California
Insurance Code – Fire
Insurance
2070.
All fire policies on subject matter in California shall be on the standard form, and, except as
provided by this article shall not contain additions thereto. No part of the standard form shall be omitted
therefrom except that any policy providing coverage against the peril of fire only, or in combination with coverage
against other perils, need not comply with the provisions of the standard form of fire insurance policy or Section 2080; provided, that coverage with respect to the
peril of fire, when viewed in its entirety, is substantially equivalent to or more favorable to the insured than
that contained in such standard form fire insurance
policy.
2070.1. (a) Any
insurer whose insured has made a claim under his or her residential fire or property insurance policy for loss due, in whole or in part, to corrosive soils
shall, at least 30 days before the expiration of the applicable statute of limitation, notify its insured in
writing of the statute of limitation applicable to the insured's claim for damage. Failure of the insurer to
provide the written notice shall operate to toll the applicable statute of limitation for a period of 30 days
from the date written notice is actually given. The notice shall not be required if the insurer has received
notice that the insured is represented by an attorney.
This section applies only to claims presented and not denied prior to
January 1, 1989, and to claims presented on or after January 1, 1989.
2071.
(a) The following is adopted as the standard form of fire insurance policy for this state:
California
Standard Form Fire Insurance Policy
No.
Space for insertion of name of company or companies issuing the policy
and other matter permitted to be stated at the head of the policy.]
Space for listing amounts of insurance, rates and premiums for the basic coverages insured under the
standard form of policy and for additional coverages or perils insured under endorsements attached.] In
consideration of the provisions and stipulations herein or added hereto and of ____ dollars premium this
company, for the term of ________
from the ________ day of )
At 12:01 a.m.,
_______, 20 _______
to the __________ day of )
standard time,
________, 20 ______
at location of property involved, to an amount not exceeding ____
dollars, does insure ________ and legal representatives, to the extent of the actual cash value of the property
at the time of loss, but not exceeding the amount which it would cost to repair or replace the property with
material of like kind and quality within a reasonable time after the loss, without allowance for any increased
cost of repair or reconstruction by reason of any ordinance or law regulating construction or repair, and
without compensation for loss resulting from interruption of business or manufacture, nor in any event for more
than the interest of the insured, against all LOSS BY FIRE, LIGHTNING AND BY REMOVAL FROM PREMISES ENDANGERED BY
THE PERILS INSURED AGAINST IN THIS POLICY, EXCEPT AS HEREINAFTER PROVIDED, to the property described hereinafter
while located or contained as described in this policy, or pro rata for five days at each proper place to which
any of the property shall necessarily be removed for preservation from the perils insured against in this
policy, but not elsewhere.
Assignment of this policy shall not be valid except with the written
consent of this company.
This policy is made and accepted subject to the foregoing provisions and
stipulations and those hereinafter stated, which are hereby made a part of this policy, together with any other
provisions, stipulations and agreements as may be added hereto, as provided in this policy.
IN WITNESS WHEREOF, this company has executed and attested these
presents; but this policy shall not be valid unless countersigned by the duly authorized agent of this company
at
Secretary.
President.
Countersigned this______ day of_____________, 20______
_______________________
_Agent
Concealment,
fraud
This entire policy shall be void if, whether before or after a loss, the
insured has willfully concealed or misrepresented any material fact or circumstance concerning this
insurance or the subject thereof, or the interest of the
insured therein, or in case of any fraud or false swearing by the insured relating thereto.
Uninsurable and
excepted property
This policy shall not cover accounts, bills, currency, deeds, evidences
of debt, money or securities; nor, unless specifically named hereon in writing, bullion or
manuscripts.
Perils not
included
This company shall not be liable for loss by fire or other perils
insured against in this policy caused, directly or indirectly, by:
(a) enemy
attack by armed forces, including action taken by military, naval or air forces in resisting an actual or an
immediately impending enemy attack; (b) invasion; (c) insurrection; (d) rebellion; (e) revolution; (f) civil
war; (g) usurped power; (h) order of any civil authority except acts of destruction at the time of and for the
purpose of preventing the spread of fire, provided that the fire did not originate from any of the perils
excluded by this policy; (i) neglect of the insured to use all reasonable means to save and preserve the
property at and after a loss, or when the property is endangered by fire in neighboring premises; (j) nor shall
this company be liable for loss by theft.
Other
insurance
Other insurance may be
prohibited or the amount of insurance may be limited by
endorsement attached hereto.
Conditions
suspending or restricting insurance
Unless otherwise provided in writing added hereto this company shall not
be liable for loss occurring (a) while the hazard is increased by any means within the control or knowledge of
the insured; or (b) while a described building, whether intended for occupancy by owner or tenant, is vacant or
unoccupied beyond a period of 60 consecutive days; or (c) as a result of explosion or riot, unless fire ensues,
and in that event for loss by fire only.
Other perils or
subjects
Any other peril to be insured against or subject of insurance to be covered in this policy shall be by endorsement in writing
hereon or added hereto.
Added
provisions
The extent of the application of insurance under this policy and of the contribution to be made by this
company in case of loss, and any other provision or agreement not inconsistent with the provisions of this
policy, may be provided for in writing added hereto, but no provision may be waived except such as by the terms
of this policy or by statute is subject to change.
Waiver
provisions
No permission affecting this insurance shall exist, or waiver of any provision be valid, unless granted
herein or expressed in writing added hereto. No provision, stipulation or forfeiture shall be held to be waived
by any requirement or proceeding on the part of this company relating to appraisal or to any examination
provided for herein.
Cancellation of
policy
This policy shall be canceled at any time at the request of the insured,
in which case this company shall, upon demand and surrender of this policy, refund the excess of paid premium
above the customary
short rates for
the expired time. This policy may be canceled at any time by this company by giving to the insured a 20 days'
written notice of cancellation with or without tender of the excess of paid premium above the pro rata premium
for the expired time, which excess, if not tendered, shall be refunded on demand. Notice of cancellation shall
state that said excess premium (if not tendered) will be refunded on demand. If the reason for cancellation is
nonpayment of premium, this policy may be canceled by this company by giving to the insured a 10 days' written
notice of cancellation.
Mortgagee
interests and obligations
If loss hereunder is made payable, in whole or in part, to a designated
mortgagee not named herein as the insured, the interest in this policy may be canceled by giving to the
mortgagee a 10 days' written notice of cancellation.
If the insured fails to render proof of loss the mortgagee, upon notice,
shall render proof of loss in the form herein specified within 60 days thereafter and shall be subject to the
provisions hereof relating to appraisal and time of payment and of bringing suit. If this company shall claim
that no liability existed as to the mortgagor or owner, it shall, to the extent of payment of loss to the
mortgagee, be subrogated to all the mortgagee's rights of recovery, but without impairing mortgagee's right to
sue; or it may pay off the mortgage debt and require an assignment thereof and of the mortgage. Other provisions
relating to the interests and obligations of the mortgagee may be added hereto by agreement in
writing.
Pro rata
liability
This company shall not be liable for a greater proportion of any loss
than the amount hereby insured shall bear to the whole insurance
covering the property against the peril involved, whether collectible or not.
Requirements in
case loss occurs
The insured shall give written notice to this company of any loss
without unnecessary delay, protect the property from further damage, forthwith separate the damaged and
undamaged personal property, put it in the best possible order, furnish a complete inventory of the destroyed,
damaged and undamaged property, showing in detail quantities, costs, actual cash value and amount of loss
claimed; and within 60 days after the loss, unless the time is extended in writing by this company, the insured
shall render to this company a proof of loss, signed and sworn to by the insured, stating the knowledge and
belief of the insured as to the following: the time and origin of the loss, the interest of the insured and of
all others in the property, the actual cash value of each item thereof and the amount of loss thereto, all
encumbrances thereon, all other contracts of insurance, whether
valid or not, covering any of said property, any changes in the title, use, occupation, location, possession or
exposures of said property since the issuing of this policy, by whom and for what purpose any building herein
described and the several parts thereof were occupied at the time of loss and whether or not it then stood on
leased ground, and shall furnish a copy of all the descriptions and schedules in all policies and, if required
and obtainable, verified plans and specifications of any building, fixtures or machinery destroyed or
damaged.
The insured, as often as may be reasonably required and subject to the
provisions of Section 2071.1, shall exhibit to any person
designated by this company all that remains of any property herein described, and submit to examinations under
oath by any person named by this company, and subscribe the same; and, as often as may be reasonably required,
shall produce for examinations all books of account, bills, invoices, and other vouchers, or certified copies
thereof if the originals be lost, at any reasonable time and place as may be designated by this company or its
representative, and shall permit extracts and copies thereof to be made. The insurer shall inform the insured
that tax returns are privileged against disclosure under applicable law but may be necessary to process or
determine the claim.
The insurer shall notify every claimant that they may obtain, upon
request, copies of claim-related documents. For purposes of this section, "claim-related documents" means all
documents that relate to the evaluation of damages, including, but not limited to, repair and replacement
estimates and bids, appraisals, scopes of loss, drawings, plans, reports, third-party findings on the amount of
loss, covered damages, and cost of repairs, and all other valuation, measurement, and loss adjustment
calculations of the amount of loss, covered damage, and cost of repairs. However, attorney work product and
attorney-client privileged documents, and documents that indicate fraud by the insured or that contain medically
privileged information, are excluded from the documents an insurer is required to provide pursuant to this
section to a claimant. Within 15 calendar days after receiving a request from an insured for
claim-related
documents, the
insurer shall provide the insured with copies of all claim-related documents, except those excluded by this
section. Nothing in this section shall be construed to affect existing litigation discovery
rights.
After a covered loss, the insurer shall provide, free of charge, a
complete, current copy of this policy within 30 calendar days of receipt of a request from the insured. The time
period for providing this policy may be extended by the Insurance Commissioner.
An insured who does not experience a covered loss shall, upon request,
be entitled to one free copy of this policy annually. The policy provided to the insured shall include, where
applicable, the policy declarations page.
Appraisal
In case the insured and this company shall fail to agree as to the
actual cash value or the amount of loss, then, on the written request of either, each shall select a competent
and disinterested appraiser and notify the other of the appraiser selected within 20 days of the request. Where
the request is accepted, the appraisers shall first select a competent and disinterested umpire; and failing for
15 days to agree upon the umpire, then, on request of the insured or this company, the umpire shall be selected
by a judge of a court of record in the state in which the property covered is located. Appraisal proceedings are
informal unless the insured and this company mutually agree otherwise. For purposes of this section, "informal"
means that no formal discovery shall be conducted, including depositions, interrogatories, requests for
admission, or other forms of formal civil discovery, no formal rules of evidence shall be applied, and no court
reporter shall be used for the proceedings. The appraisers shall then appraise the loss, stating separately
actual cash value and loss to each item; and, failing to agree, shall submit their differences, only, to the
umpire. An award in writing, so itemized, of any two when filed with this company
shall determine
the amount of actual cash value and loss. Each appraiser shall be paid by the party selecting him or her and the
expenses of appraisal and umpire shall be paid by the parties equally. In the event of a government-declared
disaster, as defined in the Government Code, appraisal may be
requested by either the insured or this company but shall not be compelled.
Adjusters
If, within a six-month period, the company assigns a third or subsequent
adjuster to be primarily responsible for a claim, the insurer, in a timely manner, shall provide the insured
with a written status report. For purposes of this section, a written status report shall include a summary of
any decisions or actions that are substantially related to the disposition of a claim, including, but not
limited to, the amount of losses to structures or contents, the retention or consultation of design or
construction professionals,
the amount of
coverage for losses to structures or contents and all items of dispute.
Company's
options
It shall be optional with this company to take all, or any part, of the
property at the agreed or appraised value, and also to repair, rebuild or replace the property destroyed or
damaged with other of like kind and quality within a reasonable time, on giving notice of its intention so to do
within 30 days after the receipt of the proof of loss herein required.
Abandonment
There can be no abandonment to
this company of any property.
When loss
payable
The amount of loss for which this company may be liable shall be payable
60 days after proof of loss, as herein provided, is received by this company and ascertainment of the loss is
made either by agreement between the insured and this company expressed in writing or by the filing with this
company of an award as herein provided.
Suit
No suit or action on this policy for the recovery of any claim shall be
sustainable in any court of law or equity unless all the requirements of this policy shall have been complied
with, and unless commenced within 12 months next after inception of the loss.
Subrogation
This company may require from the insured an assignment of all right of
recovery against any party for loss to the extent that payment therefor is made by this
company.
(b) Any amendments to this section by the enactment of Senate Bill 658
of the 2001-02 Regular Session shall govern a policy utilizing the form provided in subdivision (a) when that
policy is originated or renewed on and after January 1, 2002.
(c) The amendments to this section made by the act adding this
subdivision shall govern a policy utilizing the form provided in subdivision (a) when that policy is originated
or renewed on and
2071.1.
(a) This section applies to an examination of an insured
under oath
pursuant to Section 2071 labeled "Requirements in case loss
occurs" and other relevant provisions of that section, and to any policy that insures property and contains a
provision for examining an insured under oath, when the policy is originated or renewed on and after January 1,
2002.
The following are among the rights of each insured who is requested to
submit to an examination under oath:
(1) An insurer that determines that it will conduct an examination under
oath of an insured shall notify the insured of that determination and shall include a copy of this section in
the notification.
(2) An insurer may conduct an examination under oath only to obtain
information that is relevant and reasonably necessary to process or investigate the claim.
(3) An examination under oath may only be conducted upon reasonable
notice, at a reasonably convenient place and for a reasonable length of time.
(4) The insured may be represented by counsel and may record the
examination proceedings in their entirety.
(5) The insurer shall notify the insured that, upon request and free of
charge, it will provide the insured with a copy of the transcript of the proceedings and an audio or video
recording of the proceedings, if one exists. Where an insured requests a copy of the transcript, the recording,
or both, of the examination under oath, the insurer shall provide it within 10 business days of receipt by the
insurer or its counsel of the transcript, the recording, or both. An insured may make sworn corrections to the
transcript so it accurately reflects the testimony under oath.
(6) In an examination under oath, an insured may assert any objection
that can be made in a deposition under state or federal law. However, if as a result of asserting an objection,
an insured fails to provide an answer to a material question, and that failure prevents the insurer from being
able to determine the extent of loss and validity of the claim, the rights of the insured under the contract may
be affected.
(7) An insured who submits a fraudulent claim may be subject to all
criminal and civil penalties applicable under law.
(b) The department shall conduct a study quantifying the number of
examinations under oath performed by carriers regulated by the department and the number of contacts made by
consumers regarding alleged concerns with the utilization of the examination under oath process for the
resolution of pending claims. The department shall report both the number of examinations under oath performed
by each carrier and the number of justified and unjustified claims alleged by insureds as defined in this
code. To the best extent practicable, the department shall also
determine if any of these complaints also resulted in suspected fraudulent claims with the department's fraud
division.
(c) The department shall also survey licensed carriers as to the number
of suspected fraudulent claims under residential property insurance policies that are submitted to the department's fraud division as
required by law, and that resulted, or eventually resulted, in the utilization of the examination under oath
process.
Policies of
residential property insurance shall be as defined in Section
10087.
(d) The department shall submit the findings of this report to the
chairpersons of the Assembly and Senate Committees on Insurance
no later than March 1, 2003.
2072.
The policy is not required to be used for reinsurance between insurers.
2073.
The policy shall be plainly printed. The type shall not be smaller than eight-point and in a style
not less legible than Century and subheads shall be in type larger than eight-point and in a style not less legible
than Century. The lines of the policy following the countersignature clause shall be numbered
consecutively.
2074.
Either the blanks in the standard form or those in an endorsement attached thereto shall be
appropriately filled. The first page of the policy or an endorsement attached thereto may be arranged to show in
schedule form the amounts of insurance, rates and premiums for the
basic coverages insured under the standard form of policy and additional coverages or perils insured under
endorsements attached, and such other data as may be conveniently included for duplication on daily reports for
office records.
If such a schedule clearly shows the amount at risk, the rate, and the
premium in respect of fire insurance, the words, "the above
specified" may be inserted in the blanks preceding the word "dollars" in the two places in which "dollars"
appears in that portion of the standard form which precedes the countersignature clause, or in identical blanks
in an endorsement attached to the standard form and containing the paragraph in the standard form in which the
blanks appear.
2074.5.
In lieu of showing the term of coverage in the form set forth in Section 2071, the standard form policy may show the term in any form which clearly
states the period during which the insurance is to continue. The
period shall begin and end on specified dates at 12:01 a.m. standard time, at the location of the property
involved.
An example of a
permissible method of showing the term is:
"______ for the term
of
At 12:01 a.m.
from
(Standard Time) to
At 12:01 a.m.
(Standard Time)
at location of property involved, ______"
2074.6.
In lieu of showing the attestation clause and official signatures in the form as set forth in Section
2071, the standard form policy may show, immediately following the
policy provisions, the following:
"In witness whereof, this company has executed and attested these
presents; but this policy shall not be valid unless countersigned by the duly authorized agent of this company
at the agency hereinbefore mentioned.
Secretary
President"
2074.7.
Notwithstanding the provisions of Section 2071
granting the right to both insured and insurer to cancel a policy of insurance, or the provisions of any policy conforming to that section, the
right of the insurer, but not that of the insured, to so cancel shall be subject to modification by written general
order or orders of the commissioner, if: (1) the property insured is in the State of California; (2) the
insurance policy contains any "basic property insurance" as that term is defined in Chapter 9 (commencing with Section 10090)
of Part 1, Division 2 of this code; and (3) the property insured
is, on the date of the order or orders of the commissioner, within any geographic area to which any "Fair Plan"
approved by the commissioner pursuant to that chapter is applicable.
The commissioner's order or orders may deny to insurers the right to
cancel those policies on less than 60 days' notice, or on a lesser number of days of notice that the
commissioner may designate, except that the number of days of notice may not be less than 20. The commissioner's
order or orders shall apply uniformly to all insurers having those policies outstanding in all or any designated
portions of such a geographic area.
This section, and any order of the commissioner, shall not be effective
as to any policy unless the property insured therein is then within a geographic area to which a "Fair Plan" is
applicable.
The orders of the commissioner may contain generally applicable
exceptions of certain types of properties, certain types of policies, policies solicited in a particular manner,
or policies obtained upon particular representations of the insured. The orders shall except policies upon which
premiums or premium installments have not been paid in accordance with the agreement of the insured, whether
payable directly to the insurer or its agent, or indirectly under any premium finance plan or plans for the
extension of credit.
No order shall be adopted by the commissioner pursuant to this section
unless he or she has determined that the order is reasonably necessary to carry out the provisions of a "Fair
Plan".
2074.8.
Notwithstanding any of the other provisions of Sections 2071 and 6010, those paragraphs in Sections 2071 and 6010 captioned "Cancellation of policy" may, in any policy subject to
Chapter 11 (commencing with Section 675) of Part 1 of Division 1, have that paragraph in the text of the policy
stricken or changed by endorsement and the following paragraph substituted therefor:
"This policy shall be canceled at any time at the request of the
insured, in which case this company shall, upon demand and surrender of the policy, refund the excess of paid
premiums above the customary short rate for the expired time. This policy may be canceled by this company by
written notice mailed or delivered to the named insured at the address shown in the policy, with or without
tender of the
excess of paid
premiums above the pro rata premiums for the expired time, stating when, not less than 20 days after that
mailing or delivery, cancellation shall be effective. Notice of cancellation shall state that the excess
premiums, if not tendered, will be refunded on demand, and contain those matters that are required to comply
with Chapter 11 (commencing with Section 675) of Part 1 of Division 1."
2074.9.
During such time as countersignatures are not required by law, the provisions of Section
2071 requiring policies to make provision for
countersignatures shall not be in effect and an insurer may omit such provisions from its
policies.
2075.
By special agreement indorsed on the policy or added thereto, the provisions regarding appraisement
or apportionment of loss may be waived and the valuations of all or any of the insured subject matter in case of
total loss may be agreed upon in advance of loss.
2076.
The insurer may add to the standard form any matter relating to its financial condition, directors,
officers, shareholders and history, and the address of its home office and principal office in the United
States.
2077.
The insurer may add to the standard form, in red ink, any provisions required or permitted in its
policies by the State or country of its organization, respecting limitation of liability of the insurer, its
shareholders or members.
2078.
There may be added to the standard form, clauses providing for and defining the rights, duties and
obligations of mortgagees, assignees and other parties having or acquiring an interest in, right to, or lien upon
the insured subject matter.
2079.
Clauses may be added to the standard form:
(a) Covering subject matter and risks not otherwise covered; provided
that clauses covering loss or damage caused by nuclear reaction, nuclear radiation or radioactive contamination,
all whether directly or indirectly resulting from an insured peril under the standard policy issued pursuant to
Section 2071 may be insured under said policy only by a written
endorsement providing such insurance, with such endorsement
affixed to said standard policy.
(b) Assuming greater liability than is otherwise imposed on the
insurer.
(c) Granting insured permits and privileges not otherwise
provided.
(d) Waiving any of the matters which may be waived and which avoid the
policy or suspend the insurance.
(e) Waiving any of the requirements imposed on the insured after
loss.
(f) As provided in Section 3047.
2080.
Except as otherwise provided in this article, clauses imposing specified duties and obligations upon
the insured and limiting the liability of the insurer may be attached to the standard form. Such clauses shall be
in the rider or riders attached to the standard form of policy and shall be in type as provided in Section
2073.
2081.
Whenever a clause is inserted, or rider attached, affecting the standard form liability of the
insurer for loss or damage by fire occasioned either directly or indirectly by hurricane, volcanic action or other
disturbance of nature, the clause or rider shall be printed in red ink in type larger than small pica and at the
head of the policy there shall be printed in red ink and in large boldfaced type the words, "This policy contains
limitations of liability not permitted in the California standard form."
Nothing in this section exempts an insurer from, or permits an insurer
to limit, its liability or obligation under a fire insurance
policy to cover the losses from a fire that is caused by, or follows, an earthquake.
2082.
Any insurers, other than corporations, issuing policies on subject matter in California, shall use
the standard form, changing only such words as refer to the corporation or company, to officers or agents of the
corporation or company, or to its organization. Such other insurers may substitute, in place of the words having
peculiar reference to corporations, appropriate words having similar reference to themselves.
2082.5.
Where an insurer has no president or secretary in the United States, the facsimile signature on the
standard form may be that of its principal executive officer or manager residing within the United
States.
2083.
It is a misdemeanor for any insurer or any agent to countersign or issue a fire policy covering in
whole or in part property in California and varying from the California standard form of policy otherwise than as
provided by this article. Any policy so issued shall, notwithstanding, be binding upon the issuing
insurer.
2084.
(a) After a covered loss under a policy covered by Section 2071, an insurer shall provide to the insured, free of charge, a complete,
current copy of his or her policy within 30 calendar days of receipt of a request from the insured. The time period
for providing the policy may be extended by the Insurance
Commissioner.
(b) An insured under a policy covered by Section 2071 who does not experience a covered loss shall, upon request, be entitled
to one free copy of his or her policy annually. The policy provided to the insured shall include, where
applicable, the policy declarations page.
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