HomeMy WebLinkAbout12-7254COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION -LAW
American Express Centurion Bank, a Utah
Corporation
Plaintiff
v.
NANCY LENKER
Defendant
NOTICE TO DEFEND
You have been sued in court. If you wish to defend against the claims set forth in the following
pages, you must take action within twenty (20) days after this complaint and notice 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, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS
OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER.
IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO
PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL
SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE.
Cumberland County Bar Association
34 S. Bedford Street
Carlisle, Pennsylvania -
telephone number 717-249-3166
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COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION -LAW
American Express Centurion Bank, a Utah
Corporation,
Plaintiff
v. No.
NANCY LENKER,
Defendant
isisos oov
COMPLAINT
Plaintiff, American Express Centurion Bank, a Utah Corporation, by and through its counsel,
Demetrios H. Tsarouhis, files this Complaint and aver as follows:
1. Plaintiff, American Express Centurion Bank, a Utah Corporation, ("Plaintiff ') is a
NY business corporation having its corporate offices at 200 Vesey Street, 43rd. Floor, New York
NY 10285.
2. Defendant, NANCY LENKER , is an adult individual resident of Pennsylvania who
maintains an address at 20 N 12TH STREET APT 216 , LEMOYNE PA 17043.
3. At all relevant times herein, Plaintiff was engaged in the business of extending credit
to potential clients.
4. Defendant applied for and received a credit card issued by Plaintiff with the account
number ending in .
5. Use of the credit card was subject to the terms and conditions of the Cardmember
Agreement (hereinafter "Agreement"). Incorporated herein by reference as if set forth herein at
length and attached as Exhibit "A" is a true and correct copy of the Cardmember Agreement.
2
6. Defendant used the credit card with account number ending in ,for purchases, cash
advances and/or balance transfers. Use of the card in this manner constituted acceptance of the terms
and conditions and subjects the Defendant to the terms and conditions contained therein.
7. The Defendant was mailed monthly account statements relative to the Defendant's
use of the subject credit card. Incorporated herein by reference as if set forth herein at length and
attached as Exhibit "B" is a true and correct copy of the most recent statement.
8. The Defendant defaulted under the terms of the Agreement by failing and refusing to
make monthly payments on the account as they became due.
9. The account became delinquent on or about 08/20/2012 and Defendant has failed to
pay any amounts since that time.
10. The principal amount due at such time was $24,511.31.
11. Plaintiff is also entitled to receive interest on the above amount determined by
applying the statutory interest rate of 6% per annum to the past due balance, which currently
totals $4.03 per diem from the date of the filing of this Complaint until the date of judgment in
this matter.
12. Pursuant to the terms of the Agreement, Defendant is liable to Plaintifffor court costs
and reasonable attorneys' fees.
WHEREFORE, Plaintiff requests judgment in its favor and against Defendant as follows:
a) Judgment in the amount of $24,51.1.31 due on the account;
a) Interest at the per diem rate of $4.03 from the date of filing this Complaint
until the date of Judgment;
b) Reasonable attorneys' fees;
3
c) Costs of suit; and
d) Any other relief as the Court deems just and appropriate.
COUNT II
Alternative to Count I -Unjust Enrichment
13. Plaintiff incorporates the allegations of every paragraph enumerated above this
Complaint as if said paragraphs were fully set forth here at length.
14. At Defendant's request, Plaintiff conferred a benefit upon Defendant by providing the
credit described in the exhibits attached hereto.
15. Defendant received and accepted the benefit of said credit provided by Plaintiff.
16. At all times material hereto, Defendant was aware that Plaintiff was providing the
aforesaid credit to Defendant and that Plaintiff expected to be paid for such.
17. At all times material hereto, Defendant, with the aforesaid knowledge, permitted
Plaintiff to provide said credit and to incur damages.
18. At all times material hereto, Defendant was unjustly enriched by retaining the benefit
of receiving said credit without paying Plaintiff fair and reasonable compensation.
19. Allowing Defendant to retain the benefit of said credit without paying fair
compensation would be unjust.
20. By reason of the aforesaid unjust enrichment of Defendant at Plaintiff s expense, an
implied contract exists between Plaintiffand Defendant and Defendant is obligated to pay Plaintiff
the quantum meruit value of the credit described in the exhibits attached hereto in the amount of
$24,511.31.
WHEREFORE, Plaintiff requests judgment in its favor and against Defendant as follows:
4
a) Judgment in the amount of $24,511.31 due on the account;
b) Costs of suit; and
c) Any other relief as the Court deems just and appropriate.
Respectfully Submitted,
DEMETRIOS H. TSAROUHIS
I.D. #88513
Attorney for Plaintiff
21 S. 9`h Street-Suite 200
Allentown, PA 18102
610-439-1500
Date: November 25, 2012
121508.001
5
FDR 97a9sn
. , .~ r*._- i<r ls~ :r>iatt t~`I . i _suhM ,uf-ceshiia
This document and the accompanying supplement(s)
umstitute your Agnemrnt. Please read and keep this
Agreement. Abide by its terms.ltihcn you keep, sign ur use the
Card issued to you (including any renewal or replacement
Cards), or you use the amount associated with this Agreement
(your "Account"), you agree to the terms of this Agreement.
The words "vou; "your" and "yours" mean the person who
applied for the Account and the person to whom we address
billing statements, as welt as any person who agrees to be liable
nn the Aaount. Thr'Basic Cardmembcr" is the person who
opened the Account. At your request, we may also issue a Card
nn your Acmunl to another person (an'Additu?nal
fardmember'~). The term "Card" refers to the American
Express' Card issued to you, all other Cards issued on your
Account, and any other device (suclt as Aaount numbers and
convenience checks) with which you may aaess your Account.
"We," "our° and "us" refer to American Express Centurion
Ban k, the issuer of your .A count.
i•.ir,A tltc td+re'
Yuu may use the Card to obtain goods and services from
any person who accepts the Card ("Purchase(s)°). You may
also use the Card to obtain loans ("Cash Advance(s)")through
various means we may make available (e.g., ATM machines)
up to the applkable limits on your Account At our discretion,
we may permit you to transfer balances Erom other accounts to
your Account ("Balance Transfer(s)"}. At our discretion, we
may issue convenience checks that you can use to access your
Asuunt. Each convenience check may be used only by you.
You may not use convenicncr checks to pay any amount you
owe under this Agreement or to pay any other account you
have with us or our alliliates. Transactions you make in
response to promotional offers from us will be subject to the
trans of the promotion and this Agreement.
All amounts charged m your Aaount including Purchases,
Cash Advances, Balance Transfers, convenience checks, annual
fee(s), if any, any amounts guaranteed by use of the Card, other
fees, and any Finance Charges, are "Charges' A convenience
check that we identify as having been made payable to cash, to
you, or to a bank, brokerage or similar asset account wiB be
treated as a Cash Advance. Any other convenience check
and/or a Balance Transfer will be treated as a Purchase, except
as otherwise noted. If you make a Purchase or a Balance
Transfer, or use a convenience check. that is governed by a
promotional offer f tom us, the Charge will be included in a
Promotional Balance, unless sve notify you otherwise.
You agree not to let any person use a Card except a
Cardmembcr whose name is on it. You agree to Warily us if the
Card is lost or stolen, or you suspect that it is being used
without your permission. You agree to use the Account only for
Purchases, Cash Advances, or Balance Transfers that are lawful
and arc permitted under this Agreement. We may issue you
renewal or replacement Cards below a previously issued Card
expires.
if you ur an Additional Cardmembcr authorize a third
party to bill Charges on a recurring basis to your Account
("Recurring Charge(s)°), w'e may (but are not reyuired to)
provide such third party with your current Account status,
Card number andlnr expiration date to permit that third party
to continue billing your Aaount. We may take such steps even
if your account number changes or if we issue a renewal or
replacement Card to you or an Additional Cardmembcr. To
withdraw authorization for a Recurring Charge, you must
notil} the third parry.
~nPasl E Cz•
There is nu annual lee Gx this Account.
C ~ e [i tl [. nx'
A portion of your credit line may be available to you for
Cash Advances up to your Cash Advance limit. We may, al any
time and in our sole discretion, increase andlnr decrease your
credit line and Cash Advance limit. We may limit Charges at an
automated feller machine ("ATb~I") to the lesser of (i) a total of
$3,500 in any seven-day period, or (ii) the remaining amount
of the Cash Advance limit nn your Account and we may
impose additional limits at our sole discretion (in addition to
any limits imposed by the ATM's owner). Your billing
statements will show your credit line and Cash Advance limit
and the unused portions of such line and limit as of the
statement date. You agree to manage your Aaount so that your
balance (or Cash Advances (including fees and Finance
Charges) will not exceed the Cash Advance limit and your
overall balance (including fees and Finance Charges) will not
exceed your credit line. You agree to pay us, immediately upon
request, the amount of any balance on your Account in excess
of any applicable credit line or limit. We reserve the right to
decline any attempted Charge, even if the Charge would not
cause }'ou to exceed your credit line or limit.
Wr are not responsible (or any losses or other atnseyuences
if a transaction on your Account is not approved for any
reason, even if you have sufficient credit available. Except as
otherwise nyuircd by applicable law, we will not be
responsible if any merchant refuses to honor the Card or for
am other problem you may have with a merchant.
~rCiml~i'. tSi t~:t\
You promise to pay all Charges, including Charges incurred
by Additional Cardmembers, on your Account.'1'his promise
includes any Charge for which you or an Additional
Cardmembcr indicated an intent to incur the Charge, even if
you or the Additional Cardmembcr have not signed a ehazge
form or presented [hz Card. You also promise to pay any
Charge incurred by anyone that you or an Additional
Cardmzmber let use the Card, even though you have agreed
not to let anyone else use the Card.
tEtus of.end Re.,prtnvbility for additional C:udmc>orltera
Additional Cardmembers do not have accounts with us.
Instead, they are authorized users on your Account, and the
Cards issued to them may be cancelled by you or us at any
time. You must notify us to revoke an Additional
Cardmembers' permission to use your Account. You are
responsible under this Agreement for all use of your Acrnum
by the Additional Cardmembers, and by anyone else you or an
Additional Cardmembcr less use the Cazd, and the Charges
they incur will be billed to you. You have this responsibility
even if you did not intend for an Additional Cardmembcr, or
other person, to use the Card for any transactions.
An Additional Cardmembcr is not liable for Charges
incurred by the Basic Cardmembcr or by other Additional
Cardmembers. However, by each use of the Additional Card to
incur Charges, the Additional Cardmembcr indicates his or her
agreemem to pay us Eur the Charge if you Cail to or refuse to
pa}' it, and we may, at our discretion, pursue Additional
Cardmembers for payment of Charges [hey incur or authorize.
Y'ou authorize us to provide Aaount information to Additional
Cardmembers and to discuss the Account with them.
You agree to notify each Additional Cardmembcr, at the
time he or she becomes an Additional Cardmembcr, that we
ma}' receive, record, exchange and use information about him
or her in the same manner we do with information about you,
as described below in the Consumer Reports, Telephone
Communications, and Suspension/ Cancellation sections of
this Agreement. You agree to notify each Additional
Cardmembcr that Additional Cardmembers are subject to all
applicable provisions of this Agreement.
Billi nl, Statentcnts
You must notify us immediately of any change in the
mailing or r-mail address to which we send billing statements
or notices that a billing statement has been posted ("Billing
Address"). tf you wish a Billing Address change to apply to
more than one account you maintain with us, you must tell us.
You agree that we may also update your Billing Address if we
receive information that your Billing Address has changed or is
incorrect.
The "New Balance" appears on your billing statement. To
determine the New Balance, we begin with the outstanding
balance on your Account at the beginning of each billing
period, called the "Previous Balance" on the billing statement.
We add arty Charges, subtract any credits or payments credited
as of that billing period, and make other applicable
adjustments.
CD 251323 (07109)
Each billing statement will celled a Minimum Amount
Due. Payment is due by the time and date shown and in [he
manner presuibed on the statement. The Minimum Amount
Due will not exceed the New Balance- You may pay more than
the Minimum Amount Due, up to the entire outstanding
balance, at any time. To calculate the Minimum Amount Due,
we add together the following amowtts, round the result to the
nearest whole dollar, and then add any amount past due:
(1) the greatest of:
(a) 2a. of the Nrw Balance (excluding from the New
Balance anv any late fees onrver-limit fees):
(h) the lesser oC
(i) current billed Finance Charges plus I%of the New
Balance (excluding from the New Balance any late
fees or over-limit lees and finance charges), or
(ii) 49'0 of the New Balance; or
(c) $15;
(2) any over-limit fees added during the billing period; and
(3}any late fees added during the billing period.
Adjusted Minimum Amount Due
Summary: [t you consistently pay more than the
Minimum Amount Duc outlined above, we may calculate your
minimum payment without any late fees or the additional 19u
of the balance referenced in (t)(b)(i). If we do this, and
finance charges are more than 2% of the balance, we may add
$] 5 to your minimum payment Fnr information about how
this works, read the detailed description below.
Detailed Description: We may adjust the outlined
calculation ahoy by removing [he late fern in (3) and "glue 190
of the New Balance" in (I)(b)(i). In the adjusted calculation,
we will exclude only the over-limit lees from the New Balance
in (1)(a). After the adjustment, if (I) is equal to the current
billed Finance Charges, we will increase your Minimum
Amount Dur by $ I i.
We will apply the adjusted calculation to your Account if:
. the sum of your payments (credited to your Account in
the six consecutive billing periods ending with the
Closing Date of the current billing period) is greater than
the sum of the Minimum Amounts Dur (for Ihz six
consecutive billing periods ending with the Closing Date
of the previous billing period, not using the adjusted
calculation and including the amount past due in only
the first of those six periods);
• the sum of the Minimum Amounts llur is eyual to the
sum of your payments and it is less than or equal to $90;
• the sum of the Minimum Amounts Due is zero and we
used the adjusted calculation in the last billing period
when your Minimum Amount Due was not zero; or
If we adjust your Minimum Amount Due, we will du so for
at least six billing periods, and if we stop adjusting your
Minimum Amount Due, we will not adjust it again for at least
six billing periods, regardless of your payment history.
Pa} arena
All payments must be sent to the payment address shown
on your billing statement and must include the remittance
coupon from your billing statement. Yuu must pay us in U.S.
currency, with a single draft or check drawn on a U.S. bank and
payable in U.S. dollars, or with a negotiable instrument payable
in U.S. dollars and clearable through the U.S. banking system,
or through an electronic payment method clearable through
the U.S. banking system. Your Account numher must be
included on or with all payments. If we decide to accept a
payment made in a foreign currency, you authorize us to
choose a conversion rate that is acceptable to us to convert
your remittance into U.S. currency, unless a particular rate is
required by law.
Payments conforming to the above requirements that we
receive no later than the hour specified on your billing
statement will he credited to your Account as of the day
received; payments conforming to the above requirements that
we receive after the hour specified on your billing statement
will be credited to your Account as of the following day.
If payment does nut conform to the requirements stated
above, crediting may be delayed. If this happens, additional
Exhibit " ~ "
Charges maybe imposed. We may accept late pa}ments,
partial payments or any payments marked as being payment in
full or as being settlement of am' dispute without losing any of
our rights under this Agreement ur under the law. Our
acceptance o(any such payments does not mean we agree to
change this Agreement in any way. You agree that an
acceptance of such payments will not operate as an accord and
satisfaction without our prior rxprcss wriucn approval.
Subject to applicable law, we will appl}' and alfneale
payments and credits among balances and Charges on your
An'nunt in anv order and manner determined b}' us in our safe
discretion. In must cases, we will appl}' and allocate payments
first to balances at Tower Annual Percentage Rates ("APRs")
and then to higher APA balances, and appl}' Purchase credits
first to the balance from which the corresponding debit
originated. Ilowevec for servicing, administrative, systems or
other business reasons, we may apply and allocate payments
and credits among balances and to Charges on your Acrnunt in
some other order or manner that we may determine in our sale
discretion. You agree that we have the unconditional right to
exercise this discretion in a way that is most favorable or
convenientto us.
AathurhaUOn Cue Ltc~truci> f?c.bit to P,utr th~:Nme
3 i:comtt
When you provide a check as payment, you authorize us to
use information from your check to make an electronic fund
transfer from your accowu or [n process the payment as a
check transaction. if we process your check electronically,
funds may be withdrawn from your bank or asset acrnunt as
soon as the same day we receive your check. Also, if wr process
}'our check electronically, you will not receive that cancelled
check with your bank or asset account statement.
Fhrna~e. t'.harKr.
a. Finance Charges begin to accrue for each Charge as of
the date [he Charge is added to the daily balance, as described
below. If payment in full for any New Balance shown on the
statement for a billing period is credited to your Account by
the Payment Due Date shown on that statement, then Finance
Charges wiB not accrue for Purchases from the date on which
payment in full of that New Balance is credited to your
Account until the end of the billing period in which such
payment is credited to your Account. In addition, Finance
Charges will not accrue for Purchases during a billing period if
(a) the Previous Balance shown on the billing statement for
that billing period is zero or a credit balance, or (b) payment in
full for the New Balance, if any, shown nn the statements
covering the two immediately preceding billing periods is
credited to your Account by the respective Payment Due Dates
shown on [hose statements. For purposes of this paragraph,
Purchases do nut include Balance Transfers or convenience
checks.
f.. The Daily Periodic Rate ("DPR") fur Purchases and the
DPR for Cash Advances are each based on an APR, which may
vary. Thr APR for Cash Advances is the Prime Rate plus
17.99%. A DPR is 11365th of the APR. Ybur DPAs and APRs for
Purchases appear on the amompanying supplement(s). When
an APR changes, wr apply it to any existing balance subject to
that rate.
C'_ Notwithstanding the foregoing, unless a higher rate
applies, the APR fur all balances except Cash Advances will be
eyual to Prime plus 19.99% d during any Review Period any
portion of any Minimum Amount Due is not credited to your
Account by its Payment Due Date. The "Review Period" is the
period, constituting approximately one year, of twelve
consecutive billing periods ending with the Closing Date of the
current billing period, whether or not you received a statement
for each such billing period.
D. Notwithstanding the foregoing, the DPR (and
corresponding APR} on all balances will increase to the Uefault
Rate if during the Review Period (i) payment of your
Minimum Amount Due is not credited to your Acrnunt by the
Payment Due Date in any two billing periods, (u) a pa}'ment on
your Account is not honored by your bank or other financial
institution, or (iii) you exceed any designated credit limit on
your Account three or more times. The "Review Period" is the
period, constituting approximately one year, of twelve
consecutive billing periods ending with the Closing Date of the
current billing period, whether or not you received a statement
for each such billing period. If the Default Rate is applied, it
will apply to your Account for a mininmm of twelve
consecutive billing periods, beginning with the current billing
period. The Dr(ault Rate is a DPR which corresponds to an
APR equal to the Prime Rate plus 23.9940.
I . The "Prime Ratr" is determined once with respect to
each billing period. The Prime Ratr for each hitting period is
the Prime Rate published in the Dloney Rates section (or
successor section) of The Wa!lStreet Journal on (a} the first day
of that billing period or (b) the day that is two days prior to the
Closing Date of that billing period, whichever is higher. In each
lase, if such a day is not a customary publication day for The
kir!! Street Journal, we will substitute the closest preceding day
that is a customary publication day. If The lM1ull Street Journal
ceases or suspends publication, we may refer to the Prime Rate
published in any other newspaper of general circulation in
New York, New York, or we may substitute a similar reference
rate at our sole discretion. Any increase or decrease to an APR
resulting from a change in the Prime Rate takes effect as of the
first day of the billing period. An increase in the Prime Rate
means that the variable APRs (and corresponding DPRs)
applicable to your Account will increase and you ma}' incur
higher Finance Charges and may have a higher J'linimum
Amount Dur.
,ltitr;y;e Daiic t3a{anc ttcttrad ttv i~alfni dfion of 1•ineata
Char~cs
Wr use the Average Daily Balance method to calculate
Finance Charges nn your Account. Under this method, we
calculate the Finance Chazges on your Account by applying the
DPR to the .overage Daily Balance (as described brlmv)
separately for each balance subject to Finance Charges.
Different periodic rates maybe used for different balances. For
example, different DPRs may br applied to separate balances,
such as Purchase, Cash Advance, and Promotional Balances. To
get the Average Daily Balance for rack balance, wr (t) take the
beginning balance for each day (including unpaid Finance
Charges Crom previous billing periods), (2) add any new
transactions, debits, nr fees, (3) xuhtract any payments or
credits credited as of that day, and (4) make any appropriate
adiustmrnts. For each day alter the first day of the billing
period, we also add an amount of interest eyual to the previous
day's daily balance multiplied by the DPR for [he balance. This
gives us the daily balance for the particular balance !or that day
and the beginning balance for that balance for the next day. If
this balance is negative, it is considered to be zero. Then, we
add up all the daily balances for each balance (or the billing
period and divide the total by the number of days in the billing
period. "this gives us the Average I}aily Balance for that
balance.
if you multiply the Average Daily Balance for each balance
by tht number of days in the billing period and the DPR for
that balance, the result will be the Finance Charge assessed on
that balance, except for variations caused by rounding. The
total Finance Charge for the billing period is calculated by
adding the Finance Charges assessed on all balances of the
Account. Chis method of calculating the Average llaily Balance
and Finance Charge results in daily compounding of Finance
Charges. We may use mathematical formulas which produce
eyuivalent results to calculate the Average Daily Ba]auce,
Finance Charge, and related amounts. Fnr example, we ma}'
utilize computer programs or other computational methods
that are designed to produce mathematically equivalent results
while using fewer and/or simpler computational steps than are
described in this Agreement.
At our discretion, we may exclude certain categories of
debit transactions or fees from the calculation of [he daily'
balances. Unless wr elect to use a later date, we add a Charge to
the daily balance as follows:
We add a Cash Advance or Purchase to the appropriate
daily' balance as of [he date of reyuest or the transaction date
on the billing statement. We add a convenience check to the
appropriate daily balance as of the date of first deposit. We add
a Balance'Gansferatherthan through a convenience check to
the appropriate daily balance as of the date of the request. We
add periodic Finance Charges to the daily balance as described
above. We add any other Charge to the appropriate daily
balance as of the date of the transaction.
Periodic Finance Charges are added to the outstanding
balance at the end of the billing period for which Finance
(:barges are calculated. In any such billing period, we will
impose a minimum Finance Charge of $0.50, which will be
added to the balance with the highest APR unless, for our
convenience and in our sole discretion, we choose to add it to a
balance with a lower APR. [n our sole discretion, we also may
round any calculations made in determining the Finance
Charges nn your Account in any wa}'that is convenient to us
Any such rounding may apply to or c cruse variations in your
DPRs.
Ia'x. Pre.
We may assess a Late Fee if a paymem nl at least the
Minimum Amount Due is not credited to your Account by the
Payment Due Date. The amount of [he Late Fee depends on the
amount of the Previous Balance on the statement on which the
Late Fee appears, as follows:
~vious Balance Late Fee
Less than $400 $19
$4(10 or greater $38
tlthrr Fees
We may charge the fiilhnving fees to your Account, subiect
to applicable law. Except as otherwise noted, these fees will be
added to the Purchase Balance.
I . Dishonored Payments: 4Ve may charge a fee o($38
whenever any check, similar instrument, or electronic
payment order that we receive as payment on your Account is
not honored upon first presentment.
If a Card is presented in connection with cashing a check at
an American Express Travel Service Office or other authorized
location and the check is not honored, we may charge a tee of
$38. (We will also add a Charge to the Cash Advance balance of
your Account in the amount of the check that was not
honored)
_'. Copies of Statements: Wr may charge a fee of $5 for
each billing period for which a copy of a billing statement is
requested. Wr will not charge this fee for any request Inc a rnpy
of any of the billing statements for the three billing periods
immediately prior to the rryuest.
.9. Account Re-opening Fee: We may charge a re-opening
fee of $25 if your Account is cancelled fur any reason and you
request reinstatement and such reyursl is honored.
t. Wire Traosfers:lVe may charge a fee of $ t i each time a
wire transfer from your Account is initiated and authorized.
:>. Stop Payment Orders: We may charge a fee of $29
each time we receive a request to stop payment on a
convenience check drawn on your Amount.
(+. Over-limit Fee: We may charge a fee of $3i in each
billing period the Nrw Balance on your statement exceeds your
credit line.
~. Convenience Check UsagelBalance Transfer
Transaction Fee: We may assess a transaction Fee for each
Balance Transfer and each convenience check drawn on your
Account, as disclosed in the applicable Promotional Offer, in
the materials accompanying the convenience check, or at the
time of the transaction. This fee is a Finwce Charge and, if
assessed, will be added to the same Purchase or Cash Advance
balance as the convenience check transaction or Balance
Transfer. For convenience checks made payable to cash or to
you, a bank, brokerage or similar asset account, however,
unless otherwise disclosed in the applicable Promotional Offer,
in the materials accompanying the convenience check, or at the
time of the transaction, there will be a transaction fee of 3%,
with a minimum of $S.
ti. ATM Fee: We will impose a fee each time a Card is used
to obtain cash or any other services from an ATM. This fee will
be 3% of the amount of the cash withdrawn or other services
obtained (including any additional fee imposed for use of the
ATM by its operator), with a minimum of $5. This fee will hr
added to the Cash Advance balance.
Suspension.tC,ancrlfatu>n
In addition to any other actions we may take under this
Agreement, we may suspend or cancel your Account or any
feature offered in connection with your Account, we may
reduce your credit line or cash advance limit (including to a
level below your outstanding balance), and/or we may suspend
or cancel the authorization of any Additional Cardmembrr to
make Charges to your Acrnunt, at our sole discretion at any
time, with or without cause, whether or not your Amount is in
default, and without giving you notice, subject to applicable
]aw. Any such action on our part will not cancel your obligation
to pay all Charges due on your Amount under the terms of this
Agreement in effect at the time of such action or as
subsequently amended, and you agree to pay us all such
Charges despite any such action. We may advise third parties
wha accept the Card that the Card(s) issued to you and/or
Additional Cardmembers have been cancelled. It we cancel the
Card or it expires, you ma}' no longer use it and you must
FDR 974950
destroy it or return it to us or, i(we request, to a third path'. II
you want to cancel the Acamnt or any Additional Cards, ynu
must notify us and destroy the Card(s).
If we agree to reinstate your Account after a cancellation,
the new Agrremem we send wu (or, it we du not send you a
new Agreement. this Agreement as i[ may be amended) will
govern your reinstated Account. K'hen we reinstate your
Account, we may reinstate any Additional Cazds issued in
connection with your Account, and bill you the applicable
annual fee(s).
Dc3:.ul;
We may consider your Aaount to be in default at any time
if you fail to pay us any amount when it is due, or it you breach
any other promise or obligation under this Agreement.
Subject to applicable law, we may also consider your
Aaount to be in default at any time if any statement made by
you to us in connection with this Account or an}' other credit
program was false or misleading; if you breach any promise or
obligation under any other agreement that you may have with
us or with any of our affiliates; if we receive information
indicating that you are bankrupt, intend to file bankruptcy, or
are unable to pay your debts as they become due; or we receive
information leading us to conclude that you are otherwise not
creditworthy. In evaluating your creditworthiness, you agree
that we may rely nn information contained in consumer
reports, and in our discretion we may consider the amount of
debt you are Tarrying compared to }'our resourc es or any other
o(}'our credit characteristics, regardless of your performance
on this Account. Wr may also consider your Accomn in default
in the event of your death.
In the event of your default, and subject to any limitations
or requirements of applicable law, we may require payment of a
portion of your outstanding balance greater than the
Minimum Amount Due, declare the entire amount of your
obligations to us immediately due and payable, andlor suspend
or cancel your Account and/or any feature that maybe offered
in connection wish the Aaount. Yuu agree to pay all
reasonable costs, including reasonable attorneys' fees, incurred
by us (1) in connection with the collection of any amount due
nn your Account, whether or not any arbitration, litigation, or
similar proceedings are initiated; and (2) in reasonably
protecting ourselves from any loss, harm, or risk relating to any
default on your Aaount.
~ratr+acei>n,'s#aue en IvrGan Curxcocir~
11 you incur a Charge in a foreign currency, it will be
converted into U.S. dollars on the date it is processed by us or
our agents. Unless a partiCUlar rate is required by applicable
law, you authorize us to choose a conversion rate that is
acceptable to us for that date. Currently, the conversion rare wr
use for a Charge in a foreign currency is no greater than (a) the
highest oHicia) conversion rate published by a government
agency, or (b) the highest interbank conversion rate identified
by us from customary bankutg sources, on the conversion dale
or the prior business day, in each instance inueased by 2.7%.
This conversion rate may differ from rates in effect on the date
of your Charge. Charges converted by establishments (such as
airlines) will be billed at the rates such establishments use.
tSettefits and 4crs fce~
Subject to applicable law, we have the right In add, modify
or delete any benefit, service, or Feature that may accompany
your Account at any time and without notice to you.
~TbE[Y;3t3 f)t!
Purpose: 'this Arbitration Provision sets forth the
circumstances and procedures under which Claims (as defined
below) may be arbitrated instead of litigated in mutt.
Definitions: As used in this Arbitration Provision, the
term "Claim' means any claun, dispute or controversy between
you and us arising from or relating to your Account, this
Agreement, the Electronic Funds Transfer Services Agreement,
and any other related or prior agreement that }'nu may have
had with us, or the relationships resulting from any of the
above agreements (`Agreements"), except for the validity,
enforceability or scope of this Arbitration Provision or the
Agreements. For purposes of this Arbitration Provision, "you"
and "u' also includes any corporate parent, or wholly or
majority owned subsidiaries, affiliates, any licensees,
predecessors, suaessors, assigns, any purchaser of any
accounts, all agents, employees, directors and representatives
of any of the foregoing, and other persons referred to below in
the definition of "Claims° "Claim' includes claims of every
kind and nature, including but not limited to, initial Claims,
counterclaims, cross-claims and third-party claims and claims
based upon contract, tort, fraud and other intentional torts.
statutes, regulations, common law and equity. "Claim" also
includes claims by or against any third party using ur providing
any product, service or benefit in connection with an}' account
(including, but not limited to, credit bureaus, third parties who
accept the Cazd, third parties who use, provide or participate in
fzr-based or free benefit programs, enrollment services and
rewards programs, credit insurance companies, debt collectors
and all of their agents, employees, directors and
representatives) ifand only it, such third party is named as a
cu-party with }'ou or us (or files a Claim with or against you or
us) in connection with a Claim asserted by you or us against
the other. Thr term "Claim" is to he given the broadest possible
meaning that will be enforced and includes, by way of example
and without limitation, any claim, dispute or controvrny that
arises from or relates to (a) any of the accounts created under
any oC the Agreements, or any balances on any such accounts,
(h) advertisements, promotions or oral or written statements
related ro any such accounts, goods or services financed under
any of the accounts or the terms of financing, (c) the benefits
and services related to Cardmembership (including fee-based
or free benefit programs, enrollment services and rewards
programs), and (d) your application for any account. Wr shall
not elect to use arbitration under the Arbitration Provision for
any Claim that you properly file and pursue in a small claims
court of your state or municipality so long as the Claim is
individual and vending only in that court.
Initiation of Arbitration Proceeding/Selection of
Administrator: Any Claim shill be resolved, upon the election
by you or us, by arbitration pursuant to this Arbitration
Provision and the code of procedures of the national
arbitration organization to which the Claim is referred in effect
at the time the Claim is filed (the "Code"), except to the extent
the Code rnntlicts with this Agreement. Claims shall be
referred m either the National Arbitration Forum ("NAF"} or
the American Arbitration Association ("AAA'), as selected by
the party electing m use arbitration. tf a selection by us of
either of these organizations is unacceptable to you, you shall
have the right within 3U days alter you receive notice of our
election to select the other organization listed to serve as
arbitration administrator. Fur a copy of the procedures, to file a
Claim or fix other information about these organizations,
contact them as follows.
• NAF at PO. Box 50191, Minneapolis, MN 55405;
website: www.arhitration-forum.com.
• AAA at 335 Madison Avenue, New York, NY 10017;
website: www.adr.org.
Significance of Arbitration: IF ARBITRATION 1$
CHOSEN BY ANY PARTY WITEI RESPECT TO A CLAIM,
NE[T1IER YOU NOR W E WILI. HAVF. THF. RIGHT T(1
LITIGATE THAT CLAIM [N COURT OR HAVE A JURY TRIAL
ON'1'HA'f CLAIM. FL`R'fHER, YOU AND WF. WILL NO'f
HAVE THE RIGHT TO PARTICIPATElN A
REPRESENTATIVE CAPACITY OR AS A MEMBER OF ANY
CLASS OF CLAIMANTS PERTAINING TO ANY CLAIM
SUBJECT TO ARBITRATION. EXCEPT AS SET FORTH
BELOW,'FHE ARBITRATOR'S DECISION WILh BF. FINAL.
AND BINDING. NOTE THAT OTHER RIGHTS THAT YOU
OR WE WOULD HAVE IF YOU \NENT TO COURT ALSO
MAY NO"f BE AVAILABLE IN ARBI'1'RA"1'[ON.
Restrictions on Arbitration: IF EITHER PARTY ELECTS
TO RF.SOLVF; A CLAIM BY ARBITRATION, THAT CLAIM
St[ALL BE ARBITRATED ON AN INDIVIDUAL BASIS.
TI7ERE SHALL BE NO RIGHT OR AUTHORITY FOR ANY
CLAIMS TO BE ARBITRATED ON A CLASS ACTION BASIS
OR ON BASES INVOLVING, CLAIMS BROUGI{T 1N A
PURPOR'fF.D REPRFSENTATIVF.GAPACITY ON BEHALF OF
THE GENERAL PUBLIC, OTHER CARDMEMBERS OR
OTHER PERSONS SIb1ILARLY SITUATED. The arbitrators
authority to resolve Claims is limited to Claims between you
and us alone. and the arbitrator's authority to make awards is
limited to awards to you and us alone. Furthermore, claims
brought by you against us, or by us against you, may not be
joined or consolidated in arbitration with Claims brought by or
against someone other than you, unless agreed to in writing by
all parties. No arbitration award or decision will have any
preclusive effect as to issues or claims in any dispute with
anyone who is not a named party to the arbitration.
Notwithstanding any other provision in this Agreement
(including but not limited to the Continuation provision
below) and without waiving either party's right to appeal such
decision, should any portion of this Restrictions on Arbitration
provision be deemed invalid ur unenforceable, then the entire
Arbitmuon Provision (other than this sentence) shall not
apply.
Arbitration Procedures: This Arbitration Provision is made
pursuant to a transaction involving interstate commerce, and
shall be governed by the Federal Arbitration Act, 9 U.S.C.
Sections 1- l6, as it may br amended (the "PArY'). The
arbitration shall be governed by [he applicable Code, except
that (to the extent enforceable under the fAA) this Arbitration
Provision shall control it it is incon.eistrnt with the applicable
Code. The azbitrator shall apply applicable substantive law
consistent with the FAA and applicable statutes of limitations
and shall honor claims of privilege recognized at law and, at
the timely request of either party, shall provide a brief written
explanation of the basis for the decision. Thr arbitration
proceeding shall not be governed by any Federal or state rules
of civil procedure or rules of e~ndence. Either party may submit
a request to the arbitrator to expand the scope of discovery
under the applicable Code. The party submitting such a
request must provide a copy to the other parry, who may
submit objections to the arbitrator with a copy of the
nbirctions provided to the requesting party, within fifteen (l5}
days of rrceivittg the requesting party's notice. The granting or
denial of such a request will be in the sole discretion of the
arbitrator, who shall notify the parties of his/her decision
within twenty (20) days of [he objecting party submission.
Thr arbitrator shall take reasonable steps to preserve the
privacy oCindividuals, and of business manors. Judgment upon
the award rendered by the arbitrator may he entered in any
court havingjurisdiction.'I'he arbitrator's decision will be final
and binding, except for any right of appeal provided by the
FAA. However, any party can appeal that awazd to a [hree-
arbitratorpanel administered by the same arbitration
organization, which shall consider anew any aspect of the
initial award objected to by the appealing party. The appealing
party shall have thirty (30) days from the date of entry of the
written arbitration award to notify the arbitration organization
that it is exercising the right of appeal. The appeal shall be filed
with the arbitration organization in the form of a dated
writing. The arbitration organization will then notify the other
party that the award has been appealed. The azbitration
organization will appoint athree-arbitrator panel that will
conduct an arbitration pursuant to its Code and issue its
decision within one hundred and twenty (F20) days of the date
of the appellants written notice. The decision of the panel shall
be by majority vote and shall be final and binding.
Location of ArbitrationlPayment of Fees: Any
arbitration hearing that you attend shall take plate in [he
federal judicial district of your residence. You will be
responsible for paying your share, if any, of the arbitration fees
(including filing, administrative, hearing and/or other fees)
provided by the Code, ttr Ihr extent that such fees do not
exceed the amount of the tiling fees you would have incurred i(
the Claim had been brought in the state or federal court closest
to your bilBng address that would have jurisdiction over the
Claim. We will be responsible for paying the remainder of any
arbitration fees. At your written request, we will consider in
goad faith making a temporary advance of all or part of your
share of the azbitration fees for any Claim you initiate as to
which you or we seek arbitration. Yuu will not be assessed any
arbitration tees in excess of your share ifyou do not prevail in
any arbitration with us.
Continuation: This Arbitration Provision shall survive
termination of your accounts as weB as voluntary payment of
the Account balance in full by you, any legal proceeding by you
or us to collect a debt owed by the other, any bankruptcy by
you or us, and any sale by us o(your Account (and in the case
of sale, its terms shall apply to the buyer of any of your
Account). Except as otherwise provided in the Restrictions on
Arbitration provision above, if any portion of this Arbitration
Provision (other than the Restrictions nn Arbitration
provision) is deemed invalid or unenforceable, it shall not
invalidate the remaining portions of this Arbitration Provision,
the Agreement or any predecessor agreement ynu may have
had with us, each of which shall be enforceable regardless of
such invalidity.
S'L'ai r c~r
Our failure to exercise any of our rights under this
Agreement, our delay in enforcing any of our rights, or our
waiver of our rights tin any occasion, shall not constitute a
waiver of such rights tin any other occasion.
FDR 974950
t ,. ,,. ,:j~ ...
You authorize us to reyuest consumer repm~ts about you, to
make whatever credit investigations we deem appropriate, to
obtain and exchange any information we may receive from
aauumer reports and other sources, and to use such
information for any purposes, subject to applicable law.
Yuu authorize us to furnish information concerning your
Aaounl to consumer reporting agencies, or others, subject to
applicable law. If you believe information we have furnished
about your Account to a c unsumer reporting agency is
inaccurate, you should write to us at American Express Credit
Bureau Unit, P.U. Box 7871. Ft Lauderdale, FL 33329-7871 and
identity the specific information you believe is inaccurate.
You are hereby notified that information about your
Account that may have a negative impact on your credit record
mac br submitted to a credit reporting agency i(you fail Io
fulfill the terms of your a edit obligations.
Irtrjflu-ss i',rrt9 art tenecatiune
You agree that from time to time we may monitor and/or
record telephone calls between you (or Additional
Cardmrmbers on your Account) and us to assure the yuality of
our customer service or as required by applicable law.
You authorize us to call or send a text message to you at any
nwnbrr you give us or from which you call us, including
mobile phones.
You authorize us to make such calls using automatic
telephone dialing systetrts. for any lawful purpose, including
but not limited to: suspected fraud or identity theft; Account
transactimts or servicing: oflers of American Express products
and services; and collecting nn your Account 1'ou authorize us
to place prerecorded calls in connection with the status of your
account or security and idrmity thrA matters.
You agree to pay any fees or charges you incur fur incoming
calls ur text messages from us without reimbursement.
Use of the Card at Federal fovemment Agencies
American Express has entered into contracts that enable
the Card to he accepted at certain federal government agencies
and departments ("Agencies"). As with Cazd transactions at
commercial establishments, when you choose to use your Card
at an Agency, certain Charge information is necessarily
collected by us. Charge information from Card transactions at
Agencies maybe used for routine uses, such as processing
Charges and payments, billing and collections activities and
maybe aggregated for reportutg, analysis and marketing
activities. Additional "routine uses' of Charge information by
Agencies are published periodically in the Federal Register.
t!otn-a t;::~ i't.ui u~t~ \utic~
FVe identify insurance providers and products that maybe
of interest m you. In this role we may act on behalf of the
insurance provider, as permitted by law. We receive
compensation from insurance providers that may vary by
pnnidrr and pnnluct. Also, we may receive additional
compensation or financial benefit when AMEX Assurance
Company or another American Express entity acts as the
insurer or reinsurer for these products. The arrangements we
have with providers, including the potential to insure or
reinsure products, may aL:o influence what products and
providers we identify.
~,-€lz~,
Any notice given by us shall be deemed given when
deposited in the Lt.S. mail, postage prepaid, addressed to you at
the latest Billing Address :shown on our records.
Chan •itz:; tiff. '+<rt~eceurni ,1 si~tuuent of this Agreement
41'e may change the terms of or add new teens to this
Agreement at any time, in accordance with applicable law. We
may apply any changed or new terms to any then-existing
balances on your Account as well as to future balances. This
written Agrrrmem is a final expression of the agreement
between the creditor and the debtor and the written
Agreement may nut be contradicted by evidence of any alleged
oral agreement. We may also sell, transfer or assign this
Agreement and the Account at any time without notice to }'ou.
Yuu ma}' not selh assign or transfer your Account or any oC
your obligations under this Agreement. Your Account may hr
transferred to American Fxpress Centurion Services
Corporation if your Account is in default under the terms oC
this Agreement.
as,-ign ri ~ t:; Ci.Att:~.
[n the event vou dispute a Charge and we credit your
Account for all or part of such disputed Charge. we
automatically succeed to, and you arc automatically deemed to
assign and transfer to us, any rights and claims (excluding tun
claims) that you have, had or may have against any third party
for an amount equal to the amount we credited m your
Account. After we make sudt credit, you agar that without our
consent you will not pursue any claim against or
reimbursement from such third party lur the amount that we
credited to your Account and that you will conprratr with us if
we decide to pursue the third pam• for the amount credited.
~1pplical?le La„
This Agreement and your Account, and all questions about
their legality, enforccabilit}' and interpretation, are governed by
the Taws of the State of Utah (without rzgard to internal
principles of conflicts of law), and by applicable federal law. We
are located in Utah, hold your Account in Utah, and entered
into this Agreement with you in Utah.
AMERICAN EXPRESS CENTURION BANK
To American Express Cardmembers In The United States
and Its Territories
1''twr Biliiuy Rights ~ Feria this ~'atire for Puiure t:..e
This notice contains important information about your
rights and our responsibilities under the "Fair Credit Billing
Act"
Notify Us in Case of Errors or Questions About Your
Account Statement
If you think your statement is wrong or if you need more
information about a transaction on your statement, write us on
a separate sheet of paper at the address fur billing inquiries
listed on your statement. Write to us as soon as possible. We
must hear from you no later than (>(1 days after we sent you the
First statement on which the error or problem appeazed. You can
also telephone us, but doing so will not preserve your rights.
In your letter, give us the following information:
• Your name and Account number.
• The dollar amount of the suspected error.
. Describe the error and explain, if you can, why you
believe there is an error. ICyou nerd more information,
describe the item you are not sure about.
If you have authorized us to pay your Account statement
automatically from your savings, checking or other account,
you can stop the payment on any amount you think is wrong.
To stop the px}'ment your lever must reach us three business
days before the automatic payment is scheduled to occur.
Your Rights and Our Responsibilities After We Rrcrive
Your Written Notice
We must acknowledge your letter within thirty (30) days,
unless we have corrected the error by then. Within ninety (90)
days, we must either cornet the error or explain why we
believe the statement was correct.
After we receive your letter, we cannot try to collect any
amount you yucstion, or report you as delinquent. We can
continue to bill you for the amount you question, including
Finance Charges, and we can apply any unpaid amount against
your credit line. Yuu do not have to pay any questioned amount
while we are investigating, but you are still obligated to pay the
parts of your statement that are not in yucstion.
If we find that we made a mistake on your statement vou
will not have to pay any Finance Charges related to any
questioned amount. if we did not make a mistake, you may
have to pay Finance Charges, and you will have to make up any
missed payments on the questioned amounts. In either case,
we will send you a statement of the amount you owe and the
date that it is due.
1f you fail to pa}' the amount that we think you owe, we may
report you as delinquent. However, if our explanation does not
satisfy you and you write to us within ten (10) days telling us
that you still refuse to pay, we must tell anyone we report vou
to that you have a yucstion about your statement, and we must
tell you the name of anyone we repotted you to We must tell
anyone we report you to that [he matter has been settled
between us when it finally is.
1f we do not follow these rules, wr cannot collect the first
$i0 of the questioned amount, even if your statement was
correct.
Special Rule for Credit Card Purchases
If you have a problem with the quality of property or
services that you purchased with the Card, and you have tried
in good Caith to correA the problem with the merchant, you
may have the right not to pay the remaining amount due on
the property or services. There are two limitations to this right
(a) Yuu must have made the purchase in your home state or, if
not within your home state, within I00 miles of your currem
mailing address; and (h) The purchase price must have been
more than $50.
These limitations do not apply if wr own or operate the
merchant, or if we mailed you the advertisement for the
property or services.
Note for Ohio Residents: The Ohio Inws against
discrimination require that nAcreditors make credit equally
uvailable to al! creditworthy ~ ustomers, and that credit reporting
agencies maintain separate reedit histories on each individual
upon request. The Ohin Civil Rights Commission administers
cnrnpliance with this low.
Once you enroll in Pay By Computer, Pay By Phone or any
other American Express Electronic Funds Transfer service
(hereafter the'Pmgram'"), you will be subject to this Electronic
Funds Transfer Agreement (the "EFT Agreement").
`,c~,px: of dl;rre•tuea;?
This EFT Agreement covers your participation in the
Program. In this EF'f Agreement, the words "you" and "your"
relrr to the Basic Cardmember and also uulude all Additional
Cardmembers who have enrolled in the Program. The words
"we° "our" and "us" refer m American Express Travel Related
Services Company, Inc The words "your American Express
Accounts" refer to your card account governed by your
Cardmember Agreement ("Card Account") or any other
American Express Aaounts that we permit you to enroll in the
Program. The words "your Rank Account" refer to the account
held by a bank, securities lion or other financial institution
from which payment will be made when you make
trartsactions under the Program. The words "your bank" mean
the bank, securities firm or other financial institution that
holds your Bank Account. The words "other options" refer to
electronic payment transfer options and/or other cash atxess
that American Express may make available from time to time,
including the option to pay your Account bill electronically
using a computer, phone or other device.
Your Account is governed by the Cardmember Agreement
that is attached to this EFT Agreement. That agreement and
the capitalized terms in it also apply here.
Pas tztent tar <'asl; €rancaction.
Each time you initiate a transaction under the Program,
you instruct and authorize us or our agent to draw a check or
initiate an automated clearing house ("ACH") debit in your
name on vour Rank Account, payable to us or to our agent, in
the amount of the transaction. The amount of the transaction
is the amount of the Account biR you paid or other funds
transfer you authorized, plus any applicable fees or charges.
We may charge a fee oC$38 for each check or ACH debit
drawn by us or our agent in connection with the Program that
is not honored upon first presentment subject to applicable
law. Yuur bank may also assess its customary charge for such
items, if any.
IYt..hnnared Reyuc,ts foe Pas-merit..
If any check or AC}I debit drawn by us or our agent in
connection with the Program is not honored byyour bank, we
have the right to charge the amount of any such transaction,
and the dishonored payment fee referred w above, to the Card
Account or to collect the amount from you. If this happens, we
may cancel your right to participate in the Program.
For certain Bank Accounts, you may have a sepazate
agreement with us or with a participating bank, securities
firm, ur other financial institution that allows a line of credit to
be accessed in the event that your Rank Account contains
insufficient funds to make payment to us. You should refer to
the appropriate agrermem relating to that line of credit for the
terms and conditions [ha[ govern its use.
FDR 974950
frv::n pt.
You must tell us AT ONCI it you believe a transaihon
under the Program has been made without your authorization.
Telephoning is the brsi way of minimizing possible losses. If a
transaction was unauthorized, and within two days after }'ou
(earn about it you notity us that the transaction was
unauthorized, we will not hold you Kahle for drat transaction.
In any event, even ifyou fail to notifv us, your liability foram'
unauthorized transaction or series of related unauthorized
transactions shall not exceed $>0. Il you believe that someone
has transferred or may transfer money from your Bank
Account without permission, calla-800-528-4800 (within U.S.)
or 1-336-393-111 ] (outside U.S.) anytime, or write: American
Express Credit Department, P0. Box 53830, Phoenix, Arizona
85072-3830.
Our Liahii+e5 Beer 3nigzro,-n:r Ei:uaaiti:~r:, ar i'avroentn
If a transaction is not completed as you have directed or if
we do not complete a transfer to or fmm your Bank Aicount on
time in the correct amount, we will research and correct it as
necessary, once you advise us. We will also reimburse you fur
your actual losses or damages, if any, caused by our error.
}lowever, there are some exceptions. We will not be liable to
you in the following instances:
• if, through no fault of ours, your Bank Account does not
or did not contain enough money to complete the
transaction or the transfer would exceed an established
credit limit:
• if the funds in roar Bank Account are or were at the time
of the attempted transaction subject to legal process or
other encumbrance restricting the transaction;
• it circmnstancrs beyond our control (such as lire or
Oood) prevent or prevented the transaction, despite
reasonable precautions that we have taken;
• if a technical malfunction known to you prevented [he
transaction:
or any other exrepr.ions stated in this EF"f Agreement.
Business Dar
For purposes u( this FFT Agreement, our business days air
Monday through Friday. holidays are nut included.
,(rb itratuur
The Card Account is governed by the Cardmember
Agreement contained herein- The Arbitration prm•ision
contained within that agreement applies w this EFT
Agreement. Please refer io that provision as you read this EFT
Agreement.
Priaacr
F.ledronic funds transfers you initiate pursuant to this EFT
Agreement are covered by the American Express Privacy
Policy, a copy of which was given to you together with your
American Express Card. "fo view our Privac}' Policy online,
please visit americanexpress.com.
13oxc ke Cuptsd i ~
If for any reason you wish to contact us about the Program,
about your participation in the Program, or about transactions
relating to the Program, write or call us as follows:
Address: American Express Travel Related Services
Company, lnc, F.Iectronic Funds Services, P.O. Box 297815, Ft.
Lauderdale, PL 33329-7815 or e-mail us by clicking nn the
Customer Service link online at www.americanexpress.com.
Telephone: I-800-CASH-NOW, 24 hours a day, seven days
a week.
in Case of trr:n; or £)viat.usy Ai3unl lour iYunsar tinro
Write or fall us at lhr number or address given above as
soon as you can if you think your statement or receipt is wrong
or if you need more information about a transaction listed on
your statement or receipt. We must hear from you nn later than
60 days after we sent you the FIRST statement on which the
problem or error appeared. If you are delayed in comacting us
due to extenuating circumstances (such as a hospital stay), w'e
may extend this 60 days for a reasonable time.
1. fell us your name and Account number.
'.. Describe the error or the transaction you aze unsure
about, and explain as dearly as you can why you believe it is an
error or why you need more information.
3. Tell us the dollar amount of the suspected error.
Il you tell us orally, we may reyuire that you send us your
complaint or question in writing within ] 0 business days' from
the date you notified us.
We will tell you the results nl our investigation within 1D
business days' after we hear from you and we will correct any
error promptly. tf we need morn time, however, we may take up
l0 45 calendaz days to investigate your complaint ur yuestion.
]f we decide to do this we will assure that your bank reaedits
your Bank Account within 10 husiness days' for the amount
}'ou think is in error, so that }'ou will have the use of the money
during the time it takes us to complete our investigation. if we
ask you to put your complaint or question in writing and we do
not receive it within 10 business days' Following your oral
notification, we may not recredit your Bank Account.
If notification of an error is received within 30 calendar
days after your Batik Account is opened, we will have 20
business days to provide you with the results of our
investigation and correct any error, and 90 days to complete
the investigation.
If we determine that there was no error, we will send you a
written explanation within three business days after we finish
our investigation. Upon your request we will provide you with
copies of the documents that we used in our investigation. If
we have provisionally reaediled your Bank Account during [he
investigation and determine [hat there was no error, we will
notify you of the date on which we will redebit your Bank
Account, and the amount to be debited. You authorize us or an
agent to debit your Bank Aicount for this amount. You should
make certain that your Rank Account contains sufficient funds
to cover this debit If it does not, we have the right to charge
such amount to the Account or to collect the amount from you.
If this happens, we may camel }'our right to participate in the
Program.
Icrnrinatian
We, or any bank or financial institution pazticipating in the
Program, may add to or remove fmm the Program any or all
ATMs or extend or limit the services provided at any location
without notifying you beforehand. In addition, we may
discontinue the Program at any time.
Your right to participate in the Program will be terminated
or suspended if the Card Account is cancelled or suspended, if
you cancel the authorization you have given your bank to
directly charge checks to your Bank Aicount, if the Bank
Account from which payment will be made when you make
transactions under the Program is closed to withdrawal
transactions b}' us or our agents, if your participation in the
Program is inactive for 18 consecutive months or more, or if
the Card Acrount is no longer in good standing.
]n addition to the Foregoing, we may revoke your right to
participate in the Program, at any time, at our sole discretion,
with or without cause, subject to applicable law. II we do so, we
will send you written notice, but we may not send you the
notice until after the revocation. We also have the right to deny
authorization for any requested transaction, at any time, at our
sole discretion, with or without cause, and without giving you
notice, subject to applicable law. You may terminate your
participation in the Program but you must do so by writing to
us at the address disclosed in the Section of this EFT
Agreement entitled }Iow to Contact Us.
Poor =!>?;rccrncni~ and As+lZ;nrnr•nh
This EFT Agreement supercedes all prior agreements you
may have with us relating to the Program. We have the right to
assign this EFT Agreement to a subsidiary' or affiliate company
at any time.
AINER[CAN EXPRESS TRAVEL RELATED SERVICES
COMPANY, INC.
\ute lire '~l assachtnctts Residrate
General Disclosure Statement. Any doctrmentation
provided to you which indicates that an electronic funds
transfer was made shall be admissihle as evidence of such
transfer and shall constitute prima facie proof that such
transfer was made.
The initiation by you of certain electronic funds transfers
from your Bank Account will, except as otherwise provided in
this EFT Agreement, effectively eliminate your ability to stop
payment of the transfer.
UNLESS OTHERWISE PROVIDED IN THIS EFT
AGRF.F.MF.NT, YOU MAY NOT STOP PAYMENT OF
ELECTRONIC FUNDS TRANSFERS;THEREFORE,YOU
SHOULD NOT EMPLOY ELECTRONIC ACCESS FOR
PURCHASFS OR SERViC.ES UNI,FSS 1'OU ARF, SATISFIED
THAT YOU WILL NOT NEED TO STOP PAYMENT.
Disclosure of Aicount Information to Third Parties. if
you give us your written authorization to disclose information
about you, your Aecountorthetransadionsthatyou makcto
any person, that authorization shall autumaucally expire 45
days after we receive it.
Optioml Limit on Obtaining Cash. You have the option
to reyuest that we limit the total amount of rash that you may
obl.ain from ATMs in a single day to $50. If you elect this
option we will take all reasonable steps to comply with }'our
request.
'For iNassachusetts residents: (0 ca(rndar days instead o~
husiness days.
Program Ur.rritst u,n
Return Protection offers you guaranteed product
satisfaction on designated items purchased entirely with an
eligihle American Express Card. If you try to return a
designated item within 90 days from the date of purchase and
the menhant wort t take it bark, American Express will refund
the: full purchase price, up to $300 per item, excluding shipping
and handling, and up to a tnaxitnum of $1,000 annually per
Cardmember Amount.
Ilow to Piir a itcturra Prutcit2~>o 1<cciuiat
Once you have verified that the merchant will not accept
the designated item, call 1-800 297-8019 within 90 days of the
purchase date to notify us of your reyuest. Within 30 days Erom
the date of your initial call, we nerd «t receive the following:
Original store receipt
• American Express Card record of charge
• Any other items deemed reasonable by us to process
your reyuest
Once your reyurst has been approved, you will br
instructed to send the purchased item to us within 30 days.
Please keep a record of your shipping statement, as you will
need to provide proof ofshipping m the event that your
designated items are nut received. Yuu air responsible for the
shipping and handling charges fur the item. The refund - up to
$300 per item and up to a maximum of $ I,0(It} per
Cardmember per year - will be reimhursed to you.
f Iln ltafl(~R~
Purchases must be made in the United States and charged
in full on your Card. A refund will not be paid if, on the date we
receive your Rrlurn Protection Reyuesl, or on the date of
would-be payment, any amount on your Card Aicount is past
due for one or more billing ryde(s) or your Card is canceled.
Refunds are limited to $300 per designated item, and $1,000
annually per Cardmember Aicount. The item must be in "like
new" condition (ntrt visihly used or worn) and in working
order to be eligible. An item is eligible if it may not he returned
by the Cardmember to the merchant from which it was
originally purchased. Any item purchased from a merchant
that has an established return! satisfaction guarantee program
which is greater than or eyual to the terms of Return
Protection, and provides coverage for claim, will not be eligihle
for a Return Protection Refund. Product rebates, discounts or
money received fmm lowest price comparison programs will
he deducted f}om the original cost of the item. The maximum
you will be compensated will not exceed the manufacturer's
suggested retail price.
Items not eligible for a refund are: animals and living
plants; one-uf-a-kind items (including antiques, artwork, and
tuts); limited edition items; going-out-of-business sale items;
consumable or perishable items with limited life spans (such as
perfume, light bulbs, non rechargeable batteries); jewelry
(including, but not limited to, loose gems, precious stones,
metals, and pearls); watches; services and additional costs
(such as installation charges, warranties, shipping, or
memberships); rare and precious coins; used, altered, rebuilt
and refurbished items; custom-built items, cellular phones:
pagers; compact discs; digital video discs; mini discs;
audiotapes; videotapes; computer software; firmware (such as
cmtsole games, Nintendo, etc); maps; books of any kind;
health care items (such as blood pressure machines and
diabetes equipment); formal wear; tickets of any kind;
motorized vehicles (such as Tars, trucks, motorcycles, boats, or
airplanes) and [heir parts; land and buildings; firearms;
ammunition; negotiable instruments (such as promissory
notes, stamps and travelers checks); cash and its equivalent;
and items permanently affixed to home, office, vehicles, etc.,
(such as garage dour openers, car alarms).
FDR 974950
[f yuu have am questions regarding a Return Protection
Request or the Return Protection program, please call our
Customer Service Department at 1-R00-297-RDI9.
The information below summarizes the terms and
rnnduion.. of the Extended Warranty plan (Cormrrly the
Buyer's Assurance Plan). Extended Warranty is underwritten
by AMEX Assurance Company, Administrative Office, Green
Bay. W 1. Coverage is determined by the terms, conditions, and
exclusions of Policy AX0953 and is subject to change with
notice. Phis document does not supplement or replace the
Polly. Please callus at the number on back of your
American Express Cazd for a complete copy of your terms
and conditions. Extended Warranty will extend the terms of
the original manufacturer's warranty for a period of time equal
to the duration of the original manufactures s warranty, up to
one (1) additional year (Centurion Cardmembers up to three
(3}additional years) on warranties of five (5}years or less that
are eligible in the United States of America.
Ih.z npii+~n ~,~(Bcr?el~ita
6Vhere a loss has occurred during this plan's extended
warranty time period of up to one (I) additional year
(Centurion Cardmembers up to three (3) additional years), we
will provide a benefit equal to the coverage of the original
manulaaurer's warranty on warranties of up to five (5) years.
\Ve will pay up to the actual amount charged to your account
for the product for which a loss is claimed, but not to exceed
S 10,060. If the product also is covered by a purchased service
contract, this plan's extended warranty time period begins at
the end of the service contract and extends the original
manufacturer's warranty for a period of time eyual to that
warranty, up to one (1) additional year (Centurion
Cardmembers up to three (3) additional years). ll the
combined coverage of the original manufacturer's warranty
and the purchased service contract exceed five (5) years, the
product purchased is not eligible under this plan and no
coverage applies. Extended Warranty does not reimburse for
shipping and handling expenses or installation, assembly,
professional advice, maintenance or other service charges. II
coo experience more than one loss in a calendar year, we will
pay an amount not to exceed $50,000 for all losses in a
calendar year. Our benefit payment will not include any
product rebates, discounts or money received from the lowest
price comparison programs that reduced the original cos[ of
the property.
R ,~itt-.,,;~:.
Benefits are not payahle if the loss fur which coverage is
sought was directly of indirectly, wholly or partially,
contributed to or caused by I. any physical damage,
including, but not limited to, damage as a direct result of
natural disaster or a power surge, except to the extent the
original manufacturer's warranh~ rnvers such damage; 2.
mechanical failure covered under product recall; or 3. fraud or
abuse ur illegal attivit}' of any kind by the cardmember.
The following are not covered: 1. products covered by an
unconditional satisfaction guarantee; 2. motorized vehicles
(including, but not limited to, passenger cars, trucks,
motmn•cles, boats, airplanes) and their parts, subject to high
risk, combustible, wear and [ear or mileage stipulations
(including, but not limited to, batteries, carburetors, pipes,
hoses, pistons, brakes, tires, or mufflers); 3. motorized devices
and their parts used for agriculture, landscaping, demolition or
consVUCtion; 4. motorized devices and their parts which are
permanent additions or tixtuns to a residential or commercial
building; s. business fixtures, including, but not limited [o, air
conditioners, refrigerators, heaters; 6. land or buildings; 7.
consumable nr perishable items; R. animals or living plants; 9.
more than one article in a pair ur set. Coverage will be limited
to nu more titan the value of any particular part or parts,
unless the articles are unusable individually and cannot be
replaced individually, regardless of any special value they may
have had as part of a set or collection; 10. items still under
installment billing; I1. additional service contract or extended
warranty coverage fur a computer, computer component or
part that you buy which already comes with an original United
States of America manufacturer's warranty, unless such
coverage is provided and administered by the original
manufacturer; and 12. items purchased for resale, professional,
or commercial use (this does not apply to OPEN
Cardmembers).
Excess Coverage
If any loss under this policy is insured under anv other
valid and collectible policy, then this policy shall lover such
loss, subject to its exclusions, conditions, provisions and other
terms herein, only to the extent that [he amount of such loss is
in excess of the amount of such other insurance which is
payable or paid.
Termination or Cancellation
Coverage wit} cease on the earliest oCthe following: t. the
date you no longer maintain a permanent residence in the 50
United States of America, the District of Columbia, Puerto Rico
or the U.S. ~~irgin Islands; 2. the date we determine that yuu or
someone on your brhalfintentionally misrepresented or baud
occurred; 3. the date the policy is cancelled; 4. the date you arc
no longer a cardmember; 5. the date your account ceases to be
current and in good standing; or 6. [hr date the plan is not
available in the location where yuu maintain a permanent
residence. Termination or canatlation of coverage will not
prejudice any claim originating prior to termination or
cancellation subject to all other terms of the policy. The
compan}' has dte right to cancel the policy at any time by
sending a written notice at least forty five (45) days in advance
to you at your last known address. The notice will include the
reason for cancellation.
Form tiumbars
EW-DOC-CCSGl 02/07, EW-DOC-CCSG2 02/07, EN'-
DOGOSBNI 02107, GW-DOC-OSBN202/07
apphcal>Ie tar iE esidcnte nt the State of assts
Poem Number: PPlEW-RDRI-AK 06!07
Applicable fur Nestor rtt~ in [!2e S[ate> of :1a i_t,nu a~u;
InJian;t
Form Numbers: EW-IND-CCSG1 07/07, EW-IND-Cf.SG2
07/07. EW-IND-OSBN107J07, EW-IND-OSBN2 07!07
Applicable for Re>idrnt. ul €he State of Kcru uck;
Form Number: PPlEW-RDRI-KY 05107-In the
Termination or Cancellation section: The company has [he
right to cancel the policy at any time by sending a written
notice at least seventy-five (75) days in advance to you at your
last known address.
Applies!*1u (or Rcsiticrt~ of the itatc of f)kdahs,tn:x
Form Number PP/EW-RDRI-OK 07107-The following is
added to your Description of Coverage: WARNING: Any
person who knowingly, and with intent to injure, defraud or
deceive any insurer, makes any claim For the proceeds of an
insurance policy containing any false, incomplete or
misleading information is guilty of a felony.
Applicshle Fnr ftesidrut. of the State of Ore};on
Form Number EW-RDR]-OR 05/07-[n the Exclusions
section the following is removed: 3. fraud or abuse or illegal
activity of any kind by the cardmember,
apnhatble for Resulrnts nY the Mate at S„o;f. ~ ~
Form Number: PP/EW-RDRI -SD 05107
applicabic tar ResidraG of the Sta€c of lira.
Form Number: EW'-IND-TX 07107
Lpplieabie far Restdcnt. of the titate of y'crsnrrnt
Form Number: PPlEW-RDRI-VT 05!07
Drsa~ip3ion of Cuvertgr
Underwritten b}'AMEX Assurance Company,
Administrative Office, 4R0 Pilgrim Way, Suite 1400, Green Bay,
WI 54304
Purchase Protection provides coverage for Your purchases
for ninety (90) days from the date of purchase when You
charge any portion of the price of the purchased item to Your
Account. You will be reimbursed only for the amount charged
to Your Account. (See Description of Benefits section.)
t)efini[i,a ns
Certain words used in this Description of Coverage arc
capitalized throughout and have special meanings. Wherever
used herein, the singular shall include the plurah the plural
shall include the singular, as the context requires.
Account means Your American Express Card Account.
Cardmember means a person w•ho has been issued a
United States of America based proprietary American Express
Card, which is Current and in Good Standing, and who has a
Permanent Residence in the 50 United States of America, the
District of Columbia, Puerto Rico or the U.S. Virgin Islands.
Covered Incident means the theft of, or damage, whether
by accident or vandalism, to any one item of property
purchased worldwide as a gilt or for persona! or business use
and charged to Your Account.
C.ompaay means AMEX Assurance Company, and its duly
authorized agents.
Current and in Good Standing means a Cardmember
Account for which the monthly minimum requirement has
been paid prior to the date in which the claim is payahle.
1laster Policyholder means American Express Travel
Related Services Company, Inc.
Permanent Residence means the one primary dwelling
place where the Cardmember resides and to which they intend
to return.
Plan means the Policy and the benefits described therein.
Platinum fardroember means a Cardmember who has a
Platinum Charge Card (required to be paid in full monthly}, a
Corporate Platinum Card, or a Fidelity American Express
Platinum Card. Any other Card which may reference the
Platinum name or has Platinum colored plastic will not receive
higher coverage limits or benefits.
Policy means the Group Insurance Master Policy (AX0951
issued to American Express Travel Related Services Compan}',
loc.}.
We, Us, Our means the Company.
You, Your means the Cardmember.
~tt ~, 1'tpfi+~il )t t e;`,rl it^
We will pay You the expense charged to Your Account up to
51,000 for any one Covered [nccdent and up to $50,000 for all
Cmered Incidents daring a calendar year. Purchase Protection
provides benefits, fur ninety (90) days from the date of
purchase, it a Covered Incident occurs with respect to property
You purchased and charged to Your Account Our benefit
payment will not include shipping and handling expenses or
installation, assembly, professional advice, maintenance or
other service charges or any product rebates, discounts or
money received from lowest price comparison programs that
reduced the original cost of the property.
Our payment of any eligible benefit amount is further
contingent upon Your Atcount bring Current and in Good
Standing.
Only a Cardmember has a legal and equitable right to any
insurance benetlt that may be available under this Plan.
I'ectvsic,n<
Benefits are not payable if the loss for which coverage is
sought was directly or indirectly, wholly or partially,
contributed to ur caused bv.
t war or amp act of war, whether declared or undeclared;
_. any activity directly related to and occurring while in
the service o(any armed military Corce of any nation state
rerognizrd by the United Nations;
?. participation in a riot, civil disturbance, protest or
im.urrection;
i, vmlation of a rnminal law, oflrnse or infraction;
natural disasters, including, but not limited to,
hurricanes, hoods, tornados, earthyuakes or any other event in
the course of nature, [hat occurs at the same time or in separate
instances;
ti, (rand or abuse or illegal activity of any kind by the
Cardmember,
confiscation by any governmental authority, public
authority, or customs official;
b. negligent failure of a duty to care by any third party in
whose possession the property purchased by a Cardmember
has been temporarily placed;
;. not being reasonably safeguarded by You;
t 0, thelt from baggage not caused by hand and under Your
personal supervision or under the supervision of a traveling
companion known by You;
t i. damage through alteration (including, but not limited
to, cutting, sawing and shaping);
:i. nvrmal wear and tear, inherent product defector
manufacturer's detects or normal course of play;
3 damage or theft while under the care and control of a
common carrier;
14. food spoilage; or
FDR 974950
t ; leaving property at an unoaupied construction site.
For residents of Washington, the first paragraph of this
section is removed and replaced with the following: We will
nut pay for loss caused by any of the excluded events described
below. Loss will be considered to have been caused by an
excluded event if the occurrences o(that even( directly and
solely results in loss, or initiates a sequence of events that result
in loss, regardless of the nature of any intermediate or final
event in that seyuence.
Po rx bases Nn1 ( n e erti~d
The following purchases are not covered:
I . travelers checks, tickets of any kind, negotiable
instruments (including, but not limited to, gift certificates, gift
cards and gift checks), cash or its equivalent;
2. animals or living plants;
3. rare stamps or coins;
~t. consumable or perishable items with )invited life spans
(including, but not limited to, perfume, light bulbs, batteries);
+. antique or perviously owned items;
6. motorized vehicles and watercraft, aircraft, and
motorcycles or their motors, eyuipmem, parts or accessories;
. stolen or damaged property consisting of articles in a
pair or set. Coverage will he limited to nu more than the value
of any particular part or parts, unless the articles are unusable
individually and cannot he replaced individually, regardless of
any special value they may have had as part of a set or
collection;
K. items purchased for resale, professional, or commercial
use;
`?. permanent household andlor business fixtures,
including, but nut limited to, carpeting, Flouring andlor tile;
t U. business lixtnres, including, but not limited to, air
conditioners, refrigerators, heaters; and
I i , hospital, medical and dental equipment and devices.
t~ia tills ter VS3.i1~I1:t
If You experience a loss for which You believe a benefit is
payable under this Ylan, You must provide both Notice of
Claim and Proof of Loss.
To insure prompt processing of Your claim, report any theft
or damage immediately following the date of the Covered
Incident, including for gifts purchased with the Card. Retain
Your receipts and Your damaged property (if applicable) until
the claim process is complete.
Notice of Claim
Notice of Clatm should be provided to Us within thirty (30)
days of the loss. Yuu may contact Us by calling toll-free
stateside 1-800-322-1277 or, if from overseas, by calling collect
1-303-273-6498. You may also write to Us at Purdrase
Protection, PO Box 402, Golden, C,O 80402-(M02.
Failure to provide Notice of Claim within thirty (30) days
will not invalidate a claim or reduce any benefit payment that
may be found to be eligible, if it can be shown that it was
provided as soon as reasonably possible. At the time You
provide L's with Notice of Claim, We will assist You with Your
Proof of Loss by providing Y"uu with instructions andlor
documents, whidt You may have to complete and reWrn to Us.
You are required to cooperate with Us and yrovide
documentation as requested by Us which is reyuired and
necessary to process four iaim and determine if benefits are
payable.
For residents of Missouri, nu claim will he denied based
upon Your failure to provide notice within such specified time,
unless this failure operates to prejudice the right of Us.
Proof of Loss
Proof of Loss rcyuires You to send Us all [hc information
1Ne request at Your expense, in order that Your claim maybe
evaluated and that We may make a determination as to
whether the claim may he paid. You must provide Us with
satisfactory Proof oCLoss within thirty (30) days (for residents
o(North IJakota sixty (60) days) after We have provided You
with instructions and/or a claim form in response to Your
Notice of Claim or Your daitn may be denied. Your Proof of
Loss documentation may he mailed to L`s at the same address
provided above for mailing Your Notice of Claim. We reserve
the right to rcyuest all the information We deem necessary [o
determine that Yuur claim is payable, and We will not consider
that We have received complete Proof of Lnss umil the
information We have reyuested is received.
Proof of Loss map require documentation consisting of, but
not necessarily limited to, the following:
€, a Purchase Protection Claim Form;
2, the original itemized unrc receipt;
3. the insurance declaration turnu tut Your other sources
of insurance or indemnity (r.g, homeowner's or renter's
insurance);
t. a photograph of andlor repair estimate for the damaged
property; and
For theft and vandalism claims, a report regarding the
stolen or vandalized property must be Tiled with the
appropriate authority before You call to file a claim under
Purchase Protection.
No payment will be made on claims not substantiated in
the manner required by Us.
If all reyuired documentation is not received within thirty
(30} days (for residents of North Dakota sixty (60) days) of the
date of the Covered Incident (except Eor documentation which
has not been furnished for reasons beyond Your control),
coverage may be denied. It is Your responsibility to provide all
reyuired documentation We request.
You maybe required to send in the damaged property at
Your expense for further evaluation of Your claim. If
requested, Yuu must send in the damaged property within
thirty (30) days (for residents of North Dakota sixty (GO) days)
from the date of Our rcyuest to remain eligible for coverage.
Payment of Claim
A claim for benefits yrovided by this Plan will be paid upon
Our receipt and review o(Your complete Proof of Loss
documentation and Our determination that a claim is payable
according [o the terms of the Plan.
Any payment made by Us in good faith pursuant to this or
any other provision of this Plan will fully discharge Us to the
extent of such payment
[f other insurance is available to You which provides the
same or similar coverage as that provided by this Plan, this
Plan becomes excess and GVe will pay only that portion of the
Covered Incident benefit which is not reimbursed by other
insurance up to Our limits, as provided under the Description
of Benefits section.
genera{ Drurisintt~
Change of Permanent Residence
1(the change is to a different state, Your Policy provisions
may be adjusted to conform to the rcyuirements of that state.
Clerical Error
A clerical error made by the Company will not invalidate
insurance otherwise validly in force our continue insurance
not validly in force.
Conformity with State and Federal Law
If a Plan provision does not conform to applicable
provisions of State or Federal law, the Plan is hereby amended
to comply with such law.
Entree Contract; Representation; Change
This Description of Coverage, the Policy and any
applications, endorsements or riders make up the entire
contract. Any statement You make is a representation and not
a warranty. This Description of foverage may be dtanged a[
any time by written agreement between the Master
Policyholder and the Company. Only the President, Vice-
President or Secretary of AMEX Assurance Company may
change or waive the provisions of the Description of Coverage.
Nn agent or other person may change the Description of
Coverage or waive any of its terms. This Description of
Coverage maybe changed at any time by providing notice to
Ybu. A copy of the Polity will he maintained and kept by the
Master Policyholder and may be examined at any time.
F,xcess Coverage
If any loss under this Policy is insured under any other
valid and collectible policy, then this Policy shall cover such
loss, subject to its exclusions, conditions, provisions and other
terms herein, only to the extent that the amount of such loss is
in excess of the amount of such other insurance which is
payable or paid.
Fraud
IC any rcyuest for benefits made under the Plan is
determined to be fraudulent or if any fraudulent means or
devices are used by You or by anyone acting on Your behalf to
obtain benefits, all benefits will hr fitrfeited.
1Ve du no[ provide coverage to a Cardmember who,
whether before or after a loss, has: I. concealed or
misrepresented any fact upon which we rely, if the
concealment or misrepresentation is material and is made with
the in[enl to deceive; or 2. concealed or misrepresented any
fact if the fact misrepresented contributes to the loss.
Legal Actions
No legal action may be brought ro recover against this Plan
until sixty (6U) days after Proof of Loss has been received by
Us. No such action may be brought after three (3) }'cars ([or
residents of Arkansas five (5) years and residents of Missouri
ten (10) years) Crom the time wriurn Proof of Loss is reyuired
to be given.
If a time limit of this Plan is less than allowed by the laws of
the state where You five, the limit is extended to meet the
minimum time allowed by such law.
Right of Recmery
If We make a payment to You under this Plan and You
recover an amount from another, equal to or less than Our
payment, You shag hold intrust for Us the proceeds of the
recovery and reimburse Us to the extent of Our payment. If
Our payments exceed the maximum unount payable under the
benefits of this Plan, We have the right to recover from You any
amount exceeding the maximum amount payable.
Subrogation
In the event oFany payment under this Policy, We shall he
subrogated to the extent of such pa}'ment to aB Your rights of
recovery. You shall execute all papers reyuired and shall do
everything necessazy to secure and preserve such rights,
including the execution of such documents necessary to enable
Us to effectively bring suit or otherwise pursue subrogation
rights in ('our name. You shall do nothing to prejudice such
subrogation rights.
We shall be entitled to a rewvery as stated in these
provisions only after You have been fully compensated fur
daznages by another party.
For residents of Louisiana, the Right of Recovery,
Subrogation and Excess Coverage sections are revised to
reflect: If the Company makes any payment under this Policy
and the Cardmember has the right to recover damages from
another, the Company shall be subrogated to that right.
However, the Company's right to recover is subordinate to the
Cudmembers right to be fully compensated.
Termination or Cancellation
Coverage will cease on the earliest of the following: 1. the
date You no longer maintain a Permanent Residence in the 50
United States of America, the District of folumhia, Puerto Rico
or the U.S. Virgin Islands; 2. the date We determine that You or
sorneone on Your behalf intentionally misrepresented or fraud
oaurred; 3. the date the Policy is cancelled; 4. the date You
are no longer a Cardmember; 5. the date Your Account ceases
to remain Current and in Good Standing: or b. the date the
Plan is not available in the location where y'ou maintain a
Permanent Residence.
'permination or Cancellation of coverage will not prejudice
any claim originating prior to termination or cancellation
subject to all other terms oC the Policy.
The Company has the right to cancel the Policy at any time
by sending a written notice at least forty five (45) days in
advance to You at Your last known address. Thr notice will
include the reason for cancellation.
ituptrrtant Adclhinrrai tntorrnatian t4ir Fnu
For Ihose eligible and enrolled in the Membership
Rewards" program, benefits are also paid when the purchased
property is received through the redemption of a Membership
Rewards redemption certificate. Payment or credit will not
exceed the original assigned value of the property received
through redemption of a Membership Rewards redemption
certificate up to the stated limits, excluding shipping and
handling expenses. Benefits will not be paid when a
Membership Rewards redemption certificate has been
transferred to anon-eligible Cardmember or note
Cardmembers.
"this Description of Coverage replaces any other
Description of Coverage that You may have previously received
for Purchase Protection.
This Description of Coverage is an important
document Please read it and keep i[ in a safe place.
FDR 974950
IN WITNESS 4YIIEREOF, W"e have caused this Description
of Coverage tube signed by Our utficers.
V ~ w . I1- n'~A.U--.. .
Joy A.1lanson, Prusidcnt John b1- Collins, Secretary
A41EX Assurance Company Ah1F,X Assurance Cwnpany
PP-DOC-CCSG 1 0210'
Applie:rblr t„r E;r..:dn,t• ,.` , ,<. '+[aic at tt.'!sl~,ckx
In the Termination or Cancellation section the following
is removed:
The Company has the right to cancel [he Policy at any time
by sending a written notice at least forty five (45) days in
advance to You at Your last known address. The notice will
include the reason for cancellation.
And replaced with the following:
The Compam' has the right to cancel the Policy at an}'time
by sending a written notice at least seventy-five (75} days in
advance to You at Your last known address. The notice will
include the reason for cancellation.
PPlEW-RDRI-KY' 05107
,~ppticablr tear Rc~id,,n{.•+r3 t,x~Statc of ilrcLou
[n the Exclusions section the following are removed: 4.
violation of a criminal law, offense or infraction; 6. fraud or
abuse or illegal activity of any kind by the Cardmemher;
The Proof of Loss section is hereby removed in its entirety
and replaced with the lirllowing
Proof of Loss
Proof of Lass require, You tv send Us all the information
We request, at 2'our expense, in order that Your claim maybe
evaluated and that We may make a determination as to
whether the claim maybe paid. You must provide Us with
satisfactory Proof of Loss within ninety (90) days after We have
provided You with instructions and/or a claim form in
response to Yvur Nvuce of Claim or four claim may be denied.
Tour Proof of Loss documentation may he mailed to L's a[ the
same address provided above for mailing Your Notice of Claim.
We reserve the right to request all the information We deem
necessary to determine that Your claim is payable, and We will
nut consider that We have received complete Proof of Loss
until the information We hare rcyucsted is received.
Proof of Loss may require documentation consisting of, but
nut necessarily limited tu, the following: I. Purchase
Protection Claim Form; 2. the original itemized store receipt;
3. the insurance declaration forms for Yvur other sources of
insurance or indemnity (r.g., 6omrowmi s err rcntri s
insurance); 4. a photograph of and/or repair estimate for the
damaged property; and ii. or theft and vandalism claims, a
report regarding the stolen yr vandalized property must he
filed with the appropriate authorit}' before You call to file a
claim under Purchase Pn.NecGun.
No paymtent will he made on claims not substantiated in
the manner required by Us.
If all required documentation is not received within ninety
(90) days of the date of the Covered Incident (except for
documentation which has nut been furnished for reasons
beyond Your control). cmerage may be denied. It is four
responsibility to provide all required documentation We
request.
You maybe required to send in the damaged yroyerty at
Your expense for Further evaluation of Your claim. If
requested, You must send in the damaged property within
ninety (90} days from the- date oCOur request to remain eligible
fur coverage.
PP-RDR I -OR OS/07
1pph.eblr f<n ~ kt~tttc u4 t6~ it:+te ui la,rti, Dakota
The Legal Actions section is hereby removed in its entirety
and replaced with the following:
Legal Actions
No legal action may he brought to recover against this Plan
until sixty (60) days after Proof of Loss has been received by
Us. No such action may be brought after six (()years from the
time Proo(of Loss is required ro be given.
PP/F.\V-RDR I -SD 05 t0
'tl t ii--rleir Gr } ~„iii: niE [ rlu- i[x[~ f to natri
In the Termination or Cancellation section the following
is removed:
The Company has the right to cancel the Policy at any time
by sending a written notuc at least forty five (45) days in
advance to You at Your last knmvn address. The notice will
include the reason for cancellation.
,4nd replaced widt the following:
'The Company has the right hr cancel the Policy by sending
a written notice at least forty five (45) days ut advance to You at
Your last known address. The notice will include the reason
for cancellation.
PP/EW-RDRI -VT 05107
!}r}rliaubir lx,r Rvaivii~n~e of 4h .is ~a.llasV.a
The opening paragraph in the Exclusion section is
removed in its entirety and replaced w•i[h the following which
is added and made part of the Description of Coverage:
'1'hesr exclusions do not apply if the dominate cause of a
loss is a risk or peril that is not otherwise excluded. Benefits
are not yayable if the loss (or which coverage is sought was
directly or indirectly, wholly or partially, contributed to or
caused bv:
The Legal Actions section is hereby removed in its entirety
and replaced with the following which is added and made part
of the Description of Coverage
Legal Actions
No legal action may be brought to recover against [his Plan
until sixty (60) days after Proof of Lvss has been received by
Us. No such action may be brought after three (3}years from
the time Prooi of Loss is required to be given. If there are any
claims the three year timeframe does not begin to run until
after the claim has been denied.
PP/E1V-RURI-AK 06107
.l;ola]i<ai:~ie for Resid ent+ of the Staie,~t Okla2rnma
The Following is added to your Description of Coverage:
WARNING: Any person who knowingly, and with intent to
injure, deliaud or deceive any insurer, makes any claim for the
proceeds of an insurance policy containing any Ealse,
incomplete or misleading information is guilty of a felony.
PP/E W-RDR I -OK 07107
tlrs=~ ¢alinv; irsg Torn, atrtnzf~crs ,:r~ ap{~hctblc to rc,idcnts to
YSrc cal Io ~+ utg +t ates~
Arizona and Indiana, Form Numbers: PP-IND-CCSGI
07/07, PP-IND-CCSG2 07/07, PP-INll-OSBN1 D7/07, PP-1ND-
OSBN2 07!07
Texas, Form Number: PP-IND-TX 07/07
Travel Accident Insurance is underwritten by AMEX
Assurance Company, Administrative Office, Green Bay, Wt-
Coverage is determined by the terms, conditions, and
exclusions of Policy AX0948 and is subject m change with
notice to you. This document does not supplement or replace
the Policy. Please call us at the number at 1-800-437-9209
for a complete copy of your terms and conditions or if you
need to file a claim.
Travel Accident Insurance provides accidental death and
dismemberment insurance while traveling on a Common
Carrier Conveyance (plane, train, helicopter, ship, or bus)
when the entire fare has been charged tv the Card. As a benefit
of Cardmembership, the Covered Person will receive a benefit
level of coverage depending on the type of American F,xpress
Card aceount to which the entire fare for the Common Carrier
Conveyance was charged Cur the covered trip. Covered Persons
include the basic Cardmemher, each additional Cardmemher,
and each nE these C.ardmember's spouses or domestic partners
and dependent children under 23 years of age. All Covered
Persons must have a permanent residence within the 50 United
States of.4merican or the District of Columba. All other
persons are nut Covered Persons under the Policy.
The capitalized terms used herein shall have the meaning
assigned to such terms in the Policy. Please note that certain
terms contained in this summary are defined within the full
policy document.
T}escripiion of Brnriir.
Accidental Death and Acudental Dismemberment. The
Plan provides coverage for accidental death and
dismemberment due to a loss from an injury while coverage is
in force under the Puliry but wily it such loss occurs within
100 days after the date of the accident which caused the injury.
if more than one loss is sustained, benefits will be paid for the
greatestioss.
BenrGts arc paid according to the following schedule:
• Loss of Life - 100°ra
• Loss of both hands or both fret - I00°.,
• Loss of one hand and une foot I OO~u
• Loss of entire sight of both eyes 1 Woo
• Loss nl entire sigh) of one rye and one hand ur one foot -
]00°ro
• Loss of one hand or one foot - 509v
• Loss of the entire sight of une eve - 50ib.
Common Carrier Benefit. This benefit is payable if the
Covered Person sustains accidental death nr dismemberment
as a result of an accident which occurs while riding solely as a
passenger in, or boarding, ur alightLtg from, or being struck by
a Common Carrier Conveyance nn a covered trip.
Exposure and Disappearance. if the Covered Person is
unavoidably exposed to the elements because of an aaidrnt nn
a covered trip which results in the disappearance, sinking or
wrecking of the common carrier conveyance, and if as a result
of such exposure, the Covered Person .coffers a loss for which
benefits are otherwise payable under the Policy, such loss will
be covered under the Policy; if the Ctrvrred Person's body has
not been found within 52 weeks after the date of such aaident,
it will be presumed, subject m there being nu evidence to the
contrary, that the Covered Person suffered loss of Ii(e as a result
of injury covered by the Policy
iSenclu Tara
The Basic Cardmemher may designate a beneficiary or
change a previously designated beneficiary for himself or
herself and his or her spouse or domestic partner and
dependent children who are not Additional Cardmembers. An
Additional Cardmemher may designate a beneficiary or
drangr a previously designated beneficiary for himself or
herselfand his or her spouse or domestic partner and
dependent children who are not also the Basic Cardmemher,
the Rasic Cardmembers spouse or domestic partner or
children, or Additional Cardmembers. ICno beneficiary is
designated benefits will be paid to the surviving person or
equally to the surviving persons in the first of the following
classes: spouse or domestic partner, children, equally per
stirpes; and the rstate-
i,x:lt1A}f)t34
The Policy contains the following exclusions:
• suicide orself-destruction or am' attempt thereat, while
sane or insane; intentionally self-inflicted injury. suicide or any
attempt thereat, while sane
• war or any act of war whether declared or undeclared;
however, any act committed by an agent of any government,
patty, or faction engaged in war, hostilities, or other warlike
operations provided such agent is acting secretly and nut in
cwmection with any operation of armed forces (whether
military, naval or air forces) in the country where the injury
on:urs shall not hr deemed an act oCwar
• injury to which a contributory cause was the commission
of or attempt to commit an illegal act by or un behalf ut the
Covered Person or hislher beneficiaries
• injury received while serving as an operator or crew
member of any conveyance
• injury received while driving, riding as a passenger in,
boarding or alighting from a rental vehicle
• injury received during or as a result of commutation
• sickness, physical or mental infirmity, pregttancy, or any
medical or surgical treatment for such conditions, unless
treatment of the condition is required as the direct result of an
injury.
'1e.-rninaiimr ar f'anteilaua,r:
Coverage under the Puliry will cease un the earliest of the
following:
• the date the Covered Person nu longer maintains a
permanent residence in the SO United States ofAmerica or the
District of Columbia
• the date we determine that the Covered Person ur
someone on the Covered Persons' behah intentionaly
misrepresented or fraud occurred
• the date the policy is cancelled
• the date the basic Cardmembers account ceases to remain
current and in good standing
• the date the Plan is not available in the location where the
Covered Person maintains a permanent residence.
The Company has the right to cancel the Policy at any time
by sending a written notice at least forty live (45) days in
FDR 974950
advance to you at your last known address. The notice will
include the reason for cancellation.
Form Numbers: TAI-DOC 03/(17
Forms in addition to those listed above are also
applicable to residents in the following states:
Connecticut, Form Number: TAI-RDRI-Cf 03!07
Illinois, Form Number: TAI-RDRI-IL 03/07
Kansas, Form Number TAI-RDRI-KS 03!07
Maine, Form Number:'fAl-ADRI-ME 03/07
Minnesota, Form Number: TAI-RDRI-MN 03/07. In the
F,xdusions section the following replaces the exclusion
regarding illegal acts: injury in which a contributory cause was
the commission of or attempt to commit a felony by or on
behalf of the Covered Person or his beneficiaries.
Nevada, Form Number: TAI-RDRI-NV 03/07. In the
Termination and Cancellation section the lorry five (45) day
advance written notice is replaced by a sixty (W) day advance
written notice.
New York, Form Number TAI-RDRI-NY 03/07. Covered
Persons does not include language requiring a permanent
residence within the SO Unilyd States of American or the
District of Columbia. The following replaces the exclusions
found in the Exclusion section:
• suicide, attempted suicide or intentionally Belt-inflicted
injury
• vrar or any act of war, whether declared or undeclared;
participation in a felony, riot or insurrection; servile in the
Armed Forces or units auxiliary thereto
• injury in which a contributing cause was the Covered
Person's commission of or attempt to commit a felom- or to
which a contributing cause was the Covered Person's being
engaged in an illegal occupation
. sickness, except for an infection that was the result ul an
Injury
• mental or emotional disorder
• pregnancy, except complications of pregnancy and except
to the extent coverage is reyuired pursuant to Section 3221 of
the New York Insurance Law
• the consequence of the Cmered Person's being
intoxicated or under the inlluence of any narcotic unless
administered on the advice of a physician.
In the Termination and Cancellation section the following
is removed in its entirety: the date the Covered Person no
longer maintains a permanent residence in the 50 United
States of America or the District of Columbia.
In the Termination and Cancellation section the following
replaces the language regarding misrepresentation or fraud:
the dale we determine that the Covered Person or someone nn
the Covered Persons' behalf intentionally misrepresented or
fraud oaurred in a written instrument signed by the Covered
Person.
North Carolina, Form Number: TAI-RDRI -NC 03/07
Oklahoma, Furm Number: TAI-RllKI-OK 03107. In the
Exclusions section the folbcving replaces the exclusion
regarding war: war or act of war, declared or undeclared, while
serving in the military service or any auxiliary unit attached
thereto.
Texas, Form Number'I~AI-RDRI-'I'X 03!0'7. Covered
Persons include dependent children under 25 years of age who
arc stepchildren; adopted or x party to a suit to be adopted
children; grandchildren who are unmarried and dependent on
the Cardmember for tax purposes at the time the application
for coverage is made; and physically or mentally handicapped
children who are unmarried, cannot self-support themselves,
and are beyond the termination age.
Vermont, Form Number TAI-RDRI-VT 03/07. In the
Exclusions section the following replaces the exclusion
regarding suicide: suicide orself-destruction or any attempt
thereat, while sane; intentionally self-inflicted injury, suicide
or any attempt thereat, while sane. In the Exclusions section
the following replaces the exclusion regarding specific
conditions: sickness, physical infirmity, pregnancy, or any
medical or surgical treatment for such conditions, unless
treatment of the condition is required as the direct result of an
injury.
trey ... E sxr ^afir
Car Rental Loss and Damage Insurance provides the
Cardmember, if the Cardmenther is the primary renter, (as
defined blow) with insurance coverage for damage to or theft
of most Rental Autos when the Cardmember uses the Card (as
described below) to reserve and pay for an aura rental from
any Commercal Car Rental Company ("Rental Company°)
other than those located in Australia, Ireland, Israel, holy,
Jamaica, and New 7.ealand.' This coverage is always excess
insurance.
Rental Auto means alour-wheeled, two-axle passenger-
type motor vehicle, designed for and sold to accommodate
pritate passenger transport on public roads.
4Fhe u. Fbgiblr fur Cuvt:raut.
You are eligible for coverage if:
t. You are a Basic or Additional Cardmember and an
American Express' Card or Optima' Card in association with
that Card (the "Card°) has been issued to you in your name;
'. You art of an account status and class that is provided
Car Rental Loss and Damage Insurance as a benefit of
Cardmembership ("Cardmember");
3. Your Card account is billed from a U.S. operating center
in U.S. dollars; and
t. You maintain your Permanent Residence within the ;0
United States of America, the District of Columbia, Puerto Rico
or the U.S. Virgin Islands.
Permanent Residence means the Covered Person's one
primary dwelling place where [he Covered Person permanently
resides and intends to return.
A Personal, Gold, or Rewards Plus Gold Cardmember who
is enrolled at an accredited four-year college, university or
graduate school in the United States and is receiving studem
benefits provided as a benefit of Cardmembership is not
eligible for benefits under this Policy.
Commercial Caz Rental Company or Car Rental
Company means any commercial car rental agency which
rents Rental Autos.' For the purposes o(this Description of
Coverage, Commercial far Rental rnmpany means "Rental
Company"
flow to activate E"m~cragc
Coverage for theft of or damage to a Rental Auto is
activated when the Cardmcmber'
I. presents his or her eligible Card to the Rental Company
to reserve the Rental Auto by making a reservation; or by
placing a hold or deposit at the time the Rental Autu is checked
out;
?. declines the full Collision Damage Waiver or similar
option (CDW), orpays fur a partial collision damage waiver.
offered by the Rental Company;
3. is the primary renter, which is defined as the
Cardmember, who is named on the written agreement with the
Rental Company as [he person renting and taking control and
possession of the Rental Autu ("Primary Renter"); and
4. uses the Card to pay for the entire auto rental from the
Rental Company at the time o(vehide return.
Coverage continues in effect while the Cardmember
remains in control and possession of the Rental Auto. A
Cardmember, who is physically challenged and unable m
operate the Rental Aulo, may be the Primary Renter if helshc is
the Cardmember entering into the rental transaction.
Lv'hen Coverage "lenninatc~
Coverage for theft of or damage to the Rental Autn
terminates when:
d. the Rental Company resumes control of the Rental
Auto, or 30 consecutive days after the Rental Auto was checked
out, whichever is earlier; or
'. the Policy is cancelled.
Length of Coverage
Car Rental Luss and Damage Insurance covers eligible
Rental Autos when rented under a written rental agreement
from a Rental Company for nu more than 30 wnsecutive days.
Note: Itt no event shat! coverage be provided when the
Cardmember rents a Renial Auto beyond 30 consecutive days
from the same Rental Company, regardless ofwhether the
original agreement is extettdrd, nr a new written agreement is
entered into, or a new vehicle is rented.
Additionally, no coverage will be provided when the
Primary Renter rents a Rental Auto for more than 30
consecutive days out of a 4S-day period within the same
geographic market/location (75 mile radius).
1#'bat is Crrecred
Car Rental Loss and Damage Insurance reimburses a
Cardmember Cor payments [or damage to or theft of a Rental
Auto that the Cardmcmber is required to make, up to the lesser
of: I) the actual cost to repair the Rental Autu, 2) the wholesale
Book value minus salvage and depreciation costs, or 3) the
purchase invoice price of the Rental Auto minus salvage and
depreciation rost5. The coverage also reimburses the
Cardmcmber for reasonable charges (those charges incurred at
the closest facility that are usual and customary in the vicinity
in which the loss or disablement took place) imposed by the
Rental Company, such as towing or storage and Loss of Use.
Loss of Use means the unavailability of a Rental Auto and
consequent loss nl revenue by the Rental Company due to
damage or theft. Unless otherwise required by law, the Rental
Company must submit a Meet utilization log indicating that
during such time:
7. no other Rental Auto was available; and
'. there was a demand for a Rental Auto.
Car Rental Loss and Damage Insurance covers no other
type of loss. For example, in the event of a collision involving
the Cardmember's Rental Auto, damage to any other driver's
car or the injury o(anyone or anything is not covered.
Note: This policy does not provide liability nr any other
coverage suite us Uninsured Motorists, benefits under any
Worker's Compensation law, Disability benefits law nr other
mandated Government Plans.
vlbat P.cre+sCorerage Lieans'
Car Renial Loss and Damage Insurance is an excess
insurance plan. This means that this excess coverage will
reimburse the Cardmember only for losses/expenses not
mvrred by plans, such as a partial collision damage waiver, any
personal auto insurance, employer c auto insurance or
reimbursement plan or other sources of insurance. When these
outer plans apply, a Cardmember must first seek payment or
reimbursement and receive a determination based on the
stated terms of such other Plans, that any such Plans do not
provide coverage before this excess coverage will reimburse the
Cardmember.
1i hides \at Cnvrrcd
Car Rental Loss and Damage Insurance does not cover
rentals of:
? . expensive cazs, which means cars with an original
manufacturer's suggested retail price of $50,000 or more when
new;
exotic cars regardless of year or value, including but not
limited to Chevrolet Corvette, Toyota Supra, Mazda RX-7,
Dodge Viper and Stealth, Plymouth Prowler, Mitsubishi 3000
GT, Nissan 300 ZX, Jaguar X)S, Acura NSX, Mercedes SL, SLK,
S Coupe and E320 Coupe and Convertible, BMW M3, Z3 and 3
Series, Cadillac Allante and all Porsche, Ferrari, Lamborghini,
Maserati, Aston Martin, Lotus, Bugatti, Vector, Shelby Cobra,
Bentley, Rolls Royce;
?. trucks, pick-ups, cargo vans, custom vans;
i. full-sized vans, including but not limited to, Ford
Econoline or Club Wagon, Chevy Van or Sportvan, GMC
Vandura and Rally, Dodge Ram Vans and Ram Wagon;
~. vehicles which have been customized or modified from
the manuCacturer's factory specifications except for driver's
assistance equipment for the physically challenged;
5. vehicles used for hire or commercial purposes;
mini-vans used for commercial hire;
Note: Passenger,bfini-Pans (not Cargo Mini-Pans} with
(actory specified seating capacity of A passengers nr less,
including but not limited to, Dodge Caravan, Plymouth Voyager,
Ford Windstar and Nissan Quest, are covered when rented for
persona! nr business use only.
8. antique cazs, which means rays that are 20 years old or
have not been manufactured for 10 or more years;
9. limousines;
i it. full-sized sport utility vehicles, including but not
limited to, Chevrolet/GMC Suburban,'1'ahce and Yukon, Ford
Expedition, Lincoln Navigator, Toyota Land Cruiser, Lexus
LX450, Range Rover or full-sized Ford Bronco;
t t. sport/utility vehicles when driven "off-road": and
Note: Compact sportiutility vehicles, including but not
limited to Ford Explorer, /eep Grand Cherokee, Nissmt
Pathfinder, Toyota Four Runner, Chevrolet Blazer and /cuzu
Trooper and Rodeo are covered when driven on paved roads.
! w. off-road vehicles, motorcycles, mopeds, recreational
vehicles, golf or motorized carts, campers, trailers and any
other vehicle which is not a Rental Auto.
FDR 974950
! st,se. Ao? (arc: e~
Car Rental Loss and Damage Insurance dues nut cover
losses caused by or contributed to hy:
t. operation of the Rental Auto in violation o(the terms
and conditions of the Rental Company agreement (including
but not limited to losses occurring when: a person not
permitted to operate the vehicle pursuant to terms of the rental
agreement was in possession or control of the vehicle; or,
driving the vehicle outside of the authorized rental territory):
<. leased or mini-leased vehicles;
3. costs attributed to [he Commercial C.ar Rental
Company's normal course oFdoingbusiness;
t. imentional damage;
~. illegal activity, such as losses where the Rental Auto was
used for, or involved in illegal activity or felony;
6. pre-existingeonditions. damage ordrfect;
alcohol intoxication on the part of the driver, as defined
in the state where the Accident occurred;
?. voluntarily taking any drug or acting under the
influence or effect of that drug (unless taken as prescribed or
administered by a Docmr);
9. war or military activity;
10. radioactivity;
t t, confiscation by authority;
t 2. wear and teaz, including gradual deterioration:
t 3. damage which is due and confined to freezing,
mechanical or electrical breakdown or failure unless such
damage results from a theft covered by the Policy;
1 i. Cailure ro return keys to the Rental Company when the
vehicle is stolen;
15. theft or damage to unsecured vehicles;
t t,. theft of or damage to tires (flats or blowouts), unless
damaged by fire, malicious mischief, vandalism, or stolen,
unless the Toss is coincident with and from the same cause as
other loss covered by tlrz Policy; and
I ; .off-road operation of the vehicle.
Car Rental Loss and Damage Insurance does not cover, and
hcnefits will not he paid Eor
t . sales tax related to repair of damages, unless
reimbursemem of such sales tax is required by law;
Z. damage to any vehicle other than the Rental Autn;
s. damage to any property other than the Rental Auto,
owner's property. or items not permanently attached to [he
Rental Auto;
t. the utjury of anyone ur anything;
expenses assumed, waived or paid for by the Rental
Company or its insurer;
f . expenses covered by the Cardmembers personal auto
insurer, employer or employer's insurer, or authorized driver's
insurer:
value added tax or similar tax, unless nimhursement of
such tax is reyuired by law;
S. diminishmem ofvalue;
~r. any Rental Auto used for hire or commercial purposes;
and
all. depreciation, unless reimbursement for depreciation is
reyuired bylaw.
}t{rir to ;'sic a (-fdl eta
Notification of damage, indudingvandalism, theft, or an
accident must be reported to the appropriate law enforcement
agency as soon as reasonably possible. 'This requirement
applies regardless of whether the Rental Auto is involved with
other vehicles. Failure to notify may result in denial of benefits.
If a loss occurs, a Cardmember should promptly notify the
Car Rental Loss and Damage Claims Uni[ toll free at
(800) 338-1670 in the U. S. only or call (440) 914-2950 from
other locations worldwide. II the failure of a Cardmember to
promptly report a Iuss prejudices the rights of the Insurer, the
claim may be denied.
A representative will answer any questions a Cardmember
may have and will send the Cardmember a claim form with
instructions. Complete and sign the claim loan. Writ4n prool
of loss, which includes the claim form and all other requested
documentation (listed below), must be received within 60 days
fi>Ilowing the date of the damage or theft by: American Express
Car Rental Loss and Damage Claims Unit, PO Box, 94729,
Cleveland, Ohio 44101-4729. If the proof o[loss and other
documentation is not received within 60 days of the date of
Iuss, coverage may bedenied-
Reyuired documentation may consist of, but is not limited
our signed and completed claim hirm;
an itemized repair bill;
a copy of charge slip for the rental of the Rental Auto,
Rental Autn contract or machine generated receipt to show
rental ryas charged and paid fur with an American Express
Card;
8. a police report (if applicahle);
photos olthe damaged vehicle, if available;
6. a copy of the Cazdmember's, authorized driver's or
employers auto insurance coverage, nr a notarized letter
stating no insurance;
-, a copy o(all claim documents and correspondence,
provided by the Car Rental Company;
x. a copy of the Rental Company's utilization tog;
i. a copv of the driver's license of the Cardmember and/or
authorized driver, unless the driver's license number shows on
the rental agreement;
t ir, a copy of the written rental agreement, front and back,
which documents when the Rental Auto was checked out and
checked in; and
I i .information pertaining to other available insurance
aweragr(s).
Cardmember cooperation with issues related to their
benefits is reyuired. If all required documentation is not
received within I80 days of the date of loss (except for
documentation which has not been furnished for reasons
beyond the Cardmemberss control), coverage may be denied.
ft~rx tenefts are Paid
.All Car Rental Loss and Damage Insurance payments
reimbursable under the policy are payable to the Cardmember;
except that payment may he made, at the discretion of the
]nsurer, jointly to the Cardmember and the Commercial Car
Rental Company when dre Car Rental Company has not been
reimbursed for the covered loss or damage, or the
Cardmember has not validly assigned his/her payments to the
Rental Company nr any other party.
Note: Benefits will not be paid i(, on the date of Joss, un the
dote ojduim filing, or on the date of potential claim payment,
art}'amount due nn Ynur Card account is past due or Your Card
is auuetled'
Si i~yhl ~ n1 liccu~ c•rr
In the event of a payment under this Policy, the Insurer is
entitled to all the rights of recovery that the Cardmember, to
whom payment was made, has against another That
Cardmember must sign and deliver to the Insurer any legal
papers relating to that recovery, do whatever else is necessary
to help the Insurer exercise those rights and do nothing after
Iuss to harm the Insurer's rights.
When a Cardmember or Commercial Car Rental Company
has been paid damages under Policy No. AX0925, and also
recovers from another, the amount recovered from the other
shall be held by that Cardmember or Commercial Car Rental
Company in oust for the Insurer and reimbursed to the extent
of the Insurers payment.
.As a condition precedent to coverage, the Cardmember is
required, and has a duty to fully cooperate with the Insurer in
any investigations, subrogation matters or legal proceedings by
providing copies of any and all legal notices and any and all
statements, including sworn statements and contributing any
other papers and documents to reasonably assist in the
disposition of the legal matter.
\nttlicaE i<m nt Leda[ Action
When a Cardmember is served with suit and/or summons
papers relating to a Car Rental Loss and Damage claim, the
Cardmember must notify (see address and phone number
under Claims Notice section) and provide copies of the suitor
summons papers to the Car Rental Loss and Damage claims
unit within I i days otwhen the Cardmember is served. Failure
to comply may result in denial ofbenefits.
„dditiotsal Inf,7+~ar,rtiau for)'ntr
This coverage is underwritten by AMEX Assurance
Company ("Insm~er") through insurance Policy AX0925 (the
"Policy")issued to American Express Travel Related Services
Company, Inc. and its participating subsidiaries, affiliates and
licensees. The Policy may be changed or terminated.
This Description of Coverage is an important document.
Please keep it in a safe place. Although it describes the present
Corm of insurance as it exists at the time of printing, this
document is not the Policy or contract of insurance. The
benefits described in this document are subject to all of the
terms, conditions and exclusions of the Policy issued by the
underwriter. This document replaces any prior Description of
Coverage under the Polity which may have been furnished to
the Cardmember.
j ,ti
Joy A. I Janson, President John M. Collins, Secretary
Ar\1EX Assurance Company AMEX Assurance Company
CIILDI-DOC-CCSG 11/OS
t. Far those eligible and enrol[ed in Membership Rewards, f a
Membership Rewards redemption cress jirate is used, coverage is
provided only to RentnlAutos rented in the United States.
2. When used in conjunction with a Membership Rewards
redemption certif irate, the participat ing Car Rental Companies
are limited to Hertz, Natinnaland Budget.
3. If eligible and enrolled in Membership Rewards, coverage is
also activated when the Cardmember (1) presents a Membership
Rewords redemption mrtifirate and (2) uses a Membership
Rewards redemption certificate at a participating Commercial
Car Rental Company. lmportart note far those enrolled in
Membership Rewards: A Membership Rewards redemption
certificate can only be redeemed by eligible Cardmembers.
Benefits will not be paid when a bembership Rewards
redemption rertificate has been transferred to non-eligible
Cardmembers and/or non-Cardmembers.
4. Does not app/}' to New York State residents.
Adelitional Infin ntatinn fur Residers€~ ai Luui~iana
Thr Rights of Recovery section is replaced with the
foI lowing:
If the Company makes any payment under this Polity and
the Cardmember has the right to recover damagts from
another, the Company shalt be subrogated to that right.
However, the Company's right to recover is subordinate to the
Cardmembers right ro he fully compensated.
CRLDI-RDRI-LA I1/OS
3rldidsma! irzl+>z..._ <<e•4idx-arts of Knuth D.~rrte
Under Losses Not Covered, item number 5. is replaced
with the following:
Car Rental Loss and Damage Insurance does not cover
losses caused by or contributed to by:
~. violation of criminal law, or commission of a criminal
act, whether cited or charged;
Under Losses Not Covered, item number 7. is replaced
with the following:
Car Rental Loss and Damage Insurance does not cover
losses caused by or contributed to by:
-. consumption of alcohol at or in excess of the Irgal blood
alcohol level for a felony conviction in the state or locality in
which the Accident occurred..
CRLDI-RDRI-SD 11/OS
Atlditiunal IiYfnrEl`atlOit Pnr ft~.~sidentn of Yrrmnrrt
Under losses Not C.mered, the following item is hereby
removed:
-. alcohol intoxication on the part of the driver, as defined
in the state where the Accident occurred;
CRLDI-RDRI-VT 11/05
Addsliunal hrlirrrtaa[irsn ku' R~sidenh of Wisevnsin
Under Losses Not Covered, the following items are hereby
removed:
~. illegal activity, such as losses where the Rental Auto was
used for, or involved in illegal activity or felon}';
?. alcohol intoxication on the part ofthe driver, as defined
in the state where the Accident oaurred;
S. voluntarily taking any drug or acting under the
influence or effect of that drug (unless taken as prescribed or
administered by a Doctor);
Under Losses Not Covered, the following item is added:
i A. Thr use of the Rental Auto for unlawful purposes, or (or
transportation of liquor in violation of law, or while the driver
is under the influence of an intoxicant or a controlled
substance or controlled suhstance analog, or a combination
thereof, or under the influence of any other drug to a degree
which renders him or her incapable of safely driving, or under
the combined inFluence of an intoxicant and any other drug to
a degree which renders him or her incapable of safely driving,
or any use of the motor vehicle in a reckless manner.
CRLDI-RDRI-Wit [/OS
eldditiurei ha(urtttatmr fire Ae+ir3ent+ef IM'est 1'irgLua
Linder How Benefits are Paid, the Footnote, to the note
that reads:
Note: Benefrts will nut be paid ij, on the date of loss, on the
date o(rluim filing, or on the date of potential claim payment,
FDR 974950
any arnount clue on Your Card anmuat is pass due nr Your Curd
is otnceUed, is hereby revised to rend as firllows:
Does nn[ apply to West Virginia and New fork State
residents.
CRLDI-RDRI-WV I1i05
l.idjUUrtat lniirrataliou ibr tte5icka;ts of Nurtkt Carolina
A portion of the fees associated with this Card are applied
to the insurance benrlit.
CRLDI-RDRI-NC 11105
Fh~~ Gr(lotcins; lirzm nuarbe: F axe appliea!rl. ter residruts iu
t?rr Itrifor. ine ~-tat ee:
Arizona and Indiana, Form Numbers: CRLDI-[ND-CCSG
I1/O5: CRLllI-INll-OSBN 11/05; CRLDI-IND-PLAT 11105;
CRLDI-IND-CEN 11/05; CRLDI-IND-OSBN-PLAT 11!05;
CRLDI-INll-End! 10/08
Texas, Form Numbers CRLDI-IND-CCSG-TX 11105;
CRLDI-IND-OSBN-TX I1/OS; CRLDI-IND-PLAT-TX 11/05;
CRLDI-IND-CEN-TX I IlOS;CRLDI-IND-OSBN-PLAT-TX
It/O5.
The following is added to the polio}': 'Phis policy only
provides coverage if you decline the full Collision Damage
6Vaiver offered by the Rental Company. This policy is not
automobile liability insurance and does nut comply with any
linancial responsibility law. Sour personal automobile
insurance polity may or may not provide coverage for your
responsibility for the loss of or damage to a rented vehicle
during the rental term. Before deciding whether to purchase a
damage waiver, you may wish to determine whether your
automobile insurame policy provides you coverage for rental
vehicle damage or loss. If you file a claim under your personal
automobile insurance policy, your insurance company may
choose to no renew your policy at your renewal date, but may
do so only if you are at fault for the claim.
A Termination and Cancellation section is added:
Coverage will cease nn the earliest of [he following - the date
you no longer maintain a permanent residence in the 50
United States of Amenca or the District of Columbia; the date
we determine [hat you or someone on your behalf intentionally
misrepresented or fraud occurred; the date we cancel the
Policy; the date you aze no longer a cardmember; or the date
the Polity is not available in the location where you maintain a
Permanent Residence. ]f the Policy is cancelled, we will send
written notice at least forty five (45) days in advance. We may
nut cancel or non-renew this Policy based solely on the fact
that you are an eleard official.
The American Express Card Baggage Insurance Plan is
underwritten by A2v1EX Assurance Company, Administrative
Office, Green Bay, WI. Coverage is determined by the terms,
conditions, and exclusions of Policy AX04W or Policy BIY-[ND
and is subject to change with notice to you. This document
does nut supplement or replace the Policy. Please callus at
the number on the back of your American Express Card for
a complete ropy of your terms and conditions.
The American Express Card Baggage Insurance Plan
provides benefits for a Covered Person's damaged, stolen or lost
baggage, whether checked or carry-tin, when the entire fare Cur
common cazrier ronveyanne tickets are purchased and charged
to your eligible American Express Card account.
Covered Person means: a) the basic cardmember, each
additional cardmember, and rack of these Cardmembers'
spouses or domestic partners and dependent children under 23
years of age; or b) officers, partners, proprietors, employees.
consultants or employment candidates authorized by a
sponsoring organization, to have common carrier conveyance
fares charged m that sponsoring organizatioris arnount for a
bona fide business trip. All Covered Persons must have a
permanent residence within the 50 United States of America,
or thi~ District of Columbia.:W other persons arc not Covrnd
Persons under the policy.
Platinum cardmember means a cardmember who has a
Platinum C,hargr Card (required to be paid in full monthly), a
Corporate Platinum Card, or a Fidelity American Express
Platinum Card. Any other Card which may reference the
Platinum name or has Platinum colored plastic will not receive
higher coverage limits or benefits.
"I'hr capitalized terms usr d herein shall have the meaning
assigned to such terms in the policy. Certain terms contained
in this summary are defined within the full policy document.
ybu may file a claim by calling toll-free stateside 1-800-645-
9700 or, iffrom overseas, by calling collect 1-303-273-6498.
Yuu may also write to Baggage Insurance Plan, PO Bux 683,
Golden, CO 80401.
Dar.enl+Unn ref lfrnrfit;
We will pay a benefit to a Covered Person for a loss up to
the applicable limits and under the circumstances described
below. For New York State residents, there is a $10,000
aggregate maximum limit for al] Covered Persons per covered
trip.
Carry-on Baggage Benefit: We will pay a benefit Cor the
replacement cost, up to $1,250, for each Covered Person on a
covered trip for loss of carry-on baggage. A Covered Person is
eligible for this benefit if the loss occurs while the Covered
Person is upon a common carrier's terminal premises
designated Cor passenger use, but only when the Covered
Person is upon such premises immediately before boarding or
immediately after alighting from a common carrier
conveyance or while riding solely as a passenger in or boarding
or alighting from a common cazrier conveyance while on a
covered trip.
Checked Baggage Benefit: We will pay a benefit for the
replacement cost, up to 5500, for each Covered Person on a
covered trip for loss of checked baggage. (Bicycles are covered
when checked as baggage with a common carrier conveyance.)
High•risk Items Benefit: We will pay a maximum benefit
of $250, fur each Covered Person on a covered trip for loss of
high risk items. High-risk items include, but are not limited to:
jewelry; spurting equipment; photographic or electronic
equipment: and computers and audio/visual equipment.
Common Carrier Conveyance Benefit: We will pay a
benefit for the replacement cost, up to $1,250, for each Covered
Person nn a covered trip, when a common carrier conveyance
ticket is purchased in advance of a covered trip, fur loss to
baggage while the Covered Person is riding solely as a
passenger nn a common carrier conveyance when going
directly to a common carrier's terminal for the purpose of
boarding a common carrier conveyance or when leaving from
a common carrier's terminal directly after alighting from a
common carrier conveyance.
Platinum Cardmembers Carry-on and Checked Baggage
Benefit: We will pay a benefit for the replacement cost of
carry-on baggage up to a maximum of $3,000 for each Covered
Person on a Covered Trip. We will pay a benefit for the
replacement cost of checked Baggage up to a maximum of
52,000 fur each Covered Person on a Covered Trip. if a
Covered Ferson's loss on a covered trip includes the
replacement cost for both carry-tin and checked baggage, the
benefit under this plan is limited to a combined total of $3,000.
For New York State ruidents: We will pay a benefit for the
replacement cost of cazry-on baggage up to a maximum of
$2,000 for each Covered Person on a covered trip. The $10,000
aggregate maximum limit fur all Covered Person per covered
trip also applies.
Platinum Cardmembers Common Cazrier Conveyance
Benefit: We will pay a benefit fur the replacement cost, up ro
$3,000, fur each Covered Person on a covered trip, when a
Common Carrier Conveyance ticket is purchased in advance of
a covered trip. For New York State residents: We will pay a
benefit liar the replacement cost, up to $2,000, for each Covered
Person on a covered trip, when a common carrier conveyance
ticket is purchased in advance of a covered trip.
i.ztiu~inn~
Benefits are not payable if the loss foe which coverage is
sought was directly or indirectly, wholly or partially,
contributed to or caused by the following: war or any act of
war, whether declared nr undeclared; any act by customs or
other governmental authority whether involving your consent
or by confiscation or requisition (except the Transportation
Security Administration); defective workmanship, normal
wear and tear and gradual deterioration, or any illegal ac[ by
or tin behalf of the Covered Person.
Items Not Covered: This plan does not insure: cash or its
equivalent, notes, accounts, bills, currency, deeds, food stamps
ur evidences of debt or intangible property; credit cards and
other travel documents (including, but not limited to,
passports and visas); securities; tickets and documents; plants
and animals; automobiles and equipment; motorcycles and
motors; aucraft, boats or other conveyances; or yroyerty
shipped as freight or shipped prior to the covered trip
departure date.
i- ct e+v C cr, ~ r.:q~ ~
If any loss under this plan is insured under any other valid
and collectible policy, then this plan shall cover such Inns,
subject W its exclusions, conditions, provisions and other
terms herein, only to the extern that the amoum of such loss is
in excess nl the amount of such other insurance which is
pa}'able or paid.
"Tcr:runatar~n ur : ~., ~ , ., .~~.i,
Coverage will cease on the earliest of the following: the date
you no longer maintain a permanent residence in the 50
United States of America, nr the District of Columbia; the date
we determine that you or someone on your behalf intentionally
misrepresented or fraud occurred; the date the Policy or any
benefit under the Policy is cancelled; the date you terminate
your account and are no longer a cardmember or your account
is cancelled by American Express; the date your account ceases
to remain current and in good standing; or the date the plan is
nut available in the location where you maintain a permanent
residence. Termination or Cancellation of coverage will not
prejudice any claim originating prior to termination or
cancellation subject to all other terms of the Policy. We have
the right to cancel the Policy at am time by sending a written
notice at least sixty (60) days in advance to you at your last
known address. The notice will include the reason for
cancellation.
Form Numbers: BIP-DOC 07/07, RIP-DOC-PLAT 07107
Forms in addition to those listed above are also
applicable to residents in the following states:
Alaska, Fornt Nuntber:BlP-RDRI-AK 07/07
Kansas, Form Number. B1P-RDRI-KS 07!07
Kentucky, Form Number: RIP-RDRI-KY 07/07. The
Termination or Cancellation section is revised to send a
written notice of cancellation at least seventy-five (75) days in
advance to you at your last known address. The notice will
include the reason fire cancellation.
Louisiana, Furm Number: BIP-RDRI-LA 07101. The
definition of Domestic Partner and all references to Domestic
Parnner are removed from the Description of Coverage.
Maryland, Form Number: BIP-RDRI-MD 07/07
New York, Form Number: B1P-RDRI-NY 07IOi
Oklahoma, Form Number. BIP-RDRI-OK 07107. The
following is added to the Description of Coverage: WARNING:
An}' person who knowingly, and with intent to injure, defraud
or deceive any insurer, makes any claim for the proceeds of an
insurance policy ttrmainingany false, incomplete or
misleading information is guilty of a felony.
Vermont, Furm Number BIP-RDRI-VT 07/07
Washington, Form Number: B1Y-RDRI-WA 07107
Wisconsin, Form Number BIP-RDRI-W107/07
The following form numbers are applicable to residents
in the followingstates:
Arizona, Indiana and Texas, Furm Numbers: B1P-IND
07107, BIP-[ND-PLAT 07!07
FDR 974950
FDR 974950
FUNERIC{W
EJ6~RE55
2009 American Expre~.+
The Optima° Platinum Card
NANCY S LENKER
Closing Date 09118/12
New Balance $24,511.31
Minimum Payment Due $2,821.00
Includes the past due amount of $2,219.00
Payment Due Date 10/13/12
Late Payment Warning: If we do not receive your Minimum Payment Due by
the Payment Due Date listed above, you may have to pay a late fee of up to
$35.00 and your Purchase APR may be increased to the Penalty APR of 27.24%.
Minimum Payment Warning: If you make only the minimum payment each period,
you will pay more in interest and it will take you longer to pay off your balance. For
example:
It you make no additional You will pay off the balance And you wil I pay an
charges and each month you shown on this statement in estimated total of...
pay... about...
Only the
Minimum Payment Due 29 years 62,994
If you would like information about credit counseling services, call 1-888-733-4139.
See page 2 for important information about your account.
Your account is past due and overlimit. Pay at least 2,821.00,
plus any additional charges incurred on your account since the date
of this billing statement. If you would like to receive a-mail alerts
about payments, spending or fraud protection, you can sign up at
americanexpress.com/alerts.
+ Please fold on the perforation below, detach and return with your payment +
p. 1 /5
Account Ending 1-31001
Membership Rewards® Points
Availableand Pending asof 08/31 /12
2,873
For up to date point balance and full program
details, visit membershiprewards.com
~-ccouni summary
Previous Balance $24,189.97
Payments/Credits -$0.00
New Charges +$0.00
Fees +535.00
Interest Charged +$286.34
New Balance 524,511.31
Minimum Payment Due 52,821.00
Credit Limit $23,300.00
Available Credit 50.00
Cash Advance Limit $0.00
Avails ble Cash 50.00
Days in Billing Period: 30
Customer Care
Pay by Computer
amencanexpress.com/pbc
Customer Care Pay by Phone
1-800-964-8542 1-800-472-9297
See page 2 for additional information.
® Payment Coupon ~ Pay by Computer a Pay by Phone Account Ending 1-31001
Do not staple or use paper clips amencanexpress.com/pbc 1-800-472-9297 Enter account number on all documents.
Makecheck payableto American Express.
IIII'1'II11'1"III'11111111111~r1111111111'1'11111'1"1111'111'11
NANCY S LENKER
20 N 12TH ST APT 216
LEMOYNE PA 17043-1450
Payment Due Date
10/13/12
New Balance
$24,511.31
Minimum Payment Due
$2,821.00
III 11 I' 1111' 1111""I I1111111I I"111111' 111111111"I' l 11111111111
AMERICAN EXPRESS 5 •
^ Check here if your addressor Amount Enclosed
phone number has changed. P.O. BOX 1270
Note changes on reverse side. NEWARK N) 07101-1270
~~ ~ ~,
Exhibit -~"
~_
0000349990585747811 002451131000282100 15 ri
NANCY S LENKER Account Ending 1-31001 p. 2/5
Payments: Your payment must be sent to the payment address shown on your statement and must be received by 5 p.m. local time at that address to
be credited as of the day it is received. Paymentswe receive after S p.m. will not be credited to your Account until the next day. Payments must also:
(1) include the remittance coupon from your statement (2) be made with a single check drawn on a US bank and payable in US dollars, or with a
negotiable instrument payable in US dollarsand clearablethrough the US banking system; and (3) include your Account number. If your payment does
not meet all of the above requirements, crediting may be delayed and you may incur late payment fees and additional interest charges. Electronic
payments must be made through an electronic payment method payable in US dollarsand clearablethrough the US banking system. If we accept
payment in a foreign currency, we will convert it into US dollars at a conversion rate that is acceptable to us, unless a particular rate is required by law.
Please do not send post-dated checks as they will be deposited upon receipt. Any restrictive language on a payment we accept will have no effect on
uswithout our express prior written approval. We will re-present to yourfinancial institution any payment that is returned unpaid.
Permission for Electronic Withdrawal: (1) When you send a check for payment, you give us permission to electronically withdraw your payment from
your deposit or other asset account. We will process checks electronically by transmitting the amount of the check, routing number, account number
and check serial Humberto yourfinancial institution, unlessthe check is not processable electronicallyor a lesscostly process isavailable. When we
process your check electronically, your payment may be withdrawn from your deposit or other asset account as soon as the same day we receive your
check, and you will not receive that cancelled check with your deposit or other asset account statement. If we cannot collect the funds electronically
we may issue a draft against your deposit or other asset account for the amount of the check (2) By using Pay By Computer, Pay By Phone or any other
electronic payment service of ours, you give us permission to electronically withdraw funds from the deposit or other asset account you specify in the
amount you request. Payments using such services of ours received after 8:00 p.m. MST may not be credited until the next day.
How We CalculateYour Balance: We use the Average Daily Balance (ADB) method (including new transactions) to calculate the balance on which we
charge interest on your Account. Call the Customer Service number listed below for more information about this balance computation method and
how resulting interestchargesaredetermined. Theme[hodweusetofiguretheADBandinterestresultsindailycompoundingofinterest.
Paying Interest: Your due date is at least 25 days after the close of each billing period. We will not charge you interest on your purchases if you pay the
New Balance by the due date each month. We will charge you interest on cash advances and (unless otherwise disclosed) balance transfers beginning
on the transaction date.
Foreign Currency Charges: If you make a Charge in a foreign currency, we will convert it into US dollars on the date we or our agents process it.
We will charges tee of 2.7%of the converted US dollaramount. We will choose a conversion rate that is acceptable to us for that date, unless a
particular rate is required by law. The conversion rate we use is no more than the highest official rate published by a government agency or the highest
interbank rate we identify from customary banking sources on the conversion date or the prior business day. This rate may differ from rates in effect on
the date of your charge. Charges converted by establishments (such as airlines) will be billed at the rates such establishments use.
Credit Balance: A credit balance (designated CR) shown on this statement represents money owed to you. If within the six-month period following the
date of the first statement indicating the credit balance you do not request a refund or charge enough to use up the credit balance, we will send you a
check for the credit balance within 30 days if the amount is $1.00 or more.
Credit Reporting: We may report information about your Account to credit bureaus. Late payments, missed payments, or other defaults on your
Account maybe reflected in yourcredit report.
New York residents may contact the New York Banking Department to obtain a comparative listing of credit card rates, fees and grace periods by
calling 1-800-518-8866.
Customer Care & Billing Inquiries 1-800-964-8542 Hearing Impaired
InternationalCollect 1-336-393-1111 1TY:1-800-221-9950
Large Print & Braille Statements 1-800-964-8542 FAX:1-800-695-9090
Express Cash 1-800-CASH-NOW In NY:1-800-522-1897
Change of Address
If correct on front, do not use.
• Tochange your address online, visit wwwamericanexpress.com/updatecontactinfo
• For Name, Company Name, and Foreign Address or Phone changes, please call Customer Care.
• Please print clearly in blue or black ink only in the boxes provided.
Street Address
Ciry, State
Zip Code
Area Code and
Home Phone
Area Code and
Work Phone
Email
Website: americanexpress.com
Mobile Site: amexmobile.com
Customer Care
& Billing Inquiries Payments
P.O. BOX 981535 P.O. BOX 1270
EL PASO, TX NEWARK N1
79998-1535 07101-1270
Pay Your Bill with AutoPay
• Avoid late fees
• Save time
Deduct your paymentfrom your bank
account automatically each month
Visit americanexpress.com/autopsy
today to enroll.
For information on how we protect your
privacy and to set your communication
and privacy choices, please visit
www.americanezpress.comlprivacy.
p. 3/5
Account Ending 1-31001
Fees
Amount
09/13/12 Late Payment Fee $35.00
Total Fees for this Period S35.00
Amount
09/18/12 Interest Charge on Cash Advances $54.57
09/18/12 fnterestChargeonPurchases $231.77
Total Interest Charged for this Period 5286.34
2012 Fees and Interest Totals Year-to-Date
Amount
Total Fees in 2012 ~~A 5130.00
Total Interest in 2012 $2,517.30
Interest Charge Calculation
The Optima° Platinum Card
NANCY S LENKER
Closing Date 09/18/12
Your Annual Percentage Rate (APR) is the annual interest rate on your account.
Annual Balance5ubject Interest
Percentage Rate to Interest Rate Charge
Purchases 12.99% $21,701.38 $231.77
Cash Advances 25.24%(v) $2,632.49 $54.57
Total 5286.34
(v) Variable Rate
NANCY S LENKER Account Ending 1-31001 p. 4/5
Membership Rewards°
Monthly Statement and Program News
MEMBERSHIP
rewards p~ 5!5
express-
Prepared for NANCY S LENKER Account Number 1M55401919
Questions About Your Account?
Total Points Balance 2r873 ~ membershiprewards.com
Points arE ned this Period 0 ~ 1-800-AXP-EARN(297-3276)
~ ! I` nternationalCollect:305-816-2799
Account Summary August 1, 2012 -August 31, 2012
Opening Points Balance 2,873
Points Earned this Period 0
Points Used this Period 0
Reinstated Points and Adjustments 0
Total Points Balance 2.873
Points Earned this Period are pending until charges are paid in full and all your
accounts are in good standing.
Did You Know?
Use Points For Everyday Charges
Use your Card for everyday purchases like
groceries, gas, phone bills and more, then go
online and use the points you earned to cover
those charges. Learn more at
membershiprewards.com/everydaycharges
l Points Transaction Detail August 1, 2012 -August 31, zo12
Points Earned this Period Points Activity On Bonus Points Total Points
Eligible Charges Awarded Activity Per Card
Optima
XXXX-XXXXX 1-31001
Total
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VERIFICATION
I, Demetrios H. Tsarouhis, Esquire, verify that the statements contained in the
aforementioned Complaint are true and correct based on my communications with my client. I make
this verification because my client is unavailable to sign this document at this time. I understand that
false statements herein are made subject to the penalties of 18 Pa.C.S.A. Sec. 4904 relating to
unsworn falsification to authorities.
~~.~~
By:
Demetrios H. Tsarouhis, Esquire
Date: November 25, 2012
121508.001
6
SHERIFF'S OFFICE OF CUMBERLAND COUNTY
Ronny R Anderson
Sheriff
Jody S Smith 0f
Chief Deput y DEC ?d
Richard W Stewart
Solicitor
?tSYL?dpN1A
P?fi?
American Express Centurion Bank
vs. Case Number
Nancy Lenker 2012-7254
SHERIFF'S RETURN OF SERVICE
12/04/2012 02:00 PM - Deputy William Cline, being duly sworn according to law, served the re uested Complaint &
Notice by "personally" handing a true copy to a person representing themselves be the Defendant, to
wit: Nancy Lenker at 20 N. 12th Street Apt. 216, Lemoyne Borough, Lemoy e, 17043.
;??7 -
IA CLINE, DEPUTY
SHERIFF COST: $44.00
December 05, 2012
SO ANSWERS,
RON R ANDERSON, SHERIFF