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3600.ARM
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1991-06-27
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940b
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38 lines
/* para. 3600: Insurance Subrogation agreement */
SUBROAGTION AGREEMENT
WHEREAS, on ____________________, @001, an insurance company,
was presented with a claim arising from:
@360
under insurance coverage provided to @002, under its coverage
for:
@361,
and,
WHEREAS, on _________________________, @001 paid a claim in an
amount of $ @362 (!362 dollars), with a deductible of $ @363
(!363 dollars), arising from the perils and covered by the polciy
stated above, NOW, THEREFORE:
@002, his heirs and assigns, herewith assign and convey to
@001 and any all rights against any entity who may be liable
to @002 for the loss stated above.
@002 shall pursue any and all responsible parties at its own
expense, and may at its option, bring such action in its own
name or that of @002.
@002 herewith convenants and agrees to fully assist @001 in
pursuit of its rights of subrogation herein.