LOSS CONDITIONS Clause Samples

LOSS CONDITIONS. The following conditions apply in addition to the Common Coverage Document Conditions:

LOSS CONDITIONS. Duties In The Event Of Accident, Claim Or Suit ■ In the event of “accident,” claim or “suit” that is likely to involve this Policy, the “policyholder” or the “insured” must give us or our authorized representative prompt notice of the “accident.” Include: • How, when and where the “accident” occurred; • The “insured’s” name and address; and • To the extent possible, the names and addresses of any injured persons and witnesses. Legal Action Against Us No one may bring a legal action against us under this Policy until: ■ There has been full compliance with all the terms of this Policy. Appeals If an “insured” or “underlying insurer” elects not to appeal judgments in excess of the “minimum financial re- sponsibility liability limits,” we may elect to appeal such judgments at our own expense, but in no event shall our liability for the “ultimate net loss” exceed the Limit Of Insurance plus expenses incurred in such an appeal.

LOSS CONDITIONS. The following conditions apply in addition to the Additional Conditions:

LOSS CONDITIONS. These conditions apply throughout This Policy:

LOSS CONDITIONS. 1. NOTICE OF CLAIMS: Written notice must be given to us within twenty (20) days of the accident resulting in injury to an “insured” covered by this policy. If notice cannot be given within that time, notice must be given as soon as reasonably possible but no later than one year after the accident date or the date loss commences. Notice must include the name of the “insured” and beneficiary, if any. Notice must also include the Policy Number. Notice given by or on behalf of the person insured to the Company at its administrative office, with information sufficient to identify the person insured, including a death certificate, will be deemed notice to the Company. 2. CLAIM FORMS: Upon our receipt of notice of a claim, we will send forms for filing proof of loss. If such forms are not furnished within fifteen (15) days, the claimant will meet the Proof of Loss requirements by giving us written proof of the nature and extent of the loss within the time limit stated in Section II, B. 3 of this policy. 3. PROOF OF LOSS: Written proof of loss must be furnished to us at its administrative office within ninety (90) days after the date of such loss. Failure to furnish such proof within the time required will not invalidate nor reduce any claim if it was not reasonably possible to give proof within such time, provided such proof is furnished as soon as reasonably possible and in no event, except in the absence of legal capacity, later than one year from the time proof is otherwise required. Furthermore, you must see that the following are done as often as we reasonably require: a. Provide us with records and documents we request and permit us to make copies; and b. Provide statements, submit to questions under oath, and sign and swear to them.

LOSS CONDITIONS. Duties In The Event Of Accident, Claim Or Suit Legal Action Against Us

LOSS CONDITIONS