AIIC VolHO Forms List 10272009
Document Sample


AIIC Voluntary Homeowners - 8/2009 - original filing # 07-22301
Form # Name Mandatory New Filing
HO 00 03 04 91 Homeowners 3 - Special Form X
AIIC HO3 IDX 01 08 Homeowners 3 - Special Form Policy Index X
AIIC HO3 OC 09 08 HO3 Policy Outlline do not file - X
HO 00 15 04 91 Special Personal Property Coverage (n/a to x-wind) 09-07937
HO 04 10 04 91 Additional Interests - Residence Premises
HO 04 41 04 91 Additional Insured - Residence Premises
HO 04 55 03 03 Identity Fraud Expense Coverage 08-15979
HO 04 66 04 91 Coverage C - Increased Special Limits of Liability
HO 04 89 07 01 Windstorm or Hail Exclusion X (in certain territories)
HO 04 96 04 91 No Section II - Liability Coverages for Home Day Care X
HO 04 97 04 91 Home Day Care Coverage Endorsement
HO 24 72 04 91 Incidental Farming - Personal Liability
HO 24 75 04 91 Watercraft
Calendar Year Hurricane Deductible (Percentage) with
AIIC 03 55 01 08 Supplemental Record Keeping Requirement - FL
AIIC 03 58 01 08 Calendar Year Hurricane Deductible (Fixed Dollar) with
Supplemental Record Keeping Requirement - FL
AIIC HO 04 90 01 08 Personal Property Replacement Cost
AIIC 04 16 01 08Premises Alarm or Fire Protection System
AIIC HO 04 61 01 08 Personal Property - Scheduled
AIIC HO 04 35 01 08 Loss Assessment Coverage
AIIC HO 06 08 01 08 Personal Property Exclusion - Florida
Windstorm Exterior Paint or Waterproofing Exclusion -
AIIC HO 23 70 01 08 Seacoast - FL X (in certain counties)
AIIC GL 21 03 09 Gold Legacy Coverage - HO3 Only 08-24222
AIIC GR 21 09 09 Gold Reserve Endorsement 09-11266
AIIC CGCC Notice 01 08 Catastrophic Ground Cover Collapse X
AIIC HO 09 AL 07 08 Animal Liability Special Limits Endorsement 08-14554
AIIC HO 09 GC1 01 08 Golf Cart Physical Damage and Liability Coverage
Golf Cart Physical Damage and Liability Coverage -
AIIC HO 09 GC2 01 08 Increased Limits 08-24222 and labeled wrong
AIIC HO 09 HC 01 08 Home Computer Coverage 08-00862
AIIC HO 09 IRC 01 08 Increased Replacement Cost on Dwelling
AIIC HO 09 LWD 01 08 Limited Water Damage Endorsement
Limited Fungi, Wet or Dry Rot, or Bacteria - Increased
AIIC HO 09 MLD 01 08 Coverage
AIIC HO 09 OLI 01 08 Ordinance or Law Coverage - 25%
AIIC HO 09 OL2 01 08 Ordinance or Law Coverage - 50%
AIIC HO 09 OLN 02 08 Ordinance or Law Selection Notice 08-01040
AIIC HO 09 PC 01 08 Carport(s), Pool Cage(s) and Screen Enclosure(s)
AIIC HO 09 PNJ 01 08 Personal Injury
AIIC HO 09 SP 05 09 Special Provisions - Florida X 09-07937
AIIC HO 09 SK 01 08 Sinkhole Loss Coverage - Florida
AIIC HO 09 TL 01 08 Trampoline Liability Exclusion X
AIIC HO 09 WBU 01 08 Water Back Up and Sump Overflow
AIIC HO 09 WD 01 08 Water Damage Exclusion
AIIC HO XC 01 08 Request to Exclude Contents Coverage
AIIC HO XW 01 08 Request to Exclude Windstorm and Hail Coverage
AIIC SKS 01 08 Sinkhole Loss Coverage Selection Form 08-00862
AI NR 08 08 Notice of Reports Ordered (Credit)
AI HO DEC1 09 08 New Business Declarations 08-17419
AI HO DEC2 09 08 Renewal Delcarations 08-17419
AIIC HO 08 APP Homeowners Application 08-14554
AIIC HOJ 07 08 Homeowners Policy Jacket X 08-20969
AIIC HO DO 07 08 Deductible Options Notice X 08-14554
AIIC CXIR 12 09 Cancellation - Insured's Request 09-16381
AIIC CXCOC 12 09 Continuation of Coverage 09-16381
AIIC PD 12 09 Premium Due Notice 09-16381
AIIC RN 12 09 Renewal Premium Notice 09-16381
AIIC NRN 12 09 Nonrenewal Notice 09-16381
AIIC CXU 12 09 Cancellation Notice Underwriting 09-16381
AIIC CXNPY 12 09 Cancellation Notice- Non-pay 09-16381
AIIC RI 12 09 Reinstatement Notice 09-16381
OIR B1 1655 Notice of Premium Discounts for Hurricane Loss Mitigation do not file
OIR B1 1670 Checklist of Coverage do not file
OIR B1 1802 Uniform Mitigation Verification Inspection Form do not file
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