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 Sale Notifications

This 282 page reference has proven ideas and techniques to arm you against the adjuster. It covers many aspects (building structure, inventory, equipment, fixtures, loss of income, extra expense and other coverages, etc.) of a business owner insurance claim for any covered insurance claim peril cause of loss including but not limited to fire, wind, hail, earthquake, hurricane, water damage and flood. It includes many of the individual eBooks for sale at UCLAIM.com. The Appendix is highlighted along with Ron’s valuable comments.

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TABLE OF CONTENTS............................................................................................................ 1

INTRODUCTION...................................................................................................................... 4

Insurance Claims Are Disagreeable....................................................................................... 4

Myths Dispelled........................................................................................................................ 4

About Your Attitude and Morale............................................................................................ 5

About the Adjuster’s Attitude and Morale.............................................................................. 5

BATTLE PREPARATIONS....................................................................................................... 6

“Battle Gear”........................................................................................................................... 6

General Battle Principals........................................................................................................ 7

“Estoppel”................................................................................................................................ 7

LET   THE   GAME   BEGIN – (Your First Moves)................................................................ 8

Game Plan A (If you have this document from the date of loss)........................................... 8

Loss Day -............................................................................................................................. 8

Contents Pack Out and Storage (for inventory, fixtures, equipment and buildings you furnish)11

The Day After the Loss Day -............................................................................................ 11

Game Plan B (If you have this document a few days up to several years after the loss)....... 12

Correcting Your Mistakes -................................................................................................ 12

“BUSINESS INCOME” (loss of).............................................................................................. 12

Loss of Income......................................................................................................................... 12

Employee Payroll Expense...................................................................................................... 13

EXTRA EXPENSE..................................................................................................................... 14

Extra Expenses........................................................................................................................ 14

Time Period for Business Income Loss and Extra Expense Payments................................ 15

OTHER “ADDITIONAL” and “OPTIONAL” COVERAGES............................................... 16

BUILDING STRUCTURE CLAIM.......................................................................................... 16

“REPAIR COST” NEGOTIATIONS.................................................................................... 17

Bid Comparison Worksheet (a waste of everyone’s time)..................................................... 17

Contesting the Adjuster’s Estimate (or his contractor’s estimate)........................................ 18

About the Insurer’s Contractor........................................................................................... 20

Acting as your own contractor (or doing your own repairs)................................................... 21

BUILDING STRUCTURE     “ACTUAL CASH VALUE” (ACV)     SETTLEMENT...... 22

“ACV of the Repairs”  (based on a repair estimate).............................................................. 23

“ACV of the Entire Structure Value”  (based on a real estate appraisal).............................. 25

“How to Deal With a Low Ball Appraisal”......................................................................... 28

OTHER BUIDLING STRUCTURE CLAIM CONSIDERATIONS................................... 28

Making a Choice   -   “Repair, Rebuild or Cash out”............................................................. 28

Zoning................................................................................................................................... 29

Salvage Value...................................................................................................................... 29

Hazardous Materials........................................................................................................... 29

Code Improvements – (how to get coverage without an endorsement).................................. 30

Choosing a Contractor......................................................................................................... 31

“Coinsurance Penalty Trap”............................................................................................... 32

Common Adjusters’ Structure Claim Arguments – (and your suggested reply)................... 32

INVENTORY, RAW STOCK AND MATERIALS................................................................. 34

CONTENTS CLAIM (furnishings, equipment, fixtures, etc).................................................. 34

CONTENTS PACKED OUT & STORED........................................................................... 34

PAYMENT FOR RESTORATION....................................................................................... 36

CONTENTS INVENTORY LIST......................................................................................... 36

SPECIAL ITEMS OF CONCERN - ALL COVERAGES....................................................... 39

‘Proof of Loss’ (form).............................................................................................................. 39

“Replacement Agreement” (form).......................................................................................... 40

Tape Recorded Statement....................................................................................................... 40

Acting as Your Own Contractor............................................................................................ 41

Salvage on Contents and Building........................................................................................ 41

“Examination Under Oath”................................................................................................... 42

Cashing the Check.................................................................................................................. 42

Supplemental Claims.............................................................................................................. 42

FAQS (Frequently Asked Questions).................................................................................... 42

The Deductible........................................................................................................................ 42

OTHER COVERAGES AND ENDORSEMENTS................................................................. 42

“OTHER COVERAGES”...................................................................................................... 42

ENDORSEMENTS................................................................................................................ 42

1. Replacement Cost on Contents Endorsement............................................................... 43

2. Extended or Guaranteed Replacement Cost Endorsement (on structure)................... 43

3. Building Code Improvements Endorsement................................................................... 44

4. Valued Policy Endorsement............................................................................................. 44

READING YOUR POLICY (the quick and easy way)............................................................. 45

Special Considerations When Reading Your Policy............................................................. 46

About Policy Form Numbers and Edition Years................................................................... 47

“BURDEN OF PROOF” (is it on you or the insurer?)............................................................. 47

USING THE LAW TO HELP YOU........................................................................................... 48

HARD BALL TACTICS............................................................................................................. 49

1.    Small Claims Court.......................................................................................................... 49

2.    Better Business Bureau Sponsored Arbitration.............................................................. 50

3.    News Media....................................................................................................................... 50

4.    Picketing........................................................................................................................... 50

5.    Other Guerilla tactics...................................................................................................... 50

6.    “Policy Appraisal”........................................................................................................... 50

7.    Litigation.......................................................................................................................... 52

PROFESSIONAL HELP   (Public Adjusters)........................................................................... 53

FINAL NOTE............................................................................................................................. 53

APPENDIX................................................................................................................................. 54

These appendix documents are samples of insurance claims documents that I have critiqued. My notes are handwritten in the margins as well as in blue text boxes. My notes are followed by my initials “rc”. These documents may not be the latest versions and should only be used as a guide to show you how to critique your own unique documents.

A - The Policy................................................................................................................................

A1 - State law overrides policy language...................................................................................

A2 - “Certification Page” sample of a certified policy..............................................................

A3 – Sample Hardware Store “BOP” Business Owners Policy Declarations Page (10 pages).

A4 - Sample Auto Body Shop “BOP” Business Owners Policy Declarations Page (6 pages)....

A5 - Sample Apartment “BOP” Business Owners Policy Declarations Page (1 page)..............

A6 - Sample “BOP” Business Owners Policy index, Table of Contents.....................................

A7 - Sample ISO “BP 03” Business Owners Policy 2002 (43 pages).........................................

A8 - Sample Funeral Home “CP” Commercial Property Declarations Page (7 pages)...........

A9 - Sample Aetna “CP” policy table of contents (to help organize your hodgepodge of paper)

A10 - Sample ISO Manufacturer’s “CP” Policy Declarations (1 page)....................................

A11 - Sample ISO “CP” policy parts collection, “a la carte” style (42 pages).........................

B - Building Structure Claim Documents.....................................................................................

B1 – “Bid Comparison Worksheet” sample (4 pages)................................................................

B2 - Contractor and adjuster various “itemized” estimate styles, 4 samples (4 pages)............

B3 - Additions to Estimate list, one hand written and one typed (10 pages)..............................

B4 - Repair Estimate Depreciation sample (4 pages).................................................................

B5 - Depreciation Guidelines for Building Structure by Marshall & Swift (1 page)..................

B6 – Insurer’s Low Ball Appraisals critiqued, 3 samples (43 pages)..........................................

B7 - Title Company comparable sales reports, 4 samples (11 pages)........................................

B8 - Code Improvement, without endorsement, Clinton Miller publication (3 pages)...............

C - Contents...................................................................................................................................

C1 - Contents Inventory Sheet (your own) 3 samples completed (3 page).................................

C2 - Depreciation charts for contents, 2 samples (2 pages).......................................................

C3 - Proof of Loss forms, 2 completed samples (4 pages)..........................................................

C4 - Release Forms, 2 samples (2 pages)....................................................................................

C5 - “Replacement Agreement” (1 page)...................................................................................

C6 - Sample cover letter with Profit and Loss Statement..........................................................

C7 - Profit & Loss Statement and Business Income Summary with “rates of increase” (1 page)

C8 - Sample monthly Profit and Loss Statements (12 months, 12 pages)..................................

C9 - Sample insurer’s accountant’s Profit and Loss Statement.................................................