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Professional Liability Application IF A POLICY IS ISSUED IT WILL BE ON A CLAIMS MADE BASIS NOTICE THE POLICY PROVIDES THAT THE LIMIT OF LIABILITY TO PAY JUDGMENTS OR SETTLE MENTS SHALL BE REDUCED BY AMOUNTS INCURRED FOR LEGAL DEFENSE. FURTHER NOTE THAT AMOUNTS INCURRED FOR LEGAL DEFENSE SHALL BE APPLIED AGAINST THE DEDUCTIBLE AMOUNT. NAME OF APPLICANT ADDRESS ADDRESS OF BRANCHES TELEPHONE NO. LIMIT OF LIABILITY DESIRED 100 000 300 000 1 000 000 Other DEDUCTIBLE 1 000 500 000 2 500 5 000 10 000...
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