Here are the PEMCO standard policy contract and endorsement forms. You can view, print, and save these documents from here.
Please see your Declarations page (also accessible through your online account ) for additional information about your coverage and for a list of the endorsement forms that apply to you.
Auto - Washington
Policies effective 10/22/2023 or later:Policies effective 5/17/2021 to 10/21/2023:
- 14-95 05 21, Auto Policy Contract
- PAE-04 09 15, Ridesharing and Carsharing Endorsement
- 10129 09 2017 Mutual Policy Conditions
Temporary endorsement effective March 27, 2020, through March 31, 2021.
As part of our COVID-19 response, this endorsement temporarily modified the delivery exclusion found throughout your policy. There was temporary coverage for drivers who used their personal cars to deliver property for compensation (like restaurant takeout, groceries, prescriptions and packages).
Policies effective 5/25/2020 to 5/16/2021:
Policies effective 4/20/2019 to 5/24/2020:
Policies effective 5/1/2018 to 04/19/2019:
Policies effective 9/1/2017 to 4/30/2018:
Policies effective prior to 9/1/2017:
Auto - Oregon
Policies effective 11/1/2023 or later:
- 13538 09 23, Oregon Auto Policy
- PAE-01 OR 09 23, Amendatory Endorsement
- PAE-04 OR 09 17, Ridesharing and Carsharing Endorsement
Policies effective 1/16/2023 to 10/31/2023:
- 13538 11 22, Oregon Auto Policy
- PAE-01 OR 04 16, Amendatory Endorsement
- PAE-04 OR 09 17, Ridesharing and Carsharing Endorsement
Policies effective prior to 1/16/2023:
- 13538 07 11, Oregon Auto Policy
- PAE-01 OR 04 16, Amendatory Endorsement
- PAE-04 OR 09 17, Ridesharing and Carsharing Endorsement
Temporary endorsement effective March 27, 2020 through April 30, 2021.
As part of our COVID-19 response, this endorsement temporarily modified the delivery exclusion found throughout your policy. There was temporary coverage for drivers who used their personal cars to deliver property for compensation (like restaurant takeout, groceries, prescriptions and packages).
Home - Washington
Policies effective 11/13/2024 or later:
Policies effective 4/3/2024 to 11/12/2024:
Policies effective 6/2/2021 to 4/2/2024:
Policies effective 11/16/2020 to 06/01/2021:
Policies prior to 11/16/2020:
- HO9 05 01, Premier Homeowner Policy
- PM-41 09 03, Fungus and Mold Endorsement Special Limit of Liability Exclusion
- PM-49 01 15, Homeowners Amendatory Endorsement
- PM-98 01 01, No Liability Coverage for Home Day Care Business, Ltd Property Coverage
- PM 50 06 18, Actual Cash Value Endorsement (policies effective 08/17/2018 or later)
Home - Oregon
Policies effective 10/24/2022 or later:
- PM 53 12 21, Special Provisions - Declared State of Emergency
- HO0009 07 11, Premier Homeowner Policy
- PM 49 OR 10 22, Homeowners Amendatory Endorsement
- HO 05 96 05 02, No Coverage for Home Day Care Business - Oregon
- PM 24 82 07 11, Personal Injury
- PM 50 OR 06 18, Actual Cash Value Endorsement (policies effective 08/17/2018 or later)
Policies effective 5/02/2021 to 10/23/2022:
- PM 53 12 21, Special Provisions - Declared State of Emergency
- HO0009 07 11, Premier Homeowner Policy
- PM-49 OR 03 15, Homeowners Amendatory Endorsement
- HO 05 96 05 02, No Coverage for Home Day Care Business - Oregon
- PM 24 82 07 11, Personal Injury
- PM 50 OR 06 18, Actual Cash Value Endorsement (policies effective 08/17/2018 or later)
Policies prior to 5/2/2021:
Renter - Washington
- HO 0004 08 96, Homeowners Contents Broad Form
- HO 04 96 04 91, No Liability Coverage for Home Day Care Business, Ltd Property Coverage
- PM-146 01 01, Special Provisions
- PM-20 04 09, PEMCO Plus One
- PM-36 05 02, Homeowners Amendatory Endorsement
- PM-38 09 03, Fungus and Mold - Special Coverage Limit and Liability Exclusion
- PM-44 01 15, Supplemental Homeowners Amendatory Endorsement
- PM 50 06 18, Actual Cash Value Endorsement (policies effective 08/17/2018 or later)
Renter - Oregon
Policies effective 10/24/2022 or later:- HO 0004 07 11, Homeowners Contents Broad Form
- HO 05 96 05 02, No Coverage for Home Day Care Business - Oregon
- PM 36 OR 10 22, Renter Amendatory Endorsement
- PM 50 OR 06 18, Actual Cash Value Endorsement (policies effective 08/17/2018 or later)
Policies prior to 10/24/2022:
Condo - Oregon
Policies effective 10/24/2022 or later:
- HO 00 07 07 11, Premier Condominium Policy
- PM-34 OR 07 11, Unit-Owners Coverage A - Special Coverage
- PM 47 OR 10 22, Condominium Amendatory Endorsement
- HO 05 96 05 02, No Coverage for Home Day Care Business - Oregon
- PM 24 82 07 11, Personal Injury
- PM 50 OR 06 18, Actual Cash Value Endorsement (policies effective 08/17/2018 or later)
Policies prior to 10/24/2022:
- HO 00 07 07 11, Premier Condominium Policy
- PM-34 OR 07 11, Unit-Owners Coverage A - Special Coverage
- PM-47 OR 03 15, Condominium Amendatory Endorsement
- HO 05 96 05 02, No Coverage for Home Day Care Business - Oregon
- PM 24 82 07 11, Personal Injury
- PM 50 OR 06 18, Actual Cash Value Endorsement (policies effective 08/17/2018 or later)
Condo - Washington
- HO7 05 01, Premier Condominium Policy
- PM 34 04 09, Unit-Owners Coverage A - Special Coverage
- PM 40 09 03, Fungus and Mold - Special Coverage Limit and Liability Exclusion
- PM-47 01 15, Homeowners Amendatory Endorsement
- PM-98 01 01, No Liability Coverage for Home Day Care Business, Ltd Property Coverage
- PM 50 06 18, Actual Cash Value Endorsement (policies effective 08/17/2018 or later)
Dwelling property - Washington
Policies effective 11/13/2024 or later:
Policies prior to 11/13/2024:
Dwelling property - Oregon
Policies effective 10/24/2022 or later:
- 13714 10 22, Dwelling Property Policy
- PF 70 OR 10 22, Liability Coverage Endorsement
- PF 50 06 18, Actual Cash Value Endorsement (policies effective 08/17/2018 or later)
Policies prior to 10/24/2022:
Boat - Washington
Policies effective 10/23/2023 or later:
Policies effective 6/2/2021 to 10/22/2023:
Policies effective 2/1/2018 to 6/1/2021:
Policies effective prior to 2/1/2018:
Boat - Oregon
Policies effective 11/21/2023 or later:
Policies effective 10/24/2022 to 11/20/2023:
Policies effective 6/24/2021 to 10/23/2022:
Policies effective prior to 6/23/2021:
Umbrella - Washington
Policies effective 10/23/2023 or later:
Policies effective 5/23/2023 to 10/22/2023:
Policies effective prior to 5/23/2023:
Umbrella - Oregon
Policies effective 10/23/2023 or later:
Policies effective 5/23/2023 to 10/22/2023:
Policies effective 10/24/2022 - 5/22/2023:
Policies effective prior to 10/24/2022:
If you’d prefer to have paper copies of these forms mailed to you free of charge, let us know either by calling Customer Service at 1-800-467-3626 or going to the Contact Us page for more options.