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General
conditions
The
proposal form signed by the
insured is
basis for this contract.
The
insurance company “SIGKOS”,
here forth “SIGKOS”, offers
insurance according to
conditions of this policy
against loss, damage,
liability and expenses as a
result of risks insured and
presented in the subsections
specified in the policy,
during the cover period and
any other period for which
the insured has paid the
premium and SIGKOS agreed to
accept the renewal of the
contract.
Signed on
behalf of SIGKOS
1.
Definitions
2.1.
Inventory
House
contents and personal
belongings (including cash,
bills and mail stamps, which
do not consist a collection
of stamps, to a limit that
doesn’t exceed € 150,00)
which are belongings of the
insured persons (or they are
the legal custodians), but
not furniture and equipment
of a person living under
rent.
Interior ornaments belonging
to the insured, where the
insured is a landlord or
owner, but not liable for
insuring the
house/apartment.
Jewellery and valuables
belonging to the insured,
but do not exceed the 50% of
the amount insured under
inventory. Jewellery and
valuables exceeding this
limit should be declared and
evaluated separately.
2.2.
Buildings
The
structure of your privately
owned house/apartment,
including:
1.
Additional buildings used
for domestic purposes.
2.
Final
decorations, swimming pools,
tennis court, yard walls,
terrace, fences, fencing
walls, sidewalks, pathways
at the address/es
represented in the policy.
2.3.
Inhabitants
All family members as well
as all other persons
(excluding dormant, renting
or paying guests), who live
permanently with you in your
house/apartment.
2.4.
Space
Space described in the
parcel (a copy of the plan
or land-patent) including
the structure of
house/apartment as well as
additional buildings, all
used for domestic purposes
and are located at the
address/es represented in
the policy.
2.5.
Sum
insured
The value represented in the
actual or renewed policy.
2.6.
Uninhabited
When
in your house/apartment
doesn’t live anyone without
your permission.
2.
Standard cover
Section 1
2.1.
Inventory
Loss or
accidental damage to
inventory in your private
house/apartment located at
the address represented in
the policy as well as all
additional buildings used
solely for domestic
purposes, are insured
against the following
perils:
2.1.1.
Fire,
explosion, lightning, smoke
excluding gradual smoke
effects.
2.1.2.
Flood and
storm, excluding items left
in uncovered in the open
(outside the building).
2.1.3.
Collision
of vehicles, animals,
airplanes or other flying
objects and parts falling
from them.
2.1.4.
Escape of
water from water tanks,
equipment of pipes, washing
machines, water supply pipes
or air-conditioning units,
under the warranty that:
2.7.1.1.
The
house/apartment is not left
uninhabited for more than 60
days.
2.7.1.2.
Loss
or damage caused by guests,
renters or insured persons.
2.1.5.
Falling
of TV and Radio aerials and
their fixtures and holders.
2.1.6.
Falling
of trees or parts of trees.
Additional Risks
2.1.7.
Theft or
attempt to theft excluding:
2.7.1.1.
Theft if
fraud is used as a mean to
enter the house/apartment,
2.7.1.2.
Theft of
cash, notes, coins and post
stamps unless force is used
to enter the
house/apartment.
2.7.1.3.
Earthquake, excluding fire
as a consequence of
earthquake.
General
exclusions in this section
1.
If the
property is insured under
some other policy,
2.
Bonds and
any other documentation,
3.
Vehicles,
ships, floating equipment,
flying objects and their
equipment,
4.
Domestic
animals and pets,
5.
Any part
of the house/apartment
structure including
ceilings, wallpapers and
similar (except interior
decorations belonging to the
insured persons, where the
insured is a landlord of the
house/apartments or where
the insured is the owner but
not responsible for the
insurance of the
house/apartment.
6.
€ 25 for
each and every loss unless
specified differently.
2.2.
Temporary
removal of inventory
Loss or
damage of inventory from any
of the specified peril under
2.1 while temporary removed,
in any building within the
territory where any insured
is living, working or
conducts business somewhere
else within the territory,
for the period of time that
doesn’t exceed 30 following
days. However, the liability
of SIGKOS shouldn’t exceed
10% of the sum insured of
inventory. Exclusions in
respect to 2.2.:
2.2.1.
Loss or
damage of property as a
result of storm and flood
which is not inside the
building, loss or damage due
to theft, unless force is
used to enter or exit the
building.
2.2.2.
Loss or
damage while transporting to
selling point or fair
exhibition or to a warehouse
for storage.
2.2.3.
Audio-visual equipment, home
PC, mirrors and windows;
2.2.4.
Accidental damage within the
house/apartment to the radio
reception equipment, TV
equipment, video games,
recording equipment
(including antennas fixed in
the house/apartment) as well
as home PCs, mirrors, smooth
thick glass on top of
furniture as well as glass
attached to furniture.
2.2.5.
Technical
and mechanical failures,
damage from excessive use,
amortisation or any other
cause which takes effect
gradually;
2.2.6.
Damage
caused by any kind of
cleaning, repairing or
restoration process, damage
caused by the wrong
polarisation of batteries,
damage to recording tapes,
disks and other recording
equipment.
2.3.
Deep
freeze (spoilage of food)
Loss or
damage of gods in freezers
(not older than 5 years)
caused by spoilage or
rotting as a result of:
2.3.1.
Accidental malfunction of
explosion of freezers or
from malfunctioning of any
kind of thermostatic
equipment or automatic
controller,
2.3.2.
Failure
of power supply
Under the
warranty that the liability
of SIGKOS doesn’t exceed €
100 during the insurance
period.
Exclusions in respect to
2.3:
2.3.1.
Loss or
damage caused by malicious
or careless behaviour of the
insured,
2.3.2.
Loss or
damage caused by the failure
of power supply as a direct
or indirect consequence of
careless behaviour
(including the act of
strike) of public power
supply and/or their
employees,
2.3.3.
Loss or
damage caused from
disruption of power supply
be that accidental or
otherwise, in the building
where deep freezers are
located.
2.4.
Additional expenses for
alternative accommodation
and loss of rent
In case the building
is uninhabitable as a result
of any of the perils insured
against, SIGKOS will
compensate up to 25% of the
sum insured of inventory for
effective expenses:
2.4.1.
Additional expenses which
are reasonable for
alternative accommodation or
similar,
2.4.2.
Loss of
rent, which continues to be
paid by the insured during
the period of interruption
but not exceeding 2 months.
2.5.
House
staff and your liabilities
as their employer
SIGKOS
will pay, subject to a limit
of € 5.000, in case you are
legally bound to pay anyone
person offering their
services as house staff and
is contracted by you to
provide services.
The cause
of loss, damage, bodily
injury or sickness in order
to be covered by this policy
should happen during the
insurance period as a result
of work they are employed to
carry, anywhere in the
territory mentioned in the
policy or while accompanying
you in your travels within
or outside the country.
The
exclusions in respect to
2.5:
2.5.1.
Loss or
damage to property or bodily
injury, sickness as a
consequence of your work or
your profession.
2.5.2.
Bodily
injury, sickness or similar
as a result of your criminal
activity
2.6.
Public
liability
Subject
to a limit of € 10.000 plus
expenses based on the
agreement between SIGKOS and
the insured (or a member of
his/her family) as
inhabitant (owner) of the
house/apartment, the policy
provides cover for public
liability in the situation
where you could be legally
obliged to pay for:
2.6.1.
Bodily
injury, sickness and/or
similar of any person,
2.6.2.
Loss or
damage to property that
doesn’t belong to you or is
in your custody or a family
member,
2.6.3.
Loss or
damage caused by fire,
explosion or escape of water
from any kind of
installation at any
temporary accommodation
and/or its inventory, which
you or your family member
might use for the purpose of
vacation, that have happened
during the insurance period
anywhere in the world,
excluding USA and Canada,
nevertheless subject to
Kosova’s jurisdiction
(UN-administration).
2.6.4.
Legal
expenses for:
2.6.4.1.
Representation of any kind
of autopsy by the coroner or
investigations for fatal
consequences (death), legal
representation according to
Kosova’s jurisdiction as a
consequence of any event
that results in loss or
damage.
Subject
to the condition that
liability under 2.6 and the
following 2.7, even in the
case that loss or damage is
caused as a consequence
and/or resulted in multiple
damages from the same event,
doesn’t exceed the combined
limit of € 10.000 and/or €
25.000 on one year.
Other
compensations and expenses
resulting from accidents
mentioned below, if the
damage or loss happened to
your or family member’s
property or property under
your or family member’s
custody:
1.
Vehicles
with mechanical motion
(different from gardening
tools) and any trailer
attached to them, flying
objects, ships, yachts or
vans, animals escaping from
your property and end up in
stranger’s property.
2.
Loss or
damage to property, bodily
injury or sickness: As a
result of careless actions,
as a consequence of work,
your business or profession
or any member of your
family, caused by anyone in
your or any of your family
member’s employment and as a
result of the work they are
hired to carry.
3.
As a
result of mountaineering,
other dangerous sport
activities and other
sporting events of any kind,
4.
Any fine
or damage you must pay,
foreseen by law, civil code,
offence or any other
activity that is against the
law.
2.7.
Legal
liability of the landlord
If the insured has
legal liability as a
landlord for any loss caused
from fire, SIGKOS will
compensate up to the limit
of € 10.000 per event and in
total during the insurance
period.
2.8.
Compensation for death of
the insured or his/her
spouse
If
the insured and/or the
spouse, while inside the
house/apartment described in
the policy, suffer external
and visible bodily injury
caused by hard objects as a
result of fire or caused by
thieves, and if such bodily
injury within three (3)
months result in death of
the insured or the spouse,
SIGKOS will compensate their
legal inheritors. The
liability of SIGKOS will be
€ 5.000 per person and €
10.000 in total.
2.9.
The
insurance cover explained in
2.5, 2.6, 2.7 and 2.8 is
facultative and it’s upon
the insured if he chooses to
buy such cover.
3.
Facultative cover
3.1.
Jewellery
and valuables – all risks
Loss or
damage of property of the
insured and presented in the
policy against all risks
subject to following
conditions and exclusions:
Conditions
3.1.1.
The sum
insured should not exceed
50% of sum insured under the
inventory.
3.1.2.
No
one item shall be valued
over € 100, unless it is
specifically declared in
written to SIGKOS and it’s
included in the policy.
Exclusions
1.
Any one
event, excess of € 25 to be
applied.
2.
Loss or
damage of property as a
result of excessive use or
wear and tear.
3.
Any
process of cleaning,
repairing or restoring the
each and every item,
4.
Effect of
light or other atmospheric
conditions, mould, parasites
or any other gradual
operation.
5.
Confiscation or detention by
customs or other
authorities,
6.
Mechanical and electrical
malfunctions,
7.
Any other
consequent damage,
8.
Professional use for
business purposes of musical
instruments, photographic
and sports equipment and
accessories,
9.
Any
premeditated loss or damage
caused by the insured,
10.
Loss or
damage of goods shipped by
sea or air,
11.
Snapping
of strings in musical
instruments,
12.
Monies
and/or credit cards.
Conditions of sums insured
-
Sum(s) insured
represents total
expenditure for
restating the insured
property not deducting
wear and tear except for
clothes and bicycles.
-
SIGKOS, according to
this article is not to
be informed for every
change, except when the
sum insured is
inappropriate or some
items exceed the limit
of special items.
3.2.
Buildings
This
policy gives you cover to
the sum insured of the
building for losses or
damages caused by:
3.2.1.
Fire,
explosion, lightning and/or,
3.2.2.
Storm and
flood, excluding damage to
fences, yard surrounding
walls and pathways,
3.2.3.
Collision
of any motorised vehicle,
train, airplane or other
flying object or items
falling of them,
3.2.4.
Escape of
water from water tanks,
equipment or pipes, washing
machines, water-supply or
air-conditioning units,
excluding any loss or damage
when the house/apartment is
left uninhabited for more
than 60 days.
3.2.5.
Escape of
oil from any kind of heating
installation.
3.2.6.
Braking
or falling of antennas,
falling of trees or their
branches.
Additional risks
3.2.7.
Earthquake, excluding fire
as a consequence of
earthquake,
3.2.8.
Breaking
of windows, excluding any
loss or damage when the
house is left uninhabited
for more than 60 days.
3.2.9.
Theft or
attempt to theft: SIGKOS
will cover every loss or
damage as result of theft or
attempt to theft.
Insurance
cover for risks explained in
3.2.7.-3.2.9 is facultative
and it is up to the insured
to choose to get this cover
or not.
Fees,
cleaning and the maintaining
costs of the building
Fees,
cleaning and maintaining
costs of the building
subject to prior agreements,
as a result of insured loss
or damage in this section,
conditioned upon all fees
and expenses to be paid not
to exceed the sum insured
for the building.
Fees for
claim preparation are
excluded from this cover.
3.3.
Accidental damage to
fixtures and equipment
Up to the
building sum insured for
accidental damage to:
3.3.1.
All
sanitary equipment in your
house/apartment, excluding
accidental damage while the
house/apartment remains
unused for more than 60
days.
3.3.2.
Piping
and electric installations
in your house/apartment and
for which you are
responsible, excluding loss
or damage due to frozen open
taps.
3.3.3.
Accidental damage due to
corrosion, excessive use or
wear and tear while your
property remains unused for
more than 60 consecutive
days.
3.4.
Alternative accommodation
and loss of rent
Up to 8%
of the building’s sum
insured for:
3.4.1.
Necessary
and reasonable expenses for
alternative accommodation,
3.4.2.
Loss of
rent that must be paid while
your apartment remains
uninhabited for no more than
3 months, for anyone reason
covered under this section
of your policy.
3.5.
Your
liability as property owner
Up to €
10.000 plus expenses subject
to written agreement between
SIGKOS and the insured
(property owner), when you
are legally liable to pay
for: bodily injury sickness
and/or similar to anyone
person, loss or damage of
property which doesn’t
belong to you and isn’t
under your custody or any of
your family members that
happen during the insurance
period.
Exclusions in respect to 3.5
Loss or
damage to property or
injury, sickness or similar:
3.5.1.
As a
result of anyone
premeditated malicious
action,
3.5.2.
As a
result of the work, your
business or profession or
any member of your family,
caused by anyone who is in
your employment or one of
your family members and as a
result of work for which
they are hired to carry.
3.5.3.
Prosecution expenses for
representation of any kind
of autopsy by the coroner or
investigations in respect to
fatal consequences (death),
3.5.4.
Investigations, legal
protection in front of any
court by the general
jurisdiction for any event
that results in damage.
Under the
condition that the combined
liability of SIGKOS in this
section doesn’t exceed €
10.000.
4.
Condition of general terms
4.1.
Basic
criteria of handling claims
4.1.1.
SIGKOS
will compensate, subject to
the choice of the insured,
the relocation, replacement
or repairing,
4.1.2.
When
handling total loss or
damage there will be no
deduction for excessive use
or amortisation except for
clothing and bicycles.
4.1.3.
The
liability of SIGKOS as a
result of one event shall
not exceed the sum insured
presented on the policy in
respect to anyone item. Sum
insured shall not be reduced
for the value of any payment
of damage, excluding the
situation when total damage
of anyone item specified on
the policy has happened.
4.1.4.
SIGKOS
shall request invoices
and/or evaluations in order
to process the claims for
these items.
4.1.5.
In
respect to claims in the
“buildings” section of this
policy:
4.1.5.1.
SIGKOS
will compensate the expenses
for partial damage or
replacement with a new one
as a result of total damage,
under the condition that the
repairing or replacement
have been carried out.
4.1.5.2.
The sum
insured of the building
should represent the overall
cost of rebuilding, at the
moment of loss or damage. If
this doesn’t happen the
payments will be made
subject to amortisation
deductions.
4.1.5.3.
If the
repairing or replacement
hasn’t been carried out, we
shall pay the market value
of the damage or loss, but
not exceeding the amount
that it would cost to repair
or replace.
4.1.5.4.
In case
that the market value of the
property exceeds the
rebuilding cost of the
insured property, or
Municipal Authorities refuse
to issue the rebuilding
permit, SIGKOS will pay the
market value but not
exceeding 120% of the sum
insured.
4.1.5.5.
SIGKOS
shall not pay for the
replacement or work carried
on undamaged item, or parts
of the building just because
such items (or parts of the
building) constitute: a part
of a group, a set, group or
collection of items of the
same nature, colour, model
or design.
4.1.5.6.
The sum
insured shall be
automatically reinstated
from the date of any claim
in this section.
4.2.
General
conditions
4.2.1.
The
insured person and other
persons covered by this
insurance should take
precaution measures during
the whole time to prevent
any accident, loss or
damage.
4.2.2.
The whole
property insured by this
policy should be well looked
after.
4.2.3.
General
conditions for all sections
are part of this policy as
well as the term “this
policy”, used anywhere in
this contract, should be
read including the general
conditions and each section,
specifications or other
annexes attached. Any word
or expression representing a
specific thought should have
that meaning anywhere it
might be used in this
contract.
4.2.4.
Any event
that gives reason to a claim
for reimbursement according
to conditions of this
policy, the insured is
obliged to:
4.2.4.1.
In the
case of lost, stolen or
damaged property, to
immediately inform the
police and undertake all
reasonable actions to get
back the property and
protect it from other
damages,
4.2.4.2.
As soon
as possible to notify in
writing SIGKOS and provide
all the information and help
requested by SIGKOS.
4.2.4.3.
To
proceed immediately all mail
correspondence, legal cases
and other relevant documents
to SIGKOS.
4.2.4.4.
SIGKOS
should be authorized to act
on behalf of the insured
person in respect to his
defence, and enter
agreements for any
indemnification for the
benefit of the insured, as
well as to be granted the
liberty of directing any
process or agreement with
other parties,
4.2.4.5.
In
respect of any claim or
series of claims for which
the policy offers cover for
the insured and his/her
liabilities, SIGKOS will
compensate the insured to
the limits of liability,
after the deduction of any
amount previously paid as
compensation, or to level
with any lower amount of
expenses that could
reimburse the insured to the
state before the insured
event or series of events
have taken place. Once these
payments are made, SIGKOS is
no longer liable except for
payments for expenses and
fees made prior to payments
made by SIGKOS.
4.2.4.6.
If at the
time of the damage according
to this policy, another
insurance policy covers same
liability, damage or loss,
SIGKOS shall not be obliged
to participate more than the
proportional rate.
4.2.5.
SIGKOS is
entitled to cancel this
policy, by notifying the
insured 15 days in advance
and the insured wins the
right of getting back, based
on the pro-rata
calculations, the reminder
of the premium paid for the
period of unused cover.
4.2.6.
The
insured has the right to
cancel this policy, by
notifying SIGKOS 15 days in
advance and the insured wins
the right of getting back,
based on the pro-rata
calculations, the reminder
of the premium paid for the
period of unused cover.
4.2.7.
If
circumstances under which
this insurance was agreed
have had material changes
without written agreement by
SIGKOS, this policy is void.
4.2.8.
Abiding
to the conditions of this
policy by the insured and
evidence represented by
him/her through statements
and proposal form shall be
priority condition for any
liability of SIGKOS.
4.2.9.
If any
claim based on this policy
is fraudulent or
unsubstantiated, then any
benefits from this policy
will be lost (sanctioned).
4.2.10.
If there
is any disagreement in
respect to amount/s to be
paid according to the
conditions of this policy,
these disagreements should
be addressed to arbitrage
appointed by both parties,
which shall decide according
to laws in power.
4.2.11.
All
claims and/or any kind of
conflict between parties are
subject to the laws of UN
administration in Kosova.
4.3.
General
exclusions
Any loss or damage caused
by, through or as a
consequence of a direct or
indirect event listed below:
4.3.1.
War,
invasion, hostile act, war
activity (whether war is
declared or not), rebellion,
civil unrests, revolution,
military or occupying force.
4.3.2.
Terrorist
acts as a result of ideology
of one or more persons
acting on behalf or in
connection with any
organisation. For the
purpose of these exclusions
“Terrorism” shall mean: the
use of force for political
causes and benefits.
4.3.3.
If any
action, process or other
ways of acting is deemed
uninsurable by SIGKOS with
this policy conditions,
responsibility lies with the
insured to prove that loss
or damage arising from such
events should be covered.
4.3.4.
Loss or
damage to property or any
loss or expense arising from
this or anyone consecutive
loss or legal liability
caused directly or
indirectly or contributed to
by ionisation , nuclear
radioactive contamination,
any nuclear remains, toxic
explosives etc.
4.3.5.
Loss or
damage to property caused by
the wave pressure of flying
objects, flying at higher
speeds than the speed of
sound.
4.3.6.
Any loss
or damage in the case of
landslip, submerging or
heaving of the groud.
4.3.7.
Any loss
or damage from confiscations
or other means of
nationalization of property
by state authorities.
4.3.8.
Any loss
or damage caused by fire as
a result of earthquake.
4.4.
General
information
4.4.1.
Basis for
sum insured. Sum insured for
the building should be based
on the cost of rebuilding
the property including the
additional buildings (see
definitions of this policy)
plus the appropriate amount
to cover the expenses of:
demolition, architect’s and
expert’s fees. The market
value is not necessarily the
appropriate index for the
rebuilding expenses. The sum
insured for the inventory on
“all risks” should be based
on the total cost of
reinstating the insured
property, not deducting
excessive use or wear and
tear with the exception of
clothes and bicycles. If the
sum insured at the moment of
loss is not appropriate,
there is the possibility of
re-estimating the claim.
4.4.2.
Uninhabited accommodations.
SIGKOS should be informed in
the case that your
house/apartment will be left
uninhabited for more than 60
consecutive days.
4.4.3.
The
clause on excluding
software. Unless it is
clearly declared and it is
written in the policy,
parties agree that this
insurance doesn’t cover
software for any kind of
amortisation.
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