Co-Insurance Endorsement

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Co-Insurance Endorsement

Form Document
06/12/2016
V 1

(“Issuing Co-Insurer)

CO-INSURANCE ENDORSEMENT

 

 

Attached to and made a part of NAME OF UNDERWRITER (“Issuing Co-Insurer”) Policy No.

                                                 (“Co-Insurance Policy”). Issuing Co-Insurer and any other co-insurers are collectively referred to as “Co-Insurers.”

 

1.     Co-Insurer issues this endorsement as evidence of Co-Insurer’s liability under Co-Insurance Policy and directs that this endorsement be attached to the Co-Insurance Policy adopting its Covered Risks, Exclusions, Conditions, Schedules and Endorsements, as follows:

 

Amount and proportion of insurance and Aggregate Amount of Insurance under the Co-Insurance Policy:

 

 

Co-Insurers

Name and Address

Policy Number [File Number]

Amount of Insurance

Proportion of Liability

Issuing Co-Insurer

 

 

$

 

Co-Insurer

 

 

$

 

Co-Insurer

 

 

$

 

Co-Insurer

 

 

$

 

Aggregate Policy Amount

 

 

$

 

 

 

2.     Each Co-Insurer shall be liable to the Insured under the Co-Insurance Policy only for the total of the loss and costs multiplied by its Proportion of Liability.

 

3.     Any notice of claim and any other notice or statement in writing required to be given under the Co- Insurance Policy must be given to Co-Insurer at its address set forth above.

 

4.     Any endorsement to the Co-Insurance Policy issued after the date of this Co-Insurance Endorsement must be signed on behalf of the Co-Insurer by its authorized officer or agent.

 

5.     This Co-Insurance Endorsement is effective as of the Date of Policy of the Co-Insurance Policy. This Co-Insurance Endorsement may be executed in counterparts.

 

This endorsement is issued as part of the Co-Insurance Policy. Except as it expressly states, it does not (i) modify any of the terms and provisions of the policy, (ii) modify any prior endorsements, (iii) extend the Date of Policy, or (iv) increase the Amount of Insurance. To the extent a provision of the policy or a previous endorsement is inconsistent with an express provision of this endorsement, this endorsement controls. Otherwise, this endorsement is subject to all of the terms and provisions of the policy and of any prior endorsements.

 

 

 

DATED:      

Issuing Co-Insurer
     

 

By: __________________________

 

DATED:      

Issuing Co-Insurer
     

 

By: __________________________

DATED:      

Co-Insurer
     


By: __________________________

 

DATED:      

Co-Insurer
     


By: __________________________

 

DATED:      

Co-Insurer
     


By: __________________________

 

DATED:      

Co-Insurer
     


By: __________________________

 

 

 

 

 

 

                                                           

Countersigned By:

 

                              

Date

 

Blank Title Insurance Company:

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