California Civil Jury Instructions (CACI) (2017)

VF-2300. Breach of Contractual Duty to Pay a Covered Claim

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VF-2300.Breach of Contractual Duty to Pay a Covered Claim
We answer the questions submitted to us as follows:
1. Did [name of plaintiff] suffer a loss, [all or part of] which was
covered under an insurance policy with [name of defendant]?
1. Yes No
1. If your answer to question 1 is yes, then answer question 2. If
you answered no, stop here, answer no further questions, and
have the presiding juror sign and date this form.
2. Was [name of defendant] notified of the loss [as required by the
policy]?
2. Yes No
2. If your answer to question 2 is yes, then answer question 3. If
you answered no, stop here, answer no further questions, and
have the presiding juror sign and date this form.
3. What is the amount of the covered loss that [name of defendant]
failed to pay [name of plaintiff]? $
Signed: Presiding Juror
Dated:
After [this verdict form has/all verdict forms have] been signed, notify
the [clerk/bailiff/court attendant] that you are ready to present your
verdict in the courtroom.
New September 2003; Revised December 2010
Directions for Use
The special verdict forms in this section are intended only as models. They may
need to be modified depending on the facts of the case.
This verdict form is based on CACI No. 2300, Breach of Contractual Duty to Pay
a Covered Claim—Essential Factual Elements.
If there are multiple causes of action, users may wish to combine the individual
forms into one form. If different damages are recoverable on different causes of
action, replace the damages tables in all of the verdict forms with CACI No. VF-
3920, Damages on Multiple Legal Theories.
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