TABLE 28-1,  INSURANCE RATING PLAN RATING AGREEMENT

Special Casualty Insurance Rating Plan
Assignment-Assumption of Premium Obligations

It is agreed that 100 percent* of the return premiums and premium refunds (and dividends) due or to become due the prime contractor under the policies to which the National Defense Projects Rating Plan Endorsement made a part of policy_______________________ applies are hereby assigned to and shall be paid to the United States of America, and the prime contractor directs the Company to make such payments to the office designated for contract administration acting for and on account of the United States of America.

The United States of America hereby assumes and agrees to fulfill all present and future obligations of the prime contractor with respect to the payment of 100 percent* of the premiums under said policies.

This agreement, upon acceptance by the prime contractor, the United States of America, and the Company shall be effective from_____________________________

 

Accepted _________________________
(Date)

____________________ (Name of Insurance Company)
By __________________ (Title of Official Signing)

 

Accepted _________________________
(Date)

United States of America
By _________________ (Authorized Representative)

 

Accepted _____________________
(Date)

______________________ (Prime Contractor)
By ____________________ (Authorized Representative)

*In the event the Government has less than a 100 percent interest in premium funds or dividends, modify the assignment to reflect the percentage of interest and extent of the Government's assumption of additional premium obligation.