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The Policy - Professional Liability

This is a “Claims-Made and Reported” policy, which means that in order to protect your rights under the policy, you must use the following procedures to report claims and potential claims as soon as you are first made aware of:

  1. Notice of legal process;
  2. A demand for money or services;
  3. A proceeding, event or development which could in the future result in the instigation of a claim or suit.
Please note that the number of potential claims you report, assuming that the claims require no expense or loss payments, will typically not affect your rates or your insurability. However, failure to report such claims or late reporting could jeopardize your coverage.


The Policy - Corporate Identity Theft

Duties In The Event of a Personal Identity Event

A. Before coverage will apply under this policy, the insured shall notify us in writing as soon as practicable within the notice period of a personal identity event first discovered by such insured during the policy period. Notice must include:

  1. How, when, and where the personal identity event took place
  2. The number of individuals and type of personally identifiable information involved in the personal identity event; and
  3. Upon request by us, the names and addresses of the individuals affected by the personal identity event
B. The insured shall also provide us written notice of any claim or administrative action arising from such personal identity event reported in accordance with paragraph A above, as soon as practicable after such claim or administrative action is made.

C. In the event of a claim, the insured shall immediately record the specifics of the claim and the date such insured first received such claim. The insured shall also:
  • Immediately send us copies of all demands, notices, summonses or other legal documents received in connection with the claim;
  • Authorize us to obtain records and other information; and
  • Give us and any counsel we select to represent an insured in connection with a suit or to investigate any claim, full cooperation and such information as we or such counsel may reasonably require, including but not limited to, assisting us or such counsel in:
  • any investigation of a claim, or other matter relating to the coverage afforded under
  • this policy (including submissions to an examination by us or our designee,
  • under oath if require by us);
  • making settlements
  • enforcing any legal rights the insured or we may have against any person or entity
  • who may be liable to the insured;
  • attending examinations for discovery, hearings and trails;
  • securing and giving evidence, and obtaining the attendance of witnesses; and
  • any inspection or survey conducted by us
D. In the event of an administrative action, the insured shall notify us whether the insured has any other insurance policy, prepaid legal service contract or legal practitioner retainer agreement available to him/her with respect to such administrative action. The insured shall also:

  1. Send to us, as soon as practicable, copies of any notice, Writs of Summons, Statements of Claim, Petitions or other originating processes or other legal papers received in connection with any administrative action
  2. Authorize us to obtain records and other information; and
  3. Furnish us, upon our request, with records and other information and submit to an interview by us or our representative concerning the full extent of their knowledge of the events leading to the administrative action. We shall also be entitled to immediately receive upon request copies of any regulatory agency correspondence the insured received relating to such administrative action, including without limitation any correspondence which may have predated the date of application for coverage under this policy.
E. Under all circumstances, no insured shall admit liability, assume any financial obligation, pay any money, or incur any expense in connection with any personal identity event without our prior written consent. If any insured does, it will be at such insured's own expense. The forgoing sentences of this paragraph IV C shall not apply to a settlement pursuant to Clause II. DEFENCE, paragraph D of this policy so long as the insured provides us written notice of such settlement as soon as practicable, but in not case later than 30 days after such settlement is reached in principle.

F. The insured shall take reasonable steps to prevent a personal identity event and to mitigate the damages arising out of a personal identity event. In all events, no insured shall take any action, or fail to take any action, without our prior written consent, which prejudices our rights under this policy, except as indicated in Clause II DEFENCE, paragraph D.

Definitions

The following terms are defined in your policy as follows:

Us/We: means the insurer issuing this policy

Notice Period: means the sixty (60) day period of time the insured shall have to notify us that a personal identity event has occurred. The notice period shall commence immediately upon first discovery of the personal identity event by an insured

Personal Identity Event: means any event involving the insured that has resulted in, or could reasonably result in, the fraudulent use of personally identifiable information that is or was in the care, custody or control of the insured or an information holder. All claims, administrative actions, damages, defence costs, administrative expenses, notification costs, crisis expenses and post event services expenses resulting from the same, continuous, related or repeated event or which arise from the same, related or common nexus of facts will be deemed to arise out of one personal identity event

Administrative Action: means and is limited to:

  1. an investigation of the insured after written notice is sent to the insured by,
  2. negotiation of a consent order against the insured with, or
  3. formal adversarial administrative proceeding against the insured instituted by,
a United States or Canadian federal, state, provincial or territorial regulatory agency, arising solely out of a personal identity event first discovered by an Insured during the policy period and reported to us within the notice period Claim: means a written demand for payment of money, including a suit

Please refer to the policy wording for a full list of definitions, exclusions and limitations of the policy


The Policy – Directors and Officers Liability

This is a “Claims-Made and Reported” policy, which means that in order to protect your rights under the policy, you must use the following procedures to report claims and potential claims as soon as you are first made aware of:

  • A written demand against an Insured for monetary or non-monetary relief
  • A Civil, arbitration, administrative, regulatory, or mediation proceeding against any Insured commenced by:
  • the service of a complaint or similar pleading
  • the filing of a notice of charge, investigative order or like document or
  • written notice or subpoena from an authority identifying such Insured as an entity or person against whom a formal proceeding may be commenced or
  •  
  • A criminal investigation or proceeding against any Insured Individual commenced by:
  • the return of an indictment, information or similar pleadings or
  • written notice or subpoena from an authority identifying such Insured Individual as an individual against whom a formal proceeding may be commenced or
  • Any action proceeding or investigation against any Insured Individual commenced by Canada Revenue Agency (CRA) or other equivalent federal provincial or territorial agency in Canada that administers tax laws
Failure to report such claims or late reporting could jeopardize your coverage.


Claims Reporting Procedures

Please report all Professional Liability, Office Package and Directors & Officers Liability claims to:

Mike Priddle
Priddle & Gibbs Adjusters
Phone: 1-780-489-3310
Cell: 1-780-446-4810
Fax: 1-780-489-3320
Email: mike.priddle@priddlegibbs.com

Mail:
Priddle & Gibbs Adjusters
17313-107 Avenue
Edmonton, AB
T5E 1E5

Please report all Corporate Identity Protection claims to:

Berkley Canada
145 Kings Street West Suite 1000
Toronto, Ontario M5H 1J8
Phone:416-594-4797
Toll Free Phone: 1-877-304-1178
Fax: 416-304-4108
E-mail: claims@berkleycanada.com


Please ensure that you have the following information available when reporting your claim: General Tips for All Types of Claims
 
Policy Details Policy Number
Professional Liability SRD416518 (Policy Term 2013 - 2014)
SRD432809 (Policy Term 2014 - 2015)
Corporate Identity Protection 04 450 66 79 (Policy Term 2013 - 2014)
BC 13002717 (Policy Term 2014 - 2015)
Office Package CMP81346845 (Policy Term 2013 - 2014)
CMP81346845 (Policy Term 2014 - 2015)
Directors & Officers Liability CTS767163/01/2013 (Policy Term 2013 - 2014)
CTS767163/01/2014 (Policy Term 2014 - 2015)

Settlements
The overwhelming majority of lawsuits end in a settlement among the parties, and do not go to trial. Similarly, many pre-suit claims are resolved by settlement. ENCON's professional and experienced claims personnel settle claims, if appropriate, according to your insurance policy's terms and conditions. Your policy gives you the right to refuse consent to settle. However, please be aware that if ENCON recommends a settlement, and you refuse your consent, ENCON's liability for the claim may then be reduced to the amount in excess of your deductible for which the claim could have been settled. Obviously, such a situation could create a tremendous financial obligation for you, and should be considered with great care and advice of your personal legal counsel.
 
Deductibles
The policy requires that you pay a certain amount for each and every claim as indicated in your Certificate of Insurance.
 
Renewals and Policy Changes
All renewals, requests to change policy limits and other changes affecting your Certificate of Insurance will be coordinated by Aon.
 
For further information, please contact Aon.