HomeMy WebLinkAbout10-6941J
LAW OFFICES OF OFFIT KURMAN
BY: GARY B. CUTLER, ESQUIRE
ATTORNEY I.D. #30924
1801 Market Street, 23rd Floor
Ten Penn Center
Philadelphia, PA 19103
(267) 338-1300
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SAFE AUTO INSURANCE COMPANY
4 Easton Oval
Columbus, Ohio 43219
vs.
LORI SISCO
4207B King George Dr.
Harrisburg, PA 17109
and
RICKY SISCO
4207B King George Dr.
Harrisburg, PA 17109
and
CRAIG HARDCASTLE
309 Hummel Ave., Apt. 2
Lemoyne, PA 17043
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
and
LEO PISCIONERI
1807 Willow Rd.
Camp Hill, PA 17011
and
MARIA PISCIONERI
1807 Willow Rd.
Camp Hill, PA 17011
and
ERIE INSURANCE EXCHANGE
4901 Louise Dr.
Rossmoyne Business Center
P.O. Box 2013
Mechanicsburg, PA 17055-0710
CIVIL ACTION COMPLAINT
1D - DECLARATORY JUDGMENT
NOTICE
You have been sued in court. If you wish to defend against the claims at forth in the following pages, you must take action within twenty (20) days after the
complaint and notice are served, by entering a written appearance personally or by 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.
Cumberland County BAR ASSOCIATION
LAWYER REFERRAL AND INFORMATION SERVICE
32 South Bedford Street
Carlisle, PA 17013
Telephone: 717-249-3166
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Le Han demandado a usted on Is corte. Si usted quiere defenderse de estas demandas expuestas an las paginas siguientes, usted tiene veinte (20) dies de
plazo al partir de las comparesencia escrita o an persona o con un abogado y entregar a Is corte an forma escrita sus defenses o sus objectiones a las demandas an contra de
su persona. Sea avisado qua si usted no se defiende, Is corte tomara medidas y puede continuer Is demands an contra suya sin previo aviso o notificacion. Ademas, Is corte
puede decidir a favor del demandante y requiere qua usted cumpla con todas las provisions de esta demands. Listed puede perder dinero o sus propiedades u otros
derechos importantes pars usted.
LLEVE ESTA DEMANDA A UN ABOGADO INMEDIATAMENTE. SI NO TIENE ABOGADO O SI NO TIENE EL DINERO SUFICIENTE DE PAGAR TAL SERVICIO, VAYA EN
PERSONA 0 LLAME POR TELEFONO A LA OFICINA CUYA DIRECCION SE ENCUENTRA ESCRITA ABAJO PARA AVERIGUAR DONDE SE PUEDE CONSEGUIR
ASISTENCIA LEGAL.
ASOCIACION DE LICENCIADOS DE FILADELFIA
SERVICIO DE REFERENCIA E INFORMACION LEGAL
Pennsylvania 18360
Telefona: 717-249-3166
LAW OFFICES OF OFFIT KURMAN
BY: GARY B. CUTLER, ESQUIRE
ATTORNEY I.D. #30924
1801 Market Street, 23rd Floor
Ten Penn Center
Philadelphia, PA 19103
(267) 338-1300
(267) 338-1335
SAFE AUTO INSURANCE COMPANY
4 Easton Oval
Columbus, Ohio 43219
VS.
LORI SISCO
4207B King George Dr.
Harrisburg, PA 17109
and
RICKY SISCO
4207B King George Dr.
Harrisburg, PA 17109
and
CRAIG HARDCASTLE
309 Hummel Ave., Apt. 2
Lemoyne, PA 17043
and
LEO PISCIONERI
1807 Willow Rd.
Camp Hill, PA 17011
and
MARIA PISCIONERI
1807 Willow Rd.
Camp Hill, PA 17011
and
ERIE INSURANCE EXCHANGE
4901 Louise Dr.
Rossmoyne Business Center
P.O. Box 2013
Mechanicsburg, PA 17055-0710
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
NO.: /Q - q q I C ?-V. I
COMPLAINT IN DECLARATORY JUDGMENT
1. Plaintiff, Safe Auto Insurance Company (hereinafter referred to as "Safe Auto'), is an
insurance company authorized to do business within the Commonwealth of Pennsylvania and
with its principal place of business at the above captioned address.
2. Defendant, Lori Sisco (hereinafter referred to as "LSisco"), is an adult individual residing
at the above captioned address.
Defendant, Ricky Sisco (hereinafter referred to as "RSisco"), is an adult individual
residing at the above captioned address.
4. Defendant, Craig Hardcastle (hereinafter referred to as "Hardcastle"), is an adult
individual residing at the above captioned address.
5. Defendant, Leo Piscioneri (hereinafter referred to as "LPiscioneri"), is an adult individual
residing at the above captioned address.
6. Defendant, Maria Piscioneri (hereinafter referred to as "MPiscioneri"), is an adult
individual residing at the above captioned address.
7. Defendant, Erie Insurance Exchange (hereinafter referred to as "Erie"), is an insurance
company organized and/or operating under the laws of the Commonwealth of Pennsylvania, with
an office at the address listed above.
This action is brought for a declaratory judgment pursuant to 42 Pa. C.S.A. §7531 and Pa.
R.C.P. § 1601 to determine the rights and obligations of the parties pursuant to a specific
insurance contract.
9. The Declaratory Judgments Act, 41. Pa. C.S.A. §540 requires that all persons who have
or claim any interest which may be affected by the declaration sought in this Declaratory
Judgment action be joined as parties. Additionally, in disputes concerning the existence or the
extent of insurance coverage for a liability claim, the Pennsylvania Supreme Court has held that
the Plaintiff in the underlying claim is an indispensable party in the Declaratory Judgment action.
Accordingly, LSisco, RSisco, Hardcastle, LPiscioneri, MPiscioneri, and Erie and each of them,
have properly been joined and named herein as parties to this declaratory judgment action.
10. On or about September 29, 2007, Defendant, LSisco, renewed an existing policy of
automobile insurance with Plaintiff, Safe Auto Insurance Company, extending the policy term to
March 29, 2008.
11. As a result of an earlier request to initiate coverage, a policy of insurance was issued to
Defendant, LSisco, under policy number PA00187420A. See Safe Auto Pennsylvania Personal
Automobile Policy, attached hereto as Exhibit "A."
12. On February 23, 2008, Defendants, LSisco and/or RSisco, were owners of a 2006 Ford
Freestar and a 2007 Ford Taurus. See Safe Auto Insurance Policy Declarations attached hereto
as Exhibit "B".
13. On that date and at that time, Defendant, Hardcastle, was not listed as an additional driver
on the insurance policy covering the vehicles owned by Defendants, LSisco and RSisco.
14. For over two months prior to February 23, 2008, Defendant, Hardcastle was a resident at
the household at 1003 Walnut St., Lemoyne, PA 17043 along with Defendants, LSisco and
RSisco.
15. On February 23, 2008, the vehicle owned by Defendants, LSisco and RSisco, was being
operated by Defendant, Hardcastle.
16. On February 23, 2008, Defendant, Hardcastle, was operating the vehicle owned by
Defendants, Sisco, without the permission of Defendants, Sisco, and, in fact, in direct
contradiction to the directive of Defendant, LSisco, that he was not permitted to use the vehicle.
17. On that date, the vehicle operated by Defendant, Hardcastle, was involved in an
automobile accident with a vehicle owned by Defendant, LPiscioneri and/or MPiscioneri.
18. As a result of this automobile accident, the vehicle owned by Defendant, LPiscioneri
and/or Defendant, MPiscioneri, suffered damage.
19. Defendants, LPiscioneri and MPiscionery, at the time of this incident, were insured for
collision coverage through Defendant, Erie Insurance Company.
20. Defendants, LPiscioneri and MPiscioneri, submitted a claim under their policy of
insurance purchased from Defendant, Erie Insurance Company, and payment was made by Erie
to Defendants, LPiscioneri and MPiscioneri, for property damage to that vehicle suffered in the
above referenced accident, minus a $250.00 deductible.
21. In an attempt to recover the money paid by Erie and the deductible under the policy, a
lawsuit was started by Defendant, Erie Insurance Eschange, on its own behalf and on behalf of
subrogors, LPiscioneri and/or MPiscioneri, against Defendants herein, RSisco and Hardcastle in
the Cumberland County Court of Common Pleas.
22. Demand has been made or will be made by Defendants, LSisco, RSisco and Hardcastle,
upon plaintiff to provide coverage and/or a defense of claims brought by the various other
Defendants listed in this Complaint.
COUNTI
Declaratory Judgment Regarding Unlisted Resident Driver
23. Plaintiff, Safe Auto Insurance Company, herein incorporates by reference herein the
averments contained in paragraphs 1 through 22 above as though fully set forth herein at length.
24. At the time of the February 23, 2008, automobile accident referenced above, Defendants,
LSisco, RSisco, and Hardcastle, resided in the same household and had been residing together
for over two months.
25. The terms of the Safe Auto Pennsylvania Personal Automobile Policy as issued to
Defendant, LSisco, Liability Exclusion No. 1, states:
LIABILITY COVERAGE AND OUR DUTY TO DEFEND DO NOT
APPLY TO BODILY INJURY OR PROPERTY DAMAGE:
That occurs while your covered auto is being operated by a resident
of your household or by a regular user of your covered auto, unless
that person is listed as an additional driver on the Declarations Page...
See Safe Auto Pennsylvania Personal Automobile Policy, page 6, attached hereto as Exhibit "B"
(emphasis supplied).
26. The Safe Auto Pennsylvania Personal Automobile Policy also defines the term "resident"
as:
Resident means any person who physically lives in your
household for longer than fourteen (14) consecutive days. Your unmarried,
unemancipated children under the age of twenty-four attending school full-
time, living away from home will be considered a resident of your
household.
See Safe Auto Pennsylvania Personal Automobile Policy, page 3, attached hereto as Exhibit "A."
(emphasis supplied).
27. The automobile operated by Defendant, Hardcastle, at the time of this incident was
owned by Defendants, LSisco and/or RSisco, and was the auto covered under the above
referenced insurance policy.
28. The Sisco vehicle was being operated by a resident of her household as defined by the
terms of the insurance policy issued to Defendant, LSisco, by Safe Auto.
29. Defendant, Hardcastle, was not listed as an additional driver, on the declarations page of
the insurance policy as of the time of the initiation of coverage, at the time of this accident, at no
time in between or at any time after the accident. See Auto Insurance Policy Declarations,
attached hereto as Exhibit "B."
30. Accordingly, inasmuch as the Defendant operating this vehicle at the time of this
incident, Hardcastle, was a resident (as defined in the Safe Auto Pennsylvania Personal
Automobile Policy) but was not listed as an additional driver on the declarations page of the
insurance policy, no liability coverage is available to Defendants, LSisco, RSisco, and
Hardcastle, pursuant to the exclusions referenced above through the Pennsylvania Personal
Automobile Policy issued by Plaintiff, Safe Auto Insurance Company, under policy
#PA00187420A.
WHEREFORE, Plaintiff, Safe Auto Insurance Company, prays that this Honorable Court
declare that it not be required to provide liability coverage to Defendants, Lori Sisco, Ricky
Sisco or Craig Hardcastle, in relation to any claim made by Defendants, Leo Piscioneri, Maria
Piscioneri and/or Erie Insurance Company or of any other person or entity making claim against
Defendants, Lori Sisco, Ricky Sisco or Craig Hardcastle for property damage or other losses
arising out of the February 23, 2008 automobile accident.
COUNT II
Declaratory Judgment as to Non-Permissive Use
31. Plaintiff, Safe Auto Insurance Company, incorporates by reference herein the averments
contained in paragraphs 1 through 30 above as though fully set forth herein at length.
32. At the time of the accident which occurred on February 23, 2008, Defendant, Hardcastle,
was operating the vehicle owned by Defendant, LSisco and/or RSisco.
33. Defendants, Sisco, did not provide Defendant, Hardcastle, with permission to use the
vehicle and, in fact, had indicated to Hardcastle that he was not permitted to drive her car.
34. The terms of the Safe Auto Pennsylvania Personal Automobile Policy as issued to
Defendant, LSisco, Liability Exclusion No. 8, states:
LIABILITY COVERAGE AND OUR DUTY TO DEFEND DO NOT
APPLY TO BODILY INJURY OR PROPERTY DAMAGE:
...If your covered auto is used without the covered auto owner's
permission, or outside the scope of that permission.
See Safe Auto Pennsylvania Personal Automobile Policy, page 6-7, attached hereto as Exhibit
"A" (emphasis supplied).
35. Accordingly, inasmuch as the Defendant operating this vehicle at the time of this
incident, Hardcastle, was operating the vehicle without the permission of the owner of that
vehicle, no liability coverage is available to Defendants, LSisco, RSisco or Hardcastle, pursuant
to the exclusions referenced above through the Pennsylvania Personal Automobile Policy issued
by Plaintiff, Safe Auto Insurance Company, under policy #PA00187420A.
WHEREFORE, Plaintiff, Safe Auto Insurance Company, prays that this Honorable Court declare
that it not be required to provide liability coverage to Defendants, Lori Sisco, Ricky Sisco or
Craig Hardcastle, in relation to any claim made by Defendants, Leo Piscioneri, Maria Piscioneri
and/or Erie Insurance Company or of any other person or entity making claim against
Defendants, Lori Sisco, Ricky Sisco or Craig Hardcastle for property damage or other losses
arising out of the February 23, 2008 automobile accident.
Declaratory Judgment As to the Duty to Defend
36. Plaintiff, Safe Auto Insurance Company, incorporates by reference herein the averments
contained in paragraphs 1 through 35 above as though fully set forth herein at length.
37. Plaintiff, Safe Auto Insurance Company, has an obligation to defend its insured when a
claim is submitted against an insured when a policy is in force, including the hiring and paying
of lawyers and all defense costs for the lawyers if an insured is sued for damages arising out of
an automobile accident, even if the accusations are not true. See Safe Auto Insurance Company
Pennsylvania Personal Automobile Policy, page 5, attached hereto as Exhibit "A."
38. However, this duty to defend exists only where liability coverage is to be provided and
exclusions do not apply which would terminate coverage and/or that duty. See Safe Auto
Insurance Company Pennsylvania Personal Automobile Policy, page 6, attached hereto as
Exhibit "A."
39. As is stated in the Safe Auto Insurance Company Pennsylvania Personal Automobile
Policy "liability coverage and our duty to defend do not apply to bodily injury or property
damage..." where exclusions within the terms of the policy apply. See Safe Auto Insurance
Company Pennsylvania Personal Automobile Policy, page 6, attached hereto as Exhibit "A."
40. The duty to defend does not apply if Exclusion #1 or Exclusion #8, as referenced above,
is applicable.
WHEREFORE, Plaintiff, Safe Auto Insurance Company, requests that this Honorable
Court declare that the exclusions listed above, #1 and #8, to liability coverage, be declared valid
and applicable, thereby negating any duty to provide coverage or to defend Defendants, Lori
Sisco, Ricky Sisco or Craig Hardcastle as to any claim brought by Defendants, Leo Piscioneri,
Maria Piscioneri, or Erie Insurance Company or any other person or entity making claim against
Defendants, Sisco or Hardcastle, for injuries or damages or other losses arising out of the
February 23, 2008 automobile accident.
O
By
GAP. CUTLER, ESQUIRE
Atto ey for Plaintiff
ATTORNEY I.D. #30924
1601 Cherry Street, Suite 1300
Philadelphia, PA 19102
acutler(a)offitkurman.com
VERIFICATION
Gary B. Cutler, Esquire hereby deposes and states that he is the attorney for Plaintiff Safe
Auto Insurance Company in the within action, and that he is familiar with the facts set forth in
the foregoing Action in Declaratory Judgment; that the same are true and correct to the best of
his knowledge, information and belief, and that this verification is made subject to the penalties
of 18 Pa.C.S. §4904 relating to unsworn falsification to authorities.
Date: / o . ? 6 / 0
i
EXHIBIT "A"
SAFEAUTO
INSURANCE
4 EstitOt'1 Oval
Cc WM*", CAM 43819
1- AFEAUTO
(729-3298)
PENNSYLVANIA
Personal
Automobile
Policy
PENNSYLVANIA FRAUD LAW: ANY PERSON WHO KNOWINGLY
AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY OR
OTHER PERSON FILES AN APPLICATION FOR INSURANCE OR
STATEMENT OF CLAIM CONTAINING ANY MATERIALLY FALSE
INFORMATION OR CONCEALS FOR THE PURPOSE OF MISLEAD-
ING, INFORMATION CONCERNING ANY FACT MATERIAL
THERETO COMMITS A FRAUDULENT INSURANCE ACT, WHICH IS
A CRIME AND SUBJECTS SUCH PERSON TO CRIMINAL AND CIVIL
PENALTIES.
AGREEMENT
We agree with you, in return for your timely payment of
premium, to insure you subject to the terms and condi-
tions of this policy.
We will insure you for the coverages and up to the lim-
its of liability for which a premium is shown on the Dec-
larations Page of this policy.
We agree to insure yu based upon the information
you represented to usoin your application for auto in-
surance. The Declarations Page and your application
are part of this policy contract.
DEFINITIONS USED THROUGHOUT THIS POLICY
In order to make this policy easier to understand, we
have explained some key words that are used throughout
this policy. These key words are in bold face print.
Auto means a four wheel passenger, station wagon, or
jeep type vehicle licensed for use on public roads in-
cluding pickups, delivery or panel trucks and vans with
a classification of % ton or less that is not used in any
business or occupation other than farming or ranchingg,
unless the auto qualifies under the business use defi-
nition.
Auto accident is an unexpected and unintended event
that causes bodily injury or property damage and
arises out of the ownership, maintenance, or use of an
auto.
Bodil Injury means physical harm, sickness or disease,
including death, caused by an auto accident and suffered
by a person.
Business use means the use of any auto to convey any
operator between his/her place of employment and an-
other location during the course of the operators employ-
ment and at the direction of the operator's employer.
Business Use shall not include any Commercial Use;
however, mileage reimbursement shall not constitute pe-
cuniary gain or commercial advantage.
Collision means the upset of your covered auto or its
impact with another vehicle or object.
Commercial use means any auto used for pecuniary
gain or commercial advantage, including but not limited to:
use of an auto for the purposes of buying, selling, ex-
changing, distributing, transportation, and/or delivery of
commercial tools, materials, supplies, and/or finished
products. Commercial use also means any compensated
use of an auto for snow or debris removal on roads or real
estate, except at your residence. Commercial use also
means carrying of any person or property for a charge, but
does not apply to shared expense car pools or any Busi-
ness Use.
Comprehensive means loss caused other than by colli-
sion. Accidental glass breakage and loss or damage from
missiles or falling objects, fire, theft, larceny, explosion,
earthquake, windstorm, hail, water, flood, malicious mis-
chief, vandalism, riot, civil commotion, or contact with a
bird or animal is considered a comprehensive loss.
Covered auto or your covered auto means any auto
described on the Declarations Page and any owned or
leased auto you replace it with. Your covered auto also
means any additional auto, ownership of which you ac-
quire during the policy period if we insure, under this pol-
icy, all autos you own. However, the replacement auto
or additional auto is insured ONLY if the Named Insured
notifies us within thirty (30) days of acquisition of owner-
ship. Prior to notification, a replacement auto is subject to
the same coverage as the auto it replaces. Collision and
comprehensive coverage does not apply to any. addi-
tional auto unless specifically requested by the amed
Insured prior to a loss involving the additional auto. A
temporary replacement auto qualifies as a covered
auto.
Your covered auto also means a trailer you own or
are using. Physical damage coverage does not trans-
fer to trailers.
Your covered auto also means other autos you operate
with the permission of the owner, but not for collision or
comprehensive coverage. Any liability coverage we provide
with respect to an auto you do not own or lease shall be ex-
cess over and above any other collectible insurance covering
the auto you are driving. Your covered auto does not in-
clude other autos owned or leased by you, furnished to or
available for our regular use or any autos owned or leased
by any resident of your household. A temporary replace-
ment auto qualifies as a covered auto.
Damages mean the cost of compensating those who
suffer bodily injury or property damage from an auto
accident.
Declarations Page is the form from us stating the pol-
icy period, the types of coverage you have elected, the
limit for each coverage, the cost for each coverage, the
specific vehicles covered by this policy, the types of
coverage for each vehicle, and other information appli-
cable to this policy.
Loss, losses means sudden, direct, and accidental
loss or damage.
Motor vehicle is a self-propelled land vehicle on
wheels designed for use on public roads and not run-
ning on rails or tracks and not running by overhead
electric power. Motor vehicle shall not include any
vehicle which is used as a residence or premises and
does not include farm type tractors or equipment de-
signed for use off of public roads.
Non-owned auto means any private passenger auto
not owned or leased by you or a relative, furnished to
or available for the regular use of you, a resident, or
any relative, while in the custody of or being operated
by you or a relative. A rented auto is not considered a
non-owned auto.
Property Damage means physical damage to, destruc-
tion of, or loss of use of tangible property.
Occupying means in, on, getting in, or getting out of a
covered auto.
Relative means a resident living in your household
who is under 21 years old, your dependant and related
to you by blood, marriage, or adoption, including a
ward or foster child.
Resident means any person who physically lives in
your household for longer than fourteen (14) consecu-
tive days. Your unmarried, unemancipated children
under the age of 24 attending school full-time, living
away from home will be considered a resident of your
household
Temporary replacement auto means any auto not
owned or leased by you, a relative, or a resident,
while your covered auto is being serviced or repaired,
or if it has been stolen or destroyed.
Trailer means a vehicle designed to be pulled by an
auto. It also means a farm wagon or farm implement
while being towed by an auto. A trailer is not a mobile
home or a trailer used as an office, store, display, or
passenger trailer.
Use, using, used means any utilization of the motor
vehicle as a vehicle including occupying, entering
into and alighting from it.
Vehicle - See Motor Vehicle.
We, us, and our refer to Safe Auto Insurance Company.
You, your, yourself means the person named on the
Declarations Page of this policy as the Named Insured
and the spouse of that person if a resident of the same
household.
WHAT YOU SHOULD DO IN THE EVENT OF A LOSS
OR AN ACCIDENT
NOTICE OF AUTO ACCIDENT OR LOSS
In the event of an auto accident or loss, you must
report it to us as soon as reasonably possible. You can
report your auto accident or loss 24 hours a day by
calling toll-free:
1-800-SAFE-AUTO (1-800-723-3288) or 614-231-0200
The report must give the time, place, and circumstances
of the auto accident or loss, including the names and
addresses of any injured persons and of any witnesses.
For any accident involving bodily injury or in which
the insured vehicle must be towed from the scene, you
must also file a written report with the appropriate law
enforcement agency within 24 hours of the auto acci-
dent or loss.
OTHER DUTIES
You or any person claiming coverage under this policy
must:
1. Cooperate with us in any matter concerning a
claim or lawsuit and promptly send us any legal
papers received relating to the claim or lawsuit.
2. Submit to physical or mental examination(s) at
our expense by doctors we select as often as we
may reasonably require and authorize us to obtain
medical and other records.
3. Provide any written proofs of loss that we require.
4. Refuse to, except at your own expense, assume
any obligation or incur any expense other than
medical and surgical care imperative at the time of
the auto accident.
5. Attend hearings and trials as required.
6. Submit to examination(s) under oath upon our re-
quest.
If you are claiming uninsured motorists coverage, you
must file a written report with the appropriate law enforce-
ment agency within 24 hours of the auto accident, if a hit-
and-run motor vehicle is involved. If you were occupy-
ing a motor vehicle at the time of the auto accident, you
must make it available for our inspection.
If you are claiming ph sicaI damage, you must take
reasonable steps after the loss to protect the covered
auto and its equipment from further loss. We will pay
reasonable expenses incurred in providing that protec-
tion. YOU MUST FILE A WRITTEN REPORT OF THE
THEFT OR VANDALISM OF YOUR COVERED AUTO
TO THE POLICE WITHIN 24 HOURS OF THE OCCUR-
RENCE. You must also allow us to inspect and appraise
the damaged covered auto before its repair or dis-
posal.
FAILURE TO COMPLY WITH ANY OR ALL OF THE
CONDITIONS ABOVE MAY RESULT IN OUR REFUSAL
TO EXTEND YOU OR ANYONE ELSE REQUESTING
COVERAGE ANY PROTECTION UNDER THIS POLICY
FOR THE AUTO ACCIDENT OR LOSS.
PART I - LIABILITY COVERAGE
INSURING AGREEMENT
We will pay damages, other than punitive or exem-
plary, for bodily injury or property damage for which
you, a relative or any additional driver listed on the
Declarations page becomes legally responsible for
because of an auto accident. Liability coverage ap-
plies to you while driving your covered auto and to
you while driving anon-owned auto, if you have per-
mission from the owner to drive the auto. Liability cov-
erage will not apply to you while driving an auto that is
not listed on the Declarations Page and that is:
1. Owned or leased by you; or
2. Available for your regular use; or
3. Owned or leased by a resident of your household.
Liability coverage will apply to any other person driving
your covered auto with your permission, provided they
are not a resident of your household and do not use
your covered auto on a regular basis.
We will provide liability coverage for an auto you rent from
a car rental agency or garage, ONLY while your covered
auto is being serviced or repaired, or if it has been stolen
or destroyed.
Any liabilityy coverage we provide with respect to an
auto you do not own or lease shall be excess over and
above any other collectible insurance covering the auto
you are driving.
ADDITIONAL BENEFITS
These benefits are in addition to our limit of liability for
damages. We will pay for the cost of investigating the
auto accident and arranging for the settlement of any
claim against you. We will also defend you, hire and pay
a lawyer and pay all defense costs for the lawyer hired by
us if someone sues you for damages because of an auto
accident even if the accusations are not true. However,
we have no duty to defend suits for bodily injury and
property damage not covered by this policy. a may
investigate and settle any claim or lawsuit, as we deem
appropriate. We will not be obligated to pay for the cost of
any further investigation or arrangement for settlement or
defend you further after we have offered to pay our entire
limit of liability.
We will pay up to $100 for the cost of bail bonds required
because of an auto accident, including related traffic law
violations. The auto accident must result in bodily injury
or projperty damage covered under this policy. We have
no obligation to apply for or furnish a bond.
If the person who sues you tries to tie up your property
by an attachment, we will pay for a bond yo release the
attachment. However, we will not pay the premium for
attachment bond amounts that are more than our limit
of liability.
If you lose a lawsuit that we are defending, we will pay
the court costs, including appeal costs if we decide to
appeal. We will also pay pre judgment and post-
judgment interest on the amount of the judgment up to
the policy limits. We will pay this interest from the day
the judgment is entered until we have offered the other
arty the amount of the judgment up to the full limits of
i. ility available under this coverage.
We will pay your expense for first aid to others at the
scene of an auto accident involving an auto we insure.
We will pay other reasonable expense incurred at our
request including up to $25 a day for loss of earnings
because of attendance at hearings or trials at our request.
PROTECTION FOR OTHERS
Anyone using your covered auto with the covered
auto owner's permission, and within the scope of such
permission, has the same rights and obligations that
you have under this coverage. However, this protection
is not afforded to any regular or occasional user of
your covered auto or to any resident of your house-
hold, unless that person is listed as an additional driver
on the Declarations Page. Any change in regular op-
erators, newly licensed drivers or residents in your
household must be reported to us immediately.
WHO IS NOT COVERED
Neither the United States of America nor any of its
agencies are protected under this coverage.
Anyone for whom the United States government may
be held responsible under the Federal Tort Claim Act is
not protected under this coverage.
In the event of reinstatement, no coverage exists for
any person during the period between the cancellation
date and the reinstatement date.
EXCLUSIONS
LIABILITY COVERAGE AND OUR DUTY TO DEFEND
DO NOT APPLY TO BODILY INJURY OR PROPERTY
DAMAGE:
1. That occurs while your covered auto is being oper-
ated by a resident of your household or by a regu-
lar user of your covered auto, unless that person
is listed as an additional driver on the Declarations
Page.
2. Resulting from a relative's operation or use of a
motor vehicle, other than your covered auto,
which is owned or leased by a person who is a resi-
dent of your household.
3. Arising while your covered auto is being operated
by a person who is listed as an excluded driver on
the Declarations Page.
4. Arising out of the ownership, maintenance, or
use of any motor vehicle, other than your cov-
ered auto, which is owned or leased by you,
furnished to or available for your regular use.
5. Arising out of the ownership, maintenance or use
of any motor vehicle with less or more than four
wheels.
6. Arising, out of the loading or unloading of any vehi-
cle uess it occurs while occupying, entering into,
or alighting from it.
7. To you or to property owned by, rented to, in
charge of, or transported by you. However, this
exclusion does not apply to your rented residence
or rented private garage damaged by your covered
auto.
8. If your covered auto is used without the cov-
ered auto owner's permission, or outside the
scope of that permission.
9. Sustained while your covered auto is being used
to flee or elude law enforcement official(s).
10. Caused intentionally by you or at your direction.
11. If your covered auto is used in the commission
of any felony, including theft of your covered
auto.
12. If your covered auto is used in any illicit trade
or transportation.
13. Arising from any prearranged or organized race,
speed contest or performance contest.
14. Arising out of the ownership, maintenance,
or use of any motor vehicle during the course of
any business or employment, unless you have
paid a specific premium for business use cover-
age.
15. Arising out of or in the course of employment.
However, coverage does apply to a domestic
employees unless benefits are pa able or re-
quired to be provided, for the domestic employee
under worker's compensation law or similar law.
16. To your fellow employee(s) in the course of his/
her employment, if such injury arises out of the
use of an auto in the business of his/her em-
ployer. This exclusion does not apply to injuries
for which you are legally liable.
17. If you are operating any motor vehicle in a
commercial capacity.
7
18. If your covered auto is used during the course of
your employment to transport people, including, but
not limited to nursery or school children, medical
patients, clients, migrant workers or hotel/motel
guests.
19. If your covered auto is used for snow removal, or
any kind of wholesale or retail delivery, including but
not limited to pizza, magazine, flowers, newspaper,
mail or other business types of delivery.
20. Arising out of the ownership, maintenance or use
of any auto when it is used to cant' persons or
property for a charge. This exclusion does not
apply to shared expense car pools.
21. Arising out of an auto business operation, including
but not limited to, the selling, repairing, servicing,
testing, storing, or parking of motor vehicles.
22. Occurring while your covered auto is pulling a
mobile home or a trailer used as an office, store,
display, or passenger trailer.
23. Arising out of the operation of farm machinery.
24. Arising out of or due to the use of the covered
auto for transportation of any explosive substance,
flammable liquid, or similarly hazardous material.
25. Assumed by you under any contract or agreement.
26. For any liability imposed upon you by statutes aris-
ing from your sponsorship of a minor for an opera-
tor's license.
27. Caused by war (declared or undeclared), civil war,
insurrection, rebellion, revolution, nuclear reaction,
radiation, radioactive contamination, or any conse-
quence of any of these.
28. To anyone protected at the time of the auto acci-
dent by an atomic or nuclear energy liability in-
surance contract. The reason for this is that, by
law, such policies protect all persons involved in
the auto accident, regardless of who was at
fault.
29. Arising during the period between the cancella-
tion date and time and the reinstatement date
and time.
LIMITS OF LIABILITY
The limit of liability shown on the Declarations Page is
the most we will pay regardless of the number of claims
made, covered autos, insured persons, lawsuits brought,
vehicles involved in an auto accident, or premiums paid.
Your Declarations Page shows a split limit:
1. The amount shown for "each person" is the most
we will pay for all damages due to a bodily injury
to one person; and
2. Subject to the "each person" limit, the amount
shown for "each accident" is the most we will pay
for all damages due to bodily injury sustained
by two or more persons in any one auto acci-
dent; and
3. The amount shown for property damage is the
most we will pay for all property damage for
which you become legally liable as a result of
any one auto accident.
The liability limits apply to each covered auto as stated
on the Declarations Page. The insuring of more than
one person or auto under this policy will not increase our
liability limits beyond the amount shown for any one auto,
even though a separate, premium is charged for each
auto. The limits also wont be increased if you have other
auto insurance policies that apply.
The bodily injury limit for "each person" includes the total
of all claims made for such bodily injury and all claims
derived from such bodily injury, including, but not limited
to, loss of society, loss of companionship, loss of services,
loss of consortium, and wrongful death.
No one shall be entitled to duplicate payments for the
same elements of damages.
Any payment to a person under this Part I shall be re-
duced by an payment to that person under Part II - First
Party Benefits Coverage, for the same element of dam-
ages.
A motor vehicle and attached trailer are considered one
motor vehicle. Therefore, the limits of liability will not be
increased for an auto accident involving a motor vehicle
which has an attached trailer.
OTHERINSURANCE
This insurance is primary for any auto owned or leased
by you and that is described on the Declarations
Page, or any additional or replacement auto we insure.
If you are using a temporary replacement auto or
non-owned auto, our liability insurance will be excess
over other collectible insurance. If more than one pol-
icy applies to an accident involving your covered
auto, we will bear our proportionate share with other
collectible liability jointly responsible.
If there is other liability insurance applicable on the
same primary or excess basis as this coverage, we will
pay only our share of the loss. Our share is the pro-
portion that our limit of liability bears to the total of all
applicable limits.
PART 11 - FIRST PARTY BENEFITS COVERAGE
First Party Benefits consist of the following benefits
which may be purchased individually or as a combina-
tion package.
Medical Expenses, Funeral Expenses, Income Loss,
Accidental Death, Extraordinary Medical Benefits and a
Combination Package make up the benefits that are
available under First Party Benefits.
Coverage will apply only with respect to the coverages
appearing on the Declarations Page for which a pre-
mium has been charged.
INSURING AGREEMENT
In accordance with the Pennsylvania Motor Vehicle
Financial Responsibility Law, we will pay First Party
Benefits for:
(a) medical expenses,
(b) income loss,
(c) funeral expenses, and
(d) accidental death
arising from bodily injury to you resulting from the
maintenance or use of a motor vehicle as a vehicle.
Only the First Party Benefits shown as applicable in the
Declarations Page will apply.
DEFINITIONS USED ONLY IN THIS PART II
ACCIDENTAL DEATH
If a premium appears on the Declarations Page for this
coverage, we will pay for accidental death ansing from
bodily inJ'ury to the insured person due to an accident
resulting from the maintenance or use of a motor vehicle
as a vehicle. This death benefit will be paid if death oc-
curs within 24 months from the date of the accident. The
death benefit shall be paid to the executor or administrator
of the deceased's estate.
COVERED AUTO
A motor vehicle to which the bodily injury liability insur-
ance of the policy ap lies and for which a speck pre-
mium is charged and For which the named insured main-
tains First Party Benefits as required under the Pennsyl-
vania Motor Vehicle Financial Responsibility Law.
FUNERALEXPENSES
If a premium appears on the Declarations Page for this
coverage, we will pay reasonable expenses directly re-
lated to the funeral, burial, cremation or other form of dis-
position of the remains of the deceased, insured person.
Expenses incurred must be a result of the death of the
msured person as a result of the auto accident and
within 24 months from the date of the auto accident.
10
INCOME LOSS
If a premium appears on the Declarations Page for this
coverage, we will pay eighty (80%) percent of gross
income actually lost by an insured person. Income loss
includes reasonable expenses actually incurred for hiring:
(a) a substitute to perform the work of an insured person
who is self employed and for which they would have
performed if not for bodily injury; or
(b) special help, thereby enabling a person to work,
thereby reducing loss of gross income.
Income loss does not include:
(a) loss of expected income for any period following the
death of an insured person; or
(b) expenses incurred for services performed following
the death of an insured person; or
(c) any loss of income during the first five (5) working
days the insured person did not work after the acci-
dent because of the bodily injury. These five (5)
working days do not have to be consecutive.
INSURED PERSON
An insured person is a person named on the Declara-
tions Page as the named insured, an additional driver
listed on the Declarations Page and any other person
who sustains bodily injury while occupying the insured
motor vehicle as a passenger. An insured person is
also a person who is a non-occupant who is inured as a
result of an accident in Pennsylvania involving the cov-
ered auto. An unoccupied parked covered auto is not a
motor vehicle involved in an accident unless it was
parked in a manner as to create an unreasonable risk of
injury.
MEDICAL EXPENSES
We will pay reasonable and necessary charges for.
(a) medical treatment, including but not limited to:
(1) medical, hospital, surgical, nursing and dental
services
(2) medications, medical supplies and prosthetic de-
vises;
(3) ambulance.
(b) medical and rehabilitative services, including but not
limited to:
(1) medical care;
(2) licensed physical therapy, vocational rehabilita-
tion and occupational therapy;
11
(3) osteopathic, chiropractic, psychiatric and psycho-
logical services;
(4) optometric services, speech pathology and audio
logy.
(c) nonmedical remedial care and treatment rendered in
accordance with a recognized religious method of
healing.
Payment of medical expenses will be made pursuant to
Section 1797 (a) of the Pennsylvania Motor Vehicle Finan-
cial Responsibility Law, and as it may be amended.
All medical treatment and medical and rehabilitative ser-
vices must be provided by or prescribed by a person or
facility approved by the Department of Health, the equiva-
lent governmental agency responsibility for health pro-
grams or the accrediting designee of a department or
agency of the state in which those services are provided.
We use Peer Review Organizations (PRO) which have
been approved by the Insurance Commissioner to evalu-
ate whether or not:
1. treatment;
2. health care services;
3. products; or
4. accommodations;
which were provided conform to professional standards of
performance and were reasonable and medically neces-
sary. We, the injured person or the provider may request
a reconsideration by the PRO within 30 days of the PRO's
initial determination. This request for reconsideration as to
the reasonableness and necessi of treatment must be
made pursuant to Section 1797 b) of the Pennsylvania
Motor Vehicle Financial Responsibility Law, and as it may
be amended.
If we refuse payment of a provider's bill and do not chal-
lenge it before a PRO within 90 days of receipt, the injured
person may ask the court to review our refusal to pay.
This 90 day provision does not apply to continuing treat-
ment or services.
Payment of medical expenses incurred after 18 months
from the date of the accident causing bodily injury shall
be made only if within 18 months from the date of the ac-
cident, it is ascertainable with reasonable medical prob-
ability that further expenses may be incurred as a result of
the injury.
COMBINATION PACKAGE
If a premium appears on the Declarations Page for the
Combination Package, we will pay for medical expenses,
funeral expenses, income loss, and accidental death as
described and limited above. Our payment is limited to
12
$177,500 in the aggregate or to the expenses or losses
incurred within three (3) years from the date of the acci-
dent, whichever occurs first. However, within this
$177,500, we will ay no more than $25,000 for an acci-
dental death benefit or $2,500 for funeral expenses.
EXTRAORDINARY MEDICAL BENEFITS
If a premium appears on the Declarations Page for this
coverage, we will pay benefits for reasonable and neces-
sary medical expenses in excess of $100,000 arising from
bodily injury to an insured person. The injury must be
due to an accident resulting from the maintenance or use
of a motor vehicle as a vehicle. We will pay these bene-
fits regardless of fault.
No benefits will be paid under this coverage until such
medical expenses exceed $100,000.
Subject to a lifetime aggregate limit of $1,000,000, the
most we will pay on behalf-of an insured. person as a
result of one accident is $50,000 per year. owever, dur-
ing the first 18 months of eligibility, we will make payments
in excess of the $50,000 per year limit, subject to the life-
time aggregate limit of $1,000,000.
NON-ECONOMIC LOSS
Non-economic loss is pain and suffering and other non-
monetary detriments.
SERIOUS INJURY
A personal injury resulting in death, serious impairment of
bodily function or permanent serious disfigurement.
EXCLUSIONS
FIRST PARTY BENEFITS COVERAGE DOES NOT APPLY
TO BODILY INJURY:
1. Sustained by any person, who is the owner of a
currently registered motor vehicle for which Finan-
cial Responsibility is not provided, while occupy-
ing or when struck by that motor vehicle.
2. Sustained by an person while occupying a mo-
torcycle, motor-driven cycle, motorized pedalcycle
or like type vehicle required to be registered under
Title 75 or a recreational vehicle not intended for
highway use or any other type of motor vehicle
not required to be registered under Title 75.
3. Sustained by anyone we protect other than you, a
relative or an individual specifically named on the
Declarations Page for this coverage and that per-
son's relative, who knowingly steals a motor vehi-
cle if the bodily injury arises out of the mainte-
nance or use of the stolen vehicle.
4. To any person when the conduct of that person
13
contributed to the bodily injury sustained by that
person while intentional)y inlurinthor attempting to
intentionally injure himself or anoer.
5. To any person when the conduct of that person
contributed to the bodily injury sustained by that
person while committing a felony.
6. To any person when the conduct of that person
contributed to the bodily injury sustained by that
person while seeking to elude lawful apprehension
or arrest by a law enforcement official.
7. To any person engaged in the business of repair-
ing, servicing, or otherwise maintaining motor ve-
hicles if the bodily injury arises out of that busi-
ness unless the conduct occurs off the business
premises.
8. Sustained by any person as a direct result of load-
ing or unloading any motor vehicle.
9. Sustained by any person while occupying any
motor vehicle used as a residence or premises.
10. Caused by war (declared or undeclared), civil war,
insurrection, rebellion, revolution, nuclear reaction,
radiation, radioactive contamination, or any conse-
quence of any of these.
11. Sustained by any person not occupying a motor
vehicle, other than the named insured, if the acci-
dent occurs outside the Commonwealth of Penn-
sylvania.
LIMITS OF PROTECTION
We will pay First Party Benefits to you for any one acci-
dent up to the limit of First Parry Benefits limits you have
selected as shown on the Declarations Page for one
covered auto. Benefits will not be increased for you by
adding together the limits of protection under this policy
because there are multiple motor vehicles covered under
this polic or under multiple motor vehicle policies cover-
ing you for the same loss. Any amount payable by us for
medical expenses greater than $100,000 shall be excess
over any amount paid or payable under Extraordinary
Medical Benefits, and First Party Benefits shall be ex-
cess over all benefits that any person we protect receives
or is entitled to receive under any worker's compensation
law or similar law.
PRIORITY OF POLICIES
We will pay First Party Benefits in accordance with the
following order of priority. We will not pay if there is
another insurer at a higher level of priority even if that
other insurer has paid its limits. The priority levels
shown below are in descending order from highest to
14
lowest:
First - The insurer providing benefits to you as an
named insured under its policy.
Second - The insurer providing benefits to you pro-
vided you are not a named insured under another pol-
icy providing coverage under the Pennsylvania Motor
Vehicle Financial Responsibility Law.
Third - The insurer of the motor vehicle which you are
occupying at the time of the accident.
Fourth - The insurer providing benefits on any motor
vehicle involved in the accident if you were not occu-
pying a motor vehicle and provided covered coverage
under any other policy.
For the purposes of determining priorities, an unoccu-
pied parkedmotor vehicle is not a motor vehicle in-
volved in an accident unless it was parked in a manner
as to create an unreasonable risk of injury.
If two or more policies have equal priority the insurer
against which the claim is first made shall process and
pay the claim as if wholly responsible. The insurer is
then entitled to recover contributions pro-rata from any
other insurer for the benefits paid and the cost of proc-
essing the claim. Under the Fourth priority, proration
shall be based on the number of involved motor vehi-
cles. In addition, if two or more policies have equal
priority, the maximum recovery under all policies will
not exceed the amount payable under the policy with
the highest dollar limits of benefits. No one shall be
entitled to receive duplicate benefits for the same ele-
ments of loss under this or any other similar automobile
insurance including self-insurance.
CONDITIONS
Medical report and/or proof of claim. As soon as
practicable you or anyone we insure, or by some-
one on such person's behalf, shall give us written
proof of claim under oath if required, fully describing
the nature and extent of bodily injury, treatment
and rehabilitation received and contemplated and
other information to assist us in determining the
amount due and payable.
You or anyone we insure shall submit to mental and
physical examinations by physicians selected by us
when and as often as we may reasonably require.
We will pay the costs of such examinations.
You or anyone we insure (or, in the event of such
person's incapacity, such person's legal representa-
tive) shall, if we request, sign papers to enable us to
obtain medical reports and copies of records. A
copy of such medical report will be forwarded to
such person we protect upon such person's written
request.
15
If benefits for income loss are claimed, you or any-
one we insure presenting such claim shall authorize
us to obtain details of earnings paid to such person
by an employer or earned since the time of the in-
jury or during the year immediately preceding the
date of the accident.
2. Customary charges for treatment. The amount we
pay a person or institution providing treatment,
accommodations, products or services to an in-
sured person for an injury covered by medical
expense benefits shall not exceed the amount the
person or institution customarily charges for like
treatment, accommodations, products and services
in cases involving no insurance.
3. Non-Duplication of Benefits. No one we insure
shall recover duplicate benefits for the same ele-
ments of loss under this or any other similar auto-
mobile insurance including self-insurance.
4. Other Insurance. If an insured person is the
named insured, a relative, or the occupant of a
covered auto, we shall not be liable for a greater
proportion of any loss than this policy's limit of liabil-
ity bears to the sum of all limits of liability of all appli-
cable insurance and self-insurance. The maximum
recovery shall not exceed the amount payable under
the insurance or self-insurance providing the highest
dollar limit.
If the insured person is not the named insured, a
relative or the occupant of the covered auto, our
share shall be based on the number of motor vehi-
cles involved in the accident.
PART III- PHYSICAL DAMAGE COVERAGE
INSURING AGREEMENT
If you pay a specific premium for collision and compre-
hensive coverage, we will pay for direct and accidental
loss to your covered auto, less any applicable deductible
shown on the Declarations Page for your covered auto.
We do not cover physical damage on a temporary re-
placement auto; however, physical damage coverage
will transfer to an auto you rent from a car rental
agency or garage while your covered auto is being
repaired as a result of a covered loss. A covered loss
is defined as a loss that occurs during our policy pe-
riod in which our Physical Damage Coverage applies.
LOSSES NOT COVERED
PHYSICAL DAMAGE COVERAGE DOES NOT APPLY
TO:
1. A loss that occurs while your covered auto is be-
ing operated by a resident of your household or
by a regular user of your covered auto, unless
16
that person is listed as an additional driver on the
Declarations Page.
2. A loss resulting from a relative's operation or use
of a motor vehicle, other than your covered auto,
which is owned or leased by a person who is a
resident of your household.
3. A loss that occurs while your covered auto is
being operated by a person that is listed as an ex-
cluded driver on the Declarations Page.
4. A loss arising out of the ownership, maintenance,
or use of any motor vehicle, other than your cov-
ered auto, which is owned or leased by you, fur-
nished to or available for your regular use.
5. A loss caused to a camper body or trailer.
6. A loss while your covered auto is subject to any
bailment, lease, conditional sale, mortgage, or other
encumbrance not specifically declared and described
on this policy.
7. A loss to any of the following optional equipment
whether or not factory installed by the original auto
manufacturer: car telephone equipment; televisions or
their accessories or antennas; radar or laser detection
devices; home high fidelity equipment; two-way ra-
dios; scanning monitor receivers; awnings, cabanas
or equipment designed to provide additional living
facilities.
8. A loss to wearing apparel or personal effects.
9. A loss while your covered auto is used without
the covered auto owner's permission, or outside
the scope of that permission.
10. A loss while your covered auto is used to flee or
elude law enforcement of icial(s).
11. A loss caused intentionally by you or at your di-
rection.
12. A loss while your covered auto is used in the
commission of any felony, including theft of your
covered auto.
13. A loss while your covered auto is used in any
illicit trade or transportation.
14. A loss while your covered auto is driven in or pre-
paring for any prearranged or organized race,
speed contest, or performance contest.
15. A loss due to conversion or embezzlement by any
person in possession of your covered auto.
16. A loss while your covered auto is used during the
course of any business or employment, unless you
have paid a specific premium for business use
coverage.
17
17. A loss while your covered auto. is being used in a
commercial capacity.
18. A loss while your covered auto is used during the
course of your employment to transport people,
including but not limited to nursery or school chil-
dren, medical patients, clients, migrant workers, or
hotel/motel guests.
19. A loss while your covered auto is used for
snow removal or any kind of wholesale or retail
delivery, including but not limited to pizza, maga-
zine, newspaper, flowers, mail or other business
types of delivery.
20. A loss while your covered auto is used to carry
persons or property for a charge. This exclusion
does not apply to shared-expense car pools.
21. A loss to your covered auto when used in an
auto business operation, including but not limited to
the selling, repairing,. servicing, testing, storing or
parking of motor vecles or trailers.
22. A loss while your covered auto is pulling a mobile
home or a trailer used as an office, store, display,
or passenger trailer.
23. A loss arising out of or due to the use of your cov-
ered auto for transportation of any explosive sub-
stance, flammable liquid, or similarly hazardous
material.
24. A loss resulting from manufacturer's defects,
wear and tear, freezing, mechanical or electrical
breakdown or failure, or road damage to tires.
However, coverage does apply if the damage is the
result of other loss covered by this policy.
25. Loss to any optional equipment not factory in-
stalled by the original auto manufacturer.
26. A loss caused by war (declared or undeclared), civil
war, insurrection, rebellion, revolution, nuclear reac-
tion, radiation, radioactive contamination, or any con-
sequence of any of these.
27. A loss caused by anyone protected at the time of
the auto accident by an atomic or nuclear energy
liability insurance contract. The reason for this is
that by law such policies protect all persons in-
volvedy in the auto accident, regardless of who
was at fault.
28. A loss for which the United States Government is
liable under the Federal Tort Claims Act.
29. A loss or auto accident which occurred during the
period between the cancellation date and time and
the reinstatement date and time.
LIMIT OF LIABILITY
18
Our maximum limit of liability for losses is the actual cost
to repair or replace the damaged property. Payment will
not exceed the actual cash value of the property at the
time of the loss. If the loss is a part thereof, the payment
will not exceed the actual cash value of such part at the
time of loss nor what it would then cost to repair or
replace the property or such part thereof with other of like,
kind, and quality. All payments are reduced by the appli-
cable deductible shown on the Declarations Page.
TRANSPORTATION EXPENSES
We will pay up to $10 per day, to a maximum of $300, for
transportation expenses incurred by you. This applies
only in the event of the theft of your covered auto. We
will pay only transportation expenses incurred during the
period beginning 48 hours after the theft has been re-
ported to us and the police, and ending when your cov-
ered auto is returned to use or we pay for its loss.
RENTAL REIMBURSEMENT
When there is a loss to one of your covered autos
described on the Declarations Page for which a speck
premium charge indicates that rental reimbursement cov-
erage is afforded, we will reimburse you for expenses you
incur to rent a temporary replacement auto. This cover-
age applies only if the auto is withdrawn from use for
more than 24 hours and the loss is caused by collision or
covered under the comprehensive part of this policy.
Our payment will be limited to the period of time reasona-
bly required to repair or replace the auto. If your covered
auto is stolen and not recovered or declared a total loss
by us, we will pay up to five (5) days after we make an
offer to pay for the loss. The most we will pay under
rental reimbursement coverage is $20 per day to a maxi-
mum of $600. The most we will pay for rental reimburse-
ment and transportation expense coverage in any one (1)
occurrence is $600.
TOWING AND LABOR
If you pay a specific premium for towing and labor costs,
we will pay towing and labor costs incurred each time
your covered auto is disabled, up to the amount shown
on the Declarations Page as applicable to that vehicle.
The most we will pay per occurrence is $40, not to exceed
six (6) occurrences per 6 month policy period. We will only
pa for labor performed at the place of disablement, pro-
vided disablement does not occur at your place of resi-
dence.
PAYMENT OF LOSS
We may pay for the loss in cash or we may repair or
replace the damaged or stolen property. We may take
all or part of the damaged property at the agreed or
appraised value. Before a loss is paid or the property
is replaced, we may return any stolen property to you
at our expense with payment for any damage.
19
We may settle any loss either with you or the owner of
the property.
PREMIUM EARNED ON TOTAL LOSS
In the event a claim under any of the physical damage
coverages for which a separate premium is shown on
the Declarations Page results in the payment of a total
loss, that portion of the premium that has not been fully
earned as of the time of cancellation will be refunded to
you.
NO BENEFIT TO BAILEE
This coverage shall not directly or indirectly benefit any
carrier or other bailee liable for loss to your covered
auto.
APPRAISAL
If we and you do not agree on the amount of loss, either
may demand an appraisal of the loss. In that event, each
party will select a competent and disinterested appraiser.
The two appraisers will select a third appraiser to decide
any differences. Each appraiser will state separately the
actual cash value and the amount of the loss. An award
in writing by any two appraisers will determine the amount
payable. Each party will pay its chosen appraiser and
bear the expense of the third appraiser equally.
We do not waive any of our rights under this policy by
agreeing to an appraisal.
OTHERINSURANCE
If other insurance also covers the loss, we will pay only
our share of the loss. Our share is the proportion that
our limit bears to the total of all applicable limits.
PART IV - UNINSURED/UNDERINSURED
MOTORISTS COVERAGE
INSURING AGREEMENT
If you pay a speck premium for uninsured or underin-
sured motorists coverage, we will pay damages, other
than punitive or exemplary or attorney fees, ONLY for
bodily injury physically sustained by you which you are
legally entitled to receive from the owner or operator of an
uninsured or underinsured motor vehicle. We will pay
the damages you suffer in an auto accident while occu-
pying your covered auto as a result of having been
struck by an uninsured or underinsured motor vehicle.
The owner's or operator's liability for these damages must
arise out of the ownership, maintenance, or use of the
uninsured or underinsured motor vehicle.
If you sue a person believed to be responsible for the
accident, we aren't bound by any resulting judgment
unless we receive reasonable notice of the dependency of
the lawsuit resulting in the judgment and had a reasonable
opportunity to protect our interest in the lawsuit.
20
Any judgment for damages arising out of a lawsuit
brought without our written consent is not binding on
us.
We will pay under this coverage damages caused by
an auto accident with an underinsured motor vehi-
cle only after the limits of liability under any applicable
bodily in1'ury liability bonds or policies have been ex-
hausted by payment of judgments or settlements.
ADDITIONAL DEFINITIONS USED ONLY IN THIS PART N
UNINSURED MOTOR VEHICLE
An uninsured motor vehicle is a motor vehicle for
which there is no liability insurance or self-insurance appli-
cable at the time of the accident.
An uninsured motor vehicle also includes a motor
vehicle which has insurance available at the time of
the auto accident, but the company writing the insur-
ance is or becomes insolvent or denies coverage.
An uninsured motor vehicle is a hit-and-run motor vehi-
cle that strikes you while you are occupying your
covered auto, if neither the driver nor the owner of the
hit-and-run motor vehicle can be identified. If the acci-
dent involved bodily injury or the insured vehicle had to
be towed from the accident scene, the accident must be
reported to the proper authorities within 24 hours or as
soon as possible. We must be noted within 30 days. If
you were occupying the vehicle at the time of the acci-
dent, we have a right to inspect it. If there is no 4r ysical
contact with the hit-and-run vehicle, the facts of acci-
dent must be proved by competent evidence other than
the testimony of that person making claim under this cov-
erage.
An uninsured motor vehicle is not a vehicle that is
owned or leased by you, a relative or an additional driver
that appears on the Declarations Page.
An uninsured motor vehicle does not include, under any
circumstances, your covered auto.
UNDERINSURED MOTOR VEHICLE
An underinsured motor vehicle is a motor vehicle
for which there is a bodily injury policy or liability bond
available at the time of the auto accident with less
than the limits of liability shown on the Declarations
Page of this policy for underinsured motorists cover-
age.
An underinsured motor vehicle is a motor vehicle
for which there is a bodily injury policy or liability bond
available at the time of the auto accident but the limits
of that policy or bond are reduced by payments to per-
sons, other than persons insured, injured in the auto
21
accident to less than the limit of liability for underin-
sured motorists coverage.
An underinsured motor vehicle does not include, under
any circumstances, your covered auto.
An underinsured motor vehicle is not an uninsured
motor vehicle.
PROTECTION FOR OTHERS
Anyone occupying your covered auto, with your per-
mission, has the same rights and obligations that you
have under this coverage.
THOSE NOT COVERED
THIS COVERAGE DOES NOT APPLY TO:
1. A loss that occurs while your covered auto is being
operated by a non-relative resident of your house-
hold, or by a regular user of your covered auto,
unless that person is listed as an additional driver on
the Declarations Page.
2. A loss resulting from a relative's operation or use
of a motor vehicle, other than your covered auto
which is owned or leased by a person who is a
resident of your household.
3. Anyone occupying your covered auto when it is
being driven by a person that is listed as an ex-
cluded driver on the Declarations Page.
4. Bodily injury to you which is caused by your
spouse or a member of the family who is a resi-
dent of your household.
5. You, if you or your legal representative, settles a
claim without our consent.
6. Anyone occupying or through being struck by any
motor vehicle, other than your covered auto,
which is owned or leased by you, furnished to or
available for your regular use. This includes a
trailer of any type used with that motor vehicle.
7. Anyone occupying a motor vehicle driven without
the owner's permission, or outside the scope of
that permission.
8. A loss while your covered auto is used to flee or
elude law enforcement official(s).
9. A loss caused intentionally by you or at your direc-
tion.
10. A loss while your covered auto is used in the
commission of any felony, including theft of your
covered auto.
11. A loss while your covered auto is used in any illicit
trade or transportation.
22
12. A loss while your covered auto is driven in or pre-
paring for any prearranged or organized race,
speed contest, or performance contest.
13. Anyone while occupying your covered auto
when it is used during the course of any business
or employment, unless you have paid a specific
premium for business use coverage.
14. A loss occurring during the course of employment
if benefits are payable or must be provided under a
worker's compensation law or similar law.
15. Anyone occupying your covered auto when it is
used in an auto business operation, including but
not limited to the selling, repairing, servicing, test-
ing, storing, or parking of motor vehicles or trail-
ers.
16. Anyone while you are operating any motor vehi-
cle in a commercial capacity.
17. Anyone while occupying your covered auto when it
is used during the course of your employment to
transport people, including but not limited to nursery
or school children, medical patients, clients, migrant
workers or hotel/motel guests.
18. Anyone occupying your covered auto if it is used
for snow removal, or any kind of wholesale or retail
delivery, including but not limited to pizza, magazine,
newspaper, flowers, mail or other business types of
delivery.
19. Anyone occupying your covered auto if it is used to
carry persons or property for a charge. This exclusion
does not apply to shared-expense car pools.
20. A loss caused by war (declared or undeclared),
civil war, insurrection, rebellion, revolution, nuclear
reaction, radiation, radioactive contamination, or
any consequence of any of these.
21. Anyone occupying your covered auto during the
period between the cancellation date and time and
the reinstatement date and time.
THIS COVERAGE DOES NOT APPLY TO AN UNIN-
SURED OR UNDERINSURED MOTOR VEHICLE:
1. Owned or leased by you, furnished to or available
for your regular use, unless said motor vehicle is
listed on the Declarations Page.
2. Owned or operated by a self-insurer within the
meaning of any motor vehicle financial responsi-
bility law, motor carrier law or similar law.
3. Owned by any governmental authority or agency.
4. Any vehicle that is not a motor vehicle or is not
required to be registered as a motor vehicle.
23
LIMITS OF PROTECTION
The limit of uninsured motorists or underinsured motorists
bodily injury liability shown on the Declarations Page for
,.each person" is the maximum we will pay for bodilIyy
injury sustained by one person in any one auto accidenf,
including all injuries and damages to others resulting from
this bodily injury. Subject to this limit of "each person",
the limit of uninsured motorists or underinsured motorists
bodily injury liability shown on the Declarations Page for
"each accident" is the maximum we will pay for bodily
injury sustained by two or more persons in the same auto
accident.
This is the most we will pa regardless of the number of
autos described on the Declarations Page, persons
insured, motor vehicles insured, claims, claimants, poli-
cies, or motor vehicles involved in the auto accident.
In determining the amount payable under this Part IV,
the amount or damages which an insured person is
entitled to recover shall be reduced by all sums paid
because of bodily injury by or on behalf of any person
or organization who may be legally responsible for
your bodily injury, including, but not limited to, all
sums paid under Part I - Liability, paid or payable un-
der Part II - First Party Benefits, Part IV - Uninsured/
Underinsured Motorists and paid or payable because of
bodily injury under workers' compensation law or dis-
ability benefits law. However, this reduction shall not
reduce the amount payable under this Part IV - Unin-
sured/Underinsured Motorists Coverage below the
minimum amount of uninsured motorist coverage re-
quired by Pennsylvania law.
PAYMENT OF DAMAGES
We may pay you, your legal representative, the surviv-
ing spouse or anyone authorized by law to receive pay-
ment.
When multiple policies apply, payment shall be made in
the following order of priority:
1. A policy covering the motor vehicle the injured
person is occupying at the time of the accident.
2. A policy covering a motor vehicle not involved in a
the accident with respect to which the injured per-
son is an insured.
If two or more policies have equal priority, the insurer
against which the claim is first made shat( process and
pay the claim as if wholly responsible. Thereafter, the
insurer is entitled to recover a pro rata contribution from
any other insurer for the benefits paid and claims costs
incurred. If we are the insurer against which the claim
is first made, we will not pay more than our Limit of
Protection.
24
No one shall be entitled to duplicate payments for the
same elements of damages.
STACKED COVERAGE
If you purchase Stacked Uninsured Motorist and/or
Stacked Underinsured Motorists Coverage and you are
injured, we will pay no more than the applicable sum of
the Uninsured or Underinsured Motorists coverage
limits shown on the Declarations Page. If the injured
person is anyone other than you, we will pay no more
than the applicable Uninsured or Underinsured Motor-
ists Coverage limits shown on the Declarations Page
for the covered auto involved in the accident, regard-
less of the number of persons we protect, autos we
insure, premiums paid, claims made or autos involved
in the accident. If none of the covered autos are
involved in the accident, the highest limit of Uninsured
or Underinsured Motorists Coverage applicable to any
one covered auto will apply.
UNSTACKED COVERAGE
If you purchase Unstacked Uninsured Motorist and/or
Unstacked Underinsured Motorists Coverage, we will
pay no more than the Uninsured or Underinsured
Motorists Coverage limits shown on the Declarations
Page for the covered auto involved in the accident,
regardless of the number of persons we protect, autos
we insured, premiums paid, claims made or autos in-
volved in the accident. If none of the covered autos
are involved in the accident the highest limit of Unin-
sured or Underinsured Motorists Coverage applicable
to any one covered auto will apply.
REDUCTIONS
The amount of damages paid or payable under this
Uninsured or Underinsured Motorist Coverage will be
reduced by:
1. the amounts paid or payable by or for those liable
for bodily injury to you or anyone we protect;
2. the amounts paid or payable to you or anyone we
protect under Part 1 - Liability Coverage of this
policy.
TRUST AGREEMENT
When we pay your damages under this coverage, you
or your legal representative must agree in writing to
repay us out of any damages recovered from anyone
responsible for your injuries. You or your legal repre-
sentative must also agree in writing to hold in trust and
preserve for us all rights of recovery.
At our request, you must take any necessary action to
recover the payments we have made under this coverage.
You must do so in your own name and through a repre-
25
sentative we select. Any payments made under this
coverage and recovered from the at-fault party must be
repaid to us. Expenses of recovery will be repaid to us
out of any damages recovered.
OTHERINSURANCE
If you were in, on, getting into or out of a vehicle you
do not own which is insured for this coverage under
another policy, this coverage will be excess. This
means that when you are legally entitled to recover
damages in excess of the other policy limit, we will pay
up to your policy limit, but only after the other insur-
ance has been exhausted.
If this policy and one or more other policies apply to a
motor vehicle accident on a primary basis, we will bear
our proportionate share, as it applies to the total limits
available, up to the full limits of liability for this coverage
under this policy.
If there is other applicable insurance available under more
than one policy, any recovery for damages for bodily
injury sustained by a person insured may not exceed the
highest of the applicable limit of any one vehicle under
this insurance or any other insurance.
We will not pay for any damages which would duplicate
any payment made for damages under any other insur-
ance.
ARBITRATION
Disagreement over the legal right to recover damages
from the owner or operator of an uninsured motor vehi-
cle or underinsured motor vehicle or the amount of
damages may be settled by arbitration if both the insured
person and we agree to settle it by arbitration. The deci-
sion of the arbitrators will be binding on these two issues.
However, the amount of damages can never exceed the
Uninsured or Underinsured Motorists Coverage limits
shown on the Declaration Page.
All other disagreements shall be decided by a court of
competent jurisdiction and not by arbitration. Disagree-
ments to be determined by such court include, but are not
limited to:
1. Stacking;
2. Residency;
3. Statutes of limitations;
4. Whether a claimant is a person we protect under this
coverage;
5. The validity of coverage selections or waivers exe-
cuted pursuant to the Pennsylvania Motor Vehicle
Financial Responsibility Law.
GENERAL PROVISIONS
26
VALID DRIVER LICENSE
Any coverage afforded under any section of this policy
when the covered auto is being operated by a person
who is not a qualified, licensed driver, or is without a valid
driver license, or whose driver license is expired, revoked
or suspended, or is in violation of any condition of their
driving privileges, or is without privileges to drive for any
reason may be subrogated against you, the auto's opera-
tor, and/or the auto's titleholder.
BUSINESS USE COVERAGE
If you pay a specific premium for business use coverage,
we will pay for direct and accidental loss that occurs while
you are operating your covered auto and traveling
between locations during the course and within the scope
of your employment, subject to the coverages shown on
your Declarations Page and all the terms, provisions,
conditions and exclusions described throughout this pol-
icy.
NAMED DRIVER EXCLUSION
If you have asked us to exclude any person from cover-
age under this policy and at the time of an accident or
loss, the excluded person is operating your covered
auto, a non-owned auto or a temporary replacement
auto, then no coverage will be provided for any claim
under any part of this policy. THIS INCLUDES ANY
CLAIM FOR DAMAGES MADE AGAINST YOU OR ANY
OTHER PERSON OR ORGANIZATION THAT IS VI-
CARIOUSLY LIABLE FOR AN ACCIDENT ARISING
OUT OF THE OPERATION OF A COVERED AUTO, A
NON-OWNED AUTO OR A TEMPORARY REPLACE-
MENT AUTO BY THE EXCLUDED DRIVER.
OUR RIGHT TO RECOVER PAYMENT
In the event of any payment under this policy, we have the
right to recover from anyone who may be held responsi-
ble. You and anyone we protect must sign and deliver to
us any legal papers we may require relating to that recov-
ery , o whatever else is necessary to help us exercise
those rights and do nothing after a loss to prejudice our
rights.
Our right to recover does not apply if we make pay-
ment under physical damage coverage against anyone
using your covered auto with reasonable belief that that
person is entitled to do so.
When you and anyone we protect have been paid
damages by us under this policy and also recover from
another, the amount recovered from the other shall be
held by you in trust for us and reimbursed to us to the
extent of our payment.
In the event we become obligated to make a payment
because of a loss for which there would be no cover-
27
age under any terms, conditions or provisions of this
policy, then you must reimburse the company for any
payment or expense incurred by us.
FINANCED VEHICLES
If a lienholder or additional interest is shown on the
Declarations Page, we may pay any comprehensive
or collision loss to:
1. You and/or the additional interest and the repair facil-
ity; or
2. You and/or the additional interest and such lienholder
or additional interest, as their interest may appear,
when we find it is not practical to repair your covered
auto; or
3. The Iienholder or the additional interest, as to their
interest, if your covered auto has been repossessed.
A Iienholder or additional interest's benefits under this
policy are limited to and may not exceed those benefits
and/or rights to which the Named Insured is entitled.
LIENHOLDER DEDUCTIBLE
The deductible amount that applies to losses adjusted
and payable to the Iienholder for their interest shall be
no more than $250 per loss on comprehensive and
collision coverage. This deductible will apply only
when your covered auto is a total loss, and when loss
or damage causes it to be repossessed by or surren-
dered to the Iienholder. All other losses shall be sub-
ject to the deductible amounts shown on the Declara-
tions Page.
POLICY PERIOD AND TERRITORY
This policy applies only to auto accidents and losses
that occur during the policy period shown on the Declara-
tions Page. In the event we accept your late payment
and reinstate your policy, we will not cover any loss or
auto accident which occurred during the period between
the cancellation date and time and the reinstatement date
and time. Your policy expiration and/or renewal date will
remain unchanged by any reinstatement by us. Coverage
applies to your covered auto while it is within the United
State of America, its territories or possessions and Can-
ada, or while your covered auto is being transported be-
tween their ports.
TRANSFER OF THIS POLICY
This policy cannot be transferred to any person or organi-
zation without our written consent. However, if you die,
this policy will provide protection until the end of the policy
period (provided premium due has been paid), for the le-
gal representatives and those persons who were pro-
tected on the date of death.
NUMBER OF COVERED AUTOS ALLOWED
28
Four is the maximum number of covered autos that
may be listed on this policy.
CHANGES IN YOUR POLICY
This policy contains all the agreements between you and
us. Only the Named Insured appearing on the Declara-
tions Page may request changes to the policy.
This policy can only be changed by an endorsement is-
sued by us. If a change requires a premium adjustment,
we will adjust the premium as of the effective date of the
change. We will automatically give you the benefits of any
extension or broadening of this policy effective the date
the Pennsylvania Department of Insurance approves the
change and if the change does not require additional pre-
mium.
The premium for each term of this policy is determined by
information in our possession at the inception date of that
term. Any change in this information which would affect
the rating of your policy gives us the right to make an ad-
ditional charge or refund on a pro-rata basis. REGARD-
LESS OF PREMIUM CHANGE, YOU HAVE A DUTY TO
INFORM US OF ANY SUCH CHANGE (including but not
limited to change in: vehicles, use of vehicles, Named
Insured's and additional drivers' occupations which would
affect the way in which the vehicle is used, marital status,
garaging address, residents in household, children eligi-
ble to drive, medications, impairments or physician's re-
strictions that may impair or restrict an operator's ability to
operate a motor vehicle, or moving out of the Common-
wealth of Pennsylvania.)
CANCELLATION DURING THE POLICY PERIOD
The Named Insured appearing on the Declarations Page
may cancel this policy b returning it to us or by advising
us in writing the future date and time the Named Insured
wishes the cancellation to be effective. The earned pre-
mium will be computed on a pro-rata basis. This means
that we will retain premium for only those days that you
were protected. However, a $25.00 cancellation charge
will be applied to a policy canceling per insured request.
We will not refuse to issue or cancel this policy solely
because of your age, sex, race, color, creed, religion,
national origin, ethnic group, ancestry, marital status, or
residence within the Commonwealth of Pennsylvania.
We may cancel this policy by mailing notice of cancellation
to you at the address shown on the Declarations Page or
by delivering the notice. The earned premium will be com-
puted on a pro-rata basis. This means that we will retain
premium for only those days that you were protected.
The effective date of the cancellation stated in a notice is
the end of the policy period. However, if we cancel your
policy due to nonpayment of premium, and we choose to
reinstate your policy after receipt of your overdue pay-
ment, your policy expiration and/or renewal date will re-
main unchanged by the reinstatement. In the event we
29
accept your late payment and reinstate your policy, we
will not cover any loss or auto accident which occurred
during the period between the cancellation date and time
and the reinstatement date and time. Proof of mailing a
notice of cancellation shall be sufficient proof of notice. All
fees are fully earned on any insured initiated cancel, in-
cluding non-payment of premium.
We have the right to cancel this policy for any reason
within the first fifty-nine (59) days from its inception,
with at least a fifteen (15) day notice of cancellation.
If we do not cancel this policy within its first fifty-nine
(59) days or upon renewal, then we can only cancel
this policy for any of the following reasons:
With at least a fifteen (15) day notice of cancellation for:
Non-payment of premium.
If the named insured's driver license or vehicle
registration has been under suspended or
revoked during the policy period.
With at least a sixty (60) day notice of cancellation:
If a determination has been made that the insured
has concealed a material fact, or has made a
material allegation contrary to fact, or has made a
misrepresentation of a material fact and that such
concealment, allegation or misrepresentation was
material to the acceptance of the risk by the
insurer.
RENEWAL PROVISIONS
We retain/reserve the right not to renew your policy with
at least a sixty (60) day notice of non-renewal. If we de-
cide not to renew your policy, we will mail a Notice of
Cancellation or Refusal to Renew to you at the address
shown on the Declarations Page. Proof of mailing such a
notice shall be sufficient proof of notice to you.
Once a Notice of Cancellation or Refusal to Renew has
been mailed to you, you still have an obligation to make
any outstanding premium installment payments when due,
for the remainder of the policy period. Failure to pay any
such payments when due may result in an earlier cancer_
lation of your polic? for nonpayment of premium following
at least 5 days wr' en notice by us. No late payments will
be accepted and coverage will not be extended to the
non-renewal date.
BANKRUPTCY
We are not relieved of any obligation under this policy
because of your bankruptcy or insolvency.
FRAUD OR MISREPRESENTATION
We do not provide coverage for you if you have made
30
fraudulent statements or engaged in fraudulent conduct
in connection with any auto accident or loss for which
coverage is sought under this policy.
We may void this policy within the first fifty-nine (59)
days or cancel or refuse to renew thereafter for fraud or
misrepresentation even after the occurrence of an acci-
dent or loss. No person who engages in fraudulent
conduct in connection with an accident or loss shall be
entitled to receive any payment under this policy.
PREMIUM PAYMENT
If your "initial" premium payment is by check, draft, or
any remittance other than cash, coverage under this
policy is conditioned upon the check, draft, or remit-
tance being honored upon presentment to the financial
institution it is drawn upon. If the check, draft, or remit-
tance is not honored upon presentment, this policy will
be deemed void from its inception as if the policy never
took effect. This means that we will not be liable under
the policy for any claims or damages that would other-
wise be covered if the check, draft, or remittance had
been honored upon presentment to the financial institu-
tion it was drawn upon.
If your "installment" or "renewal" payment is by check,
draft, or any remittance other than cash, coverage
under this policy will continue provided the check, draft,
or remittance is honored upon presentment to the fi-
nancial institution it is drawn upon. If the check, draft or
remittance is not honored upon presentment, this policy
will be cancelled at the hour and date shown on the
Notice of Cancellation or Refusal to Renew that would
have applied to the payment that was not honored.
However, if no notice was previously mailed, a fifteen
(15) day Notice of Cancellation or Refusal to Renew
will be issued.
LATE PAYMENT
In order to continue your coverage, your installment or
renewal payment must be received in our office prior to
the due date shown on your Notice of Payment Due. If
payment is not received by the due date, a Notice of
Cancellation will be mailed to the address shown on the
Declarations Page. Payment effective dates and times
vary per the payment method:
1. Payments made through the Safe Auto Phone Pay
system or money wiring services are effective the
date and time that appears on the check that prints in
our office.
2. Mailed payments are effective the day after the post-
mark date on the payment envelope at 12:01 A.M.
3. Mailed payments with no legible postmark date are
effective the day we receive the payment at 12:01 A.M.
4. Walk-in payments are effective the date and time the
31
Safe Auto cashier receives the payment.
If the payment effective date and time is nor t_o the
cancellation date and time shown on your Notice of
Cancellation, the policy will not cancel. If your pay-
ment is effective after the cancellation date and time,
your policy will cancel as of the date and time shown
on your Notice of Cancellation that applies to that pay-
ment.
We will accept a payment effective after the cancella-
tion date and time and reinstate your policy, as long as
the payment's effective date and time is no more than
seven (7) days after the cancellation's effective date
and time.
In the event we accept your late payment and reinstate
your policy, we will not cover any loss or auto accident
which occurred during the period between the cancellation
date and time and the reinstatement date and time. In the
event that this policy is reinstated, it will reinstate under
the same policy terms, limits, conditions, elections, and
exclusions which were in effect prior to cancellation. Your
policy expiration and/or renewal date will remain un-
changed by any reinstatement by us.
We reserve the right not to accept late payments on
policies that have cancelled. We cannot accept any
payment that is effective more than seven (7) days af-
ter the cancellation date and time.
FINANCIAL RESPONSIBILITY LAWS
When we certify this policy as proof of financial respon-
sibility, this policy will comply with the law to the extent
required. You must reimburse us if we make a pay-
ment that we would otherwise not have made, had this
policy not been certified as proof of financial responsi-
bility.
SUIT AGAINST US
We may not be sued unless there is full compliance
with all terms of this policy. We may not be sued under
the liability coverage until your obligation to pay is
finally determined either by judgment against the per-
son after actual trial or by written agreement of the per-
son, the claimant, and us. No one shall have any right
to make us a party to a lawsuit to determine your liabil-
ity.
Any lawsuit against us seeking recovery of underinsured
motorists benefits under Part IV - Uninsured/
Underinsured Motorists Coverage must be filed no later
than one (1) year after the limits of liability under all appli-
cable bodilyy injury liability bonds or policies have been
exhausted by payment of judgements or settlements.
PUNITIVE OR EXEMPLARY DAMAGES
IT IS AGREED THAT NO COVERAGE IN THIS INSUR-
32
ANCE POLICY (INCLUDING UNDER PART I - LIABILITY,
PART 11 - FIRST PARTY BENEFITS, PART IV - UNIN-
SURED/UNDERINSURED MOTORISTS SHALL APPLY
TO PUNITIVE OR EXEMPLARY DAMAGES.
TWO OR MORE AUTO POLICIES
If this policy and any other auto insurance policy issued
to you by us applies to the same auto accident, the
maximum limit of our liability under all the policies shall
not exceed the highest applicable limit of liability under
any one policy, even though separate premiums have
been paid. You cannot stack coverages or policies.
AUTOMATIC TERMINATION
If you obtain other insurance on your covered auto, or if
a person other than you or a relative becomes the owner
of your covered auto, any coverage provided by this
policy will terminate as to that auto on the effective date
and time of legal transfer of that auto.
NAMED OPERATOR ENDORSEMENT
(NON-OWNED AUTOMOBILES)
As used in this part, the Named Operator is defined as
ONLY the Named Insured listed on the Declarations
Page of this policy. We agree that this insurance as is
afforded b this policy for Bodily In'ury, Property Damage,
Excess Medical Expense, and nnsured/Underinsured
Motorists coverages (provided these coverages are listed
on the Declarations Page and a premium shown for
them) applies with respect to the use of any non-owned
auto by the Named operator, subject to the following
provisions:
1. Any provisions of this policy which extends cover
age to other than the Named Operator are hereby
eliminated.
2. We will insure any newly acquired auto only if the
Named Operator notifies us within thirty (30) days
of the acquisition.
3. No coverage is afforded under this policy for any
auto owned in full or in part of registered in the name
of the Named Operator or any resident of the Named
Operator's household. This exclusion does not apply
to any newly acquired auto by the Named Operator
as defined in paragraph No. 2 above.
4. No coverage is afforded under this policy for any
auto used during the course of any business or
employment, or when used in an Auto Business
Operation, including but not limited to the selling,
repairing, servicing, testing, storing, or parking of
motor vehicles.
5. No coverage is afforded under this policy for any auto
used as a public or livery conveyance or in the busi-
ness of trucking or hauling for others.
33
6. The provisions of this policy in reference to other
valid and collectible insurance are hereby eliminated
and it is agreed that if there exists, at the time of any
loss covered by this policy, any insurance issued to,
taken out by or effected on behalf of anyone other
than the Named Operator and under the terms of
which the Named Operator is entitled to protection or
coverage, then the coverage provided by this policy
shall be excess insurance over and above the amount
of such other valid and collectible insurance.
All other terms, limits, and provisions of this policy remain
unchanged.
In witness whereof, we have caused this policy to be
executed and attested by our President and Secretary.
714 LV 6 0 .
Jon P. Diamond
PRESIDENT
April D. Miller
SECRETARY
34
Safe Auto Insurance Company
Corporate Office:
4 Easton Oval
Columbus, Ohio 43219
(614) 231-0200
1(800) SAFE-AUTO
1(800) 723-3288
FORM PA1010/1008
EXHIBIT "B"
AUTO INSURANCE POLICY DECLARATIONS
Policy No.: PA00187420A-7
Policy Period: From 09/29/2007 12:01 A.M.
To 03/29/2008 12:01 A.M.*
Standard time at the address of the named insured as stated herein.
LORI A SISCO
1003 WALNUT ST
LEMOYNE PA 17043
IF YOU CARRY COLLISION COVERAGE FOR DAMAGE TO YOUR AUTO, THIS POLICY
PROVIDES COLLISION COVERAGE FOR RENTAL AUTOMOBILES, BUT ONLY IF THE
RENTAL VEHICLE IS RENTED AS A RESULT OF A COVERED LOSS. PLEASE NOTE THAT
THE DEDUCTIBLE AND ALL APPLICABLE POLICY TERMS AND LIMITATIONS APPLY.
This Declarations Page along with the Policy Jacket (Form PA1010/1298), your signed application (Form PA1000/0606), and any endorsements/forms listed below complete the
above Policy.
The insurance afforded is only with respect to such and so many of the following coverages as are indicated with respect to each described vehicle where appropriate.
_ The limit of the company's liability against such coverage shall be as stated herein, subject to all the terms of this policy having reference thereto.
VEH # YEAR MAKE MODEL BODY TYPE SERIAL NUMBER SYM
1 2006 FORD FREESTAR SE SV 2FMZA516X6BA10817 7
2 2007 FORD FOCUS 4H 1 FAHP37N87W201207 14
* * * * 6 MONTHS PREMIUM * * * *
COVERAGES LIMITS OF LIABILITY VEH 1 VEH 2
BODILY INJURY LIABILITY $ 15,000 EACH PERSON/
$ 30,000 EACH ACCIDENT $184 $217
PROPERTY DAMAGE LIABILITY $ 10,000 EACH ACCIDENT INCL. INCL.
FIRST PARTY BENEFITS
MEDICAL EXPENSE $ 5,000 EACH PERSON $66 $71
VEH 1 VEH 2
TOWING AND LABOR - PER DISABLEMENT MAXIMUM OF 6 $ 40 $ 40 $6 $6
PHYSICAL DAMAGE
COMPREHENSIVE - ACTUAL CASH VALUE LESS DEDUCTIBLE $ 500 $ 500 $47 $89
COLLISION - ACTUAL CASH VALUE LESS DEDUCTIBLE $ 500 $ 1000 $261 $320
RENTAL REIMBURSEMENT - PER DAY NOT TO EXCEED 30 DAYS$ 20 $ 20 $17 $17
TOTAL PREMIUM BY VEHICLE $581 $720
TOTAL PREMIUM ALL VEHICLES $1,301
TOTAL DISCOUNTS PER VEHICLE 16.52% 16.38%
VIOLATION SURCHARGE PER VEHICLE 0 0
OTHER SURCHARGES PER VEHICLE 0 0
EXCLUDED DRIVERS: RICKY A SISCO
ALL DRIVERS HAVE CHOSEN LIMITED TORT OPTION
ENDORSEMENTS/FORMS MADE PART OF THIS POLICY AT TIME OF ISSUE:
PA1000/0606 PA1010/1298 PA1020/0606 PA1110/0606 PA1011/1002 PA1510/0603 PA160510302
PA1606/0603 PA1610/0999 PA1500/0603 PA1200/0999 PA1300/0999
LIENHOLDERS:
FORD MOTOR CREDIT CO, PO BOX 390858, MINNEAPOLIS, MN 55439
* Provided monthly payments have been paid
Date Issued: 9/28/2010 Form PA1020/0606
I two
LAW OFFICES OF OFFIT KURMAN
BY: GARY B. CUTLER, ESQUIRE
ATTORNEY I.D. #30924
1801 Market Street, 23rd Floor
Ten Penn Center
Philadelphia, PA 19103
(267) 338-1300
(267) 338-1335
SAFE AUTO INSURANCE COMPANY
4 Easton Oval
Columbus, Ohio 43219
t?
:'t C air 15 PH 12:
I ? p f
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
vs.
LORI SISCO
4207B King George Dr.
Harrisburg, PA 17109
and
RICKY SISCO
4207B King George Dr.
Harrisburg, PA 17109
and
CRAIG HARDCASTLE
309 Hummel Ave., Apt. 2
Lemoyne, PA 17043
and
LEO PISCIONERI
1807 Willow Rd.
Camp Hill, PA 17011
and
MARIA PISCIONERI
1807 Willow Rd.
Camp Hill, PA 17011
and
ERIE INSURANCE EXCHANGE
4901 Louise Dr.
Rossmoyne Business Center
P.O. Box 2013
Mechanicsburg, PA 17055-0710
NO.: 10 6941 Civil Term
PRAECIPE FOR VOLUNTARY DISCONTINUANCE
PURSUANT TO PA.R.C.P. 229
I V
TO THE PROTHONOTARY:
Kindly marked the above-referenc
Pa.R.C.P. 229.
By:
, P.A.
GAry B. Mier, ESQUIRE
Attorney or Plaintiff
Attorney LD.#: 30924
1801 Market Street, 23'd Floor
Philadelphia, PA 19103
(P) 267-338-1300
(F) 267-338-1335
Date: November 11, 2010
SHERIFF'S OFFICE OF CUMBERLAND COUNTY
Ronny R Anderson :-'
Sheriff {
Jody S Smith
7: M
Chief Deputy ,
Richard W Stewart {
Solicitor QFPCE ^;F T>,S SHERIFF
? - ?-,
i
Safe Auto Insurance Company
vs.
Craig William Hardcastle (et al.)
Case Number
2010-6941
SHERIFF'S RETURN OF SERVICE
11/04/2010 Ronny R. Anderson, Sheriff who being duly sworn according to law states that he made a diligent search
and inquiry for the within named defendant, to wit: Ricky James Sisco, but was unable to locate him in his
bailiwick. He therefore deputized the Sheriff of Dauphin County, PA to serve the within Complaint In
Declaratory Judgment according to law.
11/04/2010 Ronny R. Anderson, Sheriff who being duly sworn according to law states that he made a diligent search
and inquiry for the within named defendant, to wit: Lori Sisco, but was unable to locate her in his bailiwick.
He therefore deputized the Sheriff of Dauphin County, PA to serve the within Complaint In Declaratory
Judgment according to law.
11/05/2010 06:38 PM - Ryan Burgett, Deputy Sheriff, who being duly sworn according to law, states that on November
5, 2010 at 1838 hours, he served a true copy of the within Complaint in Declaratory Judgment, upon the
within named defendant, to wit: Leo Piscioneri, by making known unto himself personally, at 1807 Willow
Road, Camp Hill, Cumberland County, Pennsylvania 17011 its contents and at the same time handing to
him personally the said true and correct copy of the same.
4 -
RYAN BURGE UTY
11/05/2010 06:38 PM - Ryan Burgett, Deputy Sheriff, who being duly sworn according to law, states that on November
5, 2010 at 1838 hours, he served a true copy of the within Complaint in Declaratory Judgment, upon the
within named defendant, to wit: Maria Piscioneri, by making known unto herself personally, at 1807 Willow
Road, Camp Hill, Cumberland County, Pennsylvania 17011 its contents and at the same time handing to
her personally the said true and correct copy of the same.
RYAN BURGE PUTY
11/08/2010 03:44 PM - Ryan Burgett, Deputy Sheriff, who being duly sworn according to law, states that on November,
8, 2010 at 1544 hours, he served a true copy of the within Complaint in Declaratoy Judgment, upon the
within named defendant, to wit: Erie Insurance Company, by making known unto Mark Sepkovic, Claims
Supervisor for Erie Insurance Company at 4901 Louise Drive, Mechanicsburg, Cumberland County,
Pennsylvania 17055 its contents and at the same time handing to him personally the said true and correct
copy of the same.
a ?
RYAN BURGETT, DEPUTY
11/10/2010 08:56 AM - Dauphin County Return: And now November 10, 2010 at 0856 hours I, Jack Lotwick, Sheriff
of Dauphin County, Pennsylvania, do herby certify and return that I served a true copy of the within
Complaint in Declaratory Judgment, upon the within named defendant, to wit: Ricky James Sisco by
making known unto himself personally, at 4207 King George Drive, Apartment B, Harrisburg, PA 17109 its
contents and at the same time handing to him personally the said true and correct copy of the same.
(C) CountySuite Shenff. Teleosoft, Inc.
11/10/2010 Dauphin County Return: And now, November 10, 2010 I, Jack Lotwick, Sheriff of Dauphin County,
Pennsylvania, do hereby certify and return, that I made diligent search and inquiry for Lori Sisco the
defendant named in the within Complaint in Declaratory Judgment and that I am unable to find her in the
County of Dauphin and therefore return same NOT FOUND. Request for service at 4207 King George
Drive, Apartment B, Harrisburg, PA 17109 the defendant was not found. Ricky Sisco advised Deptuies,
he has not seen Lori Sisco in over two years.
11/16/2010 Ronny R. Anderson, Sheriff, who being duly sworn according to law, states that he made a diligent search
and inquiry for the within named defendant to wit: Craig William Hardcastle, but was unable to locate him
in his bailiwick. He therefore returns the within Complaint in Declaratory Judgment as not found as to the
defendant Craig William Hardcastle. Request for service at 309 Hummel Avenue, Apartment 2, Lemoyne,
PA 17043 the defendant was not found. The Lemoyne Postmaster is delivering Craig William
Hardcastle's mail to 1003 Walnut Street, Lemoyne, PA 17043. However, neighbors of this address have
not seen the defendant in over one month.
SHERIFF COST: $176.30
November 16, 2010
SO ANSWERS,
RON R ANDERSON, SHERIFF
(c) countySuite Sheriff, Teleosoft. Inc.
(ptf itt of the ?$hvrfff
Charles E. Sheaffer
Chief Deputy
William T. Tully
Solicitor • Michael W. Rinehart
Assistant Chief Deputy
Dauphin County
Harrisburg, Pennsylvania 17101
ph: (717) 780-6590 fax: (717) 255-2889
Jack Lotwick
Sheriff
Commonwealth of Pennsylvania STATE AUTO INSURANCE COMPANY
VS
County of Dauphin RICKY JAMES SISCO
Sheriff s Return
No. 2010-T-3380
OTHER COUNTY NO. 20106941
And now: NOVEMBER 10, 2010 at 8:56:00 AM served the within COMPLAINT FOR
DECLARATORY JUDGEMENT upon RICKY JAMES SISCO by personally handing to RICKY JAMES
SISCO 1 true attested copy of the original COMPLAINT FOR DECLARATORY JUDGEMENT and
making known to him/her the contents thereof at 4207 KING GEORGE DRIVE, APT B HARRISBURG
PA 17109
Sworn and subscribed to
before me this 12TH day of November, 2010
-)P*Z
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
Karen M. Hoffman, Notary Public
City of Harrisburg, Dauphin County
M Commission Expires August 17, 2014
So Answers,
?Sheri
y ff of M;:c Deputy Sheriff
Deputy: W CONWAY
Sheriffs Costs: $66.5 11/5/2010
(Rifitt of the -r,*4criff
William T. Tully
Solicitor
Dauphin County
Harrisburg, Pennsylvania 17101
ph: (717) 780-6590 fax: (717) 255-2889
Jack Lotwick
Sheriff
Charles E. Sheaffer
Chief Deputy
Michael W. Rinehart
Assistant Chief Deputy
Commonwealth of Pennsylvania STATE AUTO INSURANCE COMPANY
VS
County of Dauphin RICKY JAMES SISCO
Sheriff s Return
No. 2010-T-3380
OTHER COUNTY NO. 20106941
I, Jack Lotwick, Sheriff of the County of Dauphin, State of Pennsylvania, do hereby certify and return,
that I made diligent search and inquiry for LORI SISCO the DEFENDANT named in the within
COMPLAINT FOR DECLARATORY JUDGEMENT and that I am unable to find him/her in the County of
Dauphin, and therefore return same NOT FOUND, NOVEMBER 10, 2010.
LORI DOES NOT LIVE AT 4207 KING GEORGE DRIVE, APT B HARRISBURG, PA 17109, RICKY
SISCO HAS NOT SEEN LORI IN OVER 2 YEARS
Sworn and subscribed to
before me this 10TH day of November, 2010
xP*z
So Annsswers,
/? .i
Sheriff of DaupW* County
By
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
Karen M. Hoffman, Notary Public
City of Harrisburg, Dauphin County
M Commission Expires August 17, 2014
Deputy: W CONWAY
Sheriffs Costs: $66.5 11/5/2010
a
LAW OFFICES OF OFFIT KURMAN
BY: GARY B. CUTLER, ESQUIRE
ATTORNEY I.D. #30924
1801 Market Street, 23`d Floor
Ten Penn Center
Philadelphia, PA 19103
(267) 338-1300
(267) 338-1335
ILED-OFFICE
O ilit
PR0TIjnrNDTAF;y
2110 DEC 14 AN 10: 3B
DUMBERLAND DDDR i y
PENNSYLVANIA
SAFE AUTO INSURANCE COMPANY
4 Easton Oval
Columbus, Ohio 43219
vs.
LORI SISCO
4207B King George Dr.
Harrisburg, PA 17109
and
RICKY SISCO
4207B King George Dr.
Harrisburg, PA 17109
and
CRAIG HARDCASTLE
309 Hummel Ave., Apt. 2
Lemoyne, PA 17043
and
LEO PISCIONERI
1807 Willow Rd.
Camp Hill, PA 17011
and
MARIA PISCIONERI
1807 Willow Rd.
Camp Hill, PA 17011
and
ERIE INSURANCE EXCHANGE
4901 Louise Dr.
Rossmoyne Business Center
P.O. Box 2013
Mechanicsburg, PA 17055-0710
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
NO.: 10 6941 Civil Term
PRAECIPE FOR VOLUNTARY DISCONTINUANCE
PURSUANT TO PA.R.C.P. 229
. A
TO THE PROTHONOTARY:
Kindly marked the above-referenced matter Voluntarily Discontinued Pursuant to
Pa.R.C.P. 229.
KBUAtle AN, P.A.
By:
, ESQUIR E
Attorney for Plaintiff
Attorney I.D.#: 30924
1801 Market Street, 23?d Floor
Philadelphia, PA 19103
(P) 267-338-1300
(F) 267-338-1335
Date: December 9, 2010