| Directors and Officers Liability for Community
Associations Application.
If you are already joining our D&O Program, why not
place your crime coverage with us as well? Just answer a
few questions, decide on what limits you want and we will
provide you a quote along with your D&O proposal.
|
NOTICE:
THE POLICY FOR WHICH THIS QUESTIONNAIRE IS SUBMITTED IS WRITTEN
ON A CLAIMS MADE AND REPORTED BASIS AND COVERS ONLY CLAIMS
FIRST MADE AGAINST THE INSUREDS DURING THE POLICY PERIOD OR
EXTENDED REPORTING PERIOD, IF APPLICABLE, AND REPORTED IN
WRITING TO THE INSURER PURSUANT TO THE TERMS THEREIN. THE
LIMIT OF LIABILITY AVAILABLE TO PAY JUDGMENTS OR SETTLEMENTS
SHALL BE REDUCED AND MAY BE TOTALLY EXHAUSTED BY AMOUNTS INCURRED
AS DEFENSE COSTS.
IT IS UNDERSTOOD AND AGREED THAT THIS POLICY DOES NOT
APPLY TO ANY CLAIM BASED UPON, ARISING OUT OF, RELATING TO,
DIRECTLY OR INDIRECTLY RESULTING FROM OR IN CONSEQUENCE OF,
OR IN ANY WAY INVOLVING ANY WRONGFUL ACT OR ANY CIRCUMSTANCES
KNOWN BY THE INSURED PRIOR TO THE INITIAL COVERAGE DATE WHICH
WOULD INDICATE THE PROBABILITY OF SUCH CLAIM BEING MADE.
PLEASE OBTAIN A COPY OF THE POLICY THROUGH YOUR BROKER AND
READ IT CAREFULLY.
ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD AN
INSURANCE COMPANY OR OTHER PERSON FILES THIS QUESTIONNAIRE
CONTAINING ANY MATERIALLY FALSE INFORMATION, OR CONCEALS
FOR THE PURPOSE OF MISLEADING, INFORMATION CONCERNING ANY
FACT MATERIAL THERETO, COMMITS A FRAUDULENT INSURANCE ACT,
WHICH IS A CRIME AND WHICH MAY RESULT IN CIVIL OR CRIMINAL
FINES OR PENALTIES.
By
checking this box the sender agrees with the above notice.
Send me a copy of the
application via email.
|
