Form 213

(a) The policy provision providing for said credit, setoff, reduction, or deduction; (b) The amount of the credit, setoff, reduction, or deduction; and (c) A brief description of the factual basis for the credit, setoff, reduction, or deduction. COMMENT: Interrogatory #6 is not intended to address any reduction in the verdict that may arise from the application of General Statutes § 52-572h (regarding comparative negligence and apportionment) or General Statutes § 52-225a (regarding collateral sources, as defined by General Statutes § 52-225b). (7) Are you aware of any other insurance policy affording uninsured/underinsured motorist coverage, to any plaintiff herein, that is primary to the coverage afforded by your policy? (8) If so, for each such policy, state: (a) The name and address of the insurer; (b) The name and address of each named insured; (c) The policy number; (d) The limits of uninsured/underinsured motorist coverage under such policy; and (e) The basis for your contention that it is primary to your policy. (9) State the names and addresses of all persons known to you who were present at the time of the incident alleged in the Complaint or who observed or witnessed all or part of the incident. (10) As to each individual named in response to Interrogatory #9, state whether to your knowledge, or the knowledge of your attorney, such individual has given any statement or statements as defined in the Practice Book Sections 13-1 and 13-3 (b) concerning the subject matter of the Complaint in this action. If the answer to this interrogatory is affirmative, state also: (a) The name and address of the person giving the statement; (b) The date on which the statement or statements were taken; (c) The names and addresses of the person or people who took such statement(s); (d) The name and address of any person present when such statement(s) was taken; (e) Whether such statement(s) was written, made by recording device, or taken by a court reporter or stenographer; and (f) The name and address of each person having custody or a copy or copies of such statement(s). (11) Are you aware of any photographs or any recordings by film, video, audio or any other digital or electronic means depicting the incident alleged in the Complaint, the scene of the incident, any vehicle involved in the incident alleged in the Complaint, or any condition or injury alleged to have been caused by the incident alleged in the Complaint? If so, for each set of photographs or each recording taken, obtained or prepared of each such subject, state: