HomeMy WebLinkAbout05-5179
Lavery, Faherty, Young & Patterson, P.C.
By: Amy L. Coryer-Host
ID# 82718
225 Market Street, Suite 304
Harrisburg, PA 17108-1245
(717)233-6633
E-mail: acoryer@laverylaw.com
Attorneys for Petitioners
Jayme Cashman and
Barton Cashman
JA YME CASHMAN and BARTON CASHMAN,
Petitioners
IN THE COURT OF COMMON
PLEAS OF CUMBERLAND
COUNTY
v.
CIVIL ACTION - LAW
STATE FARM MUTUAL AUTOMOBILE
INSURANCE COMPANY,
NO.: OS' -0"11
C;u'tL~~
Respondent
PETITION TO COMPEL VIM ARBITRATION
AND NOW comes Jayme Cashman and Barton Cashman, by and through the
undersigned counsel, Lavery, Faherty, Young & Patterson, P.C., who files the instant Petition
and, in support thereof, avers as follows:
1. The Petitioners, Jayme Cashman and Barton Cashman, are adult individuals
residing at 4808 Virginia Road, Mechanicsburg, Cumberland County, Pennsylvania 17050_
2. The Respondent, State Farm Mutual Automobile Insurance Company [hereinafter
"State Farm"], is licensed to transact business in the Commonwealth of Pennsylvania and
regularly conducts business within Cumberland County, Pennsylvania, with a principal place of
business located at 555 Southpointe Blvd., Suite 400, Canonsburg, Pennsylvania 15317.
3. On September 11,2004, the Petitioners were involved in a serious motor vehicle
collision, as a result of which serious injuries were sustained by both Petitioners.
4. On September 17, 2004, the Petitioners placed the Respondent on notice of an
underinsured motorists [hereinafter "VIM"] claim. [A copy of the letter dated September 17,
2004 is attached hereto as Exhibit "A"].
5. On March 10, 2005, the Petitioners demanded the DIM policy limits from
Respondent. [A copy of the March 10, 2005 letter is attached hereto as Exhibit "B"].
6. The Respondent responded to the settlement demand with an insulting offer.
7. On March 22, 2005, the Petitioners sent a letter to Respondent stating that
Attorney Timothy Shollenberger was appointed as Petitioners' arbitrator and it should appoint an
arbitrator within (10) days. [A copy of the March 22, 2005 letter is attached hereto as Exhibit
"C"].
8. The Respondent failed to appoint an arbitrator within ten (10) days.
9. On or about April 7, 2005, the Petitioners filed a Petition for Appointment of
Arbitrator with this Honorable Court.
10. Only after this Petition was filed did the Respondent finally appoint an arbitrator.
11. Petitioners withdrew the Petition for Appointment of Arbitrator on April 26,
2005.
12. The DIM endorsement of the State Farm policy states, in part, the following with
respect to arbitration:
Two questions must be decided by agreement between the insured and us:
1. Is the insured legally entitled to collect compensatory damages
from the owner or driver of an uninsured motor vehicle or
underinsured motor vehicle; and
2. If so, in what amount?
If there is no agreement, these two questions shall be decided by
arbitration at the request of the insured or us. The arbitrators' decision
shall be limited to these two questions. The arbitrators shall not award
damages under this policy which are in excess of the limits of liability of
this coverage as shown on the declarations page. The Pennsylvania
Arbitration Act of 1927 shall apply.
[A copy ofthe VIM Endorsement is attached hereto as Exhibit "D"].
10. The Petitioners demand arbitration.
11. It has been more than a year since the Respondent was placed on notice of the
VIM claim.
12. The Respondent has had more than ample time to secure any medical records or
other documentation needed to evaluate the VIM claims.
13. Respondent's counsel keeps promising Petitioners' counsel that an offer will be
forthcoming but no offer other than the original insulting offer has been made.
14. Petitioners informed Respondent's counsel that they want to proceed to arbitration
and asked that the arbitration take place on Monday, November 28,2005.
15. Petitioner, Jayme Cashman, is unable to take time off from work and November
28, 2005 is a holiday for her.
16. Respondent's counsel has confirmed that he is available on November 28,2005.
17. The Respondent is umeasonably and willfully delaying payment of the VIM
claim and has not yet made a reasonable offer.
18. The Respondent is umeasonably and willfully delaying the VIM arbitration.
19. Petitioners have incurred attorneys' fees and costs in the filing and service of the
instant Petition and such costs should be paid by State Farm.
WHEREFORE, Petitioners, Jayme Cashman and Barton Cashman, respectfully request
this Honorable Court enter the attached Order compelling the arbitration to take place no later
than December 15, 2005. Petitioners also respectfully request that this Honorable Court order
Respondent to pay the Petitioners' attorneys' fees and costs incurred as a result of filing and
serving the instant Petition.
Respectfully Submitted,
Lavery, Faherty, Young & Patterson, P.C.
Date: Q/3r:J!o')
By:
O~^J.:i 0B~
Amy 1.1 Coryer ost, Esq.
Attorney for PetItioners
LAVERY
Yf AHERTY
OUNG ~
PATTERSON, P.c.
ATTORNEYS..AT.LAW
225 Market Street
Suite 304 . P.O. Box 1245
Harrisburg, Pi" 17108 - 1245
(71 7) 233 - 6633
Fax: (717) 233 - 7003
EH"!lOI\: attYS(g)lav6iy\aw,com
wWw.lov6rylaw.com
Colleen Barazotto
State Farm Mutual Automobile Ins. Co.
Altoona Service Center
2 Sellers Drive
Altoona, PA 16601
September 17,2003
Re: Jayme and Barton Cashman v. Ryan Barrow and Alexander MacDonald
Your Insureds: J ayme and Barton Cashman
Your Claim Number: 38K5l2368
D/O/L: 9/11104
Dear Ms. Barazotto:
Please be advised that I have been retained by J ayme and Barton Cashman to bring
claims against State Farm under theirPIP coverage and the underinsured motorists coverage. At
your earliest convenience, please forward a copy of my clients' declarations page and, if 1he DIM
limits are not equal to the BI limits, a copy of the sign-down waiver obtained.
My clients have received the PIP applications and they will promptly complete them and
return them to you.
Please feel free to call me if you have any questions or comments.
Sincerely,
Amy L. Coryer-Host, Esq.
c.c. J ayme and Barton Cashman
LAVERY
vfAHERTY
10UNG &.
PATTERSON, P.c.
ATTORNEYS-_AT~LAVv
225 Market Stieet
Suite 304 II P.O, Box 1245
Harrisburg, PA 17108 - 12,15
(717) 233 - 6633
Fax: (717) 233 - 7003
e-mail: ottys@iaveryiaw.com
www.lav8rylow.com
Carol Tessmer
State Farm Mutual Automobile Ins. Co.
. 555 Southpointe Blvd., Suite 400
Canonsburg,PA 15317
March 10, 2005
Re: Jayme and Barton Cashman v. Ryan Barrow and Alexander MacDonald
Your Insureds: Jayme and Barton Cashman
Your Claim Number: 38K512368
D/O/L: 9/I1/04
Dear Ms. Tessmer:
I am in receipt of Mr. Graham's letter dated March 2, 2005. I only have The Critical
Hour in DVD format. If your State Farm office does not have a DVD player, perhaps someone
can bring it home to view it. If that is not an option, State Fann c:m send it out to be copied on
VHS format.
I have enclosed the additional records you requested:
1) Current photographs of J ayme's tongue
2) Current photographs of the "bald spot" on Barton's head
3) Current photographs of the scars on Barton's ann and shoulder
4) Jayme's medical records from Dr. Rose Eskin
5) Barton's medical records from Cumberland Orthopedic & Spine PT
6) Copy of executed Release for claim with GEICO
You will read in Dr. Eskin's records in the office note of October 14, 2004, that Jayme's
menstrual cycle and ovulation period changed after the accident. These notes also verifY the
tongue bite trauma sustained in the accident. This certainly will affect her ability to conceive
and exacerbate her condition of infertility.
There is no question that both Barton and J ayme's claims exceed the value of $70,000
each. Accordingly, we demand that you immediately issue payment for the $100,000 in policy
limits available under my clients' DIM coverage. Please respond to this demand within ten (10)
days. .
Page 2
Please feel free to call me if you have any questions or comments. Thank you.
Sincerely,
Amy L. Coryer-Host
Enclosures
c.c. Jayme and Barton Cashman (w/out enclosures)
LAVERY
vfAHERTY
IOUNG &.
PATTERSON, P.c.
225 fvlOiket Street
Suite 304 0 P.O. Box 1245
harrisburg, FA 17108 -1245
(71 7) 233 - 6633
Fex; (Ii 7) 233 --7003
e-mai!: attys@!avery.Jow.com
www.!avery!aw.com
ATTORNEYS-AT-LAW
Carol Tessmer
State Fai:m Mutual Automobile ms. Co.
555 Southpointe Blvd.; Suite 400
Canonsburg, PAl 53 r7
FilE COpy
March 22, 2005
Re: Jaymeand Barton Cashman v. Ryan Barrow and Alexander MacDonald
Your msureds: J aynie and Barton Cashman
Your Claim Number: 38K512368
D/O/L: 9/11/04
Dear Ms. Tessmer:
I am in receipt of Mr. Graham's letter dated March 15,2005. Your offer to settle Jayme's
claim in the amount of $2,435.45 is rejected. Both of my clients' claims clearly exceed the DIM
policy limits and my clients certainly have not been adequately compensated by payment of the
tortfeasor's limits.
The photographs provided show you the permanent damage to Jayme's tongue and the
scarring Barton has on his head and his shoulder and arm. The photographs are of J ayme's
tongue and Barton's shoulder and arm. We provided you with the original photographs.
Continued requests on your part for additional information that has already been provided is
merely a delay tactic and can be considered bad faith.
You again ask if there are any out-of-pocket rp.edical expenses. At this point, I have no
clue what State Farm has paid and what my clients Win ultimately be required to pay out-of-
pocket. I do know that State Farm continues to deny the medical bills incurred by Jayme for the
surgery and hosPital treatment she had at Holy Spirit as a direct result of the traumatic bite
injuries sustained to her tongue. It is ridiculQus for you to continue to deny that the surgery and
tongUe" trauma is not related to the accident since Dr. Levin clearly states that it is related. The
hospital records also verif'y the chest and lung trauma" sustained by J ayme in the accident, which
led to her poor oxygenation levels during and after surgery. Jayme now has a speech
impediment that did not exlst prior to the accident and this is solely related to the tongue bite
trauma sustained in the accident.
I personally tested the DVD that was sent to you of The Critical Hour and it worked fine.
I don't understand why it's not playing for you. I have enclosed another copy of th .
Page 2
again I personally tested. You will note that the doctor does verif'y in this program that Bart's
"bald spot" was caused by the accident. By copy of your letter and this letter to my clients, I will
ask Bart to secure a statement from his doctor indicating that his "bald spot" is not male pattem
baldness but a result of his head skidding on the pavement, leaving chucks gfskin and hair on
the road. Perhaps you need to speak to the independent witness for details.
Since it is obvious that you are not going to be reasonable, I have no choice but to
proceed with UIM arbitration. You have not made a reasonable offer in this case when the
evidence clearly indicates my clients' claims far exceed $140,000 (the total of the tortfeasor and
VIM limits).
Please be advised that we have selected Timothy Shollenberger, Esq. of Shollenberger &
JanuZzi as oUr arbitrator. His address is 2225 Millenium Way, Enola, PA 17025. His phone
number is (717) 728-3200: Please either pay the policy limits of $100,000 or appoint an
arbitra"tor wifuin "ten (10) days. Otherwise, we will file a Petition for Appointment of an
Arbitrator in the Court of Common Pleas of Cumberland County.
Please feel free to call me if you have any questions or comments. Thank you.
Sincerely,
Amy L. Coryer-Host
EnClosure
c.c. Jayme and Barton Cashman (w/enclosures)
<
( -
\
c
",,,SECTIO~rn .",..:UNINSUREI)1MOl'OR;VEID€LE:1tN-ntlNDERINSUREn;;,':
.cc,c', MOTOR VEHICLE COVERAGES ex > .~. :,;,ji'Pi~,,!l;;22V
~2!~i',;p'S _._ f~O .t1?vf!Y~\'6riJl".q~ %IJ!;~~,:€ _ . ;~~~i~1~' ~-c ~Jj~J~&~i~~T~
~1N.s lif:REJ),M,OTD RsVE,HICLE '- - An uninsiiretl.iri6torvehicleaoes-c:ii6fmcludeca
!t~~i!!! :;~~~!~$:;'
c. ,] ib - '--I{ar'2fQ -z '!uh<O<'{jW- ." -"~",' ,.11 ""iZ';''furilisnea'f<irtbe :"&lllar useofyo
owPer or driv.ffOfJrijui;.~si!~~#;m,?f{aFVi!hlcZe. .... 5. d~signedfo"Jlse mainly off pu1iliC,rqiids
The bodilymjiuj'musf5eTSusHfuied by an in- ,'" "'eXceptwliife'OOpiib1i(;iT6ads;~rT~?i;.
sureallIlqcaljSeg by.ac~identarisilig Quto(ille.';:'" "Pf"'0'16 ire ..h" '-':~";''',-a~'':;''''i''''~- ,,~~.;f.;i,,-
" .-illl'-'''' ''''''l:efi'''i<..'''''~ ,,' f". ," ,,', '""a ..".;6nwbile"located for use as a dwelhn" .or
'~'7ll6~~sffi!'~d~%~;~~~,:tt~'~!f'!:;i;',:;~;.,f~,~i\i~rm~;7~' .. .'~' .. "
The airibuilt,'w;;willpilyfordiun~gesis:subjg~t UNDERINSUREQ MOTORVElfICLE.~
to the jimltagoiIS ofTItle750fthe;'ennsylyaj1i.aCOV~(;Ji]S W (S::r A~KlNG9grIOW
Consolidated Statutes. .. " . T 'AN.Q,W3'{N{)N'-.SJ'A-cKI'I'H~,OP'lIO~;yt
U d~;. lC hi . ., .., .d~1i1ilrisUf~dM~t4I''Vehick~~Covei~g~Wap~
~iiSjir~\j. &:~~~=~'X~~~
a.:"n()tii:iSili:edoi.porld~d fofbWilYiIlJ>$y Un.geriI1~ur~d 10o!(J1;:Ye.hi~j",;-, Coy~tllgtc~3
- ",' i.li.' a. bility",at thdJiiie.'()f the'accidenl',-Q.l' applies, totlJe,?"ejijcles for '.\'hich "Wr:appears
in the"Coverages" space On the deClarations
. :,~ ;'~sirreJ,:t4fi,~rfdfdf6t:<~~at'iy~jWr pag'e.:;;,j::~?, .. . j 'F'-""": ...., "i('t: "i"~c:'
!I'lli~.\i'1\t?:~%,,~~~o,~tl1~,~~qmrR1;,EBt Covuag"s W !lnd W3. . , . ..
." (l)th~ linritsofliabiHty ~e. jes~'tij~ w {whl'p~;td'aiiiig~i'rdtb~i.iYinJ~;Y- ~ 'i~.
..... J.:,,:J.~f~~t~tc~~;ef~~C~~~~j.ff;, sured isiegaHyentitIed to collecrfromthe
car is mainly. garaged; o.t owner or driverofan uniierinsured i/Mo,.~ehi-
- cle,]be bodily fujiu:Y rnustb"su~nefl5y an
(2). theinsliriilgcompany deniesC.Qv- 'insuredaildc*used b)'"accidenlansmgc)lltdfthe
.erag" orisor becomes insolvent; ownership,'mainte!iaii~e(jf.use'of:i;i u.trfl~rin-
or.,..' sufi;dmiJtor-vehkle; ,"., --,;.,.-., "
r.' - _ - " . . !:c..;.;._ ""'""';:::""".-.'.-",,," '- .-'~';'.:;.---' \~.'~""--'-"-.." ..,;'..:.". ~""",,,~_,,-';""""
Z. 8..'1 ill1ideutified landriJotor vebiCle whose .The amount wejyill pay fo{damage.s is subRct
owner" or driver remain> unlGlown aild to tbelimitations of TitIe 75 ofth" Pe.illlsylvania
causes bodily injury to the insured. "Consolidated Statutes. .
",,'rS" -
8387
(
\
'-:~
-.;(..
c
; ..
T1lERE"IS'J..W'COVER'AGE'FQR'if/OD:l1:Y Wll I 1 _, _
INJUR~ ~RISiNG ouT OF ';m 'OwNER;' ;/Wn s~u~..r-" -'.e"':dSl:~_~"'.-~'.m~._ne..-._~~._,;S~.elli-_.-~e[-'.;:"'p.~rei-r.".Is:;o_.'{n;"_.~~.oa"-i~~,g.":p'~Se'~'r'~.?~s'.".'.o.;;~.Pn.;~'...~s:~tcto~.'v'ea.;r:~e/d: :
,SH.w."MlillITf:J)!!W.c;$9.Rit1~E.Q~.AN,iw; '. " ; -a:.- ~ ;..~.~_'c-:;.. __
-TJERlNSURED'M'OTOR VE8ICLE'DNTIC'"
'-' ,.- ',",'.- "". ~bYi;Unihs;llI;ed':ip9tdF=fe)JiclecQr0i!ride-J;ilJsured,
"k,~.::..~~_~;TB::JffiO;::D:;~~.,~.~I_,j:.~S_'I..N9.'.-:.f.. .t.,t."..~~.,_~,'~,~..-,.IL.';.':..'.J..lr.::A;_~.'~.@,',.J'i.JJ'._,.f..: rm-e>tDn ><eh,cle cover.ag<li", ,.>," -'" .., ..,., .'..
, . BONDS :ANDP~tI:SrElTIfAt'A;C >~IS~"::b. ,":"~i~~J~2~~Xi[f.t~~:'.',,;~~
;~r.,Eh.~,'S,~.!C>.._:J;~,;.-i~"_~~';;..;.7.1.c~_1)_.,.J.~,..~_rm_1..F,.~_~: '~"~9"~: :;~;'~;:~~~ed fit1liec"a&1iffa!IOO~;;-
2 sucH 'OFU4MYDltRi ;;;~I;~~'
...,i.;\m:&~o~t_o~.;.vmr_~,.~.i...~~~.:.~".r.~,:.r,..._':_~_~,.:'".'._':,~.:,.k~'~'~'~.~~.:"l;.' O~!""'-r~' ","'''''''';;;r '1'
F 6il ~l~' ,-~ -'.', - ~ ,0""'" ,-~ -. ___~',',~,,:j',_:',!,,_'"__,,;.'.-,',:,,~, ~l.if.:e_'..~....,,'-a.~"':'P~_:.l';I;c.,p,a":.:b':_']~eftLo.'_.s_~,.,....'an.:!y:.:'.,.o_dt,:h'tl'~l"ne!.ri',v'~e..an~.~.,;_.i.:
,(~~~~,c~t~~i~~~t~*ali~t~~l\$r~~f - ". - ' ~..u ~
.' . liabili at tlie timeottlie acciderit'Md g"i2 rrCi bX,thjs pObC}!k$}1clJxehIcle
. . JllT):':_". , . _ ~'J'"'!i."~:on;.-;o~,_,,-,,q ,,--,,'0 !l,.o:,. e(Lj':(ithin .the.Sc.Q~Rf(he
2: i~~~~,~;'~lts ot~abj]~ fo): &b(li~Y ~jU~ ..,~;:.,(,_;.r>;.._:~.;_:~~..'c,"_':.._."., ~"""___.i7:j-a~oo~"",~C~,~.'~.:_~..,..':.~"..'~,'.=."'~.;_J.,:.e~~,.:'.'~._.~i~ult.~~ei_~.:,~.,;.~
. \';;i~1i~i~i;;'-~_4..:rh.; - "'"if.
, . - p, ,hat>-e oeeil}"1iuceaoy'p'ay.Jrtenb;topeB,, '" ....~ " . '.~ . Yo, . ._~
;~iitll.
~ ~~~-~"~"P' ~'_~__~ "-:~'-liFi'i1 biilf:YNlaei-~theEoY&ri~'il:alJ.'1)1i_
~:'4 ~1;\1 ~:.~~.h:tllife;t[f~ai{:~h~1I~h16fg{jr m;e~~B-'''~is
"r"r .rf.<J~I'__Y"":;''''(,J." """," -)';.,. ".' ~."-,hi~'L.,,,,:il_'r1':"'; ,y.t.
'-;:--t., :~'; "'olicy;oriiliY'Ptl1ei-':"POlicfissiletl"DYuS
. 2. furntShed-for,Jhe'!'eguladlseoryoU;;YOllr
' " . "l ti . . ,...,
;~:"1!ff[~-g~7!ft~~~~~~~~{6Tf~~~;ft:
politicarsuoqivis'iOns 'ot ~gencieS; ~ -,.
,-,~ :", :ep, ::"!~T:,;:';;]{~h4f ~;n-~:;rJ. Ss~.f.lJ ,qfl'::J~ - ,;~; "'. ,
4. while located foi-.:ilse as it dwel1ing ,or
.,;.'t0tli~rt>rtmls~s-W:;ki5J;:.-~;:~t::~~Mi:~~~-i'~''i';;:~:,~.;--::;.
':C~'i!~~~:~~~~:;~~i~~~p~~~,~~?fJs~Z~!iG:rmdS
- . ,.,:. .,; " applicabJe, tR;~ny of(e,.v,Nc1~ ]~s,-,;~d
[<~; '6;'~~0~~~~~~:;1!~2~li~~:,~~;~~~:'Zfgl~in ;;:~~~~;~~;[;~~~~~]5ii~IlWl~~--~~@ite:P~~~~~t
'Ji19-
\":83-87
<:
:
i
i Pi: I
'iF! 1
'"
I'ii:.}
:hi'.,
: i r'~ I
'):'11
liil
1.1!..'il/
' I~, i
!lLI:!r'
','
1)11':
." .
!t'!
I:i'
'['i,
Wlj
1...i'.,.:I.:/
ililll
J"I
r-':q i
""i'
i!:!')
lill I
.li.','11
I""i
Ili'l
(.,,'
'Iliil
.:il!l.
ill/I
ill":!
,1,lil
j!': I
ihil/ '
);1"1
ii;;ii
!J! ii
Ii! d t'-:
vii i/ 00
,I: 1m
'ii' '-- 0)
"f ;g E
,:: ~
iii' ~'o
:', '. ";::" LL
Jr.'] ;..-,
:f 'UJ >.
c ()
.iL 630'
.'11.0...
Iii;,
:'~ !
,;"
li:-.'n
<.
~
f
\
(
,
f'''if: 'CJ"i ,Suc{i,;b!h@!"p~r$P}tQPp@ji]tgj;ilLvew()le -'~~itr~!og~~~1l:l!91.9f:A;IIle.ijll!1.,(lfsy!t!jf!?e]1.\'1o
~ ~ei~;~~~ persons fq(~~~hargejs,,~l1qt .:~~lrf;~<~gl~~~&%~-~~~H~~~~~~~lI~'!(~~~r~.-
~."~:..~.~:.~r..~.:.;~;_:...:.~.'~.;.1. :.'.b.'.<'.~~it.~.'.'!.1~d.;t~!fU~.:'c.'~.'.'~.'.'~.::...dm...;..~s.r.:un.~.-.;:.~i.?J ~({~~~\t~~{:~\~~~;~~E~'!t
~ ~.. 7. 'J, . -- ~ . ~..":/,2.,~s.(o. Ijjc,twtt'Qk.'(j.\i\\Hg~e'8.ritJ.(Tq..:rn.' f!'.'~o;l~\,o;vJe"~r'-o'..f
,;Ui)de.~:.lithrQugh~abol'e,g_ .... ....., _ ... ~ ~ ~ . < k,,=
.p~(;!fiii1iIlr~II)t;mc:l,~ollnks:::(>vHages -',,'~;,~:&~f4:~~~~i~w~l~~t:~:
. ~~;:~~~~i~:':~='~~'{;~!;I';;~~~;l;;~;,J1:'~.r~ ";.)'c~Ji,r,>8i~9R}S,:f!ot l\!I.:\llslL."td!.tir!der fhes~
T'V9)1~~~t%()lj1 ;,m-ti~(Ji~~<~~_91d.~~tp~: qgr~~mem F.; t~ ~, "i'::-.', {)verage~,r..::.}..~.-~.:\.._~.:r...:...,L.,r:.'.:~~.~~......~._~.lr..,Y".",j:t.:,J.,~~..-.!".-.~.~...,_..j---.?.,..,".~~~..'_.;L" .
be'tweent1ie.;ns'<u'"ted;-an""'.~us":";"'!""""""';.G..'"' . -~ . c. .,. ,.;. ......,
,U _4, statutesQ{liwiiiitiQn.'6;'~' :~;;'c,!,,< . ·
l"r'l:im - r'{fJ~-illly,'" r ttl--(i'fC oIl't ~::l.?J);O_t:'J~-,1,.(V[~)_~fIJ~r>:2J:;a\~nUjf~~1~r;;;r~~t~s,J_;:,:i;~
-,:".~",..;,~,..~.~,...'..~..'.~.~.;r'.m.~.~..'n'..~..~.:..t..~r".s.~1*.;~..a<.;:.l.',,,.ft.l.n~..;.~n..:s..;u:~r'~...er~...Pm~.;..i.'~t<~rP.~~v;~oefoch~Cec..~l'..'er d.Vi5... determin'ationiOA WnetheraClaimanf is'iin
,;f;,~,~i~r,kI!J~ziil~<ifld'~QtQ~ ::hi;l:;and 'J; ~:~~:i:~'~~=ft~&~~'t~~~::;.
b;I~~.i~~~i~l~~ ..I~~J~;'~!;i~~).I: b~et;~!~t~~r~~~I~I;f~~t~~=~;:~:
i)J!f71lli;tlJJ~1nq~~gfewg' ~~~n!\?9:iquesy.dll'~ . , . . .. .
'!sh'ii'Il'i'J1;r'1l."6W€d.lJY"' . .'. !atftne.,.e st'6f l(I>ayi'iu:ri~';fA'll~~~ouniP\le~ G6Y~t'ages,tJi
r't!f~';t(tu.t~.Jffi$~)llrii") ... ttf~\O~:@~qi~i':s~ii!! ~;~;P~~,~~~~':ii<j~t;::'''r~:i:!tiL:!"t r .
,;tl;';el..1'l' ~.~." ,'"';t~~.':\ 1..."t"-.f"..1...:L.'.' .t'e"s"'"'f.'......t.'w":::':::.~\~."':.e.~s..,.,!1... o,._.r.n'., .S"..,-6,f..'tM....: ':>:_'~"". :.b~'l'. .tra'..)'. _." bw} .:I'ff--il" '-1-"'""";'''-' '~'l,]l ~'-;' ,,<~~.dJ ",li1;m \:'"1:; frd15d '\' 'uJf ,~.
v ' ..~ co" crUl e . <:1 q!J . ~"l~,~ . we wl'ayany amoUIit-aue:,. 1; "c.;;;';;. ,,;.
t6rs'~!l'a,1f$'<ft:1l~1ti'd;E,l$'ge~~a~thispoliS; 'ili~W -- .."...., " .
beK~tg~~~Q~~~~~: '. i~t~\9tg~bilitY;9f ~1IL:'~~~~~~~f[~~~~I~~,~}~;~:i~~\
~!.~1:.if.;,F.~.'1u'.,... "c;..~.~ir.~..)i~~~,:..~~.,?tt~~?~;i: "Nf, mmQ";Qt:~in*ollll?etel1t4!~t~on;'lf111\i~"
..... .." ... .. .." .." ...... ...... '. .. _, ~.".~. he,.. ~..-:.,.3.'".,..~,.t.,9.'...t.,.h ';._.e.:~.....~~L..:.'1v.;"..-'.i.':k.'.'.-m...'~......:c... .'."~..~....~..~.-~.=.;,.';n.-'.'''.':-..O'.'..:_..;..'.:.'U.~,'. '.~.:....~_.'.'~-...~,- .-.;'.;o.:-....:'.'.;.:...~._...~s....,...::.,';.,~..;..'~.....,..:.'..~..,I._...; ;i. _.n.:;........'..~...'::.:;'...;...:....'~.........,_'
-ia.i..~.'h."'jiii~*'..<1<...C,:..f.slfilff'.'.s.'. ~re.;'c..f~Z~gih..'9i~ilirt. ..Otarbitral. a...'T. . ~-. . ~'- ,- .. -. " 'C...~""oq..,,~ .,.--.... - .....H' - ~ -,0-
.. ~ , ,. ....~,J,!. . ~ . ^ "t" ..le. i1E.,'...~.'l.'... ..,_,...'C'...!..t.n...o.,c,t'.'.'n:.e".""'..."'...".l:.". ",'" ...u~.".". ".,,,-.In.':. '.z..'-e'.d.'.!."...yifC'..I.'a'..w"....,.t.,.o 'r....e'.. ~c'..~.e....l'V..,.e'..
...Th.e......s.eI..W"Q's.E.W's'.e..Jecra'1:bmeiawl.!;ili. d~rn 'aril~I.' '+..!'t.c .eu..".:n" V ,
. '~tlliT:d1afbl'ttartit5I:]tiSfuBlettl~~~~.}1~e4En;a'th~d dfie . '-'~.)~~~".'J.fsut}fp~.aymenet8?urB~l?i.,~..~a1... j.:;;:('.~l"e'~:;~'r.? .
"Wtth[Wg()'dly'.~:%ill;~P;!,i!;!{K'rli~f:6if,16st.aJ' udg~e "T~'r"'us;l"t~"~'*"r;;'e~. "e.'m;;'';e''~ll~.'t'{- .:.t.C.'~o"~'~e" "r' 'al;.;'e"'s;\~''',.:'a''<n"ki;U' ;'3.:,./.,...:!,I...3
-)Ii{~'--;:-"-~. .'\'""'+"-'.'.-"" ""."J"ll't;;:,~;,-,-.""..,r...~-,~J,'h.."',,....';r'-<\'~".'i'_c.".- -""":~',,--i'--.'" __ '-'-".'" >, ,~g , ' " '" ,__,". ,g n u, , "
"'bf 'a:-:ttru-tt>BfiectJtct!h'tne"'toun ,-,' fl:r--whiclftlie:~;?; <i.:b:;S:/~i ,n:~(~_ );:;;:~.:g:~,\1;':\~~);9J:r_'.1}~;;:~t~;1"J"t~u~1' 'E.~~~:i\~4r$
2'-!Ji5it,[~tit!\1S'nbri(jj'ff;'t6"%EllcF~'tli'lhf8iiei"The , J:i. .We'iiieelltii!edtq U' .~t.oftheairiount:
o'WHrtth"d8~1~rbfi)6f'~'\Wmd().arllllr1itodshalIBe "-; ,,~CW6"'1l~$e:Yptlf8'fi8ffl'jc... ........ . ~~Dd~tqf .artyre"
)'HWifihg'ibri?e~a~~~~:w{ed~~~1,;..U~);tll,f;'ift~B~~f~fJff;dfz1~~fiyfb~fmt,:tlaity
;Tlleccqstof.therhrhitratpr.'anq';U\Y.lexpet;t',wjtnfss. "..>,. ....t.;.,.'>;:',,,..;.,,...".,,,.';!."";.;,, .,.!;
fs)j.b.iJ~bB.j"il1d S.'itfii{!j'h ~..%Wfi9 .h1t~th-enisi'I11e .2'" It;tb~f!nsur~'it1i"'4:,"1''''fK;~9f'er~a''ftbih'' tlii:
t..~ :~.~.~.J;.:l..t.~.l.'...!t..t.~.~~i.tf.i.l.i~..~
"te1ilioflfef'pniqe\;:StiM'~bilitruJeg-goveming Rib- .-.. n' .. . It ale . ill Ii
5;ceaurinili1PadiIDssioii",f'<fvlaejjc~shijIl.apply..) 2b~~~~;~p~i;~j't~~.~~~:Sp~.~gfu.f.~.-.-t~~~R~~~~
b6Y!'U2;i~_i 5f-birl~-r:~}N/Jyfn~';j{Y0-i-dJ~~'.\'~'rqUst".~",-.-~.-.,,_.-.,;;~,;,:~ < l ..~ ,- ~ . - -'. ~ -
_8YV:~;h,,-yetJj<;(iglit,t(j;obtM\;stllt~m~IitSui](fef oath rrMr..e. ill;Mo be:re'Filla:oufp,,-jiin~!lfsiceslS and fees
from,th.e.insurea,-,i.\;6.ft~jraii'Vfl te;\$pnab1Y'ask. of collection QuCofany recQyery... ell'"
U~Q.
fi8.l87
...;;;.
,~
~
'l'r"'ustAgreemenF;c,Cj)yeiages;W ahiJ;W3:.'fi
1. We.'af~~n1ii.Ied, to the extent ~fbifr'~~f
'..,:,~1:i,,~!~:!~~~~E{!!!lj~
-::'b61lit'" ,,-~ Jiabilib'bOnds or' 6liCies made
~ ~::;.li -"_;;;~~:;- :\~~: ';;....;~_" ,-,_":,.;.;..~;-., - ,~,-"_,,c~,--':_i ,~.: " _~-, _A
W e'1li~,t,,'llg.rep,ffij'ili1r:paymentii'.cost$'iind fees
~~~~~~~}N~li~riltI~i~~Zi~~i,
1. ,The_ .. - un.("of~.c6veragei is,~hown.oft; tlie
J.l:~~\;
-, -1:00n~ '$rs!5h~.lbtrJ;( , lii.~ItiY"'&d dam"
,.i"COVera' ", hilll T tice.a . ',amotmt "',;, able
. ,.. ge"s ,'.. . e, ., ,. .-'1X. , . ,-',' P ]f,._ __,
, tCrthiitpersonzJn~erthebo'JiTy' injUry Ii,
~i~;:;::;~(
::C_~li :th_~r~~:ih-8l1-::one' 'uii~Asu}ed';mqtor_; ~ehiCle~
, ,,/ ;g ffi;"bIV~a intJ1e same'acEiden{"
r'l"
d'r"
8387
---_.~
<:'.'l\h:f iirjf6ili; r];iiayaRl&0gn'de;f.o;tBiS;'8ovt!'fa'ge
~ ''''sliiil] bNedVt'e,i1'by~anY'aiii:qiifit'pai(forpay_
able to or fqttlle'-insUre1l:,,",j.~";;'''<''''''.C;,ij
-sd '\.'by o~f~i firi'yptdb'it'<itBtgi;uzatibh"C'w]{o
.. ;;,~)s or,may. be h~ld,,]ega1lj'ljhl:iI&;foF'tlie
uJ:;h..~t1fly i'!j~{iA~,thf,A'l,s#{~;;~~-F~ ;i:'~C"C
. b: tbOhe b()ailYdizjll1JI;#d~I;.th,Jliabilii:y
t":~h!~:~I~~:ge Si;a'~<~,~~~~~~:~~~~
sh~1 ngtpay again any, a:m9Ul)t;paid))~
. pay.a:~~<ff1:&.,ocfor. the \ilisufe,(/;~u.n4~fTtipy
"}Vqfl,:et~::~.ijtnpeijsatioft, djsa!Jijjty-bejJefits
~~1.~
"ii6ftl!~,V9f!WpPV~~b1~'f~; ihe:if6bj~ie that
, .,,' ':'::.l\S_l!l.Y9!'Y~4,m~.he~aE.C1g"nt wh]]e occu,-
~~~~iii
bsit'~i.riiJsifr~a:tii1der: tlfi.S'pb !t116Jiij4r'"d as
:~Yrl;\~~I~I~iJJ~~~~~1;iA~J~~~r7f~
2.~;rh",JLmit,5."9"t'li~QiJj1Ys ilI~ri9t,in.cn~ased be-
. cause inore.,than.onev~hickj~'~n:~!if~a tinder
~i~1~itJiJ!~~~
~. :"Liirtlts:'o'fLiabilrc '-;:,-W3':" Each 'Person;
~:~~~~~!~;!~1Vfg~r~lfi~Hi~t:~~~J:
t() bodily injurj 'fe' onj;~JteJ.soH-: ,"Bodily
~~t;~~~1~f~~~~t:e1'i~jg~i%t~~:ft;;g~~~~~
. boaily in~ury,' Under"EachAc9ic:J_eJl~';j,S the
total amount of coverage, subject to the
<
"".,)1
rf,' f
'I
I
.1
il
!
d
:1
'i
I,
If
II
il
I
I
I
i
i
,
I
i
,
I
I
I
1
!
I
,
I
II
I,
'I
Ii
,
ii' ;;;
, C')
, OJ
'to m.
<=E
m ~
r> 0
! ip;.,LL
. (f) p,
C ()
c:.::::
'm 0
1.0.
.(
---
..
,
,
\
(~
\
;:;p~~{i~e::5~:~:~~;~;'.::':::~Y~~{~it
]. i'tHERE;"IS-NElCOV.ERl4;GE"lJND'ER
2f,'rhe;Jj~ts;-opiabiJity-;ppiQUncI~ase&~e- ,.. )€0:Y.E15-AGES:U;B3;W,tlliDiiB:,,-i;~,1_1, .
~~U~~;J~j~--,~H/i--'g~bi.:~~~0;':;~l~:,f'Jl'TIn~V:)S::_~':-,::;_~~oc',0. . f ", "-'ez;::\'~'IJ;;A' "{wI ~>;;o> .,_" ~<I.-, fimi "
, - , " '" ';k;;~~;~~~;i~~~lR-i?fr~T':'L-J . - _,iiRT\
~'"if!e:f::!~f;~:!:;~:!n~~u~~,~~~e . SETILBSYYITH';AAYPlfRsv~ R .
, ..,. ~,-_., . ","~'1'-;,l4 . .,- "'?P;O:ANip\t!l!~~Wit<r1i1J\,'Y2~~T~
'b, mille thail one underinsuiiJd motorvehi- j'l; "j\BLI;.,/FQR;fJ:K&;B'OIJl/:YJ'7NJURY-,
br1)~;gl~,,~~,:~~~ltJ,g &~;;~V~n~i19~:1',,,i ..\ NDnHERERYj;tM'PAtltSfuQUR-
;h,t/liLm&tYi~pii,,;[j[H)a th~ fesseJ':i@f;,'';' ~ RIGHT _TO;(RECOV-ER,~()Uii~'P-A y- '
-:.,:",-", -'-""'<-~"i1':-: ,:,-~-,_ ...~"_L"-_~.__,~_i_~...-'~.;I'.~."_'_',_~,;: '.;i,,",~ ;;_-':'~~e~~:._ .-
2J_r~~~'~'Bi~]i1fgr:2e~b~t~~~rt'tl1:~Bt!tii~~:?hg
~!~~iln~}~li~.~~lf~~gEt%~1~~l
~ "-..~~-anY persoll.or. Q,ganization,whois pI;rnay
:' ~~';J'be nelcCii'"'al! '~l1kbr\fortlie: hoJ,licin~
~l;',~.i.l_I,:,:.~,:.~,.~.S~ ;'{;;1;'r}tf.i~=~!f
.. --' ...... --,.. .",- _co &;t ..- ri' -.. blt'~ -~'"_-'~:._':.'C~.:~"!,'~::._F~.FO~R~IMm!~~."-,,:,:^^-~,,~_~n..,.;,WR't,,_.','.,~..,.s,~~.',~.:m~::'R;IN'~~'~~'G':.~7'-:'~_.o_~_.~,:",,~_,:,.~~.,.,~t~.;:.,' .
._,,:not-pii-y:agaJ]1'any,am01JIll.pm~or.paya. e\_9' - - "' 'y.-{L., .- ,~. ,. - ,.." ' .
~~t,,~~,:_,:_._~~_._th,e,:!l,e-:,',t,:d,~_ft:;;,~.f_i_r-~__:1:l,1,e_e~!i,~4_L_~_O,,',j;,~~_rr,~?:\s:-_~_-, O.l_'6_a.,m,w.",:_.~,:-\ ~~j:';~N:QNMONEf~ff;DAMA~~;t~~
Liffiits i>fL;abiiit-i,- Cove,'rifg~ W3.":;''-'' ~!~~iJ~~"t.-l;N::l8.S,~SfEi?~tHE/
., ,~~I "f Q1}'{-'ffJi.;PRrJ3,.NOT;M~mQUS
"'~rj",v " .u '(' __ <,) :hje:.. ,,,j..: ;,;m, e,r,l ,- '-.,- :;. INJr!P'L .,m'u~,:rHELI1Y1T'fATIt>.N.-OF
hrILthei:e:i~-'1T!Qie-,thlin'.!Onh 'l)i-?!er:iIlsuJ:e~ Gi ";"2Si1'.'. Tt6'Hl"'JJRi'''~''''iiJ'ot; :tlTi',E'7S"OF
. '.J -' , . . I ., ""U"II.-" ",,- .'l" -/,;';,1-}, "." h,;,.t,,,,,,,}~,,,, -,-.
::~'-~'lL "t)?~tjl;~'$XIf"l~:I'UA::sD:!J.~gLI~
~:;~~~r!t:f1iiL "I.',' _,,;;i~:~~i di~~\l11f!l~~l~' ' m~~~;L~
,cD i)~,was'lJiVol"edcinthe-aG"cldent.wIJlle'occu~' JI,:INJURffJ:OcAN'iNS,UREJj)., E~i:;;@V.;~.
1:~:,~;~?~'~!-f.~~~y~.~f~f~~:~~_~'f~)~~J~:;f~;~~'6~~~~~tl~i~~_ 2~;;Erqt-G~~ _ . ':".'-_~]J:~rt?]}~{l.!:'1f!~Pf,~t~,()~:,"
".,' p_,-, th'e-. l).'m, l.t'a'p.- p-,li..~'~.a-. p.le _t_o-_th.~,f-,,',.'v_'.'e--h,_l:'c'l~.,th!l't'--: >"',T,(j)~YJlHI :;,Q1NNE~J?:<ElO,R~I;;El\SEI;:>t'
,.... . ' 'TOmA'T UREDlFttwE:VEHldiL1Ds.'
..c<>\"! *!.is'_re~~~ce.!qtW1ii!~or;~_uiijijJi29/-r~llllir?!_ ~- .,--. :~'-"~;'-_"",~__';'cO_"_ ,..\-'-.,. '-"",'-'-.' -~ -", .- --,','
f ., " . ',,'. ,,..'" 2' N(:riS;):r:{S:rr~o;:t9~~;Sl.!J3P:Q\~07i
~~~fif~~~~~~~1fi~{~~{~;~~+~f1~g' 5'~!~~~~1~d~}~~~~~~""
,,!0;-,o!t&:listnan'O :-iJi'U;-eq~'.bne Qc~ii-' in . ., -
2f "'lll, ",-, .' .!i'l "1\',, ",,,,.1:/", g, -"c~~RJ'~~~~}f;rY~~~-%'F~~~{
2;~,~".~_~_~_.~,.~','..f_',;..tt,~.~_...'.':;.~,'.'"j,;'.'_~._:,~.._:.~.]_i._'.l.,f._o~.,:-.~,;,,;_:,;..,:.~,':,!,~,;,i.}.~~ :::!~~~~lf~
_''- '__ , ",,-, 22.,"':'T.l}~-ffiitf'-l~?I,SiJ'l\W ~",:,,,;;.
8387
, ~,;-,~~,g.
":2gA!RoUljgsJloYrAung~~ti'g~fb;r~rS0!1""lfqr all
.., ,o,f!?TIJages f,Iqe,!f!j,(JfJlfilYrt"tiJIHiY! totwp,ormore
persons'inthe:~ilro,el,,-i;(:if!eJ;lh D oI:,'ki.G
__ _,__ _","","__~_'~~~-_::-,",,;-""-"''":''~::::-C;
/
,
\
r
~ ~----
r
.
~"<~:ITHC:yIS" :OC..Rq~~?~,~~1~~;,,;'pbt::' ':G~unde~ithj~;P6ji;;~~~]~~p\t'Dn:U:~~f:~'g':
, , , ... , . ,<c , . basi~if;theinsui-~d sustairn; bV{!ilJ/i:i.l1-
.~-> ~:.'i;-;; .1'-- ,t<<:;:;:~:~ ";;\<':;~'._,:;~~,::'t-.'q,:;w.,::j;(;i.::L1--,--,- ',' Jury wlJi]""'" ~". h..]'~..1;:'
,',~b.:'THROUGR--BElNG",S;rRUCK;,BY A . ",cOccppying;;'a"ve rc e'cQu,er
.~l;'~~~~W2%~f~~~~~!J;;~l
OR ANY RELiiTIVE, ' .,.,' .
i::~~iJj~~~r~1i1litijgltf: c
ER:AGEW'WHrLt:foccttl'YLVG.iA MOc'
,TOR,vEHICLE OIVNE:01lY'ORIBASED.
- -''IO:'r'IIXT IN,SYRF;D,'tE rIfEYEHrC1:E IS~.- ,.
, "NOt:,m.s,tJRErj';eQltJ:'lNP"!;R11'J:~~D~
MOTQR \:"EBicLE COYEl'J\:OEDNDERI
).~a~,tnWHILi'~Ef'Ci:fI~NfG~A;.~'~"'M~!o~lolR~v:tE,{_l,;",~ ,m-~1i.;,=.1,':I;'":f";:~':;..':=
, ,u to:ur!, ", ~ ~;~~I;t~;~~~~~~~c~~~~~k~i~t~~{~e~~~~r~~.'
,"mCLE 0\V1iffi])'~BY,'ORJ:;EA,SED'TO" .,:-:,-':2".,xcess baSlS':-- i'n .'...; '.,. :: h;>-.,
C;'."'YOrJ.;'YotJiliseOVSE:OfliAJNlt,i1EEA'<~ ";,');)f""r,i"'~'.;; c;' ",! . ..".. .
,:",., '";'rtvW'1F" . ;}'rS"Nffr,'TN!>UREb FOR ': If There IS Other Coverage:;- CO\.c""gc U3 .
;;~~i~f~~~ ~~1;.Ii~~i1ii~~
MOTOR VEfUCca OW~aY D~ :" ',-",__, ,
. "mofe'thart'bile' 6!icy"roVlaea'b' 'us'-orany::. "tlOnS'; page,'.-pr-em'ullJs, :pald;iQU:ye))lc]es
:;!~~~~?;ij;:~~Iie~ 2 ~~;::{;~":::;;~t:;~:;!,
:,;';::=;~~if:~!~~~~~~J~
the bodzly Injury-was sUstamed shalbp~ . t".q",on'an,eK9:e,.,_baslsjf)tbeIn~Il[ed .ustams
.' ,:2'p!Y'.on'.apdmaty basisrAny '?ther.co.yer-' ;" ,..J c,bodily,;rzju!'Y'owhile:QCCliPying;.a.,vehicle
.,,; ,'age prpyidedby this po1ie,-'snall,ilpply on nnt owned by or leased to,-You, your
an excess_ basis. ;"'S ;;~; spouse 'or any relative.
~2307
8387
(
if
,j
..1
i!!l!
,j: I
II
,.'!.;j
Iit"
1'''1
:Jiii
'1'111
! :q
i!i!!
II'!I
"."1
IIi1
'iil
:11:,
ill'l
::)
:!i
Hli -
;1 [
,I,
ilil'.
I
iI/II
II' .
i]11
. 'I:!
Jil! .
".,
il-l
'I
ii,
1'1
Ii I
!I"I
ill!r
liil
"I
:I'll
,I,il
'1:1' r--,
1:1
it : ;-1 co
i!! t C")
II I I OJ
( I)' ram
, ." E
~ ~
1;;,tI'
. l/) >-
E.~
'IDo
I "L tL
r1
, i'
~--,,j~~~
(--
3c,SubjeGtto'jt~I)1s bURt 2 abo,>e!:it'.this.policy
.,,,,ia,!d,oneorlmore 6ther:p6lic;ieSl:pmYide CO"IG
-j;-!efage;for:hodily" ijz.Ll{rJ1;.~V{::'eil:rf"J{: -!{1~~.t ~ _'
ii, on apriniary basls,~0fifre1f)ibfe'b~li foi
"',," ',!ourshm;e.iDur.sharbs that percent'Qf the
. :"edaJnages;payap~ rnya'pril)llJIY.bi!sis that
th~ limi(ofliilPility of this:<;9Yef'ii(e,bears
~3,~~J~~1~~~:t1!~~:,~~~~?~~;
The total dahiagespayab!~fiSJ'piillpolicies
..c!'~~~e~j,f~~1~R1~?:b;t~~~~i~~~~r:i:
,,', ,prRy,iillpg~h"Ngh~s~ltn;iL~f' .' ity 9Il~
::~~._i4
i, ~ 'i!i}ihellmit'otJiiipi)it~ot~i;~,~9:>":F,~!rf'. l;1eal}
. to, the total,of all ,app}l:c>!ble"unm~ur~(l
;~--
'S)F'!;::q6~e;lc~~'.!Uhe~$o. "j)t>>.<~jcli t6~fihiJt
'~~ijiiM~h "V:~r;t.lfi,fSi~' ;~b~l;:I~:e'Yo~ffet'hnsI
~ :;,~.> uasl uS e . " la 1~JC1 ~ e
h~!ThFrJtIA'?~~I-~'~!t' ", j?\~f,<<g,.ftl'ff1nllngfJ~Jjlmi ,~f
. " laul ) C)i on a Druni)I:X 'DaSlS" .,._.... ;,t. ,>-
- .1'~:::,,: ','(-)tj'SCi ':l~':"i-iifnU~t{'~:U~:~:Lr:-'-t~jJt1I#;;B_:::~l\~_'!:"~.~;~':'i?':
4;JYTFriS:OOVEAAGE-DOES;;N0nABP'r:,YdF
'c'rt'HEREISciTHEltVNINSVRED M01'Ok
"iVEHfCl,E':' GOV:ERA:GYEJ01:'ii'AiNEIV,LY
).:.-,- --".'" .....,.-. .., c" ,1"_'-''''.~-,<-,-, :~:\ .':......";...~"',.;~.;,,,..(,...-"';:.-,A!
ACQUIRED CAli'<<'),.'''>' '-"'J',>m.'.''''''''",<r=
If Thef~'~~~~~i~~;!~l~~~f~t~~'J
I. ;If ullgerig!izJ,e(j J:I:,Qtor, ,;~hicle, S(Lyerag~J9r
:i~~tiI\fif1
a, under thiS policy shan ilp-ply oh a primary
.. "basis ll:tliecii!i1ir~ds"6.i!tajh'S h'odily injury
. .-'. -, ".' <'C':" ,. j. __'.' ~_ \ ,......" ""';''''_''. ~,. "j..'._ __.'
u, : whIle not:occzlpying Ji'lnl:ltor venlcle_or
-, . ,~ --~fallefJ -;-:_~~-'":.:! -.:) ? :':~"~'1,,"::_,--: ;.....:,~ "
~rrG:t:)-'2.-s.t:[(>;,-,F.
,fr>tJ1esY~mcl~, f!i~Ynij:<tund_l;r;tlii:slpolicy
which t~e ~n~ured was o<;l:flpYJi'fwhen
. :'C ',tb~_k.q(f!lX-!11Jury, 'Y'!~ ~ustained shall ap- .
f[~!iiJl~\lrttfi1:ii
c, updertl]ispOlicy shiiJJ apply, bna;rexceS's
'? ,1 ;basisifth~instirlidsustalhSWdii" - ';y"
j..I~I~}~ '".~
; . Or rr\or"'.2ther~poIIGles:p:rQvlg~:co"erage.for'
: :"O~~::~~ffi~:':~''!;'i'(':~~:lrX~f~:
n - 'dur snare. 'Oill-c;;haIe is' th . the
",;, ~{; ~,~n~::;;rt :!rTI;~h~~l~;~~?Pffige:~::t
to the total 0i all 'lRDlicabl~'i'itr1:let1iisfued
o~=~:~~;ftlll
51Q1 <I'jjriagi}~paYa:(;IM!l anieXfeSSJb~is.that
-c!,:Y: ,th~'j.ii)'!il'ibNiabiliA;:9f:tbjtC'6 verJige b~ars
~~~~J~~~i2
bpdilj injury to ariins'ur~d frbrn.
." 'jp<f~~-::tfl~'16~'~;P9~1~xj'iif:$-Y19:~aYSYJ~~},O~@V
,,-,'Rth~j- ;;ill;SJ~~er,;"t)f~'ijj)t<,1l,'\.lj!llJ.. t~;'9tJj~Di}itYf,
- ;~:)yatL~Rli':t;r~w"'-' r~~~s',p.f~yjg~qbr:~?It
V'lij~~!!f',rs.:~1i~jLP9j,e?, l1~i):ronof\Iabl,lrty
. ~appli~p.bln\Q t)1:e~~", ~ge:"Ylth~ti1:e,~'Igfjest
"~~~I!_~~i
,~
24
.8387
"""E
('
---_.._~'"'''''-
,
",-,-.~
c-.
. [
, Z;~l,.,~~::Q(Qdi;U'jijitlg,;:~~t:~~~~i:leJA ~'i2Y~~~~n~~il'i_)::?1?ti!~~;~T(!Xi?~~, ::,~:;;;
, ,,'
-i" ." .Qii'iih{Exce~:tBifsisqn!ii1#ilsilf;;a;$lfsffiins;;JJ;~19iWJ'jff~~g~X pa;Y'lpl.r;ft.pll'l; a;]],,9)i-
't...?,~.!..",h_ iJ.(J,_il~.,..;i,;n_-':;,'il.r..;'.:,',w.v~.I,!~_;.q.cc._4;'..y[n.'g.'..',_,_'~_~Vehic.le ;;.,n, , I. .', h 1
. '" ;< "'. - -- " r, , , ::;ci"s;lJi!!~~'IT'P JI"fli1i?!'&2'!i'"s~",!e.~is;J,~a;L,
' , . 'pot'owned ;OYOi:,)el\s.ed"to oYpu,:your". nor eJ(~",ecj. the "Itiountby,whichili~jimit '
~?i~~l!~!~w~;t, .....'''~}~~rn"!:f:t};~'"0'!~~
;,:;, a;nd 6ri~P.!J:i~relgth~rvfrR1icies[prQylde:?o"Yt ;;- coVerage' providIng; 1hi: nlg ."J;~~~~;:
~'!a_ii.Af~.~
+ h'r. "."'ft!1'l'bility,ry.' ",-+ .. '''''' '6'8'".- . . MOTOR. VBH1CnE',COVERAGK ON A.
t.::~.lti~.5~l~;]~c:~:
PQie'~te!;q1h€:iirnt;' 0fJia1)~iix:' dViJi~i!j bfougnt'Wj tJjo,~~~uP~.wrJ~rrc~l1s~~,::s .noM\mu-
,'r,
-;.;..-,..
"-'" -~"
,-.,,-;~~
:-,iT~..!:._-':.~,_~
. .
" :~tfr.t:d':~~},~;:-f ?{..' :,1~~;;~~t::0nl~~;.~r-~~_~{~~~(~~.: ,}~,
,n'",...;
t'._'
.':;;,
:2irr!
: i~ ;-;
;'.
"'""S:_~ :i:3:-~';:.'i~:~s/ ~-;T~f,<}
.,:~.:i;:';:c:!1:;-'isr~
"'-'
'- '
~_,~~ 1" e,'-:' ~.:!~_
[:':~l:,::~,ftXi_:i i~5_~.~?::~t~17~j 1i:rE{<"~P~~:"i-'
". -, ' ,. :.~;"~Jtt,-,-",'J;<'!~,,'?;).,,-f,,~_,u.:,_'..,,~~!
. .' '::~6,:~_1_;:..; - _. --- -, _ _ -0:' .'. _ ^
('
'cr,:!
',......',
". 2S}BiH
S3ST
.;. i_~;' .,_, ~:_
<
.,
,
,
,
,
,.
[
,.[
",j
i!Ji
, I
'.,'[
.:1'1
'!:I
,i"l
I'
"
,,,,.il'
iiii
!I!:
""I
i',;'1
II'
Iii
'i
{
Ii'
'ii
,II,
11'1
111:
f)JI'
11'1
'I'
I "
rilr
';'/
I.!:'i.
f"!
'[I
."1
'.
,I
I
I
i
!I
II
iil
"
i1co 1'--,.
'I C')
, 0)
::iu m..
.~ E
'" ~
>0
I :s:..LL
I!PJ >-
c '-'
'C:..=
:m 0
;LQ..
;1
Ii
lJ
~L.___
CERTIFICATE OF SERVICE
I, Diana H, Umbenhauer, an employee with the law firm of Lavery, Faherty, Young &
Patterson, P,c., do hereby certify that on the date listed below, I did serve a true and correct copy
of the foregoing Petition to Compel UIM Arbitration upon the following persons at the
following addresses by sending same in the United States mail, first-class, postage-paid:
Kevin D, Rauch
Summers, McDonnell, Hudock, Guthrie & Skeel, LLP
1017 Mumma Road
Lemoyne, P A 17043
Date: q Ix"'lo S-
r/1A~~rf(UL~
Diana H, Umbenhauer
Legal Secretary to Amy L. Coryer-Host
", 0
(.::'.~1
~ -., GJ
9 '.:.7',
Ci ::;:I
D U), ---"
':"-1 n-:r
\t- V( 1~,1
t:l I C"J
W (L)
en. ,-,
C> ~ :!J
-"-',. c;
........ rn
........ - ,
6'- ~ . .c S~) :':"~.!
R! '-,.
-.0 (Jl ~~
t...J U) (.,,;.'
()) f)'- ~
~
'<.."-1--.
JA YME CASHMAN and BARTON:
CASHMAN,
Petitioners
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
vs,
CIVIL ACTION - LAW
NO, 05-5179 CIVIL
STATE FARM MUTUAL
AUTOMOBILE INSURANCE
COMPANY,
Respondent
IN RE: PETITION TO COMPEL UIM ARBITRATION
ORDER
AND NOW, this
I~'
day of October, 2005, a rule is issued on the respondent to
show cause why the relief requested in the within petition ought not to be granted, This rule
returnable ten (10) days from the date of service,
BY THE COURT,
J
. ."/0
9!):ZHd SltJDSGDZ
l'd\llj(-'\:""') 1''1'.'..\ ':,::ul' "0
(\\.1'1'"_\.. ",__.',1. \j,....... ....,11 -J
:C-F..~!i)-(FJl\:J
Lavery, Faherty, Young & Patterson, P.C.
By: Amy 1. Coryer-Host
ID# 82718
225 Market Street, Suite 304
Harrisburg, PA 17108-1245
(717)233-6633
E-mail: acoryer@laverylaw.com
Attorneys for Petitioners
Jayme Cashman and
Barton Cashman
JA YME CASHMAN and BARTON CASHMAN,
Petitioners
IN THE COURT OF COMMON
PLEAS OF CUMBERLAND
COUNTY
v,
CNIL ACTION - LAW
STATE FARM MUTUAL AUTOMOBILE
INSURANCE COMPANY,
NO,: 05-5179
Respondent
PRAECIPE TO WITHDRAW PETITION TO
COMPEL VIM ARBITRATION
To the Prothonotary:
Please withdraw Jayme and Barton Cashman's Petition to Compel DIM Arbitration in the
above-captioned action,
Respectfully Submitted,
Lavery, Faherty, Young & Patterson, P,C,
Date: 10 I II InS
By:
{lYh1 J I -j 00* J
Amy L~ Coryer- st,Esq,
Attorney for Petitioners
Jayme and Barton Cashman
CERTIFICATE OF SERVICE
I, Diana H, Umbenhauer, an employee with the law firm of Lavery, Faherty, Young &
Patterson, P,C" do hereby certif'y that on the date listed below, I did serve a true and correct copy
of the foregoing Praecipe to Withdraw Petition to Compel UIM Arbitration upon the following
persons at the following addresses by sending same in the United States mail, first-class,
postage-paid:
Kevin D, Rauch
Summers, McDonnell, Hudock, Guthrie & Skeel, LLP
1017 Mumma Road
Lemoyne, P A 17043
Date: (D;; 7/oc;-
AJ~~cll~~L~
Diana H, Umbenhauer
Legal Secretary to Amy L. Coryer-Host
C)
,,~
,-,
G~;)
'-:~
cf'
,-
(""')
.--\
-
o
-.-;
--
c:?
,-
,