Second Workers' Compensation Excess of Loss Reinsurance Contract
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EX-10.52 8 c22948a4exv10w52.htm SECOND WORKERS' COMPENSATION EXCESS OF LOSS REINSURANCE CONTRACT exv10w52
Exhibit 10.52
GUY CARPENTER
SECOND WORKERS COMPENSATION EXCESS OF LOSS
REINSURANCE CONTRACT
REINSURANCE CONTRACT
issued to
GUARANTEE INSURANCE COMPANY
Fort Lauderdale, Florida
including any and/or all companies that are or may hereafter become affiliated therewith
Fort Lauderdale, Florida
including any and/or all companies that are or may hereafter become affiliated therewith
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SECOND WORKERS COMPENSATION EXCESS OF LOSS REINSURANCE CONTRACT
TABLE OF CONTENTS
Article | Page | |||||
Preamble | 4 | |||||
1 | Business Covered | 4 | ||||
2 | Retention and Limit | 4 | ||||
3 | Term | 5 | ||||
4 | Special Termination | 5 | ||||
5 | Territory | 7 | ||||
6 | Exclusions | 7 | ||||
7 | Special Acceptance | 9 | ||||
8 | Premium | 9 | ||||
9 | Other Reinsurance | 10 | ||||
10 | Reinstatement | 10 | ||||
11 | Definitions | 10 | ||||
12 | Extra Contractual Obligations/Excess of Policy Limits | 13 | ||||
13 | Run-Off Reinsurers | 14 | ||||
14 | Net Retained Liability | 16 | ||||
15 | Original Conditions | 17 | ||||
16 | No Third Party Rights | 17 | ||||
17 | Notice of Loss and Loss Settlements | 17 | ||||
18 | Commutation | 18 | ||||
19 | Sunset | 19 | ||||
20 | Late Payments | 19 | ||||
21 | Offset | 20 | ||||
22 | Currency | 20 | ||||
23 | Unauthorized Reinsurance | 21 | ||||
24 | Taxes | 23 | ||||
25 | Access to Records | 23 | ||||
26 | Confidentiality | 24 | ||||
27 | Indemnification and Errors and Omissions | 25 | ||||
28 | Insolvency | 25 | ||||
29 | Arbitration | 26 | ||||
30 | Service of Suit | 28 | ||||
31 | Agency | 29 | ||||
32 | Governing Law | 29 | ||||
33 | Entire Agreement | 29 | ||||
34 | Intermediary | 29 | ||||
35 | Mode of Execution | 30 |
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SECOND WORKERS COMPENSATION EXCESS OF LOSS
REINSURANCE CONTRACT
REINSURANCE CONTRACT
TABLE OF CONTENTS
Articles | Page | |||||
(Contd) | ||||||
Company Signing Block | 30 | |||||
Attachments | ||||||
Nuclear Risk Exclusion | 31 |
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SECOND WORKERS COMPENSATION EXCESS OF LOSS
REINSURANCE CONTRACT
(the Contract)
REINSURANCE CONTRACT
(the Contract)
issued to
GUARANTEE INSURANCE COMPANY
Fort Lauderdale, Florida
including any and/or all companies that are or may hereafter become affiliated therewith
(collectively, the Company)
Fort Lauderdale, Florida
including any and/or all companies that are or may hereafter become affiliated therewith
(collectively, the Company)
by
THE SUBSCRIBING REINSURER(S) IDENTIFIED
IN THE INTERESTS AND LIABILITIES AGREEMENT(S)
ATTACHED TO AND FORMING PART OF THIS CONTRACT
(the Reinsurer)
IN THE INTERESTS AND LIABILITIES AGREEMENT(S)
ATTACHED TO AND FORMING PART OF THIS CONTRACT
(the Reinsurer)
ARTICLE 1
BUSINESS COVERED
This Contract is to indemnify the Company in respect of the liability that may accrue to the Company as a result of loss or losses under Policies classified by the Company as Workers Compensation and/or Employers Liability (including losses arising from the United States Longshore and Harbor Workers Compensation Act, Jones Act, Federal Employers Liability Act, and any other Federal Act), in force at the inception of this Contract, or written or renewed during the term of this Contract by or on behalf of the Company, subject to the terms and conditions herein contained.
ARTICLE 2
RETENTION AND LIMIT
A. | The Reinsurer shall be liable in respect of each Loss Occurrence, for the Ultimate Net Loss over and above an initial Ultimate Net Loss of $5,000,000 each Loss Occurrence, subject to a limit of liability to the Reinsurer of $5,000,000 each Loss Occurrence, and subject further to a limit of liability to the Reinsurer of $10,000,000 as respects all Loss Occurrences subject to this Contract. |
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B. | Notwithstanding the foregoing, as respects Employers Liability business, no more than $2,000,000 any one claimant, any one Loss Occurrence shall contribute to the Ultimate Net Loss. |
C. | Notwithstanding the above, the Reinsurers liability for all Loss Occurrences subject to this Contract as respects Acts of Terrorism covered hereunder shall be $5,000,000. |
D. | If one Loss Occurrence involves losses allocated to this Contract and its predecessor or successor contract, the Companys retention for the Loss Occurrence shall be proportionate, with the amount of Ultimate Net Loss to be retained by the Company for each contract being reduced to that percentage which the Companys Ultimate Net Loss attaching to each contract bears to the total of all the Companys Ultimate Net Loss in respect of the same Loss Occurrence. The limit of the Reinsurers liability shall be calculated in the same manner. |
ARTICLE 3
TERM
A. | This Contract shall take effect at 12:01 a.m., Local Standard Time at the place of the loss, July 1, 2008, applying to Loss Occurrences commencing at or after that time and date, and shall remain in effect until 12:01 a.m., Local Standard Time at the place of the loss, July 1, 2009. |
B. | The Reinsurer shall have no liability for Loss Occurrences commencing at or after expiration or termination (as provided in the Special Termination Article) of this Contract. |
C. | However, at the Companys option, the Reinsurer shall remain liable hereunder in respect of Policies in force prior to expiration or termination, until the termination, natural expiration or renewal of such Policies, whichever occurs first. In such event, the Company shall pay to the Reinsurer an additional premium equal to the rate set forth in the Rate and Premium Article, multiplied by the Gross Net Earned Premium Income during the run-off period, payable within 30 days after the end of each quarter. |
D. | In the event this Contract expires or terminates on a run-off basis, the Reinsurers liability hereunder shall continue if the Company is required by statute or regulation to continue coverage, until the earliest date on which the Company may cancel the Policy. |
ARTICLE 4
SPECIAL TERMINATION
A. | The Company may terminate a Subscribing Reinsurers percentage share in this Contract at any time by giving written notice to the Subscribing Reinsurer in the event of any of the following circumstances: |
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1. | The Subscribing Reinsurer ceases underwriting operations. | ||
2. | A state insurance department or other legal authority orders the Subscribing Reinsurer to cease writing business, or the Subscribing Reinsurer is placed under regulatory supervision. | ||
3. | The Subscribing Reinsurer has become insolvent or has been placed into liquidation or receivership (whether voluntary or involuntary), or there have been instituted against it proceedings for the appointment of a receiver, liquidator, rehabilitator, conservator, trustee in bankruptcy, or other agent known by whatever name, to take possession of its assets or control of its operations. | ||
4. | The Subscribing Reinsurers policyholders surplus (or the equivalent under the Subscribing Reinsurers accounting system) as reported in such financial statements of the Subscribing Reinsurer as designated by the Company, has been reduced by 20% of the amount thereof at any date during the prior 12-month period (including the period prior to the inception of this Contract). | ||
5. | The Subscribing Reinsurer has merged with or has become acquired or controlled by any company, corporation, or individual(s) not controlling the Subscribing Reinsurers operations at the inception of this Contract. However, at the option of the Company, this provision shall not apply if the surviving entity is rated by A.M. Best as A- or better and maintains the liability of the insurance and/or reinsurance business of the acquired entity. | ||
6. | The Subscribing Reinsurer has retroceded its entire liability under this Contract without the Companys prior written consent. | ||
7. | The Subscribing Reinsurer has been assigned an A.M. Bests rating of less than A- and/or an S&P rating of less than BBB+. However, as respects Underwriting Members of Lloyds, London, a Lloyds Market Rating of less than A- by A.M. Best and/or less than BBB+ by S&P shall apply. |
B. | Termination shall be effected on a run-off or cut-off basis as set forth in the Term Article, at the sole discretion of the Company. The reinsurance premium due the Subscribing Reinsurer hereunder (including any minimum reinsurance premium) shall be pro rated based on the period of the Subscribing Reinsurers participation hereon, and the Subscribing Reinsurer shall immediately return any excess reinsurance premium received. In the event that the Subscribing Reinsurer is terminated on a cut-off basis, the minimum reinsurance premium shall be waived. Reinstatement premium, if any, shall be calculated based on the Subscribing Reinsurers reinsurance premium earned during the period of the Subscribing Reinsurers participation hereon. |
C. | Additionally, in the event of any of the circumstances listed in paragraph A of this Article, the Company shall have the option to commute the Subscribing Reinsurers liability for |
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losses on Policies covered by this Contract. In the event the Company and the Subscribing Reinsurer cannot agree on the commutation amount, they shall appoint an actuary and/or appraiser to assess such amount and shall share equally any expense of the actuary and/or appraiser. If the Company and the Subscribing Reinsurer cannot agree on an actuary and/or appraiser, the Company and the Subscribing Reinsurer each shall nominate three individuals, of whom the other shall decline two, and the final appointment shall be made by drawing lots. Payment by the Subscribing Reinsurer of the amount of liability ascertained shall constitute a complete and final release of both parties in respect of liability arising from the Subscribing Reinsurers participation under this Contract. |
D. | The Companys option to require commutation under paragraph C above shall survive the termination or expiration of this Contract. |
ARTICLE 5
TERRITORY
The territorial limits of this Contract shall be identical with those of the Companys Policies.
ARTICLE 6
EXCLUSIONS
A. | This Contract shall not apply to and specifically excludes: |
1. | Assumed reinsurance, except 100% of business ceded by fronting insurance companies. | ||
2. | Liability of the Company arising by contract, operation of law, or otherwise, from its participation or membership, whether voluntary or involuntary, in any Insolvency Fund. Insolvency Fund includes any guaranty fund, insolvency fund, plan, pool, association, fund or other arrangement, howsoever denominated, established or governed, that provides for any assessment of or payment or assumption by the Company of part or all of any claim, debt, charge, fee, or other obligation of an insurer, or its successors or assigns, that has been declared by any competent authority to be insolvent, or that is otherwise deemed unable to meet any claim, debt, charge, fee or other obligation in whole or in part. | ||
3. | Loss or liability accruing to the Company directly or indirectly from any insurance written by or through any pool, association, or syndicate, including pools, associations, or syndicates in which membership by the Company is required under any statutes or regulations. |
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4. | Loss or damage which is occasioned by war, invasion, hostilities, acts of foreign enemies, civil war, rebellion, insurrection, military or usurped power, or martial law or confiscation by order of any government or public authority. Nevertheless, this Exclusion shall not apply to loss or damage occasioned by riots, strikes, civil commotion, vandalism, malicious damage, and Acts of Terrorism. | ||
5. | All loss or liability of the Company excluded by the Nuclear Risk Exclusion attached hereto. | ||
6. | Manufacturing, packaging, handling, shipping or storage of explosives, explosive substances intended for use as an explosive, ammunitions, fuses, arms, or fireworks; however, this exclusion shall not apply to the incidental packaging, handling or storage of same in connection with the sale or transportation by owner operators of such substances. | ||
7. | Loss arising from Professional Sports Teams. | ||
8. | Loss sustained by Commercial Airline Personnel on board the aircraft and arising while the aircraft is In Flight. The following definitions shall apply to this Exclusion: |
a. | Commercial Airline shall mean an organization in the business of transporting passengers and/or goods by aircraft; | ||
b. | Personnel shall mean employees of the Commercial Airline acting within the scope of their employment; and | ||
c. | In Flight shall mean from the time the door(s) close for departure to the time the door(s) open for arrival. |
9. | Liability arising out of, or resulting as a consequence of, insureds principally involved in the manufacture, distribution, installation, testing, remediation, removal, storage, disposal, sale, use of or exposure to asbestos. | ||
10. | Railroads, except scenic railways, and access lines and industrial aid owner operations when written as an incidental part of an insureds overall operations. | ||
11. | Chemical or petrochemical manufacturing. | ||
12. | Underground mining. | ||
13. | Loss arising from the intentional wrecking or demolition of buildings or structures in excess of three stories. | ||
14. | Losses arising from the United States Longshore and Harbor Workers Compensation Act, Jones Act, Federal Employers Liability Act, Maritime Employers Liability Act, and any other federal act if the payroll for such business is greater than 10% of the total payroll for the original insureds total operations including such business. |
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15. | As respects Acts of Terrorism, losses directly or indirectly caused by, contributed to by, resulting from, or arising out of or in connection with biological, chemical, or nuclear or radiation pollution or contamination. | ||
This exclusion shall not be construed to apply to loss or damage occasioned by riots, strikes, civil commotion, vandalism or malicious damage as those terms have been interpreted by United States courts to apply to insurance policies. | |||
16. | Financial Guaranty. |
B. | If the Company becomes involved in a risk excluded by the foregoing either by an existing insured extending its operations or if the Company inadvertently issues a Policy falling within the scope of one or more of the preceding exclusions, such Policy shall be covered hereunder, provided that the Company issues, or causes to be issued, the required notice of cancellation within 30 days after a member of the executive or managerial staff at the Companys home office having underwriting authority in the class of business involved becomes aware that the Policy applies to excluded classes, unless the Company is prevented from canceling said Policy within such period by applicable statute or regulation, in which case such Policy shall be covered hereunder until the earliest date on which the Company may cancel. |
ARTICLE 7
SPECIAL ACCEPTANCE
Business that is not within the scope of this Contract may be submitted to the Reinsurer for special acceptance hereunder, and such business, if accepted by the Reinsurer shall be covered hereunder, subject to the terms and conditions of this Contract, except as modified by the special acceptance. The Reinsurer shall be deemed to have accepted a risk, if it has not responded within five days after receiving the underwriting information on such risk. Any renewal of a special acceptance agreed to for a predecessor contract to this Contract shall automatically be covered hereunder.
ARTICLE 8
PREMIUM
A. | The Company shall pay the Reinsurer a deposit premium of $1,271,220 for the term of this Contract, to be paid in the amount of $317,805 on July 1 and October 1, 2008, and January 1 and April 1, 2009. |
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B. | Within 45 days following the expiration of this Contract, the Company shall furnish to the Reinsurer a statement of the Gross Net Earned Premium Income for the term of this Contract and calculate a premium at a rate of 1.05%, multiplied by the Companys Gross Net Earned Premium Income. Should the premium so calculated exceed the deposit premium paid in accordance with paragraph A of this Article, the Company shall immediately pay the Reinsurer the difference. Should the premium so calculated be less than the deposit premium paid in accordance with paragraph A of this Article, the Reinsurer shall immediately pay the Company the difference, subject to a minimum premium for the term of this Contract of $1,016,980. |
C. | The Company shall furnish the Reinsurer with such information as may be required by the Reinsurer for completion of its NAIC annual statements. |
ARTICLE 9
OTHER REINSURANCE
The Company is permitted to have other treaty reinsurance, recoveries under which shall inure solely to the benefit of the Company and shall be entirely disregarded in applying all of the provisions of this Contract.
ARTICLE 10
REINSTATEMENT
A. | Loss payments under this Contract shall reduce the limit of coverage afforded by the amounts paid, but the limit of coverage shall be reinstated from the time of the occurrence of the loss, and for each amount so reinstated, the Company agrees to pay an additional premium calculated at pro rata of 100% of the Reinsurers premium for the term of this Contract, being pro rata only as to the fraction of the Reinsurers limit of liability hereunder (i.e., the fraction of $5,000,000) so reinstated. Nevertheless, the Reinsurers liability hereunder shall not exceed the limits as provided in the Retention and Limit Article. |
B. | If at the time of a loss settlement hereon the reinsurance premium, as calculated in accordance with the Premium Article, is unknown, the above calculation of reinstatement premium shall be based upon the deposit premium, subject to adjustment when the reinsurance premium is finally established. |
ARTICLE 11
DEFINITIONS
A. | 1. | Ultimate Net Loss means the actual loss paid by the Company or which the Company becomes liable to pay, including structured settlements with claimants or |
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outside insurers, such loss to include Loss Adjustment Expense, Extra Contractual Obligations and Loss in Excess of Policy Limits as defined in the Extra Contractual Obligations/Excess of Policy Limits Article. | |||
2. | Salvages and all recoveries (including amounts due under all reinsurances that inure to the benefit of this Contract, whether recovered or not), shall be first deducted from such loss to arrive at the amount of liability attaching hereunder. | ||
3. | All salvages, recoveries or payments recovered or received subsequent to loss settlement hereunder shall be applied as if recovered or received prior to the aforesaid settlement, and all necessary adjustments shall be made by the parties hereto. | ||
4. | Ultimate Net Loss shall not be reduced by the amount of any deductibles, whether or not recovered by the Company. Deductibles shall mean any insurance plan, however denominated, where the insured participates in, and is responsible for, reimbursing the Company for losses up to a specified limit. | ||
5. | The Company shall be deemed to be liable to pay a loss when a judgment has been rendered that the Company does not plan to appeal, and/or the Company has obtained a release, and/or the Company has accepted a proof of loss. | ||
6. | Nothing in this clause shall be construed to mean that losses are not recoverable hereunder until the Companys Ultimate Net Loss has been ascertained. |
B. | Loss Occurrence means each and every disaster, casualty, accident, or loss or series of disasters, casualties, accidents or losses arising out of one event. The Company shall be the sole judge of what constitutes one event. |
1. | As respects a Loss Occurrence involving Occupational Disease or Other Disease or Cumulative Trauma, the following shall apply: |
a. | Per Event Coverage. As respects losses arising from Occupational Disease or Other Disease, regardless of the specific kind or class, suffered by employees of one or more employers, all such losses sustained by the Company from one event not exceeding 72 hours in duration shall, together with losses not classified as Occupational Disease or Other Disease, be deemed to be a single Loss Occurrence. |
b. | Per Employee Coverage. As respects losses arising from Occupational Disease or Other Disease or Cumulative Trauma suffered by a single employee, and not covered under subparagraph (a) above, subject loss shall also be limited to events not exceeding 72 hours in duration. |
2. | As respects natural disasters, the term Loss Occurrence shall mean any one or more occurrence, disaster or casualty arising out of or caused by the perils described below (a natural Act of God) during any continuous period of 168 hours. |
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a. | As regards the perils of tornado, cyclone, windstorm, hurricane and/or hail, Loss Occurrence shall mean all losses occasioned by tornadoes, cyclones, windstorm, hurricanes or hailstorms occurring during any continuous period of 168 hours, and arising from the same atmospheric disturbance. | ||
b. | As regards the peril of earthquake, Loss Occurrence shall mean all losses occasioned by earthquakes, including ensuing fire, flood or tidal wave occurring during any continuous period of 168 hours. | ||
c. | As regards the following perils, Loss Occurrence shall mean all losses occasioned by the following perils during any continuous period of 168 hours. |
i. | Volcanic eruption, | ||
ii. | Flood, tides, tidal wave, | ||
iii. | Landslide/mudslide, | ||
iv. | Meteors. |
With respect to natural disasters as defined above, the Company may choose the date and time when any such period of consecutive hours commences and if any Loss Occurrence is of greater duration than the above period(s), the Company may divide that Loss Occurrence into two or more Loss Occurrences, provided no two periods overlap and provided no period commences earlier than the date and time of the happening of the first recorded individual loss to the Company in that Loss Occurrence. |
C. | Gross Net Earned Premium Income means gross earned manual premium adjusted for experience and schedule credit/debit modifications, State/NCCI safety credit and other allowable credits, premium discount, deductible credits, expense constants and Policy fees, less returns and cancellations and less the earned portion of premiums ceded by the Company for reinsurance that inures to the benefit of this Contract, if any. |
D. | Loss Adjustment Expense means costs and expenses incurred by the Company in connection with the investigation, appraisal, adjustment, settlement, litigation, defense or appeal of a specific claim or loss, or alleged loss, including but not limited to: |
1. | court costs; | ||
2. | costs of supersedeas and appeal bonds; | ||
3. | monitoring counsel expenses; | ||
4. | legal expenses and costs incurred in connection with coverage questions and legal actions connected thereto, including but not limited to declaratory judgment actions; |
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5. | post-judgment interest; | ||
6. | pre-judgment interest, unless included as part of an award or judgment; | ||
7. | salary charges for staff adjusters, fieldsmen or other employees while actually engaged in the settlements of the losses; and | ||
8. | subrogation, salvage and recovery expenses. |
Loss Adjustment Expense does not include salaries and expenses of the Companys employees, except salaries as provided in subparagraph (7) above, and office and other overhead expenses. |
E. | Policy(ies) means any binder, policy, or contract of insurance or reinsurance issued, accepted or held covered provisionally or otherwise, by or on behalf of the Company. |
F. | Occupational Disease, Other Disease and Cumulative Trauma shall be defined by the applicable state or federal statutes, regulations, or case law having jurisdiction over such losses. |
G. | 1. | An Act of Terrorism as used in this Contract shall be as defined in Section 102 of the Terrorism Risk Insurance Act of 2002, as amended (TRIA), except as hereinafter provided. | |
2. | Act of Terrorism in respect of losses not covered by TRIA shall be defined as in the Companys original Policies or, if not defined therein, shall mean: the use of force or violence and/or the threat thereof committed for political, religious, or ideological purposes and with the intention to influence any government and/or to put the public, or any section of the public, in fear. | ||
3. | This Contract also covers loss, damage, cost, or expense directly or indirectly caused by, contributed by, resulting from, or arising out of or in connection with any action in controlling, preventing, suppressing, retaliating against, or responding to any Act of Terrorism set forth above. |
ARTICLE 12
EXTRA CONTRACTUAL OBLIGATIONS/EXCESS OF POLICY LIMITS
A. | This Contract shall cover 90% of any Extra Contractual Obligations, as provided in the definition of Ultimate Net Loss. Extra Contractual Obligations shall be defined as those liabilities not covered under any other provision of this Contract and that arise from the handling of any claim on business covered hereunder, such liabilities arising because of, but not limited to, the following: failure by the Company to settle within the Policy limit, or by reason of alleged or actual negligence, fraud or bad faith in rejecting an offer of |
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settlement or in the preparation of the defense or in the trial of any action against its insured or reinsured or in the preparation or prosecution of an appeal consequent upon such action. |
B. | This Contract shall cover 90% of any Loss in Excess of Policy Limits, as provided in the definition of Ultimate Net Loss. Loss in Excess of Policy Limits shall be defined as Loss in excess of the Policy limit, having been incurred because of, but not limited to, failure by the Company to settle within the Policy limit or by reason of alleged or actual negligence, fraud or bad faith in rejecting an offer of settlement or in the preparation of the defense or in the trial of any action against its insured or reinsured or in the preparation or prosecution of an appeal consequent upon such action. |
C. | An Extra Contractual Obligation and/or Loss in Excess of Policy Limits shall be deemed to have occurred on the same date as the loss covered under the Companys Policy, and shall constitute part of the original loss. |
D. | For the purposes of the Loss in Excess of Policy Limits coverage hereunder, the word Loss means any amounts for which the Company would have been contractually liable to pay had it not been for the limit of the original Policy. |
E. | Loss Adjustment Expense in respect of Extra Contractual Obligations and/or Loss in Excess of Policy Limits shall be covered hereunder in the same manner as other Loss Adjustment Expense. |
F. | However, this Article shall not apply where the loss has been incurred due to final legal adjudication of fraud of a member of the Board of Directors or a corporate officer of the Company acting individually or collectively or in collusion with any individual or corporation or any other organization or party involved in the presentation, defense or settlement of any claim covered hereunder. |
G. | In no event shall coverage be provided to the extent not permitted under law. |
ARTICLE 13
RUN-OFF REINSURERS
A. | Run-off Reinsurer means any Subscribing Reinsurer that: |
1. | has been ordered by a state insurance department or other legal authority to cease writing business, or has been placed under regulatory supervision or in rehabilitation; or | ||
2. | has ceased reinsurance underwriting operations; or | ||
3. | has transferred its claims-paying authority to an unaffiliated entity; or |
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4. | in any other way has assigned its interests or delegated its obligations under this Contract to an unaffiliated entity. |
Notwithstanding the foregoing, the provisions of subparagraphs (3) and (4) above shall not apply to or be enforceable against Lloyds Syndicates to the extent those Syndicates are subject to and/or are required to comply with the Lloyds 2006 Claims Scheme. |
B. | Notwithstanding any other provision of this Contract, in the event that a Subscribing Reinsurer becomes a Run-off Reinsurer at any time, the Company may elect, by giving written notice to the Run-off Reinsurer at any time thereafter, that all or any of the following shall apply to the Run-off Reinsurers participation hereunder: |
1. | If the Run-off Reinsurer does not pay a claim or raise a query concerning the claim within 30 days of billing, it shall be estopped from denying such claim and must pay immediately. | ||
2. | If payment of any claim has been received from Subscribing Reinsurers constituting at least 70% of the interests and liabilities of all Subscribing Reinsurers that participated on this Contract and are active as of the due date; it being understood that said date shall not be later than 90 days from the date of transmittal by the Intermediary of the initial billing for each such payment, the Run-off Reinsurer shall be estopped from denying such claim and must pay within 10 days following transmittal to the Run-off Reinsurer of written notification of such payments. In no event shall the provisions of this subparagraph apply to payments due from Subscribing Reinsurers who are active as of the due date of the claim. For purposes of this subparagraph, a Subscribing Reinsurer shall be deemed to be active if it is not a Run-off Reinsurer. | ||
3. | Should the Run-off Reinsurer refuse to pay claims as required by the subparagraphs 1 and/or 2 above, the interest penalty specified in the Late Payments Article shall be increased by 0.5% for each 30 days that a payment is past due, subject to a maximum increase of 7.0%. | ||
4. | The Run-off Reinsurers liability for losses for Policies covered by this Contract shall be commuted. In the event the Company and the Run-off Reinsurer cannot agree on the commutation amount, they shall appoint an actuary and/or appraiser to assess such amount and shall share equally any expense of the actuary and/or appraiser. If the Company and the Run-off Reinsurer cannot agree on an actuary and/or appraiser, the Company and the Run-off Reinsurer each shall nominate three individuals, of whom the other shall decline two, and the final appointment shall be made by drawing lots. Payment by the Run-off Reinsurer of the amount of liability ascertained shall constitute a complete and final release of both parties under this Contract. | ||
5. | The Run-off Reinsurer shall have no right of access to the Records of the Company if the Run-off Reinsurer has denied payment of any claim hereunder or there is a |
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pending arbitration between the Company and the Run-off Reinsurer regarding any claim hereunder. A reservation of rights shall be considered a denial of a claim. | |||
6. | In the event that either party demands arbitration of a dispute between the Company and the Run-off Reinsurer, and the amount in dispute is less than $100,000, unless the arbitration notice includes a demand for rescission of this Contract, notwithstanding the terms of the Arbitration Article, the dispute shall be resolved by a sole arbitrator and the following procedures shall apply: |
a. | The sole arbitrator shall be chosen by mutual agreement of the parties within 15 business days after the demand for arbitration. If the parties have not chosen an arbitrator within the 15 business days after the receipt of the arbitration notice, the arbitrator shall be chosen in accordance with the Neutral Arbitrator Selection Procedure modified for a single arbitrator, established by the AIDA Reinsurance and Insurance Arbitration Society U.S. (ARIAS) and in force on the date the arbitration is demanded. The nominated arbitrator must be available to read any written submissions and hear testimony within 60 calendar days of being chosen. | ||
b. | Within 10 business days after the arbitrator has been appointed, the parties shall be notified of deadlines for the submission of briefs and documentary evidence, as determined by the arbitrator. There shall be no discovery or hearing unless the parties agree to engage in limited discovery and/or a hearing. Also, the arbitrator can determine, without the consent of the parties, that a limited hearing is necessary. | ||
c. | The arbitrator shall render a decision no later than 10 business days from the later of the date on which the briefs are submitted or the close of the hearing, if any. The decision of the arbitrator shall be in writing and shall be final and binding. |
C. | The Companys waiver of any rights provided in this Article is not a waiver of that right or other rights at a later date. |
ARTICLE 14
NET RETAINED LIABILITY
A. | This Contract applies only to that portion of any loss that the Company and/or its agents retains net for its own account (prior to deduction of any reinsurance that inures solely to the benefit of the Company). |
B. | The amount of the Reinsurers liability hereunder in respect of any loss or losses shall not be increased by reason of the inability of the Company to collect from any other reinsurer(s), whether specific or general, any amounts that may have become due from such |
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reinsurer(s), whether such inability arises from the insolvency of such other reinsurer(s) or otherwise. |
ARTICLE 15
ORIGINAL CONDITIONS
All reinsurance under this Contract shall be subject to the same terms, conditions, waivers and interpretations, and to the same modifications and alterations as the respective Policies of the Company. However, in no event shall this be construed in any way to provide coverage outside the terms and conditions set forth in this Contract.
ARTICLE 16
NO THIRD PARTY RIGHTS
This Contract is solely between the Company and the Reinsurer, and in no instance shall any insured, claimant or other third party have any rights under this Contract except as may be expressly provided otherwise herein.
ARTICLE 17
NOTICE OF LOSS AND LOSS SETTLEMENTS
A. | The Company shall advise the Reinsurer promptly of all losses that, in the opinion of the Company, may result in a claim hereunder and of all subsequent developments thereto that may materially affect the position of the Reinsurer. |
B. | The Company alone and at its full discretion shall adjust, settle or compromise all claims and losses. |
C. | As respects losses subject to this Contract, all loss settlements made by the Company, whether under strict Policy terms or by way of compromise, and any Extra Contractual Obligations and/or Loss in Excess of Policy Limits, shall be binding upon the Reinsurer, and the Reinsurer agrees to pay or allow, as the case may be, its share of each such settlement immediately upon receipt of proof of loss. |
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ARTICLE 18
COMMUTATION
A. | This Article will only take effect should the parties hereto mutually agree to commute one or any number of the Workers Compensation losses under this Contract. There will be no obligation on the part of either party to so commute. |
B. | Should the Company become liable for any loss hereunder, and be required to make periodic payments to or otherwise set up on its books reserves for such loss, at any time after seven years following the date of such loss and upon mutual agreement of the Company and the Reinsurer, said loss (including Loss Adjustment Expenses) may be commuted. If the value of said loss, including amounts falling to the share of the Reinsurer, cannot be agreed upon by the parties to this Contract, said value may be determined by employing one of the following: |
1. | A present value calculation based on the following criteria: |
a. | In respect of all unindexed benefits, the present value calculation shall be determined based upon an annual discount equal to the five-year U.S. Treasury note rate at the time of commutation. | ||
b. | In respect of all future medical costs, the present value calculation shall be based upon the Companys evaluation of long term medical care and rehabilitation requirements, using an annual discount equal to the five-year U.S. Treasury note rate at the time of commutation, and an annual escalation equal to the Medical Care Consumer Price Index (CPI-MC) at the time of commutation. | ||
c. | Where applicable, impaired life expectancy, survivors life expectancy, as well as remarriage probability shall be reflected in the calculation by employing tables required by statute. |
2. | The Company may determine the present value by purchasing (or obtaining a quotation for) an annuity from any A. M. Bests Class VIII IIA+II rated or better annuity writer, with an AAA rating by Standard & Poors. |
C. | The Reinsurers proportion of the amount determined will be considered its total liability for such loss and the lump sum payment thereof shall constitute a complete release of both parties from liability hereunder for the commuted losses. |
D. | This Article shall survive the expiration or termination of this Contract. |
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ARTICLE 19
SUNSET
Notwithstanding the provisions of paragraph C of the Indemnification and Errors and Omissions Article, coverage hereunder shall apply only to Loss Occurrences notified by the Company to the Reinsurer within 84 months from the effective date of this Contract.
ARTICLE 20
LATE PAYMENTS
A. | In the event any payment due either party is not received by the Intermediary by the payment due date, the party to whom payment is due may, by notifying the Intermediary in writing, require the debtor party to pay, and the debtor party agrees to pay, an interest penalty on the amount past due calculated for each such payment on the last business day of each month as follows: |
1. | The number of full days that have expired since the overdue date or the last monthly calculation, whichever the lesser; times | ||
2. | l/365th of the sum of the six-month United States Treasury Bill rate as quoted in The Wall Street Journal on the first business day of the month for which the calculation is made, plus 1%; times | ||
3. | The amount past due, including accrued interest. |
Interest shall accumulate until payment of the original amount due plus interest penalties has been received by the Intermediary. |
B. | The due date shall, for purposes of this Article, be determined as follows. |
1. | Payments from the Reinsurer to the Company shall be due on the date on which the demand for payment (including delivery of bordereaux or quarterly or monthly reports) is received by the Reinsurer, and shall be overdue 30 days thereafter. | ||
2. | Payments from the Company to the Reinsurer shall be due on the dates specified within this Contract. Payments shall be overdue 30 days thereafter except for the first installment of premium, if applicable, which shall be overdue 60 days from inception or 30 days from final line-signing, whichever the later. Reinstatement premium, if applicable, shall have as a due date the date when the Company receives payment for the claim giving rise to such reinstatement premium, and payment shall be overdue 30 days thereafter. In the event a due date is not specifically stated for a given payment, the overdue date shall be 30 days following the date of billing. |
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C. | If the information contained in the Companys demand for payment is insufficient or not in accordance with the conditions of this Contract, then within 30 days the Reinsurer shall request from the Company all additional information necessary to validate its claim and the payment due date as defined in paragraph B shall be deemed to be the date upon which the Reinsurer received the requested additional information. This paragraph is only for the purpose of establishing when a payment is overdue, and shall not alter the provisions of the Notice of Loss and Loss Settlements Article or other pertinent contractual stipulations. |
D. | Should the Reinsurer dispute a claim presented by the Company and the timeframes set out in paragraph B be exceeded, interest as stipulated in paragraph A shall be payable for the entire overdue period, but only for the amount of the final settlement with the Reinsurer. |
E. | In the event arbitration is necessary to settle a dispute, the panel shall have the authority to make a determination awarding interest to the prevailing party. Interest, if any, awarded by the panel shall supersede the interest amounts outlined herein. |
F. | Any interest owed pursuant to this Article may be waived by the party to which it is owed. Waiver of such interest, however, shall not affect the waiving partys rights to other interest amounts due as a result of this Article. |
G. | For purposes of this Article, reinsuring Underwriting Members of Lloyds, London, shall be considered to be one entity. |
ARTICLE 21
OFFSET
All amounts due either the Company or the Reinsurer, whether by reason of reinsurance premium, Ultimate Net Loss, or any other amount due under this Contract shall be subject to the right of recoupment and offset and upon the exercise of the same, only the net balance shall be due. All claims for amounts of reinsurance premium, Ultimate Net Loss, or any other amount due under this Contract, whether or not fixed in amount at the time of the insolvency of any party to this Contract, arising from coverage placed in effect under this Contract prior to the insolvency of any party to this Contract shall be deemed pre-liquidation debts and subject to this Article. In the event of insolvency of the Company, offset shall be in accordance with applicable law.
ARTICLE 22
CURRENCY
A. | Where the word Dollars and/or the sign $ appear in this Contract, they shall mean United States Dollars. |
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B. | For purposes of this Contract, where the Company receives premiums or pays losses in currencies other than United States Dollars, such premiums or losses shall be converted into United States Dollars at the actual rates of exchange at the time of receipt or payment by the Company. |
ARTICLE 23
UNAUTHORIZED REINSURANCE
A. | This Article applies only to a Subscribing Reinsurer who does not qualify for full credit with any insurance regulatory authority having jurisdiction over the Companys reserves. |
B. | The Company agrees, in respect of its Policies or bonds falling within the scope of this Contract, that when it files with its insurance regulatory authority, or sets up on its books liabilities as required by law, it shall forward to the Reinsurer a statement showing the proportion of such liabilities applicable to the Reinsurer. The Reinsurers Obligations shall be defined as follows: |
1. | unearned premium (if applicable); | ||
2. | known outstanding losses that have been reported to the Reinsurer and Loss Adjustment Expense relating thereto; | ||
3. | losses and Loss Adjustment Expense paid by the Company but not recovered from the Reinsurer; | ||
4. | losses incurred but not reported and Loss Adjustment Expense relating thereto. |
C. | The Reinsurers Obligations shall be funded by funds withheld, cash advances, Trust Agreement or a Letter of Credit (LOC). The Reinsurer shall have the option of determining the method of funding provided it is acceptable to the insurance regulatory authorities having jurisdiction over the Companys reserves. |
D. | When funding by an LOC, the Reinsurer agrees to apply for and secure timely delivery to the Company of a clean, irrevocable and unconditional LOC issued by a bank and containing provisions acceptable to the insurance regulatory authorities having jurisdiction over the Companys reserves in an amount equal to the Reinsurers Obligations. Such LOC shall be issued for a period of not less than one year, and shall be automatically extended for one year from its date of expiration or any future expiration date unless 30 days (or such other time period as may be required by insurance regulatory authorities), prior to any expiration date the issuing bank shall notify the Company by certified or registered mail that the issuing bank elects not to consider the LOC extended for any additional period. |
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E. | The Reinsurer and the Company agree that any funding provided by the Reinsurer pursuant to the provisions of this Contract may be drawn upon at any time, notwithstanding any other provision of this Contract, and be utilized by the Company or any successor, by operation of law, of the Company including, without limitation, any liquidator, rehabilitator, receiver or conservator of the Company, for the following purposes, unless otherwise provided for in a separate Trust Agreement: |
1. | to reimburse the Company for the Reinsurers Obligations, the payment of which is due under the terms of this Contract and that has not been otherwise paid; | ||
2. | to make refund of any sum that is in excess of the actual amount required to pay the Reinsurers Obligations under this Contract (or in excess of 102% of the Reinsurers Obligations, if funding is provided by a Trust Agreement); | ||
3. | to fund an account with the Company for the Reinsurers Obligations. Such cash deposit shall be held in an interest bearing account separate from the Companys other assets, and interest thereon not in excess of the prime rate shall accrue to the benefit of the Reinsurer. Any taxes payable on accrued interest shall be paid out of the assets in the account that are in excess of the Reinsurers Obligations (or in excess of 102% of the Reinsurers Obligations, if funding is provided by a Trust Agreement). If the assets are inadequate to pay taxes, any taxes due shall be paid by the Reinsurer; | ||
4. | to pay the Reinsurers share of any other amounts the Company claims are due under this Contract. |
F. | If the amount drawn by the Company is in excess of the actual amount required for E(1) or E(3), or in the case of E(4), the actual amount determined to be due, the Company shall promptly return to the Reinsurer the excess amount so drawn. All of the foregoing shall be applied without diminution because of insolvency on the part of the Company or the Reinsurer. |
G. | The issuing bank shall have no responsibility whatsoever in connection with the propriety of withdrawals made by the Company or the disposition of funds withdrawn, except to ensure that withdrawals are made only upon the order of properly authorized representatives of the Company. |
H. | At annual intervals, or more frequently at the discretion of the Company, but never more frequently than quarterly, the Company shall prepare a specific statement of the Reinsurers Obligations for the sole purpose of amending the LOC or other method of funding, in the following manner: |
1. | If the statement shows that the Reinsurers Obligations exceed the balance of the LOC as of the statement date, the Reinsurer shall, within 30 days after receipt of the statement, secure delivery to the Company of an amendment to the LOC increasing the amount of credit by the amount of such difference. Should another method of |
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funding be used, the Reinsurer shall, within the time period outlined above, increase such funding by the amount of such difference. | |||
2. | If, however, the statement shows that the Reinsurers Obligations are less than the balance of the LOC (or that 102% of the Reinsurers Obligations are less than the trust account balance if funding is provided by a Trust Agreement), as of the statement date, the Company shall, within 30 days after receipt of written request from the Reinsurer, release such excess credit by agreeing to secure an amendment to the LOC reducing the amount of credit available by the amount of such excess credit. Should another method of funding be used, the Company shall, within the time period outlined above, decrease such funding by the amount of such excess. |
ARTICLE 24
TAXES
A. | In consideration of the terms under which this Contract is issued, the Company undertakes not to claim any deduction of the premium hereon when making Canadian tax returns or when making tax returns, other than Income or Profits Tax returns, to any state or territory of the United States of America or to the District of Columbia. |
B. | 1. | Each Subscribing Reinsurer has agreed to allow, for the purpose of paying the Federal Excise Tax, the applicable percentage of the premium payable hereon (as imposed under the Internal Revenue Code) to the extent such premium is subject to Federal Excise Tax. | |
2. | In the event of any return of premium becoming due hereunder, the Subscribing Reinsurer shall deduct the applicable percentage of the premium from the amount of the return, and the Company or its agent should take steps to recover the Tax from the U.S. Government. |
ARTICLE 25
ACCESS TO RECORDS
The Reinsurer or its duly authorized representatives shall have the right to visit the offices of the Company to inspect, examine, audit, and verify any of the Policy, accounting or claim files (Records) relating to business reinsured under this Contract during regular business hours after giving five working days prior notice. This right shall be exercisable during the term of this Contract or after the expiration of this Contract. Notwithstanding the above, the Reinsurer shall not have any right of access to the Records of the Company if it is not current in all undisputed payments due the Company.
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ARTICLE 26
CONFIDENTIALITY
A. | The Reinsurer hereby acknowledges that the documents, information and data provided to it by the Company, whether directly or through an authorized agent, in connection with the placement and execution of this Contract (Confidential Information) are proprietary and confidential to the Company. Confidential Information shall not include documents, information or data that the Reinsurer can show: |
1. | are publicly known or have become publicly known through no unauthorized act of the Reinsurer; | ||
2. | have been rightfully received from a third person without obligation of confidentiality; or | ||
3. | were known by the Reinsurer prior to the placement of this Contract without an obligation of confidentiality. |
B. | Absent the written consent of the Company, the Reinsurer shall not disclose any Confidential Information to any third parties, including any affiliated companies, except: |
1. | when required by retrocessionaires subject to the business ceded to this Contract; | ||
2. | when required by regulators performing an audit of the Reinsurers records and/or financial condition; or | ||
3. | when required by external auditors performing an audit of the Reinsurers records in the normal course of business. |
Further, the Reinsurer agrees not to use any Confidential Information for any purpose not related to the performance of its obligations or enforcement of its rights under this Contract. | ||
C. | Notwithstanding the above, in the event that the Reinsurer is required by court order, other legal process or any regulatory authority to release or disclose any or all of the Confidential Information, the Reinsurer agrees to provide the Company with written notice of same at least 10 days prior to such release or disclosure and to use its best efforts to assist the Company in maintaining the confidentiality provided for in this Article. |
D. | The provisions of this Article shall extend to the officers, directors and employees of the Reinsurer and its affiliates, and shall be binding upon their successors and assigns. |
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ARTICLE 27
INDEMNIFICATION AND ERRORS AND OMISSIONS
A. | The Reinsurer is reinsuring, to the amount herein provided, the obligations of the Company under any original insurance or reinsurance. The Company shall be the sole judge as to: |
1. | what shall constitute a claim or loss covered under any original insurance or reinsurance written by the Company; | ||
2. | the Companys liability thereunder; | ||
3. | the amount or amounts that it shall be proper for the Company to pay thereunder. |
B. | The Reinsurer shall be bound by the judgment of the Company as to the obligation(s) and liability(ies) of the Company under any original insurance or reinsurance. |
C. | Except for the conditions as provided for in the Sunset Article of this Contract, any inadvertent error, omission or delay in complying with the terms and conditions of this Contract shall not be held to relieve either party hereto from any liability that would attach to it hereunder if such error, omission or delay had not been made, provided such error, omission or delay is rectified immediately upon discovery. |
ARTICLE 28
INSOLVENCY
A. | If more than one reinsured company is referenced within the definition of Company in the Preamble to this Contract, this Article will apply severally to each such company. Further, this Article and the laws of the domiciliary state will apply in the event of the insolvency of any company covered hereunder. In the event of a conflict between any provision of this Article and the laws of the domiciliary state of any company covered hereunder, that domiciliary states laws will prevail. |
B. | In the event of the insolvency of the Company, this reinsurance (or the portion of any risk or obligation assumed by the Reinsurer, if required by applicable law) shall be payable directly to the Company, or to its liquidator, receiver, conservator or statutory successor, either: (1) on the basis of the liability of the Company, or (2) on the basis of claims filed and allowed in the liquidation proceeding, whichever may be required by applicable statute, without diminution because of the insolvency of the Company or because the liquidator, receiver, conservator or statutory successor of the Company has failed to pay all or a portion of any claim. It is agreed, however, that the liquidator, receiver, conservator or statutory successor of the Company shall give written notice to the Reinsurer of the pendency of a claim against the Company indicating the Policy or bond reinsured, which claim would involve a possible liability on the part of the Reinsurer within a reasonable |
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time after such claim is filed in the conservation or liquidation proceeding or in the receivership, and that during the pendency of such claim, the Reinsurer may investigate such claim and interpose, at its own expense, in the proceeding where such claim is to be adjudicated any defense or defenses that it may deem available to the Company or its liquidator, receiver, conservator or statutory successor. The expense thus incurred by the Reinsurer shall be chargeable, subject to the approval of the court, against the Company as part of the expense of conservation or liquidation to the extent of a pro rata share of the benefit that may accrue to the Company solely as a result of the defense undertaken by the Reinsurer. |
C. | Where two or more reinsurers are involved in the same claim and a majority in interest elect to interpose defense to such claim, the expense shall be apportioned in accordance with the terms of this reinsurance Contract as though such expense had been incurred by the Company. |
D. | As to all reinsurance made, ceded, renewed or otherwise becoming effective under this Contract, the reinsurance shall be payable as set forth above by the Reinsurer to the Company or to its liquidator, receiver, conservator or statutory successor, (except as provided by Section 4118(a)(1)(A) of the New York Insurance Law, provided the conditions of 1114(c) of such law have been met, if New York law applies) or except (1) where the Contract specifically provides another payee in the event of the insolvency of the Company, or (2) where the Reinsurer, with the consent of the direct insured or insureds, has assumed such Policy obligations of the Company as direct obligations of the Reinsurer to the payees under such Policies and in substitution for the obligations of the Company to such payees. Then, and in that event only, the Company, with the prior approval of the certificate of assumption on New York risks by the Superintendent of Insurance of the State of New York, or with the prior approval of such other regulatory authority as may be applicable, is entirely released from its obligation and the Reinsurer shall pay any loss directly to payees under such Policy. |
ARTICLE 29
ARBITRATION
A. | Any dispute arising out of the interpretation, performance or breach of this Contract, including the formation or validity thereof, shall be submitted for decision to a panel of three arbitrators. Notice requesting arbitration will be in writing and sent certified registered mail, return receipt requested. |
B. | One arbitrator shall be chosen by each party and the two arbitrators shall, before instituting the hearing, choose an impartial third arbitrator who shall preside at the hearing. If either party fails to appoint its arbitrator within 30 days after being requested to do so by the other party, the latter, after 10 days notice by certified or registered mail of its intention to do so, may appoint the second arbitrator. |
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C. | If the two arbitrators are unable to agree upon the third arbitrator within 30 days of their appointment, the third arbitrator shall be selected by the American Arbitration Association. |
D. | All arbitrators shall be disinterested active or former executives of insurance or reinsurance companies or Underwriters at Lloyds, London, with expertise or experience in the area being arbitrated. If a member of the panel dies, becomes disabled or is otherwise unwilling or unable to serve, a substitute shall be selected in the same manner as the departing member was chosen and the arbitration shall continue. |
E. | Within 45 days after notice of appointment of all arbitrators, the panel shall meet and determine timely periods for briefs, discovery procedures and schedules for hearings. |
F. | The panel shall be relieved of all judicial formality and shall not be bound by the strict rules of procedure and evidence. Notwithstanding anything to the contrary in this Contract, the arbitrators may at their discretion, consider underwriting and placement information provided by the Company to the Reinsurer, as well as any correspondence exchanged by the parties that is related to this Contract. Unless the panel agrees otherwise, arbitration shall take place in Fort Lauderdale, Florida, but the venue may be changed when deemed by the panel to be in the best interest of the arbitration proceeding. The decision of any two arbitrators when rendered in writing shall be final and binding. The panel is empowered to grant interim relief, as it may deem appropriate. |
G. | The panel shall make its decision considering the custom and practice of the applicable insurance and reinsurance business within 60 days following the termination of the hearings. Judgment upon the award may be entered in any court having jurisdiction thereof. |
H. | At the Companys sole option, if more than one Subscribing Reinsurer is involved in arbitration where there are common questions of law or fact and a possibility of conflicting awards or inconsistent results, all such Subscribing Reinsurers shall constitute and act as one party for purposes of this Article and communications shall be made by the Company to each of the Subscribing Reinsurers constituting the one party; provided, however, that nothing herein shall impair the rights of such Subscribing Reinsurers to assert several, rather than joint defenses or claims, nor be construed as changing the liability of the Subscribing Reinsurers under the terms of this Contract from several to joint (if applicable). |
I. | If more than one of the Subscribing Reinsurers are involved in an arbitration as respondent, the time for the appointment of their party-appointed arbitrator shall be extended to 60 days. This provision shall not change the liability of each of the Subscribing Reinsurers under the terms of this Contract from several to joint. |
J. | Each party shall bear the expense of its own arbitrator and shall jointly and equally bear with the other party the cost of the third arbitrator. The remaining costs of the arbitration shall be allocated by the panel. The panel may, at its discretion, award such further costs |
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and expenses as it considers appropriate, including but not limited to attorneys fees, to the extent permitted by law. |
ARTICLE 30
SERVICE OF SUIT
A. | This Article applies only to those Subscribing Reinsurers not domiciled in the United States of America, and/or not authorized in any state, territory and/or district of the United States of America where authorization is required by insurance regulatory authorities. |
B. | This Article shall not be read to conflict with or override the obligations of the parties to arbitrate their disputes as provided for in the Arbitration Article. This Article is intended as an aid to compelling arbitration or enforcing such arbitration or arbitral award, not as an alternative to the Arbitration Article for resolving disputes arising out of this Contract. |
C. | In the event of the failure of the Reinsurer to pay any amount claimed to be due hereunder, the Reinsurer, at the request of the Company, shall submit to the jurisdiction of a court of competent jurisdiction within the United States. Nothing in this Article constitutes or should be understood to constitute a waiver of the Reinsurers rights to commence an action in any court of competent jurisdiction in the United States, to remove an action to a United States District Court, or to seek a transfer of a case to another court as permitted by the laws of the United States or of any state in the United States. The Reinsurer, once the appropriate court is selected, whether such court is the one originally chosen by the Company and accepted by Reinsurer or is determined by removal, transfer, or otherwise, as provided for above, shall comply with all requirements necessary to give said court jurisdiction and, in any suit instituted against the Reinsurer upon this Contract, shall abide by the final decision of such court or of any appellate court in the event of an appeal. |
D. | Service of process in such suit may be made upon Messrs. Mendes and Mount, 750 Seventh Avenue, New York, New York 10019-6829, or another party specifically designated in the applicable Interests and Liabilities Agreement attached hereto. The above-named are authorized and directed to accept service of process on behalf of the Reinsurer in any such suit. |
E. | Further, pursuant to any statute of any state, territory or district of the United States that makes provision therefor, the Reinsurer hereby designates the Superintendent, Commissioner or Director of Insurance, or other officer specified for that purpose in the statute, or his successor or successors in office, as its true and lawful attorney upon whom may be served any lawful process in any action, suit or proceeding instituted by or on behalf of the Company or any beneficiary hereunder arising out of this Contract, and hereby designates the above-named as the person to whom the said officer is authorized to mail such process or a true copy thereof. |
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ARTICLE 31
AGENCY
For purposes of sending and receiving notices and payments required by this Contract, Guarantee Insurance Company shall be deemed the agent of all other reinsured Companies referenced in this Contract. In no event, however, shall any reinsured Company be deemed the agent of another with respect to the terms of the Insolvency Article.
ARTICLE 32
GOVERNING LAW
This Contract shall be governed as to performance, administration and interpretation by the laws of the State of Florida, exclusive of conflict of law rules. However, with respect to credit for reinsurance, the rules of all applicable states shall apply.
ARTICLE 33
ENTIRE AGREEMENT
This Contract sets forth all of the duties and obligations between the Company and the Reinsurer and supersedes any and all prior or contemporaneous written agreements with respect to matters referred to in this Contract. The Contract may not be modified or changed except by an amendment to this Contract in writing signed by both parties.
ARTICLE 34
INTERMEDIARY
Guy Carpenter & Company, LLC, is hereby recognized as the Intermediary negotiating this Contract for all business hereunder. All communications (including notices, statements, premiums, return premiums, commissions, taxes, losses, Loss Adjustment Expense, salvages, and loss settlements) relating thereto shall be transmitted to the Company or the Reinsurer through Guy Carpenter & Company, LLC, 3600 Minnesota Drive, Suite 400, Edina, Minnesota 55435. Payments by the Company to the Intermediary shall be deemed payment to the Reinsurer. Payments by the Reinsurer to the Intermediary shall be deemed payment to the Company only to the extent that such payments are actually received by the Company.
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ARTICLE 35
MODE OF EXECUTION
A. | This Contract may be executed by: |
1. | an original written ink signature of paper documents; | ||
2. | an exchange of facsimile copies showing the original written ink signature of paper documents; | ||
3. | electronic signature technology employing computer software and a digital signature or digitizer pen pad to capture a persons handwritten signature in such a manner that the signature is unique to the person signing, is under the sole control of the person signing, is capable of verification to authenticate the signature and is linked to the document signed in such a manner that if the data is changed, such signature is invalidated. |
B. | The use of any one or a combination of these methods of execution shall constitute a legally binding and valid signing of this Contract. This Contract may be executed in one or more counterparts, each of which, when duly executed, shall be deemed an original. |
IN WITNESS WHEREOF, the Company has caused this Contract to be executed by its duly authorized representative(s) this 12 day of Aug, in the year of 2008.
Signed in Fort Lauderdale, Florida
ATTEST | GUARANTEE INSURANCE COMPANY | |||||
/s/ Simone O. Resende | By: | /s/ [ILLEGIBLE] | ||||
Broward County, Florida | ||||||
Title: | CUO | |||||
Reference: | ||||||
SECOND WORKERS COMPENSATION EXCESS OF LOSS
REINSURANCE CONTRACT
REINSURANCE CONTRACT
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GUY CARPENTER
NUCLEAR RISK EXCLUSION
This Agreement does not apply to Ultimate Net Loss arising from, whether directly or indirectly, whether proximate or remote:
a) | Any Nuclear Facility, Nuclear Hazard or Nuclear Reactor; | ||
b) | Any Nuclear Material, Radioactive Material, Nuclear Reaction, Nuclear Radiation or radioactive contamination, all whether controlled or uncontrolled; or | ||
c) | Any Nuclear Material, Radioactive Material, Nuclear Reaction, Nuclear Radiation or radioactive contamination, all whether controlled or uncontrolled, caused directly or indirectly by, contributed to or aggravated by an Event; | ||
d) | Any Spent Fuel or Waste; | ||
e) | Any Fissionable Substance; or | ||
f) | Any nuclear device or bomb. | ||
As used in this Exclusion: |
Fissionable Substance means;
any prescribe substance that is, or from which can be obtained, a substance capable of releasing atomic energy by nuclear fission. |
Nuclear Facility means;
any Nuclear Reactor, | |||
any apparatus designed or used to sustain nuclear fission in a self-supporting chain reaction or to contain a critical mass of plutonium, thorium and uranium or any one or more of them; | |||
any equipment or device designed or used for (i) separating the isotopes of plutonium, thorium and uranium or any one or more of them, (ii) processing or utilizing spent fuel, or (iii) handling, processing or packaging Waste; | |||
any equipment or device used for the processing, fabricating or alloying of Special Nuclear Material if at any time the total amount of such material in the custody of the insured at the premises where such equipment or device is located consists of or contains more than 25 grams of plutonium or uranium 233 or any combination thereof, or more than 250 grams of uranium 235, |
Effective July 1, 2008 | DOC. July 25, 2008 | |
2175-10-0004 |
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GUY CARPENTER
any equipment or device used for the processing, fabricating or alloying of plutonium, thorium or uranium enriched in the isotope uranium 233 or in the isotope uranium 235, or any one or more of them if at any time the total amount of such material in the custody of the Insured at the premised where such equipment or device is located consists of or contains more than 25 grams of plutonium or uranium 233 or any combination thereof, or more than 250 grams of uranium 235; | |||
any structure, basin, excavation, premises or place prepared or used for the storage or disposal of Waste or Radioactive Material, and includes the site on which any of the foregoing is located, all operations conducts on such site and all premises used for such operations; |
Nuclear Hazard means: the radioactive, toxic, explosive or other hazardous properties of Radioactive Material or Nuclear Material.
Nuclear Material means Source Material, Special Nuclear Material or Byproduct Material.
Nuclear Reactor means any apparatus designed or used to sustain nuclear fission in a self-supporting chain reaction or to contain a critical mass of fissionable material.
Radioactive Material means uranium, thorium, plutonium, neptunium, their respective derivatives and compounds, radioactive isotopes of other elements and any other substances that the Atomic Energy Control Board may, by regulation designate as being prescribed substances capable of releasing atomic energy, or as being requisite for the production, use or application of atomic energy.
Source Material, Special Nuclear Material, and Byproduct Material have the meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof.
Spent Fuel means any fuel element or fuel component, solid or liquid, which has been sued or exposed to radiation in the Nuclear Reactor.
Waste means any waste material (i) containing Byproduct Material and (ii) resulting from the operation by any person or organization of any Nuclear Facility.
Effective July 1, 2008 | DOC July 25, 2008 | |
2175-10-0004 |
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GUY CARPENTER
INTERESTS AND LIABILITIES AGREEMENT
(the Agreement)
(the Agreement)
of
MAX BERMUDA LTD.
(the Subscribing Reinsurer)
(the Subscribing Reinsurer)
as respects the
SECOND WORKERS COMPENSATION EXCESS OF LOSS
REINSURANCE CONTRACT
Effective: July 1, 2008
(the Contract)
REINSURANCE CONTRACT
Effective: July 1, 2008
(the Contract)
issued to and executed by
GUARANTEE INSURANCE COMPANY
Fort Lauderdale, Florida
including any and/or all companies that are or may hereafter become affiliated therewith
(collectively, the Company)
Fort Lauderdale, Florida
including any and/or all companies that are or may hereafter become affiliated therewith
(collectively, the Company)
The Subscribing Reinsurers share in the interests and liabilities of the Reinsurer as set forth in the Contract shall be 50.00%.
The share of the Subscribing Reinsurer in the interests and liabilities of the Reinsurer in respect of the Contract shall be separate and apart from the shares of other subscribing reinsurers, if any, on the Contract. The interests and liabilities of the Subscribing Reinsurer shall not be joint with those of such other subscribing reinsurers and in no event shall the Subscribing Reinsurer participate in the interests and liabilities of such other subscribing reinsurers.
This Agreement shall become effective at 12:01 a.m., Local Standard Time at the place of the loss, July 1, 2008 and shall be subject to the provisions of the Term Article and the Special Termination Article and all other terms and conditions of the Contract.
Premium and loss payments made to Guy Carpenter shall be deposited in a Premium and Loss Account in accordance with Section 32.3(a)(1) of Regulation 98 of the New York Insurance Department. The Subscribing Reinsurer consents to withdrawals from said account in accordance with Section 32.3(a)(3) of the Regulation, including interest and Federal Excise Tax.
Brokerage for Guy Carpenter (US) hereunder is 10.00% of gross ceded premium.
The brokerage rate on reinstatement premium shall be 50.00% of the above rate.
Effective July 1, 2008 | DOC: July 25, 2008 | |
2175-10-0004 |
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GUY CARPENTER
IN WITNESS WHEREOF, the Subscribing Reinsurer has caused this Agreement to be executed by its duly authorized representative as follows:
on this 30th day of July, in the year 2008.
MAX BERMUDA LTD.
/s/ [ILLEGIBLE] | /s/ [ILLEGIBLE] | |
Market Reference Number: 21604
GUARANTEE INSURANCE COMPANY
including any and/or all companies that are or may hereafter become affiliated therewith
including any and/or all companies that are or may hereafter become affiliated therewith
SECOND WORKERS COMPENSATION EXCESS OF LOSS
REINSURANCE CONTRACT
REINSURANCE CONTRACT
Effective July 1, 2008 | DOC July 25, 2008 | |
2175-10-0004 |
2 of 2
GUY CARPENTER
INTERESTS AND LIABILITIES AGREEMENT
(the Agreement)
(the Agreement)
of
CERTAIN INSURANCE COMPANIES ON WHOSE BEHALF THIS AGREEMENT
HAS BEEN SIGNED
(AS PER SCHEDULE ATTACHED HERETO)
(the Subscribing Reinsurer)
HAS BEEN SIGNED
(AS PER SCHEDULE ATTACHED HERETO)
(the Subscribing Reinsurer)
as respects the
SECOND WORKERS COMPENSATION EXCESS OF LOSS
REINSURANCE CONTRACT
Effective: July 1, 2008
(the Contract)
REINSURANCE CONTRACT
Effective: July 1, 2008
(the Contract)
issued to and executed by
GUARANTEE INSURANCE COMPANY
Fort Lauderdale, Florida
including any and/or all companies that are or may hereafter become affiliated therewith
(collectively, the Company)
Fort Lauderdale, Florida
including any and/or all companies that are or may hereafter become affiliated therewith
(collectively, the Company)
The Subscribing Reinsurers share in the interests and liabilities of the Reinsurer as set forth in the Contract shall be 25.00%.
The share of the Subscribing Reinsurer in the interests and liabilities of the Reinsurer in respect of the Contract shall be separate and apart from the shares of other subscribing reinsurers, if any, on the Contract. The interests and liabilities of the Subscribing Reinsurer shall not be joint with those of such other subscribing reinsurers and in no event shall the Subscribing Reinsurer participate in the interests and liabilities of such other subscribing reinsurers.
This Agreement shall become effective at 12:01 a.m.. Local Standard Time at the place of the loss, July 1, 2008 and shall be subject to the provisions of the Term Article and the Special Termination Article and all other terms and conditions of the Contract.
Premium and loss payments made to Guy Carpenter shall be deposited in a Premium and Loss Account in accordance with Section 32.3(a)(1) of Regulation 98 of the New York Insurance Department. The Subscribing Reinsurer consents to withdrawals from said account in accordance with Section 32.3(a)(3) of the Regulation, including interest and Federal Excise Tax.
Effective: July 1, 2008 | DOC: July 25, 2008 | |
2175-10-0004 (London) |
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GUY CARPENTER
Brokerage for this Contract is 15.00% of gross ceded premium, of which 10.00% is for Guy Carpenter (US) and 5.00% is for Guy Carpenter & Company Limited, as London correspondent broker.
No brokerage will be paid on reinstatement premium.
IN WITNESS WHEREOF, the Subscribing Reinsurer has caused this Agreement to be executed by its duly authorized representative as follows:
on this 7th day of August, in the years 2008.
CERTAIN INSURANCE COMPANIES ON WHOSE BEHALF THIS AGREEMENT
HAS BEEN SIGNED
(AS PER SCHEDULE ATTACHED HERETO)
HAS BEEN SIGNED
(AS PER SCHEDULE ATTACHED HERETO)
GUARANTEE INSURANCE COMPANY
including any and/or all companies that are or may hereafter become affiliated therewith
including any and/or all companies that are or may hereafter become affiliated therewith
SECOND WORKERS COMPENSATION EXCESS OF LOSS
REINSURANCE CONTRACT
REINSURANCE CONTRACT
Effective: July 1, 2008 | DOC: July 25, 2008 | |
2175-10-0004 (London) |
2 of 2
BUREAU REFERENCE | 0807240003663 | |||
PROPORTION | CODE | MEMBER COMPANY AND REFERENCE | ||
% | ||||
25.0000000 | A8408 | ASPEN INSURANCE UK LIMITED | ||
U07433508A0Q | ||||
25.0000000 % | TOTAL |
Page 1
1S37-010103
Companies Treaty Attestation Clause
We the Reinsurers hereby severally agree to reinsure the Reinsured in the manner and proportions set forth in this reinsurance contract.
The subscribing Reinsures obligations under this contract are several and not joint and are limited solely to the extent of their individual signed subscriptions. The subscribing Reinsurers are not responsible for the subscription of any co-subscribing Reinsurer who for any reason does not satisfy all or part of its obligations.
In witness whereof the name of the Managing Director of ins-sure Services Limited is subscribed on behalf of each of the Reinsurers in accordance with the provisions of the Services Agreement that each of the Reinsurers has with London Processing Centre Limited (a wholly owned subsidiary or ins-sure Services Limited)
/s/ [ILLEGIBLE] Managing Director
This wording is not valid unless it bears the signature of the Managing Director of Ins-sure Services Limited
This wording is not valid unless it bears the signature of the Managing Director of Ins-sure Services Limited
If this policy (or any subsequent endorsement) has been produced to you in electronic form, the original document is stored on the Insurers Market Repository to which your broker has access.
GUY CARPENTER
INTERESTS AND LIABILITIES AGREEMENT
(the Agreement)
(the Agreement)
of
CERTAIN UNDERWRITING MEMBERS OF LLOYDS, LONDON, ON WHOSE
BEHALF THIS AGREEMENT HAS BEEN SIGNED.
(AS PER SCHEDULE ATTACHED HERETO)
(the Subscribing Reinsurer)
BEHALF THIS AGREEMENT HAS BEEN SIGNED.
(AS PER SCHEDULE ATTACHED HERETO)
(the Subscribing Reinsurer)
as respects the
SECOND WORKERS COMPENSATION EXCESS OF LOSS
REINSURANCE CONTRACT
Effective: July 1, 2008
(the Contract)
REINSURANCE CONTRACT
Effective: July 1, 2008
(the Contract)
issued to and executed by
GUARANTEE INSURANCE COMPANY
Fort Lauderdale, Florida
including any and/or all companies that are or may hereafter become affiliated therewith
(collectively, the Company)
Fort Lauderdale, Florida
including any and/or all companies that are or may hereafter become affiliated therewith
(collectively, the Company)
The Subscribing Reinsurers share in the interests and liabilities of the Reinsurer as set forth in the Contract shall be 25.00%.
The share of the Subscribing Reinsurer in the interests and liabilities of the Reinsurer in respect of the Contract shall be separate and apart from the shares of other subscribing reinsurers, if any, on the Contract. The interests and liabilities of the Subscribing Reinsurer shall not be joint with those of such other subscribing reinsurers and in no event shall the Subscribing Reinsurer participate in the interests and liabilities of such other subscribing reinsurers.
This Agreement shall become effective at 12:01 a.m., Local Standard Time at the place of the loss, July 1, 2008 and shall be subject to the provisions of the Term Article and the Special Termination Article and all other terms and conditions of the Contract.
Premium and loss payments made to Guy Carpenter shall be deposited in a Premium and Loss Account in accordance with Section 32.3(a)(l) of Regulation 98 of the New York Insurance Department. The Subscribing Reinsurer consents to withdrawals from said account in accordance with Section 32.3(a)(3) of the Regulation, including interest and Federal Excise Tax.
Effective: July 1, 2008 | DOC: July 25, 2008 | |
2175-10-0004 (London) |
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GUY CARPENTER
Brokerage for this Contract is 15.00% of gross ceded premium, of which 10.00% is for Guy Carpenter (US) and 5.00% is for Guy Carpenter & Company Limited, as London correspondent broker.
No brokerage will be paid on reinstatement premium.
IN WITNESS WHEREOF, the Subscribing Reinsurer has caused this Agreement to be executed by its duly authorized representative as follows.
on this 11th day of August, in the year 2008.
CERTAIN UNDERWRITING MEMBERS OF LLOYDS, LONDON, ON WHOSE
BEHALF THIS AGREEMENT HAS BEEN SIGNED.
(AS PER SCHEDULE ATTACHED HERETO)
BEHALF THIS AGREEMENT HAS BEEN SIGNED.
(AS PER SCHEDULE ATTACHED HERETO)
GUARANTEE INSURANCE COMPANY
including any and/or all companies that are or may hereafter become affiliated therewith
including any and/or all companies that are or may hereafter become affiliated therewith
SECOND WORKERS COMPENSATION EXCESS OF LOSS
REINSURANCE CONTRACT
REINSURANCE CONTRACT
Effective: July 1, 2008 | DOC: July 25, 2008 | |
2175-10-0004 (London) |
2 of 2
Now Know [ILLEGIBLE] that We the Underwriters, Members of the Syndicates whose definitive numbers in the after-mentioned List of Underwriting Members of Lloyds are set out in the attached Table, hereby bind ourselves each for his own part and not one for another, our Executors and Administrators, and in respect of his due proportion only, to pay or make good to the Assured or to the Assureds Executors or Administrators or to indemnify him or them against all such loss, damage or liability as herein provided, such payment to be made after such loss, damage or liability is proved and the due proportion for which each of us, the Underwriters, is liable shall be ascertained by reference to his share, as shown in the said List, of the Amount, Percentage or Proportion of the total sum insured [ILLEGIBLE]
BUREAU REFERENCE 61899 25/07/08 | BROKER NUMBER 0775 |
PROPORTION | SYNDICATE | UNDERWRITERS | ||
% | REFERENCE | |||
10.7144 | 4472 | 1149080108FL | ||
7.1428 | 2987 | BA442508A000 | ||
7.1428 | 1955 | 0009380108 | ||
TOTAL LINE | No. OF SYNDICATES | |||
25.0000 | 3 |
THE LIST OF UNDERWRITING MEMBERS
OF LLOYDS IS IN RESPECT OF 2008
YEAR OF ACCOUNT
OF LLOYDS IS IN RESPECT OF 2008
YEAR OF ACCOUNT
BUREAU USE ONLY
USE3 45 9414
USE3 45 9414
Page 1 of 1
Now Know Ye that We the Underwriters, Members of the Syndicates whose definitive numbers in the after-mentioned List of Underwriting Members of Lloyds are set out in the attached Table, hereby bind ourselves each for his own part and not one for another, our Executors and Administrators, and in respect of his due proportion only, to pay or make good to the Assured or to the Assureds Executors or Administrators or to indemnify him or them against all such loss, damage or liability as herein provided, such payment to be made after such loss, damage or liability is proved and the due proportion for which each of us, the Underwriters, is liable shall be ascertained by reference to his share, as shown in the said List, of the Amount, Percentage or Proportion of the total sum insured [ILLEGIBLE] which is in the Table set opposite the definitive number of the Syndicate of which such Underwriter is a Member AND FURTHER THAT the List of Underwriting Members of Lloyds referred to above shows their respective Syndicates and Shares therein, is deemed to be incorporated in and to form part of [ILLEGIBLE] bears the number specified in the attached Table and is available for inspection at Lloyds Policy Signing Office by the Assured or his or their [ILLEGIBLE] and a true copy of the material parts of the said List certified by the General Manager of Lloyds Policy Signing Office will be furnished to the [ILLEGIBLE] on application.
In Witness whereof the General Manager of Lloyds Policy Signing Office has subscribed his name on behalf of each of us.
LLOYDS POLICY SIGNING OFFICE, | ||
/s/ [ILLEGIBLE] | ||
Definite Numbers of Syndicates and Amount, Percentage or Proportion of the Total Sum insured hereunder shared between the Members of those Syndicates. | General Manager | |