HomeMy WebLinkAbout04-1242F:\FILES\DATAFILE\Doneg 3050\CLrcent\240.com
C,e.t d 2/6104 1?13PM
Rc,red. 3/23/04 929AM
DONEGAL MUTUAL INS. CO.,
Plaintiff
V.
WILLIAM D. SWANK,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 04- 12VA CIVILACTION-LAW
DECLARATORY JUDGMENT ACTION
NOTICE
You have been sued in court. If you wish to defend against the claims set forth in the
following pages, you must take action within twenty (20) days after this Complaint and Notice are
served, by entering a written appearance personally orby attorney and filing in writing with the court
your defenses or objections to the claims set forth against you. You are warned that if you fail to do
so, the case may proceed without you and a judgment may be entered against you by the court
without further notice for any money claimed in the Complaint or for any other claim or relief
requested by the Plaintiffs. You may lose money or property or other rights important to you.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT
HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS
OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER.
IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO
PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL
SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE:
Cumberland County Bar Association
32 South Bedford Street
Carlisle, Pennsylvania 17013
Telephone (717) 249-3166
F:\FILES\DATAFILE\DonegaU050\Cw t\240. com
Created'. 2/D04 11'.01 AM
Re,medl 3112104 2J9PM
DONEGAL MUTUAL INS. CO.,
Plaintiff
V.
WILLIAM D. SWANK,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 04- /D4.), CIVILACTION- LAW
DECLARATORY JUDGMENT ACTION
COMPLAINT
AND NOW, comes Plaintiff, Donegal Mutual Ins. Co., by and through its attorneys,
MARTSON DEARDORFF WILLIAMS & OTTO, and brings this action pursuant to the
Pennsylvania Declaratory Judgment Act, and in support thereof, avers as follows:
1. Plaintiff is Donegal Mutual Ins. Co. (hereinafter, "Donegal"), and is licensed to do
business as a property and casualty insurer in the Commonwealth of Pennsylvania.
2. Defendant, William D. Swank (hereinafter, "Swank"), is an adult individual residing
at 4 East Willow Terrace Drive, Mechanicsburg, Cumberland County, Pennsylvania, 17055.
3. On or about February 23, 2002, Donegal issued to Swank a policy of automobile
insurance, Policy Number PAE 057 23 45, effective February 23, 2002, through February 23, 2003.
Pertinent portions of said Policy are attached hereto and marked as Exhibit "A."
4. This action is brought pursuant to the Pennsylvania Declaratory Judgment Act, 42 Pa.
C.S. §7531 et seq. to determine whether there is coverage of Plaintiff's Underinsured Motorist
Claim under the automobile insurance policy as described above and attached hereto as Exhibit "A."
5. The vehicle covered by the Policy is a 1987 Chevrolet S-10 Blazer, Vehicle
Identification Number 1GNCT18RXH0183875, owned by Swank.
6. The said insurance policy provided for Underinsured Motorists Coverage in policy
form PPD 04 17 02 96 (part of Exhibit "A") which contained the following exclusion:
"A. We do not provide Underinsured Motorists Coverage for "bodily injury"
sustained:
1. By you while "occupying," or when struck by, any motor vehicle you
own which is not insured for this coverage under this policy."
7. On March 17, 2002, Swank was occupying a 1987 Plymouth Sundance when it
collided with an alleged underinsured vehicle.
8. At the time of said collision, the 1987 Plymouth Sundance was owned by Swank.
9. At the time of the said Collision, the said 1987 Plymouth Sundance was not a "your
covered auto" as defined by the policy, under Form PPD Of 510197.
10. A claim has been made to Donegal by Swank under the underinsured motorists
coverage of the above stated policy, Exhibit "A."
11. Allparties necessary for the resolution of this matter and whose rights and obligations
may be affected thereby, have been joined as parties to this action.
12. An actual controversy exists between the parties named herein and the Declaration
sought will substantially aid in determining an appropriate resolution.
WHEREFORE, Plaintiff, Donegal Mutual Ins. Co., requests this Court to enter a Declaratory
Judgment regarding the parties respective rights, duties and legal relationship with respect to the
insurance policy at issue, specifically:
a. declaring that Swank was the owner of the vehicle he was operating at the
time of the collision;
b. declaring there was no underinsured motorists coverage on said vehicle;
C. declaring that Swank's underinsured motorists claim is excluded from
coverage under the policy as a result of his occupying an uninsured vehicle
that he owned;
d. declaring that Donegal, under the terms of the policy, is not obligated to
compensate Swank for any underinsured motorists claims or losses suffered
by him as a result of the collision;
e. awarding costs of this Action to Donegal; and
f. awarding such other relief as this Court may deem just and proper.
Respectfully submitted,
Date:
MARTSON DEARDORFF WILLIAMS & OTTO
By i cA-,.`c.--
uns, Esquire
Thomas J. Wil1treet
Ten East High Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
DONEGAL eompaadee. GE COPY
MARIETTA, PENNSYLVANIA 17547-0302 RENEWAL OF POLICY PAE 0572345
PERSONAL AUTO POLICY - PREFERRED RATING PROGRAM
RENEWAL CERTIFICATE
=Q?IN'l:?Ull?ll:f ' ' I I IDI?:/:lelll6'19a11?IUIq?1h??ICI?
EFFECTIVE A.M I
PAE 0572345 1 02/23/0202/23/031 DONEGAL MUTUAL INS. CO. 1000425d00
%/1// /01-1717
SWANK WILLIAM D ACORDIA NORTHEAST INC 05
4 EAST WILLOW TERRACE DR 4900 RITTER RD 2ND FLOOR
MECHANICSBURG PA 17055 P 0 BOX 1220
MECHANICSBURG PA 17055
DRIVER ID
01
APPLICABLE FO
FORM # DATE
PP0001 06/94
PAE001 12/89
PP0416 07/90
DRIVER NAM
WILLIAM D
RMS
UNIT FORM #
ALL PPDO151
ALL PP0309
001 PPD0417
DATE
01/97
04/86
02/96
LICENSE
1571157
UNIT FORM #
ALL PP0305
001 PP0420
001 PP0551
NUMBER BIRTH DATE
Z 10/24/52
DATE UNIT FORM # DATE UNIT
08/86 ALL IL0910 01/81 ALL
07/90 001 PPD0421 02/96 001
06/94 001 DAACP 02/92 001
01/16/02
PL-2 (9/88)
----- STATEMENT OF ACCOUNT -----
TOTAL PREMIUM $300.00
TOTAL AMOUNT RECEIVED $0.00
ACCOUNT BALANCE $300.00
pC.)•wu.y`!1 HwA..K.w?4J President
PAYMENT PLAN ------- PAE0572345 01 05
TOTAL AMOUNT DUE 02/20/02...... $300.00
THANK YOU FOR LETTING US SERVE YOU
DONEGAL ea„yj4 IMAGE COPY
MARIETTA, PENNSYLVANIA 17547-0302 RENEWAL QF POLICY PAE 0572345
PERSONAL AUTO POLICY - PREFERRED RATING PROGRAM
RENEWAL CERTIFICATE
?JO?pY??tllllril:{q' ': i :D1q:?e1e1?6'1?:{?DlUla:?l0?laq
EFFECTIVE 2: A.M
PAE 0572345 102/23/021 02/23/031 DONEGAL MUTUAL INS. CO.
SWANK WILLIAM D
4 EAST WILLOW TERRACE DR
MECHANICSBURG PA 17055
ACORDIA NORTHEAST INC
4900 RITTER RD 2ND FLOOR
P 0 BOX 1220
MECHANICSBURG PA
BELOW YOU WILL FIND IMPORTANT INFORMATION REGARDING THESE POLICY DECLARATIONS.
COVERAGE FOR RENTED AUTOS
IF YOU PURCHASED COLLISION COVERAGE ON YOUR OWNED AUTO(S)
UNDER THIS POLICY, COVERAGE EXTENDS TO COLLISION DAMAGE TO A
PRIVATE PASSENGER AUTO THAT YOU OR A RESIDENT RELATIVE MAY RENT.
THIS COVERAGE IS EXCESS OVER OTHER AVAILABLE INSURANCE AND
APPLIES WHEN SUCH AUTO IS RENTED FOR 30 CONSECUTIVE DAYS OR LESS.
IF YOU HAVE A COLLISION LOSS WITH THE RENTED AUTO, YOU MAY HAVE TO
PAY THE LOWEST COLLISION DEDUCTIBLE AMOUNT SHOWN ON THE
DECLARATIONS. BECAUSE THERE ARE MANY DIFFERENT AUTO RENTAL
CONTRACTS, YOU SHOULD READ SUCH CONTRACTS CAREFULLY BEFORE
REJECTING "COLLISION DAMAGE WAIVER COVERAGE" OFFERED BYAN AUTO
RENTALAGENCY. (SEE YOUR POLICY FOR COVERAGE DETAILS.)
PL-2 (9/88)
CONTINUED ON REVERSE SIDE
000425
17055
041?IV...U-4- President
05
REFER TO FINAL PAGE FOR BILLING NOTICE
Casy,a,DONEGAL ,Z GE COPY
MARIETTA, PENNSYLVANIA 17547-0302 RENEWAL OF POLICY PAE 0572345
PERSONAL AUTO POLICY - PREFERRED RATING PROGRAM
RENEWAL CERTIFICATE
1 Kggq:/:?K?b?9:i?19U1q?11P?!'?
olI1N7:11A0tl:{ : mu, -0
EFFECTIVE 12: 1 A.M
PAE 0572345 1 02/23/0202/23/031 DONEGAL MUTUAL INS. CO. 10004255100
t/1// /01-1717
SWANK WILLIAM D ACORDIA NORTHEAST INC 05
4 EAST WILLOW TERRACE DR 4900 RITTER RD 2ND FLOOR
MECHANICSBURG PA 17055 P O BOX 1220
MECHANICSBURG PA 17055
VEHICLES COVERED
UNIT ST TER YR MAKE MODEL SERIAL NUMBER SYM CLASS MAX LT CHG DATE
001 PA 027 87 CHEVROLET S10 BLAZE 1GNCT18RXH0183875 11 885110 02/23/02
INSURANCE IS PROVIDED WHERE A PREMIUM IS SHOWN FOR THE COVERAGE
')VERAGE LIMITS OF LIABILITY PREMIUMS
UNIT 1
FULL TORT OPTION APPLIES TO THIS POLICY YES
SPLIT LIABILITY LIMITS PP0309 0486
BODILY INJURY LIABILITY
$100,000 EACH PERSON $300,000 EACH ACCIDENT 104.00
PROPERTY DAMAGE LIABILITY
$100,000 EACH ACCIDENT 60.00
UNINSURED MOTORIST BODILY INJURY
PER PERSON $100,000 PER ACCIDENT $300,000
(NO STACKING OF COVERAGE) 52.00
UNDERINSURED MOTORIST BODILY INJURY
PER PERSON $100,000 PER ACCIDENT $300,000
(NO STACKING OF COVERAGE) 12.00
MEDICAL EXPENSE COVERAGE $10,000 44.00
WORK LOSS COVERAGE $1,000 MONTH/$5,000 TOTAL 20.00
FUNERAL EXPENSE COVERAGE $2,500 8.00
PL-2 (9/88) Q
ny.(? /? In,,A+M(.auaJ President
01/16/02 CONTINUED ON REVERSE SIDE
REFER TO FINAL PAGE FOR BILLING NOTICE
DONEGAL 6040 GE COPY
MARIETTA, PENNSYLVANIA 17547-0302 RENEWAL OF POLICY PAE 0572345
PERSONAL AUTO POLICY - PREFERRED RATING PROGRAM
RENEWAL CERTIFICATE
?i111N'???UIPil:1q: •: ?PIq:Ie1q?1.y9:I?PlUId:?IP?1a?
EFFECTIVE :01 A.M
PAE 0572345 02/23/021 02/23/03 DONEGAL MUTUAL INS. CO. 10004255100
\/1// 101-1717
SWANK WILLIAM D ACORDIA NORTHEAST INC 05
4 EAST WILLOW TERRACE DR 4900 RITTER RD 2ND FLOOR
MECHANICSBURG PA 17055 P 0 BOX 1220
MECHANICSBURG PA 17055
INSURANCE IS PROVIDED WHERE A PREMIUM IS SHOWN FOR THE COVERAGE
COVERAGE LIMITS OF LIABILITY PREMIUMS
UNIT 1
TOTAL BY UNIT 300.00
TOTAL TERM PREMIUM $300.00
A $24.00 ACCOUNT CREDIT HAS BEEN DEDUCTED
IN DETERMINING YOUR TOTAL PREMIUM
PL-2 (9/88)
0?1 President
01/16/02 CONTINUED ON NEXT PAGE
REFER TO FINAL PAGE FOR BILLING NOTICE
PERSONAL AUTO POLICY
AGREEMENT
In return for payment of the premium and subject to all the terms of this policy, we agree with you as follows:
DEFINITIONS
A. Throughoutthis policy, "you" and "your" referto:
1. The "named insured" shown in the
Declarations; and
b. A pickup or van that:
(1) Has a Gross Vehicle Weight of less
than 10,000 lbs.; and
2. The spouse if a resident of the same household.
B. "We," "us" and "our" refer to the Company
providing this insurance.
C. For purposes of this policy, a private passenger type
auto shall be deemed to be owned by a person if
leased:
1. Under a written agreement to that person; and
2. For a continuous period of at least 6 months.
Other words and phrases are defined. They are in
quotation marks when used.
D. "Bodily injury" means bodily harm, sickness or
disease, including death that results.
E. "Business" includes trade, profession or occupation.
F. "Family member" means a person related to you by
blood, marriage or adoption who is a resident of your
household. This includes a ward or foster child.
G. "Occupying" means in, upon, getting in, on, out or
off.
H. "Property damage" means physical injury to,
destruction of or loss of use of tangible property.
"Trailer" means a vehicle designed to be pulled by a:
1. Private passenger auto; or
2. Pickup or van.
It also means a farm wagon or farm implement while
towed by a vehicle listed in 1. or 2. above.
J. "Your covered auto" means:
1. Any vehicle shown in the Declarations.
(2) Is not used for the delivery or
transportation of goods and
materials unless such use is:
(a) Incidental to your "business"
of installing, maintaining or re-
pairing furnishings or equip-
ment; or
(b) For farming or ranching.
This provision (J.2.) applies only if:
a. You acquire the vehicle during the policy
period;
b. You ask us to insure it within 30 days after
you become the owner; and
c. With respect to a pickup or van, no other
insurance policy provides coverage for
that vehicle.
If the vehicle you acquire replaces one shown in
the Declarations, it will have the same coverage
as the vehicle it replaced. You must ask us to
insure a replacement vehicle within 30 days
only if you wish to add or continue Coverage for
Damage to Your Auto.
If the vehicle you acquire is in addition to any
shown in the Declarations, it will have the
broadest coverage we now provide for any
vehicle shown in the Declarations.
3. Any "trailer" you own.
4. Any auto or "trailer" you do not own while used
as a temporary substitute for any other vehicle
described in this definition which is out of
normal use because of its:
2. Any of the following types of vehicles on the a. Breakdown; d. Loss; or
date you become the owner: b. Repair; e. Destruction.
c. Servicing;
a. A private passenger auto; or This provision (J.4.) does not apply to
Coverage for Damage to Your Auto.
PP 00 01 06 94 Copyright, Insurance Services Office, Inc., 1994 Page 1 of 13
PART A - LIABILITY COVERAGE
INSURING AGREEMENT 5. Other reasonable expenses incurred
at our request.
A. We will pay damages for "bodily injury" or "property
damage" for which any "insured" becomes legally EXCLUSIONS
responsible because of an auto accident. Damages
include prejudgment interest awarded against the A. We do not provide Liability Coverage for any
"insured." We will settle or defend, as we consider "insured":
appropriate, any claim or suit asking for these
damages. In addition to our limit of liability, we will pay 1. Who intentionally causes "bodily injury" or
"
"
all defense costs we incur. Our duty to settle or property damage.
defend ends when our limit of liability for this 2. For "property damage" to property owned or
coverage has been exhausted. We have no duty to being transported by that "insured."
defend any suit or settle any claim for "bodily injury"
or "property damage" not covered under this policy. 3. For "property damage" to property:
B. "Insured" as used in this Part means: a. Rented to;
1. You or any "family member" for the ownership, b. Used by; or
maintenance or use of any auto or "trailer."
c. In the care of;
2. Any person using "your covered auto."
that "insured."
3. For "your covered auto," any person or
organization but only with respect to legal This exclusion (A.3.) does not apply to
responsibility for acts or omissions of a person "property damage" to a residence or private
for whom coverage is afforded under this Part. garage.
4. For any auto or "trailer," other than "your
covered auto," any other person or
organization but only with respect to legal
responsibility for acts or omissions of you or any
"family member" for whom coverage is
afforded under this Part. This provision (B.4.)
applies only if the person or organization does
not own or hire the auto or "trailer."
SUPPLEMENTARYPAYMENTS
In addition to our limit of liability, we will pay on behalf of an
"insured":
1. Up to $250 for the cost of bail bonds required
because of an accident, incioding related traffic
law violations. The accident must result in
"bodily injury" or "property damage" covered
under this policy.
4. For "bodily injury" to an employee of that
"insured" during the course of employment.
This exclusion (A.4.) does not apply to "bodily
injury" to a domestic employee unless workers'
compensation benefits are required or available
for that domestic employee.
5. For that "insured's" liability arising out of the
ownership or operation of a vehicle while it is
being used as a public or livery conveyance.
This exclusion (A.5.) does not apply to a
share-the-expense car pool,
6. While employed or otherwise engaged in the
"business" of:
a. Selling; d. Storing; or
b. Repairing; e. Parking;
c. Servicing;
2. Premiums on appeal bonds and bonds to
release attachments in any suit we defend.
3. Interest accruing after a judgment is entered in
any suit we defend. Our duty to pay interest
ends when we offer to pay that part of the
judgment which does not exceed our limit of
liability for this coverage.
vehicles designed for use mainly on public
highways. This includes road testing and
delivery. This exclusion (A.6.) does not apply to
the ownership, maintenance or use of "your
covered auto" by:
a. You;
b. Any "family member"; or
4. Up to $50 a day for loss of earnings, but not
other c. Any partner, agent or employee of you or
income, because of attendance at
hearings or trials at our request. any "family member."
PP 00 01 06 94 Copyright, Insurance Services Office, Inc., 1994 Page 2 of 13
7. Maintaining or using any vehicle while that
"insured" is employed or otherwise engaged in
any "business" (other than farming or
ranching) not described in exclusion A.6.
This exclusion (A.7.) does not apply to the
maintenance or use of a:
a. Private passenger auto;
b. Pickup or van that:
(1) You own; or
(2) You do not own while used as a
temporary substitute for "your
covered auto" which is out of normal
use because of its:
(a) Breakdown;
(b) Repair;
(c) Servicing;
(d) Loss; or
(e) Destruction; or
c. "Trailer" used with a vehicle described in
a. or b. above.
8. Using a vehicle without a reasonable belief that
that "insured" is entitled to do so.
9. For "bodily injury" or "property damage" for
which that "insured":
a. Is an insured under a nuclear energy
liability policy; or
b. Would be an insured under a nuclear
energy liability policy but for its
termination upon exhaustion of its limit of
liability.
A nuclear energy liability policy is a policy
issued by any of the following or their
successors:
a. American Nuclear Insurers;
b. Mutual Atomic Energy Liability Underwrit-
ers; or
c. Nuclear Insurance Association of Ca-
nada.
B. We do not provide Liability Coverage for the
ownership, maintenance or use of:
1. Any vehicle which:
a. Has fewer than four wheels; or
b. Is designed mainly for use off public
roads.
This exclusion (B.1.) does not apply:
a. While such vehicle is being
used by an "insured" in a med-
ical emergency; or
b. To any "trailer."
2. Any vehicle, other than "your covered auto,"
which is:
a. Owned by you; or
b. Furnished or available for your regular
use.
3. Any vehicle, other than "your covered auto,"
which is:
a. Owned by any "family member"; or
b. Furnished or available for the regular use
of any "family member."
However, this exclusion (B.3.) does notapply to
you while you are maintaining or "occupying"
any vehicle which is:
a. Owned by a "family member"; or
b. Furnished or available for the regular use
of a "family member."
4. Any vehicle, located inside a facility designed
for racing, forthe purpose of:
a. Competing in; or
b. Practicing or preparing for;
any prearranged or organized racing or speed
contest.
LIMIT OF LIABILITY
A. The limit of liability shown in the Declarations for this
coverage is our maximum limit of liability for all
damages resulting from any one auto accident. This
is the most we will pay regardless of the number of:
1. "Insureds";
2. Claims made;
3. Vehicles or premiums shown in the
Declarations; or
4. Vehicles involved in the auto accident.
B. We will apply the limit of liability to provide any
separate limits required by law for bodily injury and
property damage liability. However, this provision
(B.) will not change our total limit of liability.
PP 00 01 06 94 Copyright, Insurance Services Office, Inc., 1994 Page 3 of 13
C. No one will be entitled to receive duplicate payments
for the same elements of loss under this coverage
and:
1. Part B or Part C of this policy; or
2. Any Underinsured Motorists Coverage
provided by this policy.
OUT OF STATE COVERAGE
If an auto accident to which this policy applies occurs in any
state or province other than the one in which "your covered
auto" is principally garaged, we will interpret your policy for
that accident as follows:
A. If the state or province has:
1. A financial responsibility or similar law
specifying limits of liability for "bodily injury" or
"property damage" higher than the limit shown
in the Declarations, your policy will provide the
higher specified limit.
2. Acompulsory insurance or similar law
requiring a nonresident to maintain
insurance whenever the nonresident
uses a vehicle in that state or prov-
ince, your policy will provide at least
the required minimum amounts and
types of coverage.
B. No one will be entitled to duplicate payments for the
same elements of loss.
FINANCIAL RESPONSIBILITY
When this policy is certified as future proof of financial
responsibility, this policy shall comply with the law to the
extent required.
OTHER INSURANCE
If there is other applicable liability insurance we will pay
only our share of the loss. Our share is the proportion that
our limit of liability bears to the total of all applicable limits.
However, any insurance we provide for a vehicle you do
not own shall be excess over any other collectible
insurance.
PART B - MEDICAL PAYMENTS COVERAGE
INSURING AGREEMENT 2. Sustained while "occupying" "your covered
auto" when it is being used as a public or livery
A. We will pay reasonable expenses incurred for conveyance. This exclusion (2.) does not apply
necessary medical and funeral services because of to a share-the-expense car pool.
"bodily injury":
Caused by accident; and
3. Sustained while 'occupying' any vehicle
located for use as a residence or premises.
2. Sustained by an "insured."
We will pay only those expenses incurred for services
rendered within 3 years from the date of the accident.
B. "Insured" as used in this Part means:
You or any "family member":
a. While "occupying"; or
b. As a pedestrian when struck by;
a motor vehicle designed for use mainly on
public roads or a trailer of any type.
2. Any other person while "occupying" "your
covered auto."
4. Occurring during the course of employment if
workers' compensation benefits are required
or available for the "bodily injury."
5. Sustained while "occupying," or when struck
by, any vehicle (other than "your covered
auto") which is:
a. Owned by you; or
b. Furnished or available for your regular
use.
6. Sustained while "occupying," or when struck
by, any vehicle (other than "your covered
auto") which is:
a. Owned by any "family member"; or
EXCLUSIONS
b. Furnished or available for the regular use
We do not provide Medical Payments Coverage for any of any "family member."
"insured" for "bodily injury":
However, this exclusion (6.) does not apply to
1. Sustained while "occupying" any motorized you.
vehicle having fewer than four wheels.
PP 00 01 06 94 Copyright, Insurance Services Office, Inc., 1994 Page 4 of 13
7. Sustained while "occupying" a vehicle without a. Competing in; or
a reasonable belief that that "insured" is
entitled to do so. b. Practicing or preparing for;
8. Sustained while "occupying" a vehicle when it any prearranged or organized racing
is being used in the "business" of an "insured." or speed contest.
This exclusion (8.) does not apply to "bodily LIMIT OF LIABILITY
injury" sustained while "occupying" a:
a. Private passenger auto; A. The limit of liability shown in the Declarations for this
coverage is our maximum limit of liability for each
b. Pickup or van that you own; or person injured in any one accident. This is the most
we will pay regardless of the number of:
c. "Trailer" used with a vehicle described in
a. orb. above. 1. "Insureds";
9. Caused by or as a consequence of: 2. Claims made;
a. Discharge of a nuclear weapon (even if 3. Vehicles or premiums shown in the
accidental); Declarations; or
b. War (declared or undeclared); 4. Vehicles involved in the accident.
c. Civil war; B. No one will be entitled to receive duplicate payments
for the same elements of loss under this coverage
d. Insurrection; or and:
S. Rebellion or revolution. 1. Part A or Part C of this policy; or
10. From or as a consequence of the following, 2. Any Underinsured Motorists Coverage
whether controlled or uncontrolled or however provided by this policy.
caused:
OTHERINSURANCE
a. Nuclear reaction;
b. Radiation; or
c. Radioactive contamination.
11. Sustained while "occupying" any vehicle
located inside a facility designed for racing, for
the purpose of:
If there is other applicable auto medical payments
insurance we will pay only our share of the loss. Our share
is the proportion that our limit of liability bears to the total of
all applicable limits. However, any insurance we provide
with respect to a vehicle you do not own shall be excess
over any other collectible auto insurance providing
payments for medical or funeral expenses.
PART C - UNINSURED MOTORISTS COVERAGE
INSURING AGREEMENT
A. We will pay compensatory damages which an
"insured" is legally entitled to recover from the owner
or operator of an "uninsured motor vehicle" because
of "bodily injury":
1. Sustained by an "insured"; and
2. Caused by an accident.
B. "Insured" as used in this Part means:
1. You or any "family member."
2. Any other person "occupying" "your covered
auto."
3. Any person for damages that person is entitled
to recover because of "bodily injury" to which
this coverage applies sustained by a person
described in 1, or 2. above.
The owner's or operator's liability for these damages
must arise out of the ownership, maintenance or use
of the "uninsured motor vehicle."
C. "Uninsured motor vehicle" means a land motor
vehicle or trailer of any type:
Any judgment for damages arising out of a suit 1. To which no bodily injury liability bond or policy
brought without our written consent is not binding on applies at the time of the accident.
US.
PP 00 01 06 94 Copyright, Insurance Services Office, Inc., 1994 Page 5 of 13
2. To which a bodily injury liability bond or policy
applies at the time of the accident. In this lase
its limit for bodily injury liability must be less than
the minimum limit for bodily injury liability
specified by the financial responsibility law of
the state in which "your covered auto" is
principally garaged.
3. Which is a hit-and-run vehicle whose operator
or owner cannot be identified and which hits:
a. You or any "family member";
b. A vehicle which you or any "family
member" are "occupying"; or
c. "Your covered auto."
4. To which a bodily injury liability bond or policy
applies at the time of the accident but the
bonding or insuring company:
a. Denies coverage; or
b. Is or becomes insolvent.
However, "uninsured motor vehicle" does not
include any vehicle or equipment:
1. Owned by or furnished or available for the
regular use of you or any "family member."
2. Owned or operated by a self-insurer under any
applicable motor vehicle law, except a
self-insurer which is or becomes insolvent.
3. Owned by any governmental unit or agency.
4. Operated on rails or crawler treads.
5. Designed mainly for use off public roads while
not on public roads.
6. While located for use as a residence or
premises.
EXCLUSIONS
A. We do not provide Uninsured Motorists Coverage for
"bodily injury" sustained:
1. By an "insured" while "occupying," or when
struck by, any motor vehicle owned by that
"insured" which is not insured for this coverage
under this policy. This includes a trailer of any
type used with that vehicle.
2. By any "family member" while "occupying," or
when struck by, any motor vehicle you own
which is insured for this coverage on a primary
basis under any other policy.
1. If that "insured" or the legal repre-
sentative settles the "bodily injury"
claim without our consent.
2. While "occupying" "your covered
auto" when it is being used as a public
or livery conveyance. This exclusion
(B.2.) does not apply to a share-the-
expense car pool.
3. Using a vehicle without a reasonable belief that
that "insured" is entitled to do so.
C. This coverage shall not apply directly or indirectly to
benefit any insurer or self-insurer under any of the
following or similar law:
1. Workers' compensation law; or
2. Disability benefits law.
D. We do not provide Uninsured Motorists Coverage for
punitive or exemplary damages.
LIMIT OF LIABILITY
A. The limit of liability shown in the Declarations for this
coverage is our maximum limit of liability for all
damages resulting from any one accident. This is the
most we will pay regardless of the number of:
1. "Insureds";
2. Claims made;
3. Vehicles or premiums shown in the
Declarations; or
4. Vehicles involved in the accident.
B. No one will be entitled to receive duplicate payments
for the same elements of loss under this coverage
and:
1. Part A or Part B of this policy; or
2. Any Underinsured Motorists Coverage
provided by this policy.
C. We will not make a duplicate payment under this
coverage for any element of loss for which payment
has been made by or on behalf of persons or
organizations who may be legally responsible.
D. We will not pay for any element of loss if a person is
entitled to receive payment for the same element of
loss under any of the following or similar law:
1. Workers' compensation law; or
2. Disability benefits law.
B. We do not provide Uninsured Motorists Coverage for
"bodily injury" sustained by any "insured":
PP 00 01 06 94 Copyright, Insurance Services Office, Inc., 1994
Page 6 of 13
OTHERINSURANCE
If there is other applicable insurance available under one
or more policies or provisions of coverage:
Any recovery for damages under all such
policies or provisions of coverage may equal
but not exceed the highest applicable limit for
any one vehicle under any insurance providing
coverage on either a primary or excess basis.
2. Any insurance we provide with respect to a
vehicle you do not own shall be excess over any
collectible insurance providing coverage on a
primary basis.
3. If the coverage under this policy is provided:
a. On a primary basis, we will pay only our
share of the loss that must be paid under
insurance providing coverage on a
primary basis. Our share is the proportion
that our limit of liability bears to the total of
all applicable limits of liability for coverage
provided on a primary basis.
b. On an excess basis, we will pay only our
share of the loss that must be paid under
insurance providing coverage on an
excess basis. Our share is the proportion
that our limit of liability bears to the total of
all applicable limits of liability for coverage
provided on an excess basis.
ARBITRATION
A. If we and an "insured" do not agree:
Whether that "insured" is legally entitled to
recover damages; or
2. As to the amount of damages which
are recoverable bythat"insured";
from the owner or operator of an "unin-
sured motor vehicle," then the matter may
be arbitrated. However, disputes concern-
ing coverage under this Part may not be ar-
bitrated.
Both parties must agree to arbitration. If so agreed,
each party will select an arbitrator. The two arbitrators
will select a third. If they cannot agree within 30 days,
either may request that selection be made by a judge
of a court having jurisdiction.
B. Each party will:
1. Pay the expenses it incurs; and
2. Bear the expenses of the third arbitrator
equally.
C. Unless both parties agree otherwise, arbitration will
take place in the county in which the "insured" lives.
Local rules of law as to procedure and evidence will
apply. A decision agreed to by two of the arbitrators
will be binding as to:
1. Whether the "insured" is legally entitled to
recover damages; and
2. The amount of damages. This applies only if the
amount does not exceed the minimum limit for
bodily injury liability specified by the financial
responsibility law of the state in which "your
covered auto" is principally garaged. If the
amount exceeds that limit, either party may de-
mand the right to a trial. This demand must be
made within 60 days of the arbitrators' decision.
If this demand is not made, the amount of dam-
ages agreed to by the arbitrators will be binding.
PART D - COVERAGE FOR DAMAGE TO YOUR AUTO
INSURING AGREEMENT If there is a loss to a "non-owned auto," we will
provide the broadest coverage applicable to any
A. We will pay for direct and accidental loss to "your '.your covered auto" shown in the Declarations.
covered auto" or any "non-owned auto," including
their equipment, minus any applicable deductible B. "Collision" means the upset of "your covered auto"
shown in the Declarations. If loss to more than one or a "non-owned auto" or their impact with another
"your covered auto" or "non-owned auto" results vehicle or object.
from the same "collision," only the highest applicable
deductible will apply. We will pay for loss to "your Loss caused by the following is considered other than
covered auto" caused by: "collision":
1. Other than "collision" only if the Declarations 1. Missiles or S. Hail, water or
indicate that Other Than Collision Coverage is falling objects; flood;
provided for that auto. 2. Fire; 7. Malicious mischief
3. Theft or larceny; or vandalism;
2. "Collision" only if the Declarations indicate that 4. Explosion or 8. Riot or civil
Collision Coverage is provided for that auto. earthquake; commotion;
5. Windstorm;
PP 00 01 06 94 Copyright, Insurance Services Office, Inc., 1994 Page 7 of 13
9. Contact with bird 10. Breakage of glass
or animal; or
If breakage of glass is caused by a "collision," you
may elect to have it considered a loss caused by
"collision."
C. "Non-owned auto" means:
1. Any private passenger auto, pickup, van or
"trailer" not owned by or furnished or available
for the regular use of you or any "family
member" while in the custody of or being
operated by you or any "family member"; or
2. Any auto or "trailer" you do not own while used
as a temporary substitute for "your covered
auto" which is out of normal use because of its:
a. Breakdown;
b. Repair;
c. Servicing;
TRANSPORTATION EXPENSES
2. Ending when "your covered auto" or
the "non-owned auto" is returned to
use or we pay for its loss.
If the loss is caused by other than theft of a
"your covered auto" or a "non-owned
auto," we will pay only expenses beginning
when the auto is withdrawn from use for
more than 24 hours.
Our payment will be limited to that period of time
reasonably required to repair or replace the "your
covered auto" or the "non-owned auto."
EXCLUSIONS
We will not pay for:
1. Loss to "your covered auto" or any
d. Loss; or "non-owned auto" which occurs while it is
e. Destruction. being used as a public or livery conveyance.
This exclusion (1.) does not apply to a
share-the-expense car pool.
In addition, we will pay, without application of a deductible,
up to $15 per day, to a maximum of $450, for:
1. Temporary transportation expenses incurred
by you in the event of a loss to "your covered
auto." We will pay for such expenses if the loss
is caused by:
a. Other than "collision" only if the
Declarations indicate that Other Than
Collision Coverage is provided for that
auto.
b. "Collision" only if the Declarations
indicate that Collision Coverage is
provided for that auto.
2. Loss of use expenses for which you become
legally responsible in the event of loss to a
"non-owned auto." We will pay for loss of use
expenses if the loss is caused by:
a. Other than "collision" only if the
Declarations indicate that Other Than
Collision Coverage is provided for any
"your covered auto."
b. "Collision" only if the Declarations
indicate that Collision Coverage is
provided for any "your covered auto."
If the loss is caused by a total theft of "your covered
auto" or a "non-owned auto," we will pay only
expenses incurred during the period:
2. Damage due and confined to:
a. Wear and tear;
b. Freezing;
c. Mechanical or electrical breakdown or
failure; or
d. Road damage to tires.
This exclusion (2.) does not apply if the damage
results from the total theft of "your covered
auto" or any "non-owned auto."
3. Loss due to or as a consequence of:
a. Radioactive contamination;
b. Discharge of any nuclear weapon (even if
accidental);
c. War (declared or undeclared);
d. Civil war;
e. Insurrection; or
f. Rebellion or revolution.
4. Lossto:
a. Any electronic equipment designed for
the reproduction of sound, including, but
not limited to:
(1) Radios and stereos;
1. Beginning 48 hours after the theft; and (2) Tape decks; or
(3) Compact disc players;
PP 00 01 06 94 Copyright, Insurance Services Office, Inc., 1994 Page 8 of 13
b. Any other electronic equipment that
receives or transmits audio, visual or data
signals, including, but not limited to:
(1) Citizens band radios;
(2) Telephones;
(3) Two-way mobile radios;
(4) Scanning monitor receivers;
(5) Television monitor receivers;
(6) Video cassette recorders;
M Audio cassette recorders; or
(8) Personal computers;
c. Tapes, records, discs, or other media
used with equipment described in a. orb.;
or
d. Any other accessories used with
equipment described in a. or b.
This exclusion (4.) does not apply to:
a. Equipment designed solely for the
reproduction of sound and accessories
used with such equipment, provided:
(1) The equipment is permanently
installed in "your covered auto" or
any "non-owned auto"; or
(2) The equipment is:
(a) Removable from a housing
unit which is permanently
installed in the auto;
(b) Designed to be solely
operated by use of the power
from the auto's electrical
system; and
normally used by the man-
ufacturer for installation of
a radio.
5. A total loss to "your covered auto" or
any "non-owned auto" due to de-
struction or confiscation by govern-
mental or civil authorities.
This exclusion (5.) does not apply to the inter-
ests of Loss Payees in "your covered auto."
6. Loss to a camper body or "trailer" you own
which is not shown in the Declarations. This
exclusion (6.) does not apply to a camper body
or "trailer" you:
a. Acquire during the policy period; and
b. Ask us to insure within 30 days after you
become the owner.
7. Loss to any "non-owned auto" when used by
you or any "family member" without a
reasonable belief that you or that "family
member" are entitled to do so.
8. Loss to:
a. Awnings or cabanas; or
b. Equipment designed to create additional
living facilities.
9. Loss to equipment designed or used for the
detection or location of radar or laser.
10. Loss to any custom furnishings or equipment in
or upon any pickup or van. Custom furnishings
or equipment include but are not limited to:
a. Special carpeting and insulation, furniture
or bars;
b. Facilities for cooking and sleeping;
c. Height-extending roofs; or
(c) In or upon "your covered auto"
'
" d. Custom murals, paintings or other decals
or any
non-owned auto
; or graphics.
at the time of the loss. 11. Loss to any "non-owned auto" being main-
b. Any other electronic equipment that is: tained or used by any person while employed
or otherwise engaged in the "business" of:
(1) Necessary for the normal operation
of the auto or the monitoring of the a. Selling; d. Storing; or
auto's operating systems; or b. Repairing; e. Parking;
c. Servicing;
(2) An integral part of the same unit
housing any sound reproducing vehicles designed for use on public highways.
equipment described in a. and per- This includes road testing and delivery.
manently installed in the opening of
" 12. Loss to any "non-owned auto" being main-
the dash or console of
your cov-
"
"
" tained or used by any person while employed
or any
non-owned auto
ered auto
PP 00 01 06 94 Copyright, Insurance Services Office, Inc., 1994 Page 9 of 13
or otherwise engaged in any "business" not
described in exclusion 11. This exclusion'(12.)
does not apply to the maintenance or use by
you or any "family member" of a "non-owned
auto" which is a private passenger auto or
"trailer."
13. Loss to "your covered auto" or any
"non-owned auto," located inside a facility
designed for racing, for the purpose of:
a. Competing in; or
b. Practicing or preparing for;
any prearranged or organized racing or speed
contest.
14. Loss to, or loss of use of, a "non-owned auto"
rented by:
a. You; or
b. Any "family member";
if a rental vehicle company is precluded from
recovering such loss or loss of use, from you or
that "family member," pursuant to the
provisions of any applicable rental agreement
or state law.
LIMIT OF LIABILITY
A. Our limit of liability for loss will be the lesser of the:
1. Actual cash value of the stolen or damaged
property;
2. Amount necessary to repair or replace the
property with other property of like kind and
quality.
However, the most we will pay for loss to any
"non-owned auto" which is a trailer is $500.
B. An adjustment for depreciation and physical
condition will be made in determining actual cash
value in the event of a total loss.
C. If a repair or replacement results in better than like
kind or quality, we will not pay for the amount of the
betterment.
damaged or stolen property. We may, at our ex-
pense, return any stolen property to:
1. You; or
2. The address shown in this policy.
If we return stolen property we will pay for any damage
resulting from the theft. We may keep all or part of the
property at an agreed or appraised value.
If we pay for loss in money, our payment will include the
applicable sales tax for the damaged or stolen property.
NO BENEFIT TO BAILEE
This insurance shall not directly or indirectly benefit any
carrier or other bailee for hire.
OTHER SOURCES OF RECOVERY
If other sources of recovery also cover the loss, we will pay
only our share of the loss. Our share is the proportion that
our limit of liability bears to the total of all applicable limits.
However, any insurance we provide with respect to a
"non-owned auto" shall be excess over any other
collectible source of recovery including, but not limited to:
1. Any coverage provided by the owner of the
"non-owned auto";
2. Any other applicable physical damage
insurance;
3. Any other source of recovery applicable to the
loss.
APPRAISAL
A. If we and you do not agree on the amount of loss,
either may demand an appraisal of the loss. In this
event, each party will select a competent appraiser.
The two appraisers will select an umpire. The
appraisers will state separately the actual cash value
and the amount of foss. If they fail to agree, they will
submit their differences to the umpire. A decision
agreed to by any two will be binding. Each party will:
1. Pay its chosen appraiser; and
2. Bear the expenses of the appraisal and umpire
equally.
PAYMENT OF LOSS B. We do not waive any of our rights under this policy by
We may pay for loss in money or repair or replace the agreeing to an appraisal.
PART E - DUTIES AFTER AN ACCIDENT OR LOSS
We have no duty to provide coverage under this policy A. We must be notified promptly of how, when and
unless there has been full compliance with the following where the accident or loss happened. Notice should
duties: also include the names and addresses of any injured
persons and of any witnesses.
PP 00 01 06 94 Copyright, Insurance Services Office, Inc., 1994 Page 10 of 13
B. A person seeking any coverage must: C. A person seeking Uninsured Motorists
Coverage must also:
1. Cooperate with us in the investigation,
settlement or defense of any claim or suit. 1. Promptly notify the police if a hit-and-
run driver is involved.
2. Promptly send us copies of any notices or legal
papers received in connection with the accident 2. Promptly send us copies of the legal
or loss, papers if a suit is brought.
3. Submit, as often as we reasonably require: D. A person seeking Coverage for Damage to Your Auto
must also:
a. To physical exams by physicians we
select. We will pay for these exams. 1. Take reasonable steps after loss to protect
"your covered auto" or any "non-owned auto"
b. To examination under oath and subscribe and their equipment from further loss. We will
the same. pay reasonable expenses incurred to do this.
4. Authorize us to obtain: 2. Promptly notify the police if
"your covered
a. Medical reports; and auto" or any "non-owned auto" is stolen.
b. Other pertinent records. 3. Permit us to inspect and appraise the damaged
property before its repair or disposal.
5. Submit a proof of loss when required by us.
PART F - GENERAL PROVISIONS
BANKRUPTCY implemented with a general program revision that
includes both broadenings and restrictions in
Bankruptcy or insolvency of the "insured" shall not relieve coverage, whether that general program revision is
us of any obligations under this policy. implemented through introduction of:
CHANGES
A. This policy contains all the agreements between you
and us. Its terms may not be changed or waived
except by endorsement issued by us.
1. A subsequent edition of your policy; or
2. An Amendatory Endorsement.
FRAUD
B. If there is a change to the information used to develop
the policy premium, we may adjust your premium.
Changes during the policy term that may result in a
premium increase or decrease include, but are not
limited to, changes in:
1. The number, type or use classification of
insured vehicles;
2. Operators using insured vehicles;
3. The place of principal garaging of insured
vehicles;
4. Coverage, deductible or limits.
We do not provide coverage for any "insured" who has
made fraudulent statements or engaged in fraudulent
conduct in connection with any accident or loss for which
coverage is sought under this policy.
LEGAL ACTION AGAINST US
A. No legal action may be brought against us until there
has been full compliance with all the terms of this
policy. In addition, under Part A, no legal action may
be brought against us until:
1. We agree in writing that the "insured" has an
obligation to pay; or
2. The amount of that obligation has been finally
If a change resulting from A. or B. requires a premium determined by judgment after trial.
adjustment, we will make the premium adjustment in
accordance with our manual rules. B. No person or organization has any right under this
C. If we make a change which broadens coverage under policy to bring us into any action to determine the
9a 9a liability of an "insured."
this edition of your policy without additional premium
charge, that change will automatically apply to your OUR RIGHT TO RECOVER PAYMENT
policy as of the date we implement the change in your
state. This paragraph (C.) does not apply to changes A. If we make a payment under this policy and the
person to or for whom payment was made has a right
PP 00 01 06 94 Copyright, Insurance Services Office, Inc., 1994 Page 11 of 13
to recover damages from another we shall be
subrogated to that right. That person shall do:
1. Whatever is necessary to enable us to exercise
our rights; and
2. Nothing after loss to prejudice them.
However, our rights in this paragraph (A.) do not
apply under Part D, against any person using "your
covered auto" with a reasonable belief that that
person is entitled to do so.
B. If we make a payment under this policy and the
person to or for whom payment is made recovers
damages from another, that person shall:
1. Hold in trust for us the proceeds of the
recovery; and
2. Reimburse us to the extent of our payment.
POLICY PERIOD AND TERRITORY
A. This policy applies only to accidents and losses
which occur:
1. During the policy period as shown in the
Declarations; and
2. Within the policy territory.
B. The policy territory is:
1. The United States of America, its territories or
possessions;
2. Puerto Rico; or
3. Canada.
This policy also applies to loss to, or accidents
involving, "your covered auto" while being
transported between their ports.
TERMINATION
A. Cancellation. This policy may be cancelled during
the policy period as follows:
1. The named insured shown in the Declarations
may cancel by:
a. Returning this policy to us; or
b. Giving us advance written notice of the
date cancellation is to take effect.
2. We may cancel by mailing to the named insured
shown in the Declarations at the address shown
in this policy;
a. At least 10 days notice:
(1) If cancellation is for non-
payment of premium; or
(2) If notice is mailed during
the first 60 days this policy
is in effect and this is not a
renewal or continuation
policy; or
b. At least 20 days notice in all other cases.
3. After this policy is in effect for 60 days, or if this
is a renewal or continuation policy, we will
cancel only:
a. For nonpayment of premium; or
b. If your driver's license or that of:
(1) Any driver who lives with you; or
(2) Any driver who customarily uses
"your covered auto";
has been suspended or revoked. This
must have occurred:
(1) During the policy period; or
(2) Since the last anniversary of the
original effective date if the policy
period is other than 1 year; or
c. If the policy was obtained through material
misrepresentation.
B. Nonrenewal. If we decide not to renew or continue
this policy, we will mail notice to the named insured
shown in the Declarations at the address shown in
this policy. Notice will be mailed at least 20 days
before the end of the policy period. If the policy period
is:
1. Less than 6 months, we will have the right not to
renew or continue this policy every 6 months,
beginning 6 months after its original effective
date.
2. 1 year or longer, we will have the right not to
renew or continue this policy at each
anniversary of its original effective date.
C. Automatic Termination. If we offer to renew or
continue and you or your representative do not
accept, this policy will automatically terminate at the
end of the current policy period. Failure to pay the
required renewal or continuation premium when due
shall mean that you have not accepted our offer.
If you obtain other insurance on "your covered auto,"
any similar insurance provided by this policy will
terminate as to that auto on the effective date of the
other insurance.
PP 00 01 06 94 Copyright, Insurance Services Office, Inc., 1994 Page 12 of 13
D. Other Termination Provisions.
We may deliver any notice instead of mailing it.
Proof of mailing of any notice shall be sufficient
proof of notice.
2. If this policy is cancelled, you may be entitled to
a premium refund. If so, we will send you the
refund. The premium refund, if any, will be
computed according to our manuals. However,
making or offering to make the refund is not a
condition of cancellation.
3. The effective date of cancellation stated in the
notice shall become the end of the policy
period.
TRANSFER OF YOUR INTEREST IN THIS POLICY
A. Your rights and duties under this policy may not be
assigned without our written consent. However, if a
named insured shown in the Declarations dies,
coverage will be provided for:
The surviving spouse if resident in the
same household at the time of death.
Coverage applies to the spouse as if
a named insured shown in the Decla-
rations; and
2. The legal representative of the de-
ceased person as if a named insured shown in
the Declarations. This applies only with respect
to the representative's legal responsibility to
maintain or use "your covered auto."
B. Coverage will only be provided until the end of the
policy period.
TWO OR MORE AUTO POLICIES
If this policy and any other auto insurance policy issued to
you by us apply to the same accident, the maximum limit of
our liability under all the policies shall not exceed the
highest applicable limit of liability under any one policy.
PP 00 01 06 94 Copyright, Insurance Services Office, Inc., 1994 Page 13 of 13
PPD 01 5101 97
AMENDMENT OF POLICY PROVISIONS - PENNSYLVANIA
DEFINITIONS This provision (4.) does not ap-
ply to Coverage For Damage To
The Definitions section is amended as follows: Your Auto.
A. Definition J. is replaced by the following: B. The following is added to the Definitions
"Your covered auto" means: section:
1. Any vehicle shown in the Declarations. K. "Non-economic loss" means pain and
suffering and other non-monetary detri-
2. Any of the following types of vehicles on ment.
the date you become the owner: L. "Serious injury" means an injury resulting
a. A private passenger auto; or in death, serious impairment of body
function or permanent serious disfigure-
b. A pickup or van that: ment.
(t) Has a Gross Vehicle Weight II. PART A- LIABILITY COVERAGE
not exceeding 9,0001bs.; and
Part A is amended as follows:
(ll) Is not principally used in any
"business" other than farming A. Paragraph A. of the Insuring Agreement is
or ranching. replaced by the following:
This provision (2.) applies only if: INSURING AGREEMENT
a. You acquire the vehicle during the We will pay damages for "bodily injury" or
policy period; "property damage" for which any "in-
sured" becomes legally responsible be-
b. You ask us to insure it within 30 days cause of an auto accident. We will settle
after you become the owner; and or defend, as we consider appropriate,
any claim or suit asking for these dam-
c. With respect to a pickup or van, no ages. In addition to our limit of liability, we
other insurance policy provides will pay all defense costs we incur. Our
coverage for that vehicle. duty to settle or defend ends when our
If the vehicle you acquire replaces one limit of liability for this coverage has been
shown in the Declarations, it will have the
exhausted.
We have no duty to defend
same
coverage
as
the
vehicle it replaced. any suit or settle any claim for "bodily in-
"
"
"
You
must ask
us
to
insure a
replacement jury
or
property damage
not covered
vehicle within 30 days only if you wish to under this policy.
add or continue Coverage For Damage To B. Paragraph B.2, of the Insuring Agreement is
Your Auto. replaced by the following:
If the vehicle you acquire is in addition to B.2. An person using
"your
covered
any shown in the Declarations, it will have auto" with your permission. s
ion.
the broadest coverage we now provide for
any vehicle shown in the Declarations. C. The following is added to the Supplementary
Payments Provision:
3. Any" trailer" you own.
SUPPLEMENTARY PAYMENTS
4. Any auto or "trailer" you do not own while
used as a temporary substitute for any In addition to our limit of liability we will pay
other vehicle described in this definition on behalf of an "insured":
which is out of normal use because of its:
Prejudgment interest awarded against the
a. Breakdown; d. Loss; or "insured" on the part of the judgment we
b. Repair; e. Destruction. pay. Any prejudgment interest awarded
c. Servicing; against the insured is subject to the appli-
cable Pennsylvania Rules of Civil Proce-
dure.
PPD 01 51 01 97 Contains copyrighted material of Insurance Services Office, Inc. with their permission.
Copyright, Insurance Services Office, Inc., 1993 Page 1 of 4
III. PART E - DUTIES AFTER AN ACCIDENT OR
LOSS
Part E is replaced by the following:
DUTIES AFTER AN ACCIDENT OR LOSS
If an accident or loss occurs, the following must be
done for the terms of the policy to apply:
A. We must be notified promptly of how, when and
where the accident or loss happened. Notice
should also include the names and addresses
of any injured persons and of any witnesses.
B. A person seeking any coverage must:
1. Cooperate with us in the investigation,
settlement or defense of any claim or suit.
2. Promptly send us copies of any notices or
legal papers received in connection with
the accident or loss.
3. Submit, as often as we reasonably re-
quire:
a. To physical exams by physicians we
select. We will pay for these exams.
b. To examination under oath and sub-
scribe the same.
3. Permit us to inspect and ap-
praise the damaged property
before its repair or disposal.
IV. PART F- GENERAL PROVISIONS
Part F is amended as follows:
A. The Termination provision is replaced by the
following:
TERMINATION
Cancellation. This policy may be cancelled
during the policy period as follows:
1. The named insured shown on the Decla-
rations may cancel by:
a. Returning this policy to us; or
b. Giving us advance written notice of
the date cancellation is to take ef-
fect.
2. We may cancel by mailing to the named
insured shown in the Declarations at the
address shown in this policy:
a. At least 15 days notice of
cancellation:
(1) If notice is effective within the
4. Authorize us to obtain: first 60 days this policy is in ef-
fect and this is not a renewal or
a. Medical reports; and continuation policy;
b. Other pertinent records. (2) For nonpayment of premium;
5. Submit a proof of loss when required by (3) If the driver's license of the
US. named insured shown in the
C. A person seeking Uninsured Motorists Cover- Declara
ti
ons has
been
sus-
age must also: pended
or
revoked
after
the
effective date if this policy has
1. Promptly notify the police if a hit-and-run been in effect less than one
driver is involved. year; or if the policy has been
in effect longer than one year,
2. Promptly send us copies of the legal pa- since the last anniversary of
pers if a suit is brought. the original effective date; or
D. A person seeking Coverage For Damage To b. At least 60 days notice if the policy
Your Auto must also: was obtained through material mis-
representation.
1. Take reasonable steps after loss to pro-
tect "your covered auto" or any "non- Our right to cancel this policy is subject to the
owned auto" and their equipment from limitations contained in the applicable
further loss. We will pay reasonable ex- Pennsylvania Statutes.
penses incurred to do this.
Nonrenewal. If we decide not to renew or
2. Promptly notify the police if "your covered continue this policy, we will mail to the named
auto" or any "non-owned auto" is stolen. insured shown in the Declarations at the
address shown in this policy:
PPD 01 51 01 97 Contains copyrighted material of Insurance Services Office, Inc. with their permission.
Copyright, Insurance Services Office, Inc., 1993 Page 2 of 4
I. At least 15 days notice before the end of event a court, from which there is no
the policy period: appeal, declares or enters ajudgment
the effect of which is to render the
a. For nonpayment of premium; or provisions of such statute invalid or
b. If the driver's license of the named
unenforceable in whole or in part, we
insured shown in the Declarations will have the right to recompute the
has been suspended or revoked premium payable for the policy and void or
after the effective date if this policy amend the provisions of the policy, subject to
has been in effect less than one the approval of the Insurance Commissioner.
year; or if the policy has been in V. JOINT OWNERSHIP COVERAGE ENDORSE-
effect longer than one year, since MENT
the last anniversary of the orginial
effective date. If the Joint Ownership Coverage Endorsement is
attached to this policy, the provisions of the Joint
2. At least 60 days notice before the and of Ownership Coverage Endorsement apply except as
the policy period in all other cases. follows:
However, our right to nonrenew this policy is Paragraphs A. and B.2.b. of the Definitions section
subject to the limitations contained in the are replaced by the following:
applicable Pennsylvania Statutes.
Automatic Termination. If we offer to renew
or continue and you or your representative do
not accept, this policy will automatically
terminate at the end of the current policy period.
Failure to pay the required renewal or
continuation premium when due shall mean
that you have not accepted our offer.
If you obtain other insurance on "your covered
auto," any similar insurance provided by this
policy will terminate as to that auto on the
effective date of the other insurance.
Other Termination Provisions.
1. We may deliver any notice instead of
mailing it. Proof of mailing of any notice
shall be sufficient proof of notice.
2. If this policy is cancelled, you may be
entitled to a premium refund. If so, we will
send you the refund. The premium
refund, it any, will be computed according
to our manuals. However, making or
offering to make the refund is not a
condition of cancellation.
3. The effective date of cancellation stated in
the notice shall become the end of the
policy period.
B. The following provision is added:
CONSTITUTIONALITY CLAUSE
A. For the purpose of the coverage provided by
this endorsement, "you" and "your" refer to
two or more:
Individuals, other than husband and wife,
residing in the same household; or
2. "Non-resident relatives";
whojointly own:
A private passenger auto; or
2. A pickup or van that:
a. Has a Gross Vehicle Weight not
exceeding 9,000lbs.; and
b. Is not principally used in any
"business" other than farming or
ranching.
B. "Your covered auto" means:
2. Any of the following types of vehicles on
the date you become the owner:
b. A pickup or van that:
(1) Has a Gross Vehicle Weight
not exceeding 9,000 lbs.; and
(2) Is not principally used in any
"business" other than farming
or ranching.
VI. MISCELLANEOUS TYPE VEHICLE ENDORSE-
The premium for, and the coverages of, this MENT
policy have been established in reliance upon
the provisions of the Pennsylvania Motor If the Miscellaneous Type Vehicle Endorsement is
Vehicle Financial Responsiblity Law. In the attached to this policy, the provisions of the
PPD 01 51 01 97 Contains copyrighted material of insurance services Office, Inc. with their permission.
Copyright, Insurance Services Office, Inc., 1993 Page 3 of 4
Miscellaneous Type Vehicle Endorsement apply
except as follows:
Paragraph B.2.b. of the Definitions section is
replaced by the following:
B. "Your covered auto" means:
2. Any of the following types of vehicles on
the date you become the owner:
b. A pickup or van that:
(1) Has a Gross Vehicle
Weight not
exceeding 9,000
lbs.; and
(2) Is not principally
used in any "business" other
than farming or ranching.
This endorsement must be attached to the Change Endorsement when issued after the policy is written.
PPD 01 51 01 97 Contains copyrighted material of Insurance Services Office, Inc. with their permission.
Copyright, Insurance Services Office, Inc., 1993 Page 4 of 4
PP 03 05 08 86
LOSS PAYABLE CLAUSE
Loss payee:
Loss or damage under this policy shall be paid, as interest may appear, to you and the loss payee shown in the Declarations
or in this endorsement. This insurance with respect to the interest of the loss payee, shall not become invalid because of
your fraudulent acts or omissions unless the loss results from your conversion, secretion or embezzlement of "your
covered auto". However, we reserve the right to cancel the policy as permitted by policy terms and the cancellation shall
terminate this agreement as to the loss payee's interest. We will give the same advance notice of cancellation to the loss
payee as we give to the named insured shown in the Declarations.
When we pay the loss payee we shall, to the extent of payment, be subrogated to the loss payee's rights of recovery.
This endorsement must be attached to the Change Endorsement when issued after the policy is written.
PP 03 0508 86
Copyright, Insurance Services Office, Inc., 1986
PENNSYLVANIA NOTICE IL0910/HO291
(Ed. 0181)
An Insurance Company, its agents, employees, or service contractors acting on its behalf, may provide services
to reduce the likelihood of injury, death or loss. These services may include any of the following or related services
incident to the application for, issuance, renewal or continuation of, a policy of insurance:
1, surveys;
2. consultation or advice; or
3. inspections.
The "Insurance Consultation Services Exemption Act" of Pennsylvania provides that the Insurance Company, its agents,
employees or service contractors acting on its behalf, is not liable for damages from injury, death or loss occurring as a result
of any act or omission by any person in the furnishing of or the failure to furnish these services.
The Act does not apply:
if the injury, death or loss occurred during the actual performance of the services and was caused by the negligence
of the Insurance Company, its agents, employees or service contractors;
2. to consultation services required to be performed under a written service contract not related to a policy of insurance;
or
3. if any acts or omissions of the Insurance Company, its agents, employees or service contractors are judicially deter-
mined to constitute a crime, actual malice, or gross negligence.
Instruction to Policy Writers
Attach the Pennsylvania Notice to all new and renewal policies and renewal certificates insuring risks located in Pennsylvania.
IL 09 10/HO 291 (Ed. 01 81)
AMENDMENT OF POLICY PROVISIONS - PERSONAL AUTO POLICY
COST OF BAIL BONDS
LOSS OF
EARNINGS
Supplementary Payments
The provisions that apply to Supplementary
Payments also apply to this endorsement
except as amended by this endorsement.
Item 1 shall be amended to read:
Up to $350 for the cost of bail bonds required
because of an accident, including related
traffic law violations. The accident must
result in bodily injury or property damage
covered under this policy.
Item 4 shall be amended to read:
Up to $100 a day for loss of earnings, but
not other income, because of attendance at
hearings or trials at our request.
PAE-001 ED 12/89
SPLIT LIABILITY LIMITS
Refer to declaration page for limit of Liability and Premium.
SCHEDULE
Bodily Injury Liability
Property Damage Liability
The first paragraph of the Limit of Liability provision in Part
A is replaced by the following:
LIMIT OF LIABILITY
The limit of liability shown in the Schedule or in the
Declarations for each person for Bodily Injury Liability is our
maximum limit of liability for all damages, including
damages for care, loss of services or death, arising out of
"bodily injury" sustained by any one person in any one auto
accident. Subject to this limit for each person, the limit of
liability shown in the Schedule or in the Declarations for
each accident for Bodily Injury Liability is our maximum
limit of liability for all damages for "bodily injury" resulting
from anyone auto accident. The limit of liability shown in
PP0309 0486
each person
each accident
each accident
the Schedule or in the Declarations for each accident for
Property. Damage Liability is our maximum limit of liability
for all "property damage" resulting from any one auto
accident. This is the most we will pay regardless of the
number of:
1. "Insureds;"
2. Claims made;
3. Vehicles or premiums shown in the
Declarations; or
4. Vehicles involved in the auto accident.
This endorsement must be attached to the Change Endorsement when issued after the policy is written.
PP0309 0486 Copyright, Insurance Services Office, Inc.,1985
SPLIT UNINSURED MOTORISTS LIMITS - PENNSYLVANIA (NON-STACKED)
PP 04 20 07 90
Coverage is provided where a premium and limit of liability Is
shown for the coverage on the declaration page.
SCHEDULE
UNINSURED MOTORISTS COVERAGE $ each person
$ each accident
Paragraph A. of the Limit of Liability provision in the Uninsured Motorists Coverage is our maximum limit
Uninsured Motorists Coverage - Pennsylvania (Non- of liability for all damages for "bodily injury" resulting
Stacked) endorsement is replaced by the following: from any one accident. This is the most we will pay
LIMIT OF LIABILITY regardless of the number of:
A. The limit of liability shown in the Schedule or in the 1. "Insureds";
Declarations for each person for Uninsured Motorists 2. Claims made;
Coverage is our maximum limit of liability for all dam-
ages, including damages for care, loss of services or 3. Vehicles or premiums shown in the Declare-
death, arising out of "bodily injury" sustained by any tions; or
one person in any one accident. Subject to this limit q, Vehicles involved in the accident.
for each person, the limit of liability shown in the
Schedule or in the Declarations for each accident for
This endorsement must be attached to the Change Endorsement when issued after the policy is written.
Copyright, Insurance Services Office, Inc., 1990 PP 04 20 07 90
UNINSURED MOTORISTS COVERAGE - PENNSYLVANIA (NON-STACKED)
PPD 04 21 02 96
Coverage is provided where a premium and limit of liability is shown for the coverage on the declaration
page.
With respect to the coverage provided by this endorsement, the provisions of the policy apply unless modified by this
endorsement.
1. Part C - Uninsured Motorists Coverage Is replaced by the following:
SCHEDULE
UNINSURED MOTORISTS COVERAGE
Description Limit of
of Vehicle Liability
Premium
INSURING AGREEMENT C.
A. We will pay compensatory damages which an
"insured" is legally entitled to recover from the owner
or operator of an "uninsured motor vehicle" because
of "bodily injury":
1. Sustained by an "insured";
2. Caused by an accident.
The owner's or operator's liability for these damages
must arise out of the ownership, maintenance or use
of the "uninsured motor vehicle."
No judgment for damages arising out of a suit brought
against the owner or operator of an "uninsured motor
vehicle" is binding on us unless we:
1. Received reasonable notice of the pendency of
the suit resulting in the judgment; and
2. Had a reasonable opportunity to protect our
interests in the suit.
B. "Insured" as used in this endorsement means:
1. You or any "family member";
2. Any other person "occupying" "your covered
auto."
3. Any person for damages that person is entitled
to recover because of "bodily injury" to which
this coverage applies sustained by a person
described in 1. or 2. above.
"Uninsured motor vehicle" means a land motor
vehicle or trailer of any type:
1. To which no bodily injury liability bond or policy
applies at the time of the accident.
2. Which is a hit-and-run vehicle whose operator
or owner cannot be identified and which hits or
which causes an accident resulting in "bodily
injury" without hitting:
a. you or any "family member";
b. a vehicle which you or any "family
member" are "occupying"; or
c. "yourcoveredauto."
If there is no contact with the hit-and-run
vehicle, the facts of the accident must be
proved.
If the accident was allegedly caused by an
unidentified hit-and-run vehicle and the
operator nor the owner can be identified, the
accident must be reported to the police or
proper governmental authority within 30 days
from the date of the accident. Notice of the
accident must be given to us within 30 days, or
as soon as practicable thereafter.
3. To which a bodily injury liability bond or policy
applies at the time of the accident but the
bonding or insuring company:
a. denies coverage; or
PPD 04 21 02 96 Page 1 of 4
b. is or becomes:
(1) insolvent; or
(2) involved in insolvency proceedings.
However, "uninsured motor vehicle" does not
include any vehicle or equipment:
1. Owned by or furnished for the regular use of you
or any "family member."
2. Owned or operated by a self-insurer under any
applicable motor vehicle law, except a
self-insurer which is or becomes insolvent.
3. Owned by any governmental unit or agency.
4. Operated on rails or crawler treads.
5. Designed mainly for use off public roads while
not on public roads.
6. While located for use as a residence or
premises.
EXCLUSIONS
A. We do not provide Uninsured Motorists Coverage for
"bodily injury" sustained:
1. By you while "occupying," or when struck by,
any motor vehicle you own which is not insured
for this coverage under this policy. This
includes a trailer of any type used with that
vehicle.
2. By a "family member":
a. Who owns an auto, while "occupying," or
when struck by, any motor vehicle owned
by you or any "family member" which is
not insured for this coverage under this
policy. This includes a trailer of any type
used with that vehicle.
b. Who does not own an auto, while
"occupying," or when struck by, any
motor vehicle you own which is insured
for this coverage on a primary basis under
any other policy.
B. We do not provide Uninsured Motorists Coverage for
"bodily injury" sustained by any "insured":
1. If that "insured" or the legal representative
settles the bodily injury claim without our written
consent. However, this exclusion (B.1.) does
not apply if such settlement does not adversely
affect our rights.
2. While "occupying" "your covered
auto" when it is being used as a public
or livery conveyance. This exclusion
(B.2.) does not apply to a share-the-
expense car pool.
3. Using a vehicle without the permis-
sion of the owner.
C. We do not provide Uninsured Motorists Coverage for
"non-economic loss" sustained by any "insured" to
whom the limited tort alternative applies, resulting
from "bodily injury" caused by an accident involving
an "uninsured motor vehicle," unless the "bodily
injury" sustained is a "serious injury."
This exclusion (C.) does not apply:
If the owner or operator of the "uninsured motor
vehicle":
a. Is convicted, or accepts Accelerated
Rehabilitative Disposition, for driving
under the influence of alcohol or a
controlled substance in that accident;
b. Is operating a motor vehicle registered in
another state; or
c. Intends to injure himself or another
person, provided that the individual does
not intentionally injure himself or another
person merely because his act or failure
to act is intentional or done with his
realization that it creates a grave risk of
causing injury if the act or omission
causing the injury is for the purpose of
averting bodily harm to himself or another
person.
2. If that "insured" is injured while "occupying" a
motor vehicle insured under a commerical
motor vehicle insurance policy.
D. This coverage shall not apply directly or indirectly to
benefit any insurer or self-insurer under any of the
following or similar law:
1. Workers' compensation law; or
2. Disability benefits law.
E. We do not provide Uninsured Motorists Coverage for
punitive or exemplary damages.
LIMIT OF LIABILITY
A. The limit of liability shown in the Schedule or in the
Declarations for Uninsured Motorists Coverage is our
maximum limit of liability for all damages resulting
from any one accident. This is the most we will pay
regardless of the number of:
PPD 04 21 02 96 Page 2 of 4
1. "Insureds";
2. Claims made;
3. Vehicles or premiums shown in the Schedule
or in the Declarations; or
4. Vehicles involved in the accident.
B. Any amounts payable for damages under this
coverage shall be reduced by all sums paid because
of the "bodily injury" by or on behalf of persons or
organizations who may be legally responsible. This
includes all sums paid for an "insured's" attorney
either directly or as part of the amount paid to the
"insured." It also includes all sums paid under Part A
of this policy.
C. No one will be entitled to receive duplicate payments
for the same elements of loss under this coverage
and any other coverage provided by this policy.
D. We will not make a duplicate payment under this
coverage for any element of loss for which payment
has been made by or on behalf of persons or
organizations who may be legally responsible.
E. We will not pay for any element of loss if a person is
entitled to receive payment for the same element of
loss under any of the following or a similar law:
1. Any group or individual contract or program that
provides benefits for any element of loss;
2. Workers' compensation law; or
3. Disability benefits law.
OTHERINSURANCE
If there is other applicable similar insurance available under
more than one policy or provision of coverage:
The following priorities of recovery apply:
First The Uninsured Motorists Coverage
applicable to the vehicle the "insured" was
"occupying" at the time of the accident.
Second The policy affording Uninsured Motorists
Coverage to the "insured" as a named
insured or family member.
1. When there is applicable insurance available
under the First priority:
a. The limit of liability applicable to the
vehicle the "insured" was "occupying,"
under the policy in the First priority, shall
first be exhausted; and
b. The maximum recovery under
all policies in the Second priority
shall not exceed the amount by
which the highest limit for any
one vehicle under any one pol-
icy in the Second priority ex-
ceeds the limit applicable under
the policy in the First priority.
2. When there is no applicable insurance available
under the First priority, the maximum recovery
under all policies in the Second priority shall not
exceed the highest applicable limit for any one
vehicle under any one policy.
If two or more policies have equal priority, the insurer
against whom the claim is first made shall process
and pay the claim as if wholly responsible for all
insurers with equal priority. The insurer is thereafter
entitled to recover contribution pro rata from any
other insurer for the benefits paid and the costs of
processing the claim.
If we are the insurer against whom the claim is first
made, we will pay, subject to the limit of liability
shown in the Schedule or in the Declarations for
Uninsured Motorists Coverage, after we and all other
contributing insurers agree:
1. Whether the "insured" is legally entitled to
recover damages from the owner or operator of
an "uninsured motor vehicle"; and
2. As to the amount of damages.
ARBITRATION
A. SELECTION OF ARBITRATORS
If we and an "insured" disagree whether the
"insured" is legally entitled to recover damages from
the owner or operator of an "uninsured motor
vehicle" or do not agree as to the amount of
damages, either party may make a written demand
for arbitration. Except for the authorities and rights
stated in paragraphs B., C. and D. of these arbitration
provisions, arbitration shall be conducted in
accordance with the provisions of the Pennsylvania
Uniform Arbitration Act. Each party will select an
arbitrator. The two arbitrators will select a third. If they
cannot agree within 30 days, either may request that
selection be made by a judge of a court having
jurisdiction. Each party will pay the expenses it incurs
and bear the expenses of the third arbitrator equally.
Unless both parties agree otherwise, arbitration will
take place in the county in which the "insured"
resides.
PPD 04 21 02 96 Page 3 of 4
B. LIMITATION OFARBITRATORS' AUTHORITY
The authority of the arbitrators shall be limited to
deciding the liability of the owner or operator of an
'.uninsured motor vehicle" and amount of damages
recoverable from the owner or operator of an
.'uninsured motor vehicle." The amount of any award
may be up to but not in excess of the Limit of Liability
shown in the Schedule or Declarations for Uninsured
Motorists Coverage.
The arbitrators may not render decisions on
disagreements between any party making a claim
and us regarding whether the party is entitled to
coverage under this policy or the applicable Limits of
Liability for this coverage. All disagreements
regarding coverage questions or the applicable
Limits of Liability for this coverage must be decided
by the court having jurisdiction.
C, DISCOVERY RIGHTS
Each party shall have the right of full dis-
covery including, but not limited to, deposi-
tions of any involved party, requests for
production of documents such as employ-
ment and medical records, and the right to
perform periodic medical examinations on
any person making a claim under this cov-
erage.
D. APPEAL RIGHTS
Each party shall have the right to appeal to the court
having jurisdiction an award of the arbitrators
provided the appeal is based upon an error of law, an
arbitration decision that exceeds the stated authority
of the arbitrators and any right of appeal provided
under common law arbitration. There shall be no right
of appeal on questions of fact regarding the liability of
the owner or operator of the "uninsured motor
vehicle" or the amount of damages determined to be
recoverable from the owner or operator of an
.'uninsured motor vehicle."
This endorsement must be attached to the Change Endorsement when issued after the policy is written.
Contains Copyrighted Material of Insurance Services Office, Inc., with their permission.
Copyright, Insurance Services Office, Inc., 1994
PPD 04 21 02 96 Page 4 of 4
SPLIT UNDERINSURED MOTORISTS LIMITS - PENNSYLVANIA (NON-STACKED)
Coverage is provided where a premium and limit of liability Is
shown for the coverage on the declaration page.
SCHEDULE
UNDERINSURED MOTORISTS COVERAGE $
PP 0416 07 90
each person
each accident
Paragraph A. of the Limit of Liability provision in the for Underinsured Motorists Coverage is our maxi-
Underinsured Motorists Coverage - Pennsylvania (Non- mum limitof liability for all damages for "bodily injury"
Stacked) endorsement is replaced by the following: resulting from any one accident. This is the most we
LIMIT OF LIABILITY will pay regardless of the number of:
A. The limit of liability shown in the Schedule or in the 1. "Insureds";
Declarations for each person for Underinsured Mo- 2. Claims made;
torists Coverage is our maximum limit of liability for all
damages, including damages for care, loss of ser- 3. Vehicles or premiums shown in the Declara-
vices or death, arising out of "bodily injury" sustained tions; or
by any one person in any one accident. Subject to 4. Vehicles involved in the accident.
this limit for each person, the limit of liability shown in
the Schedule or in the Declarations for each accident
This endorsement must be attached to the Change Endorsement when issued after the policy is written.
Copyright, Insurance Services Office, Inc., 1990 PP 04 16 07 90
UNDERINSURED MOTORISTS, COVERAGE - PENNSYLVANIA (NON-STACKED)
PPD 0417 02 96
Coverage is provided where a premium and limit of liability Is shown for the coverage on the declaration
page.
With respect to the coverage provided by this endorsement, the provisions of the policy apply unless modified by this
endorsement.
SCHEDULE
UNDERINSURED MOTORISTS COVERAGE
Description
of Vehicle
INSURING AGREEMENT
Llmit of
Liability
A. We will pay compensatory damages which an
"insured" is legally entitled to recover from the owner
or operator of an "underinsured motor vehicle"
because of "bodily injury":
Sustained by an "insured"; and
2. Caused by an accident.
The owner's or operator's liability for these damages
must arise out of the ownership, maintenance or use
of the "underinsured motor vehicle." We will pay
under this coverage only after the limits of liability
under any applicable bodily injury liability bonds or
policies have been exhausted by payment of
judgments or settlements. However, we must be
provided with prompt written notification of any
tentative settlement between.the "insured" and the
insurer of the "underinsured motor vehicle" or any
other party. No settlement of the "insured's" bodily
injury liability claim may be made without our written
consent.
No judgment for damages arising out of a suit brought
against the owner or operator of an "underinsured
motor vehicle" is binding on us unless we:
t. Received reasonable notice of the pendency of
the suit resulting in the judgment; and
2. Had a reasonable opportunity to protect our
interests in the suit.
Premium
B. "Insured" as used in this endorsement means:
1. You or any "family member";
2. Any other person "occupying" "your covered
auto."
3. Any person for damages that person is entitled
to recover because of "bodily injury" to which
this coverage applies sustained by a person
described in 1. or 2. above.
C. "Underinsured motor vehicle" means a land motor
vehicle or trailer of any type to which a bodily injury
liability bond or policy applies at the time of the
accident but the amount paid for "bodily injury" under
that bond or policy to an "insured" is not enough to
pay the full amount the "insured" is legally entitled to
recover as damages.
However, "underinsured motor vehicle" does not
include any vehicle or equipment:
1. Owned by or furnished for the regular use of you
or any "family member."
2. For which liability coverage is provided under
Part A of this policy.
3. Owned by any governmental unit or agency.
4. Operated on rails or crawler treads.
5. Designed mainly for use off public roads while
not on public roads.
6. While located for use as a residence or
premises.
PPD 04 17 02 96 Page 1 of 4
EXCLUSIONS
A.
We do not provide Underinsured Motorists Coverage
for "bodily injury" sustained:
By you while "occupying," or when struck by,
any motor vehicle you own which is not insured
for this coverage under this policy. This
includes a trailer of any type used with that
vehicle.
2. By a "family member":
a. Who owns an auto, while "occupying," or
when struck by, any motor vehicle owned
by you or any "family member" which is
not insured for this coverage under this
policy. This includes a trailer of any type D
used with that vehicle.
b. Who does not own any auto, while
"occupying," or when struck by, any
motor vehicle you own which is insured
for this coverage on primary basis under
any other policy.
B.
We do not provide Underinsured Motorists Coverage
for "bodily injury" sustained by any "insured":
1. If that "insured" or the legal representative
settles the bodily injury claim without our written
consent.
2. While "occupying" "your covered auto" when
it is being used as a public or livery conveyance.
This exclusion (B.2.) does not apply to a
share-the-expense car pool.
3. Using a vehicle without the permission of the
owner.
E.
c. Intends to injure himself or an-
other person, provided that the
individual does not intentionally
injure himself or another person
merely because his act orfailure
to act is intentional or done with
his realization that it creates a
grave risk of causing injury if the
act or omission causing the in-
jury is for the purpose of avert-
ing bodily harm to himself or
another person.
2. If that "insured" is injured while "occupying" a
motor vehicle insured under a commerical
motor vehicle insurance policy.
This coverage shall not apply directly or indirectly to
benefit any insurer or self-insurer under any of the
following or similar law:
Workers' compensation law; or
2. Disability benefits law.
We do not provide Underinsured Motorists Coverage
for punitive or exemplary damages.
LIMIT OF LIABILITY
A. The limit of liability shown in the Schedule or in the
Declarations for Underinsured Motorists Coverage is
our maximum limit of liability for all damages resulting
from any one accident. This is the most we will pay
regardless of the number of:
1. "Insureds";
2. Claims made;
C. We do not provide Underinsured Motorists Coverage
for "non-economic loss" sustained by any "insured"
to whom the limited tort alternative applies, resulting
from "bodily injury" caused by an accident involving B
an "underinsured motor vehicle," unless the "bodily
injury" sustained is a "serious injury."
This exclusion (C.) does not apply:
If the owner or operator of the "underinsured
motor vehicle":
a. Is convicted, or accepts Accelerated
Rehabilitative Disposition, for driving
under the influence of alcohol or a
controlled substance in that accident;
b. Is operating a motor vehicle registered in
another state; or
3. Vehicles or premiums shown in the Schedule
or in the Declarations; or
4. Vehicles involved in the accident.
The limit of liability shall be reduced by all sums paid
because of the "bodily injury" by or on behalf of
persons or organizations who may be legally
responsible. This includes all sums paid for an
"insured's" attorney either directly or as part of the
amount paid to the "insured." It also includes all
sums paid under Part A of this policy.
C. No one will be entitled to receive duplicate payments
for the same elements of loss under this coverage
and any other coverage provided by this policy.
D. We will not make a duplicate payment under this
coverage for any element of loss for which payment
has been made by or on behalf of persons or
organizations who may be legally responsible.
PPD 04 17 02 96 Page 2 of 4
E. We will not pay for any element of loss if a person is
entitled to receive payment for the same element of
loss under any of the following or a similar law:
1. Any group or individual contract or program that
provides benefits for any element of loss;
2. Workers' compensation law; or
3. Disability benefits law.
OTHERINSURANCE
If there is other applicable similar insurance available under
more than one policy or provision of coverage:
The following priorities of recovery apply:
First The Underinsured Motorists Coverage
applicable to the vehicle the "insured" was
"occupying" at the time of the accident.
Second The policy affording Underinsured Motorists
Coverage to the "insured" as a named
insured or family member.
1. When there is applicable insurance available
under the First priority:
a. The limit of liability applicable to the
vehicle the "insured" was "occupying,"
under the policy in the First priority, shall
first be exhausted; and
b. The maximum recovery under all policies
in the Second priority shall not exceed the
amount by which the highest limit for any
one vehicle under any one policy in the
Second priority exceeds the limit
applicable under the policy in the First
priority.
2. When there is no applicable insurance available
under the First priority, the maximum recovery
under all policies in the Second priority shall not
exceed the highest applicable limit for any one
vehicle under any one policy.
If two or more policies have equal priority, the insurer
against whom the claim is first made shall process
and pay the claim as if wholly responsible for all
insurers with equal priority. The insurer is thereafter
entitled to recover contribution pro rata from any
other insurer for the benefits and the costs of
processing the claim.
If we are the insurer against whom the claim is first
made, we will pay, subject to the limit of liability
shown in the Schedule or in the Declarations for
Underinsured Motorists Coverage, after we and all
other contributing insurers agree:
Whether the "insured" is legally enti-
tled to recover damages from the
owner or operator of an "underin-
sured motor vehicle"; and
2. As to the amount of damages.
ARBITRATION
A. SELECTION OF ARBITRATORS
If we and an "insured" disagree whether the
"insured" is legally entitled to recover damages from
the owner or operator of an "underinsured motor
vehicle" or do not agree as to the amount of
damages, either party may make a written demand
for arbitration. Except for the authorities and rights
stated in paragraphs B., C. and D. of these arbitration
provisions, arbitration shall be conducted in
accordance with the provisions of the Pennsylvania
Uniform Arbitration Act. Each party will select an
arbitrator. The two arbitrators will select a third. If they
cannot agree within 30 days, either may request that
selection be made by a judge of a court having
jurisdiction. Each party will pay the expenses it incurs
and bear the expenses of the third arbitrator equally.
Unless both parties agree otherwise, arbitration will
take place in the county in which the "insured"
resides.
B. LIMITATION OFARBITRATORS' AUTHORITY
The authority of the arbitrators shall be limited to
deciding the liability of the owner or operator of an
"underinsured motor vehicle" and amount of
damages recoverable from the owner or operator of
an "underinsured motor vehicle." The amount of any
award may be up to but not in excess of the Limit of
Liability shown in the Schedule or Declarations for
Underinsured Motorists Coverage.
The arbitrators may not render decisions on
disagreements between any party making a claim
and us regarding whether the party is entitled to
coverage under this policy or the applicable Limits of
Liability for this coverage. All disagreements
regarding coverage questions or the applicable
Limits of Liability for this coverage must be decided
by the court having jurisdiction.
C. DISCOVERYRIGHTS
Each parry shall have the right of full discovery
including, but not limited to, depositions of any
involved party, requests for production of documents
such as employment and medical records, and the
right to perform periodic medical examinations on
any person making a claim under this coverage.
PPD 04 17 02 96 Page 3 of 4
D. APPEAL RIGHTS
Each party shall have the right to appeal to the court
having jurisdiction an award of the arbitrators
provided the appeal is based upon an error of law, an
arbitration decision that exceeds the stated authority
of the arbitrators and any right of appeal provided
under common law arbitration. There shall be no right
of appeal on questions of fact regarding the liability of
the owner or operator of the "underinsured motor
vehicle" or the amount of damages determined to be
recoverable from the owner or operator of an
"underinsured motor vehicle."
ADDITIONAL DUTY
A person seeking Underinsured Motorists Coverage
must also promptly notify us in writing of a tentative
settlement between the "insured" and the insurer of
the "underinsured motor vehicle" or any other party.
Prior to any settlement with the insurer of the
"underinsured motor vehicle" or any other party, the
"insured" must receive our written consent to finalize
any such settlement.
GENERAL PROVISIONS
Part F is amended as follows:
A. The following is added to the Our Right To
Recover Payment provision:
OUR RIGHT TO RECOVER PAYMENT
Our rights do not apply under Paragraph A. with
respect to Underinsured Motorists Coverage if we:
1. Have been given prompt written notice of a
tentative settlement between an "insured" and
the insurer of an "underinsured motor vehicle"
or any other party; and
2. Have given the"insured" our written consent to
settle the bodily injury claim.
This endorsement must be attached to the Change Endorsement when issued after the policy is written.
Contains Copyrighted Material of Insurance Services Office, Inc., with their permission.
Copyright, Insurance Services Office, Inc., 1994
PPD 04 17 02 96 Page 4 of 4
PP 05 51 06 94
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY,
FIRST PARTY BENEFITS COVERAGE - PENNSYLVANIA
With respect to coverage provided by this endorsement, the provisions of the policy apply unless modified by the
endorsement.
SCHEDULE
BASIC FIRST PARTY BENEFIT
Benefit
Medical Expenses
Limit Of Liability
$5,000
If indicated below or in the Declarations, the following options apply instead of the Basic First Party Benefit:
? Added First Party Benefits
Benefits
Medical Expenses
Work Loss
Funeral Expenses
Accidental Death
? Combination First Parry Benefits
Benefits
Limit Of Liability
$ subject to a maximum
of $ per month
Limit of Liability
Medical Expenses
Work Loss
Funeral Expenses
Accidental Death
Maximum Limit of Liability For The
Total of All Combination First
Party Benefits
No specific dollar amount
No specific dollar amount
$2,500
NOTE: If Added First Party Benefits or Combination First Party Benefits are not shown as applicable in the Schedule
or Declarations, only the Basic First Party Benefit applies.
DEFINITIONS
The Definitions section is amended as follows:
A. "The Act" refers to the Pennsylvania Motor Ve-
hicle Financial Responsibility Law.
B. The following definitions are replaced:
1. "Bodily injury" means accidental bodily
harm to a person and that person's result-
ing illness, disease or death.
2. "Your covered auto" means a "motor ve-
hicle",
a. To which Part A of this policy applies
and for which a specific premium is
charged; and
b. For which First Parry Benefits Cov-
erage required by the Act is main-
tained.
C. The following definition is added:
"Motor vehicle" means a self-propelled vehicle
operated or designed for use upon public roads.
However, "motor vehicle" does not include a
vehicle operated:
1. By muscular power; or
PP 05 51 06 94 Copyright, Insurance Services Office, Inc., 1993 Page 1 of 4
2. On rails or tracks.
D. "Insured" as used in this endorsement means:
You or any "family member".
2. Any other person while:
a. "Occupying" "your covered auto";
or
b. Not "occupying" a "motor vehicle"
if injured as a result of an accident in
Pennsylvania involving "your cov-
ered auto".
If "your covered auto" is parked and un-
occupied it is not a "motor vehicle" in-
volved in an accident unless it is parked in
a manner which creates an unreasonable
risk of injury.
FIRST PARTY BENEFITS COVERAGE
INSURING AGREEMENT
A. BASIC FIRST PARTY BENEFIT
We will pay, in accordance with the Act, the
Basic First Parry Benefit to or for an "insured"
who sustains "bodily injury". The "bodily in-
jury" must be caused by an accident arising out
of the maintenance or use of a "motor vehicle".
Subject to the limit shown in the Schedule or
Declarations, the Basic First Parry Benefit con-
sists of:
Medical expenses. Reasonable and necessary
medical expenses incurred for an "insured's":
Care;
2. Recovery; or
3. Rehabilitation.
This includes remedial care and treatment ren-
dered in accordance with a recognized religious
method of healing.
Medical expenses will be paid if incurred within
18 months from the date of the accident caus-
ing "bodily injury". However, if within 18
months from the date of the accident, it can be
determined with reasonable medical probability
that additional expenses may be incurred after
this period, the 18 month time limit will not apply
to the payment of the additional medical ex-
penses.
B. ADDED FIRST PARTY BENEFITS
If the Schedule or Declarations indi-
cates that Added First Party Benefits
apply, we will pay Added First Party
Benefits instead of the Basic First
Parry Benefit to or for an "insured"
who sustains "bodily injury". The
"bodily injury" must be caused by an
accident arising out of the maintenance or use
of a "motor vehicle". These benefits are sub-
ject to the provisions of the Act.
Subject to the limits shown in the Schedule or
Declarations, Added First Parry Benefits con-
sist of the following:
Medical expenses as described in the
Basic First Party Benefit.
2. Work loss.
a. Loss of income. Up to 80% of gross
income actually lost by an "insured"
as a result of the accident.
b. Reasonable expenses actually in-
curred to reduce loss of income by
hiring:
(1) Special help, thereby enabling
an "insured" to work; or
(2) A substitute to perform the
work a self-employed "in-
sured" would have performed.
However, work loss does not include:
a. Loss of expected income or ex-
penses incurred for services per-
formed after the death of an
"insured"; or
b. Any loss of income, or expenses in-
curred for services performed, dur-
ing the first 5 working days the
"insured" did not work due to "bod-
ily injury".
3. Funeral expenses. Funeral or burial ex-
penses actually incurred if "bodily injury"
causes an "insured's" death within 24
months from the date of the accident.
4. Accidental death. A death benefit paid if
"bodily injury" causes the death of you or
any "family member" within 24 months
from the date of the accident.
We will pay accidental death to the execu-
tor or administrator of the deceased "in-
sured's" estate. If there is no executor or
administrator, the benefit shall be paid to:
PP 05 51 06 94 Copyright, Insurance Services Office, Inc., 1993 Page 2 of 4
a. The deceased "insured's" surviving
spouse;or
b. If there is no surviving spouse, the
deceased "insured's" surviving
children; or
c. If there is no surviving spouse or
children, to the deceased "in-
sured's" estate.
C. COMBINATION FIRST PARTY BENEFITS
If the Schedule or Declarations indicates that
Combination First Party Benefits apply, we will
pay Combination First Party Benefits instead of
the Basic First Party Benefit to or for an "in-
sured" who sustains "bodily injury". The
"bodily injury" must be caused by an accident
arising out of the maintenance or use of a "mo-
tor vehicle". These benefits are subject to the
provisions of the Act.
Subject to the limits shown in the Schedule or
Declarations, Combination First Party Benefits
consist of the following, as described in the
Basic First Party Benefits and Added First Party
Benefits.
1. Medical expenses.
2. Work loss.
3. Funeral expenses.
4. Accidental death.
EXCLUSIONS
A. We do not provide First Party Benefits Cover-
age for "bodily injury" sustained by any "in-
sured":
1. While intentionally causing or attempting
to cause "bodily injury" to himself or any
other person. We will not pay accidental
death on behalf of that" insured".
2. While committing a felony.
3. While seeking to elude lawful apprehen-
sion or arrest by a law enforcement offi-
cial.
4. While maintaining or using a "motor vehi-
cle" knowingly converted by that "in-
sured". This exclusion (A.4.) does not
apply to:
a. You; or
b. Any "family member".
a. The owner of one or more
registered "motor vehi-
cles", none of which have
in effect the financial re-
sponsibility required by
the Act; or
b. "Occupying" a "motor vehicle"
owned by that "insured" for which
the financial responsibility required
by the Act is not in effect.
6. Maintaining or using a "motor vehicle"
while located for use as a residence or
premises.
7. While "occupying" a:
a. Recreational vehicle designed for
use off public roads; or
b. Motorcycle, moped or similar-type
vehicle.
B. We do not provide First Party Benefits Cover-
age for "bodily injury":
1.. Sustained by a pedestrian if the accident
occurs outside of Pennsylvania. This ex-
clusion (B.1.) does not apply to:
a. You; or
b. Any "family member".
2. Caused by or as a consequence of:
a. Discharge of a nuclear weapon
(even if accidental);
b. War (declared or undeclared);
c. Civil war;
d. Insurrection; or
e. Rebellion or revolution.
3. From or as a consequence of the follow-
ing, whether controlled or uncontrolled or
however caused:
a. Nuclear reaction;
b. Radiation; or
c. Radioactive contamination.
LIMIT OF LIABILITY
A. The limits of liability shown in the Schedule or
Declarations for the first party benefits that ap-
ply are the most we will pay to or for each "in-
5. Who, at the time of the accident, is:
PP 05 51 06 94 Copyright, Insurance Services Office, Inc., 1993
Page 3 of 4
sured" as the result of any one accident,
regardless of the number of:
1. Claims made;
2. Vehicles or premiums shown in the Dec-
larations;
3. Vehicles involved in the accident; or
4. Insurers providing first party benefits.
B. If Combination First Parry Benefits are afforded,
we will make available at least the minimum limit
required by the Act for the Basic First Party
Benefit. This provision (B.) will not change our
maximum limit of liability.
C. Any amounts payable under this coverage shall
be excess over any amounts:
1. Paid;
2. Payable; or
3. Required to be provided;
to an "insured" under any workers' compen-
sation law or similar law.
PRIORITIES OF POLICIES
A. We will pay first party benefits in accordance
with the order of priorities set forth by the Act.
We will not pay if there is another insurer at a
higher level of priority. The First category listed
below is the highest level of priority and the
Fourth category is the lowest level of priority.
The priority order is:
First The insurer providing benefits to
the "insured" as a named in-
sured.
a. "Occupying" a "motor ve-
hicle"; and
b. Provided first party bene-
fits under any other auto-
mobile policy.
An unoccupied parked "motor vehicle" is
not a "motor vehicle" involved in an acci-
dent unless it is parked in a manner which
creates an unreasonable risk of injury.
B. If 2 or more policies have equal priority within
the highest applicable priority level:
1. The insurer against whom the claim is first
made shall process and pay the claim as
if wholly responsible. The insurer is then
entitled to recover contribution pro rata
from any other insurer for the benefits
paid and the costs of processing the
claim. If such contribution is sought
among insurers under the Fourth priority,
proration shall be based on the number of
involved motor vehicles.
2. If we are the insurer against whom the
claim is first made, our payment to or for
an "insured" will not exceed the applica-
ble limit of liability for First Party Benefits
Coverage shown in the Schedule or Dec-
larations.
3. The maximum recovery under all policies
will not exceed the amount payable under
the policy with the highest limit of liability.
NON-DUPLICATION OF BENEFITS
No one will be entitled to recover duplicate payments
for the same elements of loss under this or any other
similar insurance including self-insurance.
Second The insurer providing benefits to 111.
the "insured" as a family member
who is not a named insured under
another policy providing cover-
age under the Act.
Third The insurer of the "motor vehi-
cle" which the "insured" is "oc-
cupying" at the time of the
accident.
Fourth The insurer of any "motor vehi-
cle" involved in the accident if the
"insured" is not:
PART F - GENERAL PROVISIONS
Part F is amended as follows:
The Our Right To Recover Payment provision does
not apply.
This endorsement must be attached to the Change Endorsement when issued after the policy is written.
PP 05 51 06 94 Copyright, Insurance Services Office, Inc., 1993 Page 4 of 4
DONEGAL AUTOMOQILE ACCOUNT CREDIT PLAN DAACP
(Ed. 2-92)
We agree to credit this risk, as it has met all of the eligibility requirements for the Donegal Automobile Account
Credit Plan (DAACP).
All other provisions of this policy apply.
Donegal Mutual Insurance Company DAACP (Ed. 2-92)
I
VERIFICATION
I, Janet L. Weisberg, Vice President of B.I. Claims of Donegal Mutual Ins. Co., acknowledge
I have the authority to execute this Verification on behalf of Donegal Mutual Ins. Co. and certify the
foregoing Declaratory Judgment Complaint is based upon information which has been gathered by
my counsel in the preparation of the lawsuit. The language of this Declaratory Judgment Complaint
is that of counsel and not my own. I have read the document and to the extent the Declaratory
Judgment Complaint is based upon information which I have given to my counsel, it is true and
correct to the best of my knowledge, information and belief. To the extent the content of the
Declaratory Judgment Complaint is that of counsel, I have relied upon counsel in making this
Verification.
This statement and Verification are made subject to the penalties of 18 Pa. C.S. § 4904
relating to unswom falsification to authorities, which provides that if I knowingly make false
averments, I may be subject to criminal penalties.
Donegal Mutual Ins. Co.
et L. Weisberg, Vice President o B.I. Claims
FkFILES\DATAFILE? ne a13050?Curt ttl 40s m
CERTIFICATE OF SERVICE
I, Tricia D. Eckenroad, an authorized agent for Martson Deardorff Williams & Otto, hereby
certify that a copy of the foregoing Declaratory Judgment Complaint was served this date by
depositing same in the Post Office at Carlisle, PA, first class mail, postage prepaid, addressed as
follows:
P. Richard Wagner, Esquire
MANCKE, WAGNER, TULLY & SPREHA
2233 North Front Street
Harrisburg, PA 17110
MARTSON DEARDORFF WILLIAMS & OTTO
BY 'Y-
Ten D. Eckenroa
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Dated: / f IQ/Ld P?31
NC .D
UI
d
F\FILES\DATAFILE\Done aD050\Curtent\240-aaeser
Created 2/6/04 1-13PM
Revised'. 3/24/04 II.23AM
DONEGAL MUTUAL INS. CO.,
Plaintiff
V.
WILLIAM D. SWANK,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 04-1242 CIVIL ACTION-LAW
DECLARATORY JUDGMENT ACTION
ATTORNEY'S ACCEPTANCE OF SERVICE
I, P. Richard Wagner, Esquire, attorney for Defendant William D. Swank, in the
q ab ve- ptioned action, hereby accept service of the Complaint in the above action on
3 , o `f on his behalf and certify that I am authorized to do so.
Date:
By
223
AGNER, TULLY & SPREHA
PA 17110
CERTIFICATE OF SERVICE
I, Tricia D. Eckenroad, an authorized agent for Martson Deardorff Williams & Otto, hereby
certify that a copy of the foregoing Acceptance of Service was served this date by depositing same
in the Post Office at Carlisle, PA, first class mail, postage prepaid, addressed as follows:
P. Richard Wagner, Esquire
MANCKE, WAGNER,
TULLY & SPREHA
2233 North Front Street
Harrisburg, PA 17110
MARTSON DEARDORFF WILLIAMS & OTTO
By
Tricia J. Eckenro d
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Dated: April 5, 2004
r
.ip O
J
iCl
DONEGAL MUTUAL INS. CO.,
PlainK
V.
WILLIAM D. SWANK,
Defendant.
TO: Donegal Insurance Company
C/o Thomas J. Williams, Esquire
Ten East High Street
Carlisle, PA 17013
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO: 04-1242 Civil Action
DECLARATORY JUDGMENT ACTION
You are hereby notified to plead to the within document within twenty (20) days after service
hereof, or a default judgment may be entered against you.
Respectfully submitted,
MANCKE, WAGNER & SPREHA
Attorneys for Defendant
DATE: H /s/6
Harrisburg, PA 17110
(717) 234-7051
DONEGAL MUTUAL INS. CO.,
Plaintiff,
V.
WILLIAM D. SWANK,
Defendant.
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO: 04-1242 Civil Action
DECLARATORY JUDGMENT ACTION
ANSWER TO COMPLAINT
FOR DECT ARATORY >T D =NIENT
AND NOW, comes the Defendant, William D. Swank, by and through his
attorneys, Mancke, Wagner & Spreha, and files the following Answer to Complaint for
Declaratory Judgment:
1. Admitted.
2. Admitted.
3. Admitted.
4. Admitted.
5. Admitted.
6. Admitted.
7. Admitted.
8. Denied. It is denied that at the time of the collision the 1987 Plymouth
Sundance was owned by Swank.
9. Denied. It is denied that at the time of the collision that the 1987 Plymouth
Sundance was not a `your covered auto' as defined by the policy.
10. Admitted.
11. Admitted.
12. Admitted.
WHEREFORE, Defendant requests this Court to enter a declaratory judgment and
declare that Swank is covered under the provisions of his automobile policy.
NEW MATTER
13. Paragraphs 1 through 12 above are incorporated herein by reference and made
a part hereof.
14. At the time of the aforementioned accident, the 1987 Plymouth Sundance was
owned by Christina Miller of Mechanicsburg, Cumberland County, Pennsylvania.
15. At the time of the aforementioned accident, the 1987 Plymouth Sundance was
not owned by Swank, but was owned by another in whose name the vehicle was titled.
16. At the time of the aforementioned collision, nor at any time before or after the
collision was the 1987 Plymouth Sundance titled in the name of Swank.
-2-
WHEREFORE, Defendant requests this Court to grant judgment in favor of the
Defendant and declare the policy of Donegal to be applicable for underinsured motorist
benefits in favor of Swank.
Respectfully submitted,
Mancke, Wagner & Spreha
P, Iffdr-Wagner, Esquire
1.D. #23103
2233 North Front Street
Harrisburg, PA 17110
(717) 234-7051
Attorneys for Defendant
Date: <1 8 e
-3-
VERIFICATION
I verify that the statements made in the foregoing
document are true and correct. I understand that false
statements herein are made subject to the penalties of 18 Pa.C.S.
Section 4904, relating to unsworn falsification to authorities.
DATE : W/7/0?
CERTIFICATE QF SERVICE
I, Debra K. Spinner, Secretary in the law firm of MANCKE,
WAGNER, and SPREHA, do hereby certify that I am this day serving
a copy of the foregoing document to the following persons and in
the manner indicated below, which service satisfies the
requirements of the Pennsylvania Rules of Civil Procedure, by
depositing the same in the United States Mail, Harrisburg,
Pennsylvania, with first class postage, prepaid, and addressed as
follows:
Thomas J. Williams, Esquire
Ten East High Street
Carlisle, PA 17013
Debra K. Spinne , Secretary
MANCKE, WAGNER, & SPREHA
2233 North Front Street
Harrisburg, PA 17110
P. Richard Wagner, Esquire
Attorneys for Defendant
DATE: y q p
7.:
i T n
fJ
.1
`i
v ,
`F?\FILES\DATAPILE\Done a13050\Cmrtnt\240_nptI
Created: 2/6/04 1 13PM
Revised'. N9104 259PM
DONEGAL MUTUAL INS. CO.,
Plaintiff
V.
WILLIAM D. SWANK,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 04-1242 CIVIL ACTION - LAW
DECLARATORY JUDGMENT ACTION
MOTION FOR SUMMARY JUDGMENT
AND NOW, comes Plaintiff, Donegal Mutual Ins. Co., by and through its attorneys,
MARTSON DEARDORFF WILLIAMS & OTTO, and brings this Motion for Summary Judgment,
and in support thereof, moves as follows:
I . This declaratory judgment action was commenced by Plaintiff, Donegal Mutual Ins.
Co. ("Donegal'), by way of Complaint filed on March 24, 2004, in the Court of Common Pleas of
Cumberland County, against Defendant, William D. Swank ("Swank'), as a Declaratory Judgment
Action.
2. Donegal is seeking a declaration that Swank is not entitled to Underinsured Motorists
Coverage under his insurance policy.
3. On or about February 23, 2002, Donegal issued to Swank an automobile insurance
policy, Policy Number PAE 057 23 45, effective February 23, 2002, through February 23, 2003 (the
"insurance policy"). Pertinent portions of the insurance policy are attached to the Complaint as
Exhibit "A" and incorporated herein by reference.
4. The insurance policy provided for Underinsured Motorists Coverage, which has the
following exclusion:
a. "We do not provide Underinsured Motorists Coverage for `bodily injury'
sustained: By you while `occupying,' or when struck by, any motor vehicle
you own which is not insured for this coverage under this policy."
5. Swank owned and was driving a 1987 Plymouth Sundance ("Sundance" ), which was
not covered under the insurance policy, at the time Swank collided with another vehicle (the
"collision'). See Exhibit "A" attached to the Complaint and incorporated by reference.
6. Swank has made several claims to Donegal, which Donegal has rejected as not being
covered under his insurance policy.
7. Swank stated in his sworn deposition that he owned the Sundance and that it was
given to him by the mother of his child (the "mother") in return for a vehicle he bought for her. The
understanding between Swank and the mother was that he could sell the vehicle and keep the
proceeds. (Swank's Depo. at p. 26-27).
8. Further, Swank stated that he maintained possession of the Sundance even though it
was not titled in his name. He had owned the vehicle for approximately 3 to 6 months before the
date he was involved in the collision. (Swank's Depo. at p. 25-26).
9. Swank admitted ownership of the Sundance in his sworn deposition and that he had
possession of the vehicle at all relevant times. The fact that title of the vehicle was in another
person's name is not conclusive evidence of ownership.
10. Swank is not entitled to coverage under the insurance policy because he was the
owner of the Sundance at the time of the collision and the vehicle was not covered under the
insurance policy. Therefore, Donegal is entitled to judgment as a matter of law.
WHEREFORE, Plaintiff respectfully requests that this Court grant its Motion for Summary
Judgment against Defendant.
Respectfully submitted,
MARTSON DEARDORFF WILLIAMS & OTTO
Christopher E. Rice, Esquire
Attorney I.D. No. 90916
Thomas J. Williams, Esquire
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Date: June 3, 2004 Attorneys for Plaintiff
CERTIFICATE OF SERVICE
I, Christopher E. Rice, hereby certify that a copy of the foregoing Motion for Summary
Judgment was served this date by depositing same in the Post Office at Carlisle, PA, first class mail,
postage prepaid, addressed as follows:
P. Richard Wagner, Esquire
MANCKE, WAGNER, TULLY & SPREHA
2233 North Front Street
Harrisburg, PA 17110
MARTSON DEARDORFF WILLIAMS & OTTO
By ea'p- ? - e-
Christopher E. Rice
Dated: June 3, 2004
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DONEGAL MUTUAL INS. CO.,
Plaintiff
V.
WILLIAM D. SWANK,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 04-1242 CIVIL ACTION-LAW
DECLARATORY JUDGMENT ACTION
PRAECIPE
TO THE PROTHONOTARY:
Please file the attached Transcribed Deposition of William D. Swank of record in support
of Plaintiff's Motion for Summary Judgment.
Date: June 3, 2004
Respectfully submitted,
MARTSON DEARDORFF WILLIAMS & OTTO
By ( l
Christopher E. Rice, Esquire
Attorney I.D. No. 90916
Thomas J. Williams, Esquire
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
I
IN RE: Statement Under Oath
COPY
TRANSCRIPT OF PROCEEDINGS
Deposition of: WILLIAM D. SWANK
Before: Linda C. Larson
Court Reporter - Notary Public
Date: October 24, 2003, 1:30 p.m.
Place: Martson, Deardorff, Williams &
Otto
Ten East High Street
Carlisle, Pennsylvania
APPEARANCES:
MANCKE, WAGNER & SPREHA
BY: RICHARD WAGNER, ESQUIRE
FOR - PLAINTIFF
MARTSON, DEARDORFF, WILLIAMS & OTTO
BY: THOMAS J. WILLIAMS, ESQUIRE
FOR - DONEGAL INSURANCE
+C,entral sylvan"ia
}y,>4durt Reporting Services
8900-863-3657 • 717-258-3657 • 717-258-0383 fax
cowltreporter4u @aol. cam
z
1 INDEX TO TESTIMONY
2 WITNESS EXAMINATION PAGE
3 William D. Swank Thomas J. Williams 3
4
5
6
7
8
9
10
11
12 INDEX TO EXHIBITS
13 NO. DESCRIPTION PAGE
14 (None.)
15
16
17
18
19
20
21
22
23
24
25
3
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
P R O C E E D I N G S
WILLIAM D. SWANK, called as a witness, being
duly sworn, was examined and testified as follows:
EXAMINATION
BY MR. WILLIAMS:
Q. My name is Tom Williams. We've just been
introduced. I'm representing Progressive Insurance with
regard to the underinsured motorist claim that you made
against it. I'm going to ask you some questions concerning
that claim. And in response to my questions I'd like you
to give all the information that you have. Okay?
A. Okay.
Q. If you, however, base your answer on
something that you heard someone say or that you read
somewhere, please state that as part of your answer,
otherwise we'll assume that your testimony is based upon
your own personal knowledge. Okay?
A. Okay.
Q. Have you ever given testimony before?
A.
Q•
truth?
A.
No.
Never raised your hand and swore to tell the
No.
4
I Q. Been questioned by a lawyer?
2 A. No.
3 Q. You've probably seen it on TV though?
4 A. Yes, I have.
5 Q. All right. Well, this is a little different
6 than what you 've seen on TV because we're looking to get
7 all the information that you have.
8 As you can see, it's not a court proceeding
9 but a stenogr apher is here to record the words that are
10 spoken here t oday and we want to make sure that it's done
11 accurately.
12 Some rules for that are, first of all, we
13 need to take turns talking. Okay?
14 A. Okay.
15 Q. I promise to wait until you finish your
16 answer before I ask the next question and I ask you to
17 promise to wa it until I finish my question before you give
18 the answer. Okay?
19 A. I understand.
20 Q. Also, we need to speak words. While I can
21 see you noddi ng your head yes and I know exactly what that
22 means, we nee d to be sure that that gets down by the
23 stenographer in answers, yes or no, or whatever words you
24 want to use. Okay?
25 A. I understand.
5
1 Q. I would ask you not to answer my question
2 unless you know what the answer is. We don't want you to
3 guess. It 's okay to give an estimate as long as you tell
4 us that, i f that's appropriate. But if you don't know the
5 answer to the question, please don't try to answer it.
6 Just say y ou don't know and I'll ask you another question.
7 Okay?
8 A. Okay.
9 Q. Also, if you don't understand my question,
10 again don' t try to answer it. Just say you didn't
11 understand it and I'll rephrase the question until you're
12 satisfied you do understand that. Okay?
13 A. Okay.
14 Q. Same thing if you don't hear my entire
15 question, don't try to answer it. Just say you didn't hear
16 it all and I'll have the question repeated for you in its
17 entirety. Okay?
18 A. I understand.
19 Q. We want you to be comfortable here today. So
20 if at any point you want to take a break, just tell us that
21 and we'll adjourn until you're ready to continue. Okay?
22 A. Okay.
23 Q. If you for any reason find yourself unable to
24 concentrat e, you feel tired or ill in any way, again tell
25 us that an d we'll adjourn until you're ready to continue.
6
1 A. Okay.
2 Q. Have you taken any medications today that
3 might cause you to be drowsy?
4 A. No.
5 Q. All right. Healthwise okay?
6 A. I'm taking medication for gout, but, you
7 know, I'm used to it. You know, it doesn't throw me off in
8 any way.
9 Q. What kind of medication do you take for gout?
10 A. I take point six milligrams of colchicine and
11 I take Naprosyn. I'm not sure I think it's 500 grams,
12 milligrams. I'm not sure exactly how much.
13 Q. When were you first diagnosed with gout?
14 A. Oh, about 20 years ago when I was about 30
15 years old.
16 Q. Is there a physician now that's following you
17 for that go ut?
18 A. Yes. Dr. Snoke, Stephen Snoke, Snoke Family
19 Practice in Camp Hill.
20 MR. WAGNER: Off the record.
21 (Off the record.)
22 THE WITNESS: I have been on daily medication
23 for about n ine or ten years now and that seems to control
24 it.
25 BY MR. WILL IAMS:
7
I Q. That's what I was wondering if the medication
2 controlled it pretty well.
3 A. Yes.
4 Q. But you still have the bumps?
5 A. Yes. That's something that will never go
6 away. You know, like I said, my orthopedic surgeon said he
7 can remove those, but there is no guarantee that they, you
8 know, wouldn't come back. And it doesn't really hurt. I
9 mean, if I bang it on something, it would. But it's very
10 unsightly, but I can live with that.
11 Q. Who is your orthopedic surgeon?
12 A. That was Dr. Mark Holencik at the time.
13 Q. How do you spell Holencik?
14 A. H-o-1-e-n-c-i-k. He's no longer practicing
15 at this po int in time.
16 MR. WAGNER: That you're aware of.
17 THE WITNESS: That I'm aware of.
18 MR. WAGNER: He's actually back in practice.
19 THE WITNESS: Well, he has a place here in
20 Carlisle.
21 MR. WAGNER: Yes.
22 THE WITNESS: He's not operating anymore. He
23 still has a practice, but he's not doing surgery.
24 BY MR. WIL LIAMS:
25 Q. Do you have a different orthopedic surgeon
8
1 today?
2 A. Well, this accident that I was in I went
3 through a Hanks, Greg Hanks. He is part of OIP, Orthopedic
4 Institute of Pennsylvania. He's the last person -- he was
5 the one who operated on my leg from this accident that
6 we're dealing with.
7 Q. Yes. He's the knee specialist; isn't he?
8 A. Yes, I believe he is.
9 Q. How did that turn out, that last operation?
10 A. It's good. I mean, you know, I was happy
11 with everything, you know, the way it went with what was
12 wrong with me.
13 I still have metal plates in my leg which I
14 don't know if I should get removed or not. He said that's
15 my call. And, you know, I have pain with it, you know,
16 just about daily, but it's nothing I can't deal with.
17 I don't know whether -- I don't know. I
18 don't look forward to going under a knife. So for me to
19 make that decision to have it -- he said if it doesn't
20 bother me that much, I can let it in there forever.
21 Q. Where are the metal plates?
22 A. They are on the right side of my leg. My
23 femur broke right here where it connects. And there is a
24 plate in here with some screws, and there are about 10 or
25 12 screws.
9
1 MR. WAGNER: Let's stop for a second. She
2 can't get that. If we read that back right here, it
3 doesn't mean anything. You're pointing to the?
4 THE WITNESS: On the outside of my right leg
5 right where the I guess it's the femur connects to the knee
6 joint, I believe.
7 I don't know that much about medicine. I
8 looked at enough pictures, you know, x-rays when they took
9 them.
10 But the metal plate was put in there I guess
11 to hold the bone together so it would heal, so it would
12 heal quicker. That's what they do I guess these days.
13 BY MR. WILLIAMS:
14 Q. Have you ever had that done before?
15 A. No.
16 Q. The internal fixation?
17 A. No. I mean, I had -- like I said, I was in a
18 motorcycle accident in '98, and I had a ruptured quadricep
19 on my left leg. But they just went in -- that's when Dr.
20 Holencik, he just wrapped that back together and tied it
21 up, but there is no metal in there or anything.
22 Q. That didn't involve the bone, though, that
23 '98 accident?
24 A. No, no. It was just the muscle. It was
25 actually the muscle on top of the kneecap there. He told
10
1 me it was - - he used to do a lot of sports, you know,
2 operations on athletes and stuff, and he had said he'd seen
3 that a lot of times in, like, football players or something
4 that they t ore, tore that muscle loose, but he never saw it
5 from an acc ident.
6 Q. Did he have to reattach -- I'm sorry.
7 A. Go ahead.
8 Q. I'm sorry. Did he have to reattach it to the
9 bone?
10 A. No. He said he drilled holes. He had
11 drilled hol es in the muscle end, I guess the top of the
12 kneecap.
13 Q. Yes.
14 A. And tied it together in a knot, you know,
15 knotted it up. And he said while I was still under
16 anesthetic, he took and went like this. He threatened to
17 do that when I went back to have it tested and I said no.
18 That was a lot of rehab with that.
19 Q. Yes.
20 A. Quite a bit.
21 Q. That's the same as an ACO or a PCO injury?
22 A. It knocked me out for about nine months
23 before I could get moving around regular.
24 Q. That was in your left leg; wasn't it?
25 A. That was the left leg, yes.
11
1 Q. Left leg. Okay. Had you ever seen Dr. Hanks
2 before this particular injury?
3 A. No.
4 Q. How did you get referred to him?
5 A. I was in an automobile accident and, you
6 know, they called somebody in. They did x-rays and they
7 just called somebody in. They said, you know, who I would
8 have requested was not available and so they brought
9 somebody in.
10 They said, would this be okay with you? And
11 I said, fine. You know, the people on call at Holy Spirit
12 Hospital, you know.
13 Q. Dr. Hanks happened to be on call that night
14 or day I guess it was.
15 A. Yes, yes. It was in the evening. It was
16 Sunday night by that time.
17 Q. You were taken to the Holy Spirit ER; weren't
18 you?
19 A. Yes.
20 Q. How long ago did -- well, let me rephrase
21 that. When Dr. Hanks -- did Dr. Hanks come into the Holy
22 Spirit ER and see you then?
23 A. He came to see me the Sunday night after the
24 accident and looked at the x-rays. And he said there was
25 definitely a break there and they operated on me the next
12
1 day. They operated on me on Monday, late Monday afternoon
2 I think it was.
3 Q. Yes.
4 A. But I was not familiar with him at all before
5 that.
6 Q. All right. Did he operate on you any time
7 after that or was that the only one?
8 A. No, he operated on my leg that was it.
9 Q. Okay. And then you came back to have him
10 check that a couple of times?
11 A. Yes. I did regular checkups. You know, I
12 did, I don't know, 30, 60 days, and then six months. I
13 missed the last. You know, he said he wanted to see me at
14 a year, that was March of 2002.
15 And he said he'd let me know, but they never
16 -- they never let me know. And I never called back to have
17 another, you know, have it checked again. But the last
18 time he saw me he said everything looked fine, and I should
19 go about my merry way.
20 Q. How does it feel today?
21 A. It's just -- I know there is something there,
22 but it's nothing. Like I said, you know, I don't think I
23 walk with a noticeable limp or anything. I, you know, walk
24 fairly good. It's not -- like I said, once in a while I
25 get a lot of pain from it, you know. I take a pain pill
13
1 every once in a while, but I don't like taking them. I
2 only do it if it's really bothering me.
3 Q. What kind of pain pills do you have?
4 A. It's a generic Vicodin. Hydrocodone is what
5 it is.
6 Q. Who prescribed that?
7 A. He prescribed it originally and then when I
8 went back to Dr. Snoke, my family physician, he gave me an
9 additional prescription for it.
10 Q. And how often do you take the Vicodin?
11 A. Maybe on the average once every ten days, two
12 weeks. I don't know. Like I said, I don't like how they
13 make feel, so I don't take them unless it's really
14 bothering me. That's the only time I take it.
15 Q. You also had a fracture of the -- of an
16 interartic ular lateral condyle?
17 A. I'm not sure if I understand that term or
18 not, but I had a crushed larynx, voice box; is that what
19 they're ca lling that?
20 Q. No, lateral condyle is in your knee.
21 A. Oh, I was not aware of that.
22 MR. WAGNER: Tom, clarify for me, please,
23 when you s aid you had, as a result of this accident or some
24 previous t ime?
25 MR. WILLIAMS: I have this off the Holy
14
1 Spirit ER record.
2 MR. WAGNER: Suggesting it was as a result of
3 this accident ?
4 MR. WILLIAMS: Uh-huh.
5 MR. WAGNER: Okay. Thank you.
6 THE WITNESS: All I was told is I had a
7 broken femur. It was snapped clean and they had to roll it
8 back together .
9 BY MR. WILLIAMS:
10 Q. Fracture of the larynx?
11 A. Yes. I had a crushed voice box because I hit
12 the steering wheel with my neck.
13 Q. Did that heal okay?
14 A. Yes. That's another thing I'm aware -- I'm
15 aware that I went through that, but I really don't have any
16 repercussions from it. I have a tight throat because I had
17 a trache for a while, but...
18 Q. I understand they put the trache in as a
19 precautionary measure?
20 A. Yes. They were afraid it would cut off my
21 windpipe and I wouldn't be able to breath.
22 Q. They didn't want to put it in quickly. They
23 wanted one th ere just in case.
24 A. Yes.
25 Q. Yes.
15
1 A. That was actually more scary than the leg
2 operation. T hat was very frightening.
3 Q. Okay. There is also noted in the -- well,
4 you had eight stitches to close your forehead and ten
5 stitches to c lose your chin?
6 A. Yes. I had lacerations in my forehead and in
7 my chin.
8 Q. Are they still -- I don't see them.
9 A. No, that's all healed up and everything, you
10 know.
11 Q. Is that because of hitting the steering wheel
12 too?
13 A. Yes, well, actually I hit the steering wheel
14 and the winds hield. So I think I hit -- I think my
15 forehead hit the windshield, then I braced myself against
16 the steering wheel and bent it back.
17 But I still -- I didn't have my seatbelt on.
18 So when I was thrust forward, the top of the steering wheel
19 caught my neck and probably, you know, that would have
20 touched my ch in too. But my forehead split the windshield,
21 so...
22 Q. The medical records also note some
23 hypertrophic spondylosis. Do you know what that is, in
24 your neck?
25 A. No.
16
1 Q. Did they talk to you about that?
2 A. I never heard of that.
3 Q. I think it's just a note, something about
4 your bone stru cture. It's a deformity, but I don't think
5 it's accident related. It didn't appear to be an accident
6 related thing. It just seemed to be something they noted.
7 A. I'm not familiar with that term. I know they
8 did extensive tests and x-rays and had all kinds of, you
9 know, machines, you know, things going down taking pictures
10 and they even showed me stuff where they made a VCR tape,
11 you know, and had me stuck these things and taking all
12 kinds of pictu re in there. And they showed me everything,
13 swallowing and everything, and showing how things are
14 opening and closing.
15 Q. Do you have any problems with your neck?
16 A. No.
17 Q. Okay. So basically the leg, the right leg
18 and knee, and then your throat, and the injuries to your
19 head?
20 A. That was it.
21 Q. All right. Were you admitted to the
22 hospital?
23 A. Yes.
24 Q. For how many days?
25 A. I spent I believe 21 days in the hospital. I
17
1 was in ICU for seven days, then I think I was in a regular,
2 you know, regular room for four or five days, then I went
3 to, well, I went to rehab for like, I don't know, 12 or 13
4 days.
5 Q. The 21 days includes rehab?
6 A. Yes.
7 Q. And did you do any rehab outpatient? I
8 imagine you did.
9 A. Yes, I did. I don't even remember anymore.
10 Q. Where did you go, Healthsouth?
11 A. There on Wesley Drive. I can't think of the
12 name of it, Healthsouth.
13 Q. That's the one I think.
14 A. Yes, it's Healthsouth.
15 Q. I believe it was Healthsouth. They're the
16 ones we wer e having trouble getting records from.
17 A. Yes, it was Healthsouth.
18 Q. You saw Dr. Inners there?
19 A. Yes, I did see a Dr. Inners.
20 Q. What -- Inners is a -- he's kind of an
21 infectious disease guy. What did he see you for?
22 A. He was like a nose, ear, and throat
23 specialist. So I think, you know, he was for my throat
24 basically. He wasn't anything to do with my leg.
25 Q. Okay. He was just taking care of you in
18
1 rehab, checking your throat?
2 A. Yes. He followed me daily for the first four
3 or five days I was there and, you know, he made, you know,
4 prescribed a lot of things. I had to do a lot of breathing
5 exercises, you know, different things. They brought
6 machines in and, you know, tested my breathing.
7 Q. So your rehab was both for your neck injury
8 -- I mean, your throat injury plus your knee injury?
9 A. Correct.
10 Q. Dr. Shapiro, do you remember him?
11 A. Yes. I saw a Dr. Shapiro. I believe he was
12 -- he saw me for -- wait a minute. Shapiro, I might be
13 confused here. He may have been the doctor that operated
14 on my throat. In fact, now that I think of it, I'm sure
15 that's who it was. It was Dr. Shapiro that did my
16 tracheotomy.
17 Q. At Holy Spirit?
18 A. Yes.
19 Q. All right. And there is a Shabih, Kahn
20 Shabih, Dr. Shabih, S-h-a-b-i-h.
21 A. I'm not sure. I'm not sure where -- of that
22 name. I had another doctor that came to see me because I
23 couldn't take medication because I couldn't swallow
24 obviously.
25 So after like two days of being there, I
19
1 wasn't on my gout medicine or my gout medication, I kept
2 telling them I had to have it because I could feel, you
3 know, everything getting tight on me.
4 And they were already putting me through
5 rehab for my knee. And I said I can't, you know, I
6 couldn't even begin to do that without my -- I needed
7 colchicine and I had to have it, you know. They would give
8 it to me in the IV because I couldn't -- I obviously
9 couldn't swallow anything. And a guy came to see me quite
10 regularly about that, but I don't remember what his name
11 was.
12 Q. Oh, I see. Shapiro did do the tracheostomy.
13 A guy named Fornadley did the intubation.
14 A. Fornadley was -- he was like a specialist I
15 saw after the fact. He came in to check on me a few times.
16 He never actually operated on me, but he did a lot of tests
17 on me. I went to see him both at his Camp Hill and his
18 Annville offices.
19 Q. For the throat?
20 A. Paul Myer, yes.
21 Q. And so he wasn't at Holy Spirit?
22 A. He came -- yes, he came in to see me at Holy
23 Spirit. But he didn't actually -- he didn't do any of the
24 operation.
25 Q. Did you see anybody from Susquehanna
20
1 surgeons, a surgeon for anything?
2 A. Susquehanna, I vaguely remember seeing some
3 correspondence from them. I think that might have been the
4 doctor that called on me or, you know, was on my gout
5 medication.
6 Q. Dr. Cummings, does that sound familiar?
7 A. Cummings.
8 Q. Gary Cummings the third, MD, internal
9 medicine, you may have seen him in ICU?
10 A. I don't recall. They had me very highly
11 medicated for seven days. I mean, I was watching rats
12 crawl around the wall for a while. They had me on morphine
13 or something. I said, you know, that they had to get me
14 off this. You know, it was driving me crazy. I know I
15 needed something for the pain I was in, but so it was, you
16 know, a lot of sketchy parts there.
17 Q. How long were you in Healthsouth?
18 A. Healthsouth, I think about ten days. That's
19 a guess.
20 Q. When you got out of there, were you on
21 crutches?
22 A. Yes.
23 Q. How long were you on crutches?
24 A. Well, I was on crutches for, oh, let's see
25 that was March, ten weeks anyway, about ten weeks after I
21
1 got out.
2 Q. And when you got off crutches, were you able
3 to resume normal activities?
4 A. You know, I don't think I could. You know, I
5 mean, I couldn't go run or jump or anything like that. I
6 mean, you know, I walk around. It took me a long time to
7 get my strength back in my leg and everything even though I
8 had done rehab three days a week. I forget for exactly how
9 long, two or three months, but...
10 Q. Okay. You were at Holy Spirit for 21 days,
11 Healthsouth for 10 days?
12 A. No. I was -- 21 days was the total.
13 Q. Total?
14 A. Total between Holy Spirit and Healthsouth.
15 Q. Oh, okay.
16 A. I want to say roughly 11 days at Holy Spirit
17 and 10 at Healthsouth. I'm not exactly, you know, that
18 might be a day or two off one way or the other.
19 Q. All right. So when you talk about the rehab
20 three days a week, that was after the 21 days you were
21 discharged?
22 A. Yes, yes.
23 Q. How did you get to rehab?
24 A. My father. I stayed with my parents for
25 three months after the accident because I live alone and
22
1 there was no way -- I had no way of getting around, so I
2 stayed wi th my parents for that period of time.
3 Q. Did you have a driver's license at that time?
4 A. No.
5 Q. I had a note that you were charged as a
6 result of this accident. You had a suspended license?
7 A. Yes, I did not have a current driver's
8 license. It was under suspension when the accident
9 happened.
10 Q. When you say you were on crutches ten weeks,
11 you mean ten weeks after you got out of the hospital?
12 A. Yes.
13 Q. And during that time you were going to rehab?
14 A. Yes.
15 Q. Three times a week?
16 A. Yes.
17 Q. How long did you go to rehab?
18 A. For how long a period of time?
19 Q. Yes.
20 A. I'd say about ten weeks. I was just -- it
21 was about the time that I got off -- you know, by the time
22 I quit rehab, they actually, you know, the insurance
23 wouldn't cover it anymore.
24 So they went about -- you know, I was down to
25 one crutch and then I was at the point where I didn't need
23
1 crutches when I got to rehab. That was a ten week period
2 after my discharge.
3 Q. You mentioned about your father taking you
4 and your license being suspended. How long was your
5 license suspended for?
6 A. Initially my license was suspended for one
7 year.
8 Q. And when you say initially, you're talking
9 about from when to when?
10 A. Well, it was from July of 2001 until August
11 of 2002.
12 Q. And did you mean to imply that it was added
13 on to that because of this charge?
14 A. Well, yes, since I was charged with driving
15 under suspension, I got an additional one year suspension
16 on my driver's license.
17 Q. Which brings it up to August of 2003?
18 A. Yes, I just -- yes, I just got my license
19 back two months ago.
20 Q. All right. So to get around you had somebody
21 drive you or what? How do you get around? You probably
22 don't take the bus.
23 A. No. My parents mostly and then, you know,
24 friends would give me rides here and there. If I was just
25 going -- I actually stayed in town close to everything in
24
1 Mechanicsburg and walked a lot of places and that was good
2 therapy for me also.
3 Q. Did you own a car at that time?
4 A. Technically, yes. I mean, the car that I was
5 driving -- the car belonged to the mother of my child.
6 Okay? The car was in a bad state of repair.
7 I bought her a new car, a newer car, and she
8 left the car with me. I was going to do some work on it
9 because it needed some mechanical repair work. I was going
10 to fix it and sell it and if I could get her some money for
11 it. It was a $500 car.
12 Q. Was that Kristina Miller?
13 A. Yes.
14 Q. Did you say you bought her another car?
15 A. Yes. I helped her get a car. I went and
16 found it and I actually bought it for her and she paid me
17 back.
18 Q. When you say bought it for her, you mean you
19 put it in her name?
20 A. Yes, yes.
21 Q. And why were you doing these things for
22 Kristina?
23 A. She's the mother of my daughter.
24 Q. I know a lot of people in that situation that
25 hardly talk t o each let alone buy each other cars.
25
1 A. We had a very close relationship and, you
2 know, we do work together to raise the child correctly and
3 there is no animosity between us.
4 Q. Obviously I must have misunderstood. You're
5 living toge ther?
6 A. No, no, we don't live together.
7 Q. Okay. When you say you're raising the child
8 together, you mean together but in separate homes?
9 A. Well, we have joint custody. I mean, she
10 spends as m uch time with me as she does with her mother.
11 Well, not - - close to it. We have a very amicable
12 relationship, and...
13 Q. Okay. So this car was titled to Kristina
14 Miller at t he time of the accident?
15 A. That is correct.
16 Q. How long had you been driving it?
17 A. That was March. I forgot when I bought that
18 car. I had the car for three or four months anyway. I
19 can't tell you exactly how long. I think I got that car
20 for her in October so it might have been five or six
21 months.
22 Q. October 2001, about two years ago; is that
23 right?
24 A. Correct. I didn't understand that question.
25 Q. You bought it in October of 2001?
26
1 A. The car she's driving now?
2 Q. The car she had at the time of the accident.
3 I don't kn ow whether she's still driving it now.
4 A. Yes, she still has that same vehicle. You
5 have that information there. I was guessing October of
6 2001 that she got -- that I got the car for her. I wasn't
7 sure exactly.
8 Q. Okay. Did she have insurance on that car?
9 A. On the car that I was driving?
10 Q. Yes.
11 A. No.
12 Q. But it was titled in her name; right?
13 A. It was titled in her name.
14 Q. Okay. So when you say technically you didn't
15 have a car, was there --
16 A. I had possession of the vehicle. It was
17 still titled -- nothing was ever done with the title. It
18 was still titled in her name. I had possession of the
19 vehicle.
20 Q. It was kind of your car but titled in her
21 name?
22 A. Correct.
23 Q. Because you bought her another car?
24 A. Because I helped her get a new car, she said
25 here take this. If you can get anything out of it, you
27
1 know, sell it and apply it towards, you know, the money
2 that I loaned her to get the new car, the newer car.
3 Q. You were trying to sell it for her?
4 A. I was. That's what I was going to do
5 eventually, y es.
6 Q. But in the meantime it was the car that you
7 used to get a round?
8 A. I drove it once in a while when I wasn' t
9 supposed to, yes.
10 Q. When was the last time you and Kristina lived
11 together, if you ever did?
12 A. We never lived together. We were never
13 married.
14 Q. Your child together is a daughter?
15 A. Yes.
16 Q. Does she have a room in your house too?
17 A. Yes.
18 Q. Does Kristina still owe you that money?
19 A. No. In fact, she made her last payment last
20 month. It's paid off.
21 Q. Wow, that's pretty good.
22 A. I deducted it from the child support I paid
23 her. That worked that way. That was her agreement, you
24 know, so...
25 Q. You paid through the courts?
28
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A. No.
Q. You pay directly?
A. No, I pay directly.
Q. Okay.
A. We never went through the court system for
that.
Q. Who was Gail Young?
A. Gail Young is an acquaintance of mine I've
known for 15, 20 years. She was also a customer of mine at
a business I owned at one time.
Q. Did she give you the registration plates to
put on that car?
A. She didn't give them to me. She left them at
the garage to be thrown out and I kept them.
Q. Were they expired registration plates?
A. No, they were actually still current.
Q. What kind of business were you in?
A. Automotive repair. I wasn't at that time. I
sold the business in January of 2000, but I still own the
property, you know. And so I lease the property to the
current owner of the business who is a personal friend of
mine and I spend a lot of time there. Not a lot but I'm
there a fair amount.
Q. Do you help them out?
A. I give them a hand now and then, sure.
29
1 Q. I guess when you bought Kristina the new car,
2 you transferred the license plates?
3 A. Yes. The registration was transferred to the
4 newer vehicle.
5 Q. Meaning that the car, the other car, the
6 Sundance did not have registration?
7 A. Did not have current registration, no.
8 Q. Why didn't she transfer the title of that car
9 to you?
10 A. I never really wanted the car put in my name.
11 I thought if I did anything with it, you know, if I fixed
12 it and could sell it, then I would handle it as a
13 transaction from her to the buying party.
14 Q. You were to sell the car, correct, and
15 whatever you got for it went against the loan to you?
16 A. Correct.
17 Q. And in the meantime it was available for
18 whatever?
19 A. I had it at my disposal, yes. It was on my
20 property, so ...
21 Q. She didn't want it anymore?
22 A. No.
23 Q. And who is Jennifer Miller?
24 A. Jennifer Miller is Kristina's sister.
25 Q. You used to own this car. You used to own
30
1 this car. Do you remember?
2 A. This Sundance?
3 Q. Yes.
4 A. No, I never owned the car. I think her
5 sister did maybe. Are you reading that wrong?
6 Q. Maybe I'm reading it wrong.
7 A. I think -- I don't know why her sister's name
8 would even be brought into that. I think that was her
9 sister Jen nifer's car at one time and she sold it or gave
10 it to Kristina.
11 Q. Jennifer was a prior owner of the car.
12 A. Okay.
13 Q. Before Kristina.
14 A. Okay. That's her sister. She got a new
15 vehicle and gave her her vehicle.
16 Q. Jennifer bought it off you?
17 A. No.
18 Q. That's what they tell me.
19 A. No. I never owned that car. That car was
20 never titled in my name.
21 Q. Did you ever buy and sell cars as part of
22 your business?
23 A. I did buy and sell cars over the years a lot,
24 yes, but I never owned that car. You have me thinking now,
25 but I'm su re I didn't.
31
1 Q. They traced the title for me and your name
2 was on it before Jennifer Miller's was on it. They tell
3 me. Maybe they're wrong.
4 A. I have to disagree with that. To the best of
5 my knowled ge I never owned that car. That car was never
6 titled in my name. And I didn't even help, you know. I
7 mean, I di dn't even help arrange a sale or something for
8 her to get the car. I was never involved in it in any way
9 before it was Kristina's.
10 Q. Let's cover some background stuff. Where do
11 you live n ow?
12 A. 4 East Willow Terrace Drive.
13 Q. Could you say that again?
14 A. 4 East Willow Terrace Drive. Excuse me.
15 Q. Is that a house or apartment?
16 A. It's a house.
17 Q. Do you own or rent?
18 A. I own it.
19 Q. How long have you owned it?
20 A. 23 years.
21 Q. You lived there 23 years?
22 A. Yes.
23 Q. okay. Are you personally employed?
24 A. No, not now.
25 Q. When did you last work?
32
1 A. As far as being on somebody's payroll
2 regularly?
3 Q. Well, let's start with that question. I like
4 your question better.
5 A. I last worked in 2001. I worked for
6 Harrisburg Au to Auction. I left there in December of 2001,
7 2000, Decembe r of 2000.
8 Q. And why did you leave there?
9 A. I just -- I wasn't happy with it. I didn't
10 like the work .
11 Q. Is that a full time job?
12 A. No. It was actually like three days a week.
13 They hired me to do one job and they switched me to do
14 another one. The same rate of pay, and I didn't --
15 Q. And would I be correct to say that since
16 then, I mean since December of 2002, whatever work you did
17 you did as yo ur own boss?
18 A. Yes. You know, I help people out. You know,
19 I know people in the construction business, restaurant
20 business, dif ferent things. You know, I'm like emergency
21 help. If I c an give somebody a hand, they give me a call.
22 Q. Apparently the auto repair business too?
23 A. Yes. Although I don't like turning wrenches
24 anymore.
25 Q. I even have -- by the way on November 23,
33
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1998 you transferred title to the 1987 Plymouth Sundance to
Jennifer R. Miller.
A. Boy, I'd have to go back to my memory bank,
but I don't remember ever owning that car. I seriously do
not. That's confusing to me. Like I said, I bought and
sold a lot of cars over the years, but I don't recall ever
having that car, owning that car, or having it titled in my
name.
Q. Wrong book.
A. Is that information from PennDot, that came
from PennDot that that car was titled in my name?
Q. Indirectly, yes. They have a title or a
transfer thing where you transferred it to Jennifer R.
Miller 11/23/98.
A. You've got me thinking now. I've got to go
back and ask Kristina about that. But I just don't -- I
have a pretty good memory, but that's just not in there
anywhere.
Q. Then on 12/31/99 you closed your business.
A. That is correct.
Q. Went to work for somebody as an auto
mechanic?
A. I didn't work for anybody until I went to
work for the auto auction. I only worked there six months.
Q. Did you ever file bankruptcy?
34
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A. No.
Q. Did you file tax returns in the past few
years?
A. Yes.
Q. Declaring income from where?
A. I have investment properties. I own, as I
said, I own a garage, commercial property where I used to
have a business. And I also own another investment
property, five acres of ground on Hogestown Road in
Mechanicsburg that I lease out.
Q. That's where you make money?
A. That's where my income comes from.
Q. Your income to live on?
A. Yes. I have no outstanding debts. All the
properties ar e paid for.
Q. Great. Do you have any outstanding medical
bills or did insurance cover it all?
A. No, all the bills are paid, as far as I know.
Q. And today do you have limitations?
A. Physical or mental?
Q. Yes. Physical, yes.
A. No, no. I have none.
Q. I have a police report of course. But tell
me in your ow n words how the accident happened?
A. I was traveling I guess it would be south on
35
1 Route 114 at approximately 5:30 on a Sunday evening. It
2 was snowing very heavily. There was probably already about
3 three or four inches of snow on the road, very treacherous
4 conditions. I just drove in it.
5 I was driving in the tracks of the vehicle
6 that went before. That's -- if you got out of the tracks,
7 the snow would throw you. The snow came fast and hard.
8 So I was going approximately 35 miles an hour
9 on a straight stretch of road. And I noted, observed
10 another vehicle coming towards me heading north that got
11 out of the snow tracks and lost control and went into a
12 slide and just headed directly into me.
13 1 pulled to the right side of the road
14 as far as I could. There was a guardrail right there.
15 They hit me head on in my lane of traffic.
16 Q. Did your car have seatbelts in it?
17 A. It did, but it was not operational. It
18 wasn't working.
19 Q. Have you had other admissions to the hospital
20 besides this one or have you been admitted to other
21 hospitals before in your life?
22 A. Yes.
23 Q. For what?
24 A. I had a motorcycle accident in -- that was in
25 September of 198.
36
1 Q. That was where you hurt your quads?
2 A. Yes, my left quad.
3 Q. Ripped it up?
4 A. Tore my left quadricep. That was the result
5 of a moto rcycle accident.
6 Q. Any other hospital admissions?
7 A. I was in an automobile accident in 1983. I
8 had a bro ken jaw.
9 Q. And you were admitted to the hospital then?
10 A. I was admitted to the hospital. They were
11 going to -- I had my ear lacerated severely and they
12 stitched that up and then they were going to send me home
13 and then the doctor looked at me and realized my jaw was
14 broken.
15 That was a Friday afternoon and they couldn't
16 do much t o my jaw until Monday. They operated on me on
17 Monday. I didn't spend much time in the hospital. They
18 let me go a couple days after that. But my jaw was wired
19 shut for six weeks.
20 Other than that, when I was about 15 years
21 old, I wa s hospitalized for three or four days for
22 infectiou s mononucleosis. That's the only other time I was
23 in the ho spital that I'm aware since when I was a baby.
24 Q. How about surgeries other than the ones that
25 you have already described, any other surgeries?
37
1 A. No.
2 Q. In the past few years have you ever owned a
3 Plymouth Vo yager?
4 A. Plymouth Voyager?
5 Q. Yes.
6 A. Yes.
7 Q. Tell me about that.
8 A. I still have that Plymouth Voyager. It's
9 sitting in my driveway. It hasn't been on the road for a
10 few years.
11 Q. Is it registered?
12 A. No.
13 Q. Is it titled in your name?
14 A. No, it's not.
15 Q. Who is it titled in?
16 A. There was a -- I'm not sure who it's titled
17 to. There was a mess up in the title work. A friend came
18 to me. He had it through a breakup and apparently he had
19 bought this vehicle for his girlfriend. He bought it
20 through me. They had a breakup and he wanted to unload it
21 and I gave him money and took it off his hands.
22 But it's -- the title work has never been
23 straightene d out on it. I have the title in my possession,
24 but I can't even tell you the person's name it is titled
25 to.
I Q. So it's owned by you, not titled in your
2 name?
3 A. Correct.
4 Q. What was the name of that friend?
5 A. Jimmy Neidert.
6 Q. How do you spell that?
7 A. N-e-i-d-e-r-t, James Neidert.
8 Q. And how long ago did all this happen?
9 A. I've had that vehicle probably -- that was
10 198 or '99 probably when I got that from him.
11 Q. And it's been -- you say it's been in your
12 driveway ever since?
13 A. Yes, it sits in my driveway.
14 Q. You don't drive it?
15 A. No.
16 Q. There are registration plates on it that
17 don't go with the car.
18 A. There is a plate on it. It's expired or
19 something. I don't know what plate would even be on it.
20 Q. Do you own any other cars?
21 A. Yes. I own quite a few vehicles. I own a
22 1967 Pontiac GTO.
23 Q. 1967?
24 A. Yes. It sits in my garage. And, no, it's
25 not :registere d. It hasn't been on the road for 12 or 14
38
39
1 years.
2 Q. The title is where?
3 A. I have possession of the title. It's titled
4 in my name.
5 Q. Any other vehicles?
6 A. Vehicles titled in my name, I have a -- I
7 think it's an '83 Pontiac Firebird titled in my name. I
8 possess the title to it.
9 Q. Also on your property?
10 A. That's sitting at the property that I lease
11 at the gara ge, my old business. I also own a -- you know,
12 I'm not sur e on that '83. It might be an '81 Pontiac. I
13 own a 1983 Chevy half ton pickup truck. It's also sitting
14 at the gara ge. I own a Harley Davidson motorcycle. Do you
15 want that part too?
16 Q. No, just four wheels.
17 A. None of those vehicles are registered. They
18 haven't been on the road for years.
19 Q. Are there plates on any of them?
20 A. If they are, they're expired. They weren't
21 registered. You know, they were legally registered for the
22 road at one time but not anymore and they haven't been.
23 Q. Yes.
24 A. When I had the business, I had a fleet of
25 vehicles. You know, I gave loaner cars out. The truck I
40
1 used actually, you know, in my business too, you know, for
2 running car s or picking up stuff or hauling things.
3 But since I sold the business, I didn't have
4 a need for those vehicles. I should have gotten rid of
5 them, but I just never did. The Pontiac, the GTO, that's
6 actually an investment, a collector car I bought years ago.
7 That's why.
8 Q. I'm not a car enthusiast, but I do recognize
9 that one.
10 A. Yes.
11 Q. Even wrote a song about it. Didn't they?
12 A. Yes, they did. Little GTO.
13 MR. WAGNER: Why don't you give us a couple
14 verses of i t, Bill?
15 THE WITNESS: My singing career is over.
16 It's going through my head, though.
17 BY MR. WILL IAMS:
18 Q. Are there other cars that you have possession
19 of but are not titled in your name?
20 A. There is another vehicle sitting on my
21 property th at's, I think, an '83 Buick. I think it's a
22 LeSabre. It should have went to the junkyard a long time
23 ago.
24 Q. Do you have the title to that?
25 A. No, never saw a title for it.
41
1 Q. Okay. Are any of those cars insured say
2 within the past three years?
3 A. Not in the past three, no. The Chevy truck
4 was insured up until the time I sold my business and then I
5 dropped it. I droppe d the insurance probably I think in
6 maybe June of 2000. That's a rough, you know, don't hold
7 me to that exactly. I let the registration run out on it.
8 It was an expense tha t I didn't need, so I just left it
9 sit.
10 Q. Do you know Kimberly Hoffman?
11 A. Yes, I do.
12 Q. How do you know her?
13 A. She's m y girlfriend.
14 Q. Do you live together?
15 A. No.
16 Q. Do you own or have possession of a Chevy S10
17 Blazer?
18 A. Do I?
19 Q. Yes.
20 A. No. Sh e does.
21 Q. One or more than one?
22 A. Oh, I'm sorry. Do I own a Chevy S10 Blazer.
23 Q. Yes.
24 A. Yes, I do. I'm sorry. Yes, I do own a Chevy
25 S10 Blazer .
42
1 Q. What color?
2 A. Blue and brown, it's sitting right out front.
3 Q. Dark blue?
4 A. Yes, dark blue.
5 Q. Does it have a yellow gold stripe on it?
6 A. Yellow gold stripe, I don't think so.
7 Q. Does Kimberly also drive a blazer, a S10, a
8 black one?
9 A. Kim owns a blazer. It's a 2001 so mines a
10 lot older than hers is.
11 Q. How long have you had yours?
12 A. That 187 blazer I've owned since probably '93
13 or '94. I 'm guessing on that, maybe not that long.
14 Q. So it's been about ten years you've owned it?
15 A. Yes, probably not -- I don't remember exactly
16 when I bou ght it.
17 Q. That would be your best estimate?
18 A. Yes. Now that I think of it, though, I
19 probably d idn't buy it until '95 or '96, but I can't say
20 exactly. I'd have to check. I've gone through so many
21 vehicles. I can't keep track of it.
22 Q. I noticed. But you didn't mention it when
23 you went t hrough the vehicles that I asked you about,
24 whether you owned those.
25 A. I'm sorry. I'm sorry. It totally slipped my
43
1 mind. That's the vehicle that I drive everyday. It's
2 registered. It's insured. I wasn't trying to withhold
3 information. It just slipped by me.
4 Q. Who is it insured with?
5 A. Progressive.
6 Q. Why weren't you driving that on the day of
7 the accident?
8 A. It wasn't at my house. When I lost my
9 license, I left the vehicle at my brother's house. I think
10 he requested I do that so that I wouldn't be tempted to
11 drive.
12 Q. But you're saying it has always been insured,
13 titled, and registered, and legal in all respects?
14 A. Yes. Well, it was without insurance from the
15 time that Donegal dropped my insurance after this accident.
16 When they found out that I was unlicensed, Donegal dropped
17 me. So there was a time from there until the time I just
18 got my license reinstated that, you know, that it didn't
19 have insurance.
20 Q. Okay.
21 A. It sat. Nobody was driving it. It was just
22 sitting, you know.
23 Q. Did Donegal used to insure it?
24 A. Yes.
25 Q. At the time of the accident?
44
1 A. Yes.
2 Q. All right.
3 A. When I questioned you about something at the
4 start of this, you said this was about Progressive
5 Insurance Company, but this is actually Donegal that you're
6 represent ing.
7 Q. Yes, I was confused by that.
8 MR. WILLIAMS: I think that's all the
9 questions I have. Anything else you want to put on the
10 record?
11 MR. WAGNER: We're fine. Thank you.
12 (Whereupon, the hearing was concluded at 2:43
P.M.)
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45
1 COMMONWEALTH OF PENNSYLVANIA )
SS.
2 COUNTY OF CUMBERLAND )
3
4 I, LINDA C. LARSON, a Court Reporter - Notary
5 Public authorized to administer oaths and take depositions
6 in the trial of causes, and having an office in Carlisle,
7 Pennsylvania, do hereby certify that the foregoing is the
8 testimony of WILLIAM D. SWANK.
9 I further certify that before the taking of
10 said deposition, the witness was duly sworn; that the
11 questions and answers were taken down stenotype by the said
12 Reporter - Notary, approved and agreed to, and afterwards
13 reduced to computer printout under the direction of said
14 Reporter.
15 I further certify that the proceedings and
16 evidence are contained fully and accurately in the notes
17 taken by me on the within deposition, and that this copy is
18 a correct transcript of the same.
19 In testimony whereof, I have hereunto
20 inscribed my hand this 18th day of November, 2003.
21
NOTARIAL SEAL
2 2 tha C. Lemon, Notatry PuWb
dCMrIN. cwrb hnd County
w ErIpYN AI- A 4.2006
23
24 Notary Public
25
CERTIFICATE OF SERVICE
I, Christopher E. Rice, hereby certify that a copy of the foregoing Praecipe was served this
date by depositing same in the Post Office at Carlisle, PA, first class mail, postage prepaid, addressed
as follows:
P. Richard Wagner, Esquire
MANCKE, WAGNER, TULLY & SPREHA
2233 North Front Street
Harrisburg, PA 17110
MARTSON DEARDORFF WILLIAMS & OTTO
By 1 ,
Christopher E. Rice
Dated: June 3, 2004
r?
?:.
<.;
<:?
-?
.._,
;;-
?;,
PRAECIPE FOR LISTING CASE FOR ARGUMENT
(Must be typewritten and submitted in duplicate)
TO THE PROTHONOTARY OF CUMBERLAND COUNTY:
Please list the within matter for the next Argument Court.
CAPTION OF CASE
(entire caption must be stated in full)
DONEGAL MUTUAL INS. CO.
(Plaintiff)
VS.
WILLIAM D. SWANK
(Defendant)
No, 1242 Civil LAW SS 2004
1. State matter to be argued (i.e., plaintiff's motion for new trial, defendant's
demurrer to complaint, etc.):
PLAINTIFF'S MOTION FOR SUMMARY JUDGMENT
2. Identify counsel who will argue case:
(a) for plaintiff: CHRISTOPHER E. RICE ESQUIRE
THOMAS WILLIAMS, ESQUIRE
Address: 10 EAST HIGH STREET CARLISLE
CARLISLE, PA 17013
(b) for defendant:
Address: P. RICHARD WAGNER, ESQUIRE
2233 NORTH FRONT STREET
HARRISBURG, PA 17110
3. I will notify all parties in writing within two days that this case has
been listed for argument.
4. Argument Court Date:
JULY 28, 2004
JUNE 7, 2004 ??? F
Dated: Attorney for
?.
?-? c:
_- ?r
-?
- ?=:
??
DONEGAL MUTUAL INS., CO.,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
V.
WILLIAM D. SWANK,
Defendant
NO. 04-1242 CIVIL ACTION - LAW
DECLARATORY JUDGMENT ACTION
DEFENDANT'S RESPONSE TO PLAINTIFF'S
BRIEF IN SUPPORT OF MOTION FOR SUMMARY JUDGMENT
Procedural History
Donegal Mutual Insurance Company issued a policy of insurance unto William D. Swank.
On March 17, 2002, Mr. Swank, was operating an automobile owned by Kristina M. Miller
at which time he was involved in an accident. There was no insurance on the 1987 Plymouth
Sundance being operated by Mr. Swank, owned by Kristina Miller.
Mr. Swank submitted an Underinsured Motorists Claim against Donegal which has denied
the claim.
Donegal Mutual has filed a declaratory judgment action seeking to determine whether
coverage under Donegal's policy applies to Mr. Swank, to which Mr. Swank has filed an appropriate
Answer with New Matter.
Donegal Mutual filed a Motion for Summary Judgment arguing that the policy does not apply
to Mr. Swank.
FACTS
William D. Swank, ("Swank"), was issued an automobile policy from Donegal Mutual
Insurance Company ("Donegal") effective between February 23, 2002 and February 23, 2003.
On March 17, 2002, Swank was involved in an automobile accident while operating a motor
vehicle titled to Kristina M. Miller which automobile was a 1987 Plymouth Sundance. The vehicle
was uninsured.
Swank settled his claim with the third party carrier, Erie, (representing the party at fault for
the accident) and then sought an Underinsured Motorists Claim against his carrier Donegal.
As a result, Donegal took a statement from Swank and specifically asked questions
concerning the 1987 Plymouth Sundance.
Mr. Swank admitted that he and Kristina Miller had a child together, but the parties did not
live together. [Record 27] The Sundance was a vehicle that Mr. Swank loaned the money to Kristina
Miller to buy. [Record 27] Kristina Miller got a newer vehicle and Mr. Swank was attempting to sell
the Sundance for Kristina and apply the money towards the loan owed to him. [Record 27] Mr.
Swank drove the vehicle once in a while. The vehicle was titled in Kristina Miller's name. [Record
26] Mr. Swank never owned the vehicle. [Record 30] The vehicle was never titled in the name of
Mr. Swank, but was owned by Kristina Miller's sister, Jennifer, who was a prior owner and sold it
to Kristina. [ Record 30] Mr. Swank never owned the vehicle or the vehicle was never titled in his
name. [Record 31]
LEGAL PRINCIPLE NO .1
MR. SWANK IS ENTITLED TO PROCEED WITH AN
UNDERINSURED MOTORISTS CLAIM AGAINST
DONEGAL. See: Ibarra v. Prudential P'rooerty and Casualtv
Insurance, 402 Pa. Super. 27, 585 A.2d 1119 (1991).
Mr. Swank was involved in an automobile accident on March 17, 2002 while operating a
1987 Plymouth Sundance when it collided with an underinsured vehicle for which third party
-2-
benefits have fully been received.
At the time of the accident, Mr. Swank had an automobile policy through Donegal Mutual
Insurance Company that provided in pertinent part:
"We do not provide Underinsured Motorists Coverage for `bodily injury'
sustained: By you while `occupying,' or when struck by, any motor vehicle
you own which is not insured for this coverage under this policy."
Donegal alleges that the 1987 Sundance titled in the name of Kristina Miller was actually
owned by Swank and therefore Swank is not entitled to coverage.
Ownership is not defined by the Donegal Policy. Ownership is however defined in the Motor
Vehicle Code as follows:
"a person other than a lien holder having the property right in or title to a
vehicle. The term includes a person entitled to the use and possession of the
vehicle subject to a security interest in another person but excludes a lessee
under a lease not intended as security" See: 75 Pa. C.S.A. § 102.
It is clear that Mr. Swank did not have title to the vehicle and therefore is a question if he had
a property right in the vehicle.
Our Superior Court in Ibarra v. Prudential Property and Casualty Insurance, 402 Pa. Super.
27,585 A.2d 1119 (1991) was confronted with a vehicle title in the name of the estranged husband
of a wife and determined that the wife was not an owner of the vehicle despite a proprietary interest
under the Divorce Code. In Ibarra, Supra. the Court determined that the wife was not an owner, did
not have title and had no property right in the vehicle of her estranged husband. Similarly, herein
Mr. Swank did not have title to the 1987 Sundance nor did he have any property right in it. He was
not married to Kristina Miller, didn't even live with her and only occasionally use the vehicle in
question. He did admit that he was attempting to assist Ms. Miller in selling the vehicle to generate
-3-
enough funds to repay Mr. Swank the money he loaned Ms. Miller to buy another vehicle.
The issue of ownership is set forth in Bethea V. Pennsylvania Financial Responsibility
Assigning Claims Plan, 407 Pa. 57, 595 A.2d, 122 (1991) and Allen v. Merriweather, 413 Pa. Super.
410, 605 A.2d, 424 (1992). Petition for Allowance of Appeal denied, 533 Pa. 622, 620 A.2d, 489,
(1993) can be distinguished from Ibarra, Supra.
In both Bethea and Allen, Supra, the Court concluded that the spouse had an interest in the
other spouse's car by virtue of purchasing the vehicle after marriage. Further, the spouses were
living together, were married and the vehicle was the only vehicle in the household.
That is distinguished from the case herein. Mr. Swank and Ms. Miller did not reside
together, and Mr. Swank only occasionally used the 1987 Sundance.
Therefore, because there is no property right of that Mr. Swank has the 1987 Sundance and
clearly he does not have it titled in his name or did he ever, he is not the owner of an uninsured
vehicle.
He is therefore entitled to coverage under the policy.
Respectfully submitted,
& SPREHA
i'. *mtrdfd Wagner, Esquire
I.D. #23103
2233 North Front Street
Harrisburg, PA 17110
(717) 234-7051
Attorneys for Defendant
-4-
CERTIFICATE OF SERVICE
I, Debra K. Spinner, Secretary in the law firm of MANCKE, WAGNER & SPREHA, do
hereby certify that I am this day serving a copy of the foregoing document to the following
persons and in the manner indicated below, which service satisfies the requirements of the
Pennsylvania Rules of Civil Procedure, by depositing the same in the United States Mail,
Harrisburg, Pennsylvania, with first class postage, prepaid, and addressed as follows:
Thomas J. Williams, Esquire
Ten East High Street
Carlisle, PA 17013
Debra K. Spinner, ecretary
MANCKE, WAGNER & SPREHA
2233 North Front Street
Harrisburg, PA 17110
(717) 234-7051
P. Richard Wagner, Esquire
Attorneys for Defendant
DATE: /
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DONEGAL MUTUAL INS., CO.,
PLAINTIFF
V.
WILLIAM D. SWANK,
DEFENDANT
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
04-1242 CIVIL TERM
BEFORE BAYLEY J.
ORDER OF 000R7-
AND NOW, this Z- day of August, 2004, the motion of plaintiff for
summary judgment, IS DENIED.
By the
ve`hristopher E. Rice, Esquire
For Plaintiff
A . Richard Wagner, Esquire
For Defendant
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Thomas.]. Wilhams,Es(Jnire
MARTSON DEARDORFF W ILLIAMS & OTTO
I.D. 17512
10 Fast High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
DONEGAL MUTUAL INS. CO., IN THE COURT OF COMMON PLEAS OF
Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA
V. NO. 04-1242 CIVIL ACTION - LAW
WILLIAM D. SWANK,
Defendant DECLARATORY JUDGMENT ACTION
PRAECIPE TO SETTLE AND DISCONTINUE
TO THE PROTHONOTARY OF CUMBERLAND COUNTY:
Please mark the above captioned case settled and discontinued and issue a certificate
reflecting same.
MARTSON DEARDORFF WILLIAMS &: OTTO
By ! ) OvS 4?
Thomas J. Williams, Esquire
I.D. Number 17512
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
Date: February 28, 2005
CERTIFICATE OF SERVICE.
I, Tricia D. ECkellroad, an authorized agent for Martson Deardorff Williams & Otto, hereby
certify that a copy of the foregoing Praecipe was served this date by depositing same in the Post
Office at Carlisle, PA, First class mail, postage prepaid, addressed as follows:
P. Richard Wagner, Esquire
MANCKE, WAGNER, TULLY & SPREHA
2233 North Front Street
Harrisburg, PA 17110
MARTSON DEARDORFF WILLIAMS & OTTO
By
Tricia D. Eckenroa
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Dated: February 28, 2005
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F:\FILES\DATAFILE\Donega13050\CwTent\240\replyI /nlm
George B. Faller, Jr., Esquire
MARTSON DEARDORFF WILLIAMS & OTTO
f' I.D. 49813
10 East High Street
Carlisle, PA 17013
(717) 243-3341
fay ller((-i)mdwo.com
Attorneys for Plaintiff
DONEGAL MUTUAL INS. CO.,
Plaintiff
V.
WILLIAM D. SWANK,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 04-1242
CIVIL ACTION - LAW
: DECLARATORY JUDGMENT ACTION
PLAINTIFF'S REPLY TO DEFENDANT'S NEW MATTER
AND NOW, comes the Plaintiff Donegal Mutual Insurance Companies, and hereby responds
to Defendant's New Matter as follows:
22. No response required.
23. Denied as stated. To the contrary, if Mr. Swank had been given the vehicle in question
by Ms. Miller after he purchased another vehicle, he should have insured it.
24. Denied. To the contrary, see the Response to Paragraph 23.
25. Denied. To the contrary, Ms. Miller has given sworn testimony saying that Mr. Swank
did not have permission and in fact knew he was not supposed to use the vehicle.
26. Denied as stated. To the contrary, the Donegal policy is a written document which
speaks for itself.
27. The averments of this paragraph are a conclusion of law to which no response is
required. To the extent a response may be deemed required, this averment is denied. To the contrary,
Mr. Swank is not entitled to UIM coverage under the Donegal Insurance policy.
Date: December 1, 2006
MAR N D O WILLIAMS & OTTO
By
George B. Faller, Jr., Esqui
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
VERIFICATION
I, Janet L. Weisberg, Vice President ofB.I. Claims of Donegal Mutual Ins. Co., acknowledge I
have the authority to execute this Verification on behalf of Donegal Mutual Ins. Co. and certify the
foregoing Plaintiff's Reply to Defendant's New Matter is based upon information which has been gathered
by my counsel in the preparation of the lawsuit. The language of this Reply is that of counsel and not my
own. I have read the document and to the extent the Reply is based upon information which I have given
to my counsel, it is true and correct to the best of my knowledge, information and belief. To the extent the
content of the Reply is that of counsel, I have relied upon counsel in making this Verification.
This statement and Verification are made subject to the penalties of 18 Pa. C.S. § 4904 relating
to unswom falsification to authorities, which provides that if l knowingly make false averments, I may be
subject to criminal penalties.
Donegal Mutual Ins. Co.
et L. Weisberg, Vice President of B.I. Claims
F:\FILES\DAT kFILE\Donega13050\Curtent\240\rep1y I
E 0 :8 v 1 Z- 130 goof
CERTIFICATE OF SERVICE
I, Nichole L. Myers, an authorized agent of Martson Deardorff Williams & Otto, hereby certify
that a copy of the foregoing Plaintiff's Reply to Defendant's New Matter was served this date by depositing
same in the Post Office at Carlisle, PA, first class mail, postage prepaid, addressed as follows:
John A. Statler, Esquire
JOHNSON, DUFFIE, STEWART & WEIDNER, P.C.
301 Market Street
P.O. Box 109
Lemoyne, pA 17043-0109
MARTSON DEARDORFF WILLIAMS & OTTO
By j(1?1,?'?e?° I(V?,
Nichole L. Myers
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Dated: December 1, 2006
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F:\FQ..ES\CtientslDonega13050\Curtent\24013050.240.pra2/nlm
Created: 9/20/04 0:06PM
Revised: 9/17/07 3:38PM
3050.240
George B. Faller, Jr., Esquire
MARTSON DEARDORFF WILLIAMS OTTO GILROY & FALLER
MARTSON LAW OFFICES
I.D. 49813
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
DONEGAL MUTUAL INS. CO.,
Plaintiff
V.
WILLIAM D. SWANK,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 04-1242
CIVIL ACTION - LAW
DECLARATORY JUDGMENT ACTION
PRAECIPE TO SETTLE. DISCONTINUE AND END
TO THE PROTHONOTARY OF CUMBERLAND COUNTY:
Kindly mark the above-referenced matter as settled, discontinued and ended.
LAW
By
Ge B. Faller, Jr., Esquire
MARTSON LAW OFFICES
I.D.49813
Ten East High Street
Carlisle, PA 17013
(717) 243-3341
Attorneys for Plaintiff
Date: September 18, 2007
CERTIFICATE OF SERVICE
I, Nichole L. Myers, an authorized agent for MARTSON DEARDORFF WILLIAMS OTTO
GILROY & FALLER, hereby certify that a copy of the foregoing Praecipe was served this date by
depositing same in the Post Office at Carlisle, PA, first class mail, postage prepaid, addressed as
follows:
John A. Statler, Esquire
LAW OFFICES OF JOHNSON DUFFIE
301 Market Street
P.O. Box 109
Lemoyne, PA 17043
MARTSON LAW OFFICES
By
Nichole L. Myers
10 East High Street
Carlisle, PA 17013
(717) 243-3341
Dated: September 18, 2007
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