AAIS Mobile-Homeowners 2008 Series
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1 Policy Forms and Endorsements IT IS WOLTERS KLUWER FINANCIAL SERVICES' POLICY TO LIMIT THE SALE OF BUREAU FORMS TO THE MEMBERS AND SUBSCRIBERS OF THOSE RESPECTIVE BUREAUS. PURCHASE AND USE OF BUREAU FORMS BY ENTITIES THAT ARE NOT MEMBERS OR SUBSCRIBERS TO THAT RESPECTIVE BUREAU COULD BE A VIOLATION OF THEIR COPYRIGHT. Forms are listed alphabetically by form title. PAGE 1 of 7 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:
2 GENERAL USE/STATE SPECIFIC (A) HO6016 AAIS ADDITIONAL INSURED - LANDLORD AK, AL, AR, AZ, CA, CO, DC, DE, GA, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, ND, NE, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, UT, VA, VT, WA, WI, WV, WY MH0801 AAIS AMENDATORY ENDORSEMENT - ALABAMA AL MH0854 AAIS AMENDATORY ENDORSEMENT - ALASKA AK MH0802 AAIS AMENDATORY ENDORSEMENT - ARIZONA AZ MH0803 AAIS AMENDATORY ENDORSEMENT - ARKANSAS AR MH0803 AAIS AMENDATORY ENDORSEMENT - ARKANSAS AR MH0804 AAIS AMENDATORY ENDORSEMENT - CALIFORNIA CA MH0805 AAIS AMENDATORY ENDORSEMENT - COLORADO CO MH0806 AAIS AMENDATORY ENDORSEMENT - CONNECTICUT CT MH0807 AAIS AMENDATORY ENDORSEMENT - DELAWARE DE ML0124 AAIS AMENDATORY ENDORSEMENT - FLORIDA FL MH0810 AAIS AMENDATORY ENDORSEMENT - GEORGIA GA MH0811 AAIS AMENDATORY ENDORSEMENT - IDAHO ID MH0812 AAIS AMENDATORY ENDORSEMENT - ILLINOIS IL MH0814 AAIS AMENDATORY ENDORSEMENT - IOWA IA MH0815 AAIS AMENDATORY ENDORSEMENT - KANSAS KS MH0816 AAIS AMENDATORY ENDORSEMENT - KENTUCKY KY MH0817 AAIS AMENDATORY ENDORSEMENT - LOUISIANA LA MH0818 AAIS AMENDATORY ENDORSEMENT - MAINE ME MH0818 AAIS AMENDATORY ENDORSEMENT - MAINE ME MH0819 AAIS AMENDATORY ENDORSEMENT - MARYLAND MD MH0820 AAIS AMENDATORY ENDORSEMENT - MASSACHUSETTS MA MH0821 AAIS AMENDATORY ENDORSEMENT - MICHIGAN MI MH0822 AAIS AMENDATORY ENDORSEMENT - MINNESOTA MN MH0823 AAIS AMENDATORY ENDORSEMENT - MISSISSIPPI MS MH0824 AAIS AMENDATORY ENDORSEMENT - MISSOURI MO MH0825 AAIS AMENDATORY ENDORSEMENT - MONTANA MT MH0826 AAIS AMENDATORY ENDORSEMENT - NEBRASKA NE MH0827 AAIS AMENDATORY ENDORSEMENT - NEVADA NV MH0828 AAIS AMENDATORY ENDORSEMENT - NEW HAMPSHIRE NH MH0829 AAIS AMENDATORY ENDORSEMENT - NEW JERSEY NJ MH0830 AAIS AMENDATORY ENDORSEMENT - NEW MEXICO NM MH0831 AAIS AMENDATORY ENDORSEMENT - NEW YORK NY MH0831 AAIS AMENDATORY ENDORSEMENT - NEW YORK NY MH0833 AAIS AMENDATORY ENDORSEMENT - NORTH DAKOTA ND MH0834 AAIS AMENDATORY ENDORSEMENT - OHIO OH MH0835 AAIS AMENDATORY ENDORSEMENT - OKLAHOMA OK MH0836 AAIS AMENDATORY ENDORSEMENT - OREGON OR MH0838 AAIS AMENDATORY ENDORSEMENT - RHODE ISLAND RI MH0839 AAIS AMENDATORY ENDORSEMENT - SOUTH CAROLINA SC MH0840 AAIS AMENDATORY ENDORSEMENT - SOUTH DAKOTA SD MH0843 AAIS AMENDATORY ENDORSEMENT - UTAH UT MH0844 AAIS AMENDATORY ENDORSEMENT - VERMONT VT MH0845 AAIS AMENDATORY ENDORSEMENT - VIRGINIA VA MH0846 AAIS AMENDATORY ENDORSEMENT - WASHINGTON WA MH0947 AAIS AMENDATORY ENDORSEMENT - WEST VIRGINIA WV MH0847 AAIS AMENDATORY ENDORSEMENT - WEST VIRGINIA WV MH0848 AAIS AMENDATORY ENDORSEMENT - WISCONSIN WI MH0849 AAIS AMENDATORY ENDORSEMENT - WYOMING WY MH0849 AAIS AMENDATORY ENDORSEMENT - WYOMING WY PAGE 2 of 7 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:
3 HO1221 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0001 GA HO1231 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0001 LA HO1241 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0001 KS HO1301 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0001 AL, AR, AZ, CA, CO, DC, DE, HO1211 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0001 WA HO1181 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0001 AL, AR, AZ, CO, DC, DE, IA, HO1191 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0001 AK HO1201 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0001 WY HO1131 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0001 CT HO1141 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0001 NY HO1232 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0002 LA HO1242 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0002 KS HO1302 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0002 AL, AR, AZ, CA, CO, DC, DE, HO1222 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0002 GA HO1192 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0002 AK HO1142 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0002 NY HO1202 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0002 WY HO1132 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0002 CT HO1212 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0002 WA HO1182 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0002 AL, AR, AZ, CO, DC, DE, IA, HO1213 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0003 WA HO1223 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0003 GA HO1233 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0003 LA HO1243 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0003 KY HO1303 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0003 AL, AR, AZ, CA, CO, DC, DE, HO1193 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0003 AK HO1143 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0003 NY HO1133 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0003 CT HO1183 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0003 AL, AR, AZ, CO, DC, DE, IA, HO1203 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0003 WY HO1214 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0004 WA HO1244 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0004 KS HO1304 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0004 AL, AR, AZ, CA, CO, DC, DE, HO1234 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0004 LA PAGE 3 of 7 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:
4 HO1224 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0004 GA HO1144 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0004 NY HO1204 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0004 WY HO1184 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0004 AL, AR, AZ, CO, DC, DE, IA, HO1194 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0004 AK HO1134 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0004 CT HO1305 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0005 AL, AR, AZ, CA, CO, DC, DE, HO1306 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0006 AL, AR, AZ, CA, CO, DC, DE, HO1218 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0008 WA HO1228 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0008 GA HO1238 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0008 LA HO1308 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0008 AL, AR, AZ, CA, CO, DC, DE, IA, ID, IL, IN, KY, MA, MD, ME, MI, MN, MO, MS, MT, ND, NE, NV, OH, OK, OR, RI, SC, SD, TN, UT, VA, WI HO1248 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0008 KS HO1138 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0008 CT HO1188 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0008 AL, AR, AZ, CO, DC, DE, IA, MS, MT, ND, NV, OH, OK, OR, RI, SC, UT, VA, VT, WI HO1148 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0008 NY HO1198 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0008 AK HO1208 AAIS AMENDMENT OF POLICY TERMS - FORM HO 0008 WY MH9901 AAIS ANNUAL SUMMARY OF MOBILE-HOMEOWNERS COVERAGES MD AND EXCLUSIONS AND NOTICE OF AVAILABILITY OF CREDITS FOR MITIGATING HURRICANE LOSS HO1300 AAIS ASBESTOS EXCLUSION AK, AL, AR, AZ, CA, CO, CT, DC, DE, IA, ID, IL, IN, KS, KY, MA, MD, ME, NJ, NM, NV, NY, OH, OK, OR, PA, RI,, WY HO1775 AAIS ASSOCIATION DEDUCTIBLE COVERAGE - EARTHQUAKE AK HO1775 AAIS ASSOCIATION DEDUCTIBLE COVERAGE - EARTHQUAKE AK (B) HO0001 AAIS BASIC FORM - PENNSYLVANIA PA HO0002 AAIS BROAD FORM - PENNSYLVANIA PA (C) CL0682 AAIS CIVIL UNIONS AMENDMENT - COLORADO CO MH7701 AAIS COLLISION, UPSET, SINKING, OR STANDING CA, GA, MT, NV MH7826 AAIS COLLISION, UPSET, SINKING, OR STANDING DE, GA, IN, ME, MS, MH7708 AAIS COLLISION, UPSET, SINKING, OR STRANDING WA HO1798 AAIS COMPUTER COVERAGE KS HO1685 AAIS COMPUTER COVERAGE VT HO1711 AAIS COMPUTER COVERAGE WA HO2770 AAIS COMPUTER COVERAGE AK, AL, AR, AZ, CA, CO, CT, DC, DE, GA, IA, ID, IL, IN, KY, LA, MA, PAGE 4 of 7 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:
5 MD, ME, MI, MN, MS, MT, ND, NE, NJ, NM, NV, NY, OH, OK, OR, PA, RI,, WY MH7825 AAIS CONSENT TO MOVE MOBILE HOME DE, GA, IN, ME, MS, MH7700 AAIS CONSENT TO MOVE MOBILE HOME CA, GA, MT, NV HO0004 AAIS CONTENTS BROAD FORM - PENNSYLVANIA PA HO1781 AAIS COVERAGE C - HIGHER LIMITS ON CERTAIN PROPERTY VA HO2730 AAIS COVERAGE C -- PERSONAL PROPERTY - SPECIAL COVERAGE AL, AR, AZ, CA, CO, CT, DC, DE, GA, IA, ID, IL, IN, KY, LA, MA, MD, ME, NJ, NM, NV, NY, OH, OK, OR, PA, RI,, WY (E) HO1605 AAIS EARTHQUAKE COVERAGE CA HO1774 AAIS EARTHQUAKE COVERAGE AK MH2754 AAIS EARTHQUAKE COVERAGE AL, AR, AZ, CO, DE, GA, IA, ID, IL, IN, KS, KY, LA, ME, MI, MN, MO, MS, MT, ND, NE, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, UT, VA, VT, WI, WV, WY HO1776 AAIS EARTHQUAKE LOSS ASSESSMENT AK HO1776 AAIS EARTHQUAKE LOSS ASSESSMENT AK MH7801 AAIS EMERGENCY REMOVAL TOWING COST - HIGHER LIMIT DE, GA, IN, ME, MS, HO1620 AAIS EQUIPMENT BREAKDOWN COVERAGE LA HO1648 AAIS EQUIPMENT BREAKDOWN COVERAGE CT HO1621 AAIS EQUIPMENT BREAKDOWN COVERAGE - INCLUDES LA PERMANENTLY INSTALLED APPLIANCES HO1649 AAIS EQUIPMENT BREAKDOWN COVERAGE - INCLUDES CT PERMANENTLY INSTALLED APPLIANCES HO1545 AAIS EXCLUSION - YOU LIVE AT A LOCATION OTHER THAN THE MN, NH, RI DESCRIBED LOCATION HO1788 AAIS EXCLUSION - YOU LIVE AT A LOCATION OTHER THAN THE GA DESCRIBED LOCATION HO2003 AAIS EXCLUSION -- YOU LIVE AT A LOCATION OTHER THAN THE DESCRIBED LOCATION (H) HO1176 AAIS HOW MUCH WE PAY FOR LOSS OR OCCURRENCE -- NO COVERAGE FOR DIMINISHED VALUE AL, AR, AZ, CA, CO, DC, DE, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MO, MS, MT, NC, ND, NE, NJ, NM, NV, OH, OK, OR, PA, SC, SD, TN, UT, VA, WA, WI, WV, WY MH1532 AAIS HURRICANE DEDUCTIBLE - CONNECTICUT CT HO1531 AAIS HURRICANE DEDUCTIBLE - MARYLAND MD (I) HO9922 AAIS IMPORTANT INFORMATION ABOUT YOUR HOMEOWNERS INSURANCE MH9900 AAIS IMPORTANT NOTICE OF PREMIUM DISCOUNTS - MANUFACTURED HOUSING PROPERTY INSURANCE COVERAGE (L) HO9920 AAIS LEAD LIABILITY DISCLOSURE NOTICE MA HO1129 AAIS LIABILITY EXCLUSION - LEAD AK HO1100 AAIS LIABILITY EXCLUSIONS POLLUTANTS GA, VT HO1102 AAIS LIABILITY EXCLUSIONS POLLUTANTS, BACTERIA, FUNGI, WET ROT, AND DRY ROT HO1130 AAIS LIABILITY EXCLUSIONS POLLUTANTS, BACTERIA, FUNGI, WET ROT, AND DRY ROT GA DE SC CT, KS, MA, MI, ND, OK, RI NE PAGE 5 of 7 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:
6 HO1500 AAIS LIMITED EARTHQUAKE COVERAGE -- CALIFORNIA CA HO0008 AAIS LIMITED FORM - PENNSYLVANIA PA HO1801 AAIS LIMITED WATER BACK UP COVERAGE MD (M) MH9932 AAIS MOBILE HOMEOWNERS INSURANCE SUMMARY (FOR USE NJ WITH HO 0001 AND HO 0008) MH9931 AAIS MOBILE HOMEOWNERS INSURANCE SUMMARY (FOR USE NJ WITH HO 0001 AND HO 0008) MH7800 AAIS MOBILE-HOMEOWNERS ENDORSEMENT DE, GA, IN, ME, MS, MH7800 AAIS MOBILE-HOMEOWNERS ENDORSEMENT AK (N) CL0683 AAIS NOTICE TO POLICYHOLDER -- NO COVERAGE FOR FLOOD (MUST BE ATTACHED WHEN A POLICY PROVIDES COVERAGE FOR RESIDENTIAL RISKS) (P) HO1601 AAIS PERSONAL INJURY NY HO1655 AAIS PERSONAL INJURY VT HO1690 AAIS PERSONAL INJURY NJ HO1626 AAIS PERSONAL INJURY LA HO1684 AAIS PERSONAL INJURY WY HO1694 AAIS PERSONAL INJURY WA HO4001 AAIS PERSONAL INJURY AK, AL, AR, AZ, CA, CO, DC, DE, GA, IA, ID, IL, IN, KY, MA, MD, ME, MI, MO, MS, MT, ND, NE, NM, NV, OK, OR, PA, RI, CL1058 AAIS POLICY COVERAGES AND LIMITATIONS SUMMARY SC HO9923 AAIS POLICYHOLDER NOTICE - HURRICANE DEDUCTIBLE MD HO1348 AAIS POLLUTANT - AMENDED DEFINITION IN, MO HO1347 AAIS PUNITIVE OR EXEMPLARY DAMAGES EXCLUSION AK, AR, AZ, CA, CO, CT, DC, DE, IA, ID, IL, IN, KS, KY, MA, MD, ME, MN, MO, ND, NE, NH, NM, NV, NY, OH, OK, OR, PA, RI, SD, TN, UT, VA, VT, WA, WI, WV, WY (R) HO1501 AAIS RECONSTRUCTION COST COVERAGE CA HO1777 AAIS RELATED PRIVATE STRUCTURES - AWAY FROM THE CT LOCATION MH9933 AAIS RENTERS INSURANCE SUMMARY (FOR USE WITH HO 0004) NJ MH1130 AAIS REPLACEMENT COST LOSS SETTLEMENT TERMS - MOBILE NV HOMES HO1645 AAIS REPLACEMENT COST LOSS SETTLEMENT TERMS - PERSONAL WV PROPERTY HO9925 AAIS RESIDENTIAL PROPERTY INSURANCE - OUTLINE OF AL COVERAGE AND COMPREHENSIVE POLICY CHECKLIST ML9926 AAIS RESIDENTIAL PROPERTY INSURANCE - OUTLINE OF AL COVERAGE AND COMPREHENSIVE POLICY CHECKLIST MH1683 AAIS ROOF SURFACING AMENDMENT - ACTUAL CASH VALUE LA TERMS FOR WINDSTORM OR HAIL LOSS MH4835 AAIS ROOF SURFACING AMENDMENT - ACTUAL CASH VALUE TERMS FOR WINDSTORM OR HAIL LOSS (S) HO9905 AAIS SAMPLE POLICYHOLDER NOTICE - ORDINANCE OR LAW AK COVERAGE - HO 0001, HO 0002, HO 0003, AND HO 0005 NH DE, GA, IN, ME, MS, OH, OK, OR, VT, WI HO9906 AAIS SAMPLE POLICYHOLDER NOTICE - ORDINANCE OR LAW AK COVERAGE - HO 0004 HO1678 AAIS SCHEDULE PERSONAL PROPERTY COVERAGE LA HO1679 AAIS LA PAGE 6 of 7 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:
7 SCHEDULE PERSONAL PROPERTY COVERAGE - AGREED VALUE LOSS SETTLEMENT TERMS HO1708 AAIS SCHEDULED MOTORIZED GOLD CART COVERAGE WA HO3831 AAIS SCHEDULED MOTORIZED GOLF CART COVERAGE AK, AL, AR, AZ, CA, CO, CT, DC, DE, GA, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, ND, NE, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, UT, VA, VT, WI, WV, WY HO1633 AAIS SCHEDULED PERSONAL PROPERTY COVERAGE AK HO3061 AAIS SCHEDULED PERSONAL PROPERTY COVERAGE AL, AR, AZ, CA, CO, CT, DC, DE, GA, IA, ID, IL, IN, KS, KY, MA, MD, ME, MI, MN, MO, MS, ND, NE, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, UT, VA, VT, WA, WI, WV, WY HO1625 AAIS SCHEDULED PERSONAL PROPERTY COVERAGE MT HO3063 AAIS SCHEDULED PERSONAL PROPERTY COVERED -- AGREED VALUE LOSS SETTLEMENT TERMS AK, AL, AR, AZ, CA, CO, CT, DC, DE, GA, IA, ID, IL, IN, KS, KY, MA, MD, ME, MI, MN, MO, MS, MT, ND, NE, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, UT, VA, VT, WA, WI, WV, WY HO1778 AAIS SCHEDULED RELATED PRIVATE STRUCTURES - AWAY FROM CT THE DESCRIBED LOCATION MH7702 AAIS SECURED PARTY'S INTEREST - ADDITIONAL COVERAGE CA, MT MH7703 AAIS SECURED PARTY'S INTEREST - ADDITIONAL COVERAGE GA, NH MH7705 AAIS SECURED PARTY'S INTEREST - ADDITIONAL COVERAGE LA MH7827 AAIS SECURED PARTY'S INTEREST - ADDITIONAL COVERAGE DE, GA, IN, ME, MS, MH7704 AAIS SECURED PARTY'S INTEREST - ADDITIONAL COVERAGE KS, NM MH7707 AAIS SECURED PARTY'S INTEREST - ADDITIONAL COVERAGE NV HO1524 AAIS SOCIAL HOST LIQUOR LIABILITY EXCLUSION - NEBRASKA NE HO0003 AAIS SPECIAL FORM - PENNSYLVANIA PA MH9902 AAIS STATEMENT OF ADDITIONAL OPTIONAL COVERAGES NOT INCLUDED IN THE STANDARD MOBILE-HOMEOWNER'S INSURANCE POLICY ML9927 AAIS SUMMARY OF COVERAGE - MOBILE HOME POLICY - CO COLORADO (V) HO1117 AAIS VICARIOUS LIABILITY SUB-LIMIT CO (W) HO1780 AAIS WINDSTORM OR HAIL DEDUCTIBLE AK, NH MD PAGE 7 of 7 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:
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