Midwest Security Insurance Services, Inc.

Serving Illinois Insurance Producers Since 1990

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Policy Forms

Below is the list of the coverage forms used on our policies. These forms are in ADOBE (.pdf) format.



CP0010 - Building and Personal Property Coverage

CP0020 - Builders Risk Coverage 

CP0030 - Business Income/Extra Expense

CP0090 - Commercial Property Conditions

CP0299 - Cancellation Changes

CP0450 - Vacancy Permit

CP1010 - Cause of Loss/Basic Form
 
CP1020 - Cause of Loss/Broad Form

CP1030 - Cause of Loss/Special Form

CP1033 - Theft Exclusion

CP1056 - Sprinkler Leakage Exclusion

CP1211- Burglary/Robbery Protective Safeguards




E001
- NIC Common Policy Declaration

E001J - NIC Policy Jacket 

E600 - Actual Cash Value

E901 - Fully Earned Premium Endorsement

E903 - Terrorism Disclosure

E906 - Service of Suit




F001
- Commercial Property Coverage Part Dec 
 

F201 - Exclusion/Property Pollution

F202 - Exclusion/Micro/Bio Organisms/ Contaminants

F210 - Amendment of Coverage/Collapse

F605 - Total Loss Endorsement




IL0017
- Common Policy Conditions

IL0021 - Nuclear Energy Liability Exclusion
 

IL0935 - Exclusion/Certain Comp-Related Losses

IL0961 - Exclusion of Cert and Other Acts of Terror




L201
- Exclusion/Exterior Insul/Finish Sys (EIFS)

L205 - Exclusion/Injury Empl/Contr/Vol/Wrkr

L206 - Exclusion/Injury Empl/Contr/Vol/Wrkr

L209 - Exclusion/Medical Payments

L210 - Exclusion/Assault & Battery

L213 - Exclusion/Certain Comp/Related Losses

L217 - Exclusion/Punitive Damages

L219 - Exclusion/Professional Services

L228 - Exclusion/Communicable Disease

L238 - Exclusion/Toxic Metals
  

L239 - Exclusion/Toxic Metals

L240 - Limitation To Designated Operations

L241 - Exclusion/Microorganisms 

L282 - Exclusion/Subcontractors 

L285 - Coverage Limitation/Mobile Equipment

L286 - Conditional Exclusions/Subcontracted Work

L288 - Additional Conditions & Exclusions/Subcontracted Work

L291 - Exclusion/Designated Construction Operations

L292 - Exclusion/Prior Work

L600 - Amend of Conditions

L601 - Amend of Conditions/Prem Audit

L605 - Waiver of Transfer of Rights 

L803 - Additional Insured/Primary-Noncontrib

L804 - Additional Insured/Sch Operations or Premises

L805 - Blanket Additional Insured

L850 - Ded Liability Insurance(Incl Cost and Exp)

L900 - Policy Holder Notice/Constr Ops


LPG010 - Businessowners Coverage Form

LPG019 - Businessowners Enhancement Endorsement




AFI Personal Auto Policy
ASI Commerical Auto Policy
FIC Driveway Endorsement 
FIC Personal Auto Policy
FIC Commercial Auto Policy
FIC Garage Liability Policy
FIC HO-8 Policy
FIC CGL/LL Policy  
UCC Personal Auto Policy



CG0001 - Common General Liability Coverage Form       

CG0009 - Owner and Contractor Liability Coverage Form
 
CG0067 - Exclusion/Violation of Statues

CG2002 - Additional Insured - Club Members

CG2010 - Additional Insured - Owners, Lessors or Contractors

CG2011 - Additional Insured - Manager or Lessor

CG2012 - Additional Insured - State or Political Subdivisions - Permits

CG2018 - Additional Insured - Mortgagee Assignee or Receiver

CG2104 - Exclusion/Products/Completed Ops Hazard

CG2116 - Exclusion/Professional Services

CG2136 - Exclusion/New Entities

CG2137 - Exclusion/Employee

CG2138 - Exclusion/Personal/Advertising Injury  

CG2145 - Exclusion/Damage to Premise Rented

CG2146 - Abuse/Molestation Exclusion

CG2147 - Exclusion/Employment- Related Practices

CG2149 - Total Pollution Exclusion Endorsement

CG2153 - Exclusion/Designated Ongoing Ops

CG2173 - Exclusion of Cert and Other Acts of Terror

CG2175 - Exclusion of Cert and Other Acts of Terror

CG2196 - Silica/Silica/Related Dust Exclusion

CG2229 - Exclusion - Property Entrusted to Others

CG2230 - Exclusion - Corporal Punishment

CG2270 - Real Estate Property Managed

CG2271 - Colleges or Schools (Limited Form)

CG2404 - Waiver of Subrogation

CG2951 - Exclusion/Employment Related Practices
 
CG3370 - Silica/Silica/Related Dust Exclusion



S002 - Contractual Liability Limitation

S005 - Notice to Policy Holders

S006 - Exclusion/Classification Limitation


S007 - Contractual Liability Limitation


S008 - Demo/Building Wreck Conditional Exclusion

S009 - Exclusion/Liquor Liability


S012 - Exclusion/Contractor and Subcontractor

S013 - Minimum Earned Premium Endorsement

S016 - Professional Liablity Endorsement


S017 - Exclusion/Punitive/Exemplary Damages

S020 - Service of Suit

S024 - Fully Earned Premium Endorsement

S025 - Exclusion/Tanning Boothes

S028 - Exclusion/Participants

S029 - Exclusion/Overspray or Spillage 

S033 - Exclusion/Crosssuits

S038
- Amendment of Liquor Liability Exclusion

S047 - Exclusion/Roof Ops-Weather Related Prop

S062 - Exclusion/Prof Services-Contractors

S066 - Unschedules Events or Activities

S075 - Exclusion/Subsidence of Land

S077 - Exclusions/Security Guards

S079 - Exclusion/Firearms & Weapons

S083 - Exclusion/Animal Injury or Death

S084 - Exclusion - Animals

S092 - Limitation of Coverage

S097 - Security Services - E&O

S099 - Beauticians/Barbers Professional Liability

S100 - OCP Liability Coverage Part Dec

S114 - Addtional Insured/Primary Wording

S128 - Abuse/Molestation Liability

S148 - Exclusiom/Martial Arts Participants

S150 - CGL Coverage Part Declaration

S154 - Exclusion/Total Pollution

S156 - Coverage Limitation/Mobile Equipment

S186 - Blanket Additional Insured

S222 - Exclusion/Intellectual Property Rights


S233 - Exclusion/Micro/Bio Organisms/ Contam


S261 - Asbestos Exclusion

S277
- Subcontracted Work

S279 - Additional Cond and Exclusion- Contractor/Subcontractor

S289 - Exclusion/Designated Constr Ops

S450 - Inland Marine Coverage Part

S454 - Cause of Loss - Special Form

S455 - Bailee Coverage Form

S471 - Burglary and Robbery Protective Systems

S475 - CIM Coverage Part

S477
- Repair/Service Limited Liab Coverage

S902 - Schedule of Forms & Endorsements

 
 
1300 W Higgins #213 - Park Ridge IL 60068
Tel: 847-292-1150 - Fax 847-292-0014
Email: office@mwsecurity.com