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1. Contact Broker or Agent
2. Decide whether to use an Independent Adjuster* or file direct with company.
3. Follow steps indicated on policy requirements.


WHAT MUST BE DONE IN CASE OF LOSS RELATED TO FIRE AND/OR PROPERTY LOSS

 

1.       Notice - You must promptly notify us or our agent (in writing, if requested). You must notify the police if the loss is a result of a violation of a law.

 

2.       Protect Property - You must take all reasonable steps to protect the covered property from further damage.

 

3.       Right of Recovery - We are not liable for a loss if you do anything after the loss occurs to impair our right to recover, except for waivers permitted in the Other Property Coverage Conditions.

 

If we make a payment under this coverage, we may require that you assign to us your right of recovery against any person for the loss to the extent of the payment for the loss. You must do everything necessary to make this assignment and secure our rights.

 

4.       Proof of Loss - You must send us a statement of loss (under oath, if requested) within 60 days after the loss. This must include the following information:

 

a.        the time, place and circumstances of the loss;

b.       other policies of insurance that may cover the loss;

c.        your interest and the interests of all others in the property involved, including all mortgages and liens;

d.       changes in title or occupancy of the property covered during the Policy Period;

e.       detailed estimates for repair or replacement of covered property;

f.         available plans and specifications of buildings or structures;

g.        detailed estimates of any covered loss of income and expenses; and

h.       if requested, an inventory of damaged covered personal property showing in detail the quantity, description, cost and amount of the loss. You must attach to the inventory copies of all bills' receipts and related documents that substantiate the inventory.

 

5.       Examination - Any insured must submit to examination under oath in matters connected with the loss as often as we reasonably request and give us sworn statements of the answers. If more than one person is examined, we have the right to examine and receive statements separately and not in the presence of the others.

 

6.       Records - You must produce records, including tax returns and bank microfilms of all cancelled checks, relating to value, loss and expense and permit copies and extracts to be made of them as often as we reasonably request.

 

7.        Damaged Property - You must exhibit the damaged property as often as we reasonably request.

 

8.       Volunteer Payments - You must not, except at your own expense, voluntarily make any payments, assume any obligations, pay or offer any rewards, or incur any other expenses except as respects protecting property from further damage.

 

9.     Abandonment of Property - We do not have to accept any abandonment of property.

WHAT YOU MUST DO IN CASE OF LOSS RELATED TO TRIP & FALL, FOOD POISONING, AND ANY INJURIES

1.       Notice

a.       In case of an occurrence or if you become aware of anything that indicates there might be a claim under this policy, you must give us or our agent notice (in writing if requested) as soon as practicable

b.      The notice to us must state:

1)your name, policy number and the time, place and circumstance of the occurrence and

2)names and addresses of any potential claimants and witnesses.

2.       Cooperation-You must cooperate with us in performing all acts required by this policy.

3.       Volunteer Payments-You must not, except at your own cost, voluntarily make any payments, assume any obligations, or incur any other expenses except first aid to others at the time of bodily injury.

4.       Additional Duties Bodily Injury and/or Property Damage Coverages- In the event of an occurrence which might result in a claim for bodily injury and/or property damage liability under this policy, you must also do the following:

a.       promptly forward to us copies of all notices, demands, or legal papers received in connection with the occurrence and

b.      at our request assist in

1)making settlements;

2)the conduct of suits including attending trials and hearings;

3)enforcing any right of contribution or indemnification against any party who may be liable to any insured for the injury or damage;

4)securing and giving evidence; and

5)obtaining the attendance of witnesses

5.       Medical Reports: Proof and Payment of Claim.

As soon as practicable, the injured person or someone on his/her behalf shall give to us written proof of claim, under oath if required, and shall, after each request from us, execute authorization to enable us to obtain medical reports and copies of records. The injured person shall submit to physical examination by physicians selected by us when and as often as we may reasonably require. We may pay the injured person or any person or organization rendering the services and the payment shall reduce the amount payable for such injury. Payment shall not constitute an admission of liability by any person or by us.

* See Q & A
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