Chapter 1 - FORM 1-26 : NOTICE OF POTENTIAL CLAIM TO EXCESS OR SECONDARY COVERAGE CARRIER

• Jurisdiction: Colorado

Form 1-26: Notice of Potential Claim to Excess or Secondary Coverage Carrier

[date]

Via Certified Mail
Return Receipt Requested

[name]
[address]

Re: Notice of Potential Claim
Named Entity: __________
Policy No.: __________
Liability Insurance Coverage, Policy No.: __________
Policy Period: __________

Dear Sir or Madam:

The undersigned is outside counsel for [name of insured]. The purpose of this letter is to notify you of a potential claim in accordance with the terms and conditions of [applicable section of insurance policy] of the above-referenced policy, entitled [heading of applicable section of policy, such as: "Notices and Claim Reporting Provisions"]. The circumstances of the potential claim are set forth in the correspondence and attachments dated [date], which were provided to the primary...