INSURANCE BROKERS PROFESSIONAL INDEMNITY INSURANCE. Precision Insurance Brokers Wording 01/14
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- Tyrone Potter
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1 INSURANCE BROKERS PROFESSIONAL INDEMNITY INSURANCE
2 (Re)insurer s liability several not joint The liability of a (re)insurer under this contract is several and not joint with other (re)insurers party to this contract. A (re)insurer is liable only for the proportion of liability it has underwritten. A (re)insurer is not jointly liable for the proportion of liability underwritten by any other (re)insurer. Nor is a (re)insurer otherwise responsible for any liability of any other (re)insurer that may underwrite this contract. The proportion of liability under this contract underwritten by a (re)insurer (or, in the case of a Lloyd s syndicate, the total of the proportions underwritten by all the members of the syndicate taken together) is shown next to its stamp. This is subject always to the provision concerning signing below. In the case of a Lloyd s syndicate, each member of the syndicate (rather than the syndicate itself) is a (re)insurer. Each member has underwritten a proportion of the total shown for the syndicate (that total itself being the total of the proportions underwritten by all the members of the syndicate taken together). The liability of each member of the syndicate is several and not joint with other members. A member is liable only for that member s proportion. A member is not jointly liable for any other member s proportion. Nor is any member otherwise responsible for any liability of any other (re)insurer that may underwrite this contract. The business address of each member is Lloyd s, One Lime Street, London EC3M 7HA. The identity of each member of a Lloyd s syndicate and their respective proportion may be obtained by writing to Market Services, Lloyd s, at the above address. Proportion of liability Unless there is signing (see below), the proportion of liability under this contract underwritten by each (re)insurer (or, in the case of a Lloyd s syndicate, the total of the proportions underwritten by all the members of the syndicate taken together) is shown next to its stamp and is referred to as its written line. Where this contract permits, written lines, or certain written lines, may be adjusted ( signed ). In that case a schedule is to be appended to this contract to show the definitive proportion of liability under this contract underwritten by each (re)insurer (or, in the case of a Lloyd s syndicate, the total of the proportions underwritten by all the members of the syndicate taken together). A definitive proportion (or, in the case of a Lloyd s syndicate, the total of the proportions underwritten by all the members of a Lloyd s syndicate taken together) is referred to as a signed line. The signed lines shown in the schedule will prevail over the written lines unless a proven error in calculation has occurred. Although reference is made at various points in this clause to this contract in the singular, where the circumstances so require this should be read as a reference to contracts in the plural. LMA3333
3 Important Information Please find attached your Professional Indemnity Insurance Policy Please read carefully and contact us immediately should you have any questions. This policy is issued by Precision Underwriting (UK) Limited on behalf of various syndicates at Lloyd s. The Policy; Schedule and Endorsements shall be read as one contract and any word or expression to which a specific meaning has been attached in any part of the Policy, Schedule and Endorsements shall bear the same meaning wherever it may appear.
4 Contents Definitions 1 1. Insuring Clauses Civil Liability Fraud and Dishonesty 5 2. Mergers and Acquisitions Mergers and Acquisitions 6 3. Limit and Retention Limit of Liability Other Insurance / Indemnification Retention 7 4. Dishonest or Fraudulent Acts Dishonest or Fraudulent Acts 8 5. Extensions Court Attendance Joint Ventures Lost Documents Ombudsman Awards Specialist Consultants Appointed Representatives Financial Conduct Authority Investigation Costs Exclusions Bodily Injury/Property Damage Conduct Contractual Liability Directors and Officers Liability Employers Liability Employment Practice Violation Fee Arrangement Infrastructure Insolvency Investment Advice Pollution Prior Acts Prior Claims/Circumstances Trade Debts Underwriting Agency U.S.A./Canada War/Terrorism 13
5 7. Conditions Notices Notification Your Duties Retroactive Date Legal Proceedings Defence and Settlement Subrogation Combined Single Limit Discharge of Liability Disclaiming Liability Disputes Law and Jurisdiction Contracts (Rights of Third Parties) Act Non-Disclosure Fraudulent Claims Allocation Related Claims Innocent Insured Assignment Cancellation Change of Control Policy Administration Plurals, Headings and Titles Minimum Approved Wording Sanctions Complaints Procedure Compensation Premium Payment 21
6 Definitions Appointed Representative The term Appointed Representative means a person who, in accordance with section 39 of FSMA is a party to a contract with a person authorised in accordance with section 31 of FSMA which permits or requires him to carry on Professional Services, and who complies with such requirements as may be prescribed, and for whose Professional Services You have accepted responsibility in writing. Bodily Injury The term Bodily Injury means physical injury, sickness, disease or death of a natural person; and if arising out of the foregoing, nervous shock, emotional distress, mental anguish or mental injury. Claim The term Claim means any: a. written demand for compensation in respect of a Wrongful Act of Yours; or b. civil, regulatory or administrative proceedings whereby a Wrongful Act of Yours is alleged. Damages The term Damages means any amount that You shall be legally liable to pay to a ThirdParty in respect of judgments or arbitral awards rendered against You, or for settlements negotiated by Us with Your consent. Defence Costs The term Defence Costs means reasonable fees, costs and expenses incurred by or on Your behalf, with Our prior written consent, in the investigation, defence, adjustment, settlement or appeal of any Claim. It shall not include any element of Your own time costs or lost profits incurred in dealing with a Claim. Documents The term Documents means all documents of any nature whatsoever including computer records and electronic or digitised data; but does not include any currency, negotiable instruments or records thereof. Employee The term Employee means any natural person who is, has been or during the Period of Insurance becomes expressly engaged under a contract of employment with You. Employee shall not include any principal, partner, director or Member of Yours in their capacity as such. Fraud/Dishonesty The term Fraud/Dishonesty means fraudulent or dishonest conduct: a. not condoned, expressly or implicitly by any principal, partner, director or Member of Yours; and b. that results in Your liability to any Third Party. FSMA The term FSMA means the Financial Services and Markets Act 2000 and any reenactment thereof. Insured Person The term Insured Person means: a. any natural person, who is or has been a principal, partner, director or Member of Yours in their capacity as such; b. any Employee; c. any natural person employed by You to whom the Financial Conduct Authority has given its approval to perform Controlled Function 30 for You pursuant to Section 59 of the FSMA or any reenactment thereof. Page 1 of 21
7 d. any spouse, civil partner, estate or legal representative of any Insured Person for Loss arising from a Claim for a Wrongful Act of such an Insured Person listed in a., b. or c. above; e. the administrator, heirs, legal representatives or executor of a deceased, incompetent, insolvent or bankrupt Insured Person s estate for Loss arising from a Claim for a Wrongful Act of such Insured Person listed in a., b. or c. above. Investigation The term Investigation means any external formal or official investigation, examination or proceedings made during the Period of Insurance by the Financial Conduct Authority pursuant to the provisions of the FSMA or any amendment or re-enactment thereof. Limit of Liability The term Limit of Liability means the amount specified as such in the Schedule. Limited Liability Partnership The term Limited Liability Partnership means a partnership as determined by the Limited Liability Partnerships Act 2000 and any subsequent amendments thereto. Loss The term Loss means Damages or Defence Costs, however Loss shall not include and this Insurance shall not cover any: a. taxes; b. non-compensatory damages, including punitive, multiple, exemplary or liquidated damages; c. fines or penalties unless insurable by law; d. the costs and expenses of complying with any order for, grant of or agreement to provide injunctive or other non-monetary relief; f. fees or commissions, for any Professional Services rendered or required to be rendered by You or that portion of any settlement or award in an amount equal to such fees, commissions, or other compensation; or g. any matters which may be deemed uninsurable under the law governing this Insurance or the jurisdiction in which a Claim is brought. Member The term Member means a member of a Limited Liability Partnership. Period of Insurance The term Period of Insurance means the period specified as such in the Schedule. Pollutants The term Pollutants means any solid, liquid, gaseous, biological, radiological or thermal irritant, toxic or hazardous substance, or contaminant, including but not limited to, asbestos, lead, smoke, vapour, dust, fibres, mould, spores, fungi, germs, soot, fumes, acids, alkalis, chemicals and waste. Such waste includes, but is not limited to, materials to be recycled, reconditioned or reclaimed and nuclear materials. Professional Services The term Professional Services means introducing, proposing or carrying out other work preparatory to the conclusion of contracts of insurance, or of concluding such contracts, or of assisting in the administration and performance of such contracts, in particular in the event of a Claim. Property Damage The term Property Damage means damage to or loss of or destruction of tangible property or loss of use thereof. e. benefits or overheads of, or charges or expenses incurred by You including but not limited to the cost of Your time; Page 2 of 21
8 Related Claim The term Related Claim means any Claims alleging, arising out of, based upon or attributable to the same facts or alleged facts, or circumstances or the same Wrongful Act, or a continuous repeated or related Wrongful Act. Retention The term Retention means the amount specified as such in the Schedule. Retroactive Date The term Retroactive Date means the date, if any, specified as such in the Schedule. Schedule The term Schedule means the Schedule attached to this Insurance. Settlement Value The term Settlement Value means in respect of any Claim covered under this Insurance: a. the full amount claimed; or b. any settlement offer from the claimant(s) which is capable of acceptance. Where the claimant(s) costs, if applicable, are not quantified by the claimant, We will also pay a reasonable sum to You to represent these costs. Submission The term Submission means: a. each and every signed proposal form, the statements, warranties, and representations therein, its attachments; b. the financial statements of Yours; and c. other documents of Yours filed with a regulator and all other material information; submitted to Us in connection with this Insurance. Subsidiary The term Subsidiary means any entity in which You, either directly or indirectly through one or more entities: a. controls the composition of the board of directors; b. controls more than half of the voting power; or c. holds more than half of the issued share capital; on or before the inception date of this Insurance. For any Subsidiary, cover under this Insurance shall only apply to Wrongful Acts committed while such entity is a Subsidiary of Yours. Terrorism The term Terrorism means an act, including but not limited to the use of force or violence and/or the threat thereof, of any person or group(s) of persons whether acting alone or on behalf of or in connection with any organisation(s) or government(s), committed for political, religious, ideological or similar purposes including the intention to influence any government and/or to put the public or any section of the public in fear. Third Party The term Third Party means any entity or natural person except (i) You; or (ii) any other entity or natural person having a financial interest or executive role in Your operations. Transaction The term Transaction means any one of the following events: a. You consolidate with or merge into or sell all or a majority of Your assets to any other person or entity or group of persons and/or entities acting in concert; b. an administrator, liquidator or receiver is appointed to You. Page 3 of 21
9 Wrongful Act The term Wrongful Act means any actual or alleged act, error or omission committed solely in the performance of or failure to perform Professional Services. We/Us/Our The terms We, Us, Ours mean the Insurer(s) subscribing to this Insurance. You/Your/Yours The terms You, Your, Yours mean: a. any individual or legal entity named in the Schedule or any Subsidiary or predecessor in business of such individual, or legal entity as declared to Us; b. any person who is or who has been or who becomes a principal, partner, member, director or Employee of any person or entity referred to in a. above but only in respect of work undertaken for or on behalf of any person or entity referred to in a. above; c, any consultant, sub-consultant or agent (not being an Employee) of Yours but only in respect of work performed for You or on Your behalf; Your Business The term Your Business means the professional services performed or the advice given by You or on Your behalf in relation to those activities declared in the Submission. Your Professional Activities and Duties The term Your Professional Activities and Duties means the performance by You or on Your behalf of Your business as declared and accepted by Us. Your Risk Manager The term Your Risk Manager means the person within Your organisation whose duties include giving Us such notices as are required by this Insurance. This policy does not provide coverage related to any business, including but not limited to this insurance and the fulfilment of any obligation thereunder, to the extent it would violate any economic or trade sanction law or regulations of the UN and/or the EU/EEA and/or the USA and/or any other national economic or trade sanctions law or regulations, as applicable from time to time. d. the estate, heirs, executors, legal or personal representatives of any person referred to in a., b. or c. above. Page 4 of 21
10 INSURANCE BROKERS PROFESSIONAL INDEMNITY INSURANCE In consideration of You having paid or agreed to pay the premium for this Insurance and subject to the terms, conditions and limitations of this Insurance, We severally agree to the extent and in the manner provided herein to pay on Your behalf amounts that become due: 1. Insuring Clauses 1.1 Civil Liability because of any Claims for civil liability or alleged civil liability first made against You during the Period of Insurance which arise out of the conduct of Your Business and committed by You or by any of Your Employees, or by any other person, firm or company directly acting for You or on Your behalf; 1.2 Fraud and Dishonesty because of any Claims first made against You during the Period of Insurance which arise out of the conduct of Your Business by reason of Dishonesty or alleged Dishonesty on the part of any Employee and/or any past or present partner, director, officer or Member (however designated) of Yours up to the date of discovery by You. Page 5 of 21
11 2. Mergers and Acquisitions 2.1 Mergers and Acquisitions If during the Period of Insurance You obtain, either directly or indirectly: a. control of the composition of the board of directors; b. control of more than half of the voting power; or c. a holding of more than half of the issued share capital; of another entity then the definition of Subsidiary shall be extended to include such entity provided that: i. the entity has annual revenue for the last complete accounting period prior to the acquisition, of less than 10% of Your total annual revenue (as shown in Your latest Annual Report and Accounts prior to the inception of this Insurance); ii. iii. iv. the entity is not incorporated, domiciled or providing professional services in the United States of America or Canada or any of their territories or possessions; the entity is not regulated by the US Securities and Exchange Commission; the entity is not aware of any claims (either paid or notified) or circumstances within the preceding five years of a type which may have been covered had they been notified under a professional liability policy similar in scope and breadth of coverage to the cover afforded by this Insurance; v. the business activities of the entity fall within the definition of Your Business; and vi. no fee income is derived from investment products and reinsurance. In all other circumstances, You may request an extension of this Insurance for such entity. We shall have the right but not the duty to offer cover for such entity and You must give Us sufficient details to permit Us to assess and evaluate the potential increase in exposure. In the event that such coverage is provided by Us, We shall be entitled to amend the policy terms and conditions, during the Period of Insurance, including but not limited to, the charging of a reasonable additional premium. Page 6 of 21
12 3. Limit and Retention 3.1 Limit of Liability a. The total amount payable by Us under this Insurance (excluding Defence Costs) for any one Claim during the Period of Insurance shall not exceed the Limit of Liability. b. Any sub-limits of liability are part of and not payable in addition to the Limit of Liability. c. Defence Costs are payable in addition to the Limit of Liability. In the event that the amount paid by You or on Your behalf to dispose of a Claim exceeds the Limit of Liability for any one Claim, then this Insurance will only cover the same proportion of Defence Costs as the Limit of Liability for any one Claim bears to the total amount paid to dispose of the Claim (exclusive of Defence Costs). d. Where a Claim is made against more than one of You under this Insurance, this shall not operate to increase the total amount payable by Us for any one Claim under this Insurance. e. The Limit of Liability is the total sum payable by Us for any one Claim. Any Damages paid by Us under this Insurance in respect of a Claim shall erode the Limit of Liability for that Claim. In no circumstances shall Our liability for any one Claim exceed the Limit of Liability. 3.2 Other Insurance / Indemnification Unless otherwise required by law, cover under this Insurance is provided only as excess over any self-insurance or other valid and applicable insurance, unless such other insurance is written only as specific excess insurance over the Limit of Liability. This Insurance shall not cover Defence Costs of any Claim where another insurance policy imposes upon another insurer a duty to defend such Claim. 3.3 Retention We will be liable only for Loss which exceeds the Retention. For the avoidance of doubt, the Retention does not apply to Defence Costs. It is to be borne by You and shall remain uninsured. The Retention is not part of the Limit of Liability. A single Retention shall apply per Claim. Page 7 of 21
13 4. Dishonest or Fraudulent Acts 4.1 Dishonest or Fraudulent Acts Where any Claim arises from any dishonest or fraudulent act or omission: a. We will not provide coverage: i. to any person committing or conspiring to commit or condoning any dishonest or fraudulent act or omission; ii. iii. after Your discovery, relating to any person committing or condoning any dishonest or fraudulent act or omission, of reasonable cause for suspicion of any such act or omission; unless, at Our request, You take all reasonable steps to effect recovery from the person committing or condoning such act or omission or from the personal representatives of such person; b. the following shall be deducted from any amount payable by Us: i. any monies which but for such dishonest or fraudulent act or omission, would be due from You to the person committing or condoning such act or omission; ii. iii. any monies held by You and belonging to such person; any monies recovered following action as described in a. iii. above; c. any dishonesty or fraud committed by a person or persons acting in concert shall be treated as one Claim. Page 8 of 21
14 5. Extensions 5.1 Court Attendance For any person described in a. and b. below who actually attends a court or an arbitration or an adjudication hearing as a witness in connection with a Claim notified under and covered by this Insurance, We will pay the following rates per day for each day on which attendance in court has been required: a. for any principal, partner, director or Member of Yours: GBP 300 b. for any Employee of Yours: GBP 150 No Retention shall apply to this clause. 5.2 Joint Ventures We will pay on Your behalf all Loss resulting from any Claim where liability results directly from a Wrongful Act of Yours arising out of the Professional Services carried out by You for and in the name of any joint venture of which You form a part, provided that You have declared to Us in the submission all fees/turnover received from any joint venture. Our liability shall be proportionate to the lowest of: a. the percentage of the share capital of the joint venture owned by You; or b. the percentage of the voting control of the joint venture exercised by You; unless Our written agreement has been first obtained to an alternative proportion and an endorsement made to this Insurance. This extension provides cover to You only. No other participant in such joint venture, and no other Third Party, shall have any rights under this Insurance, and neither shall We be liable to pay a contribution to any insurer of any other participant in such joint venture. 5.3 Lost Documents We will indemnify You for costs and expenses reasonably incurred with Our prior written consent in replacing or restoring any Documents which are either Your property or are the property of a Third Party and are in Your possession or control and which during the Period of Insurance have been destroyed, damaged, lost, distorted, erased or mislaid provided that: a. such loss or damage is sustained while the Documents are either: (1) in transit; or (2) in Your custody or of any person to whom You have entrusted them in the ordinary course of Your Professional Services; b. the Documents have been the subject of a diligent search by You or on Your behalf; c. the amount of any claim for such costs and expenses shall be supported by evidence of expenditure that shall be subject to approval by a competent person to be nominated by Us with Your consent; and d. We will not be liable for any costs and expenses arising out of wear, tear and/or gradual deterioration, moth and vermin. This Extension is subject to a sub-limit of liability of GBP 100,000 in the aggregate during the Period of Insurance. A Retention of GBP 250 each and every claim shall apply to this Extension. Page 9 of 21
15 5.4 Ombudsman Awards We will pay on Your behalf any Claim in respect of any final and binding award or determination (including liability for claimants costs) of any ombudsman appointed pursuant to the provisions of the Financial Services and Markets Act 2000 or any amendment or reenactment thereof and the cost of taking any steps which You are directed to take in relation to a claimant, up to a maximum amount of GBP 150, Specialist Consultants We will pay on Your behalf all Loss resulting from any Claim for any Wrongful Act of specialist consultants, designers or sub-contractors of Yours who are engaged in the performance of Your Professional Services. We will only pay Loss to the extent that You have not waived or otherwise impaired any rights of recourse against such specialist designers, consultants or sub-contractors. 5.6 Appointed Representatives We will pay on Your behalf all Loss for any Wrongful Act of: a. an Appointed Representative; and b. the employees of an Appointed Representative; of Yours engaged in the performance of Your Professional Services. 5.7 Financial Conduct Authority Investigation Costs We will pay on Your behalf any reasonable costs and expenses incurred with Our prior consent up to a maximum of GBP 250,000 in the annual aggregate for the defence of any Investigation first brought against You for breach of any statute or statutory regulations but only where We believe that defending such proceedings could avoid or mitigate Loss in connection with any concurrent or subsequent Claim, provided that the Wrongful Act giving rise to the proceedings shall have been committed by You in the performance of Your Professional Services. We shall not be liable to pay costs or expenses incurred subsequent to a plea or finding of guilt on Your part. Page 10 of 21
16 6. Exclusions We will not be liable under this Insurance in respect of Loss in connection with any Claim: 6.1 Bodily Injury/Property Damage arising out of, based upon or attributable to Bodily Injury or Property Damage unless arising from an actual or alleged failure to achieve the legally required standard of care, diligence and expertise in performing Professional Services; 6.2 Conduct arising out of, based upon or attributable to any actual or alleged dishonest, fraudulent or criminal conduct of Yours; This exclusion shall not apply to Insuring Clause Contractual Liability arising out of, based upon or attributable to any: a. liability assumed or accepted by You under any contract or agreement; or b. guarantee or warranty; except to the extent such liability would have attached to You in the absence of such contractual duty, term or agreement; 6.4 Directors and Officers Liability arising out of, based upon or attributable to any Claim made against You in Your capacity as a director, officer, trustee, Member or partner of Your Company in respect of the performance or non-performance of their duties as a director, officer, trustee, Member or partner of Your Company; 6.5 Employers Liability by any person for bodily injury, sickness, disease or death incurred, contracted or occurring whilst under a contract of service or apprenticeship with You or for any breach of any obligation owed by You as an employer; 6.6 Employment Practice Violation arising out of, based upon or attributable to any act, error or omission with respect to any employment or prospective employment of any past, present, future or prospective employee of Yours; 6.7 Fee Arrangement arising out of, based upon or attributable to any allegations that You intentionally or negligently permitted, or aided or abetted others in using, was aware of others using, or was a participant or connected in any way in the use of an illegal or improper agreement or other arrangement between an insurance broker and an insurance carrier involving the payment of increased fees, commissions or other compensation based on the volume or type of business referred to the insurance carrier; Page 11 of 21
17 6.8 Infrastructure arising out of, based upon or attributable to: a. software or mechanical failure; b. electrical failure, including any electrical power interruption, surge, brown out or black out; or c. telecommunications or satellite systems failure; outside of Your direct control; 6.9 Insolvency arising out of, based upon or attributable to Your insolvency, liquidation, administration or receivership; 6.10 Investment Advice arising out of, or in way involving the sale of investment products including but not limited to pensions, endowments, precipice bonds and investment activities as regulated by the Regulated Activities Order, unless specifically covered by this Insurance or agreed by Us; 6.11 Pollution arising out of, based upon or attributable to any direction, request or effort to (a) test for, monitor, clean up, remove, contain, treat, detoxify or neutralise Pollutants; or (b) respond to or assess the effects of Pollutants; This exclusion shall not apply in respect of any Claim arising directly from Your performance of Professional Services Prior Acts arising out of based upon, attributable to or in any way involving any Wrongful Act which first takes place before the Retroactive Date; 6.13 Prior Claims/Circumstances made prior to the inception of this Insurance including any Related Claims thereto, or arising out of, based upon or attributable to a circumstance which has been properly notified under any other policy or certificate of insurance attaching prior to the inception of this Insurance including any Related Claims thereto; 6.14 Trade Debts arising out of, based upon or attributable to any (i) trading debt incurred by You; or (ii) guarantee given by You for a debt; 6.15 Underwriting Agency arising out of any of Your Professional Services as managers of an insurance company, or, if You are Lloyd s brokers, as underwriting agents (Lloyd s); Page 12 of 21
18 6.16 U.S.A./Canada made or pending within or to enforce a judgment obtained in the United States of America or Canada, or any of their territories or possessions; 6.17 War/Terrorism arising out of, based upon or attributable to any war (declared or otherwise), Terrorism, warlike, military, terrorist or guerrilla activity, sabotage, force of arms, hostilities (declared or undeclared), rebellion, revolution, civil disorder, insurrection, usurped power, confiscation, nationalisation or destruction of or damage to property by or under the order of, any governmental, public or local authority or any other political or terrorist organisation. This exclusion shall not apply in respect of any Claim arising directly from Your performance of Professional Services. Page 13 of 21
19 7. Conditions 7.1 Notices All notices, including but not limited to notification of Claims and/or circumstances, required to be given between You and Us shall be given to: Precision Underwriting (UK) Limited, 150 Minories, London EC3N 1LS T: +44 (0) E: W: Receipt by Precision Underwriting (UK) Limited of any notice, including but not limited to notification of Claims and/or circumstances, from You shall be deemed as being received by Us. Notices from Us to You shall only be received when You are in physical possession of the same. 7.2 Notification a. You must give Us written notice as soon as reasonably practicable after Your Risk Manager becoming aware of: i. any Claim being made against You or any loss during the Period of Insurance; or ii. any circumstances occurring during the Period of Insurance which might reasonably be expected to give rise to a Claim against You; provided always that such written notice is given to Us during the same Period of Insurance or (if You renew this Insurance with Us) within twenty-eight (28) days after its expiry. b. We will consider any such Claim or loss which is notified under a. above and any subsequent Claim arising out of circumstances notified under a. above as having been made during the Period of Insurance which expired immediately prior to the commencement of the twenty-eight (28) day period referred to in a. above. Following written notice of a Claim, loss or circumstance, You must give Us such details, including particulars of the circumstances, dates and persons involved, as We may reasonably require concerning the Claim, loss or circumstance Your Duties a. You must use due diligence and ensure that all reasonable and practicable steps are taken to avoid or diminish any liability which may give rise to or has given rise to a Claim or loss. b. You must also disclose to Us all relevant information and, in addition, provide reasonable assistance to Us to enable Us or Our agents to investigate and/or to defend any Claim or loss under this Insurance (including without limitation by way of compliance with any protocol or other procedural requirements which may be relevant to the jurisdiction in which the Claim is brought) and/or to enable Us to determine Our liability under this Insurance. Page 14 of 21
20 7.4 Retroactive Date a. Unless a Retroactive Date is specified in the Schedule, coverage under this Insurance shall be in respect of acts, errors or omissions committed or alleged to have been committed irrespective of when such acts, errors or omissions were committed or alleged to have been committed. b. Where a Retroactive Date is specified in the Schedule, then coverage under this Insurance shall only be in respect of acts, errors or omissions first committed or alleged to have been first committed after the Retroactive Date. 7.5 Legal Proceedings You will not be required: a. to contest any legal proceedings; or b. where any Claim arises from any dishonest or fraudulent act or omission, to take steps to effect recovery in accordance with Clause 4.1 a. iii.; unless a Barrister or other law officer of comparable standing (to be mutually agreed upon, such agreement not to be unreasonably withheld) shall advise that such action has a reasonable prospect of success and You consent thereto, such consent not to be unreasonably withheld. In the event of a difference of opinion between You and Us as to what constitutes an unreasonable refusal, the Chairman for the time being of Your professional association shall nominate an independent referee to decide this point only and the decision of such referee shall be binding on both You and Us. 7.6 Defence and Settlement By entering into this Insurance You agree not to incur any Defence Costs, admit liability for or attempt to settle, make any admission, offer any payment or otherwise assume any contractual obligation with respect to any Claim or loss without Our written consent, such consent not to be unreasonably withheld. We will not be liable for any Defence Costs, settlement, admission, offer, payment, or assumed obligation to which We have not consented. In any event no action shall be taken which might prejudice Us or Our interests. We agree not to exercise any rights that We may accrue to avoid payment under the above paragraph if You have acted in accordance Condition 7.3.a. We shall be entitled at any time to conduct, in Your name, the defence or settlement of any Claim or loss and to represent You in respect of that Claim or loss. Any amount incurred by Us on Your behalf shall be part of the Defence Costs. 7.7 Subrogation In the event of any payment under this Insurance, We shall be subrogated to the extent of such payment to all of Your rights of recovery, and You must execute all papers required and do everything necessary to secure and preserve such rights, including the execution of documents necessary to enable Us effectively to bring proceedings in Your name. If any payment is made under this Insurance and We have rights of recovery in relation to such payment, We agree not to exercise such rights against any principal, partner, director or Employee of Yours unless the Claim or loss is brought about or contributed to by the dishonest, fraudulent, criminal or malicious act or omission of that principal, partner, director or Employee. Page 15 of 21
21 7.8 Combined Single Limit The Limit of Liability and the Retention apply to all parties covered under this Insurance jointly. If more than one party is named in the Schedule, the total amount that We will pay will not exceed the amount that We would be liable to pay to any one party. 7.9 Discharge of Liability We can fully and finally discharge Our liability to You for any Claim (save only for Defence Costs incurred prior to the date of the payment): a. either by paying the Limit of Liability to You less any sums already paid as damages or claimant's costs and expenses; or b. by paying a sum less than the Limit of Liability to You when a Claim can be settled for such lesser sum provided that: i. the Retention is to be deducted from such payment; ii. if either You or We so requests, no such payment shall be made unless a Barrister or a law officer of comparable standing (to be mutually agreed upon, such agreement not to be unreasonably withheld) shall advise that You might reasonably be held liable for at least that sum Disclaiming Liability If We disclaim liability to You for any Claim or Defence Costs, You shall be at liberty (without prejudice to Your claim for payment under this Insurance) to settle or compromise such Claim or incur Defence Costs or to submit to any judgement or arbitration award in respect thereof, and the sum payable by You in respect of any such settlement, compromise, judgement or arbitration award shall be accepted by Us as the amount payable by Us to You under the terms of this Insurance subject to Our liability being established by either mediation or arbitration as provided in Clause 7.11 below Disputes In the event of any dispute or difference arising under this Insurance, the dispute or difference will be referred to a mutually agreed Queen s Counsel for resolution. If we cannot mutually agree on a Queen s Counsel then both You and We shall attempt, in good faith, to settle the dispute or difference by mediation on terms that You and We mutually agree. Should mediation be unsuccessful, the dispute or difference shall be finally settled by the arbitration of a single arbitrator that You and We mutually chose or, if You and We cannot agree upon a single arbitrator, by the decision of two arbitrators (one to be appointed by You and one to be appointed by Us) and in the case of disagreement between the arbitrators, by the decision of an umpire who shall have been appointed in writing by the arbitrators before entering on the reference. The decision of the arbitration shall be final and binding on both You and Us and responsibility for the cost of the arbitration shall be allocated as decided by the arbitrator(s). The provisions of the Arbitration Acts shall apply to any such arbitration Law and Jurisdiction This insurance shall be governed by and construed in accordance with the laws of England and Wales and each party agrees to submit to the exclusive jurisdiction of the Courts of England. Page 16 of 21
22 7.13 Contracts (Rights of Third Parties) Act Nothing in this Insurance confers or purports to confer on any third party any benefit or any right to enforce any term of this Insurance pursuant to the Contracts (Rights of Third Parties) Act 1999, other than as may already be available under the Third Parties (Rights Against Insurers) Act Non-Disclosure We will not seek to exercise any rights that We may have to avoid this Insurance or reject any Claim on the grounds that there has been or it is alleged that there has been: a. nondisclosure or misstatement or misrepresentation of facts, circumstances or events at any time; or b. breach of any warranty given by You in proposing for this Insurance or providing any representation; or c. breach of or non-compliance with any condition or implied condition or other term in this Insurance; provided always that You establish to Our reasonable satisfaction that such act(s) or omission(s) or statement(s) or representation(s) or breach(es) or non-compliance was(were) free from any deliberate dishonesty or fraudulent conduct or intent to mislead or deceive. In any case where You could have notified under any preceding insurance any Claim or circumstance and the cover (including but not limited to the Limit of Liability) available under this Insurance is greater or wider in scope than the cover to which You would have been entitled under any such preceding insurance (whether with Us or not) then We shall only be liable to cover You to the extent of the cover which would have been afforded by such preceding insurance. For the avoidance of doubt, it is agreed that this Clause 7.14 shall take precedence over every condition, exclusion, endorsement and other term of this Insurance (other than Clause 7.15 below) and We shall not seek to avoid providing coverage due to a Claim or circumstance likely to (or which might) give rise to a Claim being known by You prior to the inception of this Insurance or for late notice of a Claim or circumstance likely to (or which might) give rise to a Claim or any other Claims related reason (subject always to the aforementioned terms and conditions of this Clause 7.14). Any dispute or difference between You and Us arising out of or in connection with the application of this Clause 7.14, including but not limited to: a. the admissibility of any Claim for which You are seeking cover for; b. the modification of the premiums and excess(es) pertaining to this Insurance; c. the amount payable in consequence of any prejudice; shall be referred for determination in accordance with the terms of Clause Notwithstanding anything contained herein that may be construed to the contrary, no indemnity shall be available for any matter for which notice is received by Us after the Period of Insurance, or such other period as set forth in Clause 7.2 if applicable. Page 17 of 21
23 7.15 Fraudulent Claims If You make any claim under this Insurance which You know or ought to know to be false or fraudulent in any way, this Insurance shall be cancelled ab initio and any and all rights You may have under this Insurance shall be forfeited Allocation If both liability from a Claim or loss covered by this Insurance and liability for a Claim or loss not covered by this Insurance arises, either because: a. a Claim against You or a loss includes both covered and uncovered matters; or b. a Claim against You is made and others are a party to the proceedings or demand to which the Claim relates; then both You and We shall use their best efforts to agree the allocation of such amount between covered loss and uncovered loss based on a fair and proper assessment of the relative legal and financial exposures. If You and We are unable to agree any allocation, it shall be referred for determination in accordance with the terms of Clause Any allocation of Defence Costs on account of a Claim which is negotiated or determined in accordance with this Clause 7.16 above shall be applied retrospectively to all Defence Costs on account of such Claim Related Claims If during the Period of Insurance a Claim is made or a circumstance is notified in accordance with the requirements of this Insurance any Related Claim made after expiry of the Period of Insurance will be accepted by Us as having been: a. made at the same time as the notified Claim was made or the relevant circumstance was notified, and b. notified at the same time as the notified Claim or circumstance. All Related Claims shall be deemed to be one single Claim and deemed to be made at the date of the first Claim of the series or at the first circumstance notified, whichever is first Innocent Insured Whenever coverage under this Insurance would be excluded, suspended or lost: a. because of any exclusion relating to criminal, dishonest, fraudulent or malicious errors or omissions by any party insured under this Insurance, and with respect to which any other party insured under this Insurance did not personally participate or personally acquiesce or remain passive after having personal knowledge thereof, or b. because of non-compliance with any condition relating to the giving of notice to Us with respect to which any other party insured under this Insurance shall be in default solely because of the failure to give such notice or concealment of such failure by one or more party insured under this Insurance responsible for the loss otherwise insured against hereunder; Page 18 of 21
24 then We agree that such coverage as would otherwise be afforded under this Insurance shall cover and be paid with respect to those parties insured under this Insurance who did not personally commit or personally participate in committing or personally acquiesce in or remain passive after having personal knowledge of (a) one or more of the errors or omissions described in any such exclusion; or (b) such failure to give notice Assignment This Insurance and any rights under or in respect of it cannot be assigned by You without Our prior written consent Cancellation This Insurance may be cancelled: a. by Us pursuant to the Premium Payment Clause for non-payment of premium; or b. if no notice of a Claim or circumstance which is reasonably expected to give rise to a Claim has been provided to Us under this Insurance, by You with effect immediately upon Our receipt of written notice of such cancellation; We shall retain the customary short rate proportion (unexpired portion of premium less handling charges) of the premium. If notice of a Claim or circumstance which is reasonably expected to give rise to a Claim has been provided to Us under this Insurance, the premium shall not be returnable and shall be deemed fully earned at cancellation; c. by mutual agreement between You and Us Change of Control We will not be liable to make any payment or to provide any services in connection with any Claim arising out of, based upon or attributable to a Wrongful Act committed after the occurrence of a Transaction. If during the Period of Insurance an administrator, liquidator or receiver is appointed to a Subsidiary, then the cover provided under this Insurance with respect to such Subsidiary is amended to apply only to Wrongful Acts committed prior to the date of such appointment Policy Administration The party first named in the Schedule as the Insured shall act on behalf of each and every one of You with respect to: a. negotiating the terms and conditions of and binding cover; and b. the exercise of all of Your rights under this Insurance; and c. all notices; and d. premiums; and e. endorsements to this Insurance; and f. dispute resolution; and g. the receipt of all amounts payable to You by Us under this Insurance. Page 19 of 21
25 7.23 Plurals, Headings and Titles The descriptions in the headings and titles of this Insurance are solely for reference and convenience and do not lend any meaning to this contract. Words and expressions in the singular shall include the plural and vice versa. In this Insurance, words in bold and italic typeface have special meaning and are defined. Words that are not specifically defined in this Insurance have the meaning normally attributed to them Minimum Approved Wording This Insurance is designed to provide the minimum insurance requirements in accordance with the rules of the Financial Conduct Authority (FCA), in force at the inception date of this Insurance. The minimum insurance requirements as set out in the FCA rules will take precedence over any terms, conditions, exclusions or limitations contained herein, except those that relate to the Retention and the Limit of Liability Sanctions This Insurance does not provide any cover or benefit for any business or activity to the extent that: (i) (ii) such cover or benefit; and/or such business or activity; would violate any applicable economic or trade sanction law or regulations of the UN and/or the EU/EEA and/or the USA and/or any other applicable national economic or trade sanction law or regulations Complaints Procedure We are committed to providing a first class service at all times. If at any time there are questions or concerns regarding this Policy or the handling of a claim, You should in the first.instance refer to your insurance broker or intermediary, if any. If Your problem cannot be resolved, any question or complaint should then be addressed to: Managing Director, Precision Underwriting (UK) Limited, 150 Minories, London EC3N 1LS T: +44 (0) E: [email protected] Page 20 of 21
26 In the event that a complaint is not resolved to Your satisfaction or if You wish to pursue matters further, You can refer the matter to: Complaints Department, Lloyd's, One Lime Street, London, EC3M 7HA T: +44 (0) F: +44 (0) E: [email protected] Complaints that cannot be resolved by the Complaints Department may, where appropriate, be referred to the Financial Ombudsman Service to review the case. The address is: Financial Ombudsman Service, South Quay Plaza, 183 Marsh Wall, London, E14 9SR T: W: The Financial Ombudsman's Service decision is binding upon Us but You are free to reject it without affecting Your legal rights Compensation The Financial Services Compensation Scheme (FSCS) provides compensation in case any Member goes out of business or into liquidation and is unable to meet any valid claims against its policies. You may be entitled to compensation if We cannot meet Our obligations, depending on the circumstances of the claim. Further information about the compensation scheme can be obtained from FSCS Premium Payment You undertake that the premium shall be paid to Us within 30 days of inception of this Insurance (or, in respect of instalment premiums, when they are due). Where such premium has resulted from a mid-term amendment to this Insurance, the premium payment date shall be deemed to be 30 days from the point of Our acceptance of the amendment. You shall have the burden of establishing that such payment has been made. If the premium due under this Insurance has not been paid to Us by the 30th day from inception of this Insurance (and, in respect of instalment premiums and mid-term amendment premiums, by the date they are due) We shall have the right to cancel this Insurance by notifying You in writing direct or via Your insurance broker as appropriate. In the event of cancellation by Us pursuant to this clause, premium is due to Us on a pro-rata basis for the period that We were on risk but the full premium is due to Us in the event that prior to the date of termination a Claim is made, or a circumstance is notified in accordance with the requirements of this Insurance. It is agreed that We shall give not less than 7 days prior notice of cancellation under this clause to You in writing direct or via Your insurance broker as appropriate. If the premium due is paid in full to Us before the notice period expires, notice of cancellation shall automatically be revoked. If not this Insurance shall automatically terminate and be of no effect at the end of the notice period. Page 21 of 21
27 Precision Underwriting (UK) Limited, 150 Minories, London EC3N 1LS T: +44 (0) E: W: Precision Underwriting (UK) Ltd is registered in England & Wales under company number , and is an appointed representative of UK General Insurance Limited who are authorised and regulated by the Financial Conduct Authority.
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