Aeronáutico > Recibo de indenização - casco

Exemplo do Release Utilizado para Indenização de Casco:

 

HULL RELEASE AND DISCHARGE

WHERE THE AIRCRAFT IS A CONSTRUCTIVE TOTAL LOSS

 

Claim Ref. :

Aircraft:

Assured:

Accident:

 

Subject to Underwriter´s admission of liability, I/WE the undersigned, agree to accept as payment of the claim on my/our Aviation Hull All Risks Insurance Policy, underwritten by .. (insurers) under insurance policy nº ..., the sum of US$xxxx - nothing that no deductible applies when the aircraft is a CTL - in accordance with the terms and conditions of the said policies.

 

I/WE agree the payment of the above detailed sum shall constitute a full and complete discharge of Insurers and Reinsurers duties and obligation under the hull section of the policy only.

 

I/WE declare that other than the undersigned *, no party has any financial interest in the aircraft.

 

I/WE declare that in consideration of such payment, insurers, Reinsurers, their servants and agents are hereby duly discharged and released forever from any and all further claims, demand or liability whatsoever for said loss and damage, under the hull section only of the policy of insurance herein referred to.

 

I/WE the undersigned, also agree to assign, transfer and subrogate to insurers, all right, interest, or causes of action against any third party, who may be liable for this loss, so that any such action, right or interest may be exerted by the said company in lieu of the undersigned, to the extent of the payment aforesaid.

 

I/WE hereby authorize Insurers and Reinsurers to pay the net settlement sum of US$xxxx distributed via the Cedent Co. as follows:

The sum of US$xxxx direct to ..; the remaining balance of US$xxxx to be paid directly to ..

 

Dated this day of 2004

 

                             Name                                                Signature

Assured:  ___________________________     _______________________________

Duly Authorised to sign for and on behalf of..

Occupation / Title:
Witness to Signature:
Occupation / Title:
Address of Witness:

 

 

* Lienholder(s)

 

________________________     _____________________     _______________________
         Name & Title                                  Date                               Signature

DULY AUTHORISED TO SIGN FOR AND ON BEHALF OF . FINANCE LIMITED

Witness to Signature:

 

________________________     _____________________     _______________________
         Name & Title                                  Date                               Signature

DULY AUTHORISED TO SIGN FOR AND ON BEHALF OF .

 

Witness to Signature:

 

 

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