HomeMy WebLinkAbout02-1897JOHN D. PERKEY and
T1]ERESA M. PERKEY, his wife,
Plaintiffs
:
v. :
:
PRUDENTIAL PROPERTY AND :
CASUALTY INSURANCE COMPANY, :
Defendant :
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
2oo2- He Cn L
CIVIL ACTION - LAW
PRAECIPE FOR ISSUANCE OF A WRIT OF SUMMONS
TO CURTIS R. LONG, PROTHONOTARY:
Please issue a Writ of Summon~ against the defendant, Prudential Property and Casualty Insurance
Company, and enter my appearance on behalf of the plaintiffs, John D. Perkey and Theresa M. Perkey, his wife.
Please direct the Sheriff to serve the defendant as follows:
Prudential Property and Casualty Insurance Company
2101 Welsh Road
Dresher, PA 19025
Respectfully submitted,
April 17, 2002
IRWIN, McKNIGHT & HUGHES
To: PRUDENTIAL PROPERTY AND CASUALTY INSURANCE COMPANY
You are hereby notified that John D. Perkey and Theresa M. Perkey, his wife, plaintiffs, have commenced ail
action against you which you are required to defend or a default judgment may be entered again.~t you.
Date: /'Aa~ /~ ,2002
/
By: ~
DEPUT~ '/
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
JOHN D. PERKEY
THERESA M. PERKEY, his wife
Plaintiffs
MS,
PRUDENTIAL PROPERTY and
CASUALTY INSURANCE COMPANY
Defendant
No. 2002-1897
CIVIL ACTION - LAW
JURY TRIAL DEMANDED
PRAECIPE FOR ENTRY OF APPEARANCE PURSUANT TO Pa.R.C.P. 1017
TO THE PROTHONOTARY:
Kindly enter the appearance of Michael B. Scheib, Esquires of Griffith,
Strickler, Lerman, Solymos & Calkins, as attorney for the Defendant in the above-
captioned matter and mark the docket accordingly.
GRIFFITH, STRICKLER, LERMAN,
SOLYMOS & CALKINS
BY:
Attorney I.D. No. 63868
110 South Northern Way
York, Pennsylvania 17402
(717) 757-7602
Attorneys for Defendant
Dated:
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
JOHN D. PERKEY
THERESA M. PERKEY, his wife
Plaintiffs
VS,
PRUDENTIAL PROPERTY and
CASUALTY INSURANCE COMPANY
Defendant
No. 2002-1897
CIVIL ACTION - LAW
JURY TRIAL DEMANDED
CERTIFICATE OF SERVICE
AND NOW, this I(~r~of May, 2002, I, Michael B. Scheib, Esquire, a member
of the firm of GRIFFITH, STRICKLER, LERMAN, SOLYMOS & CALKINS, hereby
certify that I have this date served a copy of Praecipe for Entry of Appearance, by
United States Mail, addressed to the party or attorney of record as follows:
Marcus A. McKnight. III, Esq.
60 West Pornfret Street
Carlisle, PA 17013
(Attorney for Plaintiff)
GRIFFITH, STRICKLER, LERMAN,
SOLYMOS & CALKINS
BY: . , . Cheib,. E~QUi~E/'
Attorney I.D. No. 63868
110 South Northern Way
York, Pennsylvania 17402
(717) 757-7602
Attorneys for Defendant
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
JOHN D. PERKEY :
THERESA M. PERKEY, his wife :
Plaintiffs :
VS,
PRUDENTIAL PROPERTY and
CASUALTY INSURANCE COMPANY
Defendant
No. 2002-1897
CIVIL ACTION - LAW
JURY TRIAL DEMANDED
PRAECIPE
TO THE PROTHONOTARY:
Please enter a Rule upon John D. Perkey and Theresa M. Perkey, Plaintiffs, to
file a Complaint within twenty (20) days from the date of the service of this
Rule or suffer Judgment non-pros.
By:
GRIFFITH, STRICKLER, LERMAN,
SOLYMOS & CALKINS
Supreme Court I.D. #63868
Attorney for Defendant
110 South Northern Way
York, PA 17402
(717) 7§7-7602
Dated:
NOW,
, 2002, RULE ISSUED AS ABOVE.
Y PR%,O'OTARY'
-- DEPUTY
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
JOHN D. PERKEY "
THERESA M. PERKEY, his wife :
Plaintiffs :
VS.
PRUDENTIAL PROPERTY and
CASUALTY INSURANCE COMPANY
Defendant
No. 2002-1897
CIVIL ACTION - LAW
JURY TRIAL DEMANDED
CERTIFICATE OF SERVICE
AND NOW, this \ ~of May, 2002, I, Michael B. Scheib, Esquire, a member of
the firm of GRIFFITH, STRICKLER, LERMAN, SOLYMOS & CALKINS, hereby certify
that I have this date served a copy of Praecipe for Rule to File Complaint, by United
States Mail, addressed to the party or attorney of record as follows:
Marcus A. McKnight, III, Esq.
60 West Pomfret Street
Carlisle, PA 17013
(Attorney for Plaintiff)
GRIFFITH, STRICKLER, LERMAN,
SOLYMOS & CALKINS
Michael B. Sbheib, ESQUIRE
Attorney I.D. No. 63868
110 South Northern Way
York, Pennsylvania 17402
(717) 757-7602
Attorneys for Defendant
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
JOHN D. PERKEY :
THERESA M. PERKEY, his wife :
Plaintiffs :
VS. :
:
PRUDENTIAL PROPERTY and :
CASUALTY INSURANCE COMPANY :
Defendant :
No. 2002-1897
CIVIL ACTION - LAW
JURY TRIAL DEMANDED
AFFIDAVIT OF SERVICE
COMMONWEALTH OF PENNSYLVANIA :
: ss
COUNTY OF YORK :
Before me, a Notary Public in and for said Commonwealth and County,
personally appeared Michael B. Scheib, who being duly sworn according to law,
deposes and says that he caused to be served on Marcus McKnight, III, Esq., a
true and correct copy of the original Rule To File Complaint filed in the above
captioned matter, by U.S. Mail, Certified delivery, at 60 West Pomfret Street,
Carlisle, PA 17013 on the 16th day of May, 2002.
Sworn and subscribed to
before me th~
Notary Publi~J
My Co~ission Expires:
By:
GRIFFITH, STRICKLER, LERMAN,
SOLYMOS & CABINS ~
MICHAEL ~. SC~EIB, ES~3IRE
Supreme Court I.D. #63868
Attorney for Defendant
110 South Northern Way
York, PA 17402
(717) 757-7602
J Notarial Seal
I Dawn M. Kess er, Notary Public
! Springettsbury Twp., York County
L My Commission Expires Oct. 13 2003
Men bet ps ms~-~* '
Certified Return Receipt:
~t
102595.~0~U.0952
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
JOHN D. PERKEY
THERESA M. PERKEY, his wife
Plaintiffs
VS.
PRUDENTIAL PROPERTY and
CASUALTY INSURANCE COMPANY
Defendant
No. 2002-1897
CIVIL ACTION - LAW
JURY TRIAL DEMANDED
CERTIFICATE OF SERVICF
AND NOW, this(~ of May, 2002, I, Michael B. Scheib, Esquire, a member of
the firm of GRIFFITH, STRICKLER, LERMAN, SOLYMOS &CALKINS, hereby certify
that I have this date served a copy of Affidavit of Service, by United States Mail,
addressed to the party or attorney of record as follows:
Marcus A. McKnight, III, Esq.
60 West Pomfret Street
Carlisle, PA 17013
(Attorney for Plaintiff)
GRIFFITH, STRICKLER, LERMAN,
SOLYMOS &CALKINS
BY:
M chael B. Scheib, ESQUIRE
Attorney I.D. No. 63868
110 South Northern Way
York, Pennsylvania 17402
(717) 757-7602
Attorneys for Defendant
SHERIFF'S RETURN
CASE NO: 2002-01897 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
PERKEY JOHN D ET AL
VS
PRUDENTIAL PROPERTY AND CASUAL
- OUT OF COUNTY
R. Thomas Kline
duly sworn according to law,
and inquiry for the within named DEFENDANT , to wit:
PRUDENTIAL PROPERTY AND CASUALTY INSURANCE COMPANY
, Sheriff or Deputy Sheriff who being
says, that he made a diligent search and
He therefore
Pennsylvania,
but was unable to locate Them in his bailiwick.
deputized the sheriff of MONTGOMERY County,
serve the within WRIT OF SUMMONS
to
On May
13th 2002 , this office was in receipt of the
attached return from MONTGOMERY
Sheriff's Costs:
Docketing
Out of County
Surcharge
Dep Montgomery Co
18.00
9.00
10.00
33.00
.00
70.00
05/13/2002
So answer~r~ ~[~i ~~
~. Thomas Kline
Sheriff of Cumberland County
IRWIN MCKNIGHT HUGHES
Sworn and subscribed to before me
this /7 ~ day of ~
A.D.
Prothonotary '
In The Court of Common Pleas of Cumberland County, Pennsylvania
John D. Perkey et al
VS.
PPudential Property and Casualty Insurance Conf~ny
SERVe: same
No. 02 1897 civil
Now, _ May 1, 2002 , I, SHERIFF OF CUMBERLAND COUNTY, PA, do
hereby deputize the Sheriff of Montgcmery County to execute thi~ Writ, this
deputation being made at the request and risk of the Plaintiff.
Sheriff of Cumberland County, PA
Affidavit of Service
o'clock /P M. served the
by handing to
and made known to
copy of the original
So answers,
the contents thereof.
Notarial Seal
H:qene Friednlan, Not:
Sworn and subscribed before
me this '-7 day o~ ~ o~ ~ 20 0-2.
.p~O Sheriff of
COSTS
SERVICE
MILEAGE
AFFIDAVIT
CoM'ty, PA P
SHERIFF'S RETURN
PROTHONOTARY Y- 2401
DEFENDANT: Prudential Property & Casualty Insurance
DOCUMENT SERVED: Civil
INDIVIDUAL SERVED: Lauran Bryson
RELATIONSHIP TO DEFENDANT: Supervisior
DATE AND PREVAILING TIME: May 6, 2002 609:00
LOCATION: 2101 Welsh Road, Dresher, PA 19025
May 7, 2002
Notary Public
Sheriff of Montgomery County
Deputy Sheriff
Mason
JOHN D. PERKEY and
THERESA M. PERKEY, his wife,
Plaintiff
V.
PRUDENTIAL PROPERTY AND
CASUALTY INSURANCE
COMPANY, '
Defendant
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: No.: 2002-1897 CIVIL ACTION
:
:
:
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, order and notice are served, by
entering a written appearance personally or by attorney and by filing in writing with the court your
defenses or objections to the claims set forth against you. You are warned that if you fail to do so the
case may proceed without you and a judgment may be entered against you by the court without further
notice for any money claimed in the complaint or for any other claim or relief requested by the plaintiff.
You may lose money or property or other rights important to you.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT
HAVE A LAWYER, OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE
SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP.
Court Administrator
Cumberland County Courthouse, 4th Floor
Carlisle, pa 17013
(717) 240-6200
Americans with Disabilities
Act of 1990
The Court of Common Pleas of Cumberland County is required by law to comply with the
Americans with Disabilities Act of 1990. For information about accessible facilities and reasonable
accommodations available to disabled individuals having business before the court, please contact our
office. All arrangements must be made at least 72 hours prior to any heating or business before the court.
You must attend the scheduled conference or hearing.
JOHN D. PERKEY and
THERESA M. PERKEY, his wife,
Plaintiff
V.
:
PRUDENTIAL PROPERTY AND:
CASUALTY INSURANCE :
COMPANY, ' :
:
Defendant :
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
:
: No.: 2002-1897 CIVIL ACTION
COMPLAINT
AND NOW, this 5t~ day of July, 2002, comes the Plaintiffs, John D. Perkey and Theresa
M. Perkey, his wife by their attorney, Irwin, McKnight & Hughes and makes the following
Complaint against the Defendant, Prudential Property and Casualty Company:
1.
The Plaintiffs are John D. Perkey and Theresa M. Perkey who are adult individuals who
reside at 328 Pine Grove Road, Gardners, Pennsylvania 17324.
2.
The Defendant is Prudential Property and Casualty Company, an insurance company
which does business within the Commonwealth of Pennsylvania with its regional office located
at 2101 Welsh Road, Dresher, Pennsylvania 19025.
3.
The Plaintiffs, John D. Perkey and Theresa M. Perkey, his wife entered into a contract of
insurance with the Defendant, Prudential Property and Casualty Insurance Company which was
in full force and effect on September 15, 1998. A complete copy of the Defendant's policy is
attached hereto and marked as Exhibit "A" and is made a part of this Complaint.
On September 15, 1998, the Plaintiff, John D. Perkey, was operating a tractor trailer
combination for his employer, ABF Trucking and Mr. Perkey was involved in a vehicle accident
when the rear wheels of another trailer broke free and became lodged under the tractor being
driven by the Plaintiff.
5.
The accident occurred on the Pennsylvania Turnpike west of Pittsburgh in the predawn
hours and the tractor driven by the Plaintiff, John D. Perkey, was forced off the Turnpike onto
the berm of the highway.
6.
In the accident John D. Perkey sustained serious injuries to his neck, back,shoulders and
right knee. The Plaintiffs seek recovery of their damages for pain and suffering, medical
expenses, lost wages and loss of society as a result of the accident.
7.
The trucking company of the trailer which lost its rear tires was insured by Reliance
Insurance Company. Said company became insolvent and was liquidated by the Commonwealth
of Pennsylvania.
8.
The Plaintiffs have submitted a claim pursuant to the uninsured provisions of their
Prudential policy for the Uninsured Motorist Coverage provided by the Defendant. The
Plaintiffs have total coverage of Two Hundred Thousand and 00/100 ($200,000.00) Dollars
pursuant to the policy of the Defendant.
By letter dated April 17, 2002, the Defendant refused coverage of the Underinsured
Insurance Claim citing policy language. A copy of the letter is marked as Exhibit "B" and is
attached to and is made a part of the Complaint.
COUNT I
Breach of Contract and Bad Faith
John D. Perker and Theresa M. Perkey~ Plaintiff~
V..2
Prudential Property and Casualty Company, Defendant
10.
The averments of fact contained in Paragraphs one (1) through nine (9) of the Complaint
are hereby incorporated by reference and are made a part of this Count.
11.
At the time of the accident the Plaintiff, John D. Perkey, was employed as an over the
road truck driver for ABF Freight Carriers, Inc. His employer is self-insured and does not
provide protection against uninsured motorists.
12.
The Plaintiffs believed that the uninsured motorist protection provided by the Defendant,
Prudential, would protect him when he is driving other vehicles whether they were rented or due
to his regular employment.
13.
The position taken by the Defendant, Prudential, that its policy does not cover the
Plaintiff when he is driving his employer's vehicle is against the policy language of the
Prudential Policy and a breach of the contract between the Plaintiffs and Defendant Prudential.
14.
At the time of the accident the Plaintiff, John D. Perkey, was not driving a "vehicle for
hire" but a commercial tractor trailer which was not specifically excluded from coverage by the
Defendant's Policies of Insurance.
15.
The attempted inclusion of the commercial vehicle driven by the Plaintiff, John D.
Perkey, at the time of the accident, by the Defendant, Prudential, is contrary to law within the
Commonwealth of Pennsylvania. See, Prudential Property and Casualty Insurance Company v.
Helen $. Ziatyk. 302 EDA 2001 in which the Superior Court found the same exclusions were
contrary to law when the insured was operating a rental track.
16.
The failure to promptly pay the Plaintiff uninsured coverage in the face of legal decisions
constitutes bad faith by the Defendant, Prudential Property and Casualty Company.
17.
The Guarantee Insurance Fund from Michigan which is now defending the third party
action brought by the Plaintiffs requires that the Plaintiffs exhaust the underinsured coverage of
their own automobile insurance before any payment from the Fund.
18.
The failure of the Defendant, Prudential, to pay the policy coverage constitutes a violation of the
implied contractual duty of the Defendant, Prudential, to act in good faith.
19.
The failure of the Defendant, Prudential, to pay the underinsured coverage provided to
the Plaintiffs by its policy constitutes a violation of 42 Pa.C.S. Section 8371. The Plaintiffs are
entitled to punitive damages, attorney's fees, court costs and interest as permitted by law.
WHEREFORE, the Plaintiffs respectfully request that the Court enter judgment against
the Defendant, Prudential Property and Casualty Insurance Company in the amount of Two
Hundred Thousand and 00/100 ($200,000.00) Dollars with reasonable legal fees, punitive
damages, court costs and interest permitted by law.
COUNT II
Declaratory Judgment Action
John D. Perke¥ and Theresa M. Perkey, Plaintiffs
Y.2.
Prudential Property and Casualty Company, Defendant
20.
The averments of fact contained in Paragraphs One (1) through Nineteen (19) are hereby
incorporated by reference and are made a part of this Count.
21.
The position taken by the Defendant in refusing underinsurance coverage to the Plaintiffs
is contrary to law and public policy.
22.
The judgment of this Court in this action will serve a useful purpose in clarifying and
settling the legal issue in this case.
23.
The Plaintiffs seek an Order of Court declaring that Prudential is liable to the Plaintiffs
for the payment of its Underinsured Motorist Coverage pursuant to the damages sustained by the
Plaintiffs in the accident on September 15, 1998.
WHEREFORE, the Plaintiffs seek judgment against the Defendant, Prudential Property
and Casualty Insurance Company declaring that it is obligated to pay the Uninsured Motorist
Coverage to the Plaintiffs as a consequence of the motor vehicle accident of September 15, 1998.
Dated:~~)O'~ ~
Respectfully submitted,
IRWIN, McKNIGHT & HUGHES
Esqu r5
Attorney I.D. #2547~ ~
60 West Pomfret Street
Carlisle, PA 17013
(717) 249-2353
Attorney for Plaintiffs
roperty and Casualty Insurance Company
iensraj Insurance Company
omn~ercJal Insurance Company ~
T~e F~dential insurance Company of America
tics/23 Main Street, Holmc~el, N.J. 07733
ThePrudenflal ~
4/86 INS-A
poica,r
Parts.
po,Car ,
TABEE OFCONTENTS.
Page
DEFINITIONS 2
GENERAL PROVISIONS : 2
~'hese provisions are ap~/icab/e to ali par~ of ~he po/icy)
THIS' POLICY IS A'OONTRACT 2
AGREEMENTS BETWEEN YOU 'AND Us ' 2
DECLARATIONS ~ : 2
ENDORSEMENTS'
POLICY AREA : : ' ' 2
POLICY PERIOD 3
LIFETIME RENEWALiAT AGE 65 ~:3
TERMINATION 3
PREMIUM PAYMENT .. ' 4
POLICY CHANGES ·
ADDiTiONAL.OPERATORS
LIMIT. OF COVERAGE ~. : , 4
4
ASSIGNMENT' ~ ~' i ~
B~NKRUPTC~, . 5
OUT:OF:STATE CO,~ERAG E: ; :' 5'
YOUR:DUTIES AFTER-AN AcciDENT OR LOSS5
IF YOU INJURE OTHERs OR DAMAGE
THEIR. PROPERTY WITH A CAR, ~.,:, ~ .. 6
OUR OBLiGATiONS TO YOU : 6
YOUR OBLIGATIONS',TO'US
WHAT CARS ARE COVERED i '7
WHO IS NSURED , ' 7
8
LOSSES'WE WILL NOTiRAYFOR ' :' ' 8:.
HOW WE'WiEL SETTLE 'A"~LAIM 9
PART 2 MEDICAL PAYMENTS.
IF YOU ARE INJURED IN A CAR. ACCIDENT :9
OUR OBLIGATIONS' TO YOU '' ' :: 9
YOUR OBLIGATIONS TO US : '10
WHAT CARS ARE COVERED 10
WHO ~s ~NSURED
LossEs wE W~LL NOT PAY PoR
HOW WE W~LL S~LE A CLAIM
Page
PART 3 COLLISION & COMPREHENSIVE .
IF YOUR CAR IS-DAMAGED OR STOLEN 12
OUR OBLIGATIONS TO YOU 12
YOUR OBLIGATIONS TO US 12
WHAT CARS ARE COVERED 12
LOSSES WE WILL NOT PAY FOR, 13
HOW WE WILL SETTLE A CLAIM 14
Prudential Property and Casualty InsuranCe Company
Prudanflal General Inauranoe Company
Prudential Commercial Insurance Company
Sub~d~mes of The Pruoent>ar InaJrarce Company of America
Corporate Office/23 Main Street, Holmdel, N.J. 07733
DEFINITIONS .
The words defined betow are used throughoutthe policy.
They are pdnted in bole type and the definitions shown
next to them apply.
BODILY INJURY
Bodily injury means bodily injury, sickness, disease or
death suffered by a oerson
CAR
A car is a private passenger automobile, station wagon,
jeep-type, or van with four wheels which is designed for
use mainly on public roads. A pick-up truck with four or
s~x wheels and a Icad capacity of one ton or less ~s aisc
a car.
HOUSEHOLD RESIDENT
A household resident is' someone who liras in your
household. A household resident includes a resident
relative.
MOTOR VEHICLE
A motor vehicle is a self-propelled land vehi~e which
is reouired to be registered and licensed by the Jaws of
your s~a[e for use on public roaos.
NON-OWNED CAR
A non-owned car is a car which ~s not ownen by,
registered in the name of or furnished or available for the
regular or freouent use of you or a household resident.
PROPERTY DAMAGE
P~operty damage means damagetc physical property,
including toss of its use.
RESIDENT RELATIVE
A resident relative is someone w~o lives in your
nousenolcl and is relatec [o you by blood, marriage, aoop-
~on or is a ward or foster child.
YOU OR YOUR
You or your means the ~)erson shown as the named i n-
sureo on the Declarations of this policy, an~ your spouse,
if he or she lives in your household.
WE, US, OR OUR
We, us, or our means Prudential Property and Casualty
Insurance Company or one of its subsidiaries as shown
on your Declarations.
GENERAL PRO VISIONS
THE POLICY IS A CONTRACT
This policy is a contract between you and us. When we
refer to the oolicy, we mean this Booklet. your Applica-
tion, your most recent Declarations and your
Endorsements·
AGREEMENTS BETWEEN YOU AND US
In exchange for premium paJa, we agree~o pay for losses
as covered in this policy.
By accepting this policy, you agree that the statements
on your Application are true and correct. This:policy ~s
issued relying on the accuracy of these statements. This
policy contains all the agreements that exist between you
and us. You will immediately notify us of any change of
address.
DECLARATIONS
The Declarations is an imoortant part of this policy. It lists
the named insured and describes :the cars this policy
covers. Refer tothe Dectarationsto see which parts of the
policy apply ant wna~ amounts of insurance you have
for each of your cars. You only have the coverage for
which a specific oremium charge is shown for the
coverage. You will receive a Declarations when the policy
is first issueo, each time a change is made and at'each
renewal
ENDORSEMENTS.
F. ndorsements are a ~art 0fthis oolicy. They add to, delete,
or change carts ofthe ~olicy. They may be necessary to
conform to the laws of your state or to new programs we
have implemented. Only those Endorsements .WhOSe
numbers appear on the Declarations are a par~ of your
POLICY AREA
UnitedStates, Puerto Rico or 'Canada
This policy covers accidents which occur in the United
States ofAmenca, itsterritodes or possessions, Puerto Rico
or Canada, or while a car is being [ransported oetween
[nose oleces.
Mexico -- WARNIMG: READ THIS. ~' REFULLY!
Car accidents in Mexico are su~tecttot, zws of Mexico
only -- NOT the laws of the United States of Amenca.
Unlikethe United Stales, the Reoublic of Mexico cons~aers
an auto accident a CRIMINAL OFFENSE as well as a
matter.
IN SOME CASES, THIS .COVERAGE MAY NOT BE
RECOGNIZED. BY MEXICAN AUTHORITIES AND
THE COMPANY MAY NOT BE ALLOWED TO IMPLE-
MENT THIS COVERAGE AT ALL IN MEXICO, YOU
SHOULD CONSIDER PURCHASING CAR
COVERAGE FROM A LICENSED MEXICAN IN-
SURANCE,COMPANY BEFORE DRIVING INTO
MEXICO.
The coverages for your insured car orovided bythis policy
are ex[enoeo to accidents occurring in Mexico within 25
miles of,tne Un,ed States border. This extension only
applies for infrequenttrips into Mexico[nat oo no~ exceeo
ten days at any. one time;
Exclusions --
We do not provide, any coverage:
l. If your'insured car'is not pdncipaJly garaged and
used in the~ United:States; aha
2. To any person insured unoer this policy who ~loes
not live inthe United Stales.
Special Conditions --
.' .Other Insurence= The OTHER INSURANCE pro.
v~ons of this' Policy-are'replaced by the following:
'Jft~ere~s other insurance.which covers aloss under
this ~art, we will pay only those.damages that'are
excess over amounts payable .under other
suranpe UP T0 our limit of. liabi!itYi
2. Losses payable If Your Car le Damaged Or
Stolen. We will pay losses under PART 3 COLLI-
SION AND:COMPREHENSIVE: :in the United
Statas~. not. m Mexico. Jf your insured car is damag-
ed in Mexico. you must return ittothe LJnited States
to be repaired. I/~your insured, car mustbe repaired
Jn MexiCo'in 0rcl~r to be driven,.we will not gay more
titan the amount it wouto cost to have repairs made
at the- neares~ p0Jnt 'ih the United States.
=OLICY PERIOD
'his;policy.cavern acbidents WhiCh oc~r dudngthe policy
)eriOd. This ~)eriod is showq on the Declarations.
LIFETIME RENEWAl ' AGE 65 ,.
We*will not refuse to renew or continue this policy if you
have ~iad car insurance With ua continuously for at least
5 years on the first anniversary date of this policy (or any
renewal or replacement of it) following your 65th birthday.
But, this agreement does not apply ii:
'1. You fail topay a premium when required.
2. You are not the principa/driver of a car described
on the Declarations.
3. Your driver's license or that of a household resi-
dent (or any person who regularly uses a car in-
sured under this policy) has been suspended or
revoked during the current policy period Or within
12 months before the beginning of the current
period.
4. The CorreCted vision 0fyOur better eye or that of a
household resident (or any person who regularly
uses a car.insured under this policy):is less than:
20/70. N or does it apply if the visual form field of you
or these, persons is leas than :j 1.0 degrees:
Aisc, this'agie~mei~t does not apPlY if'You or these per-
sons haVereached the age of 72'and do not give us, on
request; a medical report from a ceased Physician stating:
1. Th~.t your~Visibn ~r that .of.these other drivers over
age 72 meets the requ rements g ven above; and
2. That, in t ' .
he doctors opn~on, you Or they are..
-, , physically and mentall~competent to. ddve safelY.
We will not request these medical reports more than once
every three:years. But; after you: or. other drivers reach
the age of 80, we can request these [eports every year;.
This agreement- applies, only to cam-deSCribed in this
policy. 'This agreement stops as of~the effective date of any
othe~ car insurance which applies to a car. described on':
the Declarations, but only for those.coverages provided
by the othe[ insurance
TERMINATION' . ,
Cancellation By Insured -- if yOUwant to Cancel this
policy, notify us inwriting of the future date on which you
want it cancelled o[ return your policy,to us. If a refund
is due it will be based on our stand ' short rate table.
The premium refumd Wilt be sent to ~_., as soon as prac-
tical a~ter we receive your notice of cancellation.
Cancellation By Company -- If-we want to cancel this
policy and it has been in effect for less than 60 days, we
will send a written notice before it is canceled.
After this Dolicy has been in effect for 60 days, we will
cancel it if:
1. You do not pa~y a premium or. premium installment
by me date due.
2. Your driver's license is under suspension or revoca-
tion dudng the policy.period. This applies to any
driver living in your household or any ddver regu any
using your car.
3. The policy was obtained through fraud or material
misrepresentation. (This does not waive our rign~
to void the policy.) '
We Will mail.the cancallation notice to the named insured
atthe last address shown on the policy. We and you agree
that a proof of mailing,of this notice is sufficient proof that
you were pr. oper~y notified. We wiJl keep onlythe prem urn.
fpr thetir0ethe policywas n effect and we will refund any
balance. Any refund due .will be sent.to you as soon as
practical. Coverage ends on the date shown on the writ-
ten'notice, not on'the'date you get the'premium:refund.
,onrsnew.l B~ O~Pan~ --if V~e.de~ide notto renew
this policy, we'will-sendwritten-notice to'the named-in-
surea: We Will send'the notice to the'lastadclress shown
on the policy. We,and.youagree that the mailing of this
notice, is,proof that you weFe propedy notified.'
NOnmnewalBy In~ursd -- When we offe~to renew o~
continue this policy and you co not accept it; coverage
will stopatthe end of the curran~ policy period: YourfaiJure
To paythe renewal oremium bythe date due indicatesyour
rejection,of our renewaJ.offer.
Au'a3maflc Termination-- If you insure anycarco~ered
by this policy with a policy issued by some other insarer,
coverage on that car under this policy will stop as of. the
effective date aha time of.the other insurance.
Other Termination Provisions--.'We~Will comply with
the taws in your state:
1. Requiring a s' ,ific notice oeriod;
2. Requinngasp~altypeofmalling reauirement: or
3. Imposing restrictions on the reasons for canceled-
~on OF nonrenewah
PREMIUM PAYMENT
You must pay the premium by the date cue. Failure to
paythe premium bythe date shown in any premium notice
sentto you will result in termination. Ifthe premiumis paid
by check or other instrument, and it is not honored, it will
be considered as a failure to pay the premium',
Changes made.to your policy during the policy oeriod
may result in oremium adiustmem.
POLICY CHANGES
No changes carl be madeto any part of this policy except
Dy Endorsement issued by ua.
The terms of this policy are automatically ch'anged to con-
form to the laws of the state in which you. live.
We will aummaticalJy giveyou the benefitsof any exten-
sion or.broadening of. this policy. This only appliee if the
cnange~r~oes not require additiona premium.
ADDITIONAL OPERATORS
If during the policy term aperson not listed on the policy
begins to drive a car or stops driving a car shown on the
Declarations you are.requ red to mmediately inform us
ofthis change. The appropr~e premium adju~i, ment w
be made from thedate the operator status changes dur-
ing the policy, pedod. .: ..,
LIMIT OF COVERAGE
If you or any other'person insured undbr thi~ policy is in
an accident ": - ' ' .... : -: -~-:
1., In a car ~hatJs insure~i by/his poli~y --We-will not
pay, mom.than theJimit of coverages for.that oar-
ticular car:
'2, 'In a car'that.!s-n0t insuredby this policy or while a
pedestrian -- We Will not pay. more than the limit
of coveragas whic~ you nave on any one of your
cars.
This limit of coverage applies regardless of the number
of poiicies,.insureds, insUred cars, claims made, or cars
~nvotved in the accident or loss. Coverages on other cars
insured .by us. cannot be added to ~- stacked on the
coverage of the particular c aC invol
ASSIGNMENT
This policy cannot be assigned to anyone without our wdt-
ten approval. But, if the named insured dies, this policy
will provide the other persons insured by this policy and
the legal representative of the estate (but only white acting
as such) with the same coverages untilthe end ofthe policy
period. Until a legal representative is appointed, anyone
who hes proper custody of the car is covered as if he or
she was a resident relative.
BANKRUPTCY.
If.an insured becomes bankrupt or insolvent during the
policy term, it does not affect the AGREEMENTS BE-
TWEEN .YOU AND US. '
.OUT-OF-STATE COVERAGE
The limits and COverages oCthis p°iicy will chan~;e to meet
the requirements of the laws while you are .in:
1. Another state; :: : : .
: 2: A:territory o?1:)oSsession of the,United States;
This applies ifthb laWS require non.residentsto carrY higher
'limits Or Coverages than are~rovided by this policy. But,
thoSe.limits.and c0~erages:will;be; reduced to the extent
thatthem is any other valid and Cdllectibleinsurance which
applies to the loss: Under no circumstance will anyone
receive duplicate.payments for. the same ass
~.YO URi DUTIES;,AFTER~:AN,A~:CiDENT..OR~ LOss
'General Duties ~ If any Pe~sinsured Underthis policy
have a,car accident 0r' loSS; they. or s0meaneacting for
them must promptlycontact.us;We Will wantto know how
the accident o~!ass happened, names:and addresses of
peop e nvolVed, witnesses and any injury ~'damage
persons, makJng, a;clalm.under ~is POji~ rnUst.:i
:1 i' Inform US~of:the ~details of the accident:or loss in
2! Cs0perate ~iil~':us'in ihvestigatingl settling, or
fending any loss or suit. Cooperation ·includes
attending hearings and tdals, helping in suing others
who are resp' '~ible for the accident; giving
evidence, ano ping us get witnesses to'attend
a trial.
3. 'Immediately send ue any notices or legal papers
received by them or'their legal representatives in
connection with the accident or loss.
4. Be examined byour doctors for theirinjuriss as often
as we reasonably require.
5. Give u~ written permission to obtain their medical
and other relevant records.- ·
.6! Gi~b uS ~r~en pr°°f'bftheir l0ss in a-fOh-n:c0~taln.
in'g any relevant information werequest.
7. Give usa statement under oath within 30 days of
our request.
8; RePort a hit and run accident Or loss:to the police
within 24 hours.
9. Allow us to i=~S~bt the Car if.:w~ ~quest ~:
.We Will not pay for. lossas which are settled~, without our
written consent. :- ·
If anyone v01~ntarily makes any paym~nt's', assumes any
obligations or i~cursany expenses except for first aid to
others at the scene ofthe accident we W I not be respon.
sible for reimbursement:
Trust Agreement ~ When we pay for a loss Under this
policy, we are entitled to the amount wePald from the pro-
the responsible party. When allowed by law, we are also
entitled to related c01'lection expenses for, any:settlement
~ec0~er tt-i~:pay~e~ we. have m~te:.!We.will~s~ieot:the
attorney and pay all related costsand'fees.
Rights Of "'caVery' When:
'thiS:: p°licyl yourli:~igt~ts of; reco~;~ry.;f,0~i.an¢6~e;:else
become, oura up;to the::amount we have pal6t: AnYone
insured under this policy must: '
. 11 No~ i~effere With.~r righiS.io' recover;
_ 2. Do whatever is necessary to help us recover the
amount we paid.
Additional Duties If Your Car Is "'~maged OrStolen
-- If your, car is damaged-end it overed under Part
3, you must protect the car from further damage. We will
pay any reasonable costsyou incur doing this. You may
be required to show us the damaged property before its
repair and give us a statement under oath.
if the caris stolen, you must report it to the police and us
within 24 hours after discovery of the theft.
This: is not a complete and valid contract without an
APPLICATION and DECLARATIONS properly filled out.
Prudenflag ,Propertyandcasualty InsuranCe 'Company
Secretary President,
Pmd.~lal Gen.ral Ms.raa~e C~mpa~¥
' · C
Secretary President
PrUdential commercial,insurance company:: : :.':
._.__._
II
IF,YOU; INJURE OTHERS:: OR
:DAMAGE: THEIR PROPERTY
OUR OBLIGATIONS TO¥OU .(PART 1)
LIABILITY(BODILY .I~JUR~ 'C0~ER~GE./pROp.
ERTYDAMAGECOVERAGE)" : ' ~
If YO0 haYe th'e~e CoVerages (~ee the De~l~rations). we
will pay up to our limit of liability for bodily Injury to
others and propP"',t damage that'an insured is legal-
Jy obligated to B, I'he bodily injury and p¢operty
damage must:
1. Result from an accident involving a car insured
unoer mis.par[: and
2. Be covered under this pan.
INVESTIGATION, SETTLEMENT AND
LEGAL DEFENSE
If persons claim an ~nsured caused them bodily injury
or property damage ~n the accident, we may Jn-
vestiga[e, and settle or defend any claim covered unoer
this par[ ~n the way that we decide is appropnate
If suit'is brought on a claim covered under this par[, we
will defend an insured, at our exoense, with attorneys
we choose,
Our obligation to defend a claim or shit enos when'we
have paid the applicable limit of liability for' damages -:~
resulting from the'accident.
ADDITIONAL PAYMENTS
In addition to any amount in the LIMIT OF LIABILITY ~
section, we wil, pay [ne cos[s listed below:
· First Aid
We will reimburseanyone insured under this par~ '~
~o~ the cost of immediate and necessary ~irst aid ~
to others at thescene of the accident involv nga :~
car insured under ~[his' Part
- · .Ball Bonds' .. - ,~
.
If anyone insured under this Part:is arrested as :a ~
result'of anaccident,or atraffic violation arising.out ~
ofan accident involving acar insured under-this''~
- part, wewill reimburse up to $250 for the.cost of ~
a:bail.bond. The-insured must first get the. ~ond. i~
· Release Of Attachment' Bonds
If as a result of an accident an insured's properly
is attached by court'order;wewill'reimburse the ~l
premium of a bond .obtained to release, that at-~,,~
tachment. The amount'of the bond,we pay ~q
premium for cannot be more than our. limit of ;~
liability.
'
· Post Judgment Interes~
If we are obligated to Day the amount of a judg-
ment, we will cay post judgment interest on that
portion of the judgment that is within our limit of
liability.. Our duty to pay interest enos when we
pay, offer to pay or oeposit with the cour~ the
amount owed unoer this oar[.
· Court Costs
If we provide a defense, we wJJi pay an insured's
Court
* Expenses
We will Day reasonable costs connecteo wIth the
defense of an ~nsured ~ncurreo at our request.
we aSK an insureo to [aKa time off from work, we
wiJJ pay up to $50 per dayfor actual net wages lost.
· Appeal Bonds
We Will pay the cost of'necessary aDoeal bonds
if we decide to apoeal the case to a higher court.
¥OUROBL;IGATIONS TO US(PART 1)
The follow~ngprovisions'~ppjy~in addition to any duties
listeo in the GENERALPROV!SlONS section.
ACTION AGAINST US.
NO one
rnsured,un~ter th'is part.may take any'legal ac-
.tion against us.until all.obligations.under this DOlioy have
been fulfilled. Aisc, you must.wait until the amount, of
the settlement has been determined.
A settlement is determined by.a'C~u rt or
between us'&nd,the perssn ~naking.the clai~. No per-
son is entitled to include us m anyJega[action ago net
you. No one insured under this Dart may assign his
rights to another ~)r involve us in a su~t as a defendanL
WHAT CARS :ARE COVERED(PART 1)
CARS DESCRIBEDON THE DECLARATIONS
This part covers cars for which a oremium 'charge for
these coverages is shown on the Declarations.
REPLACEMENT CARS
If you acouire ownership of a carto replace acar covered
unoer th~s par[, the newly acquired car has the same
coverage as.the car. You mus~ notify bs of the
replacement within d0 days after you acquire the car, for
coverage to contInue after 30 days.
ADDITIONAL CARS
If you acau~re ownershio of another car in addition to
those aescribeo as covered under this parz, this part
covers the new car for the firs; 30 days, The new car has
the same coverage as any of your other cam insured with
us. All your other cars must be insured with us for th~s
Dan to cover the aodJtional car.
You must let'us Know,within 30 days after, you acou~re
ownership of the new car that you want i[Jnsured unoer
this part, for coverage to continue, after 30 oays.
SUBSTITUTE CARS
If a car 2overdo under this part breaks down, is being.ser-
viced or repaired, or Js stolen or destroyed, we will cover
a. caryou borrow temporarily (with the owner's permis-
sion) · while your.car is being repaired or replaced. This
car cannot be owned by you or a household resident.
.The substitute car has the same coverage as the car that
IS.OUt of.service.:
OTHER NON-OWNED CARS
In addibor to SUBSTITUTE CARS, we will cover a non-
owned ~car; The owner must give permission to use it.
The non-owned..car must be used Jn the way.'lntended
by the owner. This'includes a rented car for'a-period of
upto 30 consecutive days. The non-owned car has the
same coverage es any one of your cars:insured with. us.
TRAILERS; 'CAMPER UNITS, CAPS:,OR,SlMi :,I~a,R
TYPES OF COVER',: ~
We will cove~-all trailers designed ~o be.pulled by a car.
We' will cover all camper units, c~tps'0r similar types of
cover designed robe mounted'on a car or trailer. When
a trailer, camper uni~, cap or similar ty~f CoYer'is attach.
ed to a car it is consJoered to be one vehicle. There ~s'.no
coverage fo; a treJter, camper unit, cap or similar type of
cover While used .with a car not insuredunder this: part.
Aisc, there is no Property. Damage coverage for a non-
owneo trailer, camper unit, cap o; similar type of cover.
WHOIS 1NS .URED ,[.PAR-"~)
IN YOUR CAll (INCLUDES A t~UBSTITUTE CAR)
You and a resident relative are insured while.using your
car or a substitute car covered under this part.
Other people are .insured.while using your. car or a
substitute car covered .under this par[ if you give them
I~ermis~on to use it. They must .use the car- m the way you
intended.
We insure a person or organization who may be held
responsible for an insured's.use cfa car this pan.covers.
IN A NON~O~VNEDCAR
YOU and a resident relative are insured while using a
non-owned car. The owner must give DelTnlsslon rouse
it. It must be used in the way intended by.the owner.
LOSSES WE.WILL NOT PA,Y..FOB:(PART: 1)
CARs OWNED BY' HOUSEHOLDRESIDENTS
we,~ili'not pay for bodlly.injuryor prOperty, damage
caused by anyone using a car not insured urcler.this part,
owned oy you or a household resident.
REGULARLY USED ~,NON.OW. NED.,.CARS
We. will not pay for bodily injury or prOperty.damage
caused b~..you .or. a. household resident.u~ng a non-
ownedcar not, insurei3~nder, this p~:~ i~egu!ady used by
you..or, a. household re~ident.
CARS FOR~HIRE," ~ '
We will not, pay:; for- bodily~inju~:or~prOperty=,damage
causeo by anyone using Ecar. covered~,under.thJs,part
to carry, people or prope~.fora fee 'Thisdoes not include
a car pool,, Bu~ you;and a reeident.'relative are covered
if~:eJther: ofyou,caus~ an accident While,a p.as~_enger in
a .nor~owned,,car, for~ h re.
~' CING' , ...: .._
*we'will'not:-bay~ for bodily Injury or ~roperty.damage
cause~l' by anyone using a car coveredunder this pan
· if the'car was*being used in any'organized racing, sDeed,
demolition or stunting contest or related activity.
BUSINESS AND RESIDENCE
We will not.pay for bodily injury or property damage
arising out of the use of a car, trailer, camper unit. cad
or similar type over, being used, or located for use '
as a place of L,-.~ness or asa place of residence.
HOUSEHOED RESIDENTS
We will not pay for bodily injury to you or a household~
resident if caused by you or a household resident.
We will not defend you or 'a household resident in-:
any su~s Drought against each other directly or indirectly .:
by a third party.
YOUR EMPLOYEES'
We will not pay for bodily'injury ~o an emoloyee of i
yours while in the course of emoloyment. But,bodily ,!
injury [o a oomest~c employee ~s covered under th~s '
par[ if such employee is not.covered ano ooes no[ nave,
to be_covered unoer any worker's compensation law.
disabil~y law or similar ~aw.
FELLOW EMPLOYEE
Wa wilJ not Day for bodily injury caused by an insured
(other than you) to a fellow emDtoyee while the insured '
is using a car in his or her employer's business.
AUTO BUSINESS
-
.We wiJl no[ pay for bodily injury or property damage
caused by anyone using ~.non-,ownedcar in .any kind ?
of auto business. Examoles of auto business are: sell- ~
!ng, reoaJnng, servicing, storing or parking care or other
vehicles. But you,. a reeident.relative and a business
associa[e are insured wiiile using '.:any. of*.your..care.i
covered under this Dar[.
BUSINESS OR JOB
:We.wilt: not cay'for bodily injury or prOperly damage
cau~ac by anyone (other than 'you' or"'a residant
relative) using a.non-owned car-in any. business oriob.
WAR
We wih not pay for bodiJy injury or prOperty damage
causeo by .'any act of.~var, warlike .ac[. ~nsurractlon,
rebellion or revolution. Also, we will not pay for a loss
causeo by discharge of any nuctear weapon, even if
acciden[aJ.
NUCLEAR LIABILITY
We will no[ Day for bodily injury, or property damage ~
caused by anyone WhO:
?
1. Is an insured un o.er a nu~ear enr liability policy;
or
2. Would be an insurea under a nuclear energYliability
oolicy'but for the exhau~on of its limit of liaPilby.
CRIMINAL ACTS
Wewill not Day for bodily injury or property damage
caused by anyone while attempting [o commit a cnme or
to avoid arras[.
INTENTIONAL INJURY OR DAMAGE
We will not pay for bodily injury or property damage
which results from an act:
1. That is intended by an ~nsured to cause norm: or
2. That .an insured could reasonably exoect would
cause harm:
This exclusion applies .whether or not an insured inteno-
ed or expected the resuks of their act, so long as the
resulting ~njury or damage was a natural consequence of
the act. · ', :-
PUNITIVE DAMAGE '
We will-not pay for 'damages assessed as' ounitive, ex-
emplary,or vindictive against an ,insured.
YOUR PROPERTY
we. Will not pay for any damage to pro~erty owned or be-
~ in~ transported by amJnsured oerson. We will not pay'for
damage to property under the care of or rented to you
or a household reaident. But.we:will pb, y for damage
To a residence or garage rented to yeu or a resident
HOWWE WILL SETTLE Ai CLAIM(PAR T 1)
I~IMIT OF LIABILITY --'B~DILY INJURy=
EACH .PERSON
7~he.limit-stateo.under BODILY INJURY LIABILItY--
EACH. PERSON on the,Declarations is the limit of our
liability for all damages, including damages for care or loss
of services, arising out of bodllyihjury to one person as
a.,'result of any one accictent.
LIMIT OF LIABILITY -- BODILY 'INJURY: '
EACH ACCIDENT
The limit s[a[ed under BODILY INJURY -- EACH
ACCIDENT on the Declarations is the limb of our liability
for all damages, inclu damages for care or Io~s of
ser~cas, arising ouz cf ~odily injury as a result of any
one accident.
LIMIT OF LIABILITY -- DAMAGE TO PROPERTY
The limit sta[eo unoer PROPERTY DAMAGE LIABIL.
ITY -- EACH ACCIDENT on the Declarations ~s the
limit of our liability for ail property oamageo including
loss of use n any one accident,
OTHER INSURANCE -- YOUR CAR
If there is other ~nsurance which coVers a loss under this
cart. we will pay our. snare af the Joss. Our. snare ~s the
pro[~ortlon our limit bears to the total of ail applicable
limbs, But we will not pay for a loss caused by anyone
using a newly acquired (additional 3r replacement) car
if you have another insurance POlicy that covers it;
OTHER INSURANCE -- NON-OWNED CAR
(INCLUDES A SUBSTITUTE CAR)
In the case of a non-owned car covered unoer this
part, we wJJJ' pay only those 'damages'that are excess
over amounm payable under any omar insurance up
to our limit of liability.
FINANCIAL RESPONSIBILITY LAWS
If we cerdfy this policy as proof of future financial respon.
sibility m keepings=with the laws of. your state, the
coverage provided.under this oa~t will comply withal
requirements of-your: state,s law.
PART2 MEDICAL
PAYMENTS"- ' ' '
IF YOU ARE INJURED.
IN A ,CARACClDENT.
OUROBLIGATIONS TO'YOU (PART 2)
MEDICAL: PAYMENTSCOVERAGE
If you have this coverage (seethe Declarations), wewi~
pay uD to our limit of liability for an insured's reasonable
exoenses for necessary medical and funeral serwces
which resuit from a car accident covered under this Dart,
We will pay only those expenses incurred within three
years from the accident.
YOUR OBLIGATIONS TO I '~ (PART 2)
The following provisions apply in au,~[ion to any duties
listed in the GENERAL PROVISIONS section.
ACTION AGAINST US
No one insured u rider this Dar[ may take any legal ac-
t;on against us until 30 aays after notice of loss nas Peen
g~ven to us an(~ all obligations unoer tills policy nave
been fulfilled.
WHAT CARS;ARE COVERED (PART 2)
CARS DESCRIBED'ON THE DECLARATIONS
This cart covers oars for which a oremium charge for
this coverage is shown on the Declarations.
REPLACEMENT, CARS
If you acou~re ownership of a car to reolace a car
covered under this part;the newlyacouired 'CaT,has the
same coverage as the.old ca£, You~must notify us of the
replacement within 30 oays after you.accluire the.car,
for coverage to continue after 30 days.
ADDITIONAL CARS
rf you acquire ownersh P of another-car in addition to
ti~ose .describe~ as covered under this part, this Dart
covers the new car for the first 30 days:-The new car has
thesame coverage:as a'~iy of your.'other cars'~nsureO
with us. All your other cars must 'be.insured with' ue for
this part to cover the additional car,
You must let us know Within 30 days'salts? you acqui[e
ownership of the new car thru you want it insured under
this Dan for coverage to continue aftec30'days.
SUBSTITUTE CARS '-" :. ' ~ ' ' ':
If a car covered;under-this Dart'breaks down, is being
se~viced:or,'repaired..;oF, is:stolen,or,:destroyeo, we will
cover a car.you I~orrow.temporarily:,(with:the owner's
permiss~on).while your car is being repaired or replac-
so. This car cannot be owned' by you or a household
resident, The substitute car nas the same coverage as
the car that ~s ou~ of service.
10
OTHER NON-OWl"CD CARS
In addition to SUBS.. LITE CARS, we v~ill cover ~ non-
owned car. The owner muss give Dermlss;on to use it.
The non-owned car must be used in the way intended
bythe owner. This inctuoes a ren~er~ car for a period of
uDto 30 consecutive cays. The non-owned car has the
same coverage as any one of your. cam insured'with us.
TRAILERS, CAMPER UNITS, CAPS .OR SIMILAR
TYPES OF COVER
We will cover all trailem designed to be ;~ulled by a car.
We will cover all camper units, caps or similar types of
cover designeo to Be mounted on a car or trailer. When
a trailer, camper unit. cap. or similar type of cover ~s
attached to a.car, it is considerec to be one vehicle.
There ~s no coverage for a trailer, camoer unit. cao or
similar type of cover while used with a car not insured
unaer tiqis part.
WHO IS INSURED (PART 2)
IN YOUR CAR (INCLUDES A SUBSTITUTE CAR.)
You and a resident relative are insured.while u~ng your
car or a substitute car covered.under this part,
Other people are insured while using' your'car or,'a
sub, stitute car, covered under this part if you give them
permission to use it. They must usethe ca[ nthe wayyou 'ii
intended :.'
IN A'NON-OWNED CAR -"
ou anda resident r~lative are ~nsured while u~ng a
non-owned car. The owner must give permission to
it. It~mus~ De us?d in the way. intendsd by the owner.
Other poodle are insured whiie u~ng a non-owned car.
But, they are insured in this car only if the accident r~§ults
from the actions of you or a resident relative as a driver
or Dassenger. This includes actions of your private ddver
;wno ~s operating the car for you.
HIT BY A MOTORVEHICLE
You an~ a resident relative are insured if~hit by a motor
vehicle while a pedestrian.
LOSSES WE',WILL ~OT P" ' FOR (PART2)
CARS OWNF_..~ BY HOUSEHOLD RESIDENTS
We will not Day -for bodily Injury to anyone using a car
not insured under this part, owneo by you or a
household resident.
REGULARLY USED NON-OWNED CARS
We will not pay for bodily injury[o, you or a houeehold
resident using a non-owned car not insured under th~s
part, regularly used by you or a household resident.
CARS FOR HIRE
We will not pay for bodily Injury. to anyone using a car
covereo under this part to carry people or property for a
fee.. This does not include a car pool But you and a re, si.
dent relative are covered if injured in an acc~oent while
a passenger ~na non-ownedcar being used to carry
people or property for a fee.
RACING
We will not pay for bodily Injury to anyone using a Car
covered under this part if the car was being used in any
organized racing, speed; demol/tion or s~unting contest
or re~ated'activity.-
BUSINESS AND RESIDENCE
We will not pay for:-bodll~; injury to anyone ans~ng out
of theuse ofeCar;~t~aJler~ camr~e~:unJt,~cap or similar type
of,cover/being used .or located.for use as a place of
b~sineSs. 0~ 'aa.a~pJace~
WORKER'S COMPENSATION CFi SIMILAR LAWS
We will nm pay for.bodily injury tQ~nyone when pay-
ment under this part duplicates benefits recovered under
any worker's comoansation raw, disability law, or any
similar law. ·
AUTO BUSINESS
We Will n~)'t pay fo~ b~dilY injury to anyone ~sing a non.
owned Car'm any kited of auto ousinees. ExampJas of auto
business are: selling repairing, servicing, storing or oarK-
mg cars or other veniclas. Bu~ you, a residentrelative
and a business assocIate are insure~ while using any of
your cars covered under this part.
BUSINESS OR ,'
We will not pay for bodily injury .to anyone (other than
you or a resident relative) using.anon.owned car
any business or .lob.
WAR
We will not cay for bodily injury caused, by any act of
war. warlike act, insurrection, reballion or revo~L~on. Also.
we will not pay for a ,oss caused by discharge of any
nuclear weapon, even if accioental,
NUCLEAR CONTAMINATION
We will not pay for bodily injury from or as a conse-
Quence of the f0JJowing, whether controlled or uncontrol,-
ed or however caused:
1 Nuclear re~,ction;
2_ Nuclear radiation; or
3. Radioactive contamination.
CRIMINAL ACTS
We.will not :~y for ~ny bodily injUry t~'anyone while at-
tempting to commlt'a cnme o~ [o avoid arrest.
INTENTIONAL -INJURY: ' :.-" ''
We will no~ pay for bodily injury!which r~sUlts'f~m an ac[:
~- '1: ~at~,isJdt~nded~by:an'insbred. . .
2.'. That. ar~"insu~ed could reasonably~ expe~t
cause'harm.
This exclusion app es whether or not an insured intend-
ea or expected the results of their act, so long as the
resulting injury or damage was a natural consequence of
the act, - - :_
HOW WE WILL SE~LE A CLAIM (R/iRT 2)
The-limit sra~ed under MEDICAL PAYMENTS'~ EACH
PERSON on the DeClarations is the limit of our liability for
all damages arising out Of.'bodily,injury to one person
as a rasu~t of any one accident.
11
TO WHOM PAYNENTS ARE MAP'=-
We can make thes~ oayme~ts eith~, ..~ the iniured per-
son. ms or i~er. legal representatives or. he~rs, or to those
nroviding the services. By making these payments, we
are not aomitting that any person is responsible for the
aooJoent.
OTHER'INSURANCE -- YOUR CAR
If there ;s other car medica~ payments insurance.which
covers a loss under this cern, we will pay our snare of the
loss. Our snare istbe Droportion our limit bearsto the total
of all applicable limits.
OTHER INSURANCE -- NoN-OWNED CARS
(INCLUDES A SUBSTITUTE CAR)
In the ~qse of a non-owned car covereo under this par[,
we wiJJ pay only those medical expenses that are excess
over amounts payable under any other, car medical
payments insurance up to our limi~ of.liability. -
PAR.T. 3 COLLISION ' AND
COMPREHENSIVE. --
IF YOURCAR IS'DAMAGED
OR STOLEN
OUR'!OBEIGA;IONS.,TO YOU, (PART.3)?
COLLISION COVERAGE
I you have th;s coverage (see the'Ded ~ration~)', we will
pay for acc d~ntai damag'~'t0.~0ur, n§u~d' car Er trailer,
including its e0uioment,'ifitC011ides ~ anothe~ object
or if it rolls. Dyer. ·
'COMPREHENSIVE COVERAGE-
If you'have this coverage (see the-E)eclaratJbns), we'will
pay for any.direct and accJde~al loss'of or damage to
your'insured cai; Or trailer, inclLidi~g its equ ~ment, ~,aus-
ed by anything other than collision except as shown under
LOSSES' WE WIEL 'NOT'PAy FOR (PART 3). Ex-
ambles of comprehensive coverage losses are: glass
breakage (even ifthe glass is broken in a collision), theft,
fire, flood, hail earthquake, vandalism ano collision with
a bird or anim~
12
If the car ~s stolen, ""e will reimburse 'you far your
[ransDortation cos;s, * ' '
,he car ~s back ~n use or until we
offer [o pay for me loss. Transpor[at~on costs will be
coverea beginning 48'hours at[er me theft has been
reeorted to the [~olioe and to us. We-will pay up to $15
a day for these transoortation costs up [oa ~o~ai of $450.
TOWING AND LABOR COVERAGE
Jf you have this coverage (see the Dec;arations), we.will
pay for towing charges and the cost of labor none.at the
scene cfa breakaown. The limit for this coverage ~s ShOWn
on the Dectara~ons.
RENTAL CAR COVERAGE
If you have this coverage (seethe Declarations), we will
re~mourse you for the cost of renting a car if a car you
ow;' rs ou[ of Jse for more than 24 hours because of:a
Collision or ComorehensiveJoss. Bmthis coverage does
no[ apply when a car is stolen and Comprehensive
Coverage applies.
We will only pay for actual rental costs for the time ii would
normally take to repair or reDlaoe the damaged car up
to $15 a day and's450 per accident.. ..
You must promptly notify us of the amount-you spent for
rental c~f the car in the'manner and time we reasonably
request. ' · :'-.' · - "~:
The following provisions' apply in a~Jdition 'to any.duties
listed ~n the GENERAL PROVISIONS Section,
ACTION AGAINST; US ' :" ..... '~ '~' '~F'
Noone insured udder this part'maytake any legal'actiVin
'against'us until 30 oays after they nave given us, notice
been°f'l°SSfulfll~ed.and only' if'ail obligations under'this policy have.
WHAT CARS ARE COVERED(PART 3)
CARS DESCRIBED ONTHE DECLARATIONS -
This part covers cars for which a premium charge for
these coverages Js shown on the Declarations.
REPI.;ACEMENT CARS
If you acouire own(BrshiD of a car to replace a car'covered
under this Dar[, me newly acauired car nas the same
coverage as the old car. You must nofify us of the
re[~lacement within 30 days after you acquire the car, for
coverage to contir~ue after 30 days.
ADDITIONAL CARS
If you acouire ownershio of another car in addition to
those described as covered under this par[, this par[
covers the new car for the first 30 days. The new car nas
the same coverage as any of your other cam ~nsurea with
us;.A your other cars must.be=~nsured with us for.this
Dart to cover the additional car,
You must lotus know within 30 days after you acquire
ownership of the neTM car that you want it insured under
tn~s Dart for'coverage to continue after 30 r~ays.
SUBSTITUTE CARS ,
If a car covered under this part breaks down, is being ser-
viced or repaired, or is stolen or destroyed, we will cover
a.car you borrow temoorarily (with the owner's permis-
sion) While your car'is being 'repaired or repJaced., ri'his
car cannot be owned by you or a household resident.
The substitute car has the same coverage as the car that
is o~':Offse[vice. .. ' - . ~
OTHER NON;OWNED OARS . ,~ ::.
In addition to S .UBST!TU'rE CAR~, .we.will. cover a non-
owned car. The owner must give permission to use it.
Th~in°n-oWnbd;car'muSt be usecl' ih'the'way intended
by the owner. This includes a r~r~e~l car for aperiod of
up to 30 consec.!.~tive days..The.non-owned car has.the
same coverage as any one of. your cam insured with us,
LOSSES WE WIEL NOT PAY FOR (PART 3)
CARS OWNED BY' HOUSEHOLD 'RESIDENTS
We will not pay for damage to or loss of a car not insured
und_er tn;s part, owned by you or a household resident.
REGULARLY USED NON,OWNED CARS.
We'will-not-pay.fordamage toor loss oia non-owned
car not insured under this par[, regularly used by you or
a household resident. -
CARS FOR HIRE
We will not pay for damage to or loss of a car used to carry
people or proper~y for a fee. Th~s odes not ncluae a car
Pool.
CAMPER UNITS, CAPS OR SIMIEAR TYPES OF
COVER
We will not pay for damage to or loss of a camber unit,
cad or similar type of cover, including its edu~pment and
accsssor~es, unless the ownership or use of the camper
unit, cad or similar type of cover has been reported to us
and the required premium nas been oaid. A camper unit.
cad or similar type of cover is designed to De mounteo
on a car:or trailer.
TRAILERS
We will not pay for damage to or loss oia trailer, unless
the ownership or use of the trailer has been reported to
us ant the required premium has'been paid. A trailer is
designed to be pulled by. a car.
CUSTOMIZED YEHICLES
We will not pay for .damage to or loss of any customized
features un,ess t~e'vaiue of the customization has been
reoorted to us and it is included in the premium Which has
been. oaid for this coverage. Customized features include
any: furnishings, carpeting,, custom instailed~haig~ eXten-
ding ,roofs,.:_custom paint, .custom :painted windows,
custom inures, graphics or other custom applied designs
or e~u~pment. This includes items ~nstaJled at the time of
the vehicle's manufacture or. after.'
We. will.not Day for damage to oF. dSS of a car covered
under this part if the car was being used in any organ-
izeo racing speed, demolition or stun~ng contest or
related activity. ' '
BUSINESS. AND RESIDENCE
We will no~ pay for damage to Or loss of a car,-trailer,
camper unit, cad.or similar type of cover,, b~ng used or
located for use as a place of business or as a place of
residence.
13
AUTO BUSINESS.
We.will not pay for damage to a car. or trailer you do not
own if you are using it in any kind of auto business. Ex-
amples of auto busi ness are: selling, repairing, servicing,
storing or parking cars or other vehicles.
WAR
We will nct pay for damage caused by any act of war,
warlike act, insu rrection,.rebetlion or revolution. Also, we
will not pay for a loss caused by discharge of any nuclear
weapon; even if accidental.
NUCLEAR CONTAMINATI°N
We will not pay for damage from or as a consequence
of the following, vchether controlled or uncontrolled or
however caused:
1. Nuclear reaCtion; '
2. Nuclear radiation; or .
3. Radioactive contamination. '
CRIMINAL ACTS: '
We will n0t~ pay for: damage'caused 'by anyone while
attempting to 'commit'a cdme or to avoid arrest.
Wew not: pay for damaga.which results from an act:
~ 1. That is intended by an insured tO:cause harm; or
i .2.-Tha~ an;'ihsured'.~oU!d reas0~ap, ly eX~ect Would
I: ' · Ca~seharm. ::::; . ::: .. :
ii
This exc us on applies whether or not an insured intend-
¢
ed or expected the results of their act, so tong as'the
resulting injury or damage was a.naturai consequence of,:
the'act. :.' ' ': .' ::.:'-
Pi SOUND (RECEIVING, RECORDING, REPRODUCING
Yi OR TRANSMITTING) EQUIPMENT
e~ We will not pay for IosSto' §~' e~L~iP~e'nt ~l~i~tfi'i:S noi:
ar permanently installed: Equipment must be installed in the
br dash orconsole opening specified by the manufacturer
fir( of the c~r, trailer, camper unit, cap or simila~.type of cover
for such equipment to be considered permanently
al
instailed.
12
14¸
Loss to ~aoes, records, ther devices for use with eouip-
ment designed for the reoroauction of sound will not be
6overea.
WEAR AND TEAR
We will no[ Day for damage which is due an(; confined
to wear and tear. freezing, or mechanical or electrical
· Breakdown or failure. This does not apply to damage if
your car is s[o~en.
TIRES
We' will not pay for loss to tires unless the loss is caused
by fire. vandalism, malicious mischief, theft, or unless the
~oss ~s caused by an accident covered under this Dart.
ADDITIONAL LIVING FACILITY EQUIPMENT
We will not Day for damage to or loss of radio:or '~
antennas, awnings, cabanas or any ec!uipment cosigned
to create extra living area while the vehicle is set' uo for
living off the highway.
PERSONAL PROPERTY
We wi 1. not ~ay for damage to or loss of personal proper-
ty .in .acar. . :
HOW WE WILL SETTLE A CLAIM (PART, 3)!
LIMIT .OF LIABILITY
Our~limit of'liability*will,b~ the feast of the:
~. Actual cash value ofthe damagedor stolen proper-
ty at the time of the loss;
2. Amobntnecessary to repair or replace the Pr°porty
with other of like kind ano quality; or
3; Amount. stated on me Declarations.
A theft .loss= to oermanently installed sound (receivingl;
recording, reproducing or transmitting) equipment ii
covered up to $1,000: · '
Loss to a non-owned trailer when pulled by a car
covereo up'to $500. We will only Day the part of a Ioss~
Caused by damage to or'theft of a non-owned trailer th~
is excess over the amount payable Under any other i~
surance wh ch covers the loss. '
Our payment will be'reduced by a~- plicable deduct-
ibie shown on the clarations. But, z~ ~e Comprehensive
deductible will not apply to breakage of front Windshield
glass when GLASS COVERAGE is printed on the
Declarations under the deductible amount for that car,
!fyouare in a collision with any other vehicle or trailer we
Insure (under another policy), the deductible does not
apply.' But if two or more vehicles owned by you and in.
sured by us collide, the deductible applies separately to
each vemcle.
TRAILER, CAMPER UNIT, CAP OR, SIMILAR TYPE
OF COVER DEDUCTIBLES
A car with a trailer attached to r~ is cons~aered to De two
separate vehicles and separate deductibles apply,
A car wen a camper unit, cap or similar ~ype of cover
mounted on it is considerea to be ~ne car ar~o only the
deductible on the car applies. If the camper unit, cap or
similar tyoe of cover is unmoumea, separate deductibles
apply to the car and the camper unit, cap or s/tailor type
of cover.
CLAIM. SETTLEMENT
We may pay for the loss, or repair or replace the dam-
ogee or stolen property with matedal ~f Nike kind and quail-
ry. If the Stolen propemZ ~s recovered beforewe have oaid
you for itor replaced'~ we can re~urn it to you, along with
payment-for any damage .resu/ting from the theft. If we
cay for any property or pay for its replacement, we may
keep it; But:you.cannot require us to assume.ownershio
of oamaged property We may settle the c~alm either with
you or with the owner of the property.
APPRAISAL
If there ~s disagreement over me amount of~he less, either
of us may oemand an appraisal within 60 days after you
give us written proof of your loss. In tha~ case, each of
us will salec~ a qualified appraiser, The two appraisers will
select.an umpire. Each appraiser wil~ then state Doth the
actua~ cash value and the amount of the loss. If they
disagree, they will submit their differences to theurr, pire,
A decision in writing of any two of theee three persons will
determine the amount of the ~oss. Each of us will pay our
own appraiser. We will share eauaily the other costs ~f
the appraisal and of'the umpire.
OTHER INSURAN - YOUR CAR OR TR/JJLER
If there is other insurance which covers damage to or theft
of a car or trailer covered under this part, we will payour
share of the loss. Our share is the proportion our limit
bears to the total of all applicable,Jim ts.
OTHER INSURANCE -- NON-OWNED CAR OR
'TRAILER ('INCLUDES A SUBSTITUTE CAR)
In the case of a non-owned car or trailer covereo under
this Dart, we wil~ pay only that Dart of a loss causec Dy
carnage to or theft of the car or trailer that is excess over
amounts payable under any other insurance up to our
limit of liability.
LOSS PAYEE CLAUSE
Payment for toss of or damage to a car covered under
this part wiJJ be made to the Demon or organ~7~_fion shown
in the Declarations as the loss payee, This payment will
be mace. UD to the amount of the loss, to the extent that
the loss payee has a financial ~nterest in the car.
This insurance, covering the interest of any.loss :~ayee,
will not be.invalidated' because of the insured!s conver-
sion. embezzlement or secretion of the car. But, .we
reserve the dght to cancel or nonrenewthe policy.as per-
mitred Dy its terms/The termination notice wJJJ eno this
agree'ment with all loss Payees. Advance not/ce of ter-
mination wJlJ De san~ to the loss payee atthe time it is sent
to the named insurec.
If the ~nsured fails to orovide us with a proof of loss
a reasonablet/me period; the loss payee shall do so within
60 days of notice by us.' Further, the loss payee'shall be
subject to all provisions of the Policy relating to appraisals,
time of payment, payment of premium'and of bringing
suit.
When we say the loss cayee, we acoui~'e the loss'payee's
subrogation rights. When we make any payment under
this policy, we can make separate Payments to eacn party
at interest, provided we protect the ownership interest of
all parties.
15
aid Properly end ~ Insurance t'~ompa~
llad General Imm Oma'4~ny
dal Cornmerc~l Inlurimce Company
~te Office
,rham Avenue, South Plainfield, NJ 07080
/PA Ed. 7194
ThePrudentiai ~, '
· ,Car
·
/, r--". Parts
456 '7
THIS BOOKLET,CONTAINS MOSTOF THE;:
ENDORSEMENTSAYAILABLE IN PENN.
SYLVANIA. YOU ~ONEY" HAVE COVERAGE FOR
THE ENDORSEMENTS LISTED,~,ON YOUR,= '~' .~.
DECLARATIONS PAGE BY PAC NUMBER. SEE
LIST BELOW~FOR LOCATION ~WITHIN THIS
'TASL; Or CONTENTS. ~ ~
Pag
pART 4 U, iNSU,ED MoToRIsTS,
WHO IS INSURED - 3
LOSSES .WE Will .SE'r'rl.~ ACLAiM . , 3
HOW WE WILL SI=-FT!.~ ^ CLAIM ~. " 4
(PAC 5) ' '
OUROSUGATIONSTO'¥oU ,-,' ,~.:,. ·
YOUR 'ORLIG,'¥1'IONS TO ItS
WHAT CARS'ARE'COVERED ~ '
WHO IS INSURED',' :~.: ~ ' 8
LOSSES WE WILL NOT PAY FOR.'~ 8
HOW WE WILL SETTLE 'A~CI_~I M t-, '. ,'~ 9,
pART ~:E'iRsT P~RTY BENES=~ -:
PART 7 ADDED FIRST PART~ BENEFF~S
(PAC 7)
Pm(lentlal propertyand C,a~ualty Ineurance Company
Prudential General In"urance Company
Prudential Commercial Insurance Company
Suni=ares of The Pruclentia~ Insurance COml3any of America ·
Corporate Office : :' '
1111 Durham Avenue~ South Plainfield, NJ"07080 ,
QTHER NON-OWNED CARS
In 'addition to substitute* cars, we Will.cover a non-
owned,car. The owner, must give oermission to use it.
The non-ownKI car must be used in the way intended
Dy the owner. This includes a rented car:-for, a panda
of up to 30 consecutive days, This non-owned car has
the same coverage as any one of your cars insured
with us.
WHO IS INSURED (PART4)
IN YOUR CAR (INCLUDES A SUBSTITUTE CAR)
You.and a.resident relative.are:insured,while using
your car..or a.substitu~e car covered under, this parz.
Other, peo¢ie.are:'ihsuCbd While' using your car or a
substitute car covered under this parHf'yougive them
-. permiss on.to use, it; They;.mus~.use the-car in the way
you inter~ded::: ~ ~-.. ,.::
IN'~A~NON:OWNEDC~R! ,:.~ ':
You an~ a resident,relative'aide insured while using
a non-owned car. The owner must give permission to
uselt: 'lt'mbst be'b§ed in thie,way;i~ended by.the owner.
HIT BY AMOTOR VEHICLE
You and a resident relative are InsL~i~*'~l iihJt by an
uninsured motor vehicle while a p~destrian.:
LOSSES WE WILL NOT PAY j~OR*(pAR.'I'- 4)
'UOSSES::DENIEB;. EXCL'UDED' OR';E')(HAUSTED
a Car insured 'bn~ this CUIJC~ is' ~J:nsSred because
coyerage :S '~bnieS~,~ e~leded-'o~':.exhau~ed under
anothe~ pan ofthis'pOiJcy "~ ....... '
OTHER.HOUSEHOLD,VEHiCLES .
,We r~l~ gm. pay,:: for .~1~.. inju~ to. anyone.
occupying or ~ck by~ a m~or ,vehicle.owned :or~
le~ed by you or a h~hold ~ident ~ich s
REGULA'RLY ED. NON-OWflED MOTOR
VEHICLES'.
We will not pay for bodilY injUry to You or a household
resident using a non-owned motor vehicle not in-
sured under this part, regularly, used *by you or 'a
household .resident.,. ~,
CARS:FOR.HIRE :.. ~,...~
we Will not pay for b0dilY:injui;y.to any"one using a car
covered under this part to.car~y people or propert7 for
a.fee, This, does not inclUde.a car' pool.' But you:or a
: reeident,relativeare c'overed if:injured in an accident
while a passenger in a non-owned car being usedto
carry people or property for a fee~.
LAND VEHICLES
We Will:not,.pay for bodily injury..to;-anyone,hit, by the
following land vehicles~ ~ :.
1. Motor vehicles owned or operated by~ self-
~: insurers under apE~nanc a ~respons b ity aw or
similar aw ·
': 2: Motor vehiClee~wned or operated by agoverh.
ment agency.in.the United Statesof. America or
in Canada; '; ~; ~', ;'~
_3,. land,yah cles operated on craw erttreads or raj s
~: ~: MotoPvehiclesOr-equipment,designed:for use
mainly off public roads,~(unless~.the :accident
happens on a public road);: :
We will not pay for bodily Injury to anyOne, us ng a car
covered under this Part if the car was being used in anY
organized racing, speed, demolitionOr stUntihg~6nte~t
'or'related.:acti~itY:":;;~~: ~:~ ;.':,.: 'i
BUS1NESS-ANDRESiDENCE" ;.' ~':,:.:, ~ :7:¥
We w not pay for bodily.injury tO anYbne aris n'g 0bt
: of the use of amotOr vehicle;~railar 'cam per u nit, cap
or similar type of cover, being used or located for'use
as a:place0[.bus nes~ or. as a place.of residence.
· .WORKER,S COMPENSATION OR SIMILAR LAWS
We will not pay for bodily Injury to anyone. When pay-
ment under this part duplicates benefits payable under
any worked s'co rr~ensatien,..di,. ,ty, or similar laws.
Aisc, this coverage shall not apply directly, or indirectly
to benefit any ~nsurer or self~insurer, under any worker!s
compensat.on,, ~ sab lity or similar laws,
AUTOBUSINESS
We will not pay for bodily injuryc~dsed by anyone us-
ing a motor vehicle in any automobile business:(such
as selling repairing..ser~c~ng, stor rigor parking cars)
But '~OUr! a,reeident re.lative, or-~any business
associates(for whose use:off'the car you:may be helC
-legally'mspon~ib e) areinsured while using any of your
cars coverad~;u, nde~ this.part. -. -
BUSINESS OR. JOB; .... *'"' -"
We will not pay for bodily Injury to a'ny0n~ (~th'~r than
you or.a.fe~ident~relatiye) using,a non-owned:motor
vehicle in any business or job: .....
'Wewill~not~l~-for bbdlly,litju~¥ caused"b~/-any act of
war, warlike act, insurrection, rebellion or~rev(~lution~
Aisc,. we w I..not pay-for,, s. toss caused ;by discharge, of
any'nuclear::weal3On, even if.accidentaL
NUCLEAR CONTAMINATION ·
W~~ Will~not'~pa~f0P bO~llly-inj[Ji;y, from o'r,as a-conse-
quence,of~the;.fc~llowing, whether cc~3troi ed,o~.~Jncon-
· 'trolled,or.ho.waver caused: ~ :; ..:.
1. Nuclear reaction:? : -: "~. '~: :':? -
2. Nuclear radiation; or
We will not pay for bodily injury to,anyone~whle
attempting zo commiLa...~i., 'me.or:.to avaid.a~rest,.
INTENTIONAL INJU~. .....
:..}Ne will no"Day.fo r;bodily.*inJury which results from an
ac:~::. .:,:,,:~ ~.?;-,.,., :,, · ::. - . . .:.f ..-'·
1':'That iSinYended'by.an'insured'to cau.~e harm; or
· "'":2; atari: nsured could'TeasOnably expect WOLf d
';cause.harm. :: ;.,~: .~, ,,.?:.:,,,,
4
This exclusion aL s'whetherornotan insure"d intend-
ed or expected the resuits.,of their act. so long.as the
resulting injury or. damage,wasanatura~ consequence
of.the
PUNITIVE DAMAGE
We will no~ pay'for oamages assesseo as punitive,
exemplary or vindictive,
HOW WE WILL SETTLE A CLAIM (pART 4)
LIMIT OF COVERAGE . - .... ,- . ~....
If you or a resident relative msureo under this part is
T. In a.car'th.at~is insured'bythis'oart'--.we~will;n0t
;~ay*m0re.than'the4imit. cf coverage'for'this'part
shown,on, the.Declarations applicabletothat Dar-
2. In a carthat,isnot4nsured by ttcits Pa-rt-or Wtiilb a
pedestrian -- we will not pay more'than'the'lih~it
of coverage for this Dart,showi3.on,,the--,Decla~a.
tigris applicable to any one.~r ns, ured under th s
:f: s limit of coverage:app es raga_rd ess pi, the number
of:
- 1. Insureos,
3. Claims made or;
:4: 'V&~id~s: ~nvd~/ed iri the ~Gciderit Or 15.4~': ........
".l!any,oth~p. er-son nsured u.n~e(tb..s:pa(~' s~.p~an?acc -
gent'in a car that is insured bythis:pa~,.we;will nmrpay
more than the limit of coverages f0.i'~ ~.t particular ~ar.
' Th'i.~ limit bi-ocr)er&ge a'p~iies ~{~J~dies~ ~)fthe nU¢~t~r
vO¢ polibies, insu, reds, ir{sured cars, claims ma~J'e; ~)r
ehicles i d~01ved in the'J4ecident 0~ Io~'S. Cove,;ages ~)n
other cars insured by us cann~i be added {o or
ed on the coveragb .0f'th~ IJart (~atarCcar~'ir~9ei'~ed
But;' noinsured is entitled t(Trecei(/e duplioate Dayrr;bnts
forthe same elements ofqoss.:' .' :,'.-: ~'' '- ' ..-
STA¢KINO OF'UNINSURED MOTORISTS
COVERAGE LIMITS ' .... ""; :'
If you have selected this option (the Declarations will
dicstes~acldng applies) then stacking of coverage under
this part applies to~ou and'a reeiQ .... relative insured
under this part. This means' that you or- a resident
relative can add or stack the Uninsured Motorists
Coverage limits of other cars insured for this:coverage
ny us upon the Uninsured Mo[orists Coverage limits of
the =ar involved in the accident or ~oss.
The LIMIT OF COVERAGE in the General ,Provisions
and section titled LIMIT OF COVERAGE Under "How
We Will Settle A Claim" unaer Par[ 4 do nm apply.
NON;STA'CKING OF UNINSURED MOTORISTS
COVERAGE'LIMITS
If you ha~)e selected thi§ option (the Declarations will in-
dica~e non-stacking applies) then the Limit of Coverage
under this policy's General Provisions and the Limit
of Liability under.PRatt 4; "How We Will Settle A Claim"
apply to youancLany, other person insured unoer this
part This means that ifyou or any other person Insured
unaer this policy,~!s in:an acc dent:
1) In a car that is insured bythis policy-- We will not
pay.~more..'than the mit of.liapility for. the :~artJcular
car involved, i.n the?acc dent:-: ..... :r.':
'~':2) In a car_that, s~ot owned bY.~,you or a.reeident
- relative:or, while a-pedestr, ian -- You are entitlea
- ,to the.,:highest.!i~it of--Uninsured Motorists
Coverage .available on any one car as to which
. you,are a named insured or an insured resident
relative: If you chods~'~e coverage availab e to
. ,You as an insured under.this POlic~ part then we
.will Pay', ~b~e damages that are excess over
a~oL~r~tS PaYable on'ne car you Occupy, at the
time of the accident. If you choose the coverage
"~ "availabl~"~o~.you as. an insurec under another
.... policy, then wewill not pay for damages under this
policy 'part:
This limit of.coverage applies regardless.ct the number
'of policies, insureds, insured:care, claims-made, or cam
!nvolved in'the accident or loss. Coverages on other cam
insured byus. cannot be.addect to or stacked on the
coverage of the particu ar car involveo.
LIMIT OF LIABIL._ ,--BODILY INJURY:
EACH ERSON
The limit stated under UNINSURED. MOTORISTS--
EACH PERSON on the Declarations is the limit of our
liability for all damages, including damages for care or
loss of services, arising out of bodily injury to one
person as a result of any one accident.
LIMIT OF LIABILITY--BODILY INJURY: EACH
ACCIDENT .': ·: ~' :
The limit stated under UNINSURED MOTORISTS--
EACH ACCIDENT on th'e Declarations is the'limit 'ofou r
liabilityfor ail damages including damagesfor'care.or
loss of services,~arising out:of bodily Injury as a result
of any one accident.
Any,Medical. Payments datermined:to be.payable
under this part.:are subiect to a maximum payment for
the service provided as established .by Act 6
If a Prevailing m~dical fee~ bharge br payment has not
been calculated, under:.the:Medicare. Program for a
treatment;' accomodation, Pr0dUct or service, .the
amount of our paYrhentWill:not e~ceed 80O/o,of the
medical providers d:sual and cust0m~rY,chai~ge: Pay-
ment for'acute care i~an accredited acute care facility
,or; burn:~foundation:.~wilh not :~exceed, the usual:and
customary:charge:~::::. :-. ,, :~.. ,:,
If the Pee~'r~Vie~ pt6~mm;:e~b Shed bY'AC~ 6-is utiliz-
ed;:. an: insured covered' undeFthis .part-may reqhest
reconsideration of the peer review initial determination
,~o! the disputedmedicahnecessity,of treatment or ser-
v~ce~. A request for?reconsideration must ;be made
within 30 days of the initial determination: '.,
ARBITRATION .?.:, ,;.,: .:: ;: :-:
If:We ahd,an ineureddo~fiotag~e& ::~,:: *
': i':¢Wl~ett~er th~':P~r~i~: is entitled :t0 recover
. 'damages; Ces~ultir~g' fr°m the; negligence, of the
owner' or operator of' an uninsured motor
:':'vehi¢le;.or,,,,:: ,; ,.: ;: ; ::, ,
2. As to :the arnOur~t of compensatory damages;
EitherParty maY make AWritten demand for arbitration.
In thiS;.~vent~ each par[y will select an arbitrator from the
county Where the insured lives~ The two arbitrators w
5
select a third art~itrator.from the le county. If they
cannot agree within 30 days, either par~y may req west
~election from a judge of a common p~eas court hav-
ing jurisdiction, where the insured cia~mmg coverage
'lives; or-by a iudge ~n the Federal Distnct Cour[ whose
InU~Sdicti°n incluaes the courtly where the insured claim'
coverage lives,
Each Party will:
1. Pay the expenses it recurs; and
2.., Bear the ,expenses .of the,third pa,rty eq ua y..
Arbitration'will De condumeo in the county,where.the
~nsure'd Jives.. Local. ru~es, ~f procedure and 'evidence
will aD'ply, to the,entire,Arbitration process..
We will nm arbitrate questions of coverage or'law as
to whether a person'makJng a Claim is covered under
the policy., or is excluded under the. 'POlicy. All
disputes affecting'the'scope ofcoverage, the amount
of,coverege, a person's right, or eligibility to make.a
claim, ;or the.~insured's selection.co coverage, will be
determined by the: court n the. county, where the
insured Jives at-the time the demand .for arbitration
is made; or a, Federal District Cour[ whose jurisdiction
includes the cqunty where the, insureo lives.
Following the ent~ of an arbitration, award, either'~ar.
ty may file a petition to V~cate or modify the award in
the. court in the county where, the.arbitration was con-
ducted. The court, may modify.or correct [he a~va[d
where:" -
1, The.arbitrators addressed and resolved issues
not within'{he:scope of.~[heir authority under-
this policy; -. · . -
2. The arbitrators failed [o stay orcontinue th'.b;;
hearing ~n order, to permit a P@rty,.oDportun ty
.to present appropriate evidence or mst~mony;
3.The arbitrators were,biased .in the c'~nduct of
the hearing and.the-entry.of any. award.;:
4. Either party was denied aPPropriate.due pro-
cess rights to a full and fair hearing;
5..The arbitratorscommittad an error of law SUCh
that had it been a verdict of a:jury the court
wou~d have entered a different or othe~ judg-
ment not withs[andJng the verdict. '
If there is other insurance wiaich covers a Ioseunder this
Part;we will-oayour share of the loss:; Oar sha~e istl'ie
proportion our limit bears to the total of all applicable
limits.,
Arbitration will. be -.,nducted in accordance with the
Provisions of the Pennsylvania Uniform Arbitration Ac[
and the Pennsylvania Arbitration Ac[ of 1927.
JUDGMENT
We will not be b6uno'by any iudgment against any
person or organization Which was obtained withou[ our
written consent;
'PAYMENTS"REDUCED '.
Payments will be reduced by. an~ amount paid or
payable by persons
responsible..for.the.accident.
Payments under this part will also be reduced by any
amount paid ct payable unde[ithis.pol.icy or by pther
sources. - . ~.-
.... · ;: ,~ .
OTHER INSURANCE--Y:OUR CAR :
OTHER' INSURANCE--NON-OWNED:CAR
(INCLUDES A SUBSTITUTE CAR)
In, the case of a non-owned~ car covered under this
part, we wJlJ pay those damages that are excess over
am~)untspayable under any other inSUrance up to our
.limit, ofliability~ ,,,~. ... . ., - . . ~_.
A: 'Prior/ties of Policies. :'We will Pa-y Under this
part in accordance Wth the fo lowing Order of
Priorities. 'We Will not Pay f there is ariotF~'er in-
su~er at a higher'leVel 'of Priority. The P~'~rity
order is: ' - - "
First The p~licycov~ring ~'~(~:to; vshicle ~.
-. cup ed by injured person at the time of
the aCciden[.
Second .The policy, covering a motor;vehicle not
Involved in the accident with respectto
-which the.. injured person., s an insured.
If tWo or'more Policies,have equal pri0iity:-
1. The insure¢ against which the claim is- first
made under the above priorities shall process
and pay the claim as if wholly responsible.
The insurer is thereafter entitleo [o recover
oomdbution pro rata from any other insurer
policy with the highest dollar limits of benefits.
FOr the purposes of determining priorities, an
unoccupied parked motor vehicle is not a motor
vehicle involved in an accident unless it was
parked in a manner as to create an unreason-
able risk,of injury.. ,
PART 5 UN.DERiNSURED
MOTORISTS - - '
for the benefits p~id and t .cst of process-
ing the claim.
2. The maximum .recovery under· ali policies will
not exceed, the amount payable under the
PAC S PA'fED: ·
IF;YOU AREHIT' BYA:'
MOTOR VE .IiC E fHAT;Is
UNDERINSURED
OUR~OBLIGATIONS TO,YOU :'(1=ART 5)'-
NDERINSURED MOTORISTS ~VERAGE ';i
If yOU have this C0~erage.(seethe ~ecla~ations)' '; wilI
P~y up to our limit of li~ilitY::~)f:~dilY injury'thaf iS
covered under thisq~u-r-when ah insured (WhetherOr not:
occupying ia. car.) is-struck,?by an 5i~derinsured :motor
.vohi¢le;OuriPayment is based on the amSunt that an
~nsured is'l~gaJly~entitled:tO recO~/er for bodily injury but
couldin°t c°llact'fr°mthepwneror dd~er of the underin-
sured nmto~. ~e~iCl· b~auSe}
~ EOWNEROR DRIVER ISUNDERINSURED
The owner or 'di~ve¢ .resP0nsibl8 'for'the accident, has
liability insurance Or a liability'bond with limits that are'lass
· than.the, fall?amount 'tho"insured.is legally entitled to
recover as damages. .,~. . :;
No payment will be made under this pact;.until:liability, ..,
insurance and bonds of all responsible motor
vehiCles.are exhausted by payment ofSettler-dent or .
judgement.. This; isa co~erag, e of last':reso~t. '
YOUR OBLIGA..ONS'TO US (PART 5)
The following prowsions aDoly in addition ;o any duties
listed in the GENERAL PROVISIONS section:
ACTION AGAINST US
No one insured under this Pan may take any legal action
· against us until all obligationsunder this policy have been
fulfilled.
WHAT CARS ARE COVERED (PART 5)
CARS DESCRIBED .ON THE DECLARATIONS
This part covers cars for.which a premium charge forthis
coverage is shown on the Declarations.
REPLACEMENT CARS
If you acquireownership of a, carto replace acarcovered
unoer this Bart, the newly acquired 'car has'.the same
coverage .as the. old car. You must notify .us, of the
replacement within 30 days after*you.acqu re the car, for
coverage to continue after 30 days..
cARs
ADDITIONAL. ,
If.you acquire ownership of another car in addition to
those described as covered under:this"Part, this part
covers th e new car for the fi mt 30..days..The new car has
the same coverage as any of your~her cam. insurea with
ua. All your other cars must be insured ~ us for this
part to cover the additional car. ' '
You must let us know within, 30. days'after You acqu~r~
ownership of the new car that youwant,it insured unaer
this :)art, for coverage to continue after 30 days.
suas ' uT CARS
If.a car covered under this part breaks do~vn,.is being Ser-
viced or repaired¢,or is stolen or destroyed, w~ will cover
a car you borrow temporarily (with the owneOs permis-
sion) while you[ car is being repaired or. replaced. ]'his
car cannot be owned by you or a household resident.
The substitute car has ~e same coverage'a,~,~e car that
Is out of service.
OTHER',NON-OWNED CARS
In addition ~o SUBSTITUTE CARS, we will cove~ anon-
owned car. The owner mus[ give permission to use ~[: The
non-owned car must be usedi~ the w, ~ended bythe
owner. This includes a rentea car for a period of up to 30
consecutive days. Thenon-owned car has the same
coverage as any one of your care insured with us.
WHO IS INSURED (PART 5)
IN'YOURCAR (INCLUDES A SUBSTITUTE CAR)
You and a resident relative are insured while using your
car or a substitute car coverea under this part.
Other people are insured while using your car or a
substitute' cer covered under this' Dart if'you give them
permission to use it. 'they must use the. carin the wayyou.
intention.
IN A NON-OWNED CAR
You anaa rseident'relativeare insured,while using a
non-owned car;:The-owner must give permission to use
it, It must. be used in the.way intended by the owner..
HIT BY A MOTOR VEHICLE
You and a resident rel.tlve are insured if hit by an
undednsured motor vehicle while a pedestrian.
LOSSES WE WILL NoTj~AY FOR (PART
LOSSES DENIED, EXCLUDED OR EXI'IAUSTED
UNDER OTRE~PARTS
We will for bodily Injury .to anyone who claims
a car insured under this policy is underinsured because
coverage' is denieci, .excluded or exhausted" under
another part of~this' policy.
OTHER HOUSEHOLD VEHICLES
We will not pay for bodily injury to anyone~''
occupying or" struck'by a'motor vehicle owned'or
leasad by,,you nor a :household ,resident: which: is
not. covered', under this policy, or if'the liability
coverage, df' that vehicle is. used to pay 'any 'portion'
of"an'insured~s'bodlly Injury liability claim.
REGULARLY USED 'NON-OWNED ;MOTOR
VEHICLF~
We wilt not pay for bodilyinjury:to:yoU or a houSehold'.
resident uang a non-owned motor.vehicle not insured
under this part, regularly used by-you.or a houeehold
resident.
8
CARS FOR HIRE
We will not pay for bodily injury To anyone using a car
covered under this Dart to carry people or Droper~y for a
fee. This doesnot include acer pool, BUt you and a re, i-
dent relative are covered 'if injured in an accident while
a passenger in anon-ownedcar being used to carry
· people or orooerty for a.fee.
LAND VEHICLES
We will not pay for bodily injury To anyone hit by the
following land vehicles:
1. Motor vehicles ownea or operated by serf-insurers
unaer any financial responsibility law or similar law;
2. M°tor vehicles-owned~by:a government agency
~n the United States of America_or in Canada: ar.-.
3. Land vehicies operated on crawler-treads orrails; oh
4. Motor vehiCles or.ea~pment dasignedJor
mainly_ off aublic"roads (unless the .accident
'happer~s on'a pubiic.zoad).' :. ..
RACING . ,:.-,:..; .':' :: .'..~...,
We wi ;r~,:DaY;~r'bOdll:y~ii~j~.t~'~ne~j~i~''
covered under'this'part ifthe car:was ~eing used
organized ra~ng speed demolitio~ or stunting contest
or related activitY/;' ' ': :;; ':?"" .... ~'- '"'"~": ~:. :'"
BusINESS'ANDRESiDE~iCE~. --
We will ~3et..pay for.bo_ dlly injuqf, to anyone ads ng .out
otthe.use of a motor vehicle, trailer, camper.unit, cap
or similar.type of cover, being used.or located for.use~as..,
a place of.business or, as a, placeof.residence...
WORKER'S COMPENSATION OR SIMILAR*LAWS
We will not pay for bodl t
merit Under'this~part duplicates' benefits'payable under
ny worker s compensa~on,,d sability or s~m~lar laws. A so;
this coverage shall not apply directly:or indirectly to benefit:
any insurer or self-insurer Under any worker's compen-
sation, disability or similar laws. -,
AUTO BUSINESS
.We wilt n~t pay for bodily injury caused by anyone us-
mga motor Vehicle in any automobile bUsiness.'(such"
as selling, repairing, servicing, storing or parking care).
But ¥ou;.a reside~nf relath~,, or any. .ness associates
(for whose use ofthe car you may be held legally respon-
sible) are insured· while using aoy of your.care covered
under this part.
BUSINESS OR JOB
We'w~ll no[ pay'for bodily injury to anyone (ot~'r than
you or a'reaident relative)·using a-non,owned-motor
vehicle 'in any business or .idb.
WAR
We will nm pay for'bodily, injury caused by any act-of
war. ~varlike act. insurrection, rebellion or revolution. Aisc,
we.wi!l, not pay for a ~oss.caused.by discharge of tony
nuclear weapon, even if accidental..
NUCLEAR CONTAMINATION -'.
We W.., not 'p~ for bodily'injUry'f~0m_0;'ks a conse-
quence 0fthe following whether contro ed Or Uncontro -
ed or however caused!
1. Nuclear reaction; '~'
2. Nuclear radiation;:o~ .......
3?Radioactive contamination.- ....
CRIMINAL AG'"r~- ... :,..,.,.:
We will ncx pay for bodily injury to anyone,while,attempt.
ing tO ~omr~it~a chine or.~tQ avoid,arrest.
INTENTIONAL tNJUBY: · ..... -
we ~11 ~ot-'lS'~ f0~ bOd!l~i~j~i~'~ ~ ~:esuits ~om an'act:
.:t.'.' "l~-~;i.~: i~t ~ d e c~ ,i b~;_,'~t~ ;insEt'red .to. cause 'garm:.-or
' 2:'~That~;a~' insured~could:~ reasonably; expect would
'":' ,P, carJse:.barlj~; ;,.~2-, ~:, : :.
Tliis'e~clusion apPlieS:Whetber:or'n~" .....":' '
an nsured intend-
ed' or expected the resul~sof' their'aCt,. So:long as the
.r. esult~, g injury or damage was a natural consequence of
~ne act. .,-
PUNITIVE DAMAGE
We will not ;:>ay for damages asse,~Se~ a~ Punitive. ex-
emDfary'or.:vindictive. ~: ~.-~ c, .
LIMIT OF COVERAGE
IfY0u or a resident relatiVe insured Unde~ th s Part'i~ n
"1. In a car that is insured bytbis part-- We will not Pa~y
, morethan the. imit of coverage for thispartshown
on the Declarations appliCableto that,paJ~iCU ar car.
2. In a car that is not insured:by this part or while a
./pedestrian. we!wil. I not, Pay more than the'limit of
coverage fo~ this part shown on the Declarations ap-
plicable to any one car ipsured under thispart.
This.limit of coverage app es regardless.of.the number of
4.: Yehictesinvolved inthe accidento¢?ldSSi ~ ..
If a~:,0th:er: ~.¢son;ins.~jrbd Undo? ~hi~ part i.~/~ :~ acci.
r de~ Jn a~car that, is ins~edlbY'~iS~parti ~. will. not pay
more than. the Iii-nit 0! 5t~verage~':for that par~iS~'iar car,
This limit of coverage applies regandleSS 0fthe number
vehicles idvolved i:r~ the=~cbidbht'.or 10~.~; c~ve~ages on
other cam insured by us cannot be added to ~ stacked
onth e' coverage ef thetPartic~lar,car.,in~oLvedii~
$ACKING OF.UNDERINSURED;:MO.TO~II$~,v;:.
.COVERAGE LIMITS...~ ', ...... ~',
If you haveselected this option (the Dectarations-,will;j~
dicate stackingappli?.?).~en stacking of c0verag~'~Jn~ler
reliltive b~ ad,.or stack;th~;Un~jeri~ui;~cjCM0~srists
Coverage. lim~ of Other cars,~ns~r~d for t~i~'Cdvel;a~e
by us upon ~he:Und~rinsored M0t~sts
of lh e;car invok'ed:in' the;acciden~.~r;Joss;
The LIMIT OF COVERAGE in the
and section titled;LIMITOFCE)VERAGE, under ,,How
,We W SettleA C aim" uBder P~+ ~ ,~
NOH~TACKING:OF UNDI~RINSUt ...~:MOTORISTS
COVERAGE LIMITS
If you have selected this option.(the Declarations will in-
dicate non-stacking applies) then the Limit of Coverage
under this policy'e C.-.-~nerel Provisions and the Limit of
Liability under Part 5, HowWe W~II Settle A Clam app-
ly to you and any other, person insured under.this part.
This means that if you or.any other'person insured under
this.policy is in an accident:. ·
1) In a car that is insUred bY this'policy -- We .will not
pay more than the limit of'liability-for the Particular
car involved in the accident.. '.'
2) 1n a' car that iS not 0wried !bY'YOu or-a meident
relative or.while a pedestrian -- You. are entitled
to the highest limit of Undednsured Motorists
COverage available on any one car ssto which you
are a named insured or'an.,insured resident
relative, If.you.choose the coverage available to
. you as an insured= under ~ s..po cy part, then we
will Pay those damages that are excess, over
'. am0u~ l~ayabls on the car y% 0c~upy at the time
'i'~'..10f ..the accident: i~if iYou choose the coverage
' aVailable to yoU,'an i ns~ und~ another Po
.:i'.; i then ,we Will n°t paY,f°i damages underl,this policy
This limit,, of Coverage.app es regardless..of the.number
of policies, insureds, insured care~ claims made, or cam
:inVolved in~e accident 0r'i0ss.;,¢overages 8rf othe(cam
~nsured by us cannot be added to or ¢~acked On the
coverage.:bf..the~P'articular,¢car inv.'01ved?
LIMIT OF
PERSON?':":-, ~;:: ~::' : ' ~.: '" ~'~
Yhe: ll~ff ::~8 :; 6r~'de~ 'uND~jNs~R~b'
IS~CH pERSON on t~ Beclar~itiOns is t~ limit
¢ .our !isbi! .f i'ail. d*"n ¢es,.'inClUding damag s for
· sare or Io~S Of serVices, arising'i~> ,ut. of bodily injury to
One.pem0n as'a result Of any. ~n~: aCci~ien{.
LIMIT OF LIABILITY--BODILY INJURY;" EACH
ACCIDENT.
The limit stated :.unde~:uNDERINSURED:.MOTOR.
IST$--EACH ACCIDENT on the'Declarations, is:the
limit of our liability for ail damages, including damages
10
for care or Ioss. ofs6 ,es.ar s ng out of bodily injury
asa result of any one accident.
Any Medical Payments determined to be' payable under
this Dar[ are subject to a maximum payment for the ser-
wce provided as established by Act&
If..a.Drevailing medical fee, charge or payment has.not
been calculated uncerthe Medicare.Program for atreat-
mont. accomodation, product orservice, the.amount of
our payment will not exceed 80% of the medical r~ro-
viders usual and cu~omary charge. Payment for acute
care inan accredited acute care facility or burn founda~
tion will nor exceed, the usual,and cus~omarycharge.
If the peer review program; established by Act'6 is utiliz-
ed, an insured covered under this Dart may reouest
reconsideration of the Deer. rewew.initial, determination
of the disputed medical necessity of treatment or ser-
vices. A re~juest for reconsidera~on must be made within
30 days 'of the:~nitial dete~'mlnation.
ARBITRATION
If we and an insured do not agree:
1. Whether that person is eritJtled to.recover
carnages resulting from the negligence of the
owner or operator of an underinSured,mot~r- ,
2. As to the amount:of*compensatory,damages;,.,
Either par~y may make a writlen demand for~arbitratiodi
Inthis event, each pa ,r:b,y will select an arbitrator, from the
county Where the insured ll~s. The'Wed arbitrators will
select'~ thifid arbitrat0rfrom the samec0unty, lf~ey Can-
not agrse within 30.days,.either~narty may request selec.
tion from a judge of a common pleae~court;having
juriediction where the insured claiming.coverage, lives~
dr by. ajLidge in tbe.Fedarai District Court w'O~ej~risaic;
tion includes,, the. county . where.., the. insui'ed claiming.
coverage lives: '.~;;
Each party will:
1. Pay the expenses it incurs; 'and "
2."Bear ihe exDenses of the third pa~y equaiy .,
Arbitration will be conducted in the coumy where the in-
sured lives. Local ru~es of procedure and evidence will
apply to the entire Arbitration process.
We will not arbitrat~ questic~ns of co. .~ge or.law as
to whether a person making a claim is.covered unaer
the oolicy, or is exluded under the policy. All dispuzes
affecting the scope cf.,coverage, the amount o4
coverage, a Demon s ngnt or eligibility .to make a
claim, or the insured's selection of coverage, will be
determined Dy the court ~n the county where the
~nsured lives ar the time the demand for arbitration
is made; or a, Federal District Court whose jurisdiction
includes the county where the insured lives.
Following the entry of an arbitration award, either Batty
may file a petition to, vacate.or modify the award in the
court in the county where the arbitration was conducteo.
The cour~ may modify or correct the awara where:
1. The aibitramrs addressed and resolved issues
not within.the scope of their authority under this
· ,policy;· -
2. The arbitrators.failed to' stay or continue the
hearing in order to'permit a'par[y opportunity to
present appropriate evidence'or testimony;
3: The arbitrators.werebiased intheconduot~of·
the hearing and the, entry of¢a;ny award;
4: Either party.was denied ai~Prdpriat6' due pro-
cass rights to'a fu! and-fair hear ng; '
5. The arbitrators,committed an error, of Ja~v such
that had it been a verdict of a jury.the court
would have entered, a'different or other judg-
· ~ner~t i~ot"witi~t~nd ng!:the"~.;erdJct. '
Arbitration.will be conducted in accordance with tl~e Pro-
wsions of the Pannsylvania UniformArbitration Ac[.and
the-_Pe_nnsyl;vania.:.Arbi.tration Act ¢f,,.;192,7'.. ~._.
JUDGMENT ' - "' '
We will not be bound by anyju'dg~en"~againstany Der-
so~ or organization which was obtained withoutourwdt.
ten consent.
PAYMENTS REDUCED
Payments, will -be. reduced' by any,,'amount paid or
payable .by persons responsible for the accident.
Payments;under-this Dart will also be reduced by any
amount Paid or payable by other sources or under th~s
Dcolicy.except MedicaI.Payments.(p~art 2).
OTHER INSURAN(. -YOUR CAR '
If there is other insurance which covers a loss under this
part. we will pay our share of the-loss. Our snare is the
proportion our lim~ bears to the to[a~ of ail a~olicable
limits.
OTHER INSURANCE--NON.OWNED CAR (IN-
CLUDES A SUBSTITUTE CAR)
In the case of a non-owned car coverec under this par~,
we will cay those damages tlqat are excess over amoums
payable.under any other insurance uD to our limit, of
liability.
A, Priorit~es~ofPolicies. We will pay under this par[
in accoroance with the.following order of
priorities. We.will not pay if there isanother ~n-
surer at a higher level of pdority..The. ~riority
order Is: _
First The oOlicy covering a motor.yehicle
cupied by injured personat the time of
the accident.
Second The Dolicycovennga. motor vehicle not
involved in the accident with resPect:to
. . . .which the injured person is an insured,
· If'two.or more policies-have equal priority:
1. The insurer against which the claim is first
made, unoer,."the alcove priorities shall process
and pay the claim as,if wholly responsible. The
insurer'is.thereafter~entitled to recover con-
'tribution, pro mtn'from any other'insurer for the
benefits paid and the'cost,of processingthe
:claim.
2.'"The maxi~jm recovery under all policies will
not exceec the amount payable under the
12olicywiththe highest dollar limits of benefits.
For the purposes' o{:determining PriSdties, ad
unoccupied pa[ked motor vehicle is not a motor
vehicle involved in an accident unless it was park-
ed in a manner as to create an unreasonai~le risk
of injury.
11
PART 6 FIRST PA,. rY
BENEFITS PAC 6/PA
(ED. 7/94)
The Company ~vili payfirst Party benefits~for medical ex-
penses and if purchased for:
a. inc°me'loss, and ': ': :
b. funeral expenses .
for bodily injury to an eliglbl® person resulting from
the maintenance or. use. ofamotorvehicle as avehicle.
Aisc, the Company wil pay de~.thbenefits e~rising from
bodily, InjUry to .the'named insured: Or resident
relative resulting from, the:maintenance or use of a
motor vehicle as a vehicle. ..
Onlythe benefits shown asapPlicable by dollar amount
on the.Declarations apply; ':-"~: .
In accordance with Act 6, eligibie:Medicai Expenses
which result from acer aCCident covered b nder this part
will be Pali:l Up to our limitOf Eiability for this coverage
subject to a:maximum.~of the current available and
prevailing charge forthe service prov ded as establish-
ed by Act 6. ~
Ifa prevailing Medical feercha~ge.orpayment has not
been calculated under:the.Medicare..Program fora
treatment, accomm0dation,.product or:. serv ce, the
amount ofour :payment ~w ,~not,-exceed ~80o/o of the
M ' ~
edical provider susuai andcustomary charge. Pay-
ment for acute care if any accredited acute care facility
or burn foundation will not exceed the usua and
customary charge.
If the peer:review:program~e~ab!ishecLby Act 6, is utiliz-
ed, an insured covered under th spart may. request
reConsideration ofthe Peer, review' n t a determination
of'the d spUted medical neces~ Of treatment 'or ser-
vices, within 30 days of s'Ucli determ nat On "'
Definitions . ,
"bodily injury'' means accidental bodily harm to a
person and that person's resulting illness, disease or
death.
12
"death benefits" ~ns a benefit DaiU because of the
aeath of the named insured, or resident relative as
a result of'injury sustained in a motor vehicle accident
if death occurs within 24 months from the ,date of'acci-
Sent, The death benefits shall be oaid to the ao-
ministrator or executor of the insured's estate,
"eligible person" means:
(a) the named insured:or any resident relative;
aha
(b) any other :)erson who sustains bodily injury:
(1') while occupying the Insured motorvehi;
cie: or
(2)' while a non-occupant bfa motorvehlcle,
if injured as a result af an accident in Penn-
sylvania involving the Insured motor vehi-
cle. An unoccupied Insured motor vehi.
cie. is not a motor vehicle involved ~n an ac-
cident unless ltwas,parked in a manner as
to cause unreasonable, risk of injury.
"funeral-expenses" means reasonable expenses in-
curred directly related to funeral, burial1 cremation or
other disposition of the remains of the deceased eligi-
ble person. The expenses must be incurred as-the
result of the death of the eligible person and Within 24
months from the date of accident. -
income loss means eighty (80) percent of gross in-
come actdallylost by an eligible person. Inco~ie
includes reasonable expenses actually incurred for
hiring:' :. '"~ ~.':~', ~ - ~ - .
(a) 'a substituteto perfbrm the Work a self-employed
eligible persenwould have performed,, except.
for the bodily Injury; or ...:+
(b) special help, the~reby enabli .rig a person to worE,
thereby reducing loss of gross income
"income loss" does not include:
(a) loss of expected incomeforany p~riod'foi!ow-
lng the death of an eligible person; or
(b) " expenses incurred.for,services performed
following, the death of an.eligible peraon;,0r
'(c)" any loss of. income during the first five working
days the eligible~pereondid not work after the
accidem because of the bodily injury.
"in.ured motor vehicle" means ,...,otor vehicle:
(a) to which the bodily injury liability insurance
the policy, applies; and
(b) by which the named insured maintains first par.
tY benefits coverage as required under Pen.r~-
sylvania ~otor Vehicle Rnanc a Responsibility
Law. -
"medical.expenses,, means reasonabe and
necessary charges for:
(a) medical treatment, including but.not limited to:
('11 medical;~ hospital, surgical, nursing and
dental services;
(2) medications; medical sSi3Plias and pro-
ethetic dewces; and
I3) ambulance.
(b)' 'medical and rehabilitative services., including
but not limited.To: '.:
(1) meal cai care;
'(2) licensed physical"therapy, 'vocational
rehabilitation.and occupational.therapy;
(3) Osteopathic, cii}ropractic, psych atric and
psych'OiogicaJ ;se~iceS; and:
(4)
. audiology~
('c) nonmedical .remedial.ca-re, and treatment
· rendered .in: accordance 'with a recognized
-" religious'or_licensed method of'healing;
A.'II medibaJ treabnent ~nd' ~nbdical ~i~d rehabilita~ve ser~
wcss must be pro~'ided by orprescribedby a person or
facility approved' by_ the "Department Of' Health, the
ecluivalent governmental agency responsible for health
programs, or,the accrediting designee or a department
or. agency of th"e :state in ~which' those.~-serv]ces are
provided: .
Payment of medical expermee after 18 months-from the
date of accioent causingbodllyinjury, shall be mace
only if itwas ascertainable With reasonablemedical pro-
bability within 18 months from the date of accident that
further, expenses.would be incurred as a result :~f the
bodily injury.
"motor vehicle" n,_,,ns any vehicle which is. self,
propelled. But, a motor.vehicle aces not incluoe a vehi-
cie which is propelled:
(a) solely by human power;
(b) by electric power obtained'from 0Vemead trolley
wires: or
(c) upon rails.
"nemedinaUred'' means the person or organization
named in the Declarations.
~ pying ' '
'occu "means in or upon, enteriog or. alighting
Trom.
"reeldent relative" means:
(a) the spouse; and
(b) any person related m the named'insured by
blooo, marriage or adoption, including a minor
in ~e ou,~od.y C~ the ~!a. ,_n~d_. insured,.epouse or
such relazecl Person, " -'-'- ....
rc;--.;~ident in the Same,household as the named in.uteri,
whether or not temporarily residing elsewhere..
Exclusions
'f:his-cgverage does.not app y to bodliy injury to:
Per~ons~Who'Don~t. Have Their Own Autos In~ured.
(a) any p~mon Who is ~the" o~r~er~:~ a'~:urrently
registered motor 'vehicle~:-for which flaancial
responsibility, has not.been PrOvided, even if. that
person is occupying 0r struck by a motorvehk
cie by which financial responsibility is prov ded
Repair, Servicing, Etc,
-(b) anY. person resulting fror~.iih~'~conduct of.the
business of repairing, servicing, or otherwise
maJntainmg motor vehiclee:if the bodily Injury
ansas out of that businse~ unless thc.conduct.cc.
curs, off the business premises;
L°adlngand Unloading,
(c) sustained Dy any Person as 8 dire~ re~uit of
loading or unloading a motor vehicle;
1,3:
Motorcycles.
(d) any person while occupyingamotorcycle, motor.
ddven cycle, motorized peoacycle or like type
vehicle reouiredto be registered uncier T~e 75,
or a recreational ven~e not intended for highway
use;
Non-Authorized Uesm,
(e) any person otherthan the nemed in~uredor any
relative, while maintaining or using a motor
vehicle without reasonable belief that he is legally
entitled to do so;
Non-Occupants in Other States.
(f) any Person not occup~ng a mOtOr vehicle other
than the named Insured or any relatiVe, if the
accident occurs,outside the Commonwealth of
Pennsylvania;
Ps.ed'-CamPer Vehi{~s, Etc.
(g) an.yp?o.n while maintaining or"using a motor
'vehicle While located.for g~se as a residence or
premises; ·
War, Riot, Etc.
(h) any persohdue to WarlWheth~r or not declared.
'- civil.war, insurrection, .revolution or~rebellion:or
any accompanying acts or conditions;
N uclesr Accident~.,~,~2
.(i)' any pe?son'~.a~sed:by~n~ciear rad oactvty or
expl0s!0n; .' ..., .~ -., :., .:.
Int~ntion~l Injury· '" *-
~ any person who intentionalfyinju~-es Or atter~Pt~s
to' intentionally injure 'himself or another; and
Felony. or Eluding Arrest,
(k) -,anygoerson.who injures :h-i~self or another while
c. ommrtting a felony or, eludinglawfu apprehen.
s~on or arrest by a la~,enforcement official..
I~olicy. Period '"
Territory :
This coverage applies onlyto accidents which occur dur-
ing the policy period and within /he United States of
Amenca, its territories and possessions or Canada.
1.4
Limits of Uebllit3
The limits of liability apply regardless of the number of
persons insureo, policies or plans of self-insurance aD-
plicabie, claims made, in~ured motor vehicles or
motor vehicles involved in the accidem. The Com-
party's maximum limits ofliapil~for medicaid,
Income loss, funeral expanses and death benefits
with .respect to bodily Injury to any one eligible per-
-·on m any one motorvehicls accident is Shown on the
Declarations.
Any amount payable by the Company under first party
benefffs shall be excess over ail benefits an eligible par-
son receives or is entitled to receive under, any worker's
compensation law or similar laws.
Condltion~
A. Ac#on Against Company. No action shall lie
against.the Company on the part of any eligible
parson unless such person has fully complied with
all the terms of this coverage.
B. No#ce. If an accident occurs, written notice ade-
. quately identifying the eligible pemon and
reasonably,accessible facts concerning the time,
place and circumstances ofthe accident shall be
given as soon.as practicable ~by or on behalf of
each eligible pamon to the Company or any of
its.authorized-agents: ' *
C. MedicalRepor~; Proof of Claim: As soon as prac-
ticable the eligible psmon, pi someone on his
behalf, shall give the Company written, proof of ~
claim.under oath if required,':fulty pescribing the ~
nature and,extent of. bodily.injury, trea~nent and ~
rehabilitation received and contemplated, and ,~
other information to Assist the Company in deter-. ~
mining the amount due and.payable i ~
Proof~of claim shall.be-made upon forms furnish-
ed. by the .Company unless the Company. fails to
supply such forms within 15 oays after receiving
notice ofclalm.
The eligible parson-shall ~ubmit to:mental and
physical examinations by physicians.,selec[ed by
the. Company when and as often as the Company.
may reasonably reauire. The Companywill paythe
costs of such examinations.
]'he eliglble, pemon (o~, in the ~ It, of such per-
son's incapacity, or death, his legal representative)
sba// if-the, Company requests, sign papers..tc
enable the Company~o obtain medical reports and
copiesof recoras. A copy of such medical repot[
will be [orwarcted to such e/igJbte person upon his
wr~en request.
I~ benefits for irlc~mc I0" are ciaimed,,the
bio person presentirtg such claim.shall authorize
the Company to obtain aetails of all earnings oaid
to him by an employer or earned by him since the
· time of the injury or during'the year immediately
preceding the'date'.of the accident,
D P#orities of Policies. w~'Wiil payfirst part, benefits
re'accordance;with theTbllowing orderof pnorities.
e wlJJ not pay ~fthere s another insurer at a higher
le~l"°f priorit~.'~l'he ptior~ order s:
First. "'[hejnSO~:er~l~ro~i~l/ng benefits to the
: ;.! ' el!glblepemo~aSanamed Insured.
~x..... Second... The. insurer-providing benefits., to the
.... ' ' ~': :~";el!glb,~.Pem°n-as a ml~tve who is
--'.'- .n.ot.?nam.ed...insum~l under another
policy proved ng Coverage under the
· . -:'~ .' :" "' 'P'enns~ariia ~Otor Veh C e F nancial
-.., ..... Ird The insurer of the motor vel'llole
~hJbh t}i's;eliglbl~:pemon is occupy.
lng at t~e',time-of the accident.
~:°urth' Th'e'i~rrproVi~ing benefits on any
'm~tOr ~ehi~je-. involved in the acci.
':' de~.ffitheeliglble peraon: c~-.'. -~r
.... ~' (a),.; is not: occupying ~a:mOtor vehl-
-~- cle,,and , :
(b) is n~¢.b~vi~lS~'' Coverage under
.... ' -, any,other.policy?:, e. :, _
If t~o or more-poiJCi~.~ hav~' 'b~l ' r..
1. The insUrer against which the claim is first made
-.' sh" l'Pr°% t e'8 J f who y
2. The max/mum recovery, under ail policies will
not exceec~ .. the. amount payable unoer the
policy with the highest dollar ~Jmits of boner, s.
For the purpose'of determining priorities, an unoc,
.. cupied,par~edmotor vehicle Is not~a-mutor..vehi,
cl~ Jnv~l'~ed ih ~n-accident Un]eSS. it Was'Parked'in a
manner:as to create an-unreasonable: risk of injury.
E. Indemnity. The Company has the right of indem-
nity against any,parson Who:
1. has converteo a motor vehicle;
2, .committed a felony;
· : eludedtawful apprehension or. arrest bY a law
enforcement Official;.or:-
' 4: 'int~htionailY'i"ju~'ed himSelf or ai~ther personJ
This r, ght of indemnity ~ fo; first Party benefits paid
for: ~, - ' .
1 ih'e I~ ~.~d'l~y'i~e Co~dbct'C~'i~at person;
2..the cost of Process/rig the ~laims for such
. ..... berj~fits; and ...... =
8. the c°st of enforcing this righ.?, indemn~'fin.
1''''' ''cludi'ng' reas°nable att°rn ~y ~ ~fees). i.
~"/.;,~i!glble p~r~0n'shait recove; dupiicateben~s
-::,foF the ~a/~e ~element~' of' oss undo/this or an~,
'~: ~ir~Jlar'"'AU~'omobiie ':insurance 'ibc udin~
~elf. ins6'ran~:e.' - . . .. ~,,.,,.,, . .
...... '
m,~o--.~ur an ~njury covered by mediCai
exper~e benefrm shall'not exceed the amoUnt~e
person or institution customarily cnerge~ for like
treetment,'accommooations, pro~iuots.and set.
vices in-cases involving no insurance.. · ,:.
15
PAR.,.3' 7 ADDED 'F...ST.
BENEFITS ::,
PAC 7/P.A (ED.:7/90) ',
The company =grees that. amounts payable for bodily
injuryto an eligible I~mon underthe "Limits of Liabil-
ity''' provision of the Pennsylvania First Party'Benefits
Coverage endorsement (PAC 6)is Changed aS stated
below. :.'
The Company's maximum=limits Of liability for m~dioal
expensee,.~ income :,lees,., funeraL:: exL~ensea and
death benefits with respect to bodlly, injurYto any one
eligible pe~n in any one motor vehicle acc dent
shall not ~xce~d'the.leSSor of:' 'r: :' : ~:= '; : 'i
(a)"$277:,500 n th~ aggregated'or '%" ~' '~'
(b) "benefits payab e for expenses ncurre~t,up to
These h~itS ~ I;ab.hty ~Ji~"~L~b~ec~t~sP~ifi~:i mlts for
death benefits as follows:
ben'fits sliali~(~t e~c~ $~5~000'
These hmitso! habdLty appt~ regardless'of'the number
ofp. erSonS'in§ared porb.'es~o~
· ~ ~ ...... p ce
apphcable; Claims made 'ihsbred mot6~ ~Teh, i~iea or
meter Vehioiea~involVed iri the'a~dent!?
In accordapce ~h Act,.6, e g!bl~ Medical,Expenses
Will b.e ~id u
subje~E~ ~:~imum'°f ~ihe=cur~n?a ~wa~i~ and
Pm~ili~'~li~}:g~ ~°t th'e s~ice P'r~'~=~b sh-
If ~.pmvai!i~g Med.!cai fee~ charge o~ pa~mea~, b~s not
tbree? calcu.!ate~under'the;~Medica~e~P, rogram:for a
eatrnent, accommodation, Product Or serlioe, the
amount of our payment will not exceed 80% of the
Medical provider's usual and customary charge. Pay-
ment for acute care in any accredited acute care facili-
ty or burn foundation will not exceed the usual and
customary charge.
16;
ifthe oeer review 12 am,"establishe8 by,Act 6; is utiliz-
ed, ah insured covered'Under this part may request
reconsiaeration of the Deer feView,initiai determination
o! the disputedmedical'necessity.of-treatment or ser-
vices; within 30 daye of. such deter;ruination.
D. ;' priorities' Of"~'~ii'cies: We: will'pay .first party
. , benefits in accordance with the following order
' ~! priori{les. We:~/ill h~t'l:)ay f there is another in.
surer at a'higher love bf prioi'ity. The:pr orty
.. ,_,The insurer pray d n~benefts~tothe
.... ellg!ble pe~on as a;~amed
-. ~ ;; ,S~dd The ins~recpi'~j.ding'benefits'tc~'~he
~is not a.. named; ineure~J.:.~nder
' a~other'156iicy 'pr~din~ coverage
......... -c · F~nanc~e~pons b i~ Law.
. ~d,, ~e msurer"of.~e mo~r~vehicle
wh ch the, eligible ~rson s ocou.
ng. af.t~e~mb; of the accident.
~-moto[.~e~i~ involvec n the .~;
; .... O e, add
. ~ff., ............. (b)is nQt~rovide~, coverage under
made shall proce~d pay the ct~m ~ if
...... wb9 ly [espons b e .
2. ~e m~imamrecove~ under ~1 polici~ will
..nm.~xceedjhe ~o~nt p~yable under,~e ,,~
cUp~ea parked motor vehicle is. hot a motor vehi-
cie involved in an accident ~nl~SS'i( ~aS-parked in
a manner ~to create an unreasonable risk ofinju~.
· 'ennsylvania Speciat State Provisions
CHANGE TO OEFINrTIONS .......:. ....
The followin~ is aclded unaer Definitions., ..... SERIOUS INJURY
A persona! injury resulting in ciaaTh, serious impairment of bodily function or
disfiguremen=.
NON-OWN~ MOTOR VEHIC~
A non-owned motor' vehicle is a motor vehicle w~Jch is not ow~e~ by, re~i'S~ere~ in the ~ame of
furnisheo or available for the regular or freo~ent use of you or a household
CHANGES TO GENERAL PROVISIONS FULL TORT AL~NA~VE
the name: inSuree remains eJigiDte ~o seek =ommensa:ion' for noneconom~c Joss claime~
~erson not insure~ unoer this
LiMeD TORT AL~RNATJVE
~ach person who ele==s the limited tort alternative an~ each person W.h~ i.s boun~ by such election
of t~e named insure~ is eligible ~o seek compensation for economic loss sus=ained/in a motor '
vehicle acciOent if the a~i~em is ~etermine~ ~o be the fauJ~ of another ~erson not~insure~ under.
this policy. ..
If the injury sustained is serious, as ~efineC un0er me Definitions section of ~is poticy, each
Person boun~ by the iimite~ ~o~ alternative is also eligible to seek compensation for
non-economic loss from the a~-fault pa~y no; insure~ unOer this policy.
If =he injury sustained ~oes not meet ~e aefinition of serious injury, each ~erson Doun~ by ~he
limite~ tort alternative is PrOhi~iteO frpm see~ing compensation'for non-economic loss, u~iess:
as a result ~f ~ne foul[ of another person unless '~a~~?~vehicle accident.
a) The person aT-fauit .is convicted, or accepts ~e of ~he'followihg' conditions apply:
Orivin~ unOer the influence of alcohol or ~ con,robed su~szan=e in ~nat accident;
Accelerated Rehabilitative Disposition (ARD} for
~) The person at-faut~ is operating a motor vehicle registere~ in another s~ate;
c) The person at-fault intends to injure himself or another person. This does not include
intentiona~ acts, failure to act or to act with the realization that it crea~es a grave risk of
ca~si~ injury if for the ~urpose of.a~i~g ~odily inju~ to himself or eno:nar Perso~;
dj The ~erson e~-fauJ~ has not maintaine~ financial responsibility as required by Jaw.
2J The ~erson who is bound by the limiteO to~ alternative will remain eligible to seek
com~ansatio~ for noneconomic toss for claims against a Derso~ in the ~siness of Oesigning,
manufac[urin~, re~airing, servicing or otherwise maintainin~ motor vehicies when the claim
arises out of a Oefect in such motor vehicle which is caused Dy or not corrected by an act or
omission in the course of such business, other than a Oefect in a motor vehicle which is
3) The injury ~s s~s~aJne~ while an occupant of ~ motor ve~i=le ocher ~an ~ ~rivate
motor vehicle. -
W.H.S.
2 5 1998
- 1 -
nBO?OOO.'
?he bara_~r-ap~-, unr~er "The Po/i¢? is a £ontra~t" is Oelet~ an~ rept~eO ~y t~e following:
?hi~ ~olic?, is a ~ont~ac~ ~etwee~ you a~d u~. When we refer to the Policy, we mea~ t~i~ ~ookJet,
your mos~ recent Declarations an~ your ~n~orsement~.
' :" AGREEME~ B~EEN YOU AND
.. . -, .... ~; ~;' ~. .... ~ -~ ·
In exchange for premium ~aid, we agree t~ ~ay for losses as.covar~d.~n ~s.p~j~cy~'~".
~v ac~e~tm~ this D~Jicy, you a?~a that the s~atements on your a~DJicatJon are true an~ correc~' -
This ~olicy ~ :~sue~ re~yin~ on the a==uracy of t~ese statements. This policy contains all the
a?eemen~s ~a= exist between you an~ u~.
You will immediately notify us of any change of a~ress. The policy wil~ then be rarateo base~
the rates aha coverages in use for ~ne new a~Oress. If the change in aO0ress is from one state
another and you ~ualify for coverage With us in the new state, then we will reDtace this Policy
with the polity we use in the new state.
The statements on the application are your representations an~ are not warranties.
LIF~IME REN~'~ AT AGE 85
gn~er the provision tJtte~ "ZJfet/~ Renewa/At AEe ES," the first ~aragra~h is reDJace~ by the
following ~aragra~h only if the policy has an original effective aate.~rior to 9/20/91.
If at any renewal you no longer OuaJify for cominuea coverage as Dermftte~ D'/ Pennsylvania law,
we will offer you similar c~verage in one of our affiliate~ companies if you have had car
i~surance v,,it~ Us continuously for at least 5 years on the first'anniversary date .of this policy
any renewa; or replacement of it) following your 65t~ bi~hOay.
The provision title~ "~ifeti~ Renewet A~ ~e EE" is Oeieted only if'.the.~olicv nas an original
effective,.date of 9/20/91 or later. ,
The ~rovision titled "Concea/~ o~ Fraud," is a~ed as follows:
Concealment or
This policy is void and there is no coverage for you or any insure~ if it has been in effect for less
than 60 Oeys and you or any other insured unOer this ~oiicy has, whethe[ ~efore or after a loss:
~ intentionally conceaie~ or misrepresented any material fact or circums:ance; or
~. ma~e false statementa or enga~e~ ~n. fraudu ent Co
The ~rovisions titleO "~n~ll~i~ ~ ~¢~,, an~ "N~nr~n~w~l jy G~nF" are reDlaced by the
foliowinB: ·
Cancellatio~ By Company
tf we want ~ cancel +'~-~01~ an~ ~t ha~ b~n ~'~'~'~r I~'~han ~"~ays, we will se~d'a
written notice at least,15 ~ays Defore it is cancelle~ tf you fail to Day a ~remium ~y the date
we will send a wrf~an na~ ~ least lB ~ays.~efore ~ is cancelie~.
After this policy has ~een in effect for 60 days, we will only can~et it if:
1. You ~o not ~ay a premium or premium installment by the date due. We will sen~ you a ~itten
notice at least 15 days before the policy is can~elle~;
~. Your ~rwer's iicense is un,er suspension or revocation during the ~olicy period. We will send
you written notime at least !5 days ~efore the policy is cancelled;
~. Th~ policy was obtained through fraud or material misrepresentation. We will sen~ you
written n~tice at least 6D aays Defore the policy is cancalle~; or
4. Any aaditional reasons permissible under the laws of your stat~ are D~esent.
- 2 -
We >viii mail me cancellation not~"e to the named insured at the last address shown on the Policy.
We and you agree tna~ e proof of mailing of this notice is sufficient, proof that you were orODerty
notified. We will keep only the premium for The time the policy was in effect an~ we wii/
any balance. Any refuna due will ~e sent to you es soon as' ~r~ct cal. Coverage ends on-the
Nontenewal By Con,any "~
pu~l~y. ~e En~ you ~are~ ~h~ the mailino o· -~'-' - ~j-~,.=w=~ ~o ~ne I~st a~ress sho~on'~
The provision title~ "Your Duties After An A~i¢e~t Or L~Z$" is reDi~=e~ by the following:
YOUR D~IES A~ AN A~ID~ OR LOE~:
General Duties - If any persons insure~ unOer ~his policy, have a car ac:iaent or loss, they or
someone acting for them mast mrom~ly ¢ontac~ us, The ~uickest way is ~o call us at the
~eteDhone hummer shown in your Claims Service FolOer. We Will wan~ to know. how the a¢ciaen~ or
loss ha~pene~, names an~ aaaresses of people involve~, wi~ness~, aha any injury or
Persons making ~ claim un~er this policy mus~: '
I. Inform us of the details of the a,'ciaent or loss in writing, if reoueste~.
2. Cooperate with us in investigating, settling, or defendin§ any loss or suit. Coooeration
in¢lucies attending hearings anc trials, holding in suing others w~= are responsible for the
ac:iaent, =Wino eviOence.
3. Immediately sen~ us any notices or legal ~a~ers receJve~ by ~nem or their legal
4. Be examine~ by our ~octors for their injures as often, as w~re~onably re~uite. We wilt
...... the cost of suc~ examinations.
~. Give ~s wri=ten Permission ~ obtain ~heir medical an~ other relevant records.
6. Give us wri:tan ~roof of their loss in a form centainin~ relevant informal/on we revues:.
7. Give us a statement un,er oath within 30 ~ays of o~
8. ReDort e hit and run a:ciaent or' loss to the police promptly
.~. Allow us to inspect the car if we request
I~ anyone ~?un~r~y makes any Payman~s,~ssum~. ~ny obhgat~ons or incurs any e~enses,
e~ceDt for fzrs~ a~d to others at the s=ene o, the ac,ioen~ we will nn, ~
The ~rovision ti~Je~ "tru~ ~gt~m" is re~lacea by ~he following:
When we pay any person for a loss un,er ~his po/icy, we are entitled to ~he amount we Daid from
the proceeds of any settlement or ju~gmen~ you recover from ~he responsible Davy whj~
au~licate the payments we maae (less reasonaDle a~ornev fees an~ a pro~omionate s~are of the
cost of recovery}. When allowed by [aw, ~e are also enti~le~ to reiate~ collection expenses for
any settlement or ]u~gmen:. __
The Drovision titJeO "L/mit Of ~verage" does not a~ly to "U~in~r~Mmori~$ - fPa~
CHANGES TO PART 1
LOSSES ~ WILL NOT PAY FOE
The Drovision ti~led "Car~ For H/re" is re~taced by ~he following:
.'.BO~-O0
MOTOR VEHICLES ]::OR miRE
We will not pay for Bodily Injury or F¥operty Damage =euse~ by anyone usJnc ~ motor vehicle To
:~. ~on-ow~eo ca~ fo~ hire. -
~HAN~E TO PA~T ~
LOSSES WE WILL NOT PAY FOR
MOTOR VEHICLE~ FOR HIRE
We will not ~ay for bodily injury to a~ne'us n~ a motor vehicle covered un,er this part to carry
people or proDerty for ~ fee. This Ooes not inclu0e ~ car pool. Bu~ you eno ~ re~i~ent relative are
covere~ ~f injure~ in an ~cci~ent while a passenger in ~ non-owne~ car bein9 use~ to carry people
or proper~y for ~ fee.
CHANGES TO PART 3
OUR OBLIGATIONS TO YOU
The provision ti:led "Ren~a/Car Cov~ra.~e" is replaceb by the following: RENTAL CAR ~O~AGE
~f you have this ~overage (see the Declarations), we will reimburse you for the cost of rentinB a car
ifa car you own is out of use for more than 24 hours because of a Collision or ComDrenensive
loss. But ~his coverage Qoes not ap~ly when a car is stolen aha ComDrehensive Coverage a~plies.
We will only Day for actual rental costs for the time it would normally =aka to repair or radiate the
aamaged ~r u= ~o S3D a aay an~ ~900 per inci~em. '
You ~us~ ~FO~DTJy notify us of the amount you spare for ran:al of the cat in the manner' and time
~e reasonaDly revues=.
LOSSES ~ Wi~ ~OT PAY FOR
MOTOR V~IC~ FOR HIRE
We will n=~ pay for damage to or loss of a motor vahict= u~ed ~o carry ~eople or proDerty for a
fee. This Qoes no~ in=lu~e a car DooJ.
HOW ~ WI~ SE't l ~ A CLAIM
The provision =itlea "~= Payee C/~" is reptaca~ by the following:
· LOSS PAY~ AND ADD~ION~ I~EST CLAUSE
Paymen~ for loss of or damage ~o a =~ covered unaer this part will be maOa to the Derson or
organization sho~ in the Declarations as the toss payee or the a~ditionaJ interes~ This Dayment
will be ma~e, uD to the amount of the loss, ~ the exten~ that the loss paye~ or the aaditional
interes~ has a financial interest in the car.
This insurance, covering ~he interest of any loss ~ayee or the aQditional in[eres~ will n~ be
invalidated because of the insured's conversion, embszztemem or secretion of the car. But, we
reserve ~ne righ: ~o cancel or nonrenew =he Doticy as ~ermit~ad by i~s terms. The ~ermination
notice will end ~nis agreemem with ali loss payees or all a~ditional interests. A~vance no=ice of
~ermination will be sam to ~he loss payee or ~he aaditional in~eres~ at rna ~ime it is sam [~ the
namea insured.
-4-
~ayee or the a~di~ional in~eres~ shall Oo so wimin 60 ~ays of notice Dy us. Fur~er, ~e loss Payee
or ~ne aa~i~ional in~eres~ shall De suDjec~ to all provisions of the policy rela~in~ ~o
time of payment, payment of premium 8nd of bringing suit.
~nen w~ Day the lOsS D~Y~e or the aadition~l Jnteres[, we wiJi. tO the extent
protect ~he ownership interes~ of aH parries.
CHANGES TO PARTS 4 AND 5
LOSSES W"E WILL NOT-PAY FOR
The l~rovision titled "Cars For H/re" is re~taoed by the following:
MOTOR VEHICLES I=OR HiRE
We will not pay for bodily injury to anyone using a motor vehicle to carry beople or brober~y for e
fee. This aces not include a car pool BuT you or a resident retative who 0oes not Own a car are
covered if in.lured in an accident while a passenger in a non-owned car Doing used to carry people
or ~roDer~y for a fee.
CHANGES TO PARTS 1, 2., 3, 4 & 5
LOSSES WE WILL NOT PAY FOR
The provisio,~, titled "Regular~)/Use~Y Non-Owneo' Cars" is replace-J bv the following:
REGULARLY USED NON-OWNED MOTOR VEI-lJCLES
/
We will not pay for a Bodily injury or Property Damage toss to anyone under t=e.~s 1, 2, 3, 4 or 5 if
you or a household resident is using e non-owned motor vehicle no~ insured under this part,
furnished or available for the regular' use of you or a household resicien~.
The provision title~i "Aul'o Ju$ine~" is replaced by the following:
AL~"TO BUSINESS
We will not pay for a Bodily inju~/ or Property Damage loss To anyone under Paros 1, 2, 3, ~. or 5 if
anyone is using a moto~ vehicie~n em/ automobile Ibusiness {such es selling, repairing, servicing,
But you, a resident relative, or any business associate (for whose use of the car you may be held
legally responsible) are insured while using any of your cars covered unoer this par*..
The provision titled "Ju$ine~s or Job" is deleted.
PAC 2D4 (Ed. 4186)
Non-Owned Motor Home Anc~ True'k/Van Campers Coverage
If you have ~aid for this coverage (see the Declarations}, the non-ownecl vehicle shown on the Dee-
[stations the= comes with this enciorsement has the coverages shown on the Declarations.
A=i provisions and exclusions of your policy abbty for the period shown on the Declarations excep~
:s follows.
-'~'?hroughout the IDoiicy when reference is made to e car. it is sPecifi:ally limited to ':he vehicle
shown on ~ne Declarations.
- ~ - mBO~-OOc
PAC ~-B0 (-od. 4/8SI
A=ditionel Car Ac=idem Coverage
If you h,,ve this coverage.{see the ~r)ecleretions) and are injured in a car eccident, we will Day eligible
persons for losses =ovsreO unoer tne poii:y aodJdonal Denefits in ~:=oroance with this enOorse-
EligibJe Dersons ar~ you and your c~it~ren unOer eighteen years o1~ who are unmarrie~ anO live with
you. To De =overe~ unOer this endorsement, = person must De a~ eligible person at the time the
accident occurs. ·
BEN~T A
~or losses =hat occur within 90 ~=ys cf:er the'accident and are a dire:: result Of the accioent, we
will pay one of t~e foilowinB amounts:
- S1D,DOO for Oeath,
- SlO,OOO for loss of bot~ han~s and both feel
- ~10,000 for Io~ of one han~ and one foot,
- ~,000 for los~ of one han~ or one fool or
- ~2.~00 fo~ the total and ~ermanent loss of sight in one
of a foo~ msans zhe comDIs~e an~ ~ermnnent removal of ~he fooz at or a~ove ~hs annie.
The maximum amounz we will D~y for all ~odily inj~ies including denzh for any one eligible person
arising ou~ of n ~r accident is ~10,000. But the most we will D~y for multiple ~niuries aHsino out of
any one ac=iOent is the highest amoun~ applicable to any one injury. '
If you die, Davment will be maOe zo your s~ouse if he or she lives with yo~ If your spouse ~oes not
live wi~ you, Daymen~ Will be maae to your es~a~e.
The death benefit payable for anothe~ eligible person will be-~aid ~o the name~ insured if living.
Othe~ise, the ~a~ benefi, Will'be paid ~o-the eligible D~on's
BENEF~ ~
We wil~ Day an eligible berson Seoa week, for up to 52 weeks from the ~ate of the acci~en;, while
he or s~e is totally an~ continuously disabled from the a~:iden:a~ bodily inju~ if the eligible person:
- ts gainfuliy employed on ~~basis at'the dine of the accident; and
- ts to~ally eno ~on~inuously disableC for at least 20 aays after ~ne a~ciOent; and
- ~eQuires medical treatment ~uring t~e Derio~ of disaDili~y; and
- ts not enti~le~ to BENEF~ A payments.
We will Day an eligible ~erson ~30 a week, for up to 26 wee~s from ~e ~ate of ~he ac¢iaen~, white
he or she is totally an~ continuously disable~ from the accidental bodily injury if the eligible Person:
- ts not emDIoye~ at the time of the acciden% but Droviaes ordinarT and necessary househol~
services; an~ ,
- Is totally and continuously disabled for at least 20 ~ays after the acci0ent;
- ReQuires medical treatment ~urin9 ~ne perio~ of disability; and
- ts no~ en~izied to BENEF~ A payments.
-6-
KX H ]'~pT'~
04/17/2002 13:19 215-658-5783
Prudential Financial
April 17, 2002
M~rcus McKnight, Ill
Irwin, Mdinight and Hughes
60 West Pomfret St.
Carlisle, PA 17013
PRUDENTIAL P&C
Prudential Property and Casualty
Insurance Company
Horsham Claims Office
P.O. Box977. Homham PA, 19044
Tel 215-658-5753 Fax 215-65&5703
PAGE
81/81
Claim Number: 46S14099-12072
Insured: John D, and Theresa M, Perkey
Claimant: lohn D. Perk~y
Date of loss: 9/15/95
Dear Mr, McKnight:
We have reviewed the facts smrounding this lo~s and must advise you that your client's policy
would afford him no Uninsured Motorist coverage for this accident. Under Part 4 of the Car
policy Uninsured Motorist Coverage is provided to an i~ured while using their own car, while
ming a non-owned ear and if hit as a pedestrian by an unlnsumd vehicle.
A car is defined as '~a private passenger automobile, station wagon, jeep-type, van with four (4)
wheels which is designed for used mainly on public roads. A pickup track with four (4) or six (6)
wheels and a ~oss vdfiele weight of less than 10,000 pounds which is designed for use mainly on
public roads is also a car..."
There is no covera~ under our policy therefore this company's cmtsent to settle the claim of Mr.
Perkey is i~ot required under these facts and circumstances. Feel free to call me with any questions
at 215-658-575~.
Please be advised that due to an unforeseen conflict of interest the ~e will be transferred to
Michael Scheib of the Law Firm of C-riflith, Strickler, Lc, man, Solymos and Calkins. He is located
at 110 S. No~J~ern Way, York, PA 17402-3737.
Sincerely,
Carol Depman
Casualty Caseworker
VERIFICATION
The foregoing Complaint is based upon information which has been gathered by
counsel and myself in the preparation of this action. I have read the statements made in this
document and they are true and correct to the best of my knowledge, info~nmtion and belief. I
understand that false statements herein made are subject to the penalties of 18 Pa. C.S.A. Section
4904, relating to unswom falsification to authorities.
~HN D. PERKEY
Date: ~1'~,~ ~' ~
CERTIFICATE OF SERVICE
I, Marcus A. McKnight, III, Esquire, do hereby certify that I have served a true and
correct copy of the Complaint upon the Defendant, Prudential Property and Casualty Insurance
Company by first class United States mail, postage pre-paid in Carlisle, Pennsylvania upon the
following:
Michael B. Scheib, Esquire
Griffith, Strickler, Lerman Solymos & Caulkins
110 South Northern Way
York, Pennsylvania 17402
Dated: July 5, 2002
IRWIN, McKNIGHT & HUGHES
Marcds A. Mcl~ntgm,~squ
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
JOHN D. PERKEY
THERESA M. PERKEY, his wife
Plaintiffs
VS.
PRUDENTIAL PROPERTY and
CASUALTY INSURANCE COMPANY
Defendant
No. 2002-1897
CIVIL ACTION - LAW
JURY TRIAL DEMANDED
NOTICE OF REMOVAL
The Court and all counsel are hereby notified that on September i~ )?002,
Defendant, Prudential Property and Casualty Insurance Company, by and through
its undersigned counsel has removed this action to the United States District Court
for the Middle District of Pennsylvania. A copy of the Petition For Removal is
attached hereto.
BY:
GRIFFITH, STRICKLER, LERMAN,
MICHAEL B. SCHEIB, E~QUIRE
Attorney I.D. No. 63868
110 South Northern Way
York, Pennsylvania 17402
(717) 767-7602
Attorneys for Defendant Prudential
Property and Casualty Insurance
Company
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
JOHN D. PERKEY
THERESA M. PERKEY, his wife
Plaintiffs
VS,
PRUDENTIAL PROPERTY and
CASUALTY INSURANCE COMPANY
Defendant
No. 200211897
CIVIL ACTION - LAW
JURY TRIAL DEMANDED
CERTIFICATE OF SERVICE
AND NOW, this I~--~ of September, 2002, I, Michael B. Scheib, Esquire, a
member of the firm of GRIFFITH, STRICKLER, LERMAN, SOLYMOS & CALl(INS,
hereby certify that I have this date served a copy of the Notice of Removal, by
United States Mail, addressed to the party or attorney of record as follows:
Marcus A. McKnight, III. Esq.
60 West Pomfret Street
Carlisle, PA 17013
(Attorney for Plaintiff)
GRIFFITH, STRICKLER, LERMAN,
SOLYMOS & CALKINS
I~icha~l B gcl~eib, ESQUIRE
Attorney I.D. No. 63868
110 South Northern Way
York, Pennsylvania 17402
(717) 757-7602
Attorneys for Defendant
IN THE UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF PENNSYLVANIA
JOHN D. PERKEY
THERESA M. PERKEY, his wife
Plaintiffs
VS,
PRUDENTIAL PROPERTY and
CASUALTY INSURANCE COMPANY
Defendant
Civil Action - Law
No.
PETITION FOR REMOVAL
PETITION FOR REMOVAL FILED BY
PETITIONER PRUDENTIAL PROPERTY AND CASUALTY INSURANCI'
To the Honorable Judges of the United States District Court for the Middle
District of Pennsylvania, Petitioner, Prudential Property and Casualty Insurance
Company, by and through its attorneys Griffith, Strickler, Lerman, Solymos &
Calkins and Michael B. Scheib, Esq. respectfully file this Petition for Removal and in
support thereof state the following:
1. May 14, 2002 Petitioner initiated a declaratory judgment lawsuit in
this Court against John and Theresa Perkey. The lawsuit is captioned _Prudential
Property and Casualty Company vs. John D. Perkey and Theresa M. Perkey, Civil
Action No. 1:CV-02-0819, (Judge Kane).
2. On or about July 5, 2002, Plaintiffs filed their Complaint in the Court
of Common Pleas of Cumberland County. The Complaint involves a Declaratory
Judgment matter. The amount in controversy exceeds 875,000.00. A copy of
Plaintiffs' Complaint is attached hereto. No further proceedings have been filed in
the state court action.
3. In connection with the existing federal court action, Perkey has filed an
answer to the complaint and a counterclaim. The counterclaim contains the same
allegations that are contained in the Complaint which was filed in state court.
Perkey's counterclaim was filed on August 9, 2002 with this Court.
4. Mr. and Mrs. Perkey are citizens and residents of the Commonwealth
of Pennsylvania. Prudential Property and Casualty Insurance Company is a
corporation in the State of Indiana with a principal place of business at 23 Main
Street, Holmdel, New Jersey.
5. The lawsuit filed by Plaintiffs Perkey in the state court is a declaratory
judgment action and alleges that Defendant Prudential Property and Casualty
Insurance Company must provide underinsurance coverage to Mr. and Mrs. Perkey.
This Court has original jurisdiction of the above-entitled action pursuant to 28
U.S.C. 1332. The action may be removed to this Court pursuant to 28 U.S.C.
§ 1441 (b).
6. Petitioner represents that it will pay all costs and disbursements
incurred by reason of the removal proceedings herein sought should it be
determined that the above-entitled action is not removable or that it was improperly
removed.
7. This lawsuit is similar to a lawsuit which is currently pending in the
United States District Court for the Middle District of Pennsylvania, Prudential
.Property and Casualtv Insurance Company vs. Perke¥, Civil Action 1 :CV 02-819.
(Assigned to Judge Kane).
8. The .Prudential Property and Casualty Insurance Company vs. Perkey
lawsuit which is currently pending in the United States District Court for the Middle
District of Pennsylvania is scheduled for a Scheduling Conference before Magistrate
Judge Smyser on September 20, 2002.
9. Petitioner requests that this matter be removed to the federal court.
Subsequent to the removal, Petitioner will file a Motion to Consolidate this matter
with Prudential Property and Casualty Insurance Company v. Perkey, 1 :CV 02-819.
WHEREFORE, Petitioner prays that the above-entitled action be removed
from the Cour~ of Common Pleas for Cumberland County to this Court.
BY:
GRIFFITH, STRICKLER, LERMAN,
SOLYMOS & CALKINS
MICHAEL B. SCHEIB," ESIQUIRE
Attorney I.D. No. 63868
110 South Northern Way
York, Pennsylvania 17402
(717) 757-7602
Attorneys for Defendant Prudential
Property and Casualty Insurance
Company
IN THE UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF PENNSYLVANIA
JOHN D. PERKEY
THERESA M. PERKEY, his wife
Plaintiffs
VS.
PRUDENTIAL PROPERTY and
CASUALTY INSURANCE COMPANY
Defendant
Civil Action - Law
No.
PETITION FOR REMOVAL
CERTIFICATE OF SERVICF
AND NOW, this ~ of September, 2002, I, Michael B. Scheib, Esquire, a member
of the firm of GRIFFITH, STRICKLER, LERMAN, SOLYMOS & CALKINS, hereby
certify that I have this date served a copy of the Petition For Removal, by United
States Mail, addressed to the party or attorney of record as follows:
Marcus A. McKnight. Ill. Esq.
60 West Pomfret Street
Carlisle, PA 17013
(Attorney for Plaintiff)
GRIFFITH, STRICKLER, LERMAN,
SOLYMOS & CALKINS
Mibhael B. Scheib, ESQUIRE
Attorney I.D. No. 63868
110 South Northern Way
York, Pennsylvania 17402
(717) 757-7602
Attorneys for Defendant
JOKN D. PERK~Y and
THERESA M. PERI, Y, his wife,
Plaintiff
V.
LN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
No.: 2002-1897 CIVIL ACTION
PRUDENTIAL PROPERTY AND:
CASUALTY INSURANCE :
COMPANY, ' :
Defendant :
.NOTICE TO DEFENI~
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, order and notice are served, by
entering a written appearance personally or by attorney and by 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 rnsy 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 fights important to you.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT
HAVE A LAWYER, OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE
SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP.
Court Administrator
Cumberland County Courthouse, 4th Floor
Carlisle, pa 17013
(717) 240-6200
Americans with Disabilities
Act of 1990
The Court of Common Pleas of Cumberland County is required by law to comply with the
Americans with Disabilities Act of 1990. For haformation about accessible facilities and reasonable
accommodations available to disabled individuals having business before the court, please contact our
of-flee. All arrangements must be made at least 72 hours prior to any hearing or business before the court.
You must attend the scheduled conference or hearing.
JOHN D. PERKEY and
THERESA M. PERKEY, his wife,
Plaintiff
¥.
PRUDENTIAL PROPERTY AND
CASUALTY INSURANCE
COMPANY, '
Defendant
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: No.: 2002-1897 CIVIL ACTION
.-
COMPLAINT
AND NOW, this 5th day of July, 2002, comes the Plaintiffs, John D. Perkey and Theresa
M. Perkey, his. wife by their attorney, Irwin, McKnight & Hughes and makes the following
Complaint against the Defendant, Prudential Property and Casualty Company:
1.
The Plaintiffs are John D. Perkey and Theresa M. Perkey who are adult individuals who
reside at 328 Pine Grove Road, Garctners, Pennsylvania 17324.
2.
The Defendant is Prudential Property and Casualty Company, an insurance company
which does business within the Commonwealth of Penn~ylvania with its regional office located
at 2101 Welsh Road, Dresher, Pennsylvania 19025.
3.
The Plaintiffs, John D. Perkey and Theresa M. Perkey, his wife entered into a contract of
insurance with the Defendant, Prudential Property and Casualty Insurance Company which was
in full force and effect on September 15, 1998. A complete copy of the Defendant's policy is
attadheit'heret0 and mafkei:l as- Exhibit"'A~" and is made a part of this-Complaint:
On September 15, 1998, the Plaintiff, John D. Perkey, was operating a tractor trailer
combination for his employer, ABI: Trucking and Mr. Perkey was involved in a vehicle accident
when the rear wheels of another trailer broke free and became lodged under the tractor being
driven by the Plaintiff.
5.
The accident occurred on the Pennsylvania Turnpike west of Pittsburgh in the predawn
hours and the tractor driven by the Plaintiff, John D. Perkey, was forced off the Turnpike onto
the berm of the highway.
6.
In the accident John D. Perkey sustained serious injuries to his neck, back,shoulders and
right knee. The Plaintiffs seek recovery of their damages for pain and suffering, medical
expenses, lost wages and loss of society as a result of the accident.
7.
The trucking company of the trailer which lost its rear tires was in.~ured by Reliance
Insurance Company. Said company became h~solvent and was liquidated by the Commonwealth
of Pennsylvania.
8.
The Plaintiffs have submitted a claim pursuant to the un/nsured provisions of their
Prudemiat policy for the Uninsured Motorist Coverage provided by the Defendant. The
Plaintiffs have total coverage of Two Hundred Thousand and 00/100 ($200,000.00) Dollars
pursuant to the policy of the Defendant.
By letter dated April 17, 2002, the Defendant refused coverage of the Underinsured
Insurance Claim citing policy language. A copy oft. he letter is marked as Exhibit "B" and is
attached to and is made apart of the Complaint.
COUNT I
Breach of Contract and Bad Faith
John D. Perker and Theresa M. Perkey, Plsi~ntifi.~,
¥..~.
Prudential Property and Casuo!tv Company, Defends~_./
10.
The averments of fact contained in Paragraphs one (1) through nine (9) of the Complaint
are hereby incorporated by reference and are made a part of this Count.
11.
At the time of the accident the Plaintiff, John D. Perkey, was employed as an over the
road truck driver for ABF Freight Carriers, Inc. His employer is seLf-insured and does not
provide protection against uninsured motorists.
12.
The Plaintiffs believed that the uninsured motorist protection provided by the Defendant,
Prudential, would protect him when he is driving other vehicles whether they were rented or due
to his regular employment.
The position taken by the Defendant, Prudential, that its policy does not cover the
Plaintiff when he is driving his employer's vehicle is against the policy language of the
Prudential Policy and a breach of the contract between the Plaintiffs and Defendant Prudential.
At the time of the accident the Plaintiff, John D. Perkey, was not driving a '~vehicle for
hire" but a commercial tractor trailer which was not specifically excluded from coverage by the
Defendant's Policies of Insurance.
The attempted inclusion of the commercial vehicle driven by the Plaintiff, John D.
Perkey, at the time of the accident, by the Defendant, Prudential, is contrary to law within the
Commonwealth ofPennsylwn]a. See, Pr~de~tial Propertv and Casualtv Insurance Compa~r v.
Helen S. Ziatvkj 302 £D.4 200I in-which [he Superior Court found the same exclusions were
contrary to law when the insured was operating a rental track.
The failure to promptly pay the Plai,~tiffu,~nsured coverage in the face of legal decisions
constitutes bad faith by the Defendant, Prudential Property and Casualty Company.
The Guarantee Insurance Fund from Michigan which is now defending the third party
action brou~,~ht by the Plaintiffs requires that the Plaintiffs exhaust the underinsured coverage of
their own automobile insurance before any payment from the Fund.
18.
The failure of the Defendant, Prudential, to pay the policy coverage constitutes a violation of the
implied contractual duty of the Defendant, Prudential, to act in good faith.
19.
The failure of the Defendant, Prudential, to pay the underinsured coverage provided to
the Plaintiffs by its policy constitutes a violation of 42 Pa.C.S. Section $371. The Plaintiffs are
entitled to punitive damages, attorney's fees, court costs and interest as permitted by law.
WHEREFORE, the Plaintiffs respectfully request that the Court enter judgment against
the Defendant, Prudential ProPerty and Casualty Insurance Corupany in the amount of Two
Hundred Thousand and 00/100 ($200,000.00) Dollars with reasonable legal fees, punitive
damages, court costs and interest permitted by law.
COUNT II
Declaratory Jud.omeut Action
John D. Perke¥ and Theresa M. Perker, Plaintiffs
Prudential Propertw and Casualty Comlaanv, Defana,,nl
20.
The averments of fact contained in Paragraphs One (1) through Nineteen (19) are hereby
incorporated by reference and are ruade a part of this Count.
The position taken by the Defendant in refusing underin.~urance coverage to the Plaintiffs
is contrary to law and public policy.
22.
The judgment of this Court in this action will serve a useful purpose in clarifying and
settling the legal issue in this case.
23.
The Plaintiffs seek an Order of Court declaring that ?mdential is liable to the Plaintiffs
for the payment of its Underinsured Motorist Coverage pursuant to the damages sustained by the
Plaintiffs in the accident on September 15, 1998.
WHEREFORE, the Plaintiffs seek judgment against the Defendant, Prudential Property
and Casualty Insurance Company declaring that it is obligated to pay the Uninsured Motorist
Coverage to the Plaintiffs as a consequence of the motor vehicle accident of September 15, 1998.
Dated:~,~O~ ~
Respectfully submitted,
IRWIN, McKNIGHT & HUGHES
,M~.arcustAf ~Ivl¢.._I~_ig~, HI, Bsqulr~
Attorney I.D. #25476"'-~_.__--~
60 West Pomfret Street
Carlisle, PA 17013
(717) 249-2353
Attorney for Plaintiffs
operty~ar~d Casualty. insurance Company
;nam! irtsaranca. Ctrm.Da rty
~mrnercial insurance Cern=any
~a/23 Main Street, Holmc~s{,' N.J. 07733
,car
i
~-ABE= 'O~:CONTE~T~'
GENERAL PROVISIONS
THIS' ;POLiCY IS:' A'CONTRACT.. ': '~ ' "' "2
AGREEMENTS BETWEEN YOU 'AND US "- ' 2'
DECLARATIONS ' ' ":::" ':::' ' " ' ..... 2
ENDORSEMENTS': :..' :'..':.. :. ',:.,." 2
PGLIOY ARE/~-,- ?' :'. ?".' ,' ..."~,... : ..... ~::, ', .2'.
P(~DI21C¥:.PERIGD :. :'.' .... '""" .......
LIFE~.'IME. RENEWAE'?AT:AGE 65' ::' -"
~RMINATION .:'"" '~ '.'3:'.,
PREMIUM' PAYMENT · '
POLICY CHANGES · .....
LIMi%OF :CO'RAGE-.' ' . .. "' "': ...... "-'
O~:O~S~I'¢~b~R~'.: ':. ~.",'?. ~:... ;,¥: ¢...,: ,.;: 5/.
IF YOU I~U~ OTHERS 'OR DA~A~
DUR OBLIGATIONS TO. YOU ...... · .... 6.
yO'DR .OBLIGATiONS",TQ':'US :: ;-;,... ".:
s' [NSU D' '.'. :: ".'
-OSSES'WE WILL NOT.: ~AY'FOR '
HOW WE"WIlL S~::A'"~IM ' : ': '"'":' 9.
~A~ 2 MEDICAL PAYMENTS.
IF YOU ~ I~UR~ IN .A CAR.ACCID~T"~"9
DU~ OBLIGATiONS-TO ~O~ .........
dOUR OBLIGATIONS TO US' ': =
~HAT' CARS ARE'COVERED '~: ':~ -
~HO IS INSURED '
'"' '~0
.OSSES WE WILL NOT PAY FOR ~:-,
~OW WE WILL S~LE A CLAIM
Page
PART 3 COLLISION &. COMPREHENSIVE.
IF YOUR CAR ISDAMAGED OR STOLEN 12
OUR OBLIGATIONS TO YOU ' .. 12
YOUR OBLIGATIONS TO US 12
WHAT CARS ARE COVERED 12
LOSSES WE WILL NOT PAY. FOR.-' 13
HOW WE. WI LL SEq-TLE A CLAIM ~
Prudential Property and Casualty Irm~ra~¢~ Company
Prudential Genera; Insurance Company
Prudential Commemial Irmumnce ~ompany
Sub~ao,arm_s ~ Tha Prucisntfal In~Jrance Cccn~any of America
Corpo~e Office/23 Main Street, HolmdeJ, N.J. 07733
3EFINJTIONS
'he words defined below are used throughout the policy.
'hey are ~Ddmed in bold type and the definitions ShOWn
~ext to them apply.
IODtLY INJURY
todily injury, means bodily injury, sickness, disease or
loath suffered by a person.
, car is aorivate o~asenger aLE0mobils station wagon,
-~ep-type, orvan.with four'wheels wn~on is designed for
se mainly on oubiic r~ads...A' pick-up truck~wtth'four Dr
~x wheels cng a Icao caoac~ of one too or less rs also
car.
IOUSEHOLD RESIDENT:
household resident ~s' someone. ~vho. lives ~r your
Dusehold. A household resident includes a resident
IOTOR'VEHICLE
motor vehicle is'a self-Drooelled land vehicle Which
reuuired to be registered ano licenser~ Dy the laws of
3ur state for use on ~)ublic roaas.
ON-OWNED CAR . "
no'owned,. =ar is a .-ar which is not o~/neo byl
glstered in the name of or furn~sl~ed or available forms
.g u Jar orfreq uent use of you'or a household resicJent.
FIOPERTY DAMAGE
.'oPer~ damage means damageto pn.vsicai orooerty,
=tuding loss of its use.
ESIDENT REL~TI.VE
resident relative ~s someone who lives in your
][Jsenolo and is reload toyou Dy olooo, mamage, acoD-
~n or is a ward or foster child.
:3U OR YOUR
~u or your means the person shown as the named n-
.red onthe Declarations ofthis l~olicy, ano your spouse.
~e or She lives in.you~ household... .....
~E, UE, OR OUR '..
We, us, or our means PruaentJal Property and Casualty
Insurance Company or one of its suOsidJarJes as shown.
on your Declarations.
GENERAL .PROVISIONS.:·
THE POLICY I$ A CONTRACT
This uolicy ~s a can~rac~ Dezween you an0 us When We
refer ZD ~ne oolicy, we mean this Booklet y~ur Aoolic~
tion your most recem Declarations.and your
Endorsemems. , ~
AGREEMENTS BETWEEN YOU AND US '
In exchange for premium paid, we agr~ ~o l~ay for ioss~
as covered in this policy. . ..... -.
By acceDtthg this ~olioy, you agree that
on your Application are true ano correct. Thi~'oolicy.is
issued relying on the accuracy of these sta~eme~..This.
oolicy contains all the agreements that ex~st Detween.yo~
anous. You will immediately notify.us of'any cnanue of
address. ' - - '
DECLARATIONS:. "" " :;'~ .....
The Dec~arations is an imoortant Dart cif this'~o)icy, it listS.
me named insured' and aescribas..l'ne cars this policy
covers. Flefer tothe Declarationsto see which parts ortho..
Doticy apply aha what amounts of insurance'you..hav, e.i'
. for each of your cars. You only have the coverage for'
Wbic~: a. speo~c, premium' charge lis shown, fc~r ihs':'
coverage. YOu will reoaive a Declarations when'the policy
is first issued, each .time a change ismade and at'each'~ .'
renewal. :'.,:..,:-,.' ~:...'...- -: ., .~: .....
ENDORSEMENTS:""~' "' "' '"'~'~ ' ....
Endorsements are a part Othi~ oolicy: The~ adat~i'delete,''''
or change parts ortho ~olicy. They may De necessaw to
cont8rm to the laws of your state orto r~ew.orogram~
nave Imolemen[eo..Only those Endorsemems..wnose
numDers anuear on the Declarations are a san of your
policy.
POLICY AREA ' ":'
United'States,'P~erto Rico or Canacla
This oolioy covers accidents which occur in the United
States of America. ~ ~erritodes or oossess~ons, Puerto
or Canada or while a car ~s being zransoor~e¢ o~weer
'[~ese olaoee,
Oaraccide~sinMexcoaresuDje=to.t, .~otMexice
oaly -- NOT the laws of the United Sta~es of America.
~ nli~ the Un,ed St~es, the Repubtio of Mexico considers
an a~o ~cident a CRIMINAL OF~NSE B welt as a civil
IN.SOME CA'SES~ ~HIS .CQVERAGE ",' ~' -
~COGNJZED..'By,. M~ICAN AUTHORITIES AND
%HE COMPAN~.MA~.N.QT BBALLOWED TO IMPLE-
MENT THIS. COVERAGE AT ALL IN M~ICO.
SHOUED "CONSIDER 'PURCHASING'
COVERAGE FROg 'A LICENSED MEXICAN IN.
SUR~NCE~COMPANy ,BEFORE DRIVING'INTO'
~e cove~gesf~r your insu[ed car pro,ired by,is =olicy
~re e~ended to accidents occurring in Me~co.wbh n 25
~Jles of.the Un,ed '~es border. ~is e~ension only
~iiesfor inffequenttrip~into Mexicoth= do not exceed
eh.days at'.any;one ~ =' ....... . .. '
2. To any person insur~ ;Oh~e~'~iS~oliC~ Wh~'d~eS
: : ~is.paE~ we. ~ll pay on y ~ooe 'd~a~eS thru are
'. e~ess 'over. '~ou~ 'pa~le-:under ~ther..
. .. ~olen. We ~ I pay osses under PART 3.CDL,
:;.:=states 'n~i~Me~ico. if your nSure¢ car sd~a~
:'" "odin Me~5~' yo~ mU~'r~m ~to the ~n~ed ~as
. . .to be fep~red.l~your nsured~r mumbo reputed
;:¥, in MexiCein'Ord~r to ~e;~dven,,.we. Mij n~ pay more
th~ ~be ~oU~.~ WOul~ c~to have ~es~ made
' at ~e"neare~ ~'di~: ~;~e;"Un tee st~eSJ' '
)LICY PERIOD:.:.' ' '=;
dod. This perJ~d"s Sh~wn"~n'the Dec ~m one"
LIFE'~IME RENEWA~ 65
We.will not refuse'to renew or continue this poJicv' Jf you
have had car insurance with us continuously for'at least
5 yea!s on the fin anniversary daTe.of this policy (or any
renewal er replacement clot) following ,your 65th birthPay.
But, this agreement does not aDply ~:
'i. You fail to-Pay a premium when· required.
2. You are notthe principal driver cfa car described
on the Declarations. "·
3.. Your driver's license or that of a household resi-
· dent (or an)(i2erson who'regulady uses a car in-
sured' under this policy) has been Suspended or
"" revoked during the current'pr~Jicy period Or within
12 months before the beginning of .the current
4. The Corrected vision 'of'yoUf'b~tef eye;o~that of a
household resident (or any persorf who regularly
'. :"= .uses-.e ,car,insured. under, this':.policy)~fie~ lees'than:.
· : ':.. 20/70. Nor. doesit aPp yifthe visua form field.of you.
eons hav~'reacfi~he age.c~' 72tend do no('gi~e' US; :on;
request; a rfl¢~liEal'rgpoitfrCm alite~j physician stating?
age 72 meets the requ rements'g' van aboVe;"and
· 2: ,That, in. the, .d0ctor's, bpinion,, you.. Or ..they are~
..:,,,~ .,.physical¥ and mentally~ corn potent to.d five saiet~.'
w.¢'will not'rec~ue~-tthese medical-repo~ts'rnbre than once.
every three¢.~ears. But; after you: or.other drivers reach
the age of 80, .wecan request these r. eports every year;
This' agreement: E~P¢IieS' only'to cars."d~scribed..in .this
policy~ This agFeement stops.as of-the.effective da~e of any.
other~ oar. insurance which ap plies to.'a :ar. described on"
the.Declarations, but onty for those.coverages provided
by.the, other, insurance
CancellatiOn Ely Insured L'If you,wa~ to' 8entel this
policy, no~/'Us.in~writin~ of the future date on.which you
want it. cancelled or, return your policy.to us. I~ a ref'.und
is d[~e it will ~e based or~ our stent' ~ '. ,me Table.
The.premium refund will be sent to ~,_., ~s soon as prac-
tical after we receive your notice of cancellation.
Cancellation By Company -. Ifwe want to cancel this
policy and it h~s b_~en in effect for less than 60 days,' we
wili send a written notice.before .it is canceled.
After this policy has been .in effect for. 60 days, we will
cancel it if: ..
1. You do not pa~y a premium 'or. premium jnST~Jlment
by the date clue.
2. Your dnver s hcanse m under suspen~on or re~/oce.
tion during.the policy..pefiod...This applieS' to any
driver living in your household crony driver reouiariy
Using VOl,Ir. Cai'
3. The policy was obtained through fraud or'material
r~:srepreser~tatio.~.,..Cj:hJs does not WaiVe our right
Wa'will.mail.the cancell~on noticeto the,namecUnsured
atthetastaddress shown onthe policy. We and you agree
tha~ a proof, of mailing.of, this notice is sufficient proof that
you were pr. opedy no[iEed We will keep or]tytheprem um
~'.the:~r~e the pohoy,...was !neffect and we. will refund any.
pra~ca/. Co~e~a¢'g~"~d~ ;~r~ the date'~hoWn' ~n the Writ;
ten~O'dee,'.r~o[ .o~!..~'~'¢~aj:~:y0~' gaf the;~¢~imium"refund
N~nrenewai Ely C;ompany--If 'wedecide notto'~-enew
this'.p¢lisy, 'we,;~ill. send.'writ~e&:noti~e:t0!the nan-~ed:;in-
cured: We'W~II e~ri~d:the' noti¢~.~6 the:la~cC~"8~dFes~ ~hown
on ~e- po cy., We. a~d .yeu agree that the mai ng .of this¢
notice, is,proof that.you:;were.prop~y.nolEie¢,..:=..:~.
continue Ibis. poliO~,and you, do nm. accept-it;, coverage:'
· wil! stop'ortho.and ¢.the current policy penod: Yourfei ure-:
to paythe renewa~premium by.~e:date due indicatesyour'
Automatic Termination --'If you insure' any
by this policy with a policy issued by some other.insurer,
coverage on.that ~ar under thi~ po cy W [ stop.as ·of. the:
effective da~e and. time ofthe other nsurance ..' '
Other Termination Provisions'--'Weiwi]l comply With
the laws in your state:
1. Reouiring a s- '~ qce pericr::;
2. Re~u]nn~ a sD~,cieltyFe of mailing re~u~remen?.; or
3. Jmooslng re~n~lons Dn ~Re reasons ~r
uon or nonre~ewaJ.
PREMIUM PAYMENT
You mum Day t~e' cranium Dy the date cue.
- paY~ne cranium Oy~e d~e showr re.any premium no[me
SeE[D you wilt'result ~n ~e~nA[~on. Ift~e'BremJum. is pa~o
Dy check cromer ~n~rument, and ~ is no~ nonoreo_ itwill
De considered as.a'~Jure lo pay the orem~um-..
Changes.made:to your policv'durJng the molJcy'perJod;
may result in premium ao)u~r~ant
P.O~ICY CHANGES ......
Noch~hges ~aff ~e'ma~':~ny p~ dfthi~'policy exce~
Dy Endorsement·issued by us, ' - -
~e te~s ¢~is ~oticy are a~oma~c~ly, changed to·con-
fo~ to the laws of the ~e in wn~cn.yO~Jive .....
We will ~om~c~Jy giveyou.~e ben~.¢ any.e~em'
sio~.er-~roaoening.of, this ~olicy. This.only.appl es ff~e
cnange.~s n~'require.a~d~on~ premium
If during ~e policy ~e~.a:pe~on not li~ed on,the'poli~
beginsto dri~e ~ car or =oDs dn~g.a ~r snown.=~ ~e
Dectamfinns, .youare.[equ red ~o immed atomy i~o~ us
¢~is dbange..Tn~ ~p.co~r~e ~remium ~ju=u[ e~ will
DP m~e ~rom tbe. o~e ~e opera, pr ~us cpau~s dur-
, d...,.In acarth~is.insured by~ Spo.~,,~e:~ not
~-.'.. pay. more.than .the.~mb ¢ coverages for. th~
.... Dar-
'2·' ~'~'~rth~!~.~¢( insuree';b~.'thi¢'~i~'or ~ile
.' pede~ri~ ~ we ·will not pay more ~' ~e limb
': ef'C~q~s ~hioh. yOu have·'~ an~ one of your
· Ca~. "' ............. . :.~..
Thi~ limit bf coverage aSbli~s mgarS]~SS ~'~'he nu~r
of'~oiicies,'.'insureds, insdred cam. claims made,'~[ cam
involved ih the ~lDen] or loss. Dover~ges on other cars
insured .by us. cannot be, added .to ~- a, ¢ on'
coverage of the oan~cuJar car ~nv'ol
ASSIGNMENT
This oolicy cannot'o=~ assigned to anyone v~thou~ our
~en aoorovai. ~ut. ~ the named ~nsureo dies. ~n~s
will orovi0ethe other oersons-~nsureo oy.~n~s ~olicy eno
the iega~ remresent~Jve.of~e e~e Cbuz on~y.~ile a~ing
as SUCh) ~h the sa~e coverages un~lthe end Cme ~oi~cy
oenoo. Until a legm represenzaWe ~s ao~ointed, anyone
who n~ prober cu~ooy of the =ar ~s covered ~ if he or
She w~ a resid~ relative '
~ANKRU'PTCY _.
,if.an insure~ Decomes, bam(rupt or insolve~ ~unnG the
policy.te~. ~ ~oes n~t a~ec[ me AGREEMENTS
TWEEN .YOU AND US. '
.OUT-OF-STATE ~OV~GE
polioyw
the reuuiremen~ of ~e la~s ~nite you are
:)i~or coverages ~an ~ro~ide~'by ~is policy. B~
t~se. limks.an = ~5~er~ges~ill ~be; reduced to'~ e s~e~.
that~e~ is ~y ~hsr v~i~ ~o cdlle~ble insurance ~ich
~plie~'to ~e ~oss: Under no circu~nue ~il~.anyone
receive.dup ic~e 'P~e~;for. the s~e ~s .
'ha~e a~r accid~'offloSs:,':~sy.'or so~eone~ng for
the ~Ccide~ o~JpSs ~pe~ed, ~e~aRd,a~resses of
.pedp ~' involved ~esses' a~d any'in ~ or-damage
~ending any loss or sue Cooperation'includes
a~ending he~ings an~ tn~s, helping in suing
WhO are rest-- '~it "~r the accident. 2iwng
ev~Bence eno 2in~ .~ g~ wrmesses to'attend
-a Ina
~. Jm~eol~ely send u~ any notices or ~eDal
rece~veo Dy mere or'their legal representatives in
~ ~eex~]neODyOUta~orsfort~eJnnjunesas~en
as we' reasonably reouce.
5. Give u~ wr~en' oe~ission to ob~n ~pe~r
'and omermleva~ recoros.-
' 6'; Gi~e'uE~en oroof o~ir loss ~n
ing;any re~evan~ informa~on we~reaue~.
7. Give us'a ~ammem un~er o~ w~in 30 days
our-request.
8: Repo~ ah~ eno run ~cioe~.or 'losg~o ~e oolite
~hin 24 hours.
9. Allow u~ ~o ~ns~ ~e ~r ~We ~Ue~ k.
:"Win will'noz oay forbsses ~ich are.'s~iea~:.~hu~ Our
~ke ~l~na~ly makes any Pa~;"~sumes any
oblig~ons Bi iBcqa.~ny ~a~eS,.e~ep~ for.flint ad t0
~em at~e scene Cthe ~cfoen[, we will not be're~pom
;Bible.for re~m~ursemen= . .,..,;':'",.-.-,.,.; .....
Tm~ Ag~m'e~t ~ Whe~ we pay for a Ios~'~nder
~poli~y, we eib e~ed tu~e ~ouawe'pa .~,~e pr~
responsible pa~. When ~l~wed by law, ~ are
e~led to rel~d cSl'le~n'.expenses
" . :. ,. ,.' ..... '..::t,~... ,, .... ,:..... :,. -. '~,..'. t,
~orney a~d pay ~J ~elated co~¢~n'¢'~S.
Righ~ Of. Re~ -- When we pay for aoss under
becom~oum UP;te, the~amount we hEv~ pad; k~one
~nsured under this. Boticy'mu~: ...... .: 1, Not i~edere ~h.od~rights. to' r~ver;
2. Do .~azever is necessa~.to.he,p us recover the
am~um we pa d ' ..'..': ·
Acleiitional Duiies If your Oar, Is '"~rn 'J Or'Stolen
-- If your~carJs ~aged'a~d it ~v~,:d unOe~ Pa~
3, ~ou must pr~ectthe car from iu~her damage..We will
pay any reason~ bls co~you incur doinD this. You may
~ required to snow usthe O~aged. propeAy b~ore ~s
rep~r and give ~ a ~atement under oath.
tfthe car, is ~ole~, you mu~ repo~ ~to the police and us
wbh~n 24 hours a~er' discovery of the the~.
This. is no~ s comolete.and valid comr~ w~ho~ an
APPLICATION ~nd DECLARATIONS-Dropeny filled out
Prudential, Property"and': Casualb/Insumnce,:Company '
Secr~ta[y. , ,- Presid~,
Prodigal General insurance Company
S~cr~2. Pr~sid~
;DAMA : HEIR::P PER.
OUR~OEIIglGA~T;161NS:'.T,O.::.'~OU:, .(PA:R.T 1..)
E~ DAMAGE COVERAGE):. .....
tf yo~' h~'t~e~ coverage~ (~ee th~ D~l~ons), we
will pay uD to our limit of li~bili~ for bodily i~ju~
~thers an'd prop~,"',¢ ~ 'age that'an insured is lega-":
ly obligated to p, Fi', ,~dily injury and property · .
damage must:
1. Result from an accident involving a ~ar.insured
under, thcs.part; and
2_ Be covered underthis oar[.
NVESTIGATIO N,' SETTL=MENT AND" 'i~
L-'GAL DEFENSE
If persons claim an msureo caused them bodily
or property damage in ~ne Bcs[oer~. we may ~r~
ves~ga~e, and settle or dsfeno any c~alm covered uno, er
t~s cae in the way that we cJec~oe ~s apprcpna~s. '
If suifis proLight on a claim cevered under this par~,' we
Wil defend an'insured 'a~ our exoenss with attorneys
Our obligation to defeno a"'claim Or s~Jit e~ds-'wn~.~e
ha~Je octal'the appli'cable limit of liability for'.damages
resulting from the':accident. - :. .~..~
ADDITIONAL ~AYMENTS ':{'{ ' :~
In a:ddition to'an~ amount:in the I~IMIT-Oi='LIAEilI~iTY
section, we will pay the costs listed be o~.....
We w~ll.r,lmburee'anyone insured under.th s part
.to, the oost.of..Immedlateand necessar, y,,fJrst ald,~
.'~0,ott~ers at the:scefie. O¢ tHe.auaident inv')' v
often ~cident..involving a ca~ iasured"unQer,-this
¢~:',:'DaA."we-w r. eimbu rea. uD to-~250 fo~the..ce'st
-, ,,. a~baihbon¢.,Zhe~insure.d,mu~ first.get t~.bond
'" 'If a~ a re~utt of ~n accident an insured'~
is &~ched"by. couA'order;'.we.will'reimbur~.tne '~
premium of a bond ,chained to release, that
t~chment. The amount.'~f,the bond,we pay
premium .for Can~¢t be'more thap our.,lim~ ~f,~
· ' Po~t-Judgmentinteres,
Jf we are obligated, to pay the amount of a judg-
ment. we will pay scsi judgmen; ~n~eres[ on [nai
DOrt~on of the juogmen~ maris w~n~n our limit of
abilJ~ Our dutv~o Da~/int=r=~t =n~s ~nen we
pay, offer ~o pay or ~eBesit wlt~ ~e cou~
· Cou~ Costs
if we provide a ~sfense we wJJ. payan insured's
· ::~penses
'We will pay reasonable costs connemeo with the
oefense of an in'sureo mcurrec a~ our request. Jf
we asK'an Jnsureo[o[aKe~me offfrom work, we
wJJ, Day up to $50 per =ayfora~tu~ n~ wages
· Appeal Bonds
if we decJae te appea the c~e to a h ~ner
]i~ed.in.~b~;''GE~EBg,~RO.VI~IO.He: section: ........
ACTION'A~i~ST'US..' ;:~.:' ..:','-. ::
.tion ag~n~ us.u~fil'aE~bj~g~ions.under this policy have
peen ~JfilJed. Also, you mu~.w~ u~il ~e amount, of
the se~lemem nas been dete~ined., ~,"',..'; ........
dete~inedby, a c~u~ o~by. ag[eement
betwee~'us'.'&nd.t~e per,on m~king.~e cl~m. Mo. per-
son ~s entAled, to.inc[uce us .m any. e.ga a~ on'age
Y~u. No one insured' unaer this pa~ may assigB"h s
ri~htste another or involve us in a suit as a defendant.
~is. Pa,'co,em. ~ for ~icn a Dremium"~har0e ~er
~ese cBverages is shown on the Dect~A~ons;
REPEACEMEN~ CA~S~'
If you ~qu~m o~e~nip ~a carm ~DJ~e'a ~ covered
under mis pa~, t~e new~y ~ouired car h~ ~e
coverage as.th~ ~ Yo~ must'noSy.us of the
replacement within ~0 says after you acsuir~ thecar. Tor
coverage to continue abe- 30 says.
ADDfflONAL CARS
"you acquire owne~niD of anomer car
those- described as covered unoer tn~s ~an tnls Ban
covers the new car for ~ne fir[ 30 da~. The new car
the s~e coverage.~ ~y of your o~er ~ ~nsure~
ut. A,~ your otSer =a~ mus~ De InSure~ w~h usfor IBIS
D~.to cover the add~on~ car.
You. mu~ Im:us..Know.~hi~ 30' days ~e~ you-acQ u~re
owqemn~o ¢~e new car that you.want t, insuteg unoer
this PaE,;fo( coverage to cont~n~e.a~eL3D oays..
S~BS~ITUTECARS - . ..... .....
If a ~r covered under ~is Da~ bre~ 0o~.¢ is bei~g.ser.
~ced or top,red, or is ~oien or oe~oye~, we will cover
a car.you borrow [empo~adly ~ the.o~¢'s
slon).w~iJe~Y0uc.~r is beiaD top,red o~ replaced,..This
~r cann~ ~ oWned by yo~'or a household mside~.
°~ed~ar;' ~e":owner'mu~.gi~e peri.ion to use '~.
The'n~n-owne8 '~r mb~ be~sed in ~e' way.~ended
By ~e"owser¢: ~is'isc~uaes. a-rentes ~r fOr'a- Period of
us D 30 consec~ve oays(~The nO~-owned~car ~ the
s~e coverage ~ ~y one of your ~m:ins~eo
cover oeSigned'to'.be mourned:on :a'c~ o~raiter; Whe~
edto a =ar ~ Is considered to be one vehicle. ~ere
cqvemge for. a.tr~ler, c~pe~ un~,. cap o~ s~milar ~ype.of
,cover White useo.~ a car not. insured.unoer.~ie. Da~
Aisc, ~ere is no PmPe~.Da~ge. coverage for. a
~ed ~miie[. c~Per ~nE, cad 0r. a~ilar ~pe of- coxer.
WHO'll:INSURED (PAR-
IN YOUR CAR ~INCLUDE~ A ~EST~T~TE CAR)
You and a r~ide~ ml~ive are insured~ie~usin~ your
car or a suD~t~e car covered un~r this'p~.
~her people.are-,insurad.wh e using.your..car or
subs~e car co~ered.under this 'pa~ ~.you give them
peri,ion to.use ~. They mu~ use ~e car in.the.way you
i~ended. · .... .
We insure a pemon or-orBan~ation:who may be held
respire b efor ~ i~sured's,us:
INA NON~OWNEDCAR' -
You and a residsnt miMi~ m~'~ns~red while"usj~B a
no~ed ~r, ~e o~er mu~give'pe~is~iCn to'use
E..Jt mum.be ueed, in..~e way.i~ended by,the
-C~RS"~OwN'ED'By,:HbuS~H'&~;RES~DENTs..:
c~sed by ~he uang a ¢~ n~ insu~d u~r,~is
owned by you or a household resident.
c~sed b~you..o~.a:b~U~hoi¢:~ide~.u~nB a non-
°Wned'~"~'n~sur~a.~de~iS p"~.;~gbJady beed by
. ARS F~B;HIBE ............ ~.., .:,~.,..' ,.,,,:: :~- .:: ..,;~.~, .',...:?¢., :.: ·
caused by ~nyone using a:car, co~e¢~un~er,~ s,~
tD ca~.peop 8or p~ope~-for a f~;'~ s:d~s not include
~use¢rb~"an~bB¢ ~ing'a c~r'c~Sd'under'~iS
'~ the;~r w~: ~iag.Ueed in ~Urg~eB r~ing,' ~d,
demel~ion,e¢ ~ng"cU~est'or ~l~ed
BUSINESS AND R~IDENCE
We will n~t.pay for bodily inju~ or preP,~ damage
arising o~ of the use efa ~r, trailer, c~per unb, cap
or similar Ty'pe o, ~eing USed'or IOCe~eD ?or use
e,g a OlaCe o~: L.,.~rne~,¢ or, BB. B DIBC~ 0¢
HOUSEHOLD RESIDENTS
We ~li no~ ~By for ~dity injuW ~o you or a hou~hDld
r~ident if caused Dy yo~ or a hOUsehold resident.
WE will no~ defenD'you ada household resident
any su~s brOUgh[ agatha e~cn other a~recuy or lndire~ly
Dy ~ third Davy,
~OUR EMPLOYEE~'
We will no~ pay f~r bodily'inju~ ~o"an employee of'~
yours while in the course ~f emDIo~enL B~.bodily :~
.injuw ~oa ¢~meBlc emp~y~ is c~vered unaer
Dee ~.such employee is no~=overe~ ~e ~s no~ nave}~
~ De.covered.un.er any.w~rker's c~mpensauon law,
.dis~il~.law or s~milar law
~E~OW EMPLOYEE
.(other ~an. you)'to a felloW emDlOy~ ~ e the
'is. _using a car in 'nas 8r her e~plwer's bu~i'~ess.
.W~ will.not pay.~r bodily injuW. ~r pmpa~ damage
caused by. a~y~ne ua~g. ~,nO~ow~ed' ~r tn
d a~D business. ~amp~es of ~o busings are:
!nD, rep~nng, sevens, ~odng'or
'~so=ate ~e msuree ~ile" using~y~.¢.:your,cam.
caused.' by anyone '1~ '~an =you?.oF.;.a¢ ~ent
We will n~ pay for bodily inju~ or pmpe~ d~age.
rebellion or ~evo~on. Aisc we will no~ pay for a Ioss:~
c~se~ Dy discha~ge'.:.of;any~ nucle~,.weapo~, ':e~en.:if
We will no[ pay for bodily ~nju~'o[ Pmpe~.~amage
caUSeD Dy anyone who:. . . ..~
1..la an insuced un de~' a'nudear ear tiL . poiby;
or
2. Wouldbe an insured unoer a nuclear energ½ liability
poiicy'but for the exhaustion of ils limit of liability.
CRiI~11NAL ACTS
.We,will not.~ay fo~ bodily.injuw or pro~e~ damage
caused Dy anyone ~JJe ~emp~ing ~o comm~ a came or
zo'avo~d- arrem.
INTENTIONAL INJURY OR DABAGE
We will n~ pay for b~dily inju~ or pmpe~ damage
which..resu~s from an ac~:
'. That is intended Dy a~ Insureo tO cause qa~; or
2.. ~ an rnsured could reasonably.expect would
~is'~xc~u~io~ applies wh~her or n~{ a~ ~nsured int~.
ed or expemed ~ne resu~s of be~r a~, so' Jo~g ~ ~e
resuBng inju~ or d~age w~ a.n~ral ~onse~uence of
we"~it[:,not,,pay.br 'd~ages ~sS~d'~"pun~ve, ex-
.?]l-n~pay for any d~ag~ b p~o~ o~ed br ~
g'~mnsDo~ed by a~4n~ed ~rson. We will n~Pay br
3~age tD prope~ under ~e care ~ or rented ~'~ou
3r a hou~hold resident:. B~..~e¢~ill p~y. for. o~age
o a'tesioence: or garage re~e0 to ~ou or a ~ident
flOW:WE WI' L S EE "C IM;(PART 1)
~e'Jim~:~ed.:,un~er BODJE~ INJURY LIABIL~-.'_
~CH. PERSON on,~e,,:Dec~ons is ~e limb ¢ our
aSil~r ~l ~ages, inbiudihg.o~ ~r cam o[ ~
~f se~'ces, adsing out ¢ bodll~'ihju~ to ~ne De~O~ as
-:ACH ACCIDENT
'he limit staled unr~er BODILY INJURY -- EACH
aCCIDENT on the Declarations isthe limit of our liability
for all damages, 'inc/u c tges for 8are or Jog of
services, arising out of uodliy miury as a resu/t of any
one accident. '
LIMIT OF LIABILITY -- DAMAGE.TO PROPERTY
The limit staZed under PROPE.~,~Ty DAMAGE LIABIL.
ITY -- EACH ACCIDENT ~n the 'Declarations is the
limit of our/iabil~ for all property damaged inciuding
loss of use in any one accident.
OTHER INSURANCE -- YOUR CAR
is char inS,", a oe which o e: .a:loss unde this
part;..we, w~ll. PaY our. share of.the, loss; Our. share is the
proportion our limit bears to the'total of all applicable
, limits. But we will ;pOt pay for a'Joss CaUsed by anyone
using a newly acq~ired.(additional or' replacement) car
if you have another insurance' policy¢'.that..co~ers it;
OTHER. 'INSURANCE. -- NON-OWNED, CAR
flNCL'UDES. A, SUBST~TUTE CAR)...........:
in the-case.of,a non,bwned:Car.covered, under'this
part;'we, will'pay ~ly those"damage~.that are excess
over amoums payable Under, any ccrher insurance up
F!N~N.CIAL ~Es~pONSIBILI'P/'iLAWS. '.
.sibility in .keeping ~with the aws, ¢, your state, the
· coverage Pro¥,'led,under this part w ..comoly 'with
reg,u, lrer~ents .,q.f-your-,state!s law ~:" ....
MEDJCAL:PA.~MENTS..COVERAGE... ....... . .
If Y°d'ha~'~i~ cDVe~ag6 (see'theDectamtions)';,.We. wi~
pay up to our lim~ of li~il~y far aninsured's.'re~en~ie
expenses fer.necessa~ medical and funer~ se~ices
which resu~ from a ~r ~cident covered under this peA.
We will pay only ~ose expenses incurred w~hin three
years ~om the accident.
YOUR OBLIGATIONS TO
The fol]owing,orovisions apply in a~u~ion to any duties
listed in the GENERAL PROVISIONS section,
ACTION ~GAINST'US
Nc one insured u rider this pa~ may take any legal ~c-
~ion agsins~ us until'30 days a~er'notice of oas has been
given ~o us and alt c~ligat~ons under'this policy nave
been fulfille~
W AT CAmS:Am COWmEm
CARg' DESCRIBED'ON THE D~CLARATIO~S'
This Dan c~vers cars f~r which a prsmium chargS for
this coverage is shown on the Declarations.
REP LACBMENT, CARS '
If. you,' accu~re- ownership of a- car, to.'resla~ a car
covered u rider this. pa~:t~e newlFac~u~re~ =arn ~ t~e
s~e coverage ~ the.old ~[..You~u~ n~ us ofthe
repl~ement.~in 30 oa~ atef yDu.acquire.~ecar,
for coverage t~' co~inue a~er 30' ~ys.
ADDITIONAL CARS. ...... ' "~'"' "
t~ose .described ~ covered unoer this'ua~, this pa~
cove~ me ne~ ~r fo~ the ~r~ 30 da~:-~e new ~ar has
the'same coverage?ss a~y of you~;8~He~ ~insure~
w~ us. Ail your other'c~ mu~.~nsured W~h' us for
this pa~ to cover t~e add~ona] car.
You mu~ Im us know..~in'.SEday~'~ you ac.qdim
o~e~nip Cthe new~ar~s~y~a wa~,E:insured under
this pa~ for.co?rag.e..~o CO~n~¢, Ce~'¢days.,,
cover scar:you Dorrow.mmsora~i~.¢(wbh:~e .owner's
Pe~lss~on):whiie your'car is peing rep~reu or replac-
ed. This car :annOt'be owned'b~ you 'of a h~usehold
msident';..~he sub~itu~e car n~t~e same coverage
~e.~r 1ha; is o~. of service·
10
· OTHER NON-OW~"--r 'RS
In add~on'~o SUBS . U I -.~AR,~, we will cover a non.
owned.car. The owner must give permission to use it.
The non-owned car must be used in the way intended
by the owner. This includes a renmd car for a period cf'!
upto 30 consecutive days. The no,owned =ar h~sthe
same coverage'as any one of your cars insured'with us.
TYPES OF COVER
.W.'=..will cover all trailers designed to be pulled by a car.
We wiJJ cover ail damper unfts, caps or similar types cf
cover designedto be mounted un a car or traitor. When
:a tra~ler,' camper unit;' ~as. or.sim ar type cf 'cover is
a~ached.to a,.car., .it.is considered to.be.one.vehicle. ~.i
There is no coverage for a trailer, camper unit;.cap or
similar type of cover while used with a car not insured ~
hnder this par:. .. ·
WHO IS iNsbt~D (F~ART 2)
· . ; · · ,?., .,.
IN YOUR CAR (INCLUDES.A SUBSTITUTE.C .A~..) ~ .,--.
You and a resident relative are insured.while using your~
car or a substJtute.car covemd~under th s part.:~
Ot~er people, are insured while using'.your:car,or:..~a
.subs~tute car:covered, under ~h s~ part if. you give.them'
intended..,.., ..... ., .,:,,';,,,,.,.:..,.,: - · . ...- ....:',.
~: ,.. ;,.; . .... ::', '?r', ..' :;: .'::, ~'.,
it~.A,NON:OWNED'CAR; · . .
~',','.-4;: ~,"-'... ~'; ::'..,:r. ". 3 'i..'.:?~.,' ?, "."
non-owl~ed Car. The owner must give permi~8'i~
it. It,must be,~sed,in the Wa~ ntended by th~ b~neE.
Other per~pl~ ale psure.d, yCniie using anon.owned car.
ut. they are ~nsured ~n th~s car only ffthe accident results
from the actions of you or are, sident mlaflV~ ~
or Passe'~ger. ThiSinclu des actibns of yot~r'Private driP/er
'~who..is operating, the car,fo.h ¥ou~. ', , '.:;':::;?" ,.: '?: :,,.,;."::2;:;;
'^ ='' ,'.' ""' :" '": :':,';'
.-..~. ::.:.::..- ,. · ~, %. '.. ~.: . .. :, · . . . .:.:..
You and a. resident relative are insu'rad if. hit by'a m0~r
vehicle while a pedestrian ....
.. ~....... :. ...... : ,".:,.~:..?:¢:-.'....: .i~~
":...,
"' :' ' ' ' ';': ' '" ,.-;t
LGSSES~WE,WILL NOT;p,r 'I .(P. AR72)
CARS.OWNE~'EY HOUSEHOLD RESIDENTS
We'wilt not.pay 'CDr bodtiy injury, to anyone using a car
no*. insured under this pat,, owned by y~u cr
household resident.
REGULARLY ~SED'NON-O~N~ CAES
.WewiJl not pay for bodily inju~[o:you 0r a household
resident usin~ ~ non-owned car not insured un.er
. peA,. regularly used ~y you ora household.resident,
CA~ FOE HIRE
we .will not pay for bodily'inlet:t0 .a~y~'~e ~S~nD a car
· cove~ed undar.this~a~ to carE'people or
.fee.. This does'not include a ~r pool. B~ yo~ and a resi.
de~ relative'are covered:~ injured'in:an accident while
a,:p~senger Jn.a.no~owned;car being ~sed to car~
co~ared unde~;~hi~ pa~'~e'c~ w~' ~n~ Used J'n any
org~Aed r~ing': sp~'~;'dem~ ~i~ o~ Au~ n~
BUSINESS' AND ~SIDENCE ' :':" ': '
We' ~ll not'pAy fo~bodl[~ injU~ to anyone arising'om
. ~*;,cov~r/being ..used .o{' t~c~ed..fo~ use'~. ~. piece
WOR~R'S cOMpENSA~0N
.We ~lJ no~,pay fer..bodtly.inju~.,to_anyon~.wher pay-
'.~e~ und~'tb[s'p~ ddp cB& ~n~ ~0v~r~'d under
.AUT0~BUSINBSS
own~'car:inany ~md~.~o busine~.'~ample~
bu~ess atp; seJlipg, reputing, ~icing, ~odng or
lng ca~ or Other Vehicles. B~ yo~ a resident.relative
and a busine~s:A~0ciate a~e insured while ~sing any
your cars covered under this peA.
BUSINESS OR ,'
We. wili not pay for bodily injun/.to anyone.(otherthan
you or a. resident relative) using'a-non.owned car in
any business or job.
We wil no~ pay for bodily injury, causeo DV any act of
war, warlike a~, Insurre~lon, rebellion or revol~on Aisc
we will no[ pa~/for a ~oss =auseo DY'discharge'of any
nuclear'weaPon, e~en ~
NUCLEAR CONTAMINATION
We will not Day for bodily inju~ from or as s cons~
c Jence of the fbJio~ng, write( coptrolle.d or unco~rdll-
ed or nowever causeo:
l Nuclear ~ea~on; ..
'CRIMINAL ACTS
cause:ha~:
resd~n.g i~jb~,-df'8~'~e w~ a n~ur~ c0nseguenc~ of
HOW WE WILL SE~EE,A C~,.(~A~ 2)
PERSON on the D~iar~ons is th~ Jim~ ~f our ii~ii~r
~l.d~age~'aHsing ~ 'of;~odily,inju~ to ~ne. ~rson
one ~cide~.
TO ~HOM P~', ~ENT, S ARE IVIAP'=
We can make these ~aymemse~h~, .~ the injured p~r-
son, his or ~er. iega] r~prese~ives or~ h~irs, or ~o those
provJdin~ ~he semites. By m~ng these pa~ent~, we
ar~ no~ adm~n~ ~ha~ any pemon is responsfble for the
If there.is Other car.me.dical paymen~ insurance.which
covers aides unoerthis pa~ we will Day our share Othe
Io~. Our share lethe propo~on o~r limb bea~ ~o the
INsuRanCE ~
In the c~e ~ a no~owned car covered under this
we will p~y only those medic~ expensesth~ a)e ex~e~
over amours' pE~ble under any ~er. car medical
COMPBEHENSIYE
~Ey.for any..~r~ ~d ~cide~l ]osS"otor d~sge ~e
LOSSES' WE"WiEE "NO~'P~y 'FOR .p~ ' 3):*'~.
~tes ¢ comprehensiVe C6verage losses ace: 'gl~s
brea~ge (even ffthe gl~s is broken in a collision), the~,
fire, flood, h~l, ea~quake, vand~ism ~d collision ~h
a bird or anita,.
12
If thC.car is" stolen, -,~ 'reimburse..you. for ?our
transpor(ation CoST~, .% .-~r is back in.use or until we
offer to pay for the Koss. TransponatJon costs will be
covered beginning 48~hours after the theft has been
reborted to the police and.to ua. We' wilt pay up ~o $I 5
a day for tnese.~ransportation costs up to a to, al of,~¢,50.
TOWING ~ND LAi!~OR'COVERAGE
If you.have this coverage (see the Dsolarations),'ws~:will
Payfor [owing charges and the cost of labor done.st the
scene cfa breakdown. The limit forthis coverage is shown
on the Declarations.
..:'q · :':'
RENTAL.CAR COVERAGE' ,.~.
If you have'~is'coverage (see'theDeclarations), we'will
reimburse you fo?the cost of renting a:~ar if. a'car ~ou
awn is out..of.use.'for more than 24.hours:becaUse:of:a
Collision.or Comprehensive;loss. But this coverage does
not apply when a c~r is. stolen and .Comprehensive
.Coverage applies .~ .. .,:,~:..
'~We will o~ly pay for actual rerfral costs for the ~e.it woul~
to"$15 a de¥'~h~F~¢~-50 peCa~jd'ent. L'. :7, ': .!:~
You mast promptly' notify us of the arn0u'nt.~.ou.sPek'f~r
mnfaJ of the car in the manner and time we reasonably "~
The ~ollomng' provls~ns'~pply re'addition tO'any:ddties .'~
listed.in the GENEi:M~ PRO~l~l~HS"section'.'""? :'-" ' :.
'l~'~'or~emsured una~i,hls parI'maytake.,an, .\/local act On
:~nin~'Us' Lintil 3b '~ta~ a:fts~ the~' ha~9'e
0f"loss· af~id O~lv':'i~'~l obligationS: ~nd~r'this ~0ticv have
been fut~lled..' :.::: · , "i:. ,,....~.,:....: ,"'h-.': %
WHA~ CAP,~ ARE COVERED~FPART 3)
.CARS" DESCRIBE~' ON'THE DECLARATION$~ :':¥,.:,:
This ~a~t COyer~' ~m f6r ;~,hiC~ a:.Pre~i~m Ch~';f~r
th~se ~0v-era¢~s:is sh~SW~"on the Declarations!"~'" · ':
h' .7ou acquire own=-mhip ~f a :ar t~ repine a car'covered
under this part, the newly acquired car has the same
coverage as the old car. You must notify :us of the
repJacemenf within 30 days after you acc uire the =ar, for
coverage to continue a~er 3O.days.
ADDITIONAL CARS
if'you acquire ownership of another =ar in addition to
those described as covered under this part, this Dart
coversthe new car for the first 30 days. The new c, ar'has
the. same coverage as. any ofyour crier, care'insured
us;. A .your other-' cars. must.be;insured, with.us for.this
pa[ttocaver.the.addJtionaJ:=ar,.: . : , . ..
Y0'L~' must lotus know Withir~ 30.~ys after v0u acquire
ov~nership of the r~w ocr that you wan it insured under
this part for.'cov&ra~:Je to Co~'~ue afte~ 30 days.'
lf.a car covered under this part break~'dow~,' a be ng set,.
viced or repaired, or is stolen.or destroyed, we, will c.o~er
a. car you borrow temporad~y'(Wi~h ~ e' ~Wme~
siori):~hile your ca~-Js being~epa'red or reotacecb ,This
=ar cannot be owned by you or a household resident,
.T.. he~s~·bstitU~e car n~ t~e ~e CDverage as the
In apd~o~ to SUB~T~I~TE CARS,.w~:~ Co~)e; =,non-.
The owner must give perrnlss~on'to use"[
by the o~v'ne~'This includeS~.r~:f~r a.Dedod of
u p.tc 3D. conaecutiv, e da~s.,'[he,,n~°Wned =,ar h as.the
same CDVe~ge a~any one myour cars insured with us,
LOSSES WE WIEL NOT PAYFOR (PART3)
CARS OWNED.B¥::H(~ 'I~SEHOLD :RESIDEN~"'S:
We'~ill n~ ~a? for damag~ to or·iS~s ~:~ ~.'car not insured
unaer this Dar~ owned Dy you or a household:resident.
W~:wfll,nm- PBy,~o~ .damage:to :or loss, at. a non-Owned
car nutinsured under, this Dar[,' regularly usec Dy'you or
a household resident, -.'-: .... _ .
CARS ~OR HI~E
We will not pay for damage to or ~oss of a car used to carry
peoDle or property for a fee..This does not include a car
CAMPER UN~TS, CAPS OR SIMII:AR TYPES 'OF
COVER
-We will not pay for damage to. or loss ~f a camper un~,
csp or similar type of c~v. er, including its equipment and
accessories, unless the.ownership, or use cf the'camper
unit, cap or similar type of cover has been reported~o us
endthe required premium has been paid. A campe~ unit,
cap or similar type of coyer'is'designed ~o be mc~untecj~
We will not pay for damage to or to~ of a trailer, unless
the ownership or use of the trailer has' been reported to
us andthe required premium has'been paid.'A.t~'aJler is
We.will not .pay fordamage {o.'or'loss of any customized
features 'unless [he..val ue,ofthe cus~omh~ion has been
re[~orted to us and it is included inthe or, eraiurrLWhich has.
been ~aid for this coverage. Custom[ze~ features ~nclu de
any: ~Jrnishings,: car~eting;.custom instaJted~heigr~exter,
emg-roafs,;..,_custdm',:pa~nt ,.cus~om.:.;pai~ted wlnoows,
cus~m mutes, graphics or omar custom applied designs
or eClu~pment. This i~oluaes items:installs= a~ thetime ~f
the vehicle's manu~cl~re or. after:
We:wilJ:.no[.:Day for. damage..tc..o~ loss'of a.~ar 'covered
unr~er this Dart if the car was being useo in any orgar¢
rz-ed,.rscing,., speed, demo ition, or stunung, contest or.
BUSINESS. AND RESIDENCE '
~We will.-no~ gay'for damage :to. cr loss.cf a car.-traJler.
camper unit, caD.or simitar zype ~fcover,'bemg ueeo or
located.tot use .as a place of business cr as a place of
resloence...; ..
AUTO BUSINE-~S.
W e.will not'pay for damage to acer. or trailer you d o not
own if you are using it in any kind o',: auto business. Ex-
ampies o~ a~o gus ness ar~, sell; ~, reputing, ss~icin~,
Boring or parkin9 cars or other vehicles,
WAR
We will not:pay for damage caused by ~ny act of war,
warlike ~, insurrection,.re~liion or.revol~ion..Also,
will n~ pay for a.loss caused ~y discharge of shy nuclear
we~on; even if accidental. · :.' · ' ·
We will not pay for damage from or as a: consequence
of the bllo~ng, wh~her controlled or unca~rolled'or
however caused:
~, will..::h~ p~y f~r;deage,;caused 'by anyone while
~emp~ng to.=omm~'.a ~me or to a~oid 'arre~.: '",
~is exclus on applies ~¢er or not an insured
ed or exposed t~e resu~ ol ~eir ~, ~ long ~'the'
resu~ing'inju~ or d~age,w~'a-natur¢ consequence
soUND (RECEDING, ~CO~ING, R~RODUOING
OR TRAE~MI~ING) EQUIPMENT.
p~rm~na~y in'led: E~uipme~ mu~ be in~¢led in the
d~sh or-console' opening specked by,~e man~a~urer
¢~r~ triter,' camper un~; c~p or simitar,.~pe ¢ cover
for such equipment to be considered pe~ane~ly
Lo, to tacos r~ords, t~ e,.4ces foe use with e6uip-
menu cosigned for the'reproouction of sound will not be
covered.
wE. AR AND T=--AR
We wilI not pay icr damage which is due and con, ned
to wear and tear, fre~ng, or mechanical or ele~rical
breakdown or failure. This does not apply to damage if
your car is stolen, ·
~e'.wilI not pay for loss to'tires unless t~e loss is'caused
by fire, vandalism, malicious mischief, their, or unless the
loss is caused by an accident covered under this part..
ADDITIONAL L;IVING FACILITY EQUIPMENT
antennas, awnings, Caba~as or any equipment designed
to create extra living area while the:vehicle is set.:bp.fo~;'
Wewiii;'ot.p~;'for damaeeto or loss of persona
HOw WE WILL SETTLE A CLAIM.(PAR~.3)::,
2. */~msi~nt~s~arYt0 ~ep~ii:'br replace the pr~er~
~ theft..Ioas· to :permanently .installed SOUh~ ([eoei¥i~g ~
· record ng, reproduc n~. or transm~ng)"equipment i~
Loss t~ ~ non-°wne~ trailer When Puiied. by a =at' '~
covered uP:to $500. W~.'~viIl' enry pa~/the part'o~
caused bwdamage to o~haf~ of a non-owned trailer th~
s excess over the amount payable hnder any'other
surance which covers the loss. ' .: :. · ...... ~'.~
Ou¢ payment will be'reduced bv ar , ,la d educt-
ibis shown on the Deoiarations. ~BL~, t~ ~e Comprehensive
deductible will not apply to breakage of front Windshield
gl~ss when GLA~S COVERAGE is pnnted on the
Declara~ons under the oeductibte amount for that =ar.
If Y°u:are in a collision w~th an)/other vehicle or trailer we
insure,(under another policy), the deductible does. not
apply.' But iftwo or more vehicles owned byyou and ir,..
sured by.-s collide, the deductible applies semarazely to
each vehicle.
.TRAIl;ER, CAMPER t;JNIT, CAP OR,SIMILAR TYPE
OF COVER' DEDUC'FIBLES
A"~a["with.a trailer at~acned to it is consioereo To
seoarate vehicles ano.'seoarme oeductibles apply.
A.. ~arfw~h a cam~er.un~ CaD or similar ~ of cover
mounted on ~ is c0nsiaered[o De one ~r and Dnty
aeau~bte on me car applies. If the camper unb, CaD.or
similar ~oe of cover'is unmou~e~, seoar~e dedu~blss
apply to ~e Car ann ~e Camper un~. c~ or ~mil~
ot c0~er:;J:~:..';."-:;-:. ':'-: ".' - · ' '
aged or ~len ~ro~ ~ mmen~ ¢Ii~ End and
~. If~e ~len p~pe~.is recevere¢ ~w~ have paid ' '
you for ~r replaced*E w~ c~ rexum ~'to'y~u, ~ong.~. ?.::.
· 'Pa~("f~r, any.d~ag~. rssu~ng'ff~m ~e ~eff: If'~: ' to the n~ed insured:
'. Payfor'an~,pr~pe~ oF pay for ~ rep acement, we may
¢ d~ag~d pro~.., we.may s~ ~e.c Om ¢~er ~.
you or ~,'~e '0wne'r"of the ~pe'~; ;.::;;.j~; .:3..::. ?::. ,:..%:..,-: .....
suDje~to ~i ~rovisions fthe p~i~ ret~n~ to apprises,.:
APP~8~.; . ..... ' ....... . ........ : :. ,....... .
~me
Ifthem il disagreement· dv~r the am0unt'¢tfleios'S, e~t~er.
~ us may. aemand an aBmcraJsaJ, within 80 d~ys
g~ve uswritten,proof of your loss. In that case, each of
us.will selec[ a quatified appraiser. '['he two aooraisers will
:select,an umpire. Each appraiser will.then s~ate Doth the
"ac~iJ~.l::c~n value an~. the amou~ of the,.ioss.. I~ they
disa~ree':zneyw subm t their differences ~o theumpire.
~ deli§in,'in writing ~cf any tv~o ofthesethrse persons will
detefm~qe'~he amount of the loss. Each of uswil113ay our
own. appra~ser..We will share e~:ua~y the o~ner costs of
~ne'appraisal and of'the umpire.
sior., ffmbezzJemerft or secretion O~.the.car. But, we.
reserve ~e right to cancel or nonrenewthe'policy.as oar.
mhZee by ~ ~erms.'The termination notice, will end this.:
agreement with all loss payees. Advance notice- of
· ruination will ne seato the.loss noyes at the time it is sent!
OTHER INSURAN .~UR CAR OR TRAILER
If there is other insurance which covers damaos to orth~
~f a car or fralier covered under this pa~, we ~vili pay our
snare of the loss. Our share is the proportion our limit
bears to the total of all applicable.limits.
OTHER INSURANCE -- NON-OWNED CAR OR
· TRAILER ('INCLUDES A SUBSTITUTE CAR)
In the'case of a non-owned car or trailer coverao unoer
this Dar[. we will Day only that Dan of a loss caused Dy
r~amage to or the/t of the car or [railer tluat ~s excess over
amour~s payable under any Other.insurance uD [o our
limit of liability.
LOSS PAYEE CLAUSE
Payment for'loss of or damage ~o a car c~verec~ under
this oar[ will be mar~e to the person or organization show~
in the Declarations asthe ~oss oayee. Ti-ils payment'Will
be mm:~e, UD t0the amount ~f the Ices, ~o the ex[ant that
'the loss paYee 'has a financial ~nmres[ in the =ar,
.This insurance,' co~ering the interest '~f an~, joss saves,_
will .no~ De.invalidmed' oecause 2f the insured'.s conver-
SU[,
When ~"" ' '"" ...... ' "~" '" · ·
we ~ay the l'oss'~.~/ee, w~:aCoui~e th~ le~'paYee,~.. -. :,, i
suDrog~on nghts. When we'ma~:e any payman~ under
this Bolicy, we can make separate cayments to ~ach oany
at Jn[erest, provided we ¢:rotect ~he ownership interest of
all Parties. . ....
15
ThePrudent;ai ~,
po,Car
l cy
ENDOESEMEN,T.S.~AVAILABLE IN PENN-
SYL~'ANIA;"~¥OU'*~)'NE¥~HAVE'cOVE~GE-.FOR ..,
THE ENDORSEMENTS L'ISTE~N YOBR~:' ~':.: '<. ·
DEC~RATION~ P'AGE BY PAC NUMBER. S~
LIST BELDW~'FOR-EOCATiON,WJTHiN THiS...:~
PART S U~DBRINSUR~D MOTORiSTS" :-' ':~'
LOSSES WE WI~ NOT pAY FOR:t*,. · ~": 8 -
Prude~al. am~e~;'~d'C~ua~ l~um~e obmpany'
Pru~e~al ~ommemial Insurance :omp~y" ' ....
Q,T. HER NON-OWNEDCARS
:in 'addit~n.[o s t~bstitute. =ars,' we Will'coVer. a non.
'owned,oar. The owner.taus[ gwe'Dermission ~o use
The no~-owne~ car m u~ be used in the way
by ~ne owner, This includes a rsn[ed,car~-for~ a
of u~ to 30 consecutive aays. This non-owned car nas
the same CO~8F~ ~S any one of.your cars insured
with us. ' .......... - ....
IN YOUR CAR ('INCLUDES A SU~S~i~UTE CAB)
Y~,an~esJdent fellies,arc,insured,while using
'-,yeur ca~'~.a,sub~itu~ecarcove~eo under, this pa~.
sub~me car coyered underthis pa~,if=you,gi~e them
cpe~is~io~to.~e,it,; ~bey~,~um.use the-~ar n the way
Yo~ ~ a r..~t~lat~6'are insure~ while uaing
a no.owned car. Th e owner mu~ give pe~ission
use~ I~ ~ use~. n the w~y~ntended by,~e owner.
You and'a resident miative aCe'idsS~ if'h'Jt ¢y an
uninsum~ motor vehicle 'while a:~¢8~=~h ;..
ewj n~,payforbo~ F~.lnju t~sn o~ew
a car ~psuredu~der'tHi~"pbl c~ ~"~n'hs~re¢ be~se
le~ed 'by you or.a h~u~hoid.r~ide~t ~ ch
not ~nsured under ~s poi cv ....
RE.GULA.RLY" :"- ~O.N-OWNED
VEHICLE~:. .
We will no~ Day for bodily injury ~ you or ehouseh01d
resident using a n~n-owneD motor, vehicle
surea unaer m~s Dan. regularly, used'by yOU' or 'a
household .resident,
'C~RS: F~B.HIRE .....
W~ Wil~ nm pay for bodliy-inju~o'~n~one usin~ a car
:covered under this Da~ [D=arry peop e or property for
a.fee, This aces n~t incluoe..a mar, ~ol."B~ you':or a
,raside~t.r~latlv~:are covered if:injure~ in an ~cidem
while a ~assenger in a n~-own'ed,car ~ng.use~to
carry ~eo~le or ~rope~y f~r a fee:L. ~,. ~_;,
1. Motor vehicles ~wned or operated' b~: sS~-
.....~, i~rers under a~anc a ~espons b ~ ~ or
'-': "2;'M°torvehi~leS:owned er'oPerated by ag'ove~-
ment agency..i~:the Un'~ed States'of;America,or
. .;.3,. land-chicles Cpe[~ed ~n,cra~Jer.treads o~ r~ls;
.c ~9'MotOPve~icles.:0f'equip~t,dbsi~neCfor-uCe
mainly off public roa~r(unless~'.t~e:~ci.dent
happens on a public road)~..?,~...= ,
We will not pay for b~dily, inju~.~.an~o~e,u~ .................. nD a car
cevered under ~is pa~ ~the car W~.being.?ed in ~y
organ~ed racing, speed
We wi n~ pay for bodlly.injuwt¢ any~'He AriSing'
'of the use'of a:meto~ ve~icle~ier~.,c~per UnE,'cap
or similar type of cover, being used or located for'use
,as a.ptace,o~..bus ness or..~ ~:p ~e of. res
':W, OR~Rf8. GOMBENSA~ION.OR SIMILAR~WS
We will not pay for bodily iniuw te anyon6~hen pay-
ment underthis pa~ dupticatesbene~s pay~le under
anywe~ker!e'cempensatien¢di,, ;-[y, milarlaws.
.Also, this coverage shall not apply direct y or nd rectly
· 50 b~sfit aoy insurer or self-insure[,under any worker,s
compenSation~is&bl~Or similar laws. "" '
AU%O,BUSINBSS..- :.:. · .., .~ :.:.~
We will nm pay for bodily iniu~'~d by an~une U~-
ing amotorve~icie in any &utomobilebusi~ess:(.such
as sellinB repair nB .se~vc rig, ~or ng or park ng~am)
But..~o~.,: a., r~sident;xei~ti~e, .or,.~any. business
:~se~ia~es:'¢or.~bose use o~be ~Br you:'may'~e held
de~¢l~;[espon~ible) are. insured ~ite using any
BUSINESS OR.JOB¢ ;"*'~ :': '~*,~:::.r' .,'..,,::~u.:.:..; .¢ ".':':
We will not pay for b=dily in jaW to"='~y~¢tk'~
:you'o~f~iden~mlat[~) us~g,a notched;motor
vehicle in any business er~o~* :~;,-:,~* *~ .....
. war,.w~ike ~, !nsurre~ion, rebellicd;
'Also;~e W mot pa~for, abes causedbydisch~rgs of
NUCL~R CO~AMINATION "-:. =¢'.*"'
2..Nuclear radietion~' or ¢'., ',~'~.'
We will not p~y Cot bodily injU~..~.anyone~.wh~e
:We w I n.ot,~ay~orCbOdilY~nju~W~cb~resu ~.fr~m an
~' 2:"~hat-~n,msufed :could'T~on~bly axpe'~ woUt~
This exclusion a~ s'v. ~er ornot'an.insured.ir~en'd.
ed or expected the results..of the r act, *so l~ng:as the
resultiRg.iniury;cr, damage.was a natural c~nseque~ce
of.the act.
We Will· not pay..f~ damages
HOW
WE
WILL S~L~ A
lfyou or a resident relative insured under this pa~ is
.... · "PaY~eretRan'the~iimit,~f cbver~ge;fof'th~aA
· : ~ .shown,o~,~heDecarati~nsapp cabe:to~ha~par-
'pede~ri~ -- we will not pay more~haff~e~lim~
tions applic~le ta
~s t~m~e¢coverageapp e~.regard
,~. Vehicles mvD]~ed
dentin scar that is insured'~tbiS~pp~Wi
~orethan ~e limit of c0verage~,for ~at Ba~icutar ~r
other ca~'insured by us
'S ~AOBNG OF'UNINSURE~ MOTORISTS
Ifyou have selemed.~is option (the Declar=ions will
dicme.~c~ng applies) ~en ~c~ng of coverage under
this part applies to. you'and a resio .... r, .,ive insured
under this part. 'This means'.~hat.you or-a resident
relative can acld or stack the'. Uninsured
Coverage tim~[s of other cars insured for this:coverage
by us upon the Uninsured Motorists Coverage limits cf
the car involved Jn the accident or toss... "...
The LIMIT OF COVERAGE in the General.Provisions
and se~ion titled LIMIT OF COVERAGE.Under'.'How
We Will Settle A Claim" under'Part 4 do not apply:"
"O i;STACK!"G O f"U.!NS iRED MO'roRiSTS
dioate non-~a~ing'ap'~lies) then th~'Limb ¢ CoVerage
under ~is policy's ~nersl Provisions and the'Limit
. ofLiablll~und~r'p~'~4?~ow.We.WillSe~JeA~a~m,,
~p~l~ to YO~aq¢,a0y.~he~ person i~sured under
~PE6, ~is;~e~s their you or any ~he~ person insured
· ,~., ..-itc the ~h ghost:- [~ t :of=','Unin~ured .Motorims
Coverage av~l~le on any one ~r~'~ to.which
youareEn~ed nsuredo~ nsur
' etM~e fyouchoSs¢'thecovem e~a ~
.... Y U.~ ~ insured under'th s po c~pa~ then we
tmme of the accident~ If you choose:'theCoverage
"~ ~'=',poli~; ~eh;We;~lj.n~t Pay for d~ages under,is
~is'lim~ ef'~eraCe applies regardleSS.ortho'number
"~f PoliCie~,'idsureQs;'i~sured~¢am, ct~msmade, or ~m
~h~lved in'~e'acCfde~or.iOss. Come,ages on o~ar ~m
~nsured ~.~s,c~.net be,.a~de~ to. or ~cked on ~e
coverage of the paEicular car i~voived. ._
LIMIT OF.LIABIL.. ,- _,3OILY INJURY':
EACH PERSON
The limit stated u~'der UNINSURED. MoToRisTS,_
EACH PERSON on the Declarations is th e limit of our
liability for all damages, including damages foncare or
loss of services, arising out of bodily inju~.to one
person as a result of any one accident.
The:limit.mated under'
. EACH ACCIDENt. on tb'e~DecJar~ions is the'limitof, eur
li~biJ~y.for.all damages, inclu~ ng damages,for, care.or
loss of se~ices,~arisiog out:~f, bodlly inju~ ss a resu~
of any one accide~
;'" ' -.'~'. .'".'~'".~' ~..:'~" i '=" "~:.".' '.:
Any-Medical., Payments d-e~i~ed,'tO' be:'PaYa~le
under this pa~ar~subject to a.maximum payment for
the servic~ p~ovided ~ e~ablished by A~
Ifa prevadm g re'edict' f~e~bhafge.'5~r pa)ment has. n~t
been caloolSed, under:~he:Medioa~e~.Pr~r~ ~r a
amou~ of cbt pay~ent,wilFnm "e~eed 'BO%'
m~ic~l pr0~i~er~ U~ual an~ Cum0m~.oha~ge~
ment for'~ute care ~'an sOcfed~d a~e;ca~e faoil~
. If ~e'peer review prog r~.~'e~Elished, by'.Act
' ea';?an'insuFed' ~oVe~ed"U~de~:this.pa~.may reqb~$t
reconsideration of the peer review in,iai dSe~in'~iSn
.;e~'the d~ute~'medi~al.¢necessi~..of treatn ~ent' or
v~ce~.A ~ue~ fon'reconside[ation.mu~;be made
owner":oF'?'oper~tbf· ~; an" u~insured m~Or
2' '~s to ~5'~"~d~t'0f compensatory' d~ages
;Eith~y m~y.~&ke.~:wri~en, de~a~d fbr arbJt~ion.
In this;~ent~ eacfi-~ ~¢y will select an arSitr~0r from the
cou~ where the'~nsu~ed lives; %he two arbitrEtors w
'5
s~lect t~lrd, arb trator.from ~he
a
d ,. ,mt~. If they
cannot agree ~,'ithin 30 ave, either party, may request
~election from a judge of ~ common pteas court hay-
. lng iurisdiction' where the insured claiming coverage
lives; or'by a judge in the Federal DisZrict Cou~ whose
junsdictio~ includes the"coun~ where ~e insured
in~ coverage lives. ' .... : ' '"
Each paEy will: ' ': ·" :' ~ '":'
1. Pa~ ~he expenSeS it incurs;"an~' ".....'
, ·2.., Bea~ the-e~penses of the.th rd pa~ aqua ~.
.~rbbratien'~ll be c~nducted i~ the%~'Un~,wse~e:the
'.:inaured lives;.LecaLr~esof procedure and 'evidence
:.will ~DtY'~.t~e'.~tire~Arb~ratJon.p.rousss:..:.., .
We will'n~ ~e qUe~ions of'~5~erage' 8~'[~ aS
· to. ~er a..peB~n'm~ng a dt~m is covered under
' ~e .policy,.'or is ' eXc~ded.~.~nder
disp~es aff~ng,~e,~pe of 'c~ve~ge,: the ~ ou~
~'c°yerage, :~,ps~o~;,s..~gbt:. ~f. eligibi]~ ~. ~a~.a
~m";or.th~su~d's':sete~bn~o~.coverage, will .be'
· Following the snt~of:a~,.arbitr~i0~.:a~ard,: either par-
ty may file a Peri,on to dac~te or modi~ the award in ·
the. coud in ~e c~un~,Where,the.arbitr~ on was cor~
where :... ,.,, -, .; ..... .......
, '1 ;. ~e.arb t[atDB, add[essed::and r~sol~ed
this poliBy; .... .......,~.:,. ~.¢...: ..,. ~.,.. ~;: .;.'...:.~ ..?. ,::.,
neanng in ~rde~to permit
. to p[esent aPpr°p'~te:ediee~'~e or te~m~y.,
· :. the hea~i~g and.the'e~_y of.an~
4. ~Eher pa~ was denied ~Ppr~pd~te.'~ue pro,
..cass righ~te.a ~ and fa r hear rig;
.5...~he arbitrators.commi~ed.an error"of law.such
,, that ha~ it beak .a verdict~of,a;ju~y the.cau~
wo.uJd:hav~ 'entered a diderent.o r o~e¢'jud 9.;'
ment not with~andinB the verdict.
'6
Arbitration.wilt, be ~,~nr,,,~,ted in.accordance with the
· Provisions of the Pennsylvania Un/form ,Arbitration Act
and. the PennsyJYa. ni& Arbitration Ac~ of !927.
JUD~MBNT .
'~/I/e will not be b0tino'~_v any iud'green1' against any
person or organ[7.atjon which was Obtaineo wi~nou~ our
Payments will be reduced ny ,an~ amdu~i .paid or
payable by Persons respor~-sibleJ0r...~he;acc 'de-n~.
Payments under this part WiJl_a. So be reduced ~y
amoum .paid o¢ Pa-yable. L~hder th~s pu!i~y or Pydher
.If ~em iS o~er insurance ~hich'~em'~le~,'bnder~is
'Pa~.kwe wil~ 'pay.ourshare ef.~e Ios~:=O~r share is.t~e
'OTHE~ IN~U~NCE~ON~OWNEDfC~R;,
· :l~e'case 'of 'a.' mon-0Wne~,car.~vered un'er, this ~,~
'pa~; .we.wjJl.~aythosed~ages that afe'e'xcess over
'~d~spayable unde~ ~ny ~ther.~rance up tD our
,~.. H. acc0roance .~bth¢ f¢llo~in¢,5¢~.er of
Fir~ .. ~e pol~Cy,cDyedng.a.m~o~vahbte oc-
~ ,-.,.. · cupied.by injure~ person ~ ~e ~me of
theacc~dent _,- .... ...
.... ' Seco'nd'~e. Dalicy caved~g a.m~vehic~e n~
::'""¢? '" :', ......... ~nv° veal i.8 tn~ acciden~ with r~pectto
· ¢ .... ,,..: ..... which the~njured parson s an insured'.
If'tWo ormore PdJb'ies,hade' dUual, prisfityF'
1. The insurer again~ Whidh ~¢ cl~i~' ~s' fi~t
maoe unoer the above Priorities sh~l process
and Day the ciBm as if wholly responsible
The insurer ~s therea~er entitteo ~o recover
conzribution pro rat~ from any omar insurer
for the benefits.paid aed ~ :( iprocess-
lng the claim
2..The ma,~mum.recovery under, all policies Will
not exceed.,the amount payable under the
policy~viththe nighest do ar timits o~benefits.
For the. purposes' ofdetermining priorities, an
unoccupied parked motor vehicle is not a motor
vehicle involved in an accident unless, it was
parked in a manner as to create an unreason-
abte risk'of injury.-' "'"" · ,
P AC" 51PA";" ED;
· . . ' '7794 :" . :..
IF,,,¥OU ,.A :,:.::.,=.!. ::.;
MOTOR· /EHi E :
UNDERINSURED
OUR, OBLIG&.,'~IGN$ TG 'YGU':~A;RT 5)~','"';.
""~'?" ~'": ;"":~'~' '~-"%-.I r · ~O::~C~' '~:~ .F."-~f :.,~ ~',:~
P~y up to our lim~ of ii~ii~:'~8/:~i~'iniU~tR~
covered'u2der~i~,Whe~ ~'insBrad (~er'or not:
insured is~g~lY~e~a¢~e~febdCeff~.bodlly
cauld~n~ cD ~¢o~ ~e,e~er:a~:dd~r: of~e
:;~.; ~HE.OWNER OR DBI~R IS' UNDERINSURED
.~e;, Owner .o~.-Bfi~et, :feSP~h~bl~ 'fo~'th'~~ accideht .~ as
liAbtl~ insurance:or a ii~l~:bond ~ lira ~ ~at metess
th~:'~e':~l "~oum: ~6..' nSur~d, is le~ty' e~ed
recover ~ d~ages. ',.,"?,' ':~.~:, -, : ~.:;., ~ , .
No pa~em will ~e'mad~. under ~is
~nsurance..:~d bonds .of ~l responsible minor
~"hi:!is ir~ e~au~ed dy pa~e~.
Ju~'gem~h{.. This~ isa caeerage o¢.l'a~*.
YOUR OEILIGA..O~,,.4'TO US
The following'provisions aPplY in ~ddition to any duties
listed.in the GEN--...R~L' PROVISIONS
ACTION AGAINST US
No one insured under this part maytake any legal ~ion
~galnst us until ali obligations.undsrthJs:pclioy, have been
fuelled.
WHAT. CARS~RE'COVERED (PART
cARs· DESCRIBED:o~ ,~HE. DECLARATioNs
This par~ covers cam for,which, Premium Ch;rge f~rlhi,,
coverage is shown on the Declarations.
REPLACEMENT CARS ,: "'To' :;.?c ': ,..' 'C' ·.
I¢you acquire Ow~emhip of'a'car~ replace a
under this per~. the'newly, acquired Car hoe'?the.same
coverage :as the.,,old :car. Yo~'mu~.aotify:.us~ ¢ the,
replacement within 30 days after;you..a~., qHi(e ~,e ~,.r.
coverage to continue after 30 days ,.' .' ·
ADDITJONAE.:CARS ..? ....... ,~,, ,.~.. ..........
If you'.acquir~ Ownership of ancP~her oar n addition to
those' d~Scribec~¢as,., cove~-~d :unde~i¢;'~a~,.
covers the new car for the.first 30,ctays:.:.The, new. car has'
us. All your ~ther cam r:nust ~' ink,red: With.~a ~o/this
¥0u .mu~ let us.. know wlt'~ir~,30, day~ after you acquire
ownership of the new =ar that youJw:a~:~ insured.undeF
this Part, for coverage to continue" ~er 30 da~s:'~' ' ........
If.a caf'cove,:ed under this~p~.breaks down,~s bei~.g ser:
· v~ced.e~.rapaimd~¢or, is etolen or, de~myed,,we:will cover:
~. car you borrow temporarily.(-with the ow~er.~s ~rmis~
sion) white.you[ car.is· beiag repaired o~.rep aced....This
car c~not be'owned b7 you or a, household msider~.
The substitute' =ar has the ~amecpveregs.a~he
OWNED;CARS
OTHER NON ·
In additi0n ~¢.SUBSTITUTE O/~RSi We Wili 05~¢a:~;C}~
owned gar. The oWner.must give permission to Use it: The
· nor~owned car must be used,in the w, ed. by the
owner. This includes a rented tar'hr a period of up to 30
consecutive days. The.non.owned =mr has the same
coverage as &ny one of your cam insured with us.
WHO IS INSURED, .(PART.5).
IN'YOURC;~R (INC,'"UDES A' SUESTITU'FE CAR)
You and a resident relative are insured whiie using your
car or.a,substituts =a.r. covered under this .part.
Other ·people are insur~d..while.:using your oar or a
substitute'car covered'under this-part fi'you give' them
portal,ion to use it. 'They must use the. car. in the way'you.
intended. ::, .' . . ... '.' · ...! ....,:.: .'*.. "-.
IN A NON-OWNED CAR ": '; ~:i~~: ::.2':~ . ~ ~.';~
You and"a resident;relative'are: insured'~v~, ilo using' a.
non-owned car:;.T, he, owner must give-permission te..use
it.. It musLbe~used, in the:way.intended by the .owner
HIT By"~ MOTOR vEHICLE.· '" "' "'" "' ': ·'" ~' ~'.:".
You and a resident, relative ar~. nsured i it" 'an
undarinsUred occur vehicle while~a
.:'~ ."i.,.='; ',= . '!i "'~..'~,'~'.!.'.~' · ?"; '~i~... -
LOSSES ~ WII.L NOT PAY FOR (PART~),
IL~SSES' OENiED;:'~UDED"OR.'' ~HAUST~D
We will not ~'~.y for bodily. Injury,to anyone ~¢ho claims
a mar insured ~nderthis p~)iic'y i~'UndefinSured because.
co~/~;?ag~"'.'~S i:t~ni'ed?'.excluded or" exhau~t~'d'~un~ie~
a~other'pa'rt of~ s po cy.- ..,-' ...... ' ~'; :":' '~ ':".' "
'-' """ ~ "'': ' '~!,,~.~":.F '-:; ',.'~
OTHER HOUSEHOLD VEHICLES
We will not pay for bodily ifijun] 'b ar~0ne
. oooupying.'.o~.:~uok~ by, a 'motor vehicle': owned' or
leased-, by;you ~o~ .a;household ,resident: which
not:' oovered',under :this'..'policy,. or if "the~ liability
oo~eragei~df.'that vehicle is~. t~sed'to ;:pay :any 'portion'
~f:an~,fnsured,'s'.,be~lily inju~ liability otaim.. ' .... .
REGtCL'ARL.Y."' '.IJSED' ;NOI~-OWNED': ~MbTOI~
VEHICLES . .... ;' "'. ·
We will not pay for I~odilYcinju~t0:-you'or'~ household,
resilient using.~ non-owned, m0to~.vehj:le not insured
under th s parL ragu ar y..use~d by'You'°.~:a'h0u~eh°ld.
resident.
8
CARS FOR HIRE
V~e will not pay for bodily injury to anyone using a car
covered under this part to carry, poodle' or property for a
fee. This does.not include a'¢ar pool Bot. you and a r~si-
dent reiative are covered:fi:injured in an accident wh
a passenger in &-non-owned, car. being used to carry
, people.or properVy.for a-fee~ .....
LAND VENICE.ES:'
VC'e will not pay b?odliy injurY te anyone hit by the
following land vehicles:
1, Motor vehicles owned o~ opened by self-insurers
under any financial responsibility law or similar law;
in the United States of America.o~, D:Oanada;;or~
3, Land vehicles ~opera~ed oh':crawler-treads or'rails; or~;
,4. Motor vehicles or,equipment ~ias gnec2for use'
mainly:~'~ff pUS c ~r°ads-"tu.n es~ the'~.ai:::c dent'
covered:u nderthisl~a~.' ~e car."~ca~b~in.g uSed' i~;an~.
_. related activity: ......... : ......... ·
We will ~eLpa~/'for, bodily, i!!ju~,to anvone.arising'-%t-.
of.the.uae of a: moto~ vehi~la~ trailer, camber:unit,. Cap:
or sirgil~:typ~c~? c~var;, be ~g.:usecio~ cOat. ed for use, a~
a p ace of.b~s ne~s er.as. ~.~l~n~,of residence.?; ..... , .
WORKER'S COMPEI~SATION'OR.'sIMi~R'I.~WS:'
We will not pay for bodily injury t~ anyone when pay-
anY worke~.'.S compen~iion .,disability Or similar laws. Ats~r,T
this coverage mall not ap~)ty,dire~.~or indirectly.to bonsai;
any insurer or:self-insure~, under.any worker!s.compe .r,-
icg a'mot~r ¢ihi:le i'n any automOBile busir~eS~:;(su~t~
as selling, repairing servicing', storing o'r parkin¢
But you;.a £esidmnt. mfative,, or any ...... associates
flor whose use oft'ne ca, you may ce held'legally resDon-
sib e).are nsured whe us ng any OT your cars cover.,,a
BUSINESS OR JOB
We,will no[' ,~ay~fc~t bodily injury, to anyone ~h~'r than
you or a, resPien't retative)'using a-non,owned 'motor
vehiCie'in.any business or
We willmm pay f~r~bodilyJnjury, c~sad by any
war. ~rlike. ~. insu~ior,,.rebelJion or rev~ion.'~so:
we,~..BD~ pa2 for a lgss..c~sed.by, disch~ge.
nucle~ weapon, even if
~e. ~ill, nm' pay for bodily injU'~ ffsm.or ~.
ed or however cause'~~>: .....':':' ..............
S ' R~ o~ ve'co~m~on:
We will n~ Day for bodi~ inju~o ~y¢n~il'¢*'~emu[-
.: = ~,~b=,s.=me~ded by~,~sured¢o c~se Aa~
T~ls' ~x~t~sl~'apphes'whe~er.or riot an :insbred/ntend.:
HOW'WE.WJEL. ~.. ~E;A..C~IM-(pAR.T:5)
LIMIT OF COVERAGE
Ifyou or a resident ~elafive ir~sured under th!s ~-~r~' S
'~ In a carth~ is insured bybls Da:-- we will
more th~n t~e.limb of co, rage'for bis s~.shown
on. the D~lar~s ~plic~l~zo ~.~cuJ~r
2. In a car that ]s n~ insured'.:~y;~is ~ ~r-~ite
.. ¢ pede~rian ~.we,wi]l n~Day:more ~ ~e.i~ o
cove~ge:br this. PoE sno~ on.~e De=ar~ons
Dlicable to ~y Dne.:~r i~sure~
~This:l~m~ aC coverage.applies reBardle~.of, tbe numar
2.' Insured ~m; .... - ": ...... · ': ....... ..
-4'J.Vehicles::involved ~n:~e ~iCent.
~r c~ insured by us c~n~ be added ~ ~¢'~ked
~ no insured ~s e~te~ to ~ce~ve dupic~e
Ifyou have.sete:ed ~is o~on
reiMIv~ c~ ~dd' or ~K~e'Under nsured ~0n~
The LIMIT O~ O0~GE in the Gene~~
a~d se~on'
NON; S~F~;CKINGi'DF. UNDERINSU, __j
CO~GE LIM~S
tfyou have setected this opfion.(the. Dectar~ons ~I1 in-
db~e non-~cking applies) then t~e Lim~ of Coverage
under ~is policy's General P~visions and ~e Limit
Liabil~ under P~ 5,'"'H~w.We ~II S~e ~ Ct~m" a~
ty to you'and any other.~emon insured under this
~is me~s ~at ~ you-or'any o~erpe~on ins~ red' u~der
' 1)' In a Cat'S,tis'insured by~is'polic~ ~ We ~ill not
'. :.pay. ~re th~ the iim~'¢li~ii~y'for the p~dicuiar
'.car:involved'in ~e ~cident," ' "~:'""
ml~iv~ o~.~ile a pede~dan -- You.~r~ e~ed
to the highe~ iim~ of Undednsumd Motod~s
C0ver~e a~l~le on ~y one ~r ~t°~iCb Y~u
~e a n~ed insured or"an,,insurad
'mlatN~.. If,,you'choose ~e..coverage &v~l~le to
you as ~ insured under ~iS.poli~ p~, then we
... 77. '"~ ;~:.~ai~e,~ 7 Jf".:~, :"'a~o5s~ the
;/.i: ;*:': 'pa~7 ,.;,.t ¢"::2.'" '; ~'~.' :':' .. :: ';'.~'. '; .~,'=";'; .". ·'" ",
~is lim[-ef. ¢o~erage'.~pties..regardle~.¢~e number
¢ polices, insu~ds,.insured ~m~ clam¢ m~e, or ~m
'in~°i~ed''i~e ~Ci~~ 8¢~.Co~e'~¢~& ~6~ ~e~ ~
insured by ~ c~n~..~ '~8&8 t° or'~ke~ ~n ~e
Llal~ OF LIAtI[ITY--iODI[Y 1~3MRY: _ACH
:~be It~.,,~?d U~de~..UNDERINSUR~ MOTOR-
LIMIT OF LIABILI~--B~ILY'INJURY:',*~'CH
~e~iim~ '~e~ ;.~e~': UNDERINSURED::MOTOR-
ISTS--~CH ACCIDEN~ o~ tho'.Declarations, 'istthe
limit o~ our li=biii~ for ~] ~agas, including dEmages
~0
.for. care or toss. of.s~ ,~ ;rising out of.bodilyinjury
as.a result, of any one.accident.
Any'Medical Pa.vments'de~ermined td be' payable under
this paTt are subject to a m~imum pa~ent f~rthe ser-
vice prDvJded as established by A~.6....: :...: .2"
If.s:prevailing medical.fee, cha[ge .or payment has not
been ca c'ulated uade~the Medicare,P:o.gram for arrest.
ment, accomodation, product onseryice, theam~unt of
our payment will not exceed B0o/b of the medical pr~
viders usual and customary charge. Paymem for ac~e
care.in:a~ accred~ed acute ca~e facii[y or burn ~unda~
tio~ will .not exceedthe usual and cu~oma~ charge:;
ed, an insured covered under this p~A':ma~' reque~
reconsideration of the peer. rev ewJnbial..dete~in~iun
of the disputed medic~ necess~.of tre~me~ or ser~
ViC~ redbe~ for ~eC~der~n'md~'b~ m~de'~i~
A~BIT~TION
. owner or oper~or.of an undefi~red;~t~'~".;;~
.- 2. ~ to the ~Ou~f,:compen~tbwod~ages;,~¢.~
. E~er pa~y maY make a.wr~en ~emand fo~a'r~r~ofi~
In this event, e~h pa~'wilt sele~aq.a~or.~om the
n~ ag(~.~in.30.da~¢e~erp~.~ay reque~ec.
tion from"a 'judge' of' a' common
· .juris¢i~!~n. ~ere ~e insum¢ cl~ing.¢o~a~ lives;~
1. ~ay the expenses it incum; and
Arbffra[on will be conducted i~ be county where the
sured lives. Local rules of procedure and evidence will
apply to the en~re Arb~r~ian proce~.
We.will not arbitrate q~stions of Co. o~,lav¢ as
to whether a person.making a claim is. covered under
the policy, or. is.exiuded.under the policy. All disputes
affecting the .scope o%.coverage, the amount
coverage, a person's right, or eligibility.to make a
ciaJm, er the.insured's setecticn of coveragel will.be
de, ermined by the cour~ in the county where the
insured lives at the time the demand' for arbitration
is'made; or a, Federal Dietrir:t*Court.whose.jurisdi~on
includes the county where the insured lives.
Following'the:entry0f'an arbitration'.award; either party
may file a,petition to~vacate.,or modify the award in the
court in the county where the arbitration was.conducted.
'Fhe court may modify or correct the award where
1..:The arbitrators addressed .oRd.,resolved issues
- ~'.~, not.,withir~¢he Scape.¢,$he r.authority under this
"2..:rhe'arbitrato"fs-failed. tn' ~; or cbrffinue the
-' hearing,in'olde]- t~.permit, a,~l~ait)'01bpcrtunity to
pre~ent appropriate:e~denoe,orie~mon¥;
'3: -The arbitrators':Were"bia, ser3 in~the~conduct~o¢.~t
' :thehearirig'andthe, entr:y of~a;n~' award; :~:~.
..! .' Either party was denied '.a,uprbpriatE¢"due ~ro-'
· he arbitrators,¢omrnittect an error:ofJa~V.,suct~
that had it been ~ verdict Of"&'jury'the¢ourt' i ....
Arbitration.will be conducted in accordance with the Pro>
~ s~ons.of,.tha..P, ennsylvaRia Uni~crrn.Arbitr~on Act. and
JUDGMENT ~:' ........ '
e w not 1Se bound by anyjudgmen~ against.any per-
son or organiz, ationwhicb..was obtained.witho~ou~writ~
ten consent.
'P, AyMENTS, REDUCED ....... ; .......
Payments;'will: .be; re.~Uc~d, by!,'ar~y';;ambunt, paid or
payable .t3v persons .respoRsi/21e for the .accident
Pa, yments-"t~nderthiSpart'"will alsb be [educe~Fby any
amount paid or.payable'by, other sources or unde.r.t, his
polioy-excabt,Medica ~payments (.p. ar~'2).
OTHER INSURAN(~ ..)UR D~-R.
Ifthere is other insurance which covers a Io~ under this
part., we will pay our Share of the'loss. Our share isthe'
proportion our limit bears to the total of.al/ap;2licabie
limits.
OTH R I SURANC --NO :OWNE )
CLUDES A SU.STn'UT=' ........
we will pay~ose d~ages~at are exce~ over amou~
payable-under any other insurance, up to: ~ur iim~, of
A, ~riorib'es.~.of,Polic/es.,,We,wilLpay under,.this
;. m accordance with .the.followin
,.._,? priorbies. We.~ill not ~ay ~ther~ is,an~herjm..
. Fi~,:..., ~he p61iqy~0~er ng a moto~.yehic e
cupied b~ injure¢,Perso~.~ the~me
' ' .. ' ~e~cident.'_. ,'.'.~ ' ".' '.
.:,:. ~..,..~e~o~d .~e po cy. covedng.am~or ~ehicle
which the i~ju[ed pe~en
1. ~e insurer .again~ ~ich the d~ 'i~"~'
=~ ':.;' insurer~is.~erea~er;e~ed, t~.tecover-cam'
:' ' ?:' :, ':tfib~on. pro.~,~om any ~er~nsurer~r~e'
nm exceed the amount palate' under'~he':
ed in a m~ner ~'to Cre~e an Unre~0n~ie risk
PAR ' iii FIRST FA,.
BENEFI.TS PAC 6/PA
The Ocmuanywilj pay.first Carry benefits'for medical ex-
hanses and if ourcnaseo for:
a. income loss, and
b, funeral ex-~eneas...- . . ..
for bodily injury ~o an eligible person resulting frcfii
the mar~enance or. use ¢~.motor, vebiole as a. venicle,
Also, th e'.C0mDany wiJ pay. death'-benefits.~fiaing from
boclily.':inji,ry; to..the"named Ineumd-or-resident
relaflve.,rasuiting from..the:maJn~enance or use of a
motor vehicle as a vehicle, . ....
Only'the b~nefits'shown as applicable'b~ del Jab ~nou nt
In accordance with Act 6,' ~ii~i~:M~Uicai Expenses
which reablt f~0fn a'car abdide~covered bnder this part
Will be. ~)'ai~ Up to our-limit"of EiabilitTfor this coverage
subject'tb"a:maximu~ffsOf:the 'cd~ehz available and
prevailingchar[Te for the service Drevidad:as establish-
ed byAct 6
Ifa pre.va nB Medical fee:"chaOge'.cr'Qayment ~as not
been caicu~azed .under.:the 'Medicare,,Pr~gram for' a
~ea~*nen~ ar--commodation~pr~rtuct ~r~.service, the
amount..of_our.:payment.;will,,r~et,-exceed :80o/t~ of the
M edicaJpravider!s:usuai.and oumcmary, cnarge, Pay-
ment for acme care if any accredited acute care facility
or bum .foundation w not exceed the usual ann
If the peer:review, orogram,.as, tabli~ed,by Act 6, is utiliz-
ac, an insured covered under this,part may. [equest
racon~'ideration or'he.peer, CeliaC'ih tialdemrmina~on
of;the, disputed medical necessity 8f tre~menz or ser-
vsces, within 30 days of Such oet~rminatJ:on, "" "'
"bodily injury" means accidental bodily harm to a
person and that person's resulting illness, disease or
death.
"death benefits" ~, benefit paid'b~ause.ofthe
death of the named insUred
a result of injury sustained ina motor vehicle accident
if death occurs within 24 months from the daZe of'acci-
dent. The death benefits shall be' paid to the ad-
min!strator or executor of the ']nsureid's estate.
"eligible person" mean~:.
(a) the named insured:..cr any:resident relative;
(.b.) any other person.wb
(1')' while occUpyingthe insured motorvelii;
". <.."-:..if:injured as a result cf an aC¢identin Penn-
".. ' sylvania invol~ing the insured m~or.vehi.
cie. An unoccupied ineumd matcr,vehi.
~ : ·cie. is not a m~torvehicleinve ved in an ~c-'
:.: ...:;..., ... .., cident unless.it. Was. parked in a~.manner as
· :. ,':to Cause.u~reasonabledSkofinjury,
"fUnemlexP~nses'~ means reasonable expen~e~in.
curred directly.related t~.;funerak burial, cremation or
other disposition of the romaine of the'deceased eligi-
ble Pem~n,.Tt~e"eX~.en~e~ n;lust beJncurred as'the
r¢sult of the d~tl~ bfth*~ eligible peraon and'~bhin ~4
includes reaSonAble'eApens~-actb~ll~"inc~-ed for
eligible pemon:wo0td have performedreXce~
,.(b). special help, thereby en~b
thereby .r. edcJcing rices of grcss'.i'ncome;:..:
(a) ices of expected incom'~;~.for.'~.r~i;:p~d~ei-~Ciii0¢~
.~. in~ the de~th cf an,eligible pemon;
(b) ~"e'xl~enses incur~d'ffor'=services'; perfS~med
: :.. dollDwJngthe death .of an .eligible person;,.o[q
'"(c) :'any toss cf. incorn~ dUri'ng the first five Worki~¢.
d aye the eliglble;pemon::did not:work ~.fte'r.the~
accidem because of the bodily injury, .~
"insured motor uehi¢ie" means ~ ..,~ ve~hJ~.je:
· (e) to which toe bodily in.iury liability Insurance.o~
the Policy. aDDJies:..and
(b): by wnich~he named insured m~n~ns fir~ Dar-
. ~Y Denef~s coveraoe as're=uired un,er Penn.
sV'lvania Motor Ve~cie Rnancia.Responsbilitv
"medical 'expenses".-means.,.[~asonaD e and
necessary charges for:
. (a) medical treatment, i~cluding b~ Dot limited
(4)~,¢medica~:,'hosp~l, surgical, nursing eno
~" · 'dental 'se~lce8; :,~, :..~: ....
(2) medications; medic~ s~p~lies...ahd ~r~
s~etic devices; and *.::.
'". ¢,,(3)' ~bulance. -.~ .,.:
· ';~b)¢'mSd ~&i' ahd ~S&&biJ'bative seRi~e~:,, in~ibding
'"'~b~ not li~Jt~'d~o:'"'=r: '.'. ".}'-.;'~ .~:' ', ',C~ ',~ .. -' -
~ ~ : : '~
..... ">":':" reh~iJba~on'a~o~u~tio~J,therapy;
(4) optom~dc se~ic~ ~'~;E~2LJ;?. _
..... ::..:. ,:. , .audiology.'.,',..' ,, .;F'"' ........
=:(c)..' nonmedica, ;,emed~l~ba~e:. and...~re~tment
"'".'rendemd.qa~ ~cordance w~:.a recognized
'" ,' '.;" ~ligio%' b.r-iicensed-m~hed ¢'heali~g.
~11 ~e¢[c~.~ea~en[ ~.~ic~ ~'~ilJ~¢~ ser-
wces mu~ ~ ~ d~ by 0~"presCdbea"~'~e~on or
~l~: ~Pr09ed-;'by 'th¢*'Dapa~e~'of:'Ne~, the
equivaent gdV~m~e~' a~ncY'fe~ns~ble'~¢ he~
Pregr~s'or.~e~credi~ ng.design~.~f~ depa~ent
or. agency ~f..~'e t~te "in;,which' those?settee are
Pro~ded...;.:..:...:,,,. :.,, h.r~.,..=...:..,. :.~';
Pa~e~ ~ medi~imms ~ l:¢~ff6m
~ o~.acci~e~ causingrbodi~Jnju~,.sh~j be
only. jf ~.w~.~ce~n~le.~ ~on~le:medJcal
babJl~ w~hin 1~ mont~.from.~e date of accident that
fu~er:e~penses.would be.incurred as
"motor vehJ=ie" h,_.~,, any vehicle which, is.
propelled. But,.a motor, vehicle does not include a vehi-
cle · which is oropelJed:
(a) so~elv Dv human. Bower;
(b) "by ele=rJc Dower 0b~nea'~om'~verhead ~olJey
wires, or ..
"named"ins~md'' 'me'ns the pe~on o~ organi=tion
"occupying,, mea~s in o~ up~n, t~ri~g ~r.~i~h~ng
from.
' fb)~ ~ny pe~on [eJmed:m..:~e:named,insUmd.by
blood, mardage'or a~oCDn, incbding,a minor
whether or not te~poranly reeiding el~eFe:.' m~'
%is,covera~ does. not ~p[V to bod,~!~:~ju~ to. ~"
(a) any ~mon .~o'ls
red atered m~or
. business ¢' ~ePadng;"se~JCi~'g,' Or ~e~ise
m~ning motor Ve~J~i~:ff b,e;bodJi~inj~~
(c) su~ined by any pemon ~ 'a d re~ re~ ..~
loading or unloadinB s motor vebicle?:..,r-":-. :~
ltaetor~yctes~ .:
(d) any person' while ~,,cupyinD a.mcZomycte, mC~or-
driven cycle, m~tcrized pedacycle or like
vehicle required tcr be registered under Tit e 7'5,
or a recre~onal vehicie not ir~endeq for hichway
use;
Non-Authorized Users.
(e) any person other than.the named insuredcr any
relative, white maln:ainJng .or Using a motor
. . vehiolewithoutreasonable betiefthathe istegally
- entitled to'Old so;' "' - ':'? ',, · ..
Non-Occupants in Other States. '
(f) any person not c~:~UlPYing a m0~r;~;ehiki~'
than the named.insured or any relative, if. the
-. accident,:occurs~*outside the Commonwealth of
· ..m e.nneytvarlla;..;.; :.::.:: .~. · ,.. 1.:c.' :~.::.:' .,','
Psrked'OemperVeiflolls, 'Etc..i:".':"..'~..: :;. ',
(g) ,,any p~rson while m~jntaini'ng or'r~s~ng a m~tor
"'~etfir~le';while 10cate;l':for Use'as a-residence o¢
premis~'*: L."::,'. ¢,-:.' ,'" -'" ~-.'~ :.'.. :~ ,:...;.-,
War, Riot, Etc, ,.~. .... . .... '*.:';.
~': ...... ? oivil:.:war~ i~sUrrection, :revolution onrebellion,or.
· ~-..:,.:.any acoompangjhg acts or conditions
i; i;e" ": '" :':'¢' ". :.,..:.r .....; .;.
(]) any . . . ....... · ..... ,/.,'.:¢.¢ .-;
person who intentionally injures or ~empts
".'" to"intentioriall~'i'ri]ure:~imeetfbF~:noth~r; and
ei; Y-'.Or...,':;,. ,.....,;;.::'.
' (k).':~a. ny-_peracn,wh0, ir~j~r;;';[qi~s~lf or.~other: whii~
¢.ommitting a; fetony.or.:aluding.tawful apprehen-
sion or arrest by a taw.,anforcement official
P'°!i"cY'Pedod' ..... ,...':'d,*; :,'~::..?,!i .::;'~ ,,:~../.
Terrfto ~..... ,;:
¢ '"' . '. · .; !.,.'.'..' .... :,,¢i'.";.".
7Fhis coverage appIias onlyto accidents which occur dur-
ing the policy period and within the United States of
America, its territories and possessions or
Limits of Liablllt3
The limits of liability abpty regardless of the numberer
persons insured, policies or piano of self-insurance
pficable, claims made, insured motor vehicles or
motor· vehicles involved'in the 'acoiderlt. The Com-
pany's me-mum lim~ Oiiabfl~ for medical expenses,
m~oms leas, funeral expenses and death'beneflts
with respect :o bodily injbry to any one eligible per-
. son in any. one motor vehicle accident is Shown on the'
Any amountpa~able by the Company Under first Party
benefits s. hall beexcess over all benefits an eligible per-
son receives or is entitled to receive under:any worker's
compensation Jaw or similar Jaws.
A. A~bn Against company. No action.i Shall lie
against.tbs Company, on the part of any eligible
pomes unless such perSon.has.fully complied w~
all the terms of this coverage.' ...........
B, Nob'ce. If an accident occurs, 'written ncffJ~e ade-
*:.,¢ .. ,quataly.. identifying, the eligible .pe~o~ and'
· reasonably,accessible facts concerning the time,
· placeand.ci[cumstancee of.th;~.acoidant shall'be
: '.' each eligible person to the'Company or any of
C. Medical ~epor~; Proof of Claii~[ i A~"Sni~n as pr~c-
.. =? ficable.the eligible person, or. someone on his
behalf, shall gi~e the.Oempany:Wrttten:.proof'of
claim.under oath. if required;,:fully describing the
~re an .cl..extent of. b0dlly, inJury, tre~.ant and
, .'[ehabilitati~n. received ..and' C~temp
':: ed.'bY the-ComPany unlassthe Oompany,fails tel:
· supply such forms within 15 days after receiving-,
_ notice of.claim ........ .......
~ The eligible person shall submit'.tcsmantel and
...: ,.phyeical examinations b~ Physicians,selected by,
· the:Company, when and as often as the.Compar~y~
may-reasonably require. The Company. will paythe~
costs of such examinations. :-,,.~..::. ~ ?.;
· -'J'heeligil~le.person (o4 in'the~ .~,
... ~On's in~a~ ~.O~'death, hi$ teOal reP resen~five)
'snail if.~e, Co~pany reque~, sign P~ers
enable the Corn ~anyto ~an medic~,re~s and
c~piss.ef re:or~s. A c~py of suc~ medical
will ~e fo~arded t~ such e/iD b e p~r~ Upon h s
: ble. pe~on ~re~enti~g ;uch ¢ a m.s~alJ a~horJze
the OomDany to obt~n' d~Js of ~1 earnings paid
to him by an employer or earned by him since the
:' :"timb 'of the J~jU~ or-dUri~gff~e Ye~'i~'medi~ety
."' Wd ~ 1 ~ ~i~'~.~ ~n~er in~urer ~ a higher
'"~', :;;:"' '.~¢', n~nlm~¢in~md under ~n~her
~';"~:?'"s~',~ *.' ~"¢' ~= -.r g ~ .,~ge onder the
h' ~: "~'?:~"~D~"';'?..'~~'¢'~'-~ '~r;,~z~, ,~, .-.: ~J~
lng ~ ~;,~me-~f the ~den~
,, m~r ~emcle: nvo red n the
~ n~ prov de~ c~rage undo;
two or mor~ ~ C~ h~ ''~ ':~ - '''¢ ...........
.u,:~.:.~.~.~ ..~ ..,,. ~. .~ ~¢e~ua p~i'~y.
. . The nsurer ~g~n~ ~icb the ci~m i~ ~ ~d~
2, The max/mum re~o~/er~;under all policies:
no~ exceecf tne~ amount,Dayabte,.unaer,
policy With the nighest dolJar'JJmEs of bene~s.
For the ~urpose of Oete~mmg ~io¢iii~ an unoc;
~manner:~ iD c~ate an'unre~s~nable..?jsk.~ injur~.
.'~./ndemn/~. The Corn ........
~any nas ~e right of inaem.
.. ~ n~y against ~y per,om who:
~. nas conve~eo ~ ~otor vehicle;
· ?:" &. eludedCJa~FaDPrehessJ~n:Off, a~rest b).a}a~
. ~rson or Jn~u~on cumomaH y cha~'fo~ k~;
u.' ~vJces;in:~ases..nvolvJng no::~nsumnce?. ..... ~;. ,'."
15:
PAR.'.T 7 ADDED'F,.
PAC Z/pA";(ED.,.. 7/90) : .......
.The.company ~g[eesthatamounts paYa~le.fo.r bodily
mjury~o an eliBIble pemon underthe "Limits of Liabil-
ity 'provisiOn o~' the Penn~ylvani~"FirstPady"Benefits
Coverage en dorsemer~t (pAO 6)is changed a~ stated
The Company's maximum'~imi~ df li~.Siiity for m&dicaJ
expenses++' in~ome:'ioas~ ~funer'al,:~ ex, Prises and
death benefits with respe~ttcbodliy, inju~to any one
eligible, perso~ in any one motor ve,h, ici~ acc dent
..~( )"benefi(s. payE~ble for expenses i~cu[red up to
These hm~ ~'fhabihty are sub]e~.t:!¢'spe,'?..lfie'~ ]i~'its for
(~.) The' maximum amoUnt"p'~'aB~'f~¢ ~eath
benefit~ ehn'lFn6t exose~
In. acc...o?'d~ce.wit_h ACL 6<eligible Medical Expenses
sl~je~o, a. m'axlmum of the"Curr¢.~..fl.? ~.115~;I.~ and
n.a.p[eval,ag Medical.fee, chacg~o~payme~t..b~.S not
tbreen calou.(a:t-¢.d.'.'~;;L]'.n, cier'.th~LMedba, r,e.P.,ragram,..for a
estment, accommodation, Product or ee'~i~a, the
amount, of our payment will not exceed 80% of the
Medical provider's usual and customary charge. Pay-
ment for acute care in any accredited acute care facili-
ty or burn foundation will not exceed.the usual and
customary charge.. ........
Ifthe ~eer rev ~w p ....."['st~'~iiShed by.~t 6; i.~ utiliz-
ed, ah'ins~re~ Covered"bnder this Pan may Ceque~
reconsideration of the.~er ~¢iew;in~ial determination
O?~e~isp~ed'medicaPnecesal~oftreatme~ or ser-
v~.¢~;. ~h'i~"a¢' da~s of. Such deteCmination,.
. boner,s in accordance wit~
?":';' '"~ PriB~i~ie~: We~ 'k~'~. fthere is'another
. "'"" :..,,,
- '~; :.'~".,' Second.7~e msu(e~Pr~y~ing ben&~idth
' : . . ........B, n~.'.~'a~.i~su'~e~'~nde
..... ~ ........ whlch'th~gi~ie.~emen is o
' , '"' ..... = 'pymg"artn~m~ of the ~cid ~.
"~"~ '~rf~;~:4'~?~~ ~:f~','f2 (~'~,;'>~"~". · .
· a~.m~tm[ ~i~ nyc ved'in th
~c~dent ~f the'ei~lble pemon:
";'~B'(;(, ~'";~8"'~'&(~). S..n~rgv ~p~. co,eraSe under
· If' ~6 en~m~eli¢~a~e~e~al prion~:
--~e~, '~(.ins~r~nag~n~: ~iCh:. the ct~m .i¢'.fi~
· :made shall presaged paY ~e cl~m ~ ~
2.. The m~m'~,re~gve~ under ~l Polities will
.?m ~xc~ed~he .~gn~ pay~b!e un~er,~e
· ..' bSlibg'~H'~e'~iCH ~ d~Har
...ar me purpose of determ fin 'riSfi~ ~ '~' ' .
CuDlCa pa~Kea n~to~v,hiEil i~:b'Ot'~ mStor ~ehJ.
cie involved in an acuident unl~':i{ ~'Parkad in
a m~ner ~ to create an unre~on~ie risk ~inju~. :~
- 1 -
- ~J-~IrlI~]orI=~: ....' '. ' * ~ ,,, .... :.... ..... . ..
~=-~10~ INJLjF?y ' .... ' ~* :~, '~..~ ....'. .... :'
A nmn-owne~ mm~mr'vehi=te is a motor vehi:Je whi:h is n~t =w~e~ by, re~'S:ere~ tn the
furnishe~ ~r availabje for the. re,mar ~r fre~fien: us~ cf you or .~ hmusehol~ resident.
~:h Person who eie:zs the full to~ ~lzern~:)ve ~n~ e~:h mm;son ~hm ~s Doun: by su:h etemtion
e:~nm~i: i~s sustaineo in a motor vehicle a::Joem ~s the :o~Se~uen:e ~f the fault of ~no:her
~erson no: insurm~ uno~r :h~s
E~:h Dersm~ wh~ ele:ts :he Iim~te~ :m~ ai:ernativs'mn~ each Person.~h~ ~s boun~ by Su:h ele:tion
of the nm~e~ insure: is eUgib e to eeek: ......
vemcJe ~::i:en~ if the'm::):e-. :- ~ omPensm:ion for econom; .... ' . .
:he ~n)u~. sus:aine~ is serious, as define~ unOer :h~ ~efini:ions se:;ion of :~s ~oiicy,
~ersmn bmun~ ~y :he timi:e~ zm~ alzemativs is aisc eligible to seek :ompensa:ion for .
non~=~no~i: Jo~s from :he a~-fautI.~a~y not insureu un=er this ~olicy,,
:he injury susie)hmO'does not ~ee: the definition of serious m(ury, em:h ~mrsom bounU by :he
(~) .The Oersom bo~d by th'~f~:~::= ........ . non-e:onomi: J~s~, u~tes~:
a) The De;Son Et-fauit is convi:te=, or ac:eD:s ~-~elerared Rehabilitative DisDosition (ARm) for
=rivin~ under t~e infiuen:e of al:oho) ~r ~ :o~trolle~ s~s:a~:~ i~ ~hEt ~::i~ant;
:) The ~erson at-fault intenUs t.o ]njure himself or a~o:her person. This does not in:lude
inten:Jona~ a=:s, failure to a:t or 'to act Wi:h th~ reaii:a:ion :~at it :rea:es a grave rJsk of
:ausin~ injury if for the purpos~ of. av~in9 bodily,inju~ :~ himself ~r an~:ner ~erson; or,
dj The =arson ~-faut: has nol main:aina~ linen:iai ras=onsibility ~s ra=uirad by law.
The =arson ~ho is bound by the limi:eO ~o~ alternative wilI remain eligible to seek
m~nufm:turin9' reDairin9, servi:ing or otherwise m~in:aining mo:or vehi:les when the :iaim
arises mu~ of a ~ef~:t in su:h motor vehi:Je wh -h s .aus
-' ~-,, ~Us~n~ss, Other :ham a Oefe~, ~- --~' -or~.~ed-by~n a:t or'
The iniury i~ ~u~ined whJ]~ art O::UDR~t of g ~oIDr ~'en}:Je ~:n~r Zhar~ ~ ~rJvate
your m~t re=en~ ~e=Jar~tiom~ and your
'.' .~ ,.~'~ .... -~.~. ;~ _ ..
This D~licy :s :$~ue~ re~yin~ on t~ ~==ura~y of mesa ~tatement~ This ~oJ.i;~,
with ~he ~otizy ~e use in th~ new
LIF~IME ~,~ AT A~E S5
~n~er the ~rmvision titJe~ "~/f~/m~ Re.ewe~ At ~ ES," the first ~ar~gramh is re0t;ce~ by th~
foliowin~ ~ar~ra~h only if the ~oli~y has an original ella:tire ~ate.~ri~r
we will offer you similar :~verage in one' of our atfilia~e~ :om~anies if YOu have had car
any rene~a~ ~r reDlacemen~ D~ it) foJJowjn~ your ~Stn bi~h~ay.
The ~rovision ti~le~ ~17fetj~ Rent.el ~t ~e E~ is Oeiete~ only if'.thm~olicy
effec=ive,.~ate of 97~D191 or later.
The ~rovision ti~ie~ "C~nceet~ or ~rau~," is a~ed as follow~:' .-'
~nan SD Oeys and ~ou or any ether insured un,er this policy h~s. ~hethe~ bsfore or a~er a I~
m intentionally concealeU or misre~resente~ any material fa=~ or cir=umstan:e;.-o.r
~. maae false statements ~r e~ga~efl ~n. fraudulent b -
Cancellation By
~rizten noti=e at tease.,15 Oays De~re it is cancelle~ If you fail t~ Day a ~remium by the daze ~ue,
1. You ~o not ~ay s Dremium or Dremium in,aliment by the date ~u~. We will send you ~ ~inen
notice at least 1~ days ~ef~re the policy is =an=eliaS;
. Your onvars h~ense m un~-r s~nsio- ...... . . .
2. The ~oliry was ~btained through fraud or materiel misrepresentation. W~ will sen~ you
writte~ notice ~t least 6D ~ays D~fore the ~oii=y is =anceti.e~; or
4. Any ~ditional r~ason~ oerm}s~i~ie unOer th~ la~,s of your state are P~esent.
- 2 -
any se~l~ment or jud~m,m. __
HAN~=~ TO PA~ 1
~,~1_~ ,~r~ ,:or Hire" is ra~:~d by ~h~ following:
Nonrenewal ~y ~om~any '
Gen~ra; Dud~s - If any ~ersons insure~ unamr thi~ Doii:¥ have ~ mar a::iaent or loss, they or
~sle~hone num~sr shown in your Claims ~ervi:e Fo.l~r. We w'ill want to know. how the ~::idan~ or
loss ha~penmd, names an~ a~re~as of People invotv~, .witnesses, '~n~ any injury or
Persons maki'n~ ~ claim under this ~oli=y mu~:: "
% tnf~rm u~ mi the details of. rh~ a::iaent or 1o~ in writing, if
~ Cao~er~ts with u~ in inves~i~a:in9' ssrtiin9' or al,fending any I~ or suk.
representatives in connection with Ina ~::i~em or l~ss.
4. Be ex~mine~ by o~ ~o~ors for their inju es'
t~e m~s~ of su:h examinations. ~ as often..~ w~re~onmbly · r~uira. W
m ~ive us written Permission to obtain their medical an~ other retevan; remoras.
7. Give us a s:atemeni under oatB within 3D days of mw
8. Remora ~ hit an~ run a::iOent or' loss to'the poli:e promptly
.~. Allow us ~o ins:e:: the :~r if ~e reOuest
NIOT~R V=-NI~,L--S FOR
wn~ ~es n~ ~wm ~ =~r ~r~ =~ver~ ~ ~itn~r
Th~ Prom's'on tJtle~ "Cars ~or ,~ir~" )s re~la=~d Dy th~ following:
=~vere~ ~f injure~ in an ~==i~en: while ~
or ~r~perty for ~ fss.
~NAIUGE~ T'D PART
The ~rovision t~tle~ R_nr~/~ ~v~r~o~" is replmce~ ~y the following:
ifa ~r you own is out ~f use for more than 24 hours ~ecause of
we reasonaDIy revues:. ' .
LO~ ~.Wi~ NOt PAYFOR
M~TOR V~l:~ FOR HIR~
fe~. This ~as n~ in=lu~e a mar
ROW ~ WILL SE~ A ~LAI~ ....
Payment for tozs of or ~amage to a =~ :overe~ unaer this Pa~ will be maoe tm the ~arson or
organization sho~ in :~e De:Jara:ions as the toss ~ayee or the aaditiona] interasL This ~ayment
will b~ ma0~, up :o the amount ~f the Io~s, ~o th~ ~an; that th~ loss ~ayee or the a0diti~nal
Th'is insuran=e; :overing th~ interast of any loss ~ayas or the aOditional interest will not
inva ~at~d ~e=a~se o~ tha insur~d's =onve~si.o.n,..amD~:ztement or s~:~tion of th'e'car.-5.ut,wa ......
reserve the right to :an--al or nonranaw th~ poii=y ~s p~rmftt~d by it~ tares. The termination
ho~j;~ will en~ ~hJs agreamen~ with ail ions Daye~s ~r all additional intarss~s. ~van:B n~:i:~ of
mame~ insured.
~ay~ or the ~di~iona[ Jnter~t snail Do so within BO ~y~ of noti:~ Dy u~. Further, ?ne los~yee
When ~ D~v th~ loss ~a, __ or th~ a~ditional interest, we will, ~0 the exr~nt of ~aym~nt. ~
~yment under T~Js DoJJ~y, w~ :an m~ke se~ar~ ~ym~n:~ tD ~h ~rty ~t in~er~t,. Dravidic We
LOE$--S W'~ WI~ N~T.PAY
provision tJtle~ "~8 ~o; ~7~" is r~Pt~:e~ by th~.folJow}n~:
LO~E~ WE WILL NOT PAY
RE~LA~Y M~ NO'OWNeD MOTOR V~
/
We will n~ D=Y for a Bodily tnju~ or ~rmpm~ ~mnge loss ~o any=ne un,er ~=~s 1,' 2, 3, 4 or
you mr' ~ ho~ehol~ resi~em is usin~ a non-m~e~ m~tmr vehimle not insure~ un,mr this
furnishe~ or ~vaii~le for the regular' use of ~o~ or ~ ho~enold r~iOen%
The provision ti:led "A~ B~/n~" is reptameU by the following:
But you, ~ r~i~ent relative, or any business ~soci~t~ (for whose u~e of the :~r you m~y ~e held
Nor~-Own~cl I~ot,,r Home Ar~i Tru~/Va~ ~ers
t~r~:ions t~t =Does with :h~s endorsement h~ the :~yera~es s~ on :he..De:i~r~ti.o.n~.. ...............
AH Drovision~ and ex=lusi~ns of your poli=y aDply, for ~he period shown on the De=l~r~tions
~s f~llows.
, nrou~h~ut th~ p~iicy when referan:e is mad~ :~ ~ :ar. it i~.=De:ifi:aliv limited t~ :h~ vehi:i~
snown on tn~ g~cJarati=ns. · .
-5-
*BDg-DD[
If you have this :overa_oe,(see the '~a'"larationa) and ~r~ injur~ in ~ ~r ~id~m, ~ will ~ay
- ~ID,DOD for
- ~ID,DDD for loss of b:th, hanU~ anC both feet,
- ~lO,DDD f~r I~s of on~ ~n~ ~n~ ~n~ foot,
- ~,DDD f~r !o~ ~f ~ne h~n~ ~r one f~o~, or
- ~2,BDD for the total ~n~ ~erm~nent I'o~s of ~i~ in one eye.
The m~imum amount we will pay ~or all bodily inj~i~ in:tuding death for any one eligible person
arising out of ~ :ar a::ident is $1D,DOO. Bu~ the most.we will ~y for muhi~le injuries arisin~ out
any-one ~::ident is :he highest amount a~;li:a~le :o any one injury. '
live .with you, Payment Wili be maa~ to your estate.
The ~eath benefit pavabte ~or another eiigi~le~a~wil]be.paidt~:he, namedi ' "· ·
Othe~s~, :ne ~sa~ benef~twdl'be pai~ to-t~e eliaibte ~on's esta~ ..... ~sure~ ff hvm~
We will ~ay an eligible berso~ ~SD ~ week., fm u~ to 52 weeks from the ~ats of the a::iden:, while
- ts gainfully emDlmye~ on ~:~mb~sis atthe time of the a::i~en:; ~n~
- ts totally an~ :on:inuousty dis~bte~ for at least 2D OaTS after the ~::iMen:;
- ts nDt entitled t~ E~NEF~ A payments.
We will ~y an ~ii~i~te ~ersom ~3D ~ week., f~r u~ t~ 26 we~s fr~m the ~ts ~f the a==i~snt, white
hs or she is :~:~tty and :~ntinuou~ty disable~ from the ac:i~ental bodily injury if ~h. eli~ibi~
- Is not emDloyed st tn~ ' -
servi:es; an~ :~m~ ~, the a::i~ent, but provides ordinary and n~ze~sary househol~
to~ll~ and :~ndnuously ms~bl~d rot at t~s~ 2D d~ys ~fter the a::id~n-.
-Rs~uirs~ medical treatment ~uring the ~riod of disability;
Is n~t .nd,]_~ to ~N~F~ A p~ym~n:~.
Pmdenlia] Finsneial
Apri! 17, 2002
Mar=us MrXinight, Tlr
Irwin, M~Kni~t and Hu~s
60 Yv'est Pomfmt St.
Carlisle, PA 17012
PRU,DENT', Z~L P&C
PAGE
Pruclential Property and OasuaJi,/
Insurance Company
Horsham Claims Office
P.O. B~g77, Horsham PA, 1gi)44
T_~I 215-8~8-575.3 Fax 215-65~-5703
Claim N~rmb=: 46S140P9-I2072
Insured: lohn D, and Ther=-sa M. P=rk~
Clairna~ John D. l~erk~
D~te ofbss:
D~r Mr, McKni~:
We have ~evirWed th~ facts surrounding ml, lo~s and mus~ ~ you ~ y~ cli~t's ~
wo~d ~ord ~ no Un~d Mo~t c~ge for ~is accid~t Un~ P~ ~ of~e ~
poE~ U~ Motod~ C~c is prodded ~ ~ i.~ wMl= ~ ~e~ o~ ~0
A car is d-~ned ~s "a private passenger automobile, station wagon, j:e~-tl~e, van i four (4)
wheels which is desi~ned for used mainly on public roads. A pickup truck with fora- (4) or six (6)
wheels and a g',oss Vehicle weight offless than 10,000 pounds which is designed for use mainly on
public roads is slso-~ car,."
Thc~e is no cover~ under our policy th:r~for~ tiis company's ccnsenl to s~tle the cl~m of Mr.
P~k~'y is ~ot required under th=se facts and circumsmrmes. F~I i've m call me with any questions
at 215-658-$753.
Please be advised, that due to an u~'ore$~n confli~ of inte~st th~ file will be tnmsfm~.~l to
Michael Scheib of~e I ~w I;irm ofOriffiIi~ 8tric, kler, Lc'tmon, Solymos and Calld.., He is locamd
at 110 S. Northtm Way, York, PA 17402-3737.
Sim~r'JS,
Carol D~pman
C~mdty Cas~vork~r
VERIFICATION
The foregoing Complaint is based upon information which has been gathered by
counsel and myself in the preparation of this action. I have read the statements made in this
document and they are true and correct to the best of my knowledge, in%l'r,,ation and belief. I
understand that false statements herein made are subject to the penalties of 18 Pa. c.S.A. Section
4904, relating to unswom falsification to authorities.
~HN D; PEKICEY
CERTIFICATE OF SERVICE
I, Marcus A. McKn/ght, 11I, Esquire, do hereby certify that I have served a true and
correct copy of the Complaint upon the Defendant~ Prudential Property and Casualty ln.~urance
Company by fa-st class United States mail, postage pre-paid in Carlisle, Pennsylvania upon the
following:
Michael B. Seheib, Esquire
Griffith, Strickler, Lerman Solymos & Caulkins
110 South Northern Way
York, Pennsylvania 17402
Dated: July 5, 2002
IRWIN, MeKNIGItT & ltlIGItES
Marcds A.-M eIq~night/~__~sq~e