc on of tangible property, or loss of use of such property damaged or destroyed, where such seepage, pollu on or contamina on is caused by a sudden, accidental, unintended and unexpected incident which takes place in its en rety at a specific me and place origina ng from within the Territorial Limits during the Period of Insurance;
b)
The cost of removing, nullifying or cleaning-up seeping, pollu ng or contamina ng substances unless the seepage, pollu on or contamina on is caused by a sudden, accidental, unintended and unexpected incident which takes place in its en rety at a specific me and place origina ng from within the Territorial Limits during the Period of Insurance;
c)
Fines, penal es, puni ve or exemplary damages associated with a) or b) above.
For the purpose of this exclusion pollu ng or contamina ng substances include but are not limited to, smoke, vapours, soot, fumes, acids, alkalis, chemicals and waste. Waste includes material to be recycled, recondi oned or reclaimed.
7. Insolvency Exclusion This Policy does not cover legal liability arising out of or contributed to by Your bankruptcy, insolvency, liquida on, winding up, administra on or arrangement with creditors or insufficient funding.
8. Material Change of Insured Risks This Policy does not cover legal liability arising from or connected to a material change to You, Your Business or the risks insured, as compared to the situa on which applied at the incep on of this Policy, unless covered by an express extension or Endorsement to the Policy.
9. North America Domiciled and Jurisdiction Exclusion This Policy does not cover legal liability arising out of domiciled opera ons in North America, or in respect of any claim which is made within the legal jurisdic on of North America other than to the extent cover is provided under extension 10 Overseas Business and Personal Liability of sec on 2 - Public Liability.
10. Offshore Installations Exclusion This Policy does not cover legal liability arising out of offshore installa ons as defined in the Health and Safety at Work etc. Act 1974 and the Offshore Installa ons and Pipeline Works (Management and Administra on) Regula ons 1995 or any similar legisla on, irrespec ve of whether such installa ons are located in territorial or interna onal waters.
22
11. Other Insurance This Policy does not cover legal liability in respect of which indemnity is available under any more specific insurance at the me of any claim made under this Policy, whether effected by You or by any other person or en ty to whom indemnity would otherwise have been payable under this Policy.
12. Punitive and Exemplary Damages Exclusion This Policy does not cover legal liability for the payment of, fines, penal es, liquidated damages, puni ve, aggravated or exemplary damages.
13. Radioactive Contamination Exclusion This Policy does not cover legal liability resul ng or arising from: a)
ionising radia on by radioac vity from any irradiated nuclear fuel or from any nuclear waste or from the combus on of nuclear fuel;
b)
the radioac ve toxic explosive or other hazardous proper es of any explosive nuclear assembly or its nuclear component.
14. Terrorism Exclusion The Policy does not cover legal liability for loss, damage, cost or expense of whatsoever nature, caused by, resul ng from or in connec on with any act of terrorism regardless of any other cause or event contribu ng concurrently or in any other sequence to the loss. An act of terrorism means an act, including but not limited to the use of force or violence and/or the threat thereof, of any person or group of persons, whether ac ng alone or on behalf of or in connec on with any organisa on or government, commi ed for poli cal, religious, ideological or similar purposes including the inten on to influence any government and/or to put the public, or any sec on of the public, in fear. We also exclude loss, damage, cost or expense of whatsoever nature caused by, resul ng from or in connec on with any ac on taken in controlling, preven ng, suppressing or in any way rela ng to any act of terrorism. If We allege, on reasonable grounds, that by reason of this exclusion, any loss, Damage, cost or expense is not covered by this Policy the burden of proving the contrary will be upon You. In the event any por on of this clause is found to be invalid or unenforceable, the remainder will remain in full force and effect.
15. War Exclusion This Policy does not cover legal liability caused by or happening through war, invasion, act of foreign enemy, hos li es (whether war is declared or not), civil war, rebellion, revolu on, insurrec on or use of military or usurped power.
23
Claims information a. Your immediate action As soon as You discover that an Event likely to result in a claim has occurred, You must: i. take all reasonable steps to reduce the loss or Damage and to prevent any further loss or Damage; ii. inform the police immediately following the , vandalism or malicious damage. Important note It is a condi on of Your insurance that You no fy Us promptly of any Event or Occurrence which may result in a claim. You may have to contribute towards Your claim if Your no fica on is late and results in higher costs for Us or harms Our inves ga on opportuni es.
b. How to make a claim For all claims, You must promptly inform Residentsline by telephone or in wri ng to: DWF Claims Management & Adjus ng Redcliff Quay, 120 Redcliff Street, Bristol, BS1 6HU. Tel: 0344 892 3937 Email; irwell@dwfclaims.com Having the required documenta on and possibly photographs of the items will assist in having Your claim assessed and se led.
c. What You must do When You wish to make a claim, You must: i. provide details of the incident and, if requested, complete the claim form We send You and return it promptly together with all le ers, documents, valua ons, receipts or evidence of ownership that You have been asked to provide; ii. not dispose of any damaged items without first seeking Our approval; iii. provide wri en statements if We require it; iv. v.
be interviewed about the circumstances of the claim, if We require this; allow Us to inspect Your Insured Property and take possession of any damaged item to deal with it in a reasonable way; vi. provide Us, as soon as possible, with every no ce or communica on received concerning a claim by another person or concerning any prosecu on, inquest or other official inquiry arising from the Event; vii. comply with all the requirements of this Policy; and, viii. give Us all informa on and assistance that We reasonably require in rela on to the claim and any proceedings.
d. What You must not do Whatever the circumstances, You must not: i. admit guilt or fault (except in court or to the Police); ii. offer or nego ate to pay a claim; iii. admit or deny liability; iv. dispose of any damaged items without first seeking Our approval.
e. Our approval needed for repairs You are not authorised to commence repairs without Our approval.
f. Repairs or replacement We have the right to nominate the repairer or supplier to be used.
g. Claim administration and legal proceedings When a claim is admi ed under this Policy, We have the right at Our discre on to exercise all Your legal rights rela ng to the Event or any claim and to do so in Your name.
h. Salvage value We are en tled to any salvage value on recovered items and damaged items that have been replaced.
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I. Contribution If at the me of claim under sec ons 1 & 2, there is any other valid and collec ble insurance available to You, other than insurance arranged by You that is specifically stated to be in excess of sec ons 1 - 2, and names the insurer for the insurance, then the insurance afforded by sec ons 1 - 2 will be in excess of and will not contribute with such other insurance.
j. False or misleading information We will not pay for any claim that is deliberately exaggerated or where You or anyone ac ng for You uses, or a empts to use, fraudulent means to obtain benefits under this Policy. If You or they do, or a empt to: a. We will cancel this Policy from the date of the fraudulent act; b. We will not refund any premiums; c. All benefit under this Policy will be forfeited. We may inform the police and fraud preven on agencies of the circumstances.
25
Section 1 - Employers’ Liability Your Schedule will show if this section is covered What is covered
What is not covered
We will cover You for all sums which You may become legally liable to pay as compensa on including claimants costs and expenses in respect of Bodily Injury caused during the Period of Insurance to any Employees arising out of and in the course of their employment by You in the Business within the Territorial Limits.
We will not be liable under this sec on for:
1. Offshore Exclusion Bodily Injury to any Employee which arises out of Offshore work other than when specified in the Schedule as opera ve and only to the extent that an indemnity is deemed to be required in accordance with any law rela ng to compulsory insurance of Employees in which case Our total liability to pay damages inclusive of costs and expenses will not exceed the minimum statutory limit of five million pounds (GBP5,000,000) in respect of any one occurrence.
We will also pay Your costs and expenses incurred with Our prior wri en consent: a) b)
in defence of any claims; for representa on at any coroners inquest in respect of any death;
which may be the subject of indemnity under this sec on.
2. Repatriation Costs Exclusion
For the purposes of this sec on (including any applicable Limit of Indemnity) all claims arising out of one occurrence or a series of occurrences consequent upon or a ributable to one source or original cause will be deemed to be a single claim and single occurrence.
a) b)
3. Road Traffic Act Exclusion
The most We will pay is the Limit of Indemnity as stated in the Schedule for any one occurrence, inclusive of all costs and expenses.
Bodily Injury to any Employee to the extent that compulsory motor insurance or security is required in Your name under the Road Traffic Act 1988 or by any other compulsory insurance required by road traffic legisla on.
Extensions:
4. Terrorist Acts Exclusion
The insurance coverage provided by this sec on is extended to include the following:
Bodily Injury to any Employee which arises out of an act of terrorism except to the extent that an indemnity is deemed to be required in accordance with any law rela ng to compulsory insurance of Employees in which case Our total liability to pay damages inclusive of costs and expenses will not exceed the minimum statutory limit of five million pounds (GBP5,000,000) in respect of any one occurrence.
1. Accidental Discovery of Notifiable Asbestos and Work with Non Notifiable Non Licensed Asbestos Legal liability for Bodily Injury to Employees caused by or arising from Non No fiable and/or accidental discovery of No fiable Asbestos or materials suspected to be No fiable Asbestos when arising from Non No fiable Non Licensed Asbestos work as permi ed by the Control of Asbestos Regula ons 2012.
An act of terrorism means an act, including but not limited to the use of force or violence and/or the threat thereof, of any person or group of persons, whether ac ng alone or on behalf of or in connec on with any organisa on or government, commi ed for poli cal, religious, ideological or similar purposes including the inten on to influence any government and/or to put the public, or any sec on of the public, in fear.
You must ensure that: a)
all handling, removal, stripping out, demoli on, storage, transporta on or disposal of that which is suspected to be No fiable Asbestos ceases immediately upon discovery un l the composi on of all such materials is established;
b)
any subsequent handling, removal, stripping out, demoli on, storage, transporta on or disposal of No fiable Asbestos is carried out by a Health and Safety Execu ve (HSE) licensed contractor on terms which cover You for all liability arising out of such work;
any medical costs or medical expenses; any repatria on costs or repatria on expenses; incurred by any Employee whilst outside the Territorial Limits.
26
Our liability to pay compensa on including costs and expenses in respect of any Asbestos will not exceed the minimum statutory limit of five million pounds (GBP 5,000,000) in respect of any one occurrence. For the purposes of the cover provided by this extension, General exclusions number 1. (Asbestos) will not apply.
2. Court Attendance Costs We will pay You the daily rates as stated below if any of the following are required to a end court as a witness at Our request: a) b)
any of Your directors or Business Partners: daily rate five hundred pounds (GBP500); any Employee: daily rate two hundred and fi y pounds (GBP250).
3. Indemnity to other Person(s) and Parties At the request of the first named party stated in the Schedule and with Our wri en consent We will cover: a)
any director, partner or Employee of Yours while ac ng in connec on with the Business, provided that You would have been en tled to indemnity under this sec on if the claim had been made against You;
b)
any officer or member, of Your canteen, sports, social or welfare organisa ons and fire, security, first aid, medical and ambulance services, in their respec ve capacity as such;
Provided that; i)
such person(s) and addi onal par es will observe, fulfil and be subject to the terms, defini ons, condi ons, clauses and exclusions, of this Policy, in so far as they can apply and will not be en tled to an indemnity under any other insurance.
ii)
We have full conduct and control of the claim.
iii) Our liability to all par es indemnified under this extension will not exceed the total Limit of Indemnity as stated in the Schedule.
4. Non-Manual Work Overseas and Manual Work in the European Economic Area Legal liability in respect of Bodily Injury caused outside of the Territorial Limits to Employees ordinarily resident and under a contract of employment or appren ceship entered into within the Territorial Limits when temporarily engaged in non-manual work elsewere in the world and manual work whilst within the European Economic Area
27
geographical limits. This extension does not provide any coverage: a)
for Offshore work of any kind.
b)
required to comply with local labour laws or workers compensa on act coverage requirements outside of the Territorial Limits.
5. Unsatisfied Court Judgments We will, at Your request, pay costs and damages to any Employee or their personal representa ve, which remain unpaid six (6) months a er the date a judgment for Bodily Injury to the Employee which was obtained against another party domiciled within the Territorial Limits. Payment will only be made where: a)
the Bodily Injury was caused in the course of Your Business and during the Period of Insurance;
b)
the judgment was made in a court within the Territorial Limits;
c)
there is no appeal outstanding to the judgment;
d)
the Employee or their personal representa ve assigns the judgment debt to Us.
6. Wage Replacement following a RIDDOR reportable incident The following defini ons apply to this extension in addi on to those included elsewhere in the policy: Absence – A con nuous period of medically cer fied absence by an Employee which is solely due to a RIDDOR reportable accident arising out of and in the course of their employment. Bodily Injury – As defined in the Policy as Injury but not any illness or disease that is gradual in its development or is the result of exposure to Asbestos. Circumstances – The factual details of a RIDDOR reportable accident in the workplace. Injured Person – The Employee who has sustained a RIDDOR reportable accident in the workplace and has been selected by the Insured to be the subject of a Wage Replacement Claim request. Inves ga on – The preliminary process which is designed to be completed within 14 days of a claim no fica on and by which We determine whether the Circumstances will give rise to a legal liability.
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RIDDOR – Repor ng of Injuries, Diseases and Dangerous Occurrences Regula ons 2013, which puts du es on the Business to report certain serious workplace accidents, occupa onal diseases and specified dangerous occurrences. Wage Replacement Claim – A no fica on from the Insured of a RIDDOR reportable accident in the workplace where a decision has been made by the Insured to contribute to pay Wages to the Injured Person during Absence. Wages – Payment equivalent to normal pay including over me and bonus calculated as a monthly average over the preceding twelve-month period. It is agreed that at the request of the Insured this extension will indemnify the Insured in respect of Wages paid to an Injured Person following Bodily Injury which results in Absence where it is reasonable for the Insured to infer the Circumstances will on balance of probabili es give rise to a legal liability. Provided always that: a) The Circumstances are no fied as a Wage Replacement Claim within 21 days of knowledge of the incident to: DWF Claims Management & Adjus ng Redcliff Quay 120 Redcliff Street Bristol BS1 6HU Claims telephone: 0344 892 3937 Email: irwell@dwfclaims.com b)
Where the Insurer's Inves ga on deems that on the balance of probabili es a liability will a ach to the Insured this extension will indemnify for a maximum period of 52 weeks from the date of commencement of the Absence.
c)
Wages paid by the Insured prior to determina on of liability by Us will be limited to a maximum of 28 days Absence where Our subsequent Inves ga on deems that on the balance of probabili es no liability will a ach.
d)
In the event of Absence not exceeding 30 consecu ve days the indemnity will be subject to a £750 Excess.
e)
The Insured will assist in providing any reasonable programme of rehabilita on to the Injured Person at Our expense and at Our reasonable request the Insured will discon nue Wages payments should the Injured Person refuse to submit to such a programme without good reason or fails to provide evidence in support of con nues Absence.
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f)
The Insured will submit a schedule of Wages paid to the Injured Person at 90 day intervals to Us and We will reimburse the Insured upon presenta on and approval of a schedule of Wages paid.
g)
We may cease reimbursing Wages under this extension at any stage should: i)
Evidence become available indica ng that on the balance of probabili es no liability will a ach to the Insured
ii)
The Insured breach any term or condi on of this Policy
iii) The Insured fail to cooperate with Our reasonable requests Our inten on to cease reimbursing Wages under this extension will be no fied to the Insured in wri ng. h)
At Our request the Insured will use their best endeavours to obtain a signed medical consent form from the Injured Person in the format prescribed by Us upon comple on of the Inves ga on.
i)
This extension does not apply in respect of Injury sustained by Employees of the Insured whilst working permanently outside Great Britain Northern Ireland the Isle of Man or the Channel Islands.
j)
This extension does not confer any rights to an Employee.
k)
This extension does not apply in respect of any Communicable Disease.
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Section 2 - Public Liability Your Schedule will show if this section is covered
Definitions The words listed below have been given a specific meaning in this sec on and these specific meanings apply when the words begin with a capital. In the case of any conflict between the general defini ons and a sec on 2 defini on, the defini ons in sec on 2 will prevail.
Vehicle Any mechanically propelled vehicle (including any a ached machinery or apparatus) and trailer being used in circumstances, where compulsory motor insurance or security is required in Your name under the Road Traffic Act 1988 or by any other compulsory insurance required by road traffic legisla on.
What is covered
What is not covered
We will cover You for all sums which You may become legally liable to pay as compensa on including claimants costs and expenses in respect of:
We will not be liable under this sec on for the following:
1.
accidental Bodily Injury to any person other than an Employee;
2.
accidental Damage;
3.
accidental trespass, accidental nuisance;
4.
charges of wrongful arrest or malicious prosecu on brought against You arising out of any allega on of shopli ing at Your Premises;
1. Aircraft and Watercraft Exclusion We do not cover legal liability arising from You owning, possessing or using any: a) aircra , drones and other aerial devices; b) watercra or other vessels (other than small vessels of 3 metres or less on inland waterways).
2. Airside & Airport Exclusion We do not cover legal liability arising in connec on with any work undertaken in or on:
occurring during the Period of Insurance within the Territorial Limits in connec on with the Business. We will also pay Your costs and expenses incurred with Our prior wri en consent: a)
in defence of any claims;
b)
for representa on at any coroners inquest in respect of any death;
a)
aircra , drones and other aerial devices;
b)
any airport, aerodrome or helipad including runways, manoeuvring areas or aprons or any part of an airport, aerodrome or helipad to which aircra ordinarily have access.
3. Contractual Liability Exclusion We do not cover legal liability assumed by You under a contract or agreement unless such liability would have a ached to You in the absence of the contract or agreement.
which may be the subject of indemnity under this sec on. For the purposes of this sec on (including any applicable Limit of Indemnity) all claims arising out of one occurrence or a series of occurrences consequent upon or a ributable to one source or original cause will be deemed to be a single claim and single occurrence.
4. Custody and Control Exclusion We do not cover legal liability for any property in Your care, custody or control, other than:
The most We will pay is the Limit of Indemnity as stated in the Schedule for any one occurrence, inclusive of all costs and expenses. Extensions: The insurance coverage provided by this sec on is extended to include the following:
31
a)
Employees' or visitors' personal effects. The maximum We will pay is two thousand five hundred pounds (GBP2,500) in the Aggregate.
b)
Any premises (including contents) not being premises owned leased or rented to You which are temporarily occupied by You for the purpose of carrying out work in or to such premises.
1. Appointed representative
5. Damage to Owned Leased or Rented Premises Exclusion
At Your request, We will also indemnify Your appointed representa ve but only to the extent that legal liability arises from their ac vi es or interest in the management of the Insured Property through lease and or statute.
We do not cover legal liability for: a)
Damage to premises (or fixtures and fi ngs) presently or at any me previously owned leased or rented to You if liability for Damage is assumed by You under a lease or other agreement unless such liability would have a ached in the absence of such agreement;
b)
Damage to land or water within or below the boundaries of any land or premises presently or at any me previously owned leased or rented to You or otherwise in Your care, custody or control.
2. Consumer Protection and Food Safety Acts At Your request and with Our wri en consent We will pay the legal expenses incurred by any Business Partner, director or Employee in connec on with the defence of any criminal proceedings or an appeal against convic on arising from such proceedings brought in respect of any offence under: a)
Part 2 of the Consumer Protec on Act 1987; or
b)
Part 2 of the Food Safety Act 1990;
6. Damage to Property Worked Upon Exclusion We do not cover legal liability for Damage to the part of the property or ar cle being worked upon and any consequen al loss arising from Damage to the part of the property or ar cle.
commi ed or alleged to have been commi ed during the Period of Insurance in connec on with the Business. We will not pay for: i)
any legal expenses unless We have the conduct and control of all proceedings and appeals;
ii)
fines or penal es of any kind;
7. Defamation Libel and Slander Exclusion We do not cover legal liability resul ng or arising from defama on, libel, slander or malicious falsehood.
iii) proceedings or appeals in respect of any deliberate act or omission.
8. Defective Workmanship Exclusion
3. Court Attendance Costs We do not cover legal liability for costs of recall, removal, repair, altera on, replacement, rec fying, reinstatement of property or ar cle worked upon arising from defec ve or incorrect workmanship by You or anyone working on Your behalf.
We will pay You the daily rates as stated below if any of the following are required to a end court as a witness at Our request: a)
b)
any of Your directors or Business Partners: daily rate five hundred pounds (GBP500);
9. Fixed exercise and playground equipment
any Employee: daily rate two hundred and fi y pounds (GBP250).
We do not cover:
4. Defective Premises Act 1972
A) legal liability arising out of or in connec on with fixed exercise or playground equipment if You have failed to fulfil the following:
We will pay You in respect of Your legal liability incurred by You in connec on with Your Business under sec on 3 of the Defec ve Premises Act 1972.
a)
This extension will not apply to the cost of rec fying any damage or defect in the Premises or land disposed of.
5. Fertiliser, pesticide, herbicide application We will pay You all sums (including claimants' costs and expenses) that You become legally liable to pay arising from the applica on of any fer liser, pes cide or herbicide to Your building or Common Area.
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all equipment, devices and facili es, including sand pits and paddling pools i)
are manufactured and installed to the appropriate standard and maintained in good condi on.
ii)
are inspected, by a competent person, at least weekly and all defects or risks to health or safety immediately rec fied or the equipment, device or facility taken out of use.
6. Indemnity to other Person(s) and Parties At the request of the first named party stated in the Schedule and with Our wri en consent
b)
You will erect where necessary suitable signs detailing any informa on that is necessary for the safe use of the equipment device or facility and clearly sta ng any restric ons on its use.
c)
You will determine where supervision is necessary and ensure that it is provided whenever the play equipment device or facili es are in use.
B)
legal liability arising out of or in connec on with the opera on of inflatable devices or Skateboard parks.
We will cover: a)
any director, partner or Employee of Yours while ac ng in connec on with the Business, provided that You would have been en tled to indemnity under this sec on if the claim had been made against You;
b)
any officer or member, of Your canteen, sports, social or welfare organisa ons and fire, security, first aid, medical and ambulance services, in their respec ve capacity as such;
10. Fungus Toxic Mould and Mildew Exclusion We do not cover legal liability arising out of or related to any mould or other fungi (including but not limited to mildew or mycotoxins or spores or any other substance or product produced or released by mould or fungi) or:
Provided that: i)
such person(s) and addi onal par es will observe, fulfil and be subject to the terms, defini ons, condi ons, clauses and exclusions, of this Policy, in so far as they can apply and will not be en tled to an indemnity under any other insurance.
ii)
We have full conduct and control of the claim.
iii) Our liability to all par es indemnified under this extension will not exceed the total Limit of Indemnity as stated in the Schedule.
a)
for any costs or expenses associated in any way with the abatement, mi ga on, remedia on, containment, detoxifica on, neutralisa on, monitoring, removal, disposal, or any obliga on to inves gate or assess the presence of effects of, any moulds or other fungi (including but not limited to mildew or mycotoxins or spores or any other substance or product produced or released by moulds or fungi); or
b)
any obliga on or duty to defend any ac ons arising out of or resul ng from or in any way related to any moulds or other fungi (including but not limited to mildew or mycotoxins or spores or any other substance or product produced or released by moulds or fungi).
7. Indemnity to Principals We will, at Your request, cover any principal to the extent required by a contract between You and the principal, in respect of legal liability arising solely from the negligent performance of work by You for such principal.
11. Hazardous Substances Exclusion
To qualify for indemnity under this extension:
We do not cover legal liability for any loss cost or expense arising out of or as a consequence of or related to:
a)
We will retain sole conduct and control of any claim; and
a)
b)
the principal will observe and fulfil the requirements of this Policy, in so far as they can apply.
the mining, processing, manufacture, produc on, storage, handling, removal, stripping out, demoli on, transporta on, sale, ownership, disposal, use of or exposure to respirable crystalline silica (RCS) or polychlorinated biphenyls and any materials or products containing such substances; and
b)
any hazardous materials or substances which are required by any statute to be removed, encapsulated or otherwise abated because they may be hazardous to human health.
8. Legionellosis We will cover you for all sums which You may become legally liable to pay as compensa on including claimants costs and expenses in respect of accidental Bodily Injury arising from Legionellosis.
12. Injury to Employees Exclusion We do not cover legal liability in respect of Bodily Injury to any Employee.
Special provisions applying to this extension All claims arising out of the same isolated repeated or con nuing incidence of Legionellosis will be deemed to be made in the same Period of Insurance when
33
a)
b)
The first claim was first made in wri ng to You and no fied to Us
13. Motor Liability Exclusion
Or
We do not cover legal liability arising out of the ownership possession or use by You or on Your behalf of any Vehicle for which compulsory insurance is required by legisla on.
The first no fica on of any circumstance was first made to Us.
14. Products Exclusion
Exclusions applying to this extension
We do not cover legal liability arising out of Products.
This extension will not apply in respect of:
15. Professional Advice and Design (for a fee) Exclusion
1.
Any Legionellosis which commenced prior to the incep on of this Policy.
2.
Any loss where there is a more specific insurance policy in place
3.
Any liability arising from a circumstance where You or any competent person ac ng on Your behalf has failed to carry out a Legionella risk assessment at least every two years or when the water system or plant has been changed.
We do not cover legal liability arising from advice, error, omission in connec on with, instruc on, consultancy, design, formula, specifica on, inspec on, cer fica on or tes ng undertaken or provided by You or on Your behalf for a separate fee or under a separate contract.
16. Swimming pools We do not cover legal liability; a)
Our total liability under this extension will be limited to a maximum amount of one million pounds (GBP 1,000,000) any one occurrence and in the aggregate. This limit does not increase the Limit of Indemnity.
arising out of or in connec on with swimming pool and spa facili es owned and managed by You if you have failed to fulfil the following: i)
an adult is in a endance at all mes when the facili es are in use by a child or children under 14 years of age
ii)
the edges of the pool are kept free from unnecessary obstruc ons
The Excess applying to this extension is £2,500.
9. Motor Contingent Liability We will cover You for Your vicarious legal liability arising out of the use in the course of the Business of any Vehicle which is neither Your property, nor provided by You.
iii) no ces showing water depths are prominently displayed and life-saving equipment conveniently placed
This extension of cover will not apply: a)
b)
for loss, destruc on or damage, to such Vehicle or any property contained within it;
b)
whilst You are driving the Vehicle;
c)
to the Vehicle being driven with Your consent by any person who does not hold a licence to drive the Vehicle;
d)
for legal liability arising outside the Territorial Limits;
e)
to the ownership, possession or use by You or on Your behalf of any Vehicle for which compulsory insurance is required by legisla on.
in respect of: i)
loss or damage to clothing
ii)
claims arising from the use of diving boards
17. Use of Heat Away from your Premises Exclusion We do not cover legal liability arising from any work by You or on Your behalf away from Your Premises involving the use of heat, naked flame, welding equipment or angle grinders.
10. Overseas Business and Personal Liability We will cover legal liability arising under any applicable jurisdic on for You, any of Your directors, Business Partners or Employees while temporarily outside of the Territorial Limits in connec on with the Business and in a personal capacity provided We are not prohibited from doing so under any local statute or ordinance.
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This extension of cover will not apply: a)
to legal liability arising out of the ownership or tenure of any land or building outside of the Territorial Limits;
b)
to North America, except in respect of non-manual work and ac vi es, subject to the following addi onal limita ons: i)
excluding legal liability arising from the pollu on and contamina on of buildings or other structures or of water or land or of the atmosphere caused by the discharge, dispersal, release or escape of pollutants;
ii)
excluding payment for puni ve, aggravated or exemplary damages;
iii) the Limit of Indemnity will be inclusive of all costs and expenses.
11. Recreational activities We will pay You in respect of Your legal liability for Bodily Injury or Damage arising from recrea onal or social ac vi es arranged for and on behalf of Lessee's and occupiers of Flats.
12.
Statutory defence costs including Health and Safety at Work, Etc. Act 1974
We will, with Our prior consent which consent will not be unreasonably withheld, indemnify You in respect of legal Costs and Expenses incurred defending: a)
any alleged breach of statutory duty (including any prosecu on brought under sec ons 2 to 8 of the Health and Safety at Work, etc. Act 1974, Health and Safety at Work (Northern Ireland) Order 1978 or similar legisla on in the Isle of Man or the Channel Islands) or criminal proceedings brought; and/or,
b)
allega ons (whether under common law or statute) of manslaughter, corporate manslaughter or corporate homicide made against You provided that the prosecu on or proceedings relate to: i)
an offence alleged to have been commi ed during the Period of Insurance and in the course of Business within the Territorial Limits;
ii)
Bodily Injury to, or poten al Bodily Injury to persons other than Employees; and, We will also pay You:
ii)
Costs and Expenses of appeal including appeal against improvement and prohibi on no ces incurred with Our wri en consent which consent will not be unreasonably withheld;
35
iv) prosecu on costs awarded against You. The indemnity by this clause excludes and does not cover: ●
circumstances where You are en tled to indemnity by any other legal expenses, motor or employment protec on policy;
●
in respect of allega ons of manslaughter, Corporate manslaughter or corporate homicide, any amount in excess of a Limit of Indemnity of £1,000,000 any one claim or series of claims arising out of the same prosecu on or proceedings.
For the avoidance of doubt the under noted statutes, whilst not exhaus ve, are included within the statutes or regula ons contemplated for which defence costs are insured by this clause: 1.
Health and Safety at Work, etc. Act 1974, but only sec ons 2 to 8;
2.
Health and Safety at Work (Northern Ireland) Order 1978;
3.
The Trade Descrip on Act 1968;
4.
Part II of the Consumer Protec on Act 1987;
5. Part II of the Food Safety Act 1990.
13. Wheelchairs, garden equipment We will pay You in respect of Your legal liability for, Bodily Injury or Damage arising from any wheelchair, garden equipment including lawn mowers, golf cart, golf buggy owned by You, in Your possession or physical or legal control. We will not pay if any such item is or should have been registered and/or insured under legisla on in United Kingdom.
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Residentsline Flats Insurance
Residentsline is a trading name of Residentsline Limited which is authorised and regulated by the Financial Conduct Authority. Wording Version Ref: RGEI POL WDG IRWELL wef 01.26. 37