SERFF Tracking #: SFTY State Tracking #: Company Tracking #: FR121021MABP

Transcription

1 SERFF Tracking #: SFTY State Tracking #: Company Tracking #: FR121021MABP State: Massachusetts First Filing Company: Safety Insurance Company,... TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/ Businessowners Product Name: MA Businessowners Project Name/Number: / Filing at a Glance Companies: Product Name: State: TOI: Sub-TOI: Filing Type: Safety Insurance Company Safety Indemnity Insurance Company MA Businessowners Massachusetts 05.0 CMP Liability and Non-Liability Businessowners Form/Rate/Rule Date Submitted: 09/21/2012 SERFF Tr Num: SERFF Status: State Tr Num: State Status: Co Tr Num: Effective Date Requested (New): Effective Date Requested (Renewal): Author(s): Reviewer(s): SFTY Closed-Placed on File Closed-Placed On File FR121021MABP 10/21/ /21/2012 Glenn Hiltpold, Tony Choi, Paul Clinton, Althea Noonan, Lucy Che, Christopher Morkunas, Chris Walendin, Sarah Tierney, Angelina Kim Daniel Smith (primary) Disposition Date: 10/03/2012 Disposition Status: Placed on File Effective Date (New): 10/21/2012 Effective Date (Renewal): 10/21/2012 PDF Pipeline for SERFF Tracking Number SFTY Generated 11/14/ :59 AM

2 SERFF Tracking #: SFTY State Tracking #: Company Tracking #: FR121021MABP State: Massachusetts First Filing Company: Safety Insurance Company,... TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/ Businessowners Product Name: MA Businessowners Project Name/Number: / General Information Project Name: Project Number: Reference Organization: Reference Title: Filing Status Changed: 10/03/2012 State Status Changed: 10/03/2012 Created By: Sarah Tierney Corresponding Filing Tracking Number: Status of Filing in Domicile: Disapproved Domicile Status Comments: Reference Number: Advisory Org. Circular: Deemer Date: Submitted By: Tony Choi Filing Description: ******************************************************************************************************** The following filing was previously rejected with a disposition date of 09/17/2012: SFTY We are resubmitting this filing in compliance with General Instruction C.4. C.4. COMPLIANCE WITH M.G.L. 175, 18 AND 192 (FOR P&C FILINGS): Please indicate ONE of the following in a standalone paragraph in the Filing Description field of each Form, Form/Rate, Form/Rule, and Form/Rate/Rule Type filing: 1.) the form number, Placed on File date, and (if available) state or SERFF tracking number of the declarations page or policy jacket being used according to Filing Guidance Notice 2006-A; OR 2.) that each form submitted in the filing is headed by the corporate name of each Filing Company and that at issue the Filing Company providing the insurance will be specifically identified. Below we have complied with the first option and listed the A) form #, B) Placed on File Date, C) and the SERFF tracking# of our declarations page. ******************************************************************************************************** September 18, 2012 Honorable Joseph G. Murphy Commissioner of Insurance Massachusetts Division of Insurance 1000 Washington St., 8th floor Boston, MA RE: Safety Insurance Company NAIC Safety Indemnity Insurance Company NAIC BOP Forms, Rates and Rules Filing Dear Commissioner Murphy, We are filing 2 new property floater forms and a liquor liability endorsement. Included in the filing are the corresponding rates. Manual pages containing the rates and rules are included. In addition we have added classes for Commercial Condominium (Association) and Carpentry. Rates are included for the new PDF Pipeline for SERFF Tracking Number SFTY Generated 11/14/ :59 AM

3 SERFF Tracking #: SFTY State Tracking #: Company Tracking #: FR121021MABP State: Massachusetts First Filing Company: Safety Insurance Company,... TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/ Businessowners Product Name: MA Businessowners Project Name/Number: / carpentry classes. We have also added deductible Options of $7,500 and $10,000. Finally, we have updated forms BP and BP Because our forms are no longer compatible with ISO's, we have created new Safety forms SB and SB We believe these forms are in compliance with M.G.L. 175, 18 and 192 since the forms submitted in this filing are headed by the corporate name of each filing company and each form will always accompany a Declarations Page that states the corporate name of the company (form# BPDEC2011, placed on file 3/2/2011, SFTY ). We are proposing an effective date of October 21, Within the SERFF filing please find a Certificate of Compliance, Checklist, and supporting documentation. For questions regarding this filing, please feel free to call me at (617) , Ext Tony Choi Product Research Manager Safety Insurance Group tonychoi@safetyinsurance.com Company and Contact Filing Contact Information Tony Choi, 20 Custom House Street UND-1 Boston, MA Filing Company Information Safety Insurance Company 20 Custom House Street Boston, MA (617) ext. [Phone] tonychoi@safetyinsurance.com [Phone] 1282 [Ext] CoCode: Group Code: 188 Group Name: Safety Insurance Group FEIN Number: State of Domicile: Massachusetts Company Type: Property and Casualty State ID Number: Safety Indemnity Insurance Company 20 Custom House Street Boston, MA (617) ext. [Phone] CoCode: Group Code: 188 Group Name: Safety Insurance Group FEIN Number: State of Domicile: Massachusetts Company Type: Property and Casualty State ID Number: Filing Fees Fee Required? Yes Fee Amount: $ PDF Pipeline for SERFF Tracking Number SFTY Generated 11/14/ :59 AM

4 SERFF Tracking #: SFTY State Tracking #: Company Tracking #: FR121021MABP State: Massachusetts First Filing Company: Safety Insurance Company,... TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/ Businessowners Product Name: MA Businessowners Project Name/Number: / Retaliatory? Fee Explanation: Per Company: State Specific Yes $75 per form per filing company, $150 per rate/rule per filing company. Yes Company Amount Date Processed Transaction # Safety Insurance Company $ /21/ Safety Indemnity Insurance Company $ /21/ ) All Lines: Please see the State Submissions List requirement under Supporting Documentation.: No attachments - MA only. 2.) Property/Casualty: Please see the Policy Endorsement List requirement under Supporting Documentation.: See Policy Endorsement tab. 3.) Property/Casualty: Please see Comment C.5 in the Massachusetts General Instructions.: Not applicable. 4.) Life: Please see the Specific Markets requirement under Supporting Documentation.: Not applicable. PDF Pipeline for SERFF Tracking Number SFTY Generated 11/14/ :59 AM

5 SERFF Tracking #: SFTY State Tracking #: Company Tracking #: FR121021MABP State: Massachusetts First Filing Company: Safety Insurance Company,... TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/ Businessowners Product Name: MA Businessowners Project Name/Number: / Correspondence Summary Dispositions Status Created By Created On Date Submitted Placed on File Daniel Smith 10/03/ /03/2012 Objection Letters and Response Letters Objection Letters Response Letters Status Created By Created On Date Submitted Responded By Created On Date Submitted Pending Industry Response Daniel Smith 09/25/ /25/2012 Sarah Tierney 09/26/ /03/2012 Incomplete Daniel Smith 09/24/ /24/2012 Sarah Tierney 09/24/ /25/2012 Filing Notes Subject Note Type Created By Created On Date Submitted Re: Rejection/Disapproval Note To Filer Daniel Smith 10/03/ /03/2012 SERFF Tracking Number: SFTY Note To Filer Carla Kelton 09/21/ /21/2012 PDF Pipeline for SERFF Tracking Number SFTY Generated 11/14/ :59 AM

6 SERFF Tracking #: SFTY State Tracking #: Company Tracking #: FR121021MABP State: Massachusetts First Filing Company: Safety Insurance Company,... TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/ Businessowners Product Name: MA Businessowners Project Name/Number: / Disposition Disposition Date: 10/03/2012 Effective Date (New): 10/21/2012 Effective Date (Renewal): 10/21/2012 Status: Placed on File Comment: Overall % Overall % Written Premium # of Policy Written Maximum % Minimum % Company Indicated Rate Change for Holders Affected Premium for Change Change Name: Change: Impact: this Program: for this Program: this Program: (where req'd): (where req'd): Safety Insurance Company 0.880% 0.000% $0 0 $11,164,196 % % Safety Indemnity Insurance Company 0.880% 0.000% $0 0 $2,477,677 % % Overall Rate Information for Multiple Company Filings Overall Percentage Rate Indicated For This Filing 0.000% Overall Percentage Rate Impact For This Filing 0.000% Effect of Rate Filing-Written Premium Change For This Program $0 Effect of Rate Filing - Number of Policyholders Affected 0 Schedule Schedule Item Schedule Item Status Public Access Supporting Document State Submissions List Yes Supporting Document Policy Endorsement List Yes Supporting Document Annotated Comparison Yes Supporting Document Form Utilization List Yes Supporting Document (revised) Certification of Compliance Yes Supporting Document Certification of Compliance Yes Supporting Document (revised) Checklist(s) Yes PDF Pipeline for SERFF Tracking Number SFTY Generated 11/14/ :59 AM

7 SERFF Tracking #: SFTY State Tracking #: Company Tracking #: FR121021MABP State: Massachusetts First Filing Company: Safety Insurance Company,... TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/ Businessowners Product Name: MA Businessowners Project Name/Number: / Schedule Schedule Item Schedule Item Status Public Access Supporting Document Checklist(s) Yes Supporting Document (revised) Supporting Document Actuarial Memorandum - Property and Casualty Insurance Actuarial Memorandum - Property and Casualty Insurance Yes Yes Supporting Document Rate Filing Abstract (SRB-RA) Yes Supporting Document Loss Cost Adoption Form (SRB-LC) Yes Supporting Document Rate Deviation Abstract (SRB-DV) Yes Supporting Document Statement of Variability Yes Supporting Document Letter of Authorization Yes Supporting Document Actuarial Exhibits Yes Form Safety Liquor Liability Coverage Yes Form Scheduled Property Floater Endorsement Yes Form Miscellaneous Personal Property Floater Yes Form Condominium Commercial Unit-Owners Coverage Yes Form Rate Rate (revised) Rate Rate Condominium Commercial Unit-Owners Optional Coverages MA BOP rule manual, Optional Coverages and Endorsements section MA BOP rule manual, Rates-Optional Coverages and Endorsements - Property section MA BOP rule manual, Rates-Optional Coverages and Endorsements - Property section MA BOP rule manual, Rates-Optional Coverage & Endorsement-Liability section Yes Yes Yes Yes Yes PDF Pipeline for SERFF Tracking Number SFTY Generated 11/14/ :59 AM

8 SERFF Tracking #: SFTY State Tracking #: Company Tracking #: FR121021MABP State: Massachusetts First Filing Company: Safety Insurance Company,... TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/ Businessowners Product Name: MA Businessowners Project Name/Number: / Schedule Schedule Item Schedule Item Status Public Access Rate MA BOP rule manual, Mercantile Program section Yes Rate Rate MA BOP rule manual, Special Trade Contractors Liability section MA BOP rule manual, Premium Development - Mandatory Coverages Yes Yes PDF Pipeline for SERFF Tracking Number SFTY Generated 11/14/ :59 AM

9 SERFF Tracking #: SFTY State Tracking #: Company Tracking #: FR121021MABP State: Massachusetts First Filing Company: Safety Insurance Company,... TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/ Businessowners Product Name: MA Businessowners Project Name/Number: / Objection Letter Objection Letter Status Objection Letter Date 09/25/2012 Submitted Date 09/25/2012 Respond By Date 11/08/2012 Dear Tony Choi, Introduction: Pending Industry Response Additional documentation, clarification, or changes to the documents submitted are required in order for our review to continue. Please respond to the following objections in accordance with SERFF procedures for responding to an Objection Letter: Objection 1 - State Submissions List (Supporting Document) Comments: You have indicated that this filing has been made only in Massachusetts. Yet the General Information tab indicates that this filing was disapproved in the domicile state. Please advise. Objection 2 - Actuarial Memorandum - Property and Casualty Insurance (Supporting Document) - MA BOP rule manual, Rates-Optional Coverages and Endorsements - Property section, page#s: , (Rate) Comments: Please revise the manual pages to provide the actual premium determination rules, and revise the memorandum to accommodate the change. Conclusion: Upon receipt of your response, this filing will be scheduled for review. Our goal is to have your filing under our review for no more than 60 days. This filing will be closed for lack of action if a response is not received on or before the Respond By Date indicated in this Objection Letter. Should you decide to withdraw this filing, please notify us via response to this objection. Thank you. Sincerely, Daniel Smith PDF Pipeline for SERFF Tracking Number SFTY Generated 11/14/ :59 AM

10 SERFF Tracking #: SFTY State Tracking #: Company Tracking #: FR121021MABP State: Massachusetts First Filing Company: Safety Insurance Company,... TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/ Businessowners Product Name: MA Businessowners Project Name/Number: / Objection Letter Objection Letter Status Incomplete Objection Letter Date 09/24/2012 Submitted Date 09/24/2012 Respond By Date 10/03/2012 Dear Tony Choi, Introduction: Please respond to the following objections in accordance with SERFF procedures for responding to an Objection Letter: Objection 1 - Certification of Compliance (Supporting Document) Comments: Please revise to display the entire corporate name of the company. Objection 2 - Checklist(s) (Supporting Document) Comments: Items GR4 and RS3 have not been addressed. Conclusion: Upon receipt of your response, this filing will be scheduled for review. OThis filing will be closed for lack of action if a response is not received on or before 3:30 PM EDT on the Respond By Date indicated in this Objection Letter. Should you decide to withdraw this filing, please notify us via response to this objection. Thank you. Sincerely, Daniel Smith PDF Pipeline for SERFF Tracking Number SFTY Generated 11/14/ :59 AM

11 SERFF Tracking #: SFTY State Tracking #: Company Tracking #: FR121021MABP State: Massachusetts First Filing Company: Safety Insurance Company,... TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/ Businessowners Product Name: MA Businessowners Project Name/Number: / Response Letter Response Letter Status Submitted to State Response Letter Date 09/26/2012 Submitted Date 10/03/2012 Dear Daniel Smith, Introduction: Response 1 Comments: This filing was previously submitted and rejected under SERFF tracking number SFTY Filing SFTY was a Massachusetts filing. Safety only writes BOP in Massachusetts. Related Objection 1 Applies To: - State Submissions List (Supporting Document) Comments: You have indicated that this filing has been made only in Massachusetts. Yet the General Information tab indicates that this filing was disapproved in the domicile state. Please advise. Changed Items: No Supporting Documents changed. No Form Schedule items changed. No Rate/Rule Schedule items changed. Response 2 Comments: We revised the manual pages to provide the actual premium determination steps. The Actuarial Memorandum has been changed to correspond to the rate page changes. Related Objection 2 Applies To: - MA BOP rule manual, Rates-Optional Coverages and Endorsements - Property section, page#s: , (Rate) - Actuarial Memorandum - Property and Casualty Insurance (Supporting Document) Comments: Please revise the manual pages to provide the actual premium determination rules, and revise the memorandum to accommodate the change. Changed Items: PDF Pipeline for SERFF Tracking Number SFTY Generated 11/14/ :59 AM

12 SERFF Tracking #: SFTY State Tracking #: Company Tracking #: FR121021MABP State: Massachusetts First Filing Company: Safety Insurance Company,... TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/ Businessowners Product Name: MA Businessowners Project Name/Number: / Supporting Document Schedule Item Changes Satisfied - Item: Actuarial Memorandum - Property and Casualty Insurance Comments: Attachment(s): ExplMemo BOP Paul revised docx.pdf Previous Version Satisfied - Item: Actuarial Memorandum - Property and Casualty Insurance Comments: Attachment(s): ExplMemo BOP Pauldocx.pdf No Form Schedule items changed. Rate/Rule Schedule Item Changes Item No. Exhibit Name Rule # or Page # Rate Action Previous State Filing # Date Submitted 1 MA BOP rule manual, Rates- Optional Coverages and Endorsements - Property section page#s: , New 10/03/2012 By: Paul Clinton Previous Version 1 MA BOP rule manual, Rates- Optional Coverages and Endorsements - Property section Conclusion: page#s: , New 09/21/2012 By: Tony Choi Sincerely, Paul Clinton PDF Pipeline for SERFF Tracking Number SFTY Generated 11/14/ :59 AM

13 SERFF Tracking #: SFTY State Tracking #: Company Tracking #: FR121021MABP State: Massachusetts First Filing Company: Safety Insurance Company,... TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/ Businessowners Product Name: MA Businessowners Project Name/Number: / Response Letter Response Letter Status Submitted to State Response Letter Date 09/24/2012 Submitted Date 09/25/2012 Dear Daniel Smith, Introduction: Response 1 Comments: Please see revised Certificate of Compliance. Related Objection 1 Applies To: - Certification of Compliance (Supporting Document) Comments: Please revise to display the entire corporate name of the company. Changed Items: Supporting Document Schedule Item Changes Satisfied - Item: Certification of Compliance Comments: Attachment(s): CertOfComp.pdf Previous Version Satisfied - Item: Certification of Compliance Comments: Attachment(s): CertOfComp.pdf No Form Schedule items changed. No Rate/Rule Schedule items changed. Response 2 PDF Pipeline for SERFF Tracking Number SFTY Generated 11/14/ :59 AM

14 SERFF Tracking #: SFTY State Tracking #: Company Tracking #: FR121021MABP State: Massachusetts First Filing Company: Safety Insurance Company,... TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/ Businessowners Product Name: MA Businessowners Project Name/Number: / Comments: Please see revised checklist with GR4 and RS3 answered. Related Objection 2 Applies To: - Checklist(s) (Supporting Document) Comments: Items GR4 and RS3 have not been addressed. Changed Items: Supporting Document Schedule Item Changes Satisfied - Item: Checklist(s) Comments: Attachment(s): prodcas MA BOP.pdf Previous Version Satisfied - Item: Checklist(s) Comments: Attachment(s): prodcas MA BOP.pdf No Form Schedule items changed. No Rate/Rule Schedule items changed. Conclusion: Sincerely, Tony Choi PDF Pipeline for SERFF Tracking Number SFTY Generated 11/14/ :59 AM

15 SERFF Tracking #: SFTY State Tracking #: Company Tracking #: FR121021MABP State: Massachusetts First Filing Company: Safety Insurance Company,... TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/ Businessowners Product Name: MA Businessowners Project Name/Number: / Note To Filer Created By: Daniel Smith on 10/03/ :01 AM Last Edited By: Daniel Smith Submitted On: 10/03/ :03 AM Subject: Re: Rejection/Disapproval Comments: Please note for future filings that a filing rejection is not a disapproval. Thank you. Daniel J. Smith Policy Form Review PDF Pipeline for SERFF Tracking Number SFTY Generated 11/14/ :59 AM

16 SERFF Tracking #: SFTY State Tracking #: Company Tracking #: FR121021MABP State: Massachusetts First Filing Company: Safety Insurance Company,... TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/ Businessowners Product Name: MA Businessowners Project Name/Number: / Note To Filer Created By: Carla Kelton on 09/21/ :15 PM Last Edited By: Daniel Smith Submitted On: 10/03/ :03 AM Subject: SERFF Tracking Number: SFTY Comments: Thank you for your filing submission. Your filing is now assigned to an analyst for review. Our goal is to have your filing under our review for no more than 60 days PDF Pipeline for SERFF Tracking Number SFTY Generated 11/14/ :59 AM

17 SERFF Tracking #: SFTY State Tracking #: Company Tracking #: FR121021MABP State: Massachusetts First Filing Company: Safety Insurance Company,... TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/ Businessowners Product Name: MA Businessowners Project Name/Number: / Form Schedule Item No. Schedule Item Status Form Name Form Number Edition Date Form Type Form Action Action Specific Data Readability Score Attachments 1 Safety Liquor Liability Coverage SP END New Liquor Liability Final 2012.pdf 2 Scheduled Property Floater Endorsement SB END New BOP property FloaterFinal.pdf 3 Miscellaneous Personal Property Floater SB END New Final misc property.pdf 4 Condominium Commercial SB END Replaced Previous Filing No filing SB Unit-Owners Coverage Number: number was 12final.pdf provided - Placed on File 11/01/99 Replaced Form Number: BP Condominium Commercial SB END Replaced Previous Filing No filing SB Unit-Owners Optional Number: number was 12final.pdf Coverages provided - Placed on File 11/01/99 Replaced Form Number: BP Form Type Legend: ABE Application/Binder/Enrollment ADV Advertising BND Bond CER Certificate CNR Canc/NonRen Notice DEC Declarations/Schedule DSC Disclosure/Notice END Endorsement/Amendment/Conditions PDF Pipeline for SERFF Tracking Number SFTY Generated 11/14/ :59 AM

18 SERFF Tracking #: SFTY State Tracking #: Company Tracking #: FR121021MABP State: Massachusetts First Filing Company: Safety Insurance Company,... TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/ Businessowners Product Name: MA Businessowners Project Name/Number: / ERS Election/Rejection/Supplemental Applications OTH Other PDF Pipeline for SERFF Tracking Number SFTY Generated 11/14/ :59 AM

19 SAFETY INSURANCE COMPANY MA BUSINESSOWNERS SAFETY INDEMNITY INSURANCE COMPANY SP THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SAFETY LIQUOR LIABILITY COVERAGE This endorsement modifies insurance provided under the following: BUSINESSOWNERS LIABILITY COVERAGE FORM A. Liquor Liability Aggregate Limit: $ SCHEDULE B. Each Common Cause Limit: $ Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. The insurance provided under Paragraph A.1. Business Liability also applies to all "bodily injury" or "property damage" arising out of the selling, serving or furnishing of alcoholic beverages. B. For the insurance provided by this endorsement only, Paragraph B. Exclusions is amended as follows: 1. Paragraph 1. Applicable To Business Liability Coverages, other than Exclusions a. Expected Or Intended Injury, d. Workers' Compensation And Similar Laws and e. Employer's Liability, does not apply. 2. The following exclusions are added: This insurance does not apply to: a. "Bodily injury" or "property damage" arising out of any alcoholic beverage sold, served or furnished while any required license is not in effect. b. "Bodily injury" or "property damage" arising out of "your product". This exclusion does not apply to "bodily injury" or "property damage" for which the insured or the insured's indemnities may be held liable by reason of: (1) Causing or contributing to the intoxication of any person; (2) The furnishing of alcoholic beverages to a person under the legal drinking age or under the influence of alcohol; or (3) Any statute, ordinance or regulation relating to the sale, gift, distribution or use of alcoholic beverages. c. Any "bodily injury" or "property damage" with respect to which other insurance is afforded, or would be afforded but for the exhaustion of the Limits of Insurance. This exclusion does not apply if the other insurance responds to liability for "bodily injury" or "property damage" imposed on the insured by reason of the selling, serving or furnishing of any alcoholic beverage. C. The following are added to Paragraph D. Liability And Medical Expenses Limits Of Insurance: D. Liability And Medical Expenses Limits Of Insurance 5. The Liquor Liability Aggregate Limit shown in the Schedule of this endorsement is the most we will pay for all "bodily injury" and "property damage" as the result of the selling, serving or furnishing of alcoholic beverages. 6. Subject to the Liquor Liability Aggregate Limit, the Each Common Cause Limit shown in the Schedule of this endorsement is the most we will pay for all "bodily injury" and "property damage" sustained by one or more persons or organizations as the result of the selling, serving or furnishing of alcoholic beverages to any one person. Neither the Liability And Medical Expenses Limit of Insurance shown in the Declarations nor its aggregate limits apply to damages arising out of the selling, serving or furnishing of alcoholic beverages. SP Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1

20 SAFETY INSURANCE COMPANY MA BUSINESSOWNERS SAFETY INDEMNITY INSURANCE COMPANY SB THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SCHEDULED PROPERTY FLOATER ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESSOWNERS SPECIAL PROPERTY COVERAGE FORM Coverage The following is added to A.1. Coverage c. We will pay for loss of or damage to covered property shown on the the Schedule listed below. As respects this endorsement, Coverage Extension A.6.b. is amended as follows: You may extend the insurance that applies to Business Personal Property to apply to covered Business Personal Property, other than "money" and "securities", "valuable papers and records" or accounts receivable. This Coverage is provided for scheduled items while on or off the premises within the Coverage Territory. PROPERTY SCHEDULE COVERAGE LIMIT Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Declarations. Property Not Covered The following is added to A.2. Property Not Covered. g. Contractors tools and equipment including snowplow equipment and other equipment that can be attached to vehicles. h. Supplies, material, or equipment at any non owned or temporary location awaiting to be installed Exclusions The following is added to B.2.Exclusions: l. Denting or chipping m. Theft from any unattended vehicle unless at the time of theft its windows, doors, and compartments in or on the vehicle were closed and locked and there are visible signs that the theft was a result of forced entry. n. Unexplained disappearance o. Any quality in the property that causes it to damage or destroy itself, hidden or latent defect, or gradual deterioration. p. Unauthorized instructions to transfer property to any person or to any place. Limits of Insurance The most we will pay for loss or damage is the Limit of Insurance shown on this endorsement. This coverage is additional insurance. The policy deductible applies to this coverage. SB Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1

21 SAFETY INSURANCE COMPANY MA BUSINESSOWNERS SAFETY INDEMNITY INSURANCE COMPANY SB THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. MISCELLANEOUS PERSONAL PROPERTY FLOATER This endorsement modifies insurance provided under the following: BUSINESSOWNERS SPECIAL PROPERTY COVERAGE FORM Coverage The following is added to A.1. Coverage c. We will pay for loss of or damage to covered property shown on the Description of Miscellaneous Articles listed below. As respects this endorsement, Coverage Extension A.6.b. is amended as follows: You may extend the insurance that applies to Business Personal Property to apply to covered Business Personal Property, other than "money" and "securities", "valuable papers and records" or accounts receivable. This Coverage is provided for Miscellaneous Articles while on or off the premises within the Coverage Territory. Description 1. Miscellaneous Articles Consisting Principally of: 2. Limits of Insurance $ per Item $ per Any One Occurrence Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Declarations. Property Not Covered: The following is added to A.2. Property Not Covered. g. Contractor s tools and equipment including snow plow equipment and other equipment that can be attached to vehicles. h. Supplies, material, or equipment at any non owned or temporary location waiting to be installed. Exclusions: The following is added to B.2.Exclusions: l. Denting or Chipping. m. Theft from any unattended vehicle unless at the time of theft its windows, doors, and compartments were closed and locked and there is visible signs that theft was a result of forced entry. But this exclusion does not apply to property in the custody of a carrier for hire. n. Unexplained or mysterious disappearance SB Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 2

22 o. Any quality in the property that causes it to damage or destroy itself, hidden or latent defect, or gradual deterioration. p. Unauthorized instructions to transfer property to any person or to any place. Limits of Insurance The most we will pay for loss or damage is the Limit of Insurance shown on this endorsement. This coverage is additional insurance. The policy deductible applies to this coverage. SB Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 2

23 SAFETY INSURANCE COMPANY MA BUSINESSOWNERS SAFETY INDEMNITY INSURANCE COMPANY SB THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONDOMINIUM COMMERCIAL UNIT-OWNERS COVERAGE This endorsement modifies insurance provided under the following: BUSINESSOWNERS SPECIAL PROPERTY COVERAGE FORM A. Coverage A.1. b. Business Personal Property is replaced by the following: b. Business Personal Property located in or on the buildings at the described premises or in the open (or in a vehicle) within 100 feet of the described premises, including: (1) Property you own that is used in your business; (2) Property of others that is in your care, custody or control except as otherwise provided in Loss Payment Property Loss Condition E.6.d.(3)(b); and (3) Fixtures, improvements and alterations making up part of the building and owned by you. B. The following is added to Paragraph A.2. Property Not Covered: g. Any of the following types of property contained within a unit, regardless of ownership, if your Condominium Association Agreement requires the Association to insure it: (1) Fixtures, improvements and alterations that are a part of the building; and (2) Appliances, such as those used for refrigerating, ventilating, cooking, dishwashing, laundering, security or housekeeping. C. Property Loss Conditions 9. Vacancy is replaced by the following: 9. Vacancy a. Description Of Terms (1) As used in this Vacancy Condition, the term building and the term vacant have the meanings set forth in (1)(a) and (1)(b) below: (a) When this policy is issued to a tenant, and with respect to that tenant's interest in Covered Property, building means the unit or suite rented or leased to the tenant. Such building is vacant when it does not contain enough business personal property to conduct customary operations. (b) When this policy is issued to the owner of a building, building means the entire building. Such building is vacant unless 31% or more of its total square footage is: (i) Rented to a lessee or sub-lessee and used by the lessee or sub-lessee to conduct its customary operations; and/or (ii) Used by the building owner to conduct customary business operations. (2) Buildings under construction or renovation are not considered vacant. b. Vacancy Provisions If the building where loss or damage occurs has been vacant for more than 60 consecutive days before that loss or damage occurs: (1) We will not pay for any loss or damage caused by any of the following even if they are Covered Causes of Loss: (a) Vandalism; (b) Sprinkler leakage, unless you have protected the system against freezing; (c) Building glass breakage; (d) Water damage; (e) Theft; or (f) Attempted theft. (2) With respect to Covered Causes of Loss other than those listed in b.(1)(a) through b.(1)(f) above, we will reduce the amount we would otherwise pay for the loss or damage by 15%. SB Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1

24 SAFETY INSURANCE COMPANY MA BUSINESSOWNERS SAFETY INDEMNITY INSURANCE COMPANY SB THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONDOMINIUM COMMERCIAL UNIT-OWNERS OPTIONAL COVERAGES This endorsement modifies insurance provided under the following: BUSINESSOWNERS SPECIAL PROPERTY COVERAGE FORM SCHEDULE Premises Number Building Number Loss Assessment Limit Of Insurance Loss Assessment Deductible $ $ $ $ $ $ Miscellaneous Real Property Limit Of Insurance $ $ $ Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Loss Assessment Coverage When a Limit of Insurance is shown in the Schedule or in the Declarations for Loss Assessment Coverage: 1. We will pay for your share of an assessment charged to all unit-owners by the Condominium Association, when the assessment is made: a. During the policy period shown in the Declarations; and b. As a result of direct physical loss or damage to property in which each unit-owner has an undivided interest, if such loss or damage is caused by a Cause of Loss covered under this policy. Subparagraph a. of Paragraph 4. Policy Period, Coverage Territory, under Property General Conditions F., does not apply to Loss Assessment Coverage. 2. The most we will pay for each assessment is the Loss Assessment Limit of Insurance for the applicable unit. But we will not pay more than $1,000 per scheduled unit for an assessment that results from a deductible in the insurance purchased by the Condominium Association. 3. We will not pay for a Loss Assessment that arises from any one occurrence until the amount of Loss Assessment per scheduled unit exceeds the Deductible shown in the Schedule of this endorsement. We will then pay the amount of Loss Assessment in excess of that Deductible, up to the applicable Loss Assessment Limit of Insurance. No other deductible in this policy applies to Loss Assessment Coverage. B. Miscellaneous Real Property Coverage When a Limit of Insurance is shown in the Schedule or in the Declarations for Miscellaneous Real Property Coverage: 1. The following is added to Covered Property: Miscellaneous Real Property, meaning condominium property that is not included under Business Personal Property; and: a. Pertains to your condominium unit only; or b. You have a duty to insure according to the Condominium Association agreement. SB Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 2

25 2. The Condominium Association may have other insurance covering the same property as this insurance. If it does, we will only pay the excess over what should have been received from that other property insurance. We will pay the excess whether the other insurance can be collected or not. 3. The most we will pay in any one occurrence for loss of or damage to miscellaneous real property is the Miscellaneous Real Property Limit of Insurance shown in the Schedule for the applicable unit. 4. The Deductible applicable to Miscellaneous Real Property Coverage is the policy deductible stated in the Declarations, unless otherwise provided for in the Declarations. C. These coverages apply only to condominium units described in the Schedule or in the Declarations. SB Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 2

26 SERFF Tracking #: SFTY State Tracking #: Company Tracking #: FR121021MABP State: Massachusetts First Filing Company: Safety Insurance Company,... TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/ Businessowners Product Name: MA Businessowners Project Name/Number: / Rate Information Rate data applies to filing. Filing Method: File and Use Rate Change Type: Neutral Overall Percentage of Last Rate Revision: 0.000% Effective Date of Last Rate Revision: 03/01/2012 Filing Method of Last Filing: File and Use Company Rate Information Overall % Overall % Written Premium # of Policy Written Maximum % Minimum % Company Indicated Rate Change for Holders Affected Premium for Change Change Name: Change: Impact: this Program: for this Program: this Program: (where req'd): (where req'd): Safety Insurance Company Safety Indemnity Insurance Company 0.880% 0.000% $0 0 $11,164,196 % % 0.880% 0.000% $0 0 $2,477,677 % % PDF Pipeline for SERFF Tracking Number SFTY Generated 11/14/ :59 AM

27 SERFF Tracking #: SFTY State Tracking #: Company Tracking #: FR121021MABP State: Massachusetts First Filing Company: Safety Insurance Company,... TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/ Businessowners Product Name: MA Businessowners Project Name/Number: / Rate/Rule Schedule Item No. Schedule Item Status Exhibit Name Rule # or Page # Rate Action Previous State Filing Number Attachments 1 MA BOP rule manual, page#s: 13-1, 13-2, 13-6, 13- Replacement SFTY (for OptCovg&End pg# 13-1.pdf Optional Coverages and 13, and pg# 13-1, 13-2, 13-6), OptCovg&End pg# pdf Endorsements section pg# 13-13, 13-17, 13- OptCovg&End pg# 13-2.pdf 29 are new OptCovg&End pg# 13-6.pdf OptCovg&End pg# pdf OptCovg&End pg# pdf 2 MA BOP rule manual, Rates- Optional Coverages and Endorsements - Property section 3 MA BOP rule manual, Rates- Optional Coverage & Endorsement-Liability section 4 MA BOP rule manual, Mercantile Program section page#s: , New Rates-OptCvg&End-Prop pg pdf Rates-OptCvg&End-Prop pg# pdf page#: New Rates-OptCovg&End-Liab pg# pdf page#: 6-4 Replacement No filing number. See Mercantile Program pg# 6- stamped cover letter 4.pdf under Form Utilization section 5 MA BOP rule manual, Special page#: Replacement SFTY Special Trade Contractors Trade Contractors Liability Liability Rates pdf section 6 MA BOP rule manual, Premium Development - Mandatory Coverages page#: Replacement SFTY Prem Dvlpmnt-Mandatory Covg pg pdf PDF Pipeline for SERFF Tracking Number SFTY Generated 11/14/ :59 AM

28 Optional Coverages and Endorsements Optional Coverages and Endorsements The following coverages and endorsements are described in this section: Property Coverages Accounts Receivable Coverage Actual Cash Value - (Buildings Coverage Only) Automatic Increase in Insurance Broadened Employee Dishonesty Coverage Burglary and Robbery Coverage - (Standard Form Only) Computers (Special Form Only) Condominium Commercial Unit-Owners Optional Coverages Loss Assessment Miscellaneous Real Property Contractors Inland Marine Endorsements (Special Form Only) Contractors Tools and Equipment Coverage Contractors Installation Coverage Earthquake Coverage Employee Dishonesty Coverage Enhancement Endorsement (Special Form Only) Enhancement Endorsement Plus (Special Form Only) Equipment Breakdown Coverage Fire Department Service Contract Forgery and Alteration Coverage Loss Payable Provisions Miscellaneous Personal Property Floater Money and Securities Coverage (Special Form Only) Ordinance or Law Coverage Outdoor Signs Coverage (Attached to building) Outdoor Signs Coverage (Not attached to building) Personal Property Off-Premises Scheduled Property Floater Spoilage Coverage Utility Services - Direct Damage Utility Services - Time Element Valuable Papers and Records Coverage Welfare and Pension Plan (ERISA) Continued on next page Eff. 10/21/

29 Optional Coverages and Endorsements Liquor Liability Description of Coverage Liquor Liability Insurance is insurance that provides coverage arising out of the serving or selling of alcoholic beverages to others. This endorsement provides Liquor Liability Insurance for Retail establishments selling alcoholic beverages for consumption off premises and Restaurant establishments selling alcoholic beverages for consumption on premises. Endorsement Use Safety Liquor Liability Coverage Form SB Rules Use Safety Liquor Liability Coverage Form SB only with policies that include the Business owners Liability Coverage Form SB The following classes are not eligible for this endorsement: Manufacturers, Wholesalers and Distributors selling alcoholic beverages Temporary Licensees Clubs Catering Business Liquor Liability Underwriting Guidelines: Restaurant establishments annual liquor sales more than 30% of the total sales must be referred to the Company No past liquor license revocations or suspensions 3 year Loss Ratio under 50% Alcohol server training Eff. 10/21/

30 Optional Coverages and Endorsements Optional Coverages and Endorsements, continued Liability And Medical Expense Coverages Abuse or Molestation Exclusion Additional Insured Endorsements (Liability and Medical Expense Coverage) Broadened Additional Insured - Owners, Lessees Or Contractors Controlling Interest Co-Owner of Insured Premises Designated Person or Organization Engineers, Architects, or Surveyors Engineers, Architects, or Surveyors Not Engaged by the Named Insured Lessor of Leased Equipment Managers or Lessors of Premises Mortgagee, Assignee or Receiver Owner or Other Interests from Whom Land has Been Leased Owners, Lessees or Contractors Owners, Lessees Or Contractors- Primary/Non Contributory - Excluding Completed Operations Owners, Lessees Or Contractors- Primary/Non Contributory Including Completed Operations State or Political Subdivisions Permits State or Political Subdivisions Permits Relating to Premises Townhouse Associations Vendors Amendment - Aggregate Limits of Insurance (Per Project) Comprehensive Business Liability Exclusion (All Hazards in Connection With Designated Premises, Operations or Products) Fire or Explosion Damage Legal Liability Hired Auto and Non-Owned Auto Liability Limitation of Coverage to Designated Premises or Project Liquor Liability Medical Expenses Exclusion Optional Businessowners Liability Limits Personal and Advertising Injury Exclusion Pesticide or Herbicide Applicator Coverage Continued on next page Eff. 10/21/

31 Optional Coverages and Endorsements Condominium Commercial Unit-Owners Optional Coverages Description of Coverages This endorsement provides the following coverages for condominium unit-owners: Loss Assessment This coverage applies to assessments charged to the unit-owners by the Condominium Association as a result of direct physical loss of or damage to property in which each unit-owner has an undivided interest. If the assessment results from a deductible in the Association's insurance, the Company will not pay more than $1,000 regardless of the limit of insurance. A $500 deductible applies to each unit under this coverage. The maximum limit available is $50,000. Miscellaneous Real Property This coverage applies to condominium property that pertains only to the unit-owner's unit or that the unit-owner must insure according to the Condominium Association Agreement. Endorsement Use Condominium Commercial Unit-Owners Coverage SB Use the Schedule of SB to identify which of these optional coverages applies. Eff. 10/21/

32 Optional Coverages and Endorsements Miscellaneous Personal Property Floater Description of Coverage This endorsement provides coverage for a risk that may seek to insure a large number of low valued items that will not be scheduled individually. It provides blanket coverage for these items with a per item limit of insurance and another limit of insurance that applies to any one loss of the blanket items. This endorsement is written subject to the applicable policy deductible. Endorsement Use Miscellaneous Personal Property Floater Endorsement SB Rules Use Miscellaneous Personal Property Floater Endorsement SB only with policies that include the Businessowners Special Property Coverage Form SB Blanket Insurance: Coverage is provided on a blanket basis. Deductible: This endorsement is written subject to the applicable policy deductible. Limits of Insurance: It provides blanket coverage for these items with a per item limit of insurance and another limit of insurance that applies to any one loss of the blanket items. Eff. 10/21/

33 Optional Coverages and Endorsements Scheduled Property Floater Description of Coverage This endorsement provides coverage for a risk that seeks to insure items on a scheduled basis for each item specifically described in the Schedule. Endorsement Use Scheduled Property Floater Endorsement SB Rules Use Scheduled Property Floater Endorsement SB only with policies that include the Businessowners Special Property Coverage Form SB Deductible: This endorsement is written subject to the applicable policy deductible. Limits of Insurance: Individual limit of insurance is shown on the form for each insured item. Eff. 10/21/

34 Rates Property Coverages, continued Miscellaneous Personal Property Floater Step Action 1 Obtain ISO Group 1 and Group 2 Loss Costs for Business Personal Property. 2 Add ISO Group 1 and Group 2 Loss Costs. 3 Multiply the total from Step 2 by our Loss Cost Multiplier of Determine the Special Loading for the Peril of Transit. The range is from.05 cent to.50 cent per $100 Limit. 5 Determine the Special Loading for the Peril of Theft. The range is from.50 cent to $2.50 per $100 Limit. Multiply the sum of Step 2 through Step 5 by the amount of Insurance. Rate is 6 per $ Apply the deductible factor. 8 Apply the Individual Risk Premium Modification (IRPM) factor if applicable. 9 Round at the end of the final premium*. * Final Miscellaneous Personal Property Floater premium is subject to company approval. Eff. 10/21/

35 Rates Property Coverages, continued Scheduled Property Floater Step Action 1 Obtain ISO Group 1 and Group 2 Loss Costs for Business Personal Property. 2 Add ISO Group 1 and Group 2 Loss Costs. 3 Multiply the total from Step 2 by our Loss Cost Multiplier of Determine the Special Loading for the Peril of Transit. The range is from.05 cent to.50 cent per $100 Limit. 5 Determine the Special Loading for the Peril of Theft. The range is from.50 cent to $2.50 per $100 Limit. Multiply the sum of Step 2 through Step 5 by the amount of Insurance. Rate 6 is per $ Apply the deductible factor. 8 Apply the Individual Risk Premium Modification (IRPM) factor if applicable. 9 Round at the end of the final premium*. * Final Scheduled Property Floater premium is subject to company approval. Eff. 10/21/

36 Rates Liability and Medical Expense Coverages, continued Liquor Liability Apply the following rates per $1,000 of liquor receipts. Retail establishments selling alcoholic beverages for consumption off premises Restaurants, Hotels, Motels including Package Sales Retail establishments selling alcoholic beverages for consumption off premises Restaurants, Hotels, Motels including Package Sales $100,000/ $200,000 $300,000/ $600,000 Limits and Rates $500,000/ $1,000,000/ $1,00,000 $2,000,000 $2,000,000/ $4,000,000 $3.39 $4.68 $5.43 $6.45 $7.54 $7.12 $9.82 $11.39 $13.53 $15.81 $100,000/ $200,000 Liquor Liability Minimum Premium $300,000/ $500,000/ $1,000,000/ $600,000 $1,000,000 $2,000,000 $2,000,000/ $4,000,000 $400 $400 $400 $500 $600 $500 $500 $500 $600 $ Eff. 10/21/12

37 Mercantile Program Eligible Classes - Mercantile, continued Table Eligible Classes (continued) Clothing or Wearing Apparel Stores SIC Code Classification Description Class Code Rate No. Rate Group Notes Profile/ Appetite 5943 Card & Stationary Stores High 5713 Carpet & Rug Stores (no High oriental rugs or installation) 5961 Catalog & Mail Order Medium Houses 7389 Catalog or Premium Coupon Redemption Store Y Low 5999 Ceramics Stores High 5231 China & Glassware Stores Y High 5944 Clock & Watch Stores (including repair-no JEWELRY) Y* Medium 5641 Children's & Infants High 5611 Haberdashery & Men s Y High Furnishings 5632 Hosiery High 5621 Ladies/Girls (Coats Suits Y High & Dresses) 5621 Ladies Specialty Stores Y High 5632 Ladies Undergarments & High Lingerie 5948 Leather Y* Medium 5611 Men s & Boys Clothing Y High (Coats/Suits) 5632 Men s & Boys Hats and Y High Caps 5632 Millinery and Trimmings High 5661 Shoes Ladies, Men s and High Children s 5999 Wigs High 5499 Coffee, Tea & Spice Stores Medium 6531 Commercial Condominium Medium Association 5731 Computer Stores Y* High 5411 Convenience Food Stores Y Medium (< 4,000 square feet) 5411 Convenience Food Stores (> , 24 Y* Low 4,000 square feet) 5999 Cosmetic, Hair, or Skin Y Medium Care Stores 5945 Crafts Stores High Continued on next page 6-4 Eff. 10/21/12