HomeMy WebLinkAbout10-5766r r
OF 7,
IN THE COURT OF COMMON PLEAS OF
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CUMBERLAND COUNTY, PENNSYLVANIA
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AMERICAN EXPRESS ('OUtiTY
World Financial Center CIVIL ACTION
200 Vassey St.
New York, NY 10285
Plaintiff
VS. NO; b $'7lolp ?V i l It°t M
TEKA LE
514 MEADOW CROFT CIR
MECHANICSBURG PA 17055
Defendant
NOTICE TO DEFEND
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 to
Defend are served, by entering a written appearance personally or by an 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 plaintiff. 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 OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE
OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP.
IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO
PROVIDE YOU WITH INFORMATION ON AGENCIES THAT MAY OFFER LEGAL
SERVICES TO ELIGIBLE PERSONS AT REDUCED FEE OR NO FEE.
MIDPENN LEGAL SERVICES
401 EAST LOUTHER STREET
CARLISLE, PA 17013
717-243-9400
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
AMERICAN EXPRESS
World Financial Center CIVIL ACTION
200 Vassey St.
New York, NY 10285
Plaintiff
VS.
NO:
TEKA LE
514 MEADOW CROFT CIR
MECHANICSBURG PA 17055
Defendant
COMPLAINT
Plaintiff, AMERICAN EXPRESS, by and through its attorneys, Edwin A. Abrahamsen &
Associates, P.C., complains of the Defendant as follows:
1. Plaintiff, AMERICAN EXPRESS , (hereinafter "Plaintiff") is a Delaware
corporation with a principal place of business located at World Financial Center, 200 Vassey St.,
New York, NY 10285.
2. The Defendant TEKA LE (hereinafter "Defendant") is an adult individual residing
at 514 MEADOW CROFT CIR MECHANICSBURG PA 17055.
3. At all relevant times herein, Plaintiff was engaged in the business of extending
credit to potential clients.
4. Defendant applied for and received a credit card issued by Plaintiff with the
account number 371545068322002.
5. Use of the AMERICAN EXPRESS credit card was subject to the terms and
conditions of the Cardmember Agreement (hereinafter "Agreement"), a copy of which was sent
along to the Defendant with the credit card. (See, Cardmember Agreement attached hereto as
Exhibit "A".)
6. Defendant used the AMERICAN EXPRESS credit card with account number,
371545068322002, for purchases, cash advances and/or balance transfers. Use of the card in this
manner constituted acceptance of the terms and conditions and subjects the Defendant to the terms
and conditions contained therein.
7. The Defendant was mailed monthly account statements relative to the Defendant's
use of the subject credit card.
The Defendant defaulted under the terms of the Agreement by failing and refusing
to make monthly payments on. the account as they became due.
9. The Defendant last made payment on March 22, 2009.
10. The total amount due and owing the Plaintiff, is $12,788.23.
11. Pursuant to the terms of the Agreement, Defendant is liable to Plaintiff for court
costs.
WHEREFORE, Plaintiff requests judgment in its favor and against Defendant in the
amount of $12,788.23 plus costs of suit and any other relief as the Court deems just and
appropriate.
y
A. Abrahamsen &
Michael F. Ratchford, Esqui
Heather K. Woodruff, Esqui e
Attorney I.D. Nos.: 86285/ 7805
120 North Keyser Ave.
Scranton, PA 18504
mratchford@eaa-law.com
hwoodruff@eaa-law.com
VERIFICATION
I, Michael F. Ratchford, attorney for Plaintiff,AMERICAN EXPRESS BANK, FSB, am
fully familiar with the facts set forth in the within Complaint and am authorized to make this
Verification on behalf of Plaintiff. I Verify that the facts set forth in the within allegations are
true and correct to the best of my knowledge, knowing that any false statements are punishable
by law pursuant to 18 C.S.A. 4904.
'1CD25454_FDR920679_pl2:FDR815199 3/6/2008 5:04 PM Page 1
FDR 920679
Welcome to American Express Cardmembership
This document and the accompanying supplement(s)
constitute your Agreement. Please read and keep this
Agreement. Abide by its terms. When you keep, sign or use the
Card issued to you (including any renewal or replacement
Cards), or you use the account associated with this Agreement
(your Account"), you agree to the terms of this Agreement.
The words "you; 'your' and "yours mean the person who
applied for the Account and the person to whom we address
billing statements, as well as any person who agrees to be liable
on the Account. The "Basic Cardmember" is the person who
opened the Account At your request, we may also issue a Card
on your Account to another person (an Additional
Cardmember"). The term "Card" refers to the American
Express` Card issued to you, all other Cards issued on your
Account, and any other device (such as Account numbers and
convenience checks) with which you may access your Account
"We," "our" and "us" refer to American Express Centurion
Bank, the issuer of your Account.
Using the Card
You may use the Card to obtain goods and services from
any person who accepts the Card ("Purchase(s)'). You may
also use the Card to obtain loans ('Cash Advance(s)") through
various means we may make available (e.g., ATM machines)
up to the applicable limits on your Account. At our discretion,
we may permit you to transfer balances from other accounts to
your Account ("Balance Transfer(s)"). At our discretion, we
may issue convenience checks that you can use to access your
Account Each convenience check may be used only by you.
You may not use convenience checks to pay any amount you
owe under this Agreement or to pay any other account you
have with us or our affiliates. Transactions you make in
response to promotional offers from us will be subject to the
terms of the promotion and this Agreement
All amounts charged to your Account, including Purchases,
Cash Advances, Balance Transfers, convenience checks, annual
fee(s), if airy, any amounts guaranteed by use of the Card, other
fees, and any Finance Charges, are "Charges' A convenience
check that we identify as having been made payable to cash, to
you, or to a bank, brokerage or similar asset account will be
treated as a Cash Advance. Any other convenience check
and/or a Balance Transfer will be treated as a Purchase, except
as otherwise noted. If you make a Purchase or a Balance
Transfer, or use a convenience check, that is governed by a
promotional offer from us, the Charge will be included in a
Promotional Balance, unless we notify you otherwise.
You agree not to let any person use a Card except a
Cardmember whose name is on it. You agree to notify us if the
Card is lost or stolen, or you suspect that it is being used
without your permission. You agree to use the Account only for
Purchases, Cash Advances, or Balance Transfers that are lawful
and are permitted under this Agreement. We may issue you
renewal or replacement Cards before a previously issued Card
expires.
If you or an Additional Cardmember authorize a third
party to bill Charges on a recurring basis to your Account
("Recurring Charge(s)"), we may (but are not required to)
provide such third party with your current Account status,
Card number and/or expiration slate to permit that third party
to continue billing your Account. We may take such steps even
if your account number changes or if we issue a renewal or
replacement Card to you or an Additional Cardmember. To
withdraw authorization for a Recurring Charge, you must
notify the third party.
Expresspay
The Card may be equipped with the ExpressPay feature
("ExpressPay"), which enables you to make Charges without
having the Card swiped or Imprinted at a participating
merchant. ExpressPay uses a computer chip that is built into
the Card and transfers encrypted payment information
w Irelemly when you hold the Card to a contacticss reader.
Charges made with FxpressPay are as secure as other Charges
you make with the Card. ExprexsPay generates a unique
cryptogram to further protect your account from fraudulent
transactions. If you notify us that the Card is lost, stolen or has
been fraudulently used, the Card and the ExpressPay feature
will be deactivated and another may he reissued. You agree to
use ExpressPay only in accordance with our instructions, and
you agree not to attempt to get cash with ExpressPay from any
source. You may cancel the ExpressPay feature on the Card or
any Additional Card at any time upon notice to us by calling
the number on the back of the Card.
Annual Fee
There is no annual fee for this Account.
Credit ldne
A portion of your credit line may be available to you for
Cash Advances up to your Cash Advance limit. We may, at any
time and in our sole discretion, increase and/or decrease your
credit line and Cash Advance limit. We may limit Charges at an
automated teller machine ("ATM") to the lesser of(!) a total of
$1,000 in any seven-day period, or (ii) the remaining amount
of the Cash Advance limit on your Account; and we may
impose additional limits at our sole discretion (in addition to
any limits imposed by the ATM's owner). Your billing
statements will show your credit line and Cash Advance limit
and the unused portions of such line and limit as of the
statement date. You agree to manage your Account so that your
balance for Cash Advances (including fees and Finance
Charges) will not exceed the Cash Advance limit and your
overall balance (including fees and Finance Charges) will not
exceed your credit line. You agree to pay us, immediately upon
request, the amount of any balance on your Account in excess
of any applicable credit line or limit We reserve the right to
decline any attempted Charge, even if the Charge would not
cause you to exceed your credit line or limit
We are not responsible for any losses or other consequences
if a transaction on your Account is not approved for any
reason, even if you have sufficient credit available. Except as
otherwise required by applicable law, we will not be
responsible if any merchant refuses to honor the Card or for
any other problem y ou may have with a merchant.
Promise to Pay
You promise to pay all Charges, including Charges incurred
by Additional Cardmembers, on your Account This promise
includes any Charge for which you or an Additional
Cardmember indicated an intent to incur the Charge, even if
you or the Additional Cardmember have not signed a charge
form or presented the Card. You also promise to pay any
Charge incurred by anyone that you or an Additional
Cardmember let use the Card, even though you have agreed
not to let anyone else use the Card.
Status of and Responsibility for Additional Cardmembers
Additional Cardmembers do not have accounts with its.
Instead, they are authorized users on your Account, and the
Cards issued to them may be cancelled by you or us at any
time. You must notify us to revoke an Additional
Cardmember's permission to use your Account. You are
responsible under this Agreement for all use of your Account
by the Additional Cardmembers, and by anyone else you or an
Additional Cardmember lets use the Card, and the Charges
they incur will be billed to you. You have this responsibility
even if you did not intend for an Additional Cardmember, or
other person, to use the Card for any transactions.
An Additional Cardmember is not liable for Charges
incurred by the Basic Cardmember or by other Additional
Cardmembers. However, by each use of the Additional Card to
incur Charges, the Additional Cardmember indicates his or her
agreement to pay us for the Charge if you fail to or refuse to
pay it and we may, at our discretion, pursue Additional
Cardmembers for payment of Charges they incur or authorize.
You authorize us to provide Account information to Additional
Cardmembers and to discuss the Account with them.
You agree to notify each Additional Cardmember, at the
time he or she becomes an Additional Cardmember, that we
may receive, record, exchange and use information about him
or her in the same manner we do with information about you,
as described below in the Consumer Reports, Telephone
Monitoring/Recording, and Suspension/ Cancellation sections
of this Agreement. You agree to notify each Additional
CD 25454 (05/08)
AM
Cardmember that Additional Cardmembers are subject to all
applicable provisions of this Agreement.
Billing Statements
You must notify us immediately of any change in the
mailing or e-mail address to which we send billing statements
or notices that a billing statement has been posted ("Billing
Address"). If you wish a Billing Address change to apply to
more than one account you maintain with us, you must tell us.
You agree that the may also update your Billing Address if we
receive information that your Billing Address has changed or is
incorrect
The "New Balance" appears on your billing statement. To
determine the New Balance, we begin with the outstanding
balance on your Account at the beginning of each billing
period, called the "Previous Balance" on the billing statement.
We add any Charges, subtract any credits or payments credited
as of tliat billing period, and make other applicable
adjustments.
Minimum Amount Due
Each billing statement will reflect a Minimum Amount
Due. Payment is due by the time and date shown and in the
manner prescribed on the statement. The Minimum Amount
Due will not exceed the New Balance. You may pay more than
the Minimum Amount Due, up to the entire outstanding
balance, at any time. To calculate the Minimum Amount Due,
we add together the following amounts, round the result to the
nearest whole dollar, and then add any amount past due:
(1) the greatest of:
(a) 2% of the New Balance (excluding from the New
Balance any over-limit amount and any late fees or
over-limit fees);
(b) the lesser of:
(i) current billed Finance Charges plus I % of the New
Balance (excluding from the New Balance any
over-limit amount, any late fees or over-limit fees
and finance charges), or
(ii) 4% of the New Balance; or
(c) $15;
(2) any over-limit fees added during the billing period;
(3) any late fees added during the billing period; and
(4) 1/24th of any over-limit amount (the part of your New
Balance in excess of your credit line).
Adjusted Minimum Amount Due
Summary: If you consistently pay more than the
Minimum Amount Due outlined above, we may calculate your
minimum payment without any late fees, over-limit amount or
the additional l%ofthebalance referenced in(1)(b)(i). If we
do this, and finance charges are more than 2% of the balance,
we may add S15 to your minimum payment. For information
about how this works, read the detailed description below.
Detailed Description: We may adjust the outlined
calculation above by removing the late fees in (3), the over-
limit amount in (4) and "plus 1 % of the New Balance" in
(1)(b)(i). In the adjusted calculation, we will exclude only the
over-limit fees from the New Balance in (1)(a). After the
adjustment, if (1) is equal to the current billed Finance
Charges, we will increase your Minimum Amount Due by $15.
We will apply the adjusted calculation to your Account if:
• the sum ofyour payments (credited to your Account in
the six consecutive billing periods ending with the
Closing Date of the current billing period) is greater than
the sum of the Minimum Amounts Due (for the six
consecutive billing periods ending with the Closing Date
of the previous billing period, not using the adjusted
calculation and including the amount past due in only
the first of those six periods);
the sum of the Minimum Amounts Due is equal to the
sum of your payments and it is less than or equal to $90;
the sum of the Minimum Amounts Due is zero and we
used the adjusted calculation in the last billing period
when your Minimum Amount Due was not zero; or
• it is the first billing period ending on or after November
16, 2007, and your Account was opened before that date.
If we adjust your Minimum Amount Due, we will do so for
at least six billing periods, and if we stop adjusting your
CD25454_FDR920679_p12:FDR815199 3/6/2008 5:04 PM Page 2
Minimum Amount Due, we will not adjust it again for at least
six billing periods, regardless of your payment history.
Payments
All payments must be sent to the payment address shown
on your billing statement and must include the remittance
coupon from your billing statement You must pay us in U.S.
currency, with a single draft or check drawn on a U.S. bank and
payable in U.S. dollars, or with a negotiable instrument payable
in U.S. dollars and clearable through the U.S. banking system,
or through an electronic payment method clearable through
the US. banking system. Your Account number must be
included on or with all payments. If we decide to accept a
payment made in a foreign currency, you authorize us to
choose a conversion rate that is acceptable to us to convert
your remittance into U.S. currency, unless a particular rate is
required by law.
Payments conforming to the above requirements that we
receive no later than the hour specified on your billing
statement will be credited to your Account as of the day
received; payments conforming to the above requirements that
we receive after the hour specified on your billing statement
will be credited to your Account as of the following day.
If payment does not conform to the requirements stated
above, crediting may be delayed. If this happens, additional
Charges may be imposed. We may accept late payments,
partial payments or any payments marked as being payment in
full or as being settlement of any dispute without losing any of
our rights under this Agreement or under the law. Our accep-
tance of any such payments does not mean we agree to change
this Agreement in any way. You agree that an acceptance of
such payments will not operate as an accord and satisfaction
without our prior express written approval.
Subject to applicable law, we will apply and allocate
payments and credits amongbalames and Charges on your
Account in any order and manner determined by us in our sole
discretion. In most cases, we will apply and allocate payments
first to balances at lower Annual Percentage Rates ("APRs")
and then to higher APR balances, and apply Purchase credits
first to the balance from which the corresponding debit
originated. However, for servicing, administrative, systems or
other business reasons, we may apply and allocate payments
and credits among balances and to Charges on your Account in
some other order or manner that we may determine in our sole
discretion. You agree that we have the unconditional right to
exercise this discretion in a way that is most favorable or
convenient to us.
Authorization for Electronic Debit to Your Checking
Account
When you provide a check as payment, you authorize us to
use information from your check to snake an electronic fund
transfer from your account or to process the payment as a
check transaction. If we process your check electronically,
funds may be withdrawn from your bank or asset account as
soon as the same day we receive your check Also, if we process
your check electronically, you will not receive that cancelled
check with your bank or asset account statement.
Finance Charges
A. Finance Charges begin to accrue for each Charge as of
the date the Charge is added to the daily balance, as described
below. If payment in full for any New Balance shown on the
statement for a billing period is credited to your Account by
the Payment Due Date shown on that statement, then Finance
Charges will not accrue for Purchases from the date on which
payment in full of that New Balance is credited to your
Account until the end of the billing period in which such
payment is credited to your Account In addition, Finance
Charges will not accrue for Purchases during a billing period if
(a) the Previous Balance shown on the billing statement for
that billing period is zero or a credit balance, or (b) payment in
full for the New Balance, if any, shown on the statements
covering the two immediately preceding billing periods is
credited to your Account by the respective Payment Due Dates
shown on those statements. For purposes of this paragraph,
Purchases do not include Balance Transfers or convenience
checks.
B. The Daily Periodic Rate ('DPR") for Purchases and the
DPR for Cash Advances are each based on an APR, which may
vary. The APR for Cash Advances is the Prince Rate plus
14.99%. A DPR is 1 /365th of the APR. Your DPRs and APRs for
Purchases appear on the accompanying supplement(s). When
an APR changes, we apply it to any existing balance subject to
that rate.
C. Notwithstanding the foregoing, unless a higher rate
applies under any other provision, the APR for all balances
except Cash Advances will be equal to the Prime Rate plus
12.99% if during any Review Period any portion of any
Minimum Amount Due is not credited to your Account by its
Payment Due Date. The "Review Period" is the period.
constituting approximately one year, of twelve consecutive
billing periods ending with the Closing Date of the current
billing period, whether or not you received a statement for
each such billing period.
D. Notwithstanding the foregoing, the DPR (and
corresponding APR) on all balances will increase to the Default
Rate if during the Review Period (i) payment of your
Minimum Amount Due is not credited to your Account by the
Payment Due Date in any two billing periods, (fi) a payment on
your Account is not honored by your bank or other financial
institution, or (iii) you exceed any designated credit limit on
your Account three or more times. The "Review Period" is the
period, constituting approximately one year, of twelve
consecutive billing periods ending with the Closing Date of the
current billing period, whether or not you received a statement
for each such billing period. If the Default Rate is applied, it
will apply to your Account for a minimum of twelve
consecutive billing periods, beginning with the current billing
period The Default Rate is a DPR which corresponds to an
APR equal to the Prime Rate plus 21.99%.
E. The "Prime Rate" is determined once with respect to
each billing period. The Prime Rate for each billing period is
the Prime Rate published in the Money Rates section (or
successor section) of The Wall Street journal on (a) the first day
of that billing period or (b) the day that is two days prior to the
Closing Date of that billing period, whichever is higher. in each
clue, if such a day is not a customary publication day for The
i1'all Street Journal, we will substitute the closest preceding day
that is a customary publication day. If The Wall Street journal
ceases or suspends publication, we may refer to the Prime Rate
published in any other newspaper of general circulation in
New York, New York, or we may substitute a similar reference
rate at our sole discretion. Any increase or decrease to an APR
resulting from a change in the Prime Rate takes effect as of the
first day of the billing period. An increase in the Prime Rate
means that the variable APRs (and corresponding DPRO
applicable to your Account will increase and you may incur
higher Finance Charges and may have a higher Minimum
Amount Due.
Average Daily Balance Method for Calculation of Finance
Charges
We use the Average Daily Balance method to calculate
Finance Charges on your Account, Under this method, we
calculate the Finance Charges on your Account by applying the
DPR to the Average Daily Balance (as described below)
separately for each balance subject to Finance Charges.
Different periodic rates may be used for different balances. For
example, different DPRs may be applied to separate balances,
such as Purchase, Cash Advance, and Promotional Balances. To
get the Average Daily Balance for each balance, we (1) take the
beginning balance for each day (including unpaid Finance
Charges from previous billing periods), (2) add any new
transactions, debits, or fees, (3) subtract any payments or
credits credited as of that day, and (4) make any appropriate
adjustments. For each day after thef rst day of the billing
period, we also add an amount of interest equal to the previous
day's daily balance multiplied by the DPR for the balance. This
gives us the daily balance for the particular balance for that day
and the beginning balance for that balance for the next day. If
this balance is negative, it is considered to be zero. Then, we
add up all the daily balances for each balance for the billing
period and divide the total by the number of days in the billing
period. This gives us the Average Daily Balance for that
balance.
If you multiply the Average Daily Balance for each balance
by the number of days in the billing period and the DPR for
that balance, the result will be the Finance Charge assessed on
that balance, except for variations caused by rounding. The
total Finance Charge for the billing period is calculated by
adding the Finance Charges assessed on all balances of the
Account. This method of calculating the Average Daily Balance
and Finance Charge results in drily compounding of Finance
Charges. We may use mathematical formulas which produce
equivalent results to calculate the Average Daily Balance,
FDR 920679
Finance Charge, and related amounts. For example, we may
utilize computer programs or other computational methods
that are designed to produce mathematically equivalent results
while using fewer and/or simpler computational steps than are
described in this Agreement.
At our discretion, we may exclude certain categories of
debit transactions or fees from the calculation of the daily
balances. Unless we elect to use a later date, we add a Charge
to the daily balance as follows: We add a Cash Advance or
Purchase to the appropriate daily balance as of the date of
request or the transaction date on the billing statement. We
add a convenience check to the appropriate daily balance as of
the date of first deposit. We add a Balance Transfer other than
through a convenience check to the appropriate daily balance
as of the date of the request. We add periodic Finance Charges
to the daily balance as described above. We add any other
Charge to the appropriate daily balance as of the date of the
transaction.
Periodic Finance Charges are added to the outstanding
balance at the end of the billing period for which Finance
Charges are calculated. In any such billing period, we will
impose a minimum Finance Charge of $0.50, which will be
added to the balance with the highest APR unless, for our
convenience and in our sole discretion, we choose to add it to a
balance with a lower APR. In our sole discretion, we also may
round any calculations made in determining the Finance
Charges on your Account in any way that is convenient to us.
Any such rounding may apply to or cause variations in your
DPRs.
Late Fees
We may assess a Late Fee if a payment of at least the
Minimum Amount Due is not credited to your Account by the
Payment Due Date. The amount of the Late Fee depends on the
amount of the Previous Balance on the statement on which the
Late Fee appears, as follows:
Previous Balance Late Fee
Less than $400 $19
$400 or greater $38
Other Fees
We may charge the following fees to your Account, subject
to applicable law. Except as otherwise noted, these fees will be
added to the Purchase Balance.
t, Dishonored Payments; We may charge a fee of $38
whenever any check, similar instrument, or electronic
payment order that we receive as payment on your Account is
not honored upon first presentment.
If a Card is presented in connection with cashing a check at
an American Express Travel Service Office or other authorized
location and the check is not honored, we may charge a fee of
$38. (We will also add a Charge to clue Cash Advance balance of
your Account in the amount of the check that was not
honored.)
2. Copies of Statements: We may charge a fee of $5 for
each baling period for which a copy of a billing statement is
requested. We will not charge this fee for any request for a copy
of any of the billing statements for the three billing periods
immediately prior to the request.
3. Account Re-opening Fee: We may charge a reopening
fee of $25 if your Account is cancelled for any reason and you
request reinstatement and such request is honored.
4. Wire Transfers: We may charge a fee of $15 each time a
wire transfer from your Account is initiated and authorized.
5. Stop Payment Orders: We may charge a fee of $29
eadi time we receive a request to stop payment on a
convenience check drawn on your Account.
6. Over-limit Fee: We may charge a fee of $35 in each
billing period the New Balance on your statement exceeds your
credit line.
7. Convenience Check Usage/BalanceTransfer
Transaction Fee: We may assess a transaction fee for each
Balance Transfer and each convenience check drawn on your
Account as disclosed in Lhe applicable Promotional Offer, in
the materials accompanying the convenience check, or at the
time of the transaction. This fee is a Finance Charge and, if
assessed, will be added to the same Purchase or Cash Advance
balance as the convenience check transaction or Balance
Transfer. For convenience checks made payable to cash or to
you, a bank brokerage or similar asset account however,
unless otherwise disclosed in the applicable Promotional Offer,
in the materials accompanying the convenience check, or at the
time of the transaction, there will be a transaction fee of 3%,
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?ED25454_FDR920679_p12:FDR815199 3/6/2008 5:04 PM Page 3
with a minimum of $5.
8. ATM Fee: We will impose a fee each time a Card is used
to obtain cash or any other services from an ATM. This fee will
be 3% of the amount of the cash withdrawn or other services
obtained (including any additional fee imposed for use of the
ATM by its operator), with a minimum of $5. This fee will be
added to the Cash Advance balance.
Suspension/Cancellation
in addition to any other actions we may take under this
Agreement, we may suspend or cancel your Account or any
feature offered in connection with your Account, we. may
reduce your credit line or cash advance limit (including to a
level below your outstanding balance), and/or we may suspend
or canal the authorization of any Additional Cardmember to
make Charges to your Account, at our sole discretion at any
time, with or without cause, whether or not your Account is in
default, and without giving you notice, subject to applicable
law. Any such action on our part will not cancel your obligation
to pay all Charges due on your Account under the terms of this
Agreement in effect at the time of such action or as
subsequently amended, and you agree to pay us all such
Charges despite any such action. We may advise third parties
who accept the Card that the Card(s) issued to you and/or
Additional Cardmembers have been cancelled. if we cancel the
Card or it expires, you may no longer use it and you must
destroy it or return it to us or, if we request to a third party. If
you want to cancel the Account or any Additional Cards, you
must notify us and destroy the Card(s).
if we agree to reinstate your Account after a cancellation,
the new Agreement we send you (or, if we do not send you a
new Agreement, this Agreement as it may he amended) will
govern your reinstated Account. When we reinstate your
Account we may reinstate any Additional Cards issued in
connection with your Account, and bill you the applicable
annual fee(s).
Default
We may consider your Account to be in default at any time
if you fail to pay us any amount when it is due, or if you breach
any other promise or obligation tinder this Agreement.
Subject to applicable law, we may also consider your
Account to be in default at any time if any statement made by
you to us in connection with this Account or any other credit
program was false or misleading; if you breach any promise or
obligation under any other agreement that you may have with
us or with any of our affiliates; if we receive information
indicating that you are bankrupt, intend to file bankruptcy, or
are unable to pay your debts as they become due; or we receive
information leading as to conclude that you are otherwise not
creditworthy. In evaluating your creditworthiness, you agree
that we may rely on information contained in consumer
reports, and in our discretion we may consider the amount of
debt you are carrying compared to your resources or any other
of your credit characteristics, regardless of your performance
on this Account We may also consider your Account in default
in the event of your death.
in the event of your default, and subject to any limitations
or requirements ofapplicable law, we may require payment of a
portion of your outstanding balance greater than the
Minimum Amount Due, declare the entire amount of your
obligations to us immediately due and payable, and/or suspend
or cancel your Account and/or any feature that may be offered
in connection with the Account. You agree to pay all
reasonable costs, including reasonable attorneys fees, incurred
by us (1) in connection with the collection of any amount due
on your Account, whether or not any arbitration, litigation, or
similar proceedings are initiated; and (2) in reasonably
protecting ourselves from any loss, harm, or risk relating to any
default on your Account
Transactions Made in Foreign Currencies
If you Incur a Charge in a foreign currency, it will be
converted into U.S. dollars on the date it is processed by us or
our agents. Unless a particular rate is required by applicable
law, you authorize us to choose a conversion rate that is
acceptable to us for that date. Currently, the conversion rate we
use for a Charge in a foreign currency is no greater than (a) the
highest official conversion rate published by a government
agency, or (b) the highest interbank conversion rate identified
by us from customary banking sources, on the conversion date
or the prior business day, in each instance increased by 2%.
This conversion rate may differ from rates in effect on the date
of your Charge. Charges converted by establishments (such as
airlines) will be billed at the rates Stich establishments use.
Benefits and services
Subject to applicable law, we have the right to add, modify
or delete any benefit, service, or Feature that may accompany
your Account at any time and without notice to you.
Arbitration
Purpose. This Arbitration Provision sets forth the
circumstances and procedures under which Claims (as defined
below) may be arbitrated instead of litigated in court.
Definitions: As used in this Arbitration Provision, the
term "Claim" means any claim, dispute or controversy between
you and us arising from or relating to your Account, this
Agreement the Electronic Funds Transfer Services Agreement,
and any other related or prior agreement that you may have
had with us, or the relationships resulting from any of the
above agreements ("Agreements"), except for the validity,
enforceability or scope of this Arbitration Provision or the
Agreements. For purposes of this Arbitration Provision, "you"
and "us" also includes any corporate parent, or wholly or
majority owned subsidiaries, affiliates, any licensees,
predecessors, successors, assigns, any purchaser of any
accounts, all agents, employees, directors and representatives
of any of the foregoing, and other persons referred to below in
the definition of"Claims""Claim" includes claims of every
kind and nature, including but not limited to, initial claims,
counterclaims, cross-claims and third-party claims and claims
based upon contract, tort, fraud and other intentional torts,
statutes, regulations, common law and equity. "Claim" also
includes claims by or against any third party using or providing
any product, service or benefit in connection with any account
(including, but not limited to, credit bureaus, third parties who
accept the Card, third parties who use, provide or participate in
fee-based or free benefit programs, enrollment services and
rewards programs, credit insurance companies, debt collectors
and all of their agents, employees, directors and
representatives) if and only if, such third party is named as a
co-party with you or us (or files a Claim with or against you or
us) in connection with a Claim asserted by you or its against
the other. The term "Claim"is to be given the broadest possible
meaning that will be enforced and includes, by way of example
and without limitation, any claim, dispute or controversy that
arises from or relates to (a) any of the accounts created under
any of the Agreements, or any balances on any Stich accounts,
(b) advertisements, promotions or oral or written statements
related to any such accounts, goods or services fmanced under
any of the accounts or the terms of financing, (c) the benefits
and services related to Cardmembership (including fee-based
or free benefit programs, enrollment services and rewards
programs), and (d) your application for any account. We shall
not elect to use arbitration under the Arbitration Provision for
any Claim that you properly file and pursue in a small claims
court of your state or municipality so long as the Claim is
individual and pending only in that court.
Initiation of Arbitration Preceeding/Selection of
Administrator, Any Claim shall be resolved, upon the election
by you or us, by arbitration pursuant to this Arbitration
Provision and the code of procedures of the national
arbitration organization to which the Claim is referred in effect
at the time the Claim is fled (the "Code"), except to the extent
the Code conflicts with this Agreement. Claims shall be
referred to either the National Arbitration Forum ("NAF") or
the American Arbitration Association ('AAA ), as selected by
the party electing to use arbitration. If a selection by us of
either of these organizations is unacceptable to you, you shall
have the right within 30 days after you receive notice of our
election to select the other organization listed to serve as
arbitration administrator. For a copy of the procedures, to file a
Claim or for other information about these organizations,
contact them as follows:
• NAF at P.O. Box 50191, Minneapolis, bIN 55405;
website: www.arbitr,,ition-forum.com.
• AAA at 335 Madison Avenue, New York, NY 10017;
website: www.adr.org.
Significance of Arbitration; IF ARBITRATION IS
CHOSEN BY ANY PARTY WITH RESPECT TO A CLAIM,
NEITHER YOU NOR WE WILL HAVE THE RIGHT TO
LITIGATE THAT CLAIM IN COURT OR IiAVE A JURY TRIAL
ON THAT CLAIM. FURTHER, YOU AND WE WILL NOT
HAVE THE RIGHT TO PARTICIPATE IN A
REPRESENTATIVE CAPACITY OR AS A MEMBER OF ANY
FDR 920679
CLASS OF CLAIMANTS PERTAINING TO ANY CLAIM
SUBJECT TO ARBITRATION. EXCEPT AS SET FORTH
BELOW, THE ARBITRATOR'S DECISION WILL BE FINAL
AND BINDING. NOTE THAT OTHER RIGHTS THAT YOU
OR WE WOULD HAVE IF YOU WENT TO COURT ALSO
MAY NOT BE AVAILABLE IN ARBITRATION.
Restrictions on Arbitration: IF EITHER PARTY ELECTS
TO RESOLVE A CLAIM BY ARBITRATION, THAT CLAIM
SHALL BE ARBITRATED ON AN INDIVIDUAL BASIS.
THERE SHALL BE NO RIGHT OR AUTHORITY FOR ANY
CLAIMS TO BE ARBITRATED ON A CLASS ACTION BASIS
OR ON BASES INVOLVING CLAIMS BROUGHT IN A
PURPORTED REPRESENTATIVE CAPACITY ON BEHALF OF
THE GENERAL PUBLIC, OTHER CARDMEMBERS OR
OTHER PERSONS SIMILARLY SITUATED. The arbitrator's
authority to resolve Claims is limited to Claims between you
and us alone, and the arbitrator's authority to snake awards is
limited to awards to you and us alone. Furthermore, claims
brought by you against us, or by us against you, may not be
joined or consolidated in arbitration with Claims brought by or
against someone other that you, unless agreed to in writing by
all parties. No arbitration award or decision will have any
preclusive effect as to issues or claims in any dispute with
anyone who is not a named party to the arbitration.
Notwithstanding any other provision in this Agreement
(including but not limited to the Continuation provision
below) and without waiving either party's right to appeal such
decision, should any portion of this Restrictions on Arbitration
provision he deemed invalid or unenforceable, then the entire
Arbitration Provision (other than this sentence) shall not
apply.
Arbitration Procedures; This Arbitration Provision is
made pursuant to a transaction involving interstate commerce,
and shall be governed by the Federal Arbitration Act, 9 U.S.C.
Sections 1-16, as it may be amended (the "FAA 7). The
arbitration shall be governed by the applicable Code, except
that (to the extent enforceable under the FAA) this Arbitration
Provision shall control if it is inconsistent with the applicable
Code. The arbitrator shall apply applicable substantive law
consistent with the FAA and applicable statutes of limitations
and shall honor claims of privilege recognized at law and, at
the timely request of either party, shall provide a brief written
explanation of the basis for the decision. The arbitration
proceeding shall not be governed by any Federal or state rules
of civil procedure or rules of evidence. Either party may submit
a request to the arbitrator to expand the scope of discovery
under the applicable Code. The party submitting such a
request must provide a copy to the other party, who may
submit objections to the arbitrator with a copy of the
objections provided to the requesting party, within fifteen (15)
days of receiving the requesting partys notice. The granting or
denial of such a request will be in the sole discretion of the
arbitrator, who shall notify the parties of his/her decision
within twenty (20) days of the objecting party's submission.
The arbitrator shall take reasonable steps to preserve the
privacy of individuals, and of business matters. Judgment upon
the award rendered by the arbitrator may be entered in any
court having itirisdiction. The arbitrator's decision will he final
and binding, except for any right of appeal provided by the
FAA. However, any party can appeal that award to a three-
arbitrator panel administered by the same arbitration
organization, which shall consider anew any aspect of the
initial award objected to by the appealing party. The appealing
party shall have thirty (30) days from the date of entry of the
written arbitration award to notify the arbitration organization
that it is exercising the right of appeal. The appeal shall be filed
with the arbitration organization in the form of a dated
writing. The arbitration organization will then notify the other
party that the award has been appealed. The arbitration
organization will appoint a three-arbitrator panel that will
conduct an arbitration pursuant to its Code and issue its
decision within one hundred and twenty (120) days of the date
of the appellant's written notice. The decision of the panel shall
be by majority vote and shall be final and binding.
Location of Arbitration/Payment of Fees: Any
arbitration hearing that you attend shall take place in the
federal judicial district of your residence. You will be
responsible for paying your share, if any, of the arbitration fees
(including filing, administrative, hearing and/or other fees)
provided by the Code, to the extent that such fees do not
exceed the amount of the tiling fees you would have incurred if
the Claim had been brought in the stale or federal court closest
CD259S9_FDR920679_p12:FDR815199 3/6/2008 5:09 PM Page 9
to your billing address that would have jurisdiction over the
Claim. We will be responsible for paying the remainder of any
arbitration fees. At your written request, we will consider in
good faith making a temporary advance of all or part of your
share of the arbitration fees for any Claim you initiate as to
which you or we seek arbitration. You will not be assessed any
arbitration fees in excess of your share if you do not prevail in
any arbitration with us.
Continuation: This Arbitration Provision shall survive
termination of your accounts as well as voluntary payment of
the Account balance in full by you, any legal proceeding by you
or us to collect a debt owed by the other, any bankruptcy by
you or us, and any sale by us of your Account (and in the case
of sale, its terms shall apply to the buyer of any of your
Account). Except as otherwise provided in the Restrictions on
Arbitration provision above, if any portion of this Arbitration
Provision (other than the Restrictions on Arbitration
provision) is deemed invalid or unenforceable, it shall not
invalidate the remaining portions of this Arbitration Provision,
the Agreement or any predecessor agreement you may have
had with us, each of which shall be enforceable regardless of
such invalidity.
Waiver
Our failure to exercise any of our rights under this
Agreement, our delay in enforcing any of our rights, or our
waiver of our rights on any occasion, shall not constitute a
waiver of such rights on any other occasion.
Consumer Reports
You authorize us to request consumer reports about you, to
make whatever credit investigations we deem appropriate, to
obtain and exchange any information we may receive from
consumer reports and other sources, and to use such
information for any purposes, subject to applicable law.
You authorize us to furnish information concerning your
Account to consumer reporting agencies, or others, subject to
applicable law. Ifyou believe information we have furnished
about your Account to a consumer reporting agency is
inaccurate, you should write to us at American Express Credit
Bureau Unit, P.O. Box 7871, Ft Lauderdale, FL 33329-7871 and
identify the specific information you believe is inaccurate.
You are hereby notified that information about your
Account that may have a negative impact on your credit record
may be submitted to a credit reporting agency if you fail to
fulfill the terms of your credit obligations.
'Telephone Monitoring/Recording
You agree that from time to time we may monitor and/or
record telephone calls between you or Additional
Cardmembers and us to assure the quality of our customer
service or as required by applicable law.
Use of Card at Federal Government Agencies
American Express has entered into contracts that enable
the Card to be accepted at certain federal government agencies
and departments ("Agencies"). As with Card transactions at
commercial establishments, when you choose to use your Card
at an Agency, certain Charge information is necessarily
collected by us. Charge information from Card transactions at
Agencies maybe used for processing Charges and payments,
billing and collections activities and may be aggregated for
reporting, analysis and marketing activities. Additional
"routine uses" of Charge information by Agencies are
published periodically in the Federal Register.
insurance Products Notice
We identify insurance providers and products that may be
of interest to you. In this role we may act on behalf of the
insurance provider, as permitted by law. We receive
compensation from insurance providers that may vary by
provider and product Also, we may receive additional
compensation or financial benefit when AMEX Assurance
Company or another American Express entity acts as the
insurer or reinsurer for these products. The arrangements we
have with providers, including the potential to insure or
reinsure products, may also influence what products and
providers we identify.
Notices
Any notice given by us shall be deemed given when
deposited in the U.S. mail, postage prepaid, addressed to you at
the latest Billing Address shown on our records.
Changing this agreement/Assignment of this Agreement
We may change the terms of or add new terms to this
Agreement at any time, in accordance with applicable law. We
may apply any changed or new terms to any then-existing
balances on your Account as well as to future balances. This
written Agreement is a final expression of the agreement
between the creditor and the debtor and the written
Agreement may not be contradicted by evidence of any alleged
oral agreement. We may also sell, transfer or assign this
Agreement and the Account at any time without notice to you.
You may not sell, assign or transfer your Account or any of
your obligations under this Agreement Your Accoumt may be
transferred to American Express Centurion Services
Corporation if your Account is in default under the terms of
this Agreement.
Assignment of Claims
In the event you dispute a Charge and we credit your
Account for all or part of such disputed Charge, we
automatically succeed to, and you are automatically deemed to
assign and transfer to us, any rights and claims (excluding tort
claims) that you have, had or may have against any third party
for an amount equal to the amount we credited to your
Account After we make such credit, you agree that without our
consent you will not pursue any claim against or
reimbursement from such third party for the amount that we
credited to your Account, and that you will cooperate with us if
we decide to pursue the third party for the amount credited.
Applicable Law
This Agreement and your Account, and all questions about
their legality, enforceability and interpretation. are governed by
the laws of the State of Utah (without regard to internal
principles of conflicts of law), and by applicable federal law. We
are located in Utah, hold your Account in Utah, and entered
into this Agreement with you in Utah.
AMERICAN EXPRESS CENTURION BANK
To American Express Cardmembers In The United States
and Its Territories
Your Billing Rights-Keep This Notice for Future Use
This notice contains important information about your
rights and our responsibilities under the "Fair Credit Billing
Act
Notify Us In Case Of Errors Or Questions About Your
Account Statement
If you think your statement is wrong or if you need more
information about a transaction on your statement, write us on
a separate sheet of paper at the address for billing inquiries
listed on your statement. Write to us as soon as possible. We
must hear from you no later than 60 days after we sent you the
first statement on which the error or problem appeared. You
can also telephone us, but doing so will not preserve your
rights.
in your letter, give us the following information:
. Your name and Account number.
• The dollar amount of the suspected error.
• Describe the error and explain, ifyou can, why you
believe there is an error. If you need more information,
describe the item you are not sure about
if you have authorized us to pay your Account statement
automatically from your savings, checking or other account,
you can stop the payment on any amount you think is wrong.
To stop the payment, your letter must reach us three business
days before the automatic payment is scheduled to occur.
Your Rights and Our Responsibilities after We Receive Your
Written Notice
We must acknowledge your letter within thirty (30) days,
unless we have corrected the error by then. Within ninety (90)
days, we must either correct the error or explain why we
believe the statement was correct.
After we receive your letter, we cannot try to collect any
amount you question, or report you as delinquent. We can
continue to bill you for titre amount you question, including
Finance Charges, and we can apply any unpaid amount against
your credit line. You do not have to pay any questioned amount
while we are investigating, but you are still obligated to pay the
pars of your statement that are not in question.
if we find that we made a mistake on your statement, you
will not have to pay any Finance Charges related to any
questioned amount. If we did not snake a mistake, you may
have to pay Finance Charges, and you will have to make up any
missed payments on the questioned amounts. In either case,
we will send your a statement of the amount you owe and the
date that it is due.
FDR 920679
If you fail to pay the amount that we think you owe, we may
report you as delinquent. However, if our explanation does not
satisfy you and you write to cis within ten (10) days telling us
that you still refuse to pay, we must tell anyone we report you
to that you have a question about your statement, and we must
tell you the name of anyone we reported you to. We must tell
anyone we report you to that the matter has been settled
between us when it finally is.
If we do not follow these rules, we cannot collect the first
$50 of the questioned amount, even if your statement was
correct.
Special Rule for Credit Card Purchases
If you have a problem with the quality of property or
services that you purchased with the Card, and you have tried
in good faith to correct the problem with the merchant, you
may have the right not to pay the remaining amount dire on
the property or services. There are two limitations to this right:
(a) You must have made the purchase in your home state or, if
not within Your home state, within 100 miles of your current
mailing address; and (b) The purchase price must have been
more than $50.
'these limitations do not apply if we own or operate the
merchant, or if we mailed you the advertisement for the
property or services.
Note for Ohio Residents: The Ohio laws against
discrimination require that all creditors make credit equally
available to all creditworthv customers, and that credit reporting
agencies maintain separate credit histories on each individual
upon request. The Ohio Civil Rights Commission administers
compliance with this law.
Once You Enroll In Pay By Computer, Pay By Phone Or Any
Other American Express Electronic Funds Transfer Service
(hereafter The `Program"), You Will Be Subject To This
Electronic Funds Transfer Agreement (The "EFT Agreement").
Scope of Agreement
This EFT Agreement covers your participation in the
Program. In this EFT Agreement, the words "you" and "your"
refer to the Basic Cardmember and also include all Additional
Cardmembers who have enrolled in the Program. The words
"we. "our" and "us" refer to American Express Travel Related
Services Company, Inc. The words "Your American Express
Accounts" refer to your card account governed by your
Cardmember Agreement ("Card Account") or any other
American Express Accounts that we permit you to enroll in the
Program. The words "your Bank Account" refer to the account
held by a bank, securities firm or other financial institution
from which payment will be made when you make
transactions under the Program. The words "your bank" mean
the hank securities firm or other financial institution that
holds your Bank Account. The words `other options" refer to
electronic payment transfer options and/or other cash access
that American Express may make available from time to time,
including the option to pay your Account bill electronically
using a computer, phone or other device.
Your Account is governed by the Cardmember Agreement
that is attached to this EFT Agreement That agreement and
the capitalized terms in it also apply here.
Payment for Cash'Fransactions
Each time you initiate a transaction under the Program,
you instruct and authorize us or our agent to draw a check or
initiate an automated clearing house ("ACH") debit in your
name on your Bank Account, payable to us or to our agent, in
the amount of the transaction. The amount of the transaction
is the amount of the Account bill you paid or other funds
transfer you authorized, plus any applicable fees or charges.
We may charge a fee of 838 for each check or ACH debit
drawn by us or our agent in connection with the Program that
is not honored upon first presentment, subject to applicable
law. Your bank may also assess its customary charge for such
items, if any.
Dishonored Requests for Payments
If any check or ACH debit drawn by us or our agent in
connection with the Program is not honored by your bank, we
I CD25454_PDR920679_p12:PDR815199 3/6/2008 5:04 PM Page 5
have the right to charge the amount of any such transaction,
and the dishonored payment fee referred to above, to the Card
Account or to collect the amount from you. If this happens, we
may cancel your right to participate in the Program.
For certain Bank Accounts, you may have a separate
agreement with us or with a participating bank, securities
firm, or other financial institution that allows a line of credit to
be accessed in the event that your Bank Account contains
insufficient funds to make payment to us. You should refer to
the appropriate agreement relating to that line of credit for the
terms and conditions that govern its use.
Liability for Unauthorized Transactions and Advisability of
Prompt Reporting
You must tell us AT ONCE if you believe a transaction
under the Program has been made without your authorization.
Telephoning is the best way of minimizing possible losses. If a
transaction was unauthorized, and within two days after you
learn about it you notify us that the transaction was
unauthorized, we will not hold you liable for that transaction.
In any event, even if you fail to notify us, your liability for any
unauthorized transaction or series of related unauthorized
transactions shall not exceed $50. If you believe that someone
has transferred or may transfer money from your Bank
Account without permission, call: 1-800-528-4800 (within U.S.)
or 1-336-393-1111 (outside U.S.) anytime, or write: American
Express Credit Department, P.O. Box 53830, Phoenix, Arizona
85072-3830.
Our Liability for Improper Transactions or Payments
If a transaction is not completed as you have directed or if
we do not complete a transfer to or from your Bank Account on
time in the correct amount, we will research and correct it as
necessary, once you advise us. We will also reimburse you for
your actual losses or damages, if any, caused by our error.
However, there are some exceptions. We will not be liable to
you in the following instances:
• if, through no fault of ours, your Bank Account does not
or did not contain enough money to complete the
transaction or the transfer would exceed an established
credit limit,
• if the funds in your Bank Account are or were at the time
of the attempted transaction subject to legal process or
other encumbrance restricting the transaction;
if circumstances beyond our control (such as fire or
flood) prevent or prevented the transaction, despite
reasonable precautions that we have taken;
• if a technical malfunction known to you prevented the
transaction;
or any other exceptions stated in this EFT Agreement.
Business Day
For purposes of this EFT Agreement, our business days are
Monday through Friday. Holidays are not included.
Arbitration
The Card Account is governed by the Cardntenlber
Agreement contained herein. The Arbitration provision
contained within that agreement applies to this EFT
Agreement. Please refer to that provision as you read this EFr
Agreement.
Privacy
Electronic funds transfers you initiate pursuant to this EFT
Agreement are covered by the American Express Privacy
Policy, a copy of which was given to you together with your
American Express Card. To view our Privacy Policy online,
please visit americanexpress.com.
How to ContactUs
If for any reason you wish to contact us about the Program,
about your participation in the Program, or about transactions
relating to the Program, write or call us as follows:
Address: American Express Travel Related Services
Company, Inc., Electronic Funds Services, P.O. Box 297815, Ft.
Lauderdale, FL 33329.7815 or a-mall us by clicking on the
Customer Service link online at www.american"press.coni.
Telephone; 1-800-CASH-NOW. 24 hours a day, seven days
a week
In Cue of Errors or Questions About Your Transactions
Write or call us at the number or address given above as
soon as you can if you think your statement or receipt is wrong
or if you need more information about a transaction listed on
your statement or receipt. We must hear from you no later than
60 days after we sent you the FIRST statement on which the
problem or error appeared. If you are delayed in contacting us
due to extenuating circumstances (such as a hospital stay), we
may extend this 60 days for a reasonable time.
1. Tell us your name and Account number.
2. Describe the error or the transaction you are unsure
about and explain as dearly as you can why you believe it is an
error or why you need more information.
3. Tell us the dollar amount of the suspected error.
If you tell us orally, we may require that you send us your
complaint or question in writing within 10 business days' from
the date you notified us.
We will tell you the results of our investigation within 10
business days' after we hear from you and we will correct any
error promptly. If we need more time, however, we may take up
to 45 calendar days to investigate your complaint or question.
Hwe decide to do this we will assure that your bank recredits
your Bank Account within 10 business days' for the amount
you think is in error, so that you will have the use of the money
during the time it takes us to complete our investigation. If we
ask you to put your complaint or question in writing and we do
not receive it within 10 business days' following your oral
notification, we may not recredit your Bank Account.
If notification of an error is received within 30 calendar
days after your Bank Account is opened, we will have 20
business days to provide you with the results of our
investigation and correct any error, and 90 days to complete
the investigation.
If we determine that there was no error, we will send you a
written explanation within three business days after we finish
our investigation. Upon your request we will provide you with
copies of the documents that we used in our investigation. if
we have provisionally recredited your Bank Account during the
investigation and determine that there was no error, we will
notify you of the date on which we will redebit your Bank
Account, and the amount to be debited. You should make
certain that your flank Account contains sufficient funds to
cover this debit. ]fit does not, we have the right to charge such
amount to the Account or to collect the amount from you. if
this happens, we may cancel your right to participate in the
Program.
Termination
We, or any bank or financial institution participating in the
Program, may add to or remove from the Program any or all
ATMs or extend or limit the services provided at any location
without notifying you beforehand. In addition, we may
discontinue the Program at any time.
Your right to participate in the Program will be terminated
or suspended if the Card Account is cancelled or suspended, if
you cancel the authorization you have given your bank to
directly charge checks to your Bank Account, if the Bank
Account from which payment will be made when you make
transactions under the Program is dosed to withdrawal
transactions by us or our agents, if your participation in the
Program is inactive for 18 consecutive months or more, or if
the Card Account is no longer in good standing.
In addition to the foregoing, we may revoke your right to
participate in the Program, at any time, at our sole discretion,
with or without cause, subject to applicable law. If we do so, we
will send you written notice, but we may not send your the
notice until after the revocation. We also have the right to deny
authorization for any requested transaction, at any time, at our
sole discretion, with or without cause, and without giving you
notice, subject to applicable law. You may terminate your
participation in the Program but you must do so by writing to
us at the address disclosed in the Section of this EFT
Agreement entitled How to Contact Us.
Prior Agreements and Assignments
This EFT Agreement supersedes all prior agreements you
may have with us relating to the Program. We have the right to
assign this EFT Agreement to a subsidiary or affiliate company
at any time.
AMERICAN EXPRESS TRAVEL RELATED SERVICES
COMPANY, INC.
Note for Massachusetts Residents
General Disclosure Statement: Any documentation
provided to you which indicates that an electronic funds
transfer was made shall be admissible as evidence of such
transfer and shall constitute prima facie proof that such
transfer was made.
The initiation by you of certain electronic funds transfers
from your Bank Account will, except as otherwise provided in
FDR 920679
this EFT Agreement, effectively eliminate your ability to stop
payment of the transfer.
UNLESS OTHERWISE PROVIDED IN THIS EFT
AGREEMF.N'r, YOU MAY NOT STOP PAYMFNT OF
ELECTRONIC FUNDS TRANSFERS; THEREFORE, YOU
SHOULD NOT EMPLOY ELECTRONIC ACCESS FOR
PURCHASES OR SERVICES UNLESS YOU ARE SATISFIED
THAT YOU WILL NOT NEED TO STOP PAYMENT.
Disclosure of Account Information to Third Parties: If
you give us your written authorization to disclose information
about you, your Account or the transactions that you make to
any person, that authorization shall automatically expire 45
days after we receive it.
Optional Limit on Obtaining Cash: You have the option
to request that we limit the total amount of cash that you may
obtain from ATMs in a single day to $50. If you elect this
option we will take all reasonable steps to comply with your
request.
'For Massachusetts residents: 10 calendar days instead of
business days.
Program Description
Return Protection offers you guaranteed product
satisfaction on designated items purchased entirely with an
eligible American Express Card. If you try to return a
designated item within 90 days from the date of purchase and
the merchant wont lake it back, American Express will refund
the full purchase price, up to $300 per item, excluding shipping
and handling, and up to a maximum of $1,000 annually per
Cardmember Account.
How to File a Return Protection Request
Once you have verified that the merchant will not accept
the designated item, call 1-800-297-8019 within 90 days of the
purchase date to notify its of your request. Within 30 days from
the date of your initial call, we need to receive the following:
Uriginal store receipt
American Express Card record of charge
• Any other items deemed reasonable by us to process
your request
Once your request has been approved, you will be
instructed to send the purchased item to us within 30 days.
Please keep a record of your shipping statement, as you will
need to provide proof of shipping in the event that your
designated items are not received. You are responsible for the
shipping and handling charges for the Rem.'fhe refund - up to
$300 per item and tip to a maximum of $1,000 per
Cardmember per year - will be reimbursed to you.
Limitations
Purchases must be made in the United States and charged
in full on your Card. A refund will not be paid if, on the date we
receive your Return Protection Request, or on the date of
would-be payment, any amount on your Card Account is past
due for one or more billing cycle(s) or your Card is canceled.
Refunds are limited to $300 per designated item, and $1,000
annually per Cardmember Account. The item must be in "like
new" condition (not visibly used or worn) and in working
order to be eligible. An item is eligible if it may not be returned
by the Cardmember to the merchant from which it was
originally purchased. Any item purchased from a merchant
that has an established return/ satisfaction guarantee program
which is greater than or equal to the terms of Return
Protection, and provides coverage for claim, will not be eligible
for a Return Protection Refund. Product rebates, discounts or
money received from lowest price comparison programs will
be deducted from the original cost of the item. The maximum
you will be compensated will not exceed the manufacturer's
suggested retail price.
Items not eligible for a refund are. animals and living
plants; one-of-a-kind items (including antiques, artwork, and
furs); limited edition items; going-out-of-business sale items;
consumable or perishable items with limited life spans (such as
perfume, light bulbs, non-rechargeable batteries); jewelry
(including, but not limited to, loose gents. precious stones,
metals, and pearls); watches; services and additional costs
(such as installation charges, warranties, shipping, or
memberships); tare and precious coins; used, altered, rebuilt
and refurbished items; custom-built items, cellular phones;
pagers; compact discs; digital video discs; mini discs;
audiotapes; videotapes; computer software; firmware (such as
CD25454_FDR920679_p12:FDR815199 3/6/2008 5:04 PM Page 6
console games, Nintendo, etc.); maps; hooks of any kind;
health care items (such as blood pressure machines and
diabetes equipment); formal wear; tickets of any kind;
motorized vehicles (such as cars, trucks, motorcycles, boats, or
airplanes) and thew parts; land and buildings; firearms;
ammunition; negotiable instruments (such as promissory
notes, stamps and travelers checks); cash and its equivalent;
and items permanently affixed to home, office, vehicles, etc.,
(such as garage door openers, car alarms).
If you have any questions regarding a Return Protection
Request or the Return Protection program, please call our
Customer Service Department at 1-800-297-8019.
The information below summarizes the terms and
conditions ofthe Extended Warranty plan (formerly die
Buyer's Assurance Plan). Extended Warranty is underwritten
by AMEX Assuuance Company, Administrative Office, Green
Bay, WI. Coverage is determined by the terms, conditions, and
exclusions of Policy AX0953 and is subject to change with
notice. This document does not supplement or replace the
Policy. Please call as at the number on back of your
American Express Card for a complete copy of your terms
and conditions. Extended Warranty will extend the terms of
the original manufacturer's warranty for a period of time equal
to the duration of the original manufacturer's warranty, up to
one (1) additional year (Centurion Cardmembers up to three
(3) additional years) on warranties of five (5) years or less that
are eligible in the United States of America.
Description of Benefits
Where a loss has occurred during this plan's extended
warranty time period of up to one (1) additional year
(Centurion Cardmembers up to three (3) additional years), we
will provide a benefit equal to the coverage of the original
manufacturer's warranty on warranties of up to five (5) years.
We will pay up to the actual amount charged to your account
for the product for which a loss is claimed, but not to exceed
$10,000. tf the product also is covered by a purchased service
contract, this plans extended warranty time period begins at
the end of the service contract and extends the original
manufacturer's warranty for a period of time equal to that
warranty, up to one (1) additional year (Centurion
Cardmembers up to three (3) additional years). If the
combined coverage of the original manufacturer's warranty
and the purchased service contract exceed five (5) years, the
product purchased is not eligible under this plan and no
coverage applies. Extended Warranty does not reimburse for
shipping and handling expenses or installation, assembly,
professional advice, maintenance or other service charges. If
you experience more than one loss in a calendar year, we will
pay an amount not to exceed $50,000 for all losses in a
calendar year. Our benefit payment will not include any
product rebates, discounts or money received from the lowest
price comparison programs that reduced the original cost of
the property.
Exclusions
Benefits are not payable if the loss for which coverage is
sought was directly or indirectly, wholly or partially,
contributed to or caused by; 1. any physical damage,
including, but not limited to, damage as a direct result of
natural disaster or a power surge, except to the extent the
original manufacturer's warranty covers such damage; 2.
mechanical failure covered under product recall; or 3. fraud or
abuse or illegal activity of arty kind by the cardmember.
Purchases Not Covered
The following are not covered: 1. products covered by an
unconditional satisfaction guarantee; 2. motorized vehicles
(including, but not limited to, passenger cars, trucks,
motorcycles, boats, airplanes) and their parts, subject to high
risk, combustible, wear and tear or mileage stipulations
(including, but not limited to, batteries, carburetors, pipes,
hoses, pistons, brakes, tires, or mufflers); 3. motorized devices
and their parts used for agriculture, landscaping, demolition or
construction; 4. motorized devices and their parts which are
permanent additions or fixtures to a residential or commercial
building; 5. business fixtures, including, but not limited to, air
conditioners, refrigerators, heaters; 6. land or buildings; 7.
consumable or perishable items; 8. animals or living plants; 9.
more than one article in a pair or set. Coverage will be limited
to no more than the value of any particular part or parts,
unless the articles are unusable individually and cannot he
replaced individually, regardless of any special value they may
have had as part of a set or collection; 10. items still under
installment billing; 11. additional service contract or extended
warranty coverage for a computer, computer component or
part that you buy which already comes with an original United
States of America manufacturer's warranty, unless such
coverage is provided and administered by the original
manufacturer; and 12. items purchased for resale, professional,
or commercial use (this does not apply to OPEN
Cardmembers).
General Provisions
Excess Coverage
If any loss under this policy is insured under any other
valid and collectible policy, then this policy shall cover such
loss, subject to its exclusions, conditions, provisions and other
terms herein, only to the extent that the amount of such loss is
in excess of the amount of such other insurance which is
payable or paid.
Termination or Cancellation
Coverage will cease on the earliest of the following: 1. the
date you no longer maintain a permanent residence in the 50
United States of America, the District of Columbia, Puerto Rico
or the U.S. Virgin Islands; 2. the date we determine that you or
someone on your behalf intentionally misrepresented or fraud
occurred; 3. the date the policy is cancelled; 4. the date you are
no longer a cardmember; 5. the date your account ceases to be
current and in good standing; or 6. The date the plan is not
available in the location where you maintain a permanent
residence. Termination or cancellation of coverage will not
prejudice any claim originating prior to termination or
cancellation subject to all other terms of the policy. The
company has the right to cancel the policy at any time by
sending a written notice at least forty five (45) days in advance
to you at your last known address. The notice will include the
reason for cancellation.
Form Numbers
EW-DOC-CCSG 102/07, EW-DOC-CCSG2 02107, E• W-
DOC-OSBN102/07, EW-DOC-OSBN2 02107
Applicable for Residents of the State of Alaska
Form Number: PP/EW-RDRI-AK 06/07
Applicable for Residents in the States of Arizona and
Indiana
Form Numbers: EW-IND-CCSGI 07/07, EW-IND-CCSG2
07107, EW-IND-OSBN107/07, EW-IND-OSBN2 07/07
Applicable for Residents of the State of Kentucky
Form Number: PPIF.W-RDRI-KY 05/07-In the
Termination or Cancellation section: The company has the
right to cancel the policy at any time by sending a written
notice at least seventy-five (75) days in advance to you at your
last known address.
Applicable for Residents of the State of Oklahoma
Form Number: PP/EW-RDRI-OK 07/07-The following is
added to your Description of Coverage: WARNING: Any
person who knowingly, and with intent to injure, defraud or
deceive any insurer, makes any chum for the proceeds of an
insurance policy containing any false, incomplete or
misleading information is guilty of a felony.
Applicable for Residents of the State of Oregon
Form Number F.W-RDRI.OR 05/07-In the Exclusions
section the following is removed; 3. fraud or abuse or illegal
activity of any kind by the cardmember,
Applicable for Residents of the State of South Dakota
Form Number: PP/EW-RDRI-SD 05107
Applicable for Residents of the State of Texas
Form Number: EW-IND-TX 07/07
Applicable for Residents of the State of Vermont
Form Number: PP/EW-RDR I -VT 05/07
Description of Coverage
Underwritten by AMEX Assurance Company,
Administrative Office, 480 Pilgrim Way, Suite 1400, Green Bay,
WI 54304
Purchase Protection provides coverage for Your purchases
for ninety (90) days from the date of purchase when You
charge any portion of the price of the purchased item to Your
FDR 920679
Account You will be reimbursed only for the amount charged
to Your Account. (See Description of Benefits section.)
Definitions
Certain words used in this Description of Coverage are
capitalized throughout and have special meanings. Wherever
used herein, the singular shall include the plural, the plural
shall include the singular, as the context requires.
Account means Your American Express Card Account.
Cardmember means a person who has been issued a
United States of America based proprietary American Express
Card, which is Current and in Good Standing, and who has a
Permanent Residence in the 50 United States of America, the
District of Columbia, Puerto Rico or the U.S. Vrgin Islands.
Covered Incident means the theft of, or damage, whether
by accident or vandalism, to any one item of property
purchased worldwide as a gift or for personal or business use
and charged to Your Account.
Company means AMEX Assurance Company, and its duly
authorized agents.
Current and in Good Standing means a Cardmember
Account for which the monthly minimum requirement has
been paid prior to the date in which the claim is payable.
Master Policyholder means American Express Travel
Related Services Company, Inc.
Permanent Residence means the one primary dwelling
place where the Cardineniber resides and to which they intend
to return.
Plan means the Policy and the benefits described therein.
Platinum Cardmember means a C.ardineiuber who has a
Platinum Charge Card (required to be paid in fall monthly), a
Corporate Platinum Card, or a Fidelity American Express
Platinum Card. Any other Card which may reference the
Platinum nano or has Platinum colored plastic will not receive
higher coverage limits or benefits.
Policy means the Group Insurance Master Policy (AX0951
issued to American Express Travel Related Services Company,
Inc).
We, Us, Our means the Company.
You, Your means the Cardmember.
Description of Benefits
We will pay You the expense charged to Your Account up to
$1,000 for any one Covered Incident and up to $50,000 for all
Covered Incidents during a calendar year. Purchase Protection
provides benefits, for ninety (90) days from the date of
purchase, if a Covered Incident occurs with respect to property
You purchased and charged to Your Account. Our benefit
payment will not include shipping and handling expenses or
installation, assembly, professional advice, maintenance or
other service charges or any product rebates, discounts or
money received from lowest price comparison programs that
reduced the original cost of the property.
Our payment of any eligible benefit amount is further
contingent upon Your Account being Current and in Good
Standing.
Only a Cardmember has a legal and equitable right to any
insurance benefit that may be available under this Plan.
Exclusions
Benefits are not payable if the loss for which coverage is
sought was directly or indirectly, wholly or partially,
contributed to or caused by:
1. war or any act of war, whether declared or undeclared;
2, any activity directly related to and occurring while in
the service of any armed military force of any nation state
recognized by the United Nations;
3. participation in a riot, civil disturbance, protestor
insurrection;
4. violation of a criminal law, offense or infraction;
5. natural disasters, including, but not limited to,
hurricanes, floods, tornados, earthquakes or any other event in
the course of nature, that occurs at the same time or in separate
instances;
6, fraud or abuse or illegal activity of any kind by the
Cardinember;
7. confiscation by any governmental authority, public
authority, or customs official;
8. negligent failure of a duty to care by any third party in
whose possession the property purchased by a Cardmember
has been temporarily placed;
9. not being reasonably safeguarded by You;
CD25454_FDR920679_p12:FDR815199 3/6/2008 5:04 PM Page 7
10. theft from baggage not carried by hand and under Your
personal supervision or under the supervision of a traveling
companion known by You;
11. damage through alteration (including, but not limited
to, cutting, sawing and shaping);
12. normal wear and Lear, inherent product defect or
manufacturer's defects or normal course of play;
13. damage or theft while under the care and control of a
common carrier,
14, food spoilage; or
15. leaving property at an unoccupied construction site.
For residents of Washington, the first paragraph of this
section is removed and replaced with the following: We will
not pay for loss caused by any of the excluded events described
below. Loss will be considered to have been caused by an
excluded event if the occurrences of that event directly and
solely results in loss, or initiates a sequence of events that result
in loss, regardless of the nature of any intermediate or final
event in that sequence.
Purchases Not Covered
The following purchases are not covered:
1. travelers checks, tickets of any kind, negotiable
instruments (including, but not limited to, gift certificates, gift
cards and gift checks), cash or its equivalent;
2, animals or living plants;
3. rare stamps or coins;
4. consumable or perishable items with limited life spans
(including, but not limited to, perfume, light bulbs, batteries);
5. antique or previously owned items;
6. motorized vehicles and watercraft, aircraft, and
motorcycles or their motors, equipment, parts or accessories;
7, stolen or damaged property consisting of articles in a
pair or set. Coverage will be limited to no more than the value
of any particular part or parts, unless the articles are unusable
individually and cannot be replaced individually, regardless of
any special value they may have had as part of a set or
collection;
8. items purchased for resale, professional, or commercial
use;
9. permanent household and/or business fixtures,
including, but not limited to, carpeting, flooring and/or tile;
10. business fixtures, including, but not limited to, air
conditioners, refrigerators, heaters; and
11. hospital, medical and dental equipment and devices.
Claims Provisions
If You experience a loss for which You believe a benefit is
payable under this Plan. You must provide both Notice of
Claim and Proof of Loss.
To insure prompt processing of Your claim, report any theft
or damage immediately following the date of die Covered
Incident, including for gifts purchased with the Card. Retain
Your receipts and Your damaged property (if applicable) until
the claim process is complete.
Notice of Claim
Notice of Claim should be provided to Us within thirty (30)
days of the loss. You may contact Us by calling toll-free
stateside 1-800-322-1277 or, if from overseas, by calling collect
1-303-273-6498. You may also write to Us at Purchase
Protection, PO Box 402, Golden, CO 80402-0402.
Failure to provide Notice of Claim within thirty (30) days
will not invalidate a claim or reduce any benefit payment that
may be found to be eligible, if it can be shown that it was
provided as soon as reasonably possible. At the time You
provide Us with Notice of Claim. We will assist You with Your
Proof of Loss by providing You with instructions and/or
documents, which You may have to complete and return to Us.
You are required to cooperate with Us and provide
documentation as requested by Us which is required and
necessary to process Your claim and determine if benefits are
payable.
For residents of Missouri, no claim will be denied based
upon Your failure to provide notice within such specified time,
unless this failure operates to prejudice the right of Us.
Proof of Loss
Proofof Loss requires You to send Us all the information
We request, at Your expense, in order that Your claim may be
evaluated and that We may make a determination as to
whether the claim may be paid. You must provide Us with
satisfactory Proof of Loss within thirty (30) days (for residents
of North Dakota sixty (60) days) after We have provided You
with instructions and/or a claim form in response to Your
Notice of Claim or Your claim may be denied. Your Proof of
Loss documentation may be mailed to Us at the same address
provided above for mailing Your Notice of Claim. We reserve
the right to request all the information We deem necessary to
determine that Your claim is payable, and We will not consider
that We have received complete Proof of Loss until the
information We have requested is received.
Proof of Loss may require documentation consisting of, but
riot necessarily limited to, the following:
1. a Purchase Protection Claim Form;
2. the original itemized store receipt;
3. the insurance declaration forms for Your other sources
of insurance or indemnity (e.g., homeowner's or renter's
insurance);
4. a photograph of and/or repair estimate for the damaged
property; and
5, for theft and vandalism claims, a report regarding the
stolen or vandalized property must be filed with the
appropriate authority before You call to file a claim under
Purchase Protection.
No payment will be made on claims not substantiated in
the manner required by Us.
'fall required documentation is not received within thing
(30) days (for residents of North Dakota sixty (60) days) of the
date of the Covered Incident (except for documentation which
has not been furnished for reasons beyond Your control),
coverage may be denied. It is Your responsibility to provide all
required documentation We request.
You may be required to send in the damaged property at
Your expense for further evaluation of Your claim, If
requested, You must send in the damaged property within
thirty (30) days (tor residents of North Dakota sixty (60) days)
from the date of Our request to remain eligible for coverage.
Payment of Claim
A claim for benefits provided by this Plan will he paid upon
Our receipt and review of Your complete Proof of Loss
documentation and Our determination that a claim is payable
according to the terms of the Plan.
Any payment made by Us in good faith pursuant to this or
any other provision of this Plan will fully discharge Us to the
extent of such payment.
If other insurance is available to You which provides the
same or similar coverage as that provided by this Plan, this
Plan becomes excess and We will pay only that portion of the
Covered Incident benefit which is not reimbursed by other
insurance up to Our limits, as provided under the Description
of Benefits section.
General Provisions
Change of Permanent Residence
If the change is to a different state, Your Policy provisions
maybe adjusted to conform to the requirements of that state.
Clerical Error
A clerical error made by the Company will not invalidate
insurance otherwise validly in force nor continue insurance
not validly in force.
Conformity with State and Federal Law
If a Plan provision does not conform to applicable
provisions of State or Federal law, the Plan is hereby amended
to comply with such law.
Entire Contract; Representation; Change
This Description of Coverage, the Policy and any
applications, endorsements or riders make up the entire
contract. Any statement You make is a representation and not
a warranty. This Description of Coverage may be changed at
any time by written agreement between the Master
Policyholder and the Company. Only the President, Vice-
President or Secretary of AMEX Assurance Company may
change or waive the provisions of the Description of Coverage.
No agent or other person may change the Description of
Coverage or waive any of its terms. This Description of
Coverage may be changed at any time by providing notice to
You. A copy of the Policy will be maintained and kept by the
Master Policyholder and may be examined at any time.
Excess Coverage
If any loss under this Policy is insured under any other
valid and collectible policy, then this Policy shall cover such
loss, subject to its exclusions, conditions, provisions and other
terms herein, only to the extent Uiat die amount of such loss is
in excess of the amount of such other insurance which is
payable or paid.
FDR 920679
Fraud
If any request for benefits made under the Plan is
determined to be fraudulent, or if any fraudulent means or
devices are used by You or by anyone acting on Your behalf to
obtain benefits, all benefits will be forfeited.
We do not provide coverage to a Cardmember who,
whether before or after a loss, has: 1. concealed or
misrepresented any fact upon which we rely, if the
concealment or misrepresentation is material and is made with
the intent to deceive; or 2. concealed or misrepresented any
fact if the fact misrepresented contributes to the loss.
Legal Actions
No legal action may be brought to recover against this Plan
until sixty (60) days after Proof of Loss has been received by
Us. No such action may be brought after three (3) years (for
residents of Arkansas five (5) years and residents of Missouri
ten (10) years) from the time written Proof of Loss is required
to be given.
If a time limit of this Plan is less than allowed by the laws of
the state where You live, the limit is extended to meet the
minimum time allowed by such law,
Right of Recovery
if We make a payment to You under this Plan and You
recover an amount from another, equal to or less than Our
payment, You shall hold in trust for Us the proceeds of the
recovery and reimburse Us to the extent of Our payment. If
Our payments exceed the maximum amount payable under the
benefits of this Plan, We have the right to recover from You any
amount exceeding the maximum amount payable.
Subrogation
In the event of any payment under this Policy, We shall be
subrogated to the extent of such payment to all Your rights of
recovery. You shall execute all papers required and shall do
everything necessary to secure and preserve such rights,
including the execution of such documents necessary to enable
Us to effectively bring suit or otherwise pursue subrogation
rights in Your name. You shall do nothing to prejudice such
subrogation rights.
We shall be entitled to a recovery as stated in these
provisions only after You have been fully compensated for
damages by another party.
For residents of Louisiana, the Right of Recovery,
Subrogation and Excess Coverage sections are revised to
reflect If the Company makes any payment under this Policy
and the Cardmember has the right to recover damages from
another, the Company shall be subrogated to that right.
However, the Company's right to recover is subordinate to the
Cardmember's right to be fully compensated.
Termination or Cancellation
Coverage will cease on the earliest of the following: 1. the
date You no longer maintain a Permanent Residence in the 50
United States of America, the District of Columbia, Puerto Rico
or the U.S. Virgin Islands; 2. the date We determine that You or
someone on Your behalf intentionally misrepresented or fraud
occurred; 3. the date the Policy is cancelled; 4. the date You
are no longer a Cardmember, 5. the date Your Account ceases
to remain Current and in Good Standing, or 6. the date the
Plan is not available in the location where You maintain a
Permanent Residence.
Termination or Cancellation of coverage will not prejudice
any claim originating prior to termination or cancellation
subject to all other terms of the Policy.
The Company has the right to cancel the Policy at any trine
by sending a written notice at least forty frve (45) days In
advance to You at Your last known address. The notice will
include the reason for cancellation.
Important Additional Information For You
For those eligible and enrolled in the Membership
Rewards' program, benefits are also paid when the purchased
property is received through the redemption of a Membership
Rewards redemption certificate. Payment or credit will not
exceed the original assigned value of the property received
through redemption of a Membership Rewards redemption
certificate up to the stated limits, excluding shipping and
handling expenses. Benefits will not be paid when a
Membership Rewards redemption certificate has been
transferred to a non-eligible Cardmember or non-
Cardmembers.
ICD25459_FDR920679_p12:FDR815199 3/6/2008 5:04 PM Page 8
This Description of Coverage replaces any other
Description of Coverage that You may have previously received
for Purchase Protection.
This Description of Coverage is an important
document. Please read it and keep it in a safe place.
IN WITNESS WHEREOF, We have caused this Description
of Coverage to be signed by Our officers:
Joy A. Hanson, President John M. Collins, Secretary
AMEX Assurance Company AMEX Assurance Company
PP-DOC-CCSGI 02/07
Applicable for Residents of the State of Kentucky
in the Termination or Cancellation section the following
is removed:
The Company has the right to cancel the Policy at any time
by sending a written notice at least forty five (45) days in
advance to You at Your last known address. The notice will
include the reason for cancellation.
And replaced with the following:
The Company has the right to cancel the Policy at any time
by sending a written notice at least seventy-five (75) days in
advance to You at Your last known address. The notice will
include the reason for cancellation.
PPIEW-RDRI-KY 05/07
Applicable for Residents of the State of Oregon
In the Exclusions section the following an removed: 4.
violation of a criminal law, offense or infraction; 6. fraud or
abuse or illegal activity of any kind by the Cardmember;
The Proof of foss section is hereby removed in its entirety
and replaced with the following:
Proof of Loss
Proof of Loss requires You to send Us all the information
We request, at Your expense, in order that Your claim may be
evaluated and that We may make a determination as to
whether the claim may be paid. You must provide Us with
satisfactory Proof of Loss within ninety (90) days after We have
provided You with instructions and/or a claim form in
response to Your Notice of Claim or Your claim may be denied.
Your Proof of Loss documentation may be mailed to Us at the
same address provided above for mailing Your Notice of Claim.
We reserve the right to request all the information We deem
necessary to determine that Your claim is payable, and We will
not consider that We have received complete Proof of Loss
until the information We have requested is received.
Proof of Loss may require documentation consisting of, but
not necessarily limited to, the following: 1. Purchase
Protection Claim Form; 2. the original itemized store receipt
3. the insurance declaration forms for Your other sources of
insurance or indemnity (e.g., homeowners or renter's
insurance); 4. a photograph of and/or repair estimate for the
damaged property; and 5. or theft and vandalism claims, a
report regarding the stolen or vandalized property must he
filed with the appropriate authority before You call to file a
claim under Purchase Protection.
No payment will be made on claims not substantiated in
the manner required by Us.
If all required documentation is not received within ninety
(90) days of the date of the Covered Incident (except for
documentation which has not been furnished for reasons
beyond Your control), coverage may be denied. It is Your
responsibility to provide all required documentation Y1+e
request.
You may be required to send in the damaged property at
Your expense for further evaluation of Your claim. If
requested, You must send in the damaged property within
ninety (90) days from the date of Our request to remain eligible
for coverage.
PP-RDRI-OR 05/07
Applicable for Residents of the State of South Dakota
The Legal Actions section is hereby removed in its entirety
and replaced with the following:
Legal Actions
No legal action may be brought to recover against this Plan
until sixty (60) days after Proof of Loss has been received by
Us. No such action may be brought after six (6) years from the
time Proof of Loss is required to be given.
PP/EW-RDRI-SD 05/07
Applicable for Residents of the State of Vermont
In the Termination or Cancellation section the following
is removed:
The Company has the right to cancel the Policy at any time
by sending a written notice at least forty five (45) days in
advance to You at Your last known address. The notice will
include the reason for cancellation.
And replaced with the following:
The Company has the right to cancel the Policy by sending
a written notice at least forty five (45) days in advance to You at
Your last known address. The notice will include the reason
for cancellation.
PP/EW-RDRI -VT 05/07
Applicable for Residents of the State of Alaska
The opening paragraph in the Exclusion section is
removed in its entirety and replaced with the following which
is added and made part of the Description of Coverage:
These exclusions do not apply if the dominate cause of a
loss is a risk or peril that is not otherwise excluded Benefits
are not payable if the loss for which coverage is sought v+as
directly or indirectly, wholly or partially, contributed to or
caused by:
The Legal Actions section is hereby removed in its entirety
and replaced with the following which is added and made part
of the Description of Coverage:
Legal Actions
No legal action may be brought to recover against this Plan
until sixty (60) days after Proof of Loss has been received by
Us. No such action may be brought after three (3) years from
the time Proof of Loss is required to be given. If there are any
claims the three year timeframe does not begin to run until
after the claim has been denied.
PPIEW-RDRI-AK 06/07
Applicable for Residents of the State of Oklahoma
The following is added to your Description of Coverage:
WARNING: Any person who knowingly, and with intent to
injure. defraud or deceive any insurer, makes any claim for the
proceeds of an insurance policy containing any false,
incomplete or misleading information is guilty of a felony.
PPIEW-RDRI-OK 07/07
Underwritten by AMEX Assurance Company,
Administrative Office, 480 Pilgrim Way, Suite 1400, Green Bay,
WI 54304 (Herein called the Company)
Description of Coverage
Covered Persons: A person shall be a Covered Person
under die BlankeL Master Group Policy AX0948 (the "Policy")
only if:
1. he or she is:
a, For $100,000 coverage, a Basic or Additional
Cardmember who has any of the following Cards, or the
extended payment account offered in conjunction with any of
the following, issued by American Express Travel Related
Services Company, Inc. or its participating subsidiaries
(Express") in his or her name: American Express' Rewards
Green Card, American Express" Preferred Rewards Green
Card, American Express' Rewards Gold Card, American
Express' Preferred Rewards Gold Card, American Express'
Business Card, American Express' Cash Rebate Card,
American Express' Community Business. American Express'
Credit Card, American Express' Investment Management
Account Gold Card, American Express' Costco Cash Rebate
Credit Card, The American Express' Costco Card (IDC);
American Express' Costco Business Card, Bank of Hawaii
Credit Card from American Express, Bank of Hawaii Gold
Credit Card from American Express, Best Rate Card, Blue for
Business from American Express, Blue for Students', Blue
from American Express, Business Capital Line from OPEN
from American Express'. Business Gold Card from OPEN
from American Express-, American Express' Business
Management Account from OPEN from American Express'",
Business Membership Rewards' Card, American Express"
Business Purchase Account from OPEN from American
Express', Buyer's Bonus Card, Continental OnePass Credit
Card from American Express, Corporate Card from OPEN
from American Express' including beginning with Account
number 37134, American Express' Business Cash Rebate Card
train OPEN from American Express", Corporate Costco Gard
FDR 920679
from OPEN from American Express', Delta SkyMiles'
Business Credit Card from OPEN from American Express',
Gold Delta SkyMiles' Business Credit Card from OPEN from
American Express'', Delta SkyMiles' Credit Card, Delta
SkyMiles' Options Card, American Express Executive Business
Card from OPEN from American Expres', Gold American
Express Portfolio Credit Card, Gold Card, Gold Delta SkyMiles'
Credit Card, Gold Senior Card, Gold Student Card,
Membership Rewards' Credit Card from American Express,
Membership Rewards Optionsa' Credit Card from American
Express, National Multiple Sclerosis Credit Card, Optima' Card
Accounts, Optima' Cash Rewards Card, Optima' Gold Card,
Optima' Platinum Card, Optima` Platinum Cash Rebate Card,
Optima' Platinum Preferred Card, Personal Card, Personal
Choice Card, Personal Senior Card, Personal Student Card,
Platinum Cash Rebate Card, Platinum Delta SkyMiles' Credit
Card, Platinum ShopRite Credit Card from American Express,
Starwood Preferred Guest Credit Card from American Express,
The American Express' Golf Card, The Fidelity American
Express' Card, The Fidelity American Express Gold Card, The
Hilton HHonors' Platinum Credit Card from American
Express, Binghamton Savings Bank Gold Credit Card from
American Express, Binghamton Savings Bank Business Credit
Card from American Express, The New York Knicks Card from
American Express, The New York Rangers Card from
American Express, The Small Business Card from American
Express; or
b. For $250,000 coverage, a Basic or Additional
Cardmember who has a Rewards Plus Gold Card, Corporate
Rewards Plus Gold Card or the extended payment account
offered in conjunction issued by American Express Travel
Related Services Company, Inc. or its participating subsidiaries
('American Express') in his or her name; or
c. For S500,000 coverage, a Basic or Additional
Cardmember who has a Platinum Card', Fidelity American
Express Platinum Card', American Express' Investment
Management Account Platinum Card, American Express
Business Platinum Card' from OPEN from American
Express'", Lexus Platinum Card%American Express Platinum
Financial Services Card, LAC/IDC Platinum Card or the
extended payment account offered in conjunction issued by
American Express Travel Related Services Company, Inc. or its
participating subsidiaries ("American Express") in his or her
name on a Platinum Card Account; or
d. For $1,500,000 coverage, a Basic or Additional
Cardmember who has a Centurion Card, American Express`
Business Centurion Card' from OPEN from American
Express' or the extended payment account offered in
conjunction issued by American Express Travel Related
Services Company, Inc. or its participating subsidiaries
("American Express') in his or her name on a Centurion Card
Account; or
e. the spouse, Domestic Partner or dependent child under
age 23 of any eligible person described in (a), (b), (c), (d)
above; and
2. his or her Permanent Residence is in the 50 United
States, District of Columbia, Puerto Rico, or U.S. Virgin Islands.
Definitions
Accident whenever used in this Policy means an
unexpected event which causes Injury and shall also include
exposure resulting from a mishap on a Common Carrier
Conveyance in which the Covered Person is traveling.
Additional Cardmember means any individual who has
received an American Express Card at the request of a Basic
Cardmember for use in connection with the Basic
Cardmember's American Express Card account.
American Express Card shall mean, unless otherwise
specified, any of the Cards or Accounts listed above under
Covered Persons.
Basic Cardmember means any individual who has asked
American Express to issue one or more American Express
Cards and who has an American Express Card account.
Common Carrier Conveyance means an air, land or water
vehicle (other than a rental) licensed to carry passengers for
hire and available to the public.
A trip is a Covered Trip if
1. it is a trip taken by the Covered Person between the
point of departure and the final destination as shown on the
Covered Person's ticket or verification issued by the Common
Carrier Conveyance; and
I'CD25454_FDR920679_p12:FDR815199 3/6/2008 5:04 PM Page 9
2. the Covered Persons entire tare for such trip on that
Common Carrier Conveyance has been actually charged to a
specific American Express Card account prior to any Injury.
Domestic Partner means a person of the same or opposite
gender who meets the following requirements:
1. has shared a residence with the Basic or Additional
Cardmember for the last 12 months and plans to continue
doing so;
2. is not married to any other person and is not
committed to another Domestic Partner;
3. is at least 18 years old;
4. is not related to the Basic or Additional Cardmember by
blood closer than would bar marriage per state law; and
5. is financially interdependent with the Basic or
Additional Cardmember and documentation of mutual
financial support such as copies of joint home ownership or
lease, common bank accounts, credit cards or investments can
be supplied.
Injury means bodily injury which:
1. is caused by an Accident which occurs while the
Covered Person's insurance is in force under the Policy; and
2. results in Loss insured by the Policy; and
3. creates a Loss due, directly and independently of all
other causes, to such accidental bodily injury.
Permanent Residence means the Covered Person's one
primary dwelling place, where the Covered Person
permanently resides.
Benefit Amounts
As a benefit of Cardmembership, the Covered Person will
receive a benefit level of 5100,000 - $250,000 - $500,000 -
$1,500,000 depending on the type ofAmerican Express Card
account used to charge the Common Carrier Conveyance fare for
the Covered Rip. Please refer to the Covered Persons section of
this Description of Coverage. If you are still unsure what benefit
level of coverage applies to your American Express Card, please
contact the Customer Service Center toll free number listed on
the back of yourCard, also shown on ),our Card statement.
Table of Losses
Loss of Life s 100,000 $250,000
Dismemberment
Loss ofboth hands or both feet $100,000 $250,000
Loss of one hand and one foot $100,000 $250,000
Loss of entire sight of both eyes $100,000 $250,000
Loss of entire sight of one eye
and one hand or one foot $100,000 $250,000
Loss of one hand or one foot $50,000 $125,000
Loss of entire sight of one eye $50,000 $125,000
Table of Losses
Loss of Life $500,000 $1,500,000
Dismemberment
Loss of both hands or both feet 55001000 $ I ,500,000
Loss of one hand and one foot $500,000 $1,500,000
Loss of entire sight of both eyes $500,000 $1,500,000
Loss of entire sight of one eye
and one hand or one foot $500,000 $1,500,000
Loss of one hand or one foot $250,1100 $750,000
Loss of entire sight of one eye $250,000 $750,000
Loss as used above with reference to hand or foot means
complete and permanent severance through or above the wrist
or ankle joint, and as used with reference to eye means the
irrecoverable loss of the entire sight of such eye.
$100,000 - $250,000 - $500,000 - $1,500,000
Maximum Indemnity per Covered Person
In no event will multiple American Express Cards obligate
the Company to pay for more than one loss sustained by any
one individual Covered Person as a result of any one Accident.
The Company's obligation under the Polity will be determined
according to the highest amount payable under the specific
American Express Card actually used to charge the Common
Carrier Conveyance fare for the Covered Trip as stated in the
Benefit Amounts.
In no event will a Loss from an Injury while coverage is in
force under the Policy AX0948 obligate the Company to pay
benefit- under Policy AX0949, the Company's Business Travel
Accident Insurance policy, in addition to any benefits payable
by the Company under the Policy AX0948. The American
Express Cards listed under this Policy do not receive coverage
under Policy AX0949.
Accidental Death and Dismemberment Benefit
The Company will pay the applicable benefit amount as
determined from the Table of Losses if a Covered Person
suffers a Loss from an Injury while coverage is in force under
the Policy; but only if such Loss occurs within 100 days after
the date of the Accident which caused the Injury. Benefits will
be paid for the greatest Loss. In no event will the Company pay
for more than one Loss sustained by the Covered Person as the
result of any one Accident.
Description cif Benefits
Common Carrier Benefit: This Benefit is payable if the
Covered Person sustains Injury as a result of an Accident which
occurs while riding solely as a passenger in, or boarding, or
alighting from or being struck by a Common Carrier
Conveyance used on a Covered Trip.
Exposure and Disappearance
If the Covered Person is unavoidably exposed to the
elements because of an Accident on a Covered Trip which
results in the disappearance, sinking or wrecking of the
Common Carrier Conveyance, and if as a result of such
exposure, the Covered Person suffers a Loss for which benefits
are otherwise payable under the Policy, such Loss will be
covered under the Policy.
If the Covered Person disappears because of an Accident on
a Covered Trip which results in the disappearance, sinking or
wrecking of the Common Carrier Conveyance, and if the Cov-
ered Persons body has not been found within 52 weeks after
the date of such Accident, it will he presumed, subject to there
being no evidence to the contrary, that the Covered Person
suffered Loss of life as a result of Injury covered by the Policy.
Coverage Requirements
A Covered Person will be fully insured for benefits under
the Polity while taking a trip on a Common Carrier Convey-
ance only when the fare has been charged to the specific
American Express Card. Eligibility for coverage will remain in
effect as long as the definition of a Covered Person is met.
Premiums
The premium for this coverage is payable by American Express.
Exclusions
This Policy does not cover any Loss caused or contributed
to by (1) intentionally self-inflicted Injury, suicide or any
attempt thereat, while sane; (2) war or any act of war whether
declared or undeclared; however, any act committed by an
agent of any government, party, or faction engaged in war,
hostilities, or other warlike operations provided such agent is
acting secretly and not in connection with any operation of
armed forces (whether military, naval or air forces) in the
country where the Injury occurs shall not be deemed an act of
war; (3) Injury to which a contributory cause was the
commission of or attempt to commit an illegal act by or on
behalf of the Covered Person or his/her beneficiaries; (4)
Injury received while serving as an operator or crew member
of any conveyance; (5) Injury received while driving, riding as
a passenger in, boarding or alighting from a rental vehicle; or
(6) sickness, physical or mental infirmity, pregnancy, or any
medical or surgical treatment for such conditions, unless
treatment of the condition is required as the direct result of a
covered Injury.
Beneficiary
A Basic Cardmember may designate a beneficiary or
change a previously designated beneficiary for himself/herself
and his/her spouse/Domestic Partner and dependent children
who are not also Basic or Additional Cardmembers. An
Additional Cardmember may designate a beneficiary
for himself/herself and his/her spouse/Domestic Partner and
dependent children who are not also Basic or Additional
Cardmembers or spouses/Domestic Partners or dependent
children of Basic Cardmembers. No persons other than those
stated above may designate or change a previously designated
beneficiary. For such designation or change to become
effective, a written request, on a form satisfactory to the
Company, must be filed with American Express. Such
designation or change shall take effect as of the date it was
signed by the designator provided that it has been received by
American Express, but any payment of proceeds made by the
Company prior to receipt of such designation of change shall
fully discharge the Company to the extent of such payment.
Claims
Notice of claim must be given to AMEX Assurance
Company, Claims Administrative Office, PO Box 19020, Green
FDR 920679
Bay, W154307-9020 within 20 days after the occurrence or
commencement of any Loss covered by the Policy, or as soon
thereafter as is reasonably possible. Notice given by or on
behalf of the claimant to the Company at its Administrative
Office, or to any authorized agent of the Company, with
information sufficient to identify the Covered Person shall be
deemed notice to the Company.
Payment of Plaints
Benefits for Loss of Life of a Covered Person will be paid to
the designated beneficiary. Benefits for all other Losses
sustained by a Covered Person will be paid to the Covered
Person, if living, otherwise to the designated beneficiary. If
more than one beneficiary is designated and the beneficiaries
respective interests are not specified, the designated
beneficiaries shall share equally. if no beneficiary has been
designated, or if the designated beneficiary does not survive
the Covered Person, the benefits will be paid to the first
surviving class of the following: 1) spouse or Domestic Partner;
2) children, equally per stirpes; and 3) the estate.
In determining such person or persons, the Company may
rely upon an affidavit by a member of any of the classes of
preference beneficiaries described above. Payment based upon
any such affidavit shall fully discharge the Company from all
obligations under the Policy unless, before such payment is
made, the Company has received at its Administrative Office
written notice of a valid claim by some other person(s). Any
amount payable to a minor may be paid to the minor's legal
guardian.
'lime Limit on Actions
No action at law or in equity shall be brought to recover
under the Policy after the expirations of three years, five rears
for Centurion Card, Corporate Centurion Card' from OPEN
from American Express", after the time written proof of loss is
required to be furnished.
The benefits described herein are subject to all of the terms
and conditions of the Policy. This Description of Coverage
replaces any prior Description of Coverage which may have
been furnished in connection with the Policy.
(?.
Joy A. Hanson, President John M. Collins, Secretary
AMEX Assurance Company AMEX Assurance Company
6713-11-01-COM
Notice to Florida Residents Only: The benefits of the
Policy providing your coverage are governed primarily by the
laws of a state other than Florida.
1. If, after reading this Description of Coverage, you are still
unsure what benefit level of coverage applies to your American
Express Card, please contact the Customer Service Center toll-
free number listed on the back of your Card, also shown on your
Card statement.
Description of Coverage
Car Rental Loss and Damage Insurance provides the
Cardmember, if the Cardmember is the primary renter, (as
defined below) with insurance coverage for damage to or theft
of most Rental Autos when the Cardmember uses the Card (as
described below) to reserve and pay for an auto rental from
any Commercial Car Rental Company ("Rental Company")
other than those located in Australia, Ireland, Israel, Italy,
Jamaica, and New Zealand.' This coverage is always excess
insurance.
Rental Auto means a four-wheeled, two-axle passenger-
type motor vehicle, designed for and sold to accommodate
private passenger transport on public roads.
Who is Eligible for Coverage
You are eligible for coverage if:
1. You area Basic or Additional Cardmember and an
American Express' Card or Optima' Card in association with
that Card (the 'Card") has been issued to you in your name;
2. You are of an account status and class that is provided
Car Rental Loss and Damage Insurance as a benefit of
Cardmembership ('Cardmember");
3. Your Card account is billed from a U.S. operating center
in U.S. dollars; and
tD25959_FDR920679p12:FDR815199 3/6/2008 5:09 PM Page 1
4. You maintain your Permanent Residence within the 50
United States of America, the District of Columbia, Puerto Rico
or the U.S. Virgin Islands.
Permanent Residence means the Covered Person's one
primary dwelling place where the Covered Person permanently
resides and intends to return.
A Personal, Gold, or Rewards Plus Gold Cardmember who
is enrolled at an accredited four-year college, university or
graduate school in the United States and is receiving student
benefits provided as a benefit of Cardmembership is not
eligible for benefits under this Policy.
Commercial Car Rental Company or Car Rental
Company means any commercial car rental agency which
rents Rental Autos.' For the purposes of this Description of
Coverage, Commercial Car Rental company means "Rental
Company"
How to Activate Coverage
Coverage for theft of or damage to a Rental Auto is
activated when the Cardmember:'
1. presents his or her eligible Card to the Rental Company
to reserve the Rental Auto by making a reservation; or by
placing a hold or deposit at the time the Rental Auto is checked
out;
2. declines the full Collision Damage Waiver or similar
option (COW), or pays for a partial collision damage waiver,
offered by the Rental Company;
3. is the primary renter, which is defined as the
Cardmember, who is named on the written agreement with the
Rental Company as the person renting and taking control and
possession of the Rental Auto ("Primary Renter"); and
4. uses the Card to pay for the enure auto rental from the
Rental Company at the time of vehicle return.
Coverage continues in effect while the. Cardmember
remains in control and possession of the Rental Auto. A
Cardmember, who is physically challenged and unable to
operate the Rental Auto, may be the Primary Renter if helshe is
the Cardmember entering into the rental transaction.
When Coverage'1'erminaws
Coverage for theft of or damage to the Rental Auto
terminates whem
1. the Rental Company resumes control of the Rental
Auto, or 30 consecutive days after the Rental Auto was checked
out, whichever is earlier; or
2. the Policy is cancelled.
Length of Coverage
Car Rental Loss and Damage Insurance covers eligible
Rental Autos when rented under a written rental agreement
from a Rental Company for no more than 30 consecutive days.
Note: In no event shall coverage be provided when the
Cardinernber rents a Rental Auto beyond 30 consecutive days
from the sane Rental Company, regardless of whether the
original agreement is extended or a new written agreement is
entered into, or a new vehicle is rented.
Additionally, no coverage will be provided when the
Primary Renter rents a Rental Auto for more than 30
consecutive days out of a 45-day period within the saute
geographic market/location (75 mile radius).
'What is Covered
Car Rental Loss and Damage Insurance reimburses a
Cardmember for payments for damage to or theft of a Rental
Auto that the Cardmember is required to make, up to the lesser
of. l) the actual cost to repair the Rental Auto, 2) the wholesale
Book value minus salvage and depreciation costs, or 3) the
purchase invoice price of the Rental Auto minus salvage and
depreciation costs. The coverage also reimburses the
Cardmember for reasonable charges (those charges incurred at
the closest facility that are usual and customary in the vicinity
in which the loss or disablement took place) imposed by the
Rental Company, such as towing or storage and Loss of Use.
Loss of Use means the unavailability of a Rental Auto and
consequent loss of revenue by the Rental Company due to
damage or theft. Unless otherwise required by law, the Rental
Company must submit a fleet utilization log indicating that
during such time:
1. no other Rental Auto was available; and
2. there was a demand for a Rental Auto.
Car Rental Loss and Damage Insurance covers no other
type of loss. For example, in the event of a collision involving
the Cardmembees Rental Auto, damage to any other driver's
car or the injury of anyone or anything is not covered.
Note: This policy does not provide liability or any other
coverage such as Uninsured Motorists, benefits under any
Worker's Compensation Law, Disability benefits law or other
mandated Government Plans.
What Excess Coverage Means
Car Rental Loss and Damage Insurance is an excess
insurance plan. This means that this excess coverage will
reimburse the Cardmember only for losses/expenses not
covered by plans, such as a partial collision damage waiver, any
personal auto insurance, employer's auto insurance or
reimbursement plan or other sources of insurance. When these
other plans apply, a Cardmemher must first seek payment or
reimbursement and receive a determination based on the
stated terms of such other Plans, that any such Plans do not
provide coverage before this excess coverage will reimburse the
Cardmember.
Vehicles Not Covered
Car Rental Loss and Damage Insurance does not cover
rentals of-
1. expensive cars, which means cars with an original
manufacturer's suggested retail price of $50,000 or more when
new;
2. exotic cars regardless of year or value, including but not
limited to Chevrolet Corvette, Toyota Supra, Mazda RX-7,
Dodge Viper and Stealth, Plymouth Prowler, Mitsubishi 3000
GT, Nissan 300 ZX, Jaguar XJS, Acura NSX, Mercedes SL, SLK,
S Coupe and E320 Coupe and Convertible, BMW M3, Z3 and 8
Series, Cadillac Allante and all Porsche, Ferrari, Lamborghini,
Maserati, Aston Martin, Lotus, Bugatti, Vector, Shelby Cobra,
Bentley, Rolls Royce;
3. trucks, pick-ups, cargo vans, custom vans;
4. full-sized vans, including but not limited to, Ford
Econoline or Club Wagon, Chevy Van or Sportvan, GMC
Vandura and Rally, Dodge Ram Vans and Ram Wagon;
5. vehicles which have been customized or modified from
the manufacturer's factory specifications except for driver's
assistance equipment for the physically challenged;
6. vehicles used for hire or commercial purposes,
7. mini-vans used for commercial hire;
Note: Passenger Mini-Vans (not Cargo Mini-Vans) with
factory specified seating capacity of 8 passengers or less,
including but not limited to, Dodge Caravan, Plymouth Voyager,
Ford W indslar and Nissan Quest, are covered when rented for
personal or business use only.
8. antique cars, which means cars that are 20 years old or
have not been manufactured for 10 or more years;
9. limousines;
10. full-sized sport utility vehicles, including but not
limited to, Chevrolet/GMC Suburban, Tahoe and Yukon. Ford
Expedition, Lincoln Navigator, Toyota Land Cruiser, Lexus
LX450, Range Rover or full-sized Ford Bronco;
11. sportiutifity vehicles when driven "off-road'; and
Note: Compact sport/utility vehicles, including but not
limited to Ford Explorer, Jeep Grand Cherokee, Nissan
Pathfinder, 'foyota Four Runner, Chevrolet Blazer and Isuzu
Trooper and Rodeo are covered when driven on paved roads.
12, off-road vehicles, motorcycles, mopeds, recreational
vehicles, golf or motorized carts, campers, trailers and any
other vehicle which is not a Rental Auto.
Losses Not Covered
Car Rental Loss and Damage Insurance does not cover
losses caused by or contributed to by:
1, operation of the Rental Auto in violation of the terms
and conditions of the Rental Company agreement (including
but not limited to losses occurring when: a person not
permitted to operate the vehicle pursuant to terms of the rental
agreement was in possession or control of the vehicle;, or,
driving the vehicle outside of the authorized rental territory);
2. leased or mini-leased vehicles;
3. costs attributed to the Commercial Car Rental
Company's normal course of doing business;
4. intentional damage;
5. illegal activity, such as losses where the Rental Auto was
used for, or involved in illegal activity or felony;
6. pre-existing conditions, damage or defect;
7. alcohol intoxication on the part of the driver, as defined
in the state where the Accident occurred:
8. voluntarily taking any drug or acting under the
influence or effect of that drug (unless taken as prescribed or
administered by a Doctor);
9. war or military activity;
FDR 920679
10. radioactivity;
I 1. confiscation by authority;
13. wear and tear, including gradual deterioration;
13. damage which is due and confined to freezing,
mechanical or electrical breakdown or failure unless such
damage results from a theft covered by the Policy;
14. failure to return keys to the Rental Company when the
vehicle is stolen;
15. theft or damage to unsecured vehicles;
16. theft of or damage to tires (flats or blowouts), unless
damaged by fire, malicious mischief, vandalism, or stolen,
unless the loss is coincident with and from the same cause as
other loss covered by the Policy; and
1.7, off-road operation of the vehicle.
Car Rental Loss and Damage Insurance does not cover, and
benefits will not be paid for:
1. sales tax related to repair of damages, unless
reimbursement of such sales tax is required by law;
2. damage to any vehicle other than the Rental Auto;
3. damage to any property other than the Rental Auto,
owner's property, or items not permanently attached to the
Rental Auto;
4. the injury of anyone or anything;
5. expenses assumed, waived or paid for by the Rental
Company or its insurer;
6. expenses covered by the Cardmember's personal auto
insurer, employer or employer's insurer, or authorized driver's
insurer;
7. value added tax or similar tax, unless reimbursement of
such tax is required by law;
8. diminishment of value;
9. any Rental Auto used for hire or commercial purposes;
and
10. depreciation, unless reimbursement for depredation is
required by law
flow to File a Claim
Notification of damage, including vandalism, theft, or an
accident must he reported to the appropriate law enforcement
agency as soon as reasonably possible. This requirement
applies regardless of whether the Rental Auto is involved with
other vehicles. Failure to notify may result in denial of benefits.
If a loss occurs, a Cardmember should promptly notify the
Car Rental Loss and Damage Claims Unit toll free at
(800) 338.1670 in the U.S. only or call (440) 914-?950 from
other locations worldwide. If the failure of a Cardmember to
promptly report a loss prejudices the rights of the Insurer, the
claim may he denied.
A representative will answer any questions a Cardmember
may have and will send the Cardmember a claim form with
instructions. Complete and sign the claim form. Written proof
of loss, which includes the claim form and all other requested
documentation (listed below), must be received within 60 days
following die date of the damage or theft by: American Express
Car Rental Loss and Damage Claims Unit, PO Box, 94729,
Cleveland, Ohio 44101-4729. If the proof of loss and other
documentation is not received within 60 days of the date of
loss, coverage may be denied.
Required documentation may consist of, but is not limited
to:
L our signed and completed claim form;
2, an itemized repair bill;
3. a copy of charge slip for the rental of the Rental Auto,
Rental Auto contract or machine generated receipt to show
rental was charged and paid for with an American Express
Card;
4. a police report (if applicable);
5. photos of the damaged vehicle, if available;
6. a copy of the Cardmembers, authorized driver's; or
employer's auto insurance coverage, or a notarized letter
stating no insurance;
7. a copy of ail claim documents and correspondence,
provided by the Car Rental Company;
3. a copy of the Rental Company's utilization log;
9, a copy of the driver's license of the Cardmember and/or
authorized driver, unless the driver's license number shows on
the rental agreement;
10. a copy of the written rental agreement, front and back,
which documents when the Rental Auto was checked out and
checked in; and
11. information pertaining to other available insurance
coverage(s).
T
?t:D25454_FDR920679_p12:FDR815199 3/6/20013 5:04 PM Page 1
Cardmember cooperation with issues related to their
benefits is required. If all required documentation is not
received within 18o days of the date of loss (except for
documentation which has not been furnished for reasons
beyond the Cardmembers control), coverage may be denied.
How Benefits are Paid
All Car Rental Loss and Damage Insurance payments
reimbursable under the policy are payable to the Cardmember,
except that payment may be made, at the discretion of the
Insurer, jointly to the Cardmember and the Commercial Car
Rental Company when the Car Rental Company has not been
reimbursed for the covered loss or damage, or the
Cardmember has not validly assigned his/her payments to the
Rental Company or any other party.
Note: Benefits will not be paid if, on the date of loss, on the
date of claim ftlinR or on the date of potential claim payment,
any amount due on Your Card account is past due or Your Card
is cancelled.'
Rights of Recovery
in the event of a payment under this Policy, the Insurer is
entitled to all the rights of recovery that the Cardmember, to
whom payment was made, has against another. Thai
Cardmember must sign and deliver to the Insurer any legal
papers relating to that recovery, do whatever else is necessary
to help the Insurer exercise those rights and do nothing after
loss to harm the Insurer's rights.
When a Cardmember or Commercial Car Rental Company
has been paid damages under Policy No. AXT)25, and also
recovers from another, the amount recovered from the other
shall be held by that Cardmember or Commercial Car Rental
Company in trust for the Insurer and reimbursed to the extent
of the Insurer's payment.
As a condition precedent to coverage, the Cardmember is
required, and has a duty to fully cooperate with the Insurer in
any Investigations, subrogation matters or legal proceedings by
providing copies of any and all legal notices and any and all
statements, including sworn statements and contributing any
other papers and documents to reasonably assist in the
disposition of the legal matter.
Notification of Legal Action
When a Cardmember is served with suit and/or summons
papers relating to a Car Rental Loss and Damage claim, the
Cardmember must notify (see address and phone number
under Claims Notice section) and provide copies of the suit or
summons papers to the Car Rental Loss and Damage claims
unit within 15 days of when the Cardmember is served. Failure
to comply may result in denial of benefits.
Additional Information for You
This coverage is underwritten by AMEX Assurance
Company ("Insurer") through insurance Policy AX0925 (the
"Policy") issued to American Express Travel Related Services
Company, Inc. and its participating subsidiaries, affiliates and
licensees. The Policy may be changed or terminated.
This Description of Coverage is an important document.
Please keep it in a safe place. Although it describes the present
form of insurance as it exists at the time of printing, this
document is not the Policy or contract of insurance. The
benefits described in this document are subject to all of the
terms, conditions and exclusions of the Policy issued by the
underwriter. This document replaces any prior Description of
Coverage under the Policy which may have been furnished to
the Cardmember.
t - ?- . crux
Joy A. Hanson, President John M. Collins, Secretary
AMEX Assurance Company AMEX Assurance Company
CRLDI-DOC-CCSG 11105
1. For those eligible and enrolled in Membership Rewards, if a
Membership Rewards redemption certificate is used, coverage is
provided only to Rental Autos rolled in the United States.
2. I44nen used in conjunction with a Mem6ership Rewards
redemption certificate, the participating Car Rental Companies
are limited to Hertz, National raid Budget.
3. I f eligible and enrolled in Membership Rewards, coverage is
also activated when the Cardmember (1) presents a Membership
Rewards redemption certificate and (2) uses a Membership
Rewards redemption certificate at a participating Commercial
Car Rental Company. Important note for those enrolled in
Membership Rewards: A Membership Rewards redemption
certificate can only be redeemed by eligible Cardmernbers.
Benefits will not be paid when a Membership Rewards
redemption certificate has been transferred to non-eligible
Cardmembers and/or non-Cardmembers.
4. Does not apply to New York State residents.
Additional Information for Residents of Louisiana
The Rights of Recovery section is replaced with the
following:
if the Company makes any payment under this Polity and
the Cardmember has the right to recover damages from
another, the Company shall be subrogated to that right.
However, the Comparry's right to recover is subordinate to the
Cardmember right to be fully compensated.
CRLDf-RDR1-LA 11/05
Additional Information for Residents of South Dakota
Under Losses Not Covered, item number 5. is replaced
with the following:
Car Rental Loss and Damage Insurance does not cover
losses caused by or contributed to by:
5. violation of criminal law, or commission of a criminal
act, whether cited or charged;
Under Losses Not Covered, item number 7. is replaced
with the following:
Car Rental Loss and Damage Insurance does not cover
losses caused by or contributed to by:
7, consumption of alcohol at or in excess of the legal blood
alcohol level for a felony conviction in the state or locality in
which the Accident occurred;
CRLDI-RDRI-SD 11/05
Additional Information for Residents of Vermont
Under Losses Not Covered, the following item is hereby
removed:
7. alcohol intoxication on the part of the driver, as defined
In the state where the Accident occurred;
CRLDI-RDRl-VT 11/05
Additional Information for Residents of Wigonsin
Under Losses Not Covered, the following items are hereby
removed:
5. illegal activity, such as losses where the Rental Auto was
used for, or involved in illegal activity or felony;
7. alcohol intoxication on the part of the driver, as defined
in the state where the Accident occurred;
8. voluntarily taking any drug or acting under the
influence or effect of that drug (unless taken as prescribed or
administered by a Doctor);
Under Losses Not Covered, the following item is added:
18. The use of the Rental Auto for unlawful purposes, or for
transportation of liquor in violation of law, or while the driver
is under the influence of an intoxicant or a controlled
substance or controlled substance analog, or a combination
thereof, or tinder the influence of any other drug to a degree
which renders him or her incapable of safely driving, or under
the combined influence of an intoxicant and any other drug to
a degree which renders him or her incapable of safely driving,
or any use of the motor vehicle in a reckless manner.
CRLDI-RDRl-WI 11/05
Additional Information for Residents of l4est Mirginia
Under How Benefits are Paid, the Footnote., to the note
that reads:
Note: Benefits will not be paid if, on the date of loss, on the
date of claim filing, or on the date of potential claim payment,
any amount due on Your Card account is past dire or Your Card
is cancelled, is hereby revised to read as follows:
Does not apply to West Y irginia and New York State
residents.
CRLDI-RDRI-WV 11/05
Additional Information for Residents of North Carolina
A portion of the fees associated with this Card are applied
to the insurance benefit.
CRLDI-RDRI-NC 11105
FDR 920679
I CD25959_?DR920679_p12:FDR815199 3/6/2008 5:09 PM Page 12
FDR 920679
.0
O 2008 American Express
SHERIFF'S OFFICE OF CUMBERLAND COUNTY
Ronny R Anderson
Sheriff
Jody S Smith
Chief Deputy
Richard W Stewart
Solicitor
American Express FSB
vs.
Teka Le
Case Number
2010-5766
SHERIFF'S RETURN OF SERVICE
09/14/2010 02:43 PM - Michael Barrick, Deputy Sheriff, who being duly sworn according to law, states that on
September 14, 2010 at 1443 hours, he served a true copy of the within Complaint and Notice, upon the
within named defendant, to wit: Teka Le, by making known unto Anh Thanh Le, Father of defendant at
514 Meadow Croft Circle, Mechanicsburg, Cumberland County, Pennsylvania 17055 its contents and at
the same time handing to him personally the said true and correct copy of the sa
EL BARRIC'K, DEPUTY
SHERIFF COST: $37.00
September 15, 2010
SO ANSWERS,
2--
RONNN R ANDERSON, SHERIFF
M-
.
C
__
?
tLJ --
C
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
AMERICAN EXPRESS
CIVIL DIVISION
Plaintiff
VS.
TEKA LE
514 MEADOW CROFT CIR
MECHANICSBURG PA 17055
Defendant
NO: 10-5766
1 ?.?
r
2
-rS
Z
G
PRAECIPE FOR ENTRY OF DEFAULT JUDGMENT
TO THE CLERK OF JUDICIAL RECORDS:
Kindly enter judgment by default for failure to respond to Plaintiff's Complaint in the
amount of $12,788.23. Notice of the intent to file a default judgment was served upon the
Defendant on December 10, 2010. A copy of the Notice of Intent to Take Default Judgment is
attached hereto and marked Exhibit "A."
A. Abf hamsen & Associates-P C.
i
j Michael F),Ratchford/?Eq
Attorney I.D. No.: 86at"4 Y 1Y. Co f74 agcy
Attorney for Plaintiff C k k 1 get 3
JUDGMENT tiDfiCL rVlO?iled
AND NOW, this day of ? , 20A, Judg ereby entered in f
avor
of the Plaintiff, AMERICAN EXPRESS and agains the DefendanLE in the amount of
$12,788.23 for failure to respond to Plaintiff's Complaint.
PROTHONOTARY
Y
J. ?rI')
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
AMERICAN EXPRESS
Plaintiff
VS.
TEKA LE ,
514 MEADOW CROFT CIR
MECHANICSBURG PA 17055
Defendant
CIVIL DIVISION
NO: 10-5766
CERTIFICATE OF SERVICE
I, Michael F. Ratchford, Esquire, hereby certify that on the date indicated below, I served
a copy of the Praecipe for Entry of Default Judgment in the above captioned matter by mailing
the same via First Class United States mail, postage prepaid addressed as follows:
TEKA LE
514 MEADOW CROFT CIR
MECHANICSBURG PA 17055
Date: February 11, 2011
Edwin A. Abrahamsen & Associates, P.C.
Mictfael F.atchford, Esquire
Attorney 1.1). No.: 86285
120 N. Keyser Avenue
Scranton, PA 18504
(570) 558-5510
AMERICAN EXPRESS
vs.
TEKA LE
514 MEADOW CROFT CIR
MECHANICSBURG PA 17055
Plaintiff
Defendant
in the Court of Common Pleas of
CUMBERLAND County, Pennsylvania
Civil Division
NO: 10-5766
NOTICE OF FILING JUDGMENT
Notice is hereby given that a money judgment in the above-captioned matter has been entered
against you in the amount of $ on a ao l 1
BY• ?
U16uS1> 1p. 1?>U J LL1 Tro`+Wia/l
If you have any questions regarding this notice, please contact the filing party:
Edwin A. Abrahamsen & Associates
120 N. Keyser Avenue
Scranton, PA 18504
Telephone: (570)-558-5510
(Notice is given in accordance with PA Supreme Court Rule of Civil Procedure No. 236)
AMERICAN EXPRESS
vs.
TEKA LE
514 MEADOW CROFT CIR
MECHANICSBURG PA 17055
State of Pennsylvania
County of CUMBERLAND SS:
In the Court of Common Pleas of
CUMBERLAND County, Pennsylvania
Plaintiff Civil Division
Defendant
NO: 10-5766
AFFIDAVIT UNDER SOLDIERS AND SAILORS
RELIEF CIVIL RELIEF ACT OF 1940 AS
AMENDED
Michael F. Ratchford, Esquire being duly sworn according to law deposes and says that the
above named defendant(s): TEKA LE is(are) not in the military service of the United States of
America as defined by the Soldiers' and Sailors' Civil Relief Act of 1940 as amended;
That the defendant(s): TEKA LE is(are) older than eighteen years of age;
That the employment status of the defendant(s): TEKA LE is(are) unknown.
Q/ h
Subscribed before me this Z day of
otary Public
-7 7-777 , ?!
?, 2014
ED-A-111 '-BRAH-11ZE11
1.1F:H-E1 f F-T:HF;"PD
HEs'THEP lc. }DRI IFF"
I.IEIaBER OF Fl f•-`f:
THE LAW OFFICE OF
ED!;.1Na.AEF.kfUhL'tiEN : :kcSO,"'UT E>-:, Pi ..
%W1W1AA•LAW.4_411v1
December 10, 2010
TEKA LE
514 MEADOW CROFT CIR
MECHANICSBURG PA 17055
Re: AMERICAN EXPRESS BANK, FSB v. TEKA LE
CUMBERLAND County Civil Action No.: 10-5766
Our file No.: N 1016939/MF
Dear TEKA LE:
Enclosed please find the Ten Day Notice of Intent to Take Default in regard to the above-
noted matter. Please act accordingly.
If you have any questions or wish to discuss your outstanding account, please contact me
at (570) 558-5510.
Edwin A. Abrahamsen & Associates.
Kevin J. Cummings, Esquire
Enclosure
This is a communication from a debt collector in an attempt to collect a debt. Any information
will be used for that purpose.
120 N KEYSER AVE SCRANTON, PA 18504 (P) 570.558.5510 (F) 570.558.5511
IN T1-IE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
AMERICAN EXPRESS .
BANK, FSB CIVIL ACTION
Plaintiff :
vs.
NO: 10-5766
TEKA LE
Defendant :
TEN DAY NOTICE OF INTENT TO TAKE DEFAULT JUDGMENT
To: TEKA LE
514 MEADOW CROFT CIR
MECHANICSBURG PA 17055
Date of Notice: December 10. 2010
IMPORTANT NOTICE PURSUANT TO PA.R.C.P. 237.1(a)(2)
YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER AN
APPEARANCE PERSONALLY OR BY AN ATTORNEY AND FILE IN WRITING WITH
THE COURT YOUR DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORTH
AGAINST YOU. UNLESS YOU ACT WITHIN TEN DAYS FROM THE DATE OF THIS
NOTICE A JUDGMENT MAY BE ENTERED AGAINST YOU WITHOUT A HEARING
AND YOU MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS.
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.
MIDPENN LEGAL SERVICES
401 EAST LOUTHER STREE-f
CARLISLE, PA 17013
717-243-9400
IN THE COUR'r OF COMMON PLEAS OF
CUMBERLAND COUNTV, PENNSVLVANIA
AMERICAN EXPRESS
BANK, FSB CIVIL ACTION
Plaintiff
vs.
NO: 10-5766
TEKA LE
Defendant
CERIFICA'I'E OF SERVICE
I, Michael F. Ratchford, Esquire, hereby certify that on December 10, 2010 1 served a
copy of the Ten Day Notice of Intent to Take Default in the above captioned matter by mailing
the same via First Class United States mail, postage prepaid addressed as follows:
TEKA LE
514 MEADOW CROFT CIR
MECHANICSBURG PA 17055
Edwin A. Abrahamsen & Associates, P.C.
BY:
Michael F. Ratchford, Esquire
Attorney I.D. No.: 86285
Kevin J. Cummings, Esquire
Attorney I.D. No.: 209660
120 N Keyser Avenue
Scranton, PA 18504
(570) 558-5510
Request for Military Status
Department of Defense Manpower Data Center
10 Military Status Report
Pursuant to the Service Members Civil Relief Act
Page I of 2
Apr-27-2011 11:21:33
< Last First/Middle Begin Date Active Duty Status Active Duty End Date Service
Agency
Name
Based on the information you have furnished, the DMDC does not possess
LE TEKA any information indicating the individual status.
Upon searching the information data banks of the Department of Defense Manpower Data Center, based
on the information that you provided, the above is the current status of the individual as to all branches
of the Uniformed Services (Army, Navy, Marine Corps, Air Force, NOAA, Public Health, and Coast
Guard).
Mary M. Snavely-Dixon, Director
Department of Defense - Manpower Data Center
1600 Wilson Blvd., Suite 400
Arlington, VA 22209-2593
The Defense Manpower Data Center (DMDC) is an organization of the Department of Defense that
maintains the Defense Enrollment and Eligibility Reporting System (DEERS) database which is the
official source of data on eligibility for military medical care and other eligibility systems.
The DoD strongly supports the enforcement of the Service Members Civil Relief Act (50 USC App. §§
501 et seq, as amended) (SCRA) (formerly known as the Soldiers' and Sailors' Civil Relief Act of 1940).
DMDC has issued hundreds of thousands of "does not possess any information indicating that the
individual is currently on active duty" responses, and has experienced a small error rate. In the event the
individual referenced above, or any family member, friend, or representative asserts in any manner that
the individual is on active duty, or is otherwise entitled to the protections of the SCRA, you are strongly
encouraged to obtain further verification of the person's status by contacting that person's Service via the
"defenselink.mil" URL http://www.defenselink.mil/fag/pis/PC09SLDR.html. If you have evidence the
person is on active duty and you fail to obtain this additional Service verification, punitive provisions of
the SCRA may be invoked against you. See 50 USC App. §521(c).
If you obtain additional information about the person (e.g., an SSN, improved accuracy of DOB, a
middle name), you can submit your request again at this Web site and we will provide a new certificate
for that query.
This response reflects active duty status including date the individual was last on active duty, if it was
within the preceding 367 days. For historical information, please contact the Service SCRA points-of-
contact.
https://www.dmdc.osd.mil/appj/scra/popreport.do 4/27/2011
Request for Military Status Page 2 of 2
More information on "Active Duty Status"
Active duty status as reported in this certificate is defined in accordance with 10 USC § 101(d)(1) for a
period of more than 30 consecutive days. In the case of a member of the National Guard, includes
service under a call to active service authorized by the President or the Secretary of Defense for a period
of more than 30 consecutive days under 32 USC § 502(f) for purposes of responding to a national
emergency declared by the President and supported by Federal funds. All Active Guard Reserve (AGR)
members must be assigned against an authorized mobilization position in the unit they support. This
includes Navy TARs, Marine Corps ARs and Coast Guard RPAs. Active Duty status also applies to a
Uniformed Service member who is an active duty commissioned officer of the U.S. Public Health
Service or the National Oceanic and Atmospheric Administration (NOAA Commissioned Corps) for a
period of more than 30 consecutive days.
Coverage Under the SCR.4 is Broader in Some Cases
Coverage under the SCRA is broader in some cases and includes some categories of persons on active
duty for purposes of the SCRA who would not be reported as on Active Duty under this certificate.
Many times orders are amended to extend the period of active duty, which would extend SCRA
protections. Persons seeking to rely on this website certification should check to make sure the orders on
which SCRA protections are based have not been amended to extend the inclusive dates of service.
Furthermore, some protections of the SCRA may extend to persons who have received orders to report
for active duty or to be inducted, but who have not actually begun active duty or actually reported for
induction. The Last Date on Active Duty entry is important because a number of protections of SCRA
extend beyond the last dates of active duty.
Those who would rely on this certificate are urged to seek qualified legal counsel to ensure that all rights
guaranteed to Service members under the SCRA are protected.
WARNING: This certificate was provided based on a name and SSN provided by the requester.
Providing an erroneous name or SSN will cause an erroneous certificate to be provided.
Report ID:CT9ICLKJN3
https://www.dmdc.osd.mil/appj/scra/popreport.do 4/27/2011