14 Ill. Adm. Code 485.EXHIBIT B
B Verification of Malpractice Insurance
Section 485
Section 485.EXHIBIT B
Verification of Malpractice Insurance
STATE
OF ILLINOIS
OFFICE
OF THE ATTORNEY GENERAL
CONSUMER
FRAUD BUREAU
100
WEST RANDOLPH STREET - FLOOR 12
CHICAGO,
ILLINOIS 60601
VERIFICATION
OF MALPRACTICE INSURANCE
BY
IMMIGRATION SERVICE PROVIDER
NOTE: The Registrant shall not, by completing this
form, construe such action as an approval or sanction of the business practices
of the Registrant by the State of Illinois or Office of the Attorney General.
Today's Date ________________
Insurance Carrier:
______________________________________________________________________________
______________________________________________________________________________
Address,
City, Zip Code
Policy No.: ________________ Coverage
Amount: $ _________________________________
Expiration Date: ________________________________________________________________
KNOW ALL PERSONS BY THESE
PRESENTS:
That _________________________________________________,
(Name of Insured) providing immigration services as defined by Section 2AA of
the Illinois Consumer Fraud and Deceptive Business Practices Act [815 ILCS
505/2AA] (hereinafter, "the Act") and located at ______________________________
(address), as insured, and ________________________ (Name of Insurer), are
held firmly bound unto the People of the State of Illinois in the penal sum of
$100,000, for the payment of which, we bind ourselves, our heirs, executors,
successors and assigns, jointly and severally, firmly by these presents.
The insured is
engaged in the business of providing immigration services within the meaning of
the Act and is required to furnish verification of malpractice insurance
coverage.
Violation of the Act
by the insured shall constitute malpractice notwithstanding any exclusionary
clauses in the policy statement of said malpractice insurance coverage, a copy
of which is attached hereto and incorporated herein as Exhibit A.
The Attorney General
or State's Attorney of any County may bring an action against the insured for
violations of the Act, and the insured shall be obligated for any and all
judgments entered against the insured.
The liability of
insurer for indemnifying any claim shall be limited to actual damages arising
from insured's violation of the Act.
The aggregate
liability of the insurer on all claims whatsoever shall not exceed the amount
of this policy.
This policy is
executed by the insurer to comply with the provisions of the Act, and the
policy shall be subject to all of the terms and provisions thereof.
IN WITNESS WHEREOF,
the named insured, by a duly authorized officer or representative, has hereunto
set its seal, and the named insurer has caused these presents to be signed by
its duly authorized officer this
_____
day of_____________,
____
.
Insured
Insurer
By:
By:
Signature of officer
Signature of officer
or agent
or agent
Address
Address
City, State, Zip Code
City, State, Zip Code
Notary Public
(Seal)
* * *
AN IMMIGRATION SERVICE
PROVIDER IS REQUIRED TO CONTINUOUSLY MAINTAIN MALPRACTICE INSURANCE WITH
MINIMUM COVERAGE OF $100,000, OR A SURETY BOND IN THE AMOUNT OF $100,000. THE
PROVIDER SHALL ALSO MAINTAIN A SURETY BOND FOR A PERIOD OF 2 YEARS FOLLOWING
THE DATE ON WHICH IT CEASES OPERATIONS.