USA / CANADA EXPORTS – CLAIMS MADE FORM (PRO CLM 0209)

With the effect from ——– indemnity that is granted by this Policy in respect of any judgment, award or settlement made within countries which operate under the Laws of the United State of America and/or Canada (or any Order made anywhere in the world to enforce such judgment, award or settlement either in whole or in part) is subject to the following additional terms and exceptions in respect of such judgment award or settlement.

  1. The indemnity granted by this Policy in respect of the export of the Insured’s Product listed in G. below to the continent of North America and/or territories elsewhere incorporated therein or administered there form only applies in respect of any claim made against of the Insured and notified to Company during the Period of Insurance in respect of Personal Injury and/or Property Damage (notwithstanding any provision to the contrary in this Policy). However should the Insured give notice in accordance with the Policy conditions during the Period of Insurance of any Occurrence, fact or circumstance which may subsequently give rise to a claim being made against the Insured then such claim shall be deemed to have been made during the Period of insurance. This Endorsement does not apply to any such claims made against the Insured where the date of Personal Injury or Property Damage is prior to _———-
    1. The Limits of Labiality are inclusive of all Law Cost and Expenses as set out in section 1.2 of this Policy; and
  1. Nothing contained in this endorsement will increase the limit o liability in aggregate during the Period of Insurance in respect of all claims arising out of the Insured’s Products as stated in the Schedule.
  1. This Policy does not insured liability for or in respect of punitive damage and/or exemplary damages
  • For the purpose of this endorsement only, Exclusion 5 (a) and 5 (b) are deleted and replaced by the following.

Liability for any Personal Injury or Property Damage caused by or arising out of discharge, dispersal, release or escape of Pollutants into or upon land the atmosphere or any watercourse or body of water is herby excluded.

Any cost or expenses incurred in the prevention, removing, nullifying or clean up of such or pollution is hereby excluded.

  1. This Policy does not provide indemnity in respect of liability for Personal Injury and/or Property Damage arising from the operation by the Insured within the continent of North America and/ or territories elsewhere incorporated therein or administered there form, of ant premises or plant for the manufacturing, processing, treating, distribution and/or storage of the Insured’s Products.
  1. All disputes arising out of or under this Policy shall be subject to determination by any Court of competent Jurisdiction within Indonesian according to the Law applicable to that jurisdiction
  1. Solely in respect of those products listed below, exclusion 21 and 22 of this Policy are deleted.

INSURED’S PRODUCT EXPORTED TO U.S.A AND/OR CANADA – listed in the schedule

  1. With respect to coverage afforded by this endorsement in respect of the Insured’s Products Listed in F. above claims arising out of such products are subject to a cost inclusive deductible of US$ 5,000.-

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