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Legal liability under the Law of Tort ,can arise under several circumstances in insured's premises such as
- Collapse of building structure
- Accidental falling of fixtures
- Bad maintenance or poor housekeeping resulting in accident to visitors on the premises
- Accidental leakage of toxic substance which pollutes the atmosphere and injures or kills people
The term "liability" means responsibility and "legal liability" means responsibilities which can be enforced by law. Legal Liability may be classified into Criminal Liability and Civil Liability. Only Civil Liability claims are payable.
Civil Liability claims will arise if there is prima facie evidence of negligence by the insured resulting in injury or death to any third party or resulting in damage to property belonging to a person other than insured, or in insured's custody.
Negligence will be proved only when following conditions are satisfied:
- Existence of duty of care
- Breach of this duty
- Injury suffered by a person or property damaged as a result of that breach.
In case of any event likely to give rise to a liability claim as described above, insurance company should be informed immediately. In case any legal notice or summons is received, it should be sent to the insurance company. The company has the option of arranging the defence of the case.
The event giving rise to the claim should have occured during the period of insurance or retroactive period and the claim first made in writing against the insured during the policy period. The maximum amount payable including defence cost will be the AOA limit selected. The any one year limit will get reduced by the amount of claim or indemnity paid for any one accident. Any number of such claims made during the policy period will be covered subject to the total indemnity not exceeding the Any One Year limit.
In case of Public Liability Insurance Act 1991 Policy, any award which exceeds the AOA limit will be paid by the government through Environment Relief Fund to which the insured has to contribute an amount equivalent to the premium paid under the Public Liability Insurance Act Policy.
The policy will not pay for claims arising out of contractual liability, intentional non-compliance of any statutory provision, loss of goodwill,slander ,fines ,penalties , libel , false arrest , defamation , mental injury etc.
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