declarations investment company asset protection liability policy
declarations investment company asset protection liability policy
declarations investment company asset protection liability policy
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ITEM 11.<br />
Extended Reporting Period:<br />
(A) Additional Premium: $<br />
(B)<br />
Additional Period:<br />
ITEM 12.<br />
Endorsement(s) Effective at Inception:<br />
ITEM 13.<br />
Notices required to be given to the Company under this Policy shall be addressed to:<br />
Claim Related Notices:<br />
All Other Notices<br />
National D&O Claims Department Department of Financial Institutions<br />
Chubb Group of Insurance Companies Chubb Group of Insurance Companies<br />
P.O. Box 1615 P.O. Box 1615<br />
Warren, NJ 07061 Warren, NJ 07061<br />
These Declarations along with the completed and signed Application Form (including all attachments and materials<br />
submitted with the Application Form) and the Investment Company Asset Protection Professional Liability Insurance<br />
Policy shall constitute a contract between the Insureds on the one hand and the Company on the other hand.<br />
IN WITNESS WHEREOF, THE COMPANY issuing this Policy has caused this Policy to be signed by its Authorized<br />
Officers, but it shall not be valid unless also signed by a duly authorized representative of the Company.<br />
SPECIMEN<br />
Secretary<br />
President<br />
Date<br />
Authorized Representative<br />
ICAP-PL Policy-F<br />
Form 17-02-1039 (Ed. 8-92) Page 2 of 2