My insurance agency has made me aware of the fact that I may be underinsured or have no coverage at all in some circumstances of possible claims situations of both liability for bodily injury and/or property damage claim(s). I understand once my liability limits have been exhausted from a claim for bodily injury I am liable for my own defense costs and pre-judgment interest. Once the limits of liability have been exhausted from a claim, the insurance company’s “Duty to Defend” ends.

I request the above change(s) to my insurance policy. My request has been carefully reviewed and selected and I understand my changes with no questions whatsoever.

Please be advised that no coverage can be bound nor any changes made to your policy until confirmed in writing by an employee during regular business hours. If you have not heard from us within 24 hrs (excluding weekends & holidays), please let us know as we may not have received your information.