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TOU AlII HUf BY _lQU,lttD TO 'ILl A
WltlfUH 1tf'\'OHSl .0 1M'- (NCLOsto
WI'"I'" hUH" 1101 PUS nON IUVICE
It! ftCO' 0" " JUDGI'4[HT NAl It
["'rnn AU"HST YOU.
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DOUGLAS, DOUGLAS & DOUGLAS
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ATTonNU5 AT LAW
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WE DO HUn, CUTI" THAT THt
WITHIN IS A Tf\U[ ANDco."reTCO"
0' THE ORIGINAL 'ILIa IN THIS
ACTICN.
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A nOltNCY
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GEORGE F, DOUGLAS, JR.
ATIY, 1.0, # 06270
DOUGLAS, DOUGLAS & DOUGLAS
27 WEST HIGH STREET
P.O, BOX 261
CARUSLE,PA.17013
717-243-1790
ATIORNEY FOR PLAINTIFF
HARRY ELMER CUPP and : IN THE COURT OF COMMON PLEAS OF
JUDITH L. CUPP, doing : CUMBERLAND COUNTY, PA.
business as CUPP AUTO SALES :
: CIVIL ACTION. LAW
V.
EMPIRE FIRE AND MARINE ; NO. 9'-1-/9 85C1VIL, 1994
INSURANCE COMPANY and
MARYLAND CASUALTY
COMPANY : ACTION FOR DECLARATORY JUDGMENT
NOTICE
You have been sued in Court, If you wish to defend against the claims set
forth in the following pages, you must take action within twenty (20) days after
this complaint and notice are served, by entering a written appearance
personally or by attorney, and filing in writing with the Court your defenses or
objections to the claims set forth against you. You are warned that if you fail to
do so, the case may proceed without you and a judgment may be entered against
you by the Court without further notice for any money clairned 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
Fourth Floor
Cumberland County Courthouse
Carlisle, Pa. 17013
717-240-6200
DOUGLAS, ~~& DOUGLAS
By ;~ ~
Attorney for Plaintiff
COMPLAINT
COUNT 1
HARRY ELMER CUPP and
JUDITH L, CUPP, doing
business as CUPP AUTO SALES
V.
EMPIRE FIRE AND MARINE
INSURANCE COMPANY
1. The plaintiffs, Harry Elmer Cupp and Judith L, Cupp, doing
business as Cupp Auto Sales, have a place of business at 5 Hickory Lane,
Mechanicsburg, Cumberland County, Pennsylvania,
2, The defendant, Empire Fire and Marine Insurance Company, has a
place of business at 1624 Douglas Street, Omaha, Nebraska 68102-1449.
3, As of November 8, 1993, the plaintiffs were engaged in the business
of buying and selling used cars.
4, On November 8, 1993, the plaintiff, Harry Elmer Cupp, was
attending an automobile auction.
5, The said Harry Elmer Cupp saw a 1989 Cadillac, owned by Robert
L. Coniey and Anna Mae Coniey, doing business as Coniey Motors, which Harry
Elmer Cupp was considering buying.
6. Harry Elmer Cupp borrowed the said Cadillac to test drive it, and
to get Judith L. Cupp's opinion on buying the said Cadillac for their business of
Cupp Auto Sales.
7. While operating the said Cadillac on U.S. Route 15 in Carroll
Township, York County, Pennsylvania, Harry Elmer Cupp collided with a
vehicle which Holly J, Gerberich had abandoned on the highway, after making
an illegal"U" turn, which caused an earlier collision.
8. The said Cadillac, being driven by Harry Elmer Cupp, was
damaged beyond repair,
9, The defendant, Empire Fire and Marine Insurance Company, has
refused to provide a defense and coverage to the said Harry Elmer Cupp and
Judith L, Cupp, doing business as Cupp Auto Sales, in the suit brought by Robert
L. Conley and Anna Mae Conley, t/d/b/a Conley Motors, to No, 94-5U-06401-o1
in York County, Pennsylvania,
r~T'>"'-"" '>.,~g'l$.'t.1;,~
10. The defendant, Ernpire Fire and Marine Insurance Company's,
policy provides in part:
"A. Coverage"
"'Garage Operations' - Covered 'Autos,'"
"We will pay all sums an 'insured' legally must pay
as damages because of 'bodily injury' or 'property
damage' to which this insurance applies, caused by
an 'accldenl' and resulting from 'garage operations'
involving the ownership, maintenance or use of
covered 'autos'...."
"Description of Covered Auto Designation Symbols"...
Hired "Autos' Only. Only those 'autos' you lease, hire,
rent, or borrow...,"
"Non-owned 'autos' used in your garage business.
Any 'auto' you do not own, lease, hire, rent or borrow
used in connection with your garage."
WHEREFORE, Your Honorable Court should order that the plaintiffs are
entitled to a defense and coverage with the defendant, Empire Fire and Marine
Insurance Company.
COUNT 2
HARRY ELMER CUPP and
JUDITH L, CUPP, doing
business as CUPP AUTO SALES
V.
MARYLAND CASUALTY COMPANY
11. The allegations of paragraphs 1 and 10 of this complaint are
incorporated herein by reference thereto.
12, The defendant, Maryland Casualty Company, has a place of
business at 5070 Ritter Road, Mechanicsburg, Cumberland County,
Pennsylvania,
13. As of November 8, 1993, Maryland Casualty Company insured
Robert L, Conley and Anna Mae Conley, t/d/b/a Conley Motors, the owner of
the Cadillac involved in this cause of action.
14, Harry Elmer Cupp was driving the said Cadillac with the
permission of the owner.
DOUGLAS, DOUGLAS &: DOUGLAS
15, If Harry Elmer Cupp is liable for the property damage to this
Cadillac, which he did not own, the Maryland Casualty Company owes him a
defense and coverage for this property damage,
WHEREFORE, Your Honorable Court should order that plaintiffs are
entitled to a defense and coverage with the defendant, Maryland Casualty
Company.
By ~k~t2
Attorney fo Plaintiffs
h:.~:;:_...~;,",,,,",~~.,, :.
-
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COMMONWEALTH OF PENNSYLVANIA )
: 55.
COUNTY OF CUMBERLAND )
Harry Elmer Cupp, being duly sworn according to law, deposes and says
that the averments in the within complaint are true and correct, to the best of
signer's knowledge, information, and belief.
Sworn and subscribed to before me
this /f day of April, 1994.
,~ --rv, () ~
Notary
N..;.lIIaJ Seal
AmeM,(:~ 'lc8y1'l.tlllc
ClrI!lllIIlOIo, c..,~1d C<u1lV
MyCommis6lOnE>,. :.uy14.11l97
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SHERIF'F"S RETURN
CC'M'1ONWEAL'll1 OF' PENNSYLVANIA:
COUJIrI"f OF' ClMBERLAND
In The Court of Common Pleas of
Cumberland County, Pennsylvania
No. 94-1985 Civil Term
Complaint Action F'or Declaratory
Judgment and Notice
Harry Elmer Cupp and Judith L. Cupp
d/b/a Cupp Auto Sales
VS
Maryland Casualty Company
Michael Barrick
,X~K~or Deputy Sheriff of
Cumberland County, Pennsylvania, who being duly sworn according to law, says,
that he served the within Complaint Action for Declaratory Judgment & Notice
upon Marvland Casualty Company
, the defendant, at 10:25
o'clock
A
.M. >flGll' / EDST, on the 20
day of April
, 1994 at
5070 Ritter Road, Mechanicsburg
, Cumberland County,
Pennsylvania, by handing to Kevin Finn, Adult in charge of Litigation
a true and attested copy of the Complaint Action for Declaratory Judgment
& Notice
and at the same tUne directing his attention to the contents thereof and
the "Notice to Plead" endorsed thereon.
Sheriff's Costs:
Docketing
Service
Affidavit
Surcharge
14.00
7.84
2.00
23.84 Pd. by Atty.
4-21-94
So answers:
r~~~
Sworn and subscribed to before Ire
R. Thanas Kline, Sheriff , .-;
by ~Y-P~/
Deputy Sheriff
this
tI-
.J ? - day of .J:!fd
19 q'l A.D.
Ch"- 0. )u,tp___
Prothonotary
~.
,
IN THE COURT OF COMMON PLEAS
OF CUMBERlAND COUNTY, PENNSYLVANIA
HARRY ELMER CUPP and
JUDITH 1.. CUPP, doing
business as CUPP AUTO SALES
NO. 94-1985 CIVIL
.
.
vs.
CIVIL AcnON -lAW
EMPIRE FIRE AND MARINE
INSURANCE COMPANY and
MARYlAND CASUALTY COMPANY
AcnON FOR DECLARATORY
JUDGMENT
PRAECIPE FOR ENTRY OF APPEARANCE
To the Prothonotary:
Please enter the appearance of Robert J. Stewart, Esquire, and Barley, Snyder,
Senft & Cohen on behalf of the Defendant, Empire Fire and Marine Insurance Company,
in the a~ve-captioned matter.
. BARLEY, SNYDER, SENFT & COHEN
By
Ro rt J. Stewart,
Attorney 1.0. #074
Attorneys for Defendant,
EMPIRE FIRE AND MARINE
INSURANCE COMPANY
100 East Market Street
P. O. Box 15012
York, PA 17405-7012
Telephone (717) 846-8888
May 3
,1994
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POST & SCHELL, P.C.
BY: ALLAN C. MOLOTSKY
IDENTIFICATION NO.: 28923
1800 J.F.K. BOULEVARD
19TH FLOOR
PHILADELPHIA, PA 19103
(215) 587-1000
ATTORNEY FOR DEFENDANT
MARYLAND CASUALTY COMPANY
HARRY ELMER CUPP and
JUDITH L. CUPP, d/b/a
CUPP AUTO SALES
.
.
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
.
.
.
.
VS.
.
.
.
.
CIVIL ACTION - LAW
EMPIRE FIRE AND MARINE INSURANCE
COMPANY and
MARYLAND CASUALTY COMPANY
NO. 94-1985
:
.
.
ENTRY OF APPEARANCE
Kindly enter my appearance as counsel for defendant, Maryland
Casualty Insurance Company, in the above-captioned matter.
POST & SCHELL, P.C.
/thGtl....
,.(,t~_e~
MOLOTSKY, ESQUIRE
FOR DEFENDANT,
CASUALTY COMPANY
ALLAN C.
ATTORNEY
MARYLAND
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POST & SCHELL, P.C.
BY: ALLAN C. MOLOTSKY
IDENTIFICATION NO.: 28923
1800 J.F.K. BOULEVARD
19TH f'LOOR
PHILADELPHIA, PA 19103
(215) 587-1000
ATTORNEY FOR DEFENDANT
MARYLAND CASUALTY COMPANY
HARRY ELMER CUPP and
JUDITH L. CUPP, d/b/a
CUPP AUTO SALES
.
.
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
.
.
VS.
CIVIL ACTION - LAW
EMPIRE FIRE AND MARINE INSURANCE
COMPANY and
MARYLAND CASUALTY COMPANY
NO. 94-1985
ANSWER AND NEW MATTER OF DEFENDANT
MARYLAND CASUALTY COMPANY TO
PLAINTIFF'S COMPLAINT
1.
Denied.
After reasonable investigation, answering
defendant is without knowledge or information sufficient to form a
belief as to the truth of the allegations contained within the
corresponding paragraph of plaintiff's complaint.
2.
Denied.
After reasonable investigation, answering
defendant is without knowledge or information sufficient to form a
belief as to the truth of the allegations contained within the
corresponding paragraph of plaintiff's complaint.
3.
Denied.
After reasonable investigation, answering
defendant is without knowledge or information sufficient to form a
belief as to the truth of the allegations contained within the
corresponding paragraph of plaintiff's complaint.
4.
Denied.
After reasonable investigation, answering
defendant is without knowledge or information sufficient to form a
belief as to the truth of the allegations contained within the
~ ,~
corresponding paragraph of plaintiff's complaint.
5. Denied. After reasonable investigation, answering
defendant is without knowledge or information sufficient to form a
belief as to the truth of the allegations contained within the
corresponding paragraph of plaintiff's complaint.
6. Denied. After reasonable investigation, answering
defendant is without knowledge or information sufficient to form a
belief as to the truth of the allegations contained within the
corresponding paragraph of plaintiff's complaint.
7. Denied. After reasonable investigation, answering
defendant is without knowledge or information sufficient to form a
belief as to the truth of the allegations contained within the
corresponding paragraph of plaintiff's complaint.
8. Denied. After reasonable investigation, answering
defendant is without knowledge or information sufficient to form a
belief as to the truth of the allegations contained within the
corresponding paragraph of plaintiff's complaint.
9. Denied. After reasonable investigation, answering
defendant is without knowledge or information sufficient to form a
belief as to the truth of the allegations contained within the
corresponding paragraph of plaintiff's complaint.
10. Denied. After reasonable investigation, answering
defendant is without knowledge or information sufficient to form a
belief as to the truth of the allegations contained within the
corresponding paragraph of plaintiff's complaint.
11. Answering defendant incorporates its responses to
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paragraphs 1 through 10 of plaintiff's complaint as though the same
were fully set forth.
12. Admitted.
13. Admitted in part/denied in part. It is admitted that, on
November 8, 1993, Maryland casualty Company issued a commercial
garage policy of insurance to Robert Conley and Anna conley.
However, it is denied that Maryland casualty company provided
coverage to conley Motors. Rather, the policy provided coverage to
conley Enterprises and to Robert and Anna Mae conley t/a York
springs Auto Auction.
As to the remainder of the allegations
contained in the corresponding paragraph of plaintiff's complaint
that Conley Motors was the owner of the Cadillac involved in the
accident, after reasonable investigation, answering defendant is
without knowledge or information sufficient to form a belief as to
the truth of that allegation.
14. Denied.
After reasonable investigation, answering
defendant is without knowledge or information sufficient to form a
belief as to the truth of the allegations contained within the
corresponding paragraph of plaintiff's complaint.
15. Denied. This is a conclusion of law to which no further
response is necessary. By way of further response, it is denied
that answering defendant owes plaintiffs any defense or coverage.
NEW MATTER
16. Plaintiff's complaint fails to state a claim against
answering defendant upon which relief can be granted.
17. Maryland Casualty Company issued a policy of insurance,
-3-
'" ."
including commercial garage coverage, to conley Enterprises, under
pOlicy no. EPA18214248 with a policy period running from February
4, 1993 through February 4, 1994. A true and correct copy of the
applicable commercial garage coverage is attached hereto as Exhibit
"A".
18. Under the aforesaid policy of insurance, plaintiff is not
either a named insured or an insured.
19. Under exclusion B(6) of the aforesaid pOlicy,there is no
coverage for "property damage" to "property owned, rented or
occupied by the 'insured.'"
20. If plaintiff is an insured under the policy of insurance
issued by answering defendant, coverage is precluded since the
"property damage" was to property occupied by the plaintiff at the
time of the accident.
21. Exclusion B(6)(b) provides that there is no coverage for
"property damage" to "property loaned to the 'insured'."
2~. If plaintiff is an insured under the policy of insurance
issued by answering defendant, there is no coverage since the motor
vehicle being operated by the plaintiff at the time of the accident
was "property loaned to the 'insured.'"
23. The 1989 Cadillac in question is not
collision coverage under the policy of insurance
answering defendant.
24. Plaintiffs have other sources of
available to them, which provides coverage
precluding coverage under this policy.
insured
issued
for
by
primary insurance
for this claim,
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.
25. Plaintiff has failed to join a necessary party to this
action, namely Robert Conley and Anna Conley d/b/a Conley Motors,
plaintiffs in the underlying litigation, thereby precluding this
action from going forward.
NEW MATTER DIRECTED AGAINST CO-DEFENDANT
26. If answering defendant is found liable, then co-
defendant, Empire Fire and Marine Insurance company, is solely
liable to the plaintiff or jointly and severally liable to the
plaintiff, or liable over to answering defendant, or responsible to
answering defendant under an indemnity or contribution theory.
WHEREFORE, answering defendant requests this Court to dismiss
plaintiff's complaint.
POST & SCHELL, P.C.
L ,(kt~. .<.!,-D:-(!7
ALLAN C. MOLOTSKY, ESQUIRE
ATTORNEY FOR DEFENDANT,
MARYLAND CASUALTY COMPANYl
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OF 'NEW YORK
",'.,NEW YORK, NEW YORK 10038, ,,'
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PO Y NIIMBE,
EPA16214246
PROOUCER L ,ER
0c:llloll1329
ACC~...NT NUMBER
000'::29270400100000
000000000-001
PAGE
1
016-HARRISBURG
MARYLAND CASUALTY COMPANY
.A STOCK COMPANY
BALTIMORE , MD 21211
NEW BUSINESS
AUDIT CODE: 4
E&SS
SIC-S012
COMMON POLICY DECLARATIO~
THIS COMMON POLICY DECLARATION WITH COV~RAGE PARTS AND ENDORSEMENTS, IF ANY,
ISSUED TO FORM A PART THEREOF, COMPLETES THE ABOVE NUMBERED COMMERCIAL
. INSURANCE POLICY.
1. NAMED INSURED AND MAILING ADDRESS:
CONLEY ENTERPRISES
<SEE NAMED INSURED ENDT)
10 AUCTION DRIVE
PRODUCER NAME AND ADDRESS I
INSURANCE & SURETY INC
POB 6~a - 1525 CEDAR CLIFF DR.
CAMP HILL ,PA 17011
YORK SPRINGS
,
PA
17372
(717) 763-1141+
2. POLICY PERIOD: FROM 02/04/93 TO 02/04/94 AT 12101 A.M. STANDARD
TIME AT YOUR MAILING ADDRESS SHOWN ABOVE
BUSINESS DESCRIPTION: AUTO AUCTION
FORM OF BUSINESS: INDIVIDUAL
IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS
OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN
THIS POLICY.
---------------------------------------------------------------------.--------
3. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS
FOR WHICH A PREMIUM IS INDICATED. THIS PREMIUM MAY
BE SUBJECT TO ADJUSTMENT. PREMIUM
COMMERCIAL PROPERTY COVERAGE PART $ Ie, S31. ':0 14il,a4t
COMMERCIAL GENERAL LIABILITY COVERAGE PART $ 3,044.00
COMMERCIAL CRIME COVERAGE PART $ 696.00
COHHEIl.CWo GARAGE COVERAGE PAlI.'r $ 16.48'.00 I+.aqs
TOTAL $ 30~
3O,4'1lP
PREMIUM IS PAYABLE IN INSTALLMENTS: SEE ENDORSE~lENT. DOCUMENT
REC'D IN HARIUSBtrRG
-----------------------------------------------------------------------------
FORMS APPLICABLE TO ALL PARTS:
ffi} ! <) 1993~'
IL 00 17 11 6S 47 6S 1 11 90 ~
-----------------------------------------------------------grih~------------
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I,
,
COUNTERSIGNED
BY
AUTHOR lZED REPRESENTATl VE j"
(DATE)
020693200020002000
-----------~~----------------------------------------------------------------
15177 05 91
OF !NSURr:.NCE
1 .'r:
02/0l:l/93
SERVICES
F
OFFICE, INC., WITH
Nt. 198...
CB/sjw 2/19/93
ITS
.. "
INCLUDES COPYR1GHTED MATERIAL
3724 Ed, 3,04
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,
.. --..---_.----- ----....------. -----
POLtt:Y NUMBEh
EPA18214248
PRODUCER N.....BER
02001329
ACCOUNT NUMBER . .
000229270400100000 000000000-001
NEW BUSINESS
PAGE
1
018 HARRISBURG
MARYLAND CASUALTY COMPANY
.A STOCK COMPANY
BA~TIMORE MD 21211
AUD IT CODE. 4
MANUSCRIPT ENDORSEMENT
NAMED INSURED AND MAILING ADDRESS:
CONLEY ENTERPRISES
(SEE NAMED INSURED ENDT)
10 AUCTION DRIVE
PRODUCER NAME AND ADDRESS.
INSURANCE & SURETY INC
POB 698 - 1~2~ CEDAR CLIFF DR.
CAMP HILL PA 170117707
YORK SPRINGS
PA 17372
DATE OF ISSUE
POLICY EFF DATE
TERM EFF DATE
01/04/93
02/04/'33
02/04/93
POLICYE}(P DATE
TERM EXP DATE
02/04/94
0c:/04/94
------------------------------------------------------------------------------
FORM NUMBER
NAMED INSURED ENDORSEMENT:
CONLEY ENTERPRISES
ROBERT H AND ANNA MAE CONLEY T/A
YORK SPRINGS AUTO AUCTION
~'_,-....
." ~
..
372< Ed, 3,8<
4'7545 :liS ':'11
02/08/'33
OF INSUFL...~eE ,. "'UE DATE (loIUIllOIYV)
, A.~.IUl: ERTIFICA T. ,"
.....,... . 2'12'93
:
'RODuaR ' j.~,......: IS I AS A MATTER OF INFORMAtION ONLV~A!tD
INSURANCE G SURETY INC CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER. THIS CERTIFICATE
DOES HOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
1525 CEDAR CLIFF DRIVE POLICIES BELOW.
POBOX 698 COMPANIES AFFORDING COVERAGE
ClIHP HILL PA 17011-0698
(717) 763-1144 COIl.ANY A
umaR KARYLl\ND INSURANCE GROUP
COIl.ANY B
lIItIunm umaR
.
CONLE!C BIITBRPRISBS COIl.ANY C .
ROBBRT H G ANNA MAE CONLBY LETTER
C/O YORK SPRINGS AUTO AUCTION COIl.ANY D
10 AUCTION DRIVE LETTER
!CORK SPRINGS PA 17372 ~E
COVERAGES
nlls IS TO CERnFY THAT THE POUCtES OF INSURANCE U8TEO BELOW HAVE BEEN I88UED TO THE INSURED HAMED ABOVE fOR THE POUCY PERIOO
INDICATED, N01W1THBTANOING AllY REOUIREMENT, TERM OR CONOlTlON OF AllY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERnFlCATE MAY liE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED IIY THE POUClES DESCRIBED HEREIN IS SUBJECT TO ALL T1lE TERIoIS.
EXCLUSIONS AND CONDITIONS OF BUCH POUClES. UIoIITS SHOWN MAY HAVE SEEN REDUCED BY PAlO ClAIMS.
CO n.E OP IIItII/IWICIl POUCY NUMBER POUCY uncnvE POIJCT_notl UIII'II
UR DA T1! (loIMIIlDIYV) DA T1! (loIIIIDDIYYI
QENIERAl UAlrun QENERAL AQGREGATE . 1,000,000.
X COUMERCIAL GENERAL UAlSIUTY l'ROOUCTa.coMPIOP AGO, . 1,000,000.
A ClAlUlIoWll! X OCCUR. EPA18214248 02/04/93 02/04/94 PERIONAlI MY'I. INJURY . 1,000,000.
OWNER'S & COHnlACTOR" PROT, EACH OCCURRENCE . 1,000,000.
FIRE DAJlAQE (Any OM....' . 50,000.
.IlEIl.ElCI'ENSI!~""_' 1;,000.
AVTOMOIII.2 UAUJTT COUSINtD lIINOU!
UUIT .
X ANY AUTO 1,000,000.
ALL OWNED AUTO' IOQtLY INJURY
(Pot_I .
X SCHEDUlED AUTOS
A X HIRED AUTOS EPA18214248 02/04/93 02/04/94 IOOILY INJURY
(Pot_ .
X NON,OWNED AUTO'
X QARAGE LIABlUTY
LEGAL - S40.000 PROPERTY DAMAGE .
X GARAGBKEBPER'S
Deus UAerun EACH OCCURRENCE . 1,000,000.
A X UMBREllA FonM UBA70078499 02/04/93 02/04/94 AGOREGATE . 1,000,000.
OTHER THAN UMIIREI.IA '0RI.l
WORKER" COM'EHSAnON ITATUTORY UIoIIT.
EACH ACCIllENT . 100,000.
AND
A TC470363669 02/04/93 02/04/94 OIIEASE-POLICY UUIT . 500,000.
!UPLOYlRI"UAlnJTY
IlISEASE-EACH EMPLOYEE . ."" """
OTHER
')!SCRIPTION OF OPlRATIONIIlOCATlOHINEHIClUIIPIEClAL ITEU. 800 SOUTH CAMERON STREET
~._" " ,~
CERTIFICATE HOLDER CANCELLATION
, ,
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEllED BEFORE THE
YORK BANK TRUST COHPAN!C EXP1RAnON DATE THEREOF. THE ISSUING COMPANY WILL ENOEAVOR TO
1123 NORTH GEORGE STREET IoIAI~.lL-- DAYS WRI1TEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
!CORK PA 17404 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
.
LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES,
AUTHORIZED RIEPRElEHTATlYE
ACORD 25.S (7/00) . ------.- ~.__6 ~(F~~~RPORATIQ.~.~ggJl_
AUlllOfllf'f' ----I -,_u~:~-'::;--I-~~T TO A~' r- --
et'::CK B ... ~D ......'Al If UAtllI
rn 4::;-: 0 ....... UP MOO .' ,flPM, SCH '"'00 0' SA..3 ".. ....T GlIAD( C/fl oOUC<ft..
O....CE on CA coo< on CA .. ..... uP ""_ coo< COllI!
MR 18 4 4 200 02001329
GARAGE COVERAGE PART DECLARATIONS
THIS POlICY IS ISSUED BY THE COMPANY IHDlDA TED BY X BELOW:
MARYLANO CASUALTY COMPANY
BaIUmore, Maryland 21Z1X1 A ~ Company
this Coversge Psrt consists 01 this Oeclaratlons Form, the Common
Policy Declarations. the Common Policy Conditions, the Garage
Coversge Form and the Endorsements Indicated as applicable,
[!)
o
o
NORTHERN INSURANCE CO, OF NY
Now Y..... Now York 10Cl31 A _ Compo""
ITEM ONE
NAMED INSURED Cooley Enterpr1seo
FORM OF BUSINESS:
o CORPORATION
o PARTNERSHIP
ITEM TWO
SCHEDULE OF COVERAGES AND COVEREO AUTOS
ThIa policy provtdea onty thoH cowrag.. where a charge .. ahown In the pramJum column below. Each of ItleH cow'aon will appfy only to thou ......... ahown ..
c:overed ..autoe.... "Autoa" Ire ,hown .. covered ".u1oI" tor . particular COYerage by 1M .ntry of one or more of the IYfllboll Irom the COVERED AUTO IecUon of the
aarao. eowrage Fonn nut 10 the nama of the cowrage, Entry of a l)'ft\bot neld 10 UABIUTY ptOYkI.. cowraoe tor "garage operatlonl."
ASSURANCE COMPANY OF AMERICA
Now Y..... Now York 10Cl31 A _ Compo""
POLICY NO.
EPA18214248
I!I INDIVIDUAL
o OTHER
COVERED AUTOS
(Entry of on. or more of the
aymbola lrom the COVERED UMIT
AUTOSoctJon04lloe
COVERAGES o.rag. CoYerag. Form IhowI THE MOST WE WILL PAY FOR ANY OHE PREMIUM
which autOl are Covered aU1Ot.) ACCIDENT OR LOSS
UAIIlUTY EACH "ACCIDENT" AGGREGATE
-lWWlE
"GAAAClE OPEIIAOONS" OPERATIONS"
"AUTO" ..cr.::;,R}~v ":-~v
ONLY
21 . 1.000.000 . 1.000.000 . 3.000.000 12.851.
PERSONAl. INJURY PRDTEC110N 2S . SEPARATELY STATEO IN EACH PIP ENDORSEMEHT MINUS 60.
lor oaulvoJonI _.un Cove....) Dod,
ADDED PEIIllONAI. INJURY PROTECTlON SEPARATELY STATEO IN EACH ADDED PIP ENDORSEMEHT
(or equivalent Added No-fault Cover.ae)
:C:~TV ::IOTECTlON INSURANCE s SEPARATELY STATED IN THE P.P.I. ENDORSEMENT MINUS
Mich In on Dod, FOR EACH ACCIDENT
MEDICAl. PAYMENTS .
UNlNSURED MOTORISTS 26 . 84.
UNllERlNSURED MOTDRISTS .
~.':ar:,lnch..sed In Unlnaured Motariatl 26 28.
ClARAGEKEEPERS COMPREHENSIVE 30 . EACH LOCAnON MINUS 944.
COVEIWIE . Dod, FOR EACH COVEREO AUTO FOR LOSS
GARAGEKEEPERS lll'EClFlED CAUSEll OF CAUSED BY THEFT OR MISCHIEF OR VANDALISM llUIIJECT TO
LOSS COVERAGE . MAXIMUM DEDUCnBLE FOR AU. SUCH LOSS IN
'"""NT
GARAGEKEEPERS COWSlON 30 . EACH LOCAnON MINUS 680.
COVERAGE . Doc. FOR EACH COVERED AUTO
PHYSICAl. DAMAGE ACTUAL CASH VALUE OR COST Of' REPAlR.WHICHEVER IS
COMPREHENSIVE COVERAGE LESS MINUS . Dod. FOR EACII COVERED AUTO.
BUT NO DEDUCTIBLE APPLIES TO LOSS CAUSED ey FIRE OR
UGKTNING
27 See Supplemantary' Schedule lor de.le,. "autos" and "autoa" 448.
held for g,. by t'ln.r d.ale,. and non-cle.le,.
PHYSiCAl DAMAGE SPECIFIED ACTUAL CASH VALUE OR COST DF REPAIR.WHICHEVER'1S
CAUSES OF LOSS COVERAGE LESS MINUS $25 Dod, FOR EACII COVERED AUTO FOR LOSS
CAUSED BY MISCHIEF OR VANDALISM,
See Supplementary Schedule tor d.,I.,. ".utos" and "autos"
held lor ule by 1"lIer deale... and non-de.letl.
PHYSICAL DAMAGE COLLISION COVERAGE ACTUAL CASH VALUE OR COST OF REPAIR.WHICHEVER IS .- .-
LESS MINUS. Dod, FOR EACH COVERED AUTO,
27 Sea Supplementary Schedul. lor deale'l "autoS" and "autoS" 1,394.
"eld lor .ale by traner d..'e,.. and non-d..l.rs.
PHYSICAL DAMAGE
TOWING AND LABOR . tor each disablement 01 . p'lvate papanger ".uto"
(NoI Av.llable In Call1ornla. ..
Endorsements Attached To This covor~ PREMIUM FOR ENDORSEMENTS
SEE Ar1'At!A"Im EI!lDO S\.;wwul.E
II 0021 11/85 - S,oad Form Nuclear EJlcluslon (Not Apphcable in Now York) ESTIMATED TOTAL PREMIUM 16.489.
IncluUes COPVlIghlcd mate noli ollnsu,ancc Services OUieo, Inc.. Wllh lis perm.5510n
..
,.
EHDORSEHEHT SCHEDULE
46188-1(11/88)
46188-2(11/88)
46188-4(11/88)
46188-5(11/88)
CA0005 (12/90)
CA0180(7/90)
CA2106(7/90)
CA2191(7/90)
CA2237(7/90)
47851(11/90)
~
~,...'
....... .'
.'
".,..-.-.....',...> ';~,,;'-1
--
'- ,
..
.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
POLICY CHANGES
Policy Chan.e
Number _
POLICY NUMBER
POLICY CHANGES
EFFECTIVE
3/19/93
COMPANY
EPA18214248
Maryland Casualty Company
NAMED INSURED
Conley Enterprises
AUTHORIZED REPRESENTATIVE
Insurance & Surety, Inc.
18-02001329
2/4/93-94
GB/sjw 5/21/93
COVERAGE PARTS AFFECTED
COHHEII.CIAL GARAGE COVERAGE PART
CHANGES
In consideration of no premium adjustment, it is hereby agreed Bank of
Hanover & Trust Company is added as Loss Payee for veh. '5 per the
attached CA9944(12/90).
-
, DOCUME!,;T
REC'D IN HARRISBURG
NO CBAHGE m PREHIUH
1m 24 t933
;r:l
U-
P.D.C. .
. ....-.---.
- -
.~.... ..,.
.. .."
..
IL 120111 85
Authorized Representative Signature
Copyright, Insurance Services Ollice, Inc.. 1983
Copyright, ISO Commercial Risk Services. Inc.. 1983
,.. ..~
..
.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
POLICY CHANGES
Pollc)' Chanlle
Number _
POLICY NUMBER
POLICY CHANGES
EFFECTIVE
3/16/93
COMPANY
.
EPA18214248
Maryland Casualty Company
NAMED INSURED
Conley Enterprises
AUTHORIZED REPRESENTATIVE
Insurance & Surety, Inc.
18-02001329
2/4/93-94
GB/sjw 5/21/93
COVERAGE PARTS AFFECTED
C()MMF.1ICUL GARAGE COVERAGE PART
CHANGES
In consideration of $2,194.00 return premium, it is hereby agreed that the
following changes apply:
Garage Liability Coverage is amended per the attached
revised 46188-1(11/88) form.
Form 47851(11/90) is added per the attached.
.
. .
$2,194.00 RETDRH PRE!DlR{
- DOCUMENT
REC'D IN HARRISBURG
tl.\y 2~ 1995
pJ).c1/:d
_-.~ _.
. -
.''"'--- .~.:-..
.' or
or
IL 12 0111 85
Authorized Representative Signature
Copyright, Insurance Services Office. Inc.. 1983
Copyright. ISO Commercial Risk Services, Inc.. 1983
,POLICY NO,
GARAC ':OVERAGE FORM -
AUTO DEALERS' SUPPLEMENTARY SCHEDULE
..
ITEM THREE
LDCAl'l01l1 WHERE YOU COli DUCT C1ARADE OPERATIOHS
REVISED
. I.oooUH _"
~ II.. llall .... mail __ _ IS locallon No. ,
1 10 Auction Dr., York Springs, PA (terr-023)
71 698 S. 13th St., Harr1Bburg, PA
1U 5235 Susquehanna Trail, StriDest~~, PA .
20X 800 S. Cameron St., Harrisburg. PA
ITEM NUll
UAlILITY COYIRAGI- PIIEMIUMI
a-u. IIatIoItI ..... of T_ IldoItI LI*mr - \oIorr "-
CIuIOI of o,onton IldoItI UoIIa 1\11 - 1\ t .1..
... FMlor ...... UoIIa ~1 . "iiI - -
Claal-~ 1.00 2 2
--0p0rIlllfI
Claa1-~ .40 13 5.2
1 IJ 0Il1n
CIaa . fIon.EmjlIo/OOS 1.15 0 0 7.2 4,035.
lbtlr III 25 .
CIaa II - Non-&npIoyoes .50 0 0
Ago 25 c....
Claal-~ 1.00 2 2
--0p0rIlllfI
Claal-~ .40 0 0
7i IJ 0Il1n
CIaa . - Non-&npIoyoes 1.15 0 0 2 1,121.
lbtlr III 25
CIaa n - Non-&npIoyoes .50 0 0
Ago 25 .. over
CIaa I - [mpIoym 1.00 2 2
Rogulor Opmtcn
CIaa I - [mpIoym .40 0 0
11i IJ 0lh0I1
CIaa n - Non-~ 1.15 0 0 2 1,121.
lbtlr III 25
CIaa . - fIon.fmIiIoyoes .50 0 0
Ago 25 .. ....
CIaa 1- [mpIoym 1.00 2 2
Reij,ar Opntcn
Claal-~ .40 0 0
2O:i IJ 0lh0I1
Q1ss II - Non-fmployees 1.15 0 0 2 l,12l.
. U"""ooe25
-
CIaa 11- Non-~ ~oo;.r ..
Ago 25 .. over .50 0 0 -
Oeflllltions: TOTAL PIIEMIUMS 7,398.
-
CLASS, Impl.,...
II....., op.rotor
"'ClIlIIet.... partners and oil.... IClMIIn IIle lOR'. _redon.. uIespetsons, oenenl -.. _ --=
My emplayoe __ prtncipaI dutt _ lilt operation '" .....ee1 aut.. .. who Is Iurmhed . _ ._
All 0,1lt.. AI othef employees.
HOTE: " r.!,1InIo employees wm1<Ing en ..... ol 20 """" .. men 1 _ I.. 1110 _ '" _ WOOled .. 10 be ""'.leeI IS ,..ling IlIiI each.
2. r.!,1InIo employees -inll en "_ olless lhen 20 """" 1 _ I.. IIle _ ol _ _eel III 10 be COUIlIeeI IS 1/2 ..ling uniI each.
CLASS II - Ho...lmploy...
Mr oIl1le 1-.0 _ who .. 10lIIl1arty IUfnished with 1 CllVefecl ..\0: 1_ "'_.... partners .. 011...1 and _ ,..._ tncl 1110 ,..._ of anr
person descnbfd in Clus I
=-
.'
f .. ;'~':~'~:~,..,~ :-" " ~"':;,'",:n
,POLlCY NO.
GARAG' '\OVERAGE FORM -
AUTO DEALERS' :aOPPLEMENTARY SCHEDULE
.
"Ell THREE
LOCATIONS WHERE YOU CONDuer GARAGE OPERATIONS
Looou. AlHn..
II.. _ _. main ..- ....1Ion IS l.lIcaIIon No. I
1 10 Auction Dr., York Springs, PA (torr-023)
7T. 698 S. 13th St., Harrisburg, PA
11X 5235 Susquehanna Trail, Strinostown, PA -
201: 800 S. Cameron St., Harrisburg, PA
ItIII FOUIl
UAlIUTY CDVlllAal- .IlEIIIU..
LoodM IloIIIIti II'-of To\oIlloIIIIti UoMIIlJ -....... -
CIaoooa .. 0""-' IIotIIIt ulI!Ia r.~~ lu ~ 11"
II.. - -- u_ ~117. l - -
CIISII-~ 1.00 2 2
RogoAor 0I*IllIrI
CIISII-~ .40 ):4, . 9;6
AI 0II1n
1
CIISI II - NafI.&nPilyMs 1.15 0 0
Under 101 25
CIISIU-~ .50 0 0 ~ 6,500.
Age 25.._
CIISII-~ 1.00 2 2
RoPr 0I*IllIrI
CIISII-~
71 AI 0II1n .40 0 0
CIISI II - NafI.&nPilyMs 1.15 0 0
Under 101 25
CIISI II - NafI.&nPilyMs .50 0 0 2 1,121.
Age 25 II CMf
CIISII - &npoyees 1.00
RoPr Opemcn 2 2
CIISII- &npoyees
111 AI 0Illers .40 0 0
CllSlII - NafI.&nPilyMs
Under 101 25 1.15 0 0
CIISI II - Non-EmpIoyoes
Age 25 II CMf .50 0 0 2 1,121.
CIISII- fmPoyoes
RoPr 0peq1llS 1.00 2 2
CIISII - empoy.es
20X AI Other, .40 0 0
aus II - N....Employees 1.15
Under 101 25 0 0
aus II - Non Employees . -. ,
Age 2511 0Yef .50 0 0 2 1,121.
Delinllions: TOTAL PREll lUllS 9,863.
-
CLASS, I Employ...
RII.to, Op...'o,
1'Ioprie1.... potl..... and olf"",, active in lhe ...... .p...U.... ......,.,..... generoI -" _ rnanavers;
MY empIoyet _ pnndpal duty _ the __'ion of COYeted .ut.. .. """ Is lunished . covered ..1..
All 00... AI olller employees
NOYt: l. Patthme employees -inO an __ of 20 """" or mort . week lor lhe numllet of weok. _ed lie 10 be CllUI1led IS I ..tlng uni1 each,
2, 'p"'.hme employees -inO on _ of less lhan 20 h.,,,. . ...... lor lhe numbet 01 Mtks _ are 10 be CXlUnled IS 1/2 ralinO u~I each
CLASS 11- N..,Empl.y...
Any of lhe loDr:nmQ persons who are fttJUlitly (urnished Wllh I covered auto: lnactrve ptOpttelOfS. partners Of offieers and theif rtlallves and the .dativeS 01 Jny
pefSon dtStllbtd WI Class I
.'
.-
poucy Nt
o GARAGE COVWGE FORM -
AUTO DEALERS' SUPPPLEMENTARV SCHEDULE (Continued)
.
ITEM FIVE
UASIUlY COVEfIAQE FOR YOUR CUSTOMERS
In IlCCClI'donCe with -""" a (2)(0) '" WHO IS AN INSURED under SEC110N 1HJAIlIUTV COVERAGE.1.JobIlIty """"'- lot )'OUl' .............
111imIted ..-Indlcated below by -1IlI",
o . thIa box II c:hecked, patIIgIaIlh a (2)(0) '" WHO IS AN INSURED under SEC110N IH.lABlUTY COVERAGE - net apply
ITEM SIX
QARAGEKEEPERS COVERAGES AND PREMIUMS
location
No.
UmII of __ For Eodt LocoIlon ~ "'.... 01_...... - _11IoI'"
_. . ..,.", I1EM TWO'" 01_...... 0jlpI00)
S MINUS S llEDUCT1lll.E ~ CO\/ERED AUTO FOR lDSS
CNJSEO'BY 1HEFT OR MISCHIEF OR w.NDAUSM SUBJECT 10
ALl LOSS
S 40 00 MINUS S 250 llEDUCT1lll.E FOR ~ CO\/ERED AUTO
S 00 MINUS S llEDUCT1lll.E FOR ~ COI/ERED AUTO FOR LOSS
CAUS BY 1HEFT OR MISCHIEF OR VANDALISM SUBJECT 10
;, MAXIMUM FOR ALl SUCH LOSS IN NN NT
S 40 000 s 250 llEDUCT1lll.EFOR~COIIEREDAUTO
s ~ MINUS S _ llEDUCT1lll.E FOR ~ COI/ERED AUTO FOR lDSS
CAUSED BY THEFT OR MISCHIEF OR I/ANllAlJSM SUBJECT 10
~~ F LOSS IN NN
S 40 000 MINUS S 250 llEDUCT1lll.E FOR ~ COIIEIlED AUTO
S ~ MINUS S llEDUCT1lll.E FOR ~ CO\/ERED AUTO FOR LOSS
CAU OBY THEFT OR MISCHIEF OR VANllAUSM SUBJECT 10
MAXIMUM ~ LOSS IN NN
sO.OO MINUS S llEDUCT1lll.E FOR ~ COIIEIlED AUTO
C<MfagM
1 Spoclllod Ca.... '" Lou
CollisIon
Ccmptehet.......
77. Speclfllld Cause. 01 Lou
CollisIon
Coo,"""""'.......
1131 Speclfllld Causes 01 loss
CclIIslon
c..,.,..hsI.......
20t Spoclllod Ca.... of Lou
CoIIlllIan
Speclfled Causes 01 Loss
Collision
" $
$
$
680.
.
GARAGEKEEPERS COVERAGE applies en a Iagalllabllity basis unlass ona 01 the Direct eo.e~ OptIons Is Indicated below by "1IlI", .
DIRECT COVERAGE OPllONS
o EXCESS INSURANCE. . the box Ia checkad. GARAGEKEEPERS COVERAGE Is changed to apply without ~ to your or etri other lnaurad'.
Iagalllabllity lor 10.. 10 a COIIIlllld auto end II eJCCeSS over etri other coQeclibIe Insurance regardIass 01 whether the other inIuranCe COYIIfS
ycut or etri _ Insurad'.lnterast or the InllllllSt '" the COYllred auto'. ownar,
o PRIMARY INSURANCE. . IhIs box Is checkad. GARAGEKEEPERS COVERAGE Is changed to appty without ~ to your 0( etri -
Inaurad'.1agsI1labl1ity lor lOll 10 a COIIIlllId auto end Is primary Insurance.
.
'.
_._ .-4'"
~ ,
0, ._
POLICY NO._
(J
GARAGE COVCAGE FORM -
AUTO DEALERS' SUPPLEMENTARY SCHEDULE (CGntlnued)
.
rrDI EIGHT
MIDICAL 'AYllEIITI COVEllAGL IlEFIII TO rrDI TEN FGR COVEIlID AIITGSIIISUIlID 011 A IPGlfllD CAll USIS.
~. ........ Deterv'--"'-- .....-
_ llocIcIIl'IyIIWU lHy __~PremLm""'" , III tile UobIty
PremLm
_ n Opnllons llocIcII .....- n 0peI1llans"""'" ~-1qUIIo
~~~~:..~~ 'Ill tile UobItyPremLm
_ n 0pntIaiw n AulD. .....- n 0peI1llans n _llocIcII ~--
llocIcIIl'IyIIWU ....... 'Ill tile UabIIIy _
1tIII1I11I1
UIIIIISUIlIIIIUIIODlIISUIlID MD10IlIST COVEllAGI - .IlEIIIUMS-
IIIRIl TO ItIII TEN FGIlSIFAllAnLY IlIDIITEIlID COVEIlED AIITGS.
11_ of ...... TonI\ooy Ilote .. _ .....1..
10 023 ,.I,:lo 8. 80.
'1 -
'.-
.....-
ItIII TEN
ICHIDULI OF COVEllID AIITGS WHICH Alii FUIllIISHID TO SOMEOIIE OTHEIl THAll A CUSS I 011 ClASS II
OPEllATOIl 011 WHICH AIlIIIISUIlID 011 A IPEClfllD CAll IASIS.
OESCIlII'TIOII TOIlITDIlY
~ Vw. -. TIlIdo ....... Ilocly Typo PUIlCHASID Town&__tIleOMnd
AaIto II.. __IS) VoIide__(VIN) 0rIgInII _ ColI & AaIto wi be prh:lpdy gnoed
ColI New NEW(N)
USED (U)
1. 1980 Chevy Corvecte - 12878AS433742 8,500 York Springs, PA
2. 1987 Ford Mustang - lFABP4DE3HF207651 10,000 York Springs, PA
3. 1987 Chevy Motor Home - 1GBKP37W6D3309979 19,000 York Springs, PA
4. 1989 Ford Rollback - lFDXK84A7KVAY7716 50,000 York Springs, PA
~, lORD T"~I, D_""8_1. '1'..1.- _IU'l'T,:J,O'7~ ~n.nnn ~- ... -' ".
Cow..... CUSSIFlCAnOIl EXC5'T FOR IMlg II pIIysIclII ~ loss
AaIto II.. _Ill -... 6Izo INN, A/JI PIigy SoalndIry CadI Ispoyalllolayountllelosspoyee_
~ . - ...... OON Or GIaup RatIng RatIng _._may__lltlle1l11e1ll
,-- VoIide Soollng - - tile loss
c - ",(ihlll.dII CIIladIY Uab. Phy,
Oom.
, 50 6 739] #4-Bank of Hanover &
2 50 6 739. Trusc Co.
3 50 6 790E 25 Carlisle St.
4 50 S Heavy 5 1.10 .75 3119~ Hanover, PA 1-7333
5 50 S Heavv 5 1.10 7~ 111q~
......---...... ......-....
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POUCY NO.
.
o
GARAGE CO()lGE FORM -
AUTO DEALERS' SUPPLEMENTARY SCHEDULE (ConUnued)
.
-...
-....
COveRAGU _ PHYIU.... UMITI AND DeoucnaLEI (Abeence of . deductible 01 IIml' .ntry In any column below mean' thai the Itmtt 01
deductible entry In the corresponding ITDI TWO column appU.. Instead)
PERSONAl. INJURY
PROTECTION
Um" PremIum
UABIUTV
AUTO MEOPAY
UNINSUR~D
MOTORIIITlI
LImN PromI....
LImN'
LImN
PromIurn
....mlurn
,
I
S
.
I
8.
2 .
21.
35,000
35,000
8.
8.
To\ol
-
-... _on _ ....1111/III, \JMITS AND D4IIlIICT18LU C- aI 0 _1ClI.... .. IImll ""'" In '"' cohoon _ ....... _ ... limN ..
MIl .... deducUb~ entry '" 1M cot.tlJl C rid"" 1TD11WO column appI" Ntlad')
COMPREHEHSlVE SPECIFIED CAUlIE8 01' LOSS COWSION TOWINO & LABOR
Umtlltaled .... Premium limit ..led In It'DI Urn" lilted In rTDI Premium limit Per PNmlum
II'IM twO mlnul 1WO twO mInuI Dlllbhment
deduQ.. Premium ", '~ deductlblli ahown
lIIlIo__ -
28.
28.
44.
174.
250.
250.
250.
- -1-;000.
233.
233.
156.
386.
-...
-....
,
2
S
4
I
Po....... _nlzotlon to which ... _ _ .... boon fumlohod
(Do not Include Cove" AuIoe which have been furnished to 0... I or Clue II operatol'll
lTI!IIonml
UAaIUJT _lUll FOR I'ICK UP AND OEUYEllY Of AUTO___ DUUU ONLY
51-200 mil..
Over 200 mil..
......... of DrIve, Trt,.
I
110"
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RECORDING COPY
Page 5 015
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;', j\~}Cr#i~~{~~,~~,,:::<.~~.~~~,~.:.~qYERAGE FqflNl :,:' : "~.' '. " ' ,
~ ~i~1ovISl~s~n/,~IS'POIlc:v.,l'll.!Iv!~.coverage!'1JeBd the, entire policy carefully to~determ.1nil rights. duties
~re~~,e,'ldlS i1~:c<ol(eredr~.t-~',ii'" " ~:"': ,;b''': I", ,... ". ',:, ~,;, ;,' ':' ":'~ ',:!- ')~ '
.J'Jroijgh~lif:ihl~'.~cill~ t~;;"~di'.;~ri"i'8nd .y~';'-;r8fer td t~e N~med Insured j~6-wh Intlie.!?ecl~rp~ions. The
~Wwt1fet.iu.~~~9,.~~"'{e~JNhef.q'rJ1!!.~,y!p~ov,ldlng,~~I~:ln~url!!\~e:, ,; .'I:;'~.. :! i'~~' ~ ,:-;;..? :iWl'1~" '.;~', .
, .., .Qthlir/woil!fl?,:~.~~~~seai.,n~~ .~~iila~'1<q~otat!ci~~erks ha~e IPecl~~ meaQlng. ,~~f~r,.to l>~ctl.O~~V~ D~FI. .
: .NJTI9NSlf,U.;rl'."" ~, t, ;_0-1. { ....~t:'J!la. .Cf '.....~. . I: :/; ~ . ,... n .. '''l1 .: ,.,:, ,~. _ I. ~
..'.'~~~;i:(~~lif:>- :jl~I)~,,',k';'~~";t~S~:J~;';N",i>I' e"'O"~V'ERE'D'A"UT'O'S<'~' ,:~:;.~' ,~,i~;:;:;" ,:,;'< '
-, -'~\&~,trl~~1",1"~\;'i, '~'WJl~t"!';;t.it, . .I:~~~ ';"~'" . " '._., ,. ..;t......, - -:-', ,.,' ..'" ..:;:;' :,'i>
, I1;l'Ml.1\"I.O:Of'!Ii~!,~~chira!fo.~.sl~h~Wi,:~f. }'a~t~s,~., 1.,. ,.' ..2~ - OWN,ED "AUTO,S~~SUBJECTT. Or. keo. M.
~re~0'!11!~~~t9".,t6T;~q\:!l.;01""J1~.!t9.Y.t~.\lel'~' ';,:'~.::' P.UUlPRY ,~NI~~I,JR~.D:'.~P ~.R!s:r,~:1-AW...
.,~, ":!tfift;,,foILQ~IOgt.il!UI'\l. ~rlc:.aI:~.f'!1~~I,sigl"esc. :n~~tl1!;i;,~:p.,~Y~ ..~IO~.Iv '1hOS~~"U.lQ~~;''(,ill(,8, '.' ~~!:'iiU'6 ot:
, '" '~'';@.~c?l/~.'~at/TIIlY~Il,~c.ov!lnid ~autosJllI ,bti:1Vlnb9)!;",>;'~~' . t1i!l,laYf. I~~~;~te, w~e 1',' Y'R~I!Fenlad "
:' . ,\\'~~I!.t6.red next to:!1o ~0_":{U'l!gl!.~J1.~l?~D~J8qitlon~;d!';S:l1f :',: :.', . o!prlnclpally,g~tadecr.l!!l! r/KlUlred.\o li8;ve ,!,nd
.I " JoI na~~ t~,e,only "alltci~:!th!lt_are,c9.,y,'r~;''1';l!Jo~':'?,::{,~,:,:,:~ r;~;;. csnnot ~eJect.:~~lf1l/11~'~otor!st!I~CQv~ge."
,~.., 'A~' !,J:SeRIPTION':OF"l.!eOVEhED ',AUTO",'DES:', 7,~.t..r..\1 ThlsJncludes'thqlldr~,C1~,~~~u~~iJl~ ~wn. ,
~~, \ii!.IGNATION SYMBOLS':,:,'" . :!~.~%".i';:jI"..~;,;~ll '. .. ":'~'ershlp of after1he .poIlCY,begln'~f)5{~aect they;,- ,
~~ ,.:(~ SYMBOL -DES'ciuPTION ';:i,'i,'.,. ':~''''' ..;t: , . are subject to t!:'e,sa,m~ state\lnln~~r,el1 mo. , .
. ,f\O!.: .: .'..... ...... .': ."\__ .. ..' ..~:. <. .; ~.: tori~ts requir.em~pj..;::'~4';"~:'T..~',," ,./.......:. .
""'~ ~21;1'-;.A~Y,"AUTO~ ';'"'::'" ,:.',<'~'" ':./;'~":~~;': "~ ~" 27 .."SPECIFICAlLY:-:.DESCRIBEDi1"'AUTOS..:"
.r~~~' ..:'-OWNEP' "AUio,s.~;ONty.:'Onl#'ihose't,'f;"~.''';. Onlvthosll "autos~'desc~ 1l1';IJ,EM,SEVEN',."
'., ' ;,"ali1os.", v~u,own' (aoCl,for L1abllilY,C~verage'."': t'. of the Non.Dealers',and Traller'Dlialers:,Sup.. .
:' ,~~anv.;irallers" 'you ,l1ofl't own ,while. BttBc/!!ld', .' , ~. plementary Schedule of 'ITEM; NII\IE of the'
, lo'power units you own). This Ine udes tHolll; ,\ '," .' Dealers' SUPPlementary Schedule.for which a
"autos" you acquire ownership of after the'. premium chatge is 'shown ' (and 'for L1bbllilY:
policy, begins, .' .. ' ',. Coverage any "trailers" ,you aon't own while
23 = OWNED PRIVATE PASSENGER ~AUTOS" attached to a power unit descri~d in ITEM
:ONLYl Only thepH~l,Ite.p~ssenger "autos~ you SEVEN or ITE~ NINE).' ~,,' ! '..', '
. 'own. This, includes those private 'passenger 28 = HIRED "AUTOS" ONI:Y. Only those "autos"
"aulos' you,'8cqulre 'ownershlp..of after'the you lease, hire. rent or ,borrow, ,This ,does' not
policy begins, . include any 'auto" you lease, hire, rent or
,24 = OWNED'"AUTOS" OTHER THAN PRIVATE borrow f(om any of your emplC?yee(or 'pan.
PASSENGER "AUTOS" OfilLY" Only those ners or membars of their houseHolds, ,
,"autos" you own ,that are not 'of the 'private 29 = NON-OWNED ,"AUTOS" USED IN YOUR
passenger IYpe (and for L1abllllY Coverage any GARAGE BUSINESS, Anv. "auto" you, do'not
" tralleni' you don 'I own whiIe attached to own. lease. hire,! rent or borrow usQd in con.
power 'units you own). Thls'lncludes those nectlon with, your. garage buslness"described
"autos" not of the prillate passenger type you In the Declarations. This . Includes'" "autos"
acquire ownarshlp of after the policy begins. owned by your' employees. .or 'panners, or
26 =' OWNED "AUTOS" SUBJECT TO' NO- membefS of the,lr householcjs whll~. used in
FAULT. Only those "autos",you own that are your garage bUSiness, ..' "';'.
requlred,to,have No. Fault benefits In the state 30 = "AUTOS",LEFTWITH YOU FOR,SERVICE,
, where,t1iey' ere Ucensed or principally garlllled. REPAIR, STORAGE OR SAFEKEEPING.,.Any
. This includes those ~autos" you acquire own. customer's "auto" while left.with your "garage
ershlp 'of after the policy begins provided they operations" for service; repair. storage or
are required to have No-Fault benefits in the safekeeping. Customers include your employ,
slate where they are licensed or principally ees or members of their households who ~ay
garaged,' " for the services performed, --or... ::--
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CA 00 06 12 90
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Copyright; Insurilllce Seniices Qffice. Inc" 1990
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31 _ 'DEALERS .AUTOS.rAND "AUTOS" HELD.' .' b: You tell us within 30 days after you acquire' .
,:"',',~,. it FOR SAL.E.BY NON10EALERS OR'TRAILER" " .:'," 'it that.you want Un? cov~r' It,.ror,.!hst ,
:, <::'~':!;;t~,:,:~ D,EAI-ERSJ,.(PHYSIC(>.L I,D,AMAGE'..CC?VER. :,J.... '.-;, '....:coveraga. ,", ~'~ r.t, "I~"':.?'~' ~I~.,?, .:'~~!'< ':' ", ; I
'~'~;" "',' A9ES); A/ly,.autQ~~ and the !,{ltarests !n'~ese .' ,,C. CERTAIN TRAILERS "AND, "TEN!PO!1ARY-, , , . I
~,..., ".aytQt, ,!lescriba4;J,~..;4TEM;~EV.eNtl,of. the,~ '~',~.. ':SUBSTITUTE AUTOS'~', ,'" ",:~'.',:Il: ,~:., ",1,1... ,r ::1
:::>i;;~:~~ ;; ':~':,~el'liler:s~.S~PPle"'Dentpl!Y;': SChd\ld;r~I!t.~!. xrl.E~: ,\~. '0\" If Liability ~civerilil'8' 1;'pfo~rdeartIy,tl1li'C'civ~rii~ii ,! . .
, '~' ',,;"'N ~ 01 tJte Non. ea ees an railer uea era . 'F .... f II I of' iii Ita are" Iso ..." .:
'itJ.'''~' '1.;[-'.SIl r ' is" 'Sch d~le ;.'lHa:.:, <b1,..I!'" ......b, I,U':, orm.....e, 0 ow ng typosl .-4V~ c, ':. . 8, u'~I.
'~;1:"/~"'c" , pa~en ry of!, ' '. .," ',' 'cove,red"autos.forLlabllltyCove!8ge: .;!A.,;:"..~j.I,..
,:':'J; B.-.OWNED A~TOS YOl! AC:~U~,R~ ~r-~~ THE ,;" 1. .~Trallers. ',with a load capacity., 01 :'2,000. "
r1..i.1,:'::,P>~L1~v, ~EGIN~..>,.;!.:::~..~f.tiHt!~:\': \'"f'''.~:'.) , '::~i*iUrilt!i 'or less ,~eslgQed ,p,~i~~rl~"f~r .traYI(,:".'l
'."r,'Fit ,:"f.,lf ,ayp;1bpll!. 2.,1 , ,22.~~(',24, ~J.~~.~ pref "~-- . '..;. '!! on. public tOSd~~','tl~,I,'I")~",,:,~"i'r1 ii,.,v:t~!t~$'." '~. '7,.
:!v~' !;'.J,..tl~1ea.~,e~ 10"a cOY'I!~e \In J 'fi~j!" wv!2j,o t e :. '!f.g,,; A,n' rdutbK yocf'do~fu)t.oYr,!~'U i38'0Miii ,"<0;', ..,'
~ ~P.~lc IirePil.~~." ~:~~'~~~:a~'!!' 'Er~~~c~j~J~ ,: J.;.:{,' ,; .tll'br'PlrtnrsSI~ri"af itS' ',own~~t8il\W~~li]: ~!K~ " :':
"~ .b~lic: ~ s ;,tlj I~~. " ~ih'&''''' ,~'" ~':t~~ '~";' "..Il. I stibstlt\lte'for a covenid'~liUjn':yJu"o~ Uiat ,.
~'t?] b~e :.1~, r' ~~J1.~~r.~" 'l~,~~!'Ifl;.P~'~',~'t'~i~' .. :: ".; ., i!3 ,~ :~Is 'o~i.ofi;erVlce becalilfp'of1ti1.!f ,: "/~i" "!l'!",', ,~ .: ~.
~~~~.j./3~ ifSY~A~-71ISIi;8~~Dilt!idl,Mf!~.of'Ji,o~ef~tg~=-'. :, '.: ~'''';;~''B;eakd'O'~n:'';' ..,.,:'; <:-","h "'''~t'i~~ ~;'l'Y,;.'"
~/~~b 4,ni/UM..'m...:o1c! e,,,/IlP,arat,onll.l)i8J):..,,~~ ,0 , '.~~~ o~. :y." (Ul' .:'; ';~': ~ n::OOl.'T."ltPfiz. . ~/",~,::.
~~.~;1 Y9~cQ(,Il(e'.1I'(1U~be.~',~pvll.rei:l{~V.\Q4ifor..that.. J.,:\: -; .~, ~ep!ll~' " ',; ~ \;'j! "'t~ tl,,~tt~~j . ,..N~'"
',,\f.,l'f ,'colillrage.on!lc II:",,: ":; >,': ;'.' '0:1;',:,. .' c Senilcing' ',...,", ,:,.,.:..'..: .'..,
.. . ~ .. ~. .. ...... .., . . ~ " r. ."',_" ., ''-' J.. ...
1(,;:,.~ ,:',j,;'We alreadv.',coVer:all'';autos. \1i1lt1vou owri . .' ,. d - "L~ss"' or ':', , ' ';' +~~,'.~ .;,' ..:'
"\-: ::""ir:I'1."fo'r(~l:lllticoilerage',or:itreplaC;~\Iri".auto~.. '<'" \, " "\'~'''','" " \~"':":, '
~-;:li~ '. ",~,~Y.AlI'PTe.v)qu$ly"0~ged..th~r~C/t~hat,c~~,"J ':':'t'.1.'f:!r.",DJls~,ction. ;:~"Ti~.:': ..'*~" ;~:;....: ,~'.,~~
:..-!J.',,~'~i"L._.,~..Q(8b~;.and ...j:...,:..i'tI....::~1Ilir..:-';1~.~...;..J' .~~l,...c:.:.i_l:\. "':" . .l.'t....,....,....t.~... ....:'...., . "
.7i:.""':..,~. ....~~ .: .I,;'h... ....: . ',',' .,.... "'~C(":;'~l\t.,... rTY.' ',' ".'.: ..1-:,- ',':' ,.....,'Y:I'.... "~"l" ''',
" ~". ~ .... .' &, .' . '.. ' ..' .~.. " CO""....AGE ' . .
I..'~;::-~..;.~::;~....t~;!',ti.~ir~.... '",t. . roo,; Se, ~p~II-LlABIL .C' .,!'.~~ .' .... .": ,,~L1,"......-.r=' ..
.".... .... .'~ ,'"_'. ," 7 . ., ...' 't.'; ':". .i.,\, '. ..... :',: ....
':,..... ~ii",..",,,,,;, , t,.... '(I ':".- :"':. "'.i.:l.'~ ..~...':,~:'," :,: "
.~. :~,;!';.I '.'. "M~:''-'t "--:~l. " :' ' .. ...".' ,":I,I.,.. .
.. ...,;i .: ~:.:.:.:.,....:l .'. ...... ...;' ;t... C, .., J'L.,.'c '~, ~.:.,:. 4"'I~t" ...J....\t,. ".-~'~
.' ,"~A. COVER~GE' '. . .,,~ :.,.,,' ..'.:;, ,. ..~ We.'wlli'also.,pay allllUmS,an ,~lnsured":~leilslly
... ,-, . , THAN, :::,i1llist pay ~s a ~~over!,d'p_q.llutl~n!lost 0' expense.
t' ; ..~,; ."GARAGE: OPERATIONS~ -' OTHE~ ' ,.. to which1Jlis Insurance ~pphes. caulle\i by an
" /..'COVERED ..AUTOS..... 'J,' , " ' ,:.'i'.'...accident..lind resulting from ~,garage,9Iier!ltlons"
, "': . We 'will pa{ail sums ~ri ~Insured" lei/ahy must involving the ownership, maintenance or usI! of
'pay' as" damages because 01 .bodlry' Injury. or covered .autos." However, we will only pay 'for
.property damage" to which 'this insurance ap' the .covered"pollution cost or:expens'e" II there
. plies"caused by' an "accident" and resulting from Is eitlier .bodily Injury" or '"property damage. to
'.. " ,'.garage operations' other Ihan the ownership, which this Insurance applies thalls'caused by the
7: ., 'maintenance or'use of coverad "autos." ': , same .accident,~ '. ~,..., ..."
': :', :'We' ti;;y~:th~"rlliht and d~iY'td' defend"ilOV .suit" ", We have'tl1erlghtaQd,(iuty to'defilO'd ~ny .sult.
, 'asklnli for thesa dam~glls,..Howeye~;iN~ .~av! no " '..ils~lng for such damages. or, a ."covered p.ollutlon
., duty' to defend .sullS. for .bodlly injUry or 'cost or expense." However, we have no duty to
.;..,.prilpertY'damage. not'covered bythls: Coverage ' delend .suits" for "bodily injury. or .property
", ~ Form, We'may Investigate and settle 'any claim, or ; damage" ora "covered pollution cost or' expense.
'~.., , ,';:'suit~"as we conslder:apilropriate, Our duly to ' not covered by this Coverage Form. 'We'inay In-
". defend or settle ends, when the applicable, L1abil- ,.."'vestigate a'rid settle 'any claim ot .suit'" as we
... ,,'lty',Coverage 'Limit of Insurance ,~ .Garage Oper- consider appropriate, Our duty'to defend or settle
, ations. - Othel' Than Covered. Autos...has been ends when the Liability Coverage Limit 01 Insur-
. exhausted by' :payment 01 judgments. or settle- ance - "Garage Operations" -" Covered . Autos"
menlS. ,,' has been exhausted by payment of judgment&,or..
"GARAGE OPERATIONS" COVERED settlements,
" "AUTOS"
,', We will pay all sums an .insured. legally must
- pay as damages because 01 .bodily injUry. or
"property damage" to which 1h!s insurance ap'
plies. caused by an "accident. and resulting from
"garage' operations" involving the ownership.
':'. maintenance or use of covered .autos."
~~g€~~A'~~;l,4.;:-:':- .. ", Copyrigh\j !nsu;ance Servlces'Qlflcej Inc,.1990
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~~ OOJlfi 12110
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CAOO 061290'"
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1. WHO IS AN INSURED
",' ' II.' The' following are '.Insureds. ,for covered
~....: ;:~,.I . -alnol,- . ~
(1 fvou for eny covered "sino."
(2}J:Anicine elae! wh'li8' using with your
',I," '.c',permllllon.a covered .IIUtO. you own,
hire or borrow except:. ,
, (II) The owner. or, IInyone 'elae from
whom you hire or borrow II covered
')1",.~auto." ;Thla excep~!?n"d,oes,not ap'
'.' ply If the covared .'l!to.~,1s a.tralls!"
t,c .,. f ,I connected to i covared 'auto. you
,..' 1,.- ....... '.J)
own. '... t.. '. ,..... ,.' .
y"W,. ""(b) 'Your employee if ihsc9vilred .auto.
..Is owned by thet employee or.a
',:',,; , " 'l'~( member;ofrhis or her household.
"'(c)'"Someon"uusiiio" 8 ' coVllnid- .auto.
while he Dr' ahe .Isworking In a
. ,business,ot."selllng" servicing, reo
,- . pairing,. parking or storing :autos.
:' ul)less that business IS,your .garage
,c, operations,.., .::, "
(d) Your customers. If your business Is
shown In, the ,Declarations as an
.auto~ dealership., However, if a
customer of ,yours:', ,
(I) Has no other available insurance
,(~hether primaI)'; excess or
, 'contingent). ',they are an "in.
sured., but only up to the com,
pulsory or financial rasponsibllity
law limits where the covered
"auto" Is principally garaged,
(II) Has other available insurance
(whether primary, excess or
contingent) ,less than thf!l com.
pulsory or financial responsibility
law' limits where the covered
"auto" Is principally garaged.
they are an .insured. only for the
amount by 'which the compul,
sory or ,financial responsibility
law limits exceed the limit of
their olher Insurance,
(e) A partner of yours for a covered
"auto" owned by him or her or a
member of his or her household,
(3) Anyone liable. for the conduct of an
"insured. described above but only to
the extent of that liability.
b. The following are .Insureds" for "garage
operations. other than covered "autos":
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CA 00 05 12 90
CA 00 05 12,90
(1) You. ",."
(2)"Your partnars. employeea, director. or
. shsreholders but on IV Vlhlle' '1I'*lng
',' .' ~.' yJlthln ,tllA .,C9PUl! tl1l!1~;9J!tlea:;: :
2. COVERAGE EXTE,~SIO~S:r,; ',:,',,1:1".
"e. Supplemenlllry:Paymental' In:llddltlon to
" '.the Limit of Inallran'ce,we 'will 'PlY for the
-Insured-:: ,',:f .. '. ~ j." (rl',. -:~
, , "(,1)':'~I!:exp'el)a~i\~e. il\~.ur.\',;;.';,.: ,:~:
(2) Up to .250 for the coat of ,bllll bonda
(Including bond, fClt l'llla~va'1lc.law
violationa) raqulrelf b8&uie 'ofan "ac.
",.." cldent"we.'coverllWe dO' not have to
,,' furf1lah'theae'bonds. :", ,.'".'i,
(3) The cost'PGf'bbi1ij~rto reI8h~e/"tt8ch.
" " , "rmenlll'ln al'ly:"ault. we deferid, but only
"forbClhd,lImOunlll'wlthln our Limit of
,Insurance',:" i': "
(4) Ail reas~ri._!ll~iixp'ehse, ,1ilC:urred by the
.'nsured" lil"ou('request, Including ac-
'. 1ual~lo" of'1lamlngs'up to".100 a day
beceuse,gf tlmli'off fRlm work.
(5) AII'coSis'tlixililagairisithil "Insured. in
any "sult~ we defend,...
(6) All interest. on the full amount of any
judgment thst acclUas.after entry of the
Judgment In .any ,~sult."we' defend; but
our duty to pay interest ends when wa
, ,hsve paid. offered tops'l.or deposited
in court the part of,tlie Judg!J1ent that
is within our Limit of Insurance.
b. Out-of-State Coverage Extensions
While a covered .auto. Is away from the
state where It is licensed we will:
(1) ,.Increase the Limit of, insurancll for Li,
ability Coverage to ,meet the limits
specified by a compulsory, or financial
responsibility law of the' jurisdiction
where 1he covered .auto.ls being used,
This extension does not apply to the
limit or limits specified by any law
governing motor carriers of passengers
or property" ,
(2) Provide the minimum amounts and
types of other coverages, such as no-
fault, required of out-of.:J;Jat~.. vel1icJes
by the Jurisdiction where the covered
"auto" is being used,
We will not pay anyone more than once
for the same elements of loss because
of these extensions,
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B. EXCLUSIONS
" ,Thls,lnsu(ance,does not apply to .any~qf the fol-
:.,~i~owlng:... \ "-' '.: ;. t.;.....
1. EXPECTED'ORINTENDED,INJURY
.Bodlly Injil,y..or .JiiOper1}i'd8m"il~.:Ilic'pei:ted
,.- or.I,lntendecUrom, the' standROJn~; of the .In-
e", ,::sured,r,8ut-.for:~garage operatlons~.other than
covered .autos. this exclusion .does nol apply
. to .bodlly, Injury. resulting, from the use of
reasonable fbree' to ' protei:1 'poiSons or prop-
",.~=,,: erty. :r, .. '0 . ',1 .I:~ "; . '0 :: .t~. ~~~:.
"".IZ;iCO.....RAri:14L'.,:. ,,,", ";;,,'
-:.U, IlL .nt ...~.T'1!'tr7 .:.If.' :~ ",,~,"-:':'
c: . ,:J..lablllty.. assumed, underl:any. contract or
agreement. BUHhls~lICluslo/l'~oes not apply
,,',; ~to.'I.pllltyllfo~~~"1a~es::,., ".r!. It'
":" '"C1.,i~umed,fn,a contrac!>.or,agreemant that
"; ,'t':J' Is an,:;~~n.ured"contrsc1. ,provided the
.bodlly Injury. or .property damage. oc-
" , cllrs. s,~b~~quen~ ~C! Ihl' ,e~!.cu~on of the
. c;ontract or pgreemenl;',or, ,
.,' I .' . ~'.:.'. ,- ,..'.' . . L '",' ,
, "f. b; 'That t1Je,,~lnsured.'would ,have In the ab-
,.aence 'of, the. contract or,agreement.
" '3" WORKERS' COMPENSAT.ION
. ..
Any obligation for which the' "Insured" or the
,. '.Insured's. Insurer mev, be held liable under
" any workers' compensation, disability benefits
)~.. ': or .unemployment .compensation law or any
-. r., similar law.
t ,4.EMPLdYEE 'INDEMNIFICATION AND
, . . "'EMPLOYER'S LIABILITY' .
.Bodlly injury" to:
a. An employee of the "Insured~ erislng out
of and in the course of employment by the
.insurad"; or
, ' b:' The spouse, 'child. paren'!. brother or sisler
;,., ,<: of 'that employee' as a consequence of
paragraph '0, above, .
. ,
,'. This exclusion applies:
(1). Whether the .insured" may be liable as
, ~ an employer or in any other capacity;
. . and
"
(2) To any obligation to share damages
with or repay someone alse who must
pay damages because of the Injury,
But lhis exclusion does not apply to
"bodily Injury" to domestic employees
not entitled to workers compensation
benefits or to liability assumed by the
" .Insured" under an "Insured contract."
[J Page4.of.;14"
6. FELLOW EMPLOYEE," . /0, .:\,,\! ~ 4]
", ,. !'Bodlly Injury" to any. fellowlomployee of the
.Insured" arising out of and.ln:the courae of
Ihe fell~w e'!Jplor"e'~ ~mpJor.",p'nf" .
,~. ,g~~E.. C':lSrO,~Y ,<?,l} <?9:~T~q~1
I ~Property damage. ,to,f1)r...~.covered pollullon
cosl or axpense.' Involving:,. 31.1
. "'. ,a.: PropertY. owned. rented or qC(lupled by the
i ., ( ~insurod.;~' ~"', .iv.'
: -, ;~ bi"P.ropertYloanedio' !hii"h;aured';
I ~ . , . t ...' ." If'':.. \, I
..,:. '. c. PropertY held fq(,lIl\la or, being transponed
. . by the '.lnSured-; or ";:~:'
I ~ .'
: . d.. Property In.,t~e::'l!1sur,~d~..(tf!lre. cU810dy
'" ,or contr~l. c ~,t' ,'~ ..,
.' But'this exclusion :does not ,apply to liability
assumed under a sld!ltrack agraement.
7. LEASED AUTOS . .,'..,..,.
. 'Any'covered -auto. whlle'lsssed or rentad to
. . otherS: But this exclusion do'es not apply to e
,',., coiiiired' .auto. you rent to' one of your cus-
tomers while Ihelr .suto' Is lelt with you for
service or repair, ' I',," '
8. POLLUTION EXCLUSION APPLICABLE
TO' "GARAGE OPERATIONS" . OTHER
THAN COVERED "AUTOS" . I
.Bodily injury: .propeity dsmage. or loss.
cost or'expense arising out of the actusl, al-
leged or threatened, dlschsrge, dispersal,
seepage, migration. release or escape of
"pollutants":
a. At or from any premises, site or location
that is or was at any time owned or occu.
pied by, or rented or loaned to, any .in.
sured-; . .
b, At or from any premises. site or location
thai Is or was at any time used by or for
any .Insured" or others for the handling.
storage, disposal, processing or treatment
of waste;
c. At or from any premises, site or locallon
on which any .insured" or any contraclors
or subcontractors working diractly or Indi-
rectly on any .insured's" behalf are per-
forming operations:
(1) To tes1 for. monitor. clean up. remove,
contain, treat, 'detoxify or neutralize. or
in any way Jespond to, or assess the
effects of the "pollutants"; or
(2) If the "pollutants" are brought on or IIi' .-
the premises. site or location In con-
nection with such operations by such .
"insured." contractor or subcontractor; _'
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d. That are or were at eny time transponed,
hand lad, store,d, treated, disposed of, or
processed as waste by or for any "I,nsured"
or any peraon or organization for whom
you may be legally responsible: '
Lou, coit orixpensij'meinl'thole result-
Ing'from'eny:,' ;.,.,. .. , ,,;,:'-c
(1) Request, demand or order;that the .In-
" lured' or othera'telt for. monitor. cleen
'\11 up, remove"conteln. treat"detbxlfy or
'.! " neutralize. or In'any_wey reapon4 to, or
, , aue..the effects oepollutehts';
, ,:',' (2) Clelm' or~"lul~1by .or"ommehilf of e,'
'i'~ " ,,:"'governmentsl';authorltyi for.: damages
,~,,(, ",";' because 01." test/ngdor.., monitoring,
'i" ;', ~'-.. 'cleinlnll lip.] relnovlngl'contelnlng.
"''',~" ~. treetlng.,detoxlfylng,or, neutrelizlrig. or
" . , , In:any wa~"reipondlniJ'to or.-e"esslng
the effects of 'pollutants.' : ..
,', Paragraphs -8. and c,(2) do not apply
.' -". to' "bodily Injury" or !prciperty'damage"
arislng"out of heat.':emoke or' fumes
:'" . '" from.a hoptlle :flre. !n this exclusion. a
hostile fire, means one that .becomes
uncontrollallle. or' bre'akS 'out from
wh,ere It.was Intended tei be, ,
. .... ". .". ~ . .
9. POLLUTION EXCLUSION ,APPLICABLE
" TO ,"GARAGE rOPERATIONS" " COV-
. ,ERED "AUTOS",
I , "Bodily injury" or "property dilmsge"' arising
. out the actual,'"~ alleged or lhr'eatened dis.
charge, dispersal, seepage, migration. release
or escape of .pollutants":
a. That are, or that are contained in any
property that is: .
(1) Being transponed or;tQwed by. han-
dled, ' or, handled for ..movement into,
onto or from, the covered "auto.;
(2) Otherwise in the course of transit by or
on behalf of the "insured.; or
(3) Being stored, disposed of. treated or
processed in Of upon the covered
-auto.; .
b. Before the .pollutants. or any property In
which the "pollutants. are contained are
moved from the place where they are ac-
cepted by the "Insured. for movement Into
or onto the covered "auto"; or
c. After the "pollutants" or any property in
which the .pollutants. are contained are
moved from the covered .auto" to the
place where they are finally delivered, dis-
posed of or abandoned by the .Insured."
Paragraph 8, above doea not' epply to fuels.
lubricants. fluids. exhaust gasel or other Ilml-
;Ier 'pollutanti!, that' are, needed,'for or result
'from -the normal alectrlcal, hydraulic or me-
" chanlcal, functionlngJof, the',covered 'auto" or
, IU parts, '(f,the.tipoIlUUnts". eacape; leap. mi-
. ,. 'grate;,or ar8.dlscharglds<dllperaed or released
dlrec~ from ..n"~auto'" paR designed by IU
menufaC1urer to~h9Id. store.. !'8\l8.l"! pr dllpose
, : . . ", '~~~;~;~:~~~~:':'. ~ ;~~.i"o; l!i~~~cluslon
. :, do r'I~~.apply to l~accldents~,tll~jOCCl!r away
"~'I" ;,frq.rn,p~I~,Il.)'llled-~rR~~"Dl8!I,t.9. an "In-
',c ,.., ,~u...#.',ytltlllre.sll8c.ll~" ppliu.14l.rl.t!r,~ot In or
'>, '1l1lOn.a :cqll'l,~\.~allt9::>,l,f:N "(1 \,"bQOK
" " ',(11 The:"pollutents"" or~..ny..'Property In
;., \" ~.t. whlch\,the~r.pOllutentat'l''';Contelned
r.', .,' '. '. it. are:upAlI,OIIertiJmed or, damaged al a
'.' " b..; ,result'oflthe:nialntbnance or use of a
covered .8uto~rand,; '.~~l!~l/.i K.
(2) The discharge. dispersal; ieepdg8; 'mi.
....1 ',' "",.,gratlol1r,,,reles~,, or,. l~p'!',:,of the
','. "... c"P!l!lu~l1ts',Is:~!Iseil,!Ji~,IV,.by such
. ',", ,up'set, ovenu11Jior d!lmag~~,""" c'
'10.'RACING'-" I ,,<,'., ' '..
. Covered' ,~!Iutos~ 'whlle:' ilSltd ,~,; 8~vprofes-
sional or organized raclrlg 'or demolition con,
test or stunting activity; ,This ,inaurilliea' also
does not apply while the "euto" ,Is beIng pre.
pared'for such a contest oi-actiVlty. '
. ...' ..".'
11. WATERCRAFT OR 'AIRCRAFT,
Any watercraft or aircraft except watercraft
while ashore,on premises .where you conduct
"garage operatlons,~
12. DEFECTIVE PRODUCTS
, "Property 'de~ege" to any of \tour "products,"
if caused by a defect existing In your "pro-
ducts. or any pan' of you'r "products: at the
time it was transferred to another.
, "
13. WORK YOU J:'ERFORMED
.Property damage" to "work you' perfonned.
if the "property damage" results from any pan
of. thl!,work Itself or from the pans. materials
or equipment used :In connectIon with the
work,
14. LOSS OF USE
. . ._~..... .-.-....,.....-
Loss of use of other property not physically
damaged}fcaused by: "
a. A delay,or failure by you or anyone acting
on your behalf to perform a contras:t .or
ag!eement in accordance with its terms,
, .
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b. A defect. deficlencv. Inedequacy.:or dan-
',gerous '~ondltio!1 In ,your, ,'products" or
" ,"work you perfonned!: ,But ,this' exclusion.
, 14b,,\Ioes:not.llppIV.ifthe loss of use was
CBuSed bV sudden .and eccidental damage
" ",':toc'o~.,de81rUctlon'lOf~Vollr' :products" or
.j.. !!Wofk.VAu,p'erf!lnned~' after they balle been
," ~putto thelf Intended US8.l.. ..,I':I'r.:-
16'; PRODUCTS'RECAfL" '!r,,' ',;" ..:-,
. .. -It ;\:.\01, ":. .. j .~...., '\ .
" '.. Damages clai,!,ed for, anv I~ss, c~~t ,<<;Ir txpense
'.. ".JI'lncurred b1.YOu or others' fl1i.,he!loss of use.
, . ' wlthifr'awill, 'i'ecall; 'lnspectloit}'repillr,"replace-
. 'menC'adjlis\mlirit.':rillilovlil o(dlij)oril of your
I.. l'prodlfCts":16)1l~WOrl(Jy'oitpedifim8d"or other
property of' whlcll"tlUiy>fori1f'a "ilif) 'If such
, .. ,prodll~,work 0"P10ll8rty)S withd.ra~n or re-
f" ,.,",!ClIlled"trol\tflthlli'OIprksti',or,Jrom use bV anv
:, 'F. ~P.lIrson, aD Qrga~tiol\) bJlcause of a known
,- . or suspeeted defect" ,deficiency, inadequacy
or dangerous condllion'ln,jt, ."
",16"WAR I : "'~:' ,;; ";i,':
'"Bodily Injury" or'.propei'ty, dsmage. due to
',warJ'whether'or- nilt declared, or anv act or
condition incident- to war. War Includes civil
war, insurrection, rebellion or revolution, This
exclusion ..applies onlv ,to liability assumed
, !In'der.a'contr.a~,C?rapree.me~t.,;' ':,:.,
C. LIMIT OF INSURANCE ' ,:'
1.' AGGREGATE LIMIT OF'INSUR~NCE -
"GARAGE" OPERATIONS" '~"'OTHER
THAN COVERED" AUTOS" .. , :
For .garage operations" other than the own-
ership, maintenance or use of covered "autos."
the following applies:,
Regsrdless ',of "th'e. number' 'of .Insureds,"
claims made p.r "suits" bro!ight or persons or
organlzstions ,making" ~l8ims' or.. bringing
.suits: the' most we will pay' for the sum of
all damages. Involvirig .garage operations"
other than "auto" is the Aggregate Limit of
Insurance - .GarageOpellitlons. - Other Than
'Covered "Autos" for Liability Coverage shown
in the Declarations, "
Damages 'payable under the Aggregate Limit
of Insurance - "Garage Operations" - Other
Than Covered" Autos" consist of daniages re-
sulting from "garage operations,. other than
the ownership, maintenan,ce or use of the
.autos. Indicated In SECTION I,of'thls Cov-
erage Form as covered "autos: Including the
following coverages. If provided bV endorse-
ment: '",'
a, "Personal Injury" liability coverage;
b. . Advertising Injury" liability coverage;
:, Page'6 of14'
. , c. Host liquor liability coverage; .,
\ do" Flre'legallla~1II1'{coveralie;'l,..,,1
,..'~~. ,l'ctJ~n6ii}{in'ii;@',,~FJiij(.1riciice liability
, .. '1 ' .,. ".' ~., -r" !law,. ' ~....,
coveragn,,:., "Ill""'" <. ,,~'" '""
.' .-' t":.....I.\ 1,;' ,,-,. ,'" .........
~.,~ t,:,NC?'l'~~'!~eW~~tc'l!ft,E9ye~9~
g. Broad fonn products{Coverage..';
, ; Damages." pavable.under.:the lEach, . Accident"
, . , :Wmloof Insurance ,\fo"GarBge.;Operatlons' .
,;.:,Other :Than .CoveredlAutos" .are not pavable
,:, :und\lrnthe;Eachot'Accident:'uhlmit of Insurance
;~;~Gara~erQperatlonsf f:orCove,18d . Autos.~,
," " SUbj8Ct,to.the'abOVe;th8'most'We(wJII pav for
, ' }~meU dainages)rasultingifrom',aUdUlodilv Injury"
, 'iQ:and.:'plope/W,uamage' rasultinU'from anv one
..'",.accldent::'Is:the Each 'Accldent. Limit of In-
. '1,siJrance, -ll1Q.arilgit..operSticins~,.. Other Than
,,~.covered .AutosHofiUabllity<:Gilerage shown
In the Decla/8tlons.;I: f..'; ,.;, !"!.
:" All 'bodnV Injury" andcllprop8ny dsmsge~ re-
" :1", sulting,1rom continuous'orfifpeatad exposure
," .' to: substantiallo;.the same.,c:oridltlons will be
".consldered as restJltlngrftom'One :'accldent..
''rhe''Aggregate''L1in1t 'ofllr\'~;~~ailce . "Garage
Operations" Other'Tl1ari'Covered .Autos" ap-
plies 'sepaiiiielv io 'e'Ii~ti, conSecutive annusl
-.perlod' and 'to':anv)i'emslififig7periO(f<'.oHless
, than 12" montlis,startlilQl Wrth 'the Illiilinnlng
of the policV perlod'~hoWri,lit tne' Declara-
tions~.unless ,the,policy. pe~iod.ls e~~nded af-
ter,lssuance fOf"fln adc!~tlonal penor:l-.of less
than 12 months. In that case, the. additional
period will be deemed part of the last preced-
Ing period for purposes of determining the
Aggregate Limit of l~surance . .Garage Op-
erations. - Other Than Covered. Autos."
2, L1MITO'F INSUR~NCE ~,"GARAGE OP-
, ERATIONS". COVERED "~OTOS"
,',",\ '., ,.1. ..
For "ac;cidents" r!lsulting from .gsrage oper-
ations" Involving the ownership, malntensnce
or use of covered .alltos," the following ap'
plies: ", .' ',: ,;
Rega,'dhiss of the number of covered "autos:
"Insureds." premiums paid. claims msde or
, vehicles Involved In the ,'accident: the most
we will pav for the'total of all damages and
.covered pollution cost or expense" com-
bined. resulting from anv one.accldent" In. .
volving a covered....auto~" is ,the Each
"Accident" Limit of Insurance - "Garage Op'
erations" - Covered,~Autos. for Liability Cov,
erage shown In the qeclarations. . _
. ," .... '... .
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, ,qal1!aQ~3al!.tI,~cl!vJlflldPpl,lution"co~'tP.r,.el\.'; I:!r.P,EP'I,J_CTIBL~ .;,,,,, c..., . ,.., ..
. pense'i pa'(able . under the, Each "~Ident" We will deduct .100 from the dalTiag~ in any
,,; ,':Llml(cif.' Insu~}ii:,~ -/~8~ge:q~e~tloni"- 1;';S,CjC!d!lnt"~!'Jtln9:Jrom_ "PIlIp,ertv,;!lamage; to
.. . '''Covei'lIcPAutos'''are not'psyaole'Junder'the r: liD ~u'O~i"",4Ii[l!Su!1:oJ'~Wp~:you.pertormed on
:;.: &ch~Accldent"q]mlt'qf InsUr1lnCB"-'"Garage that "auto."' ',(>IL'I.' .~'~"l':':
. ,,, ""Operiltlorfi.'!.'Other'J'liim Covered .A'iatos." ..,
. . I, ..'....~ '.:ilt"1"\;c:J.:. 1~ . ".J b~f" ,I.:"... ld.li~h.tbc..\Q6' 1.tiluol,..lefl,o lC \...1." . ...~) .~{.~',I. r. ,t.:
" .A1I;;.,~IIV;il' {IJuryr~I,.proP<!JW;"smaQ.lI and .' , ' '
...~CQv.e.~" PQ lI,atloQ C,!!st. ,p'r..lIl;Cpan~~ resulting ." .""",~ ""'J-i ";,,, ..' ~""; ,,1;..",..',': "
fr_;Si. ".t:" Ii d .f,,~!,"tlaJ'-, t::r.HH.i:rtQ
or!'k!i<!n l!"ous~or,,~~te,'.l!lC{I,qsure, to
s\!~n,lally: ~e,lll!~e ,co,I'!!II!lons. .,wlII., be 'I'I b't:!(1ieeb Ir'e"'qilJ"~ (I(1....~ '" 'b:-uiJZ ,,:)
"'conslllei1!Q'as resulting from one "accldent."" \'~\... ,,"': ,c,bf;, bned P"_~';i:' '6 .ao !<~"
;..,~; .J,": 'Nt'C'!"O~ 2':" '-i\:,':f.lf-"f..~ ..:1 ;,,:.:;'Uf.l~' ftr:IOf16:l1. '0 ..9nurlqc,I,~ "U..l,;llt~.'1 t;11(1/l,!.
: 1:1":J~':"IIl':);J':,~~~,l)f".\'~E~ON'III~A.RAGEKEE9I:RSLC9VemGlil1! ,18v.ie:,,,, ;~lin':Jlf,
,,,.. '~R1G' ~l'..~.1 '. II.., .,..', .,,0'" 8/,1,; '(U'4r.'eb~EIfAti"'I"lfTENSION'Sr;:.L l?ll!'
~:~~)\r.. ..-~ \'~. r,:trl -:"::. . '':JVlf ftr.o \,r,r, (":. ;F'uf:aoa CI~' ;:no:) 'iCif!.u.: cr..: IU or:"ii2oi
1. We Wllhll8Y all sums the""liltlured",~legally ';ml~:>J1I!R ,lIm!ln.tl!ryoRjlvroe"'~t,I~11194~pn to .the
,', ,!."USJ,~v..!!S,~~!I!"l!.g~J!lr r;!<!6l!n:Jg;p",:~v~ UIIl l.?fc~IJ!l,l@n.~,aW~lll'{!II,:RI!v.fqr the In.
, euto '" or b auto ~ ,equipment ,mtt,. the . surad L ", 'b' "', . . ..
~ . -I ,...:.-'~.h.-.., , , :~II'."'t/i '~I~ '. . '" .;~ . d . ('"..' f:I~~ ";rl'flf.1:t:'lC' t.f\nIG'.'~ :~,~"~'''-::-I'~::" .:..
, nSl.!""'.~;S1re,,~Il,~, e.. "su1l', c,!,4,p,tten - a. All eXp!!n"-,"'o,lncur. , .... "
hJ(I!I!I8~ICIJlg. ~ep'a1nng" parking ~,r.:P.t!!rlng,lt ._~"';'I"'<" ..." I, ,J~,
1n your -gsrane operations", under:. " _ b. The cost, of bonds to release attachments
"" ' f', ,;,.. ~ .'"., in any "surr. we defend. but only for bond
8. Comprehensive Cove,rag~. !r~"!. a~~ c~l!se. , ,..' alllounts..wlt/1in our Umlt of Insurance.
except: ' " ,.=\1', ~:I ".......~l .~J._~I~\ t-<t.t..."., II".)I,'-':.lo..
., " , " ,. c. All reasonable expenses i,ncu~" ,by, the
(1) The co~red auto s colliSIon with, an- "insured" at our request, Inl:llidltl", 'actus I
.,,,/ other.~bJl!CF or ; t" ' ..~ ;" r J:.L"10ss'of'eemlnlis1Jp't~100a day'bec8use
..(2) "The covered .auto's~'overtum.' ~f time off from work.' -, '''''" ;;i'
b; SpeCified' 'ciliises" o~ tosY' Coverage. ,- '!,' drrAllcOlrtsocaxed against the. "Insuied~'ln any
, CeliseCtby:"" ~..' ' :, ... . . .. "suit" we defend. " ~ ..
. .., . J. ':.r~ ~.~ .: .' ~.
(1) f.il,ll. )lgh",I,og or explosion; ,i,1 ,,::8; All: interest- on the"'full amount of any
(2) Theft; or ..~ , Judgment that'8ccrues,after entry of the
, ' judgme.nt,ln eny "BU!t" we defend; but our
(3) Mischief or vandalism. duty to pay intereSl. ends when we have
c. Collision Coverage. Caused by: 'pald. offered to payor deposited in court
(1) The coverad, ".l1uto's" collision with an. the part of the judgment thst Is within our
other object; or , Limit of, Insurance.
(2) -The~~ve;~ "aulo's"'overturn; " B. EXCLUSIONS
2. We have the right and duty to, defend eny 1. Thls;fnsu~nce'does,not appiy"to any of the
"suit" asking for these damages. However. we following,
have no' duty to defend "suits" for "loss" not 8. Contraclual Obligations.
covered by this Coverage Form. We may in- Liability resulting .from any agre~ment by
vestlgateand settle any claim or "suit":' as we 'which/the "Insurcid" accepts responsibility
consider appropriate, Our duty ofo. defend or .'.,' . ':for'"losS.-' :' ,
settle ends. for a coverage when ,the, ,Limit of .. ,~,
Insurance fo~. that ~overl!g\l has been ex- b. Theft. 'c . \ " : '
hsusted by payment of judgments or settle. "Loss" due, to .Jheft or conversion caused
ments, " In any way by you. your employees or by
3. WHO IS AN INSURED your,share,holders. .,' .~r, ," .c=--
The following are "insureds" for "loss" to c. Defecllve Perts:
covered "autos": Defective parts or materials,
8. You, d. Faulty Work,
b. Your partners, emplovees, directors or Faulty "work you performed."
shareholders while acting within the scope
of their duties as such,
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CA;OO,olijl290:
Copyright Insurance Sen/ices Qffipe. l!lc.. 1,990
Page 7. of:14 0
CA:OO 06,12 90
2. Wll will not pay for "loss" t08liFciHhjj~oP C/f..lMIT'OF'INSURANCE ANO,'DEI;>UCTIBLE
I I ' ','It_'1~'t,','~.e., 'a,r'~te"ss.'.:"' p'f"~'he"."n~u':,m".'b:'.~,"',;"f".:i;o' vll.rll!'d"""'~utos."
":'!: ,,;O~f)9~i(b or.: In.",1 ((':";" ~~lIh~J"f!i\'.' tWl.' ~ rf,~~.1:lII .~~.. ""l" 'T a
l'r.i-lt'ep8"illll:kI' or' Othllh!buiid"\'eprooliClrig f:ll '~iI~,$Uf!,i!sC':c,preml,!1!,IS pa!!l.. claims "made or
~. r" In', eqilrpment'\inle'slf permilnilri!lv ;/risfalled In ,"I;): r,;SIlII$: ~rl?ught,PJ~;!l!Psl'lNe,~1II psv,for each
a covered 'suto.' ' ,C,'.'L l.:,1l '. _",loss":.,al.,each.,location..fs.tlill,GaragMeepers
b. Tapes. records or other'sound'reproduclng .' Coveiage '.L1in)t"qf..Jiiriurance ,iliown ,In the
devices dllslgned for use with sound re- 1;".; 'Diiclar8lliiiisforthat'loiiiJ/on'ii!lnus the ap'
,,:,'~I~:pllcalilii'1feductibliii feirloSli" Ciu'sllCl'bV col,
Producing equip. ment. r' .. II' ,""\' th' ft'O.. .' , ""'1 f <l" 'a' II . ',",
. ." .... SIOn,' e r miSe.. e Orysn a am.'
c. Sound receiving equipment designed for ',d 1i'....L foe "':'I"I"~ <(CU: ,<'" ,:,rr:'~,,'>.<J,J.
use as a citizens' band, radio. 'two-wav ',2:.:nl}le,f11I1;XI~um,#~i!,,~}~la sl8~,IMhe Decla-
'mobile redlo or telephone" or scanning rations (or Garagekeepera COverage Compre.
monitor receiver lnll1<ldilllP'ld;:a~riIftit?;i:;l.M.;:. bel1,I~e.:9r.~pl!Clfl~d Causes of Lo.. Coverage
and oth r, .lit ',r Iinl.,;",;iWinnanently IS tlie most that will be deducted fO{,f.1I "IQ""
I 11_J.~'T\.~tIi!!P.d'h"!i ":l:.",nD:VI" ,0'>1""1 In an'v on" event caused by'thilft'ofmli'i:hlef
nata "" In e aSn or cons\l~e QIl8n ng. ,
,,-l' (;1 "'l\~lryI u~ildJby'the""'lildll""hYiiiiUfacturer vlib(1~:Or \/and,~lIsr11;r:1 ,-'Me I;l'",v~"" 111';. ,V, .
. ..,' sn' fOr t1i~~i1''stall8tio'':ilhrYiaIO!O.~'~:.J ~~?-,~cgoi\t81IIl!".',t!l ~~le;,i:lat0f6.r"iiillt."'rwe may
d. Equipment designed ~r ~stId f!lf ~e de.,: ,.:'PI!'f,&lI. o~,sny~~~rt,~f, the deill!~tlbJe:. If this
teetion or 10Clitlon'of-radari'''''~ ' . , , hll'ppe~s-,vou m~st ,~eim.tjl!l'Se, us for the
". ' ,'I~!lr.b ~,....',' : :.;, ,(, 'L l>.r,~ .'': " .' thdlidtUw~I,~I~'dor .~~I!t' port, i?n"C!~.J/jll'rd'~u, ctlble
, .. ' a II pal .' . , ~r, ' ,
...,::-1. ( ....... \,".~ .. ,- " '. ..~!: :" '" 'It:. '::I!. III 'J . ... " .
':.n;:'"er' " ',r',' M';~~CiidN W-PHYSICAL DAMA~E~COVERAGit,) " ,ill.' ;'::::',', ,I,
~"~OV,E~~~~ ;'-~~: " r ";~-"~~f:,;::~. " ""2..T.OWlng;"NoD.Deaie~'<lI)IY;:'
.1.: We will peV, for "loss" to a.covered, "auto" or If your business i;'sHown In'1he' Declarations
Its equipment under: . :', 'I; " as somethlng,oth8f than an 'auto"dealerahlp,
, r,81,:Comprllhenslve Coverage,""roml.8ny cause ..., ,we ~III,Jl,av up to,the,lI!",lt s~!l\,!n In thll Dec,
except' " ,.... ' laratlons for towing ani! lsbor costs Incurred
, ". "' each time a covered "auto" of Ihe private
. '.. (1) 'The covered auto,s, collision With an. passenger tYPe~s dlssb1e(1. Howilver. the labor
or " ,other object; or , must be performed at',' the place 01
(2) 'The covered "auto's" overturn, disablement,
b. Specified Causes of Loss, Coverage. 3. Gla~s Breaksge ' Hitting a Bird or Animal .
Caused by: Falling Objects or Missiles,
(1) Fire. lightning 'or explosion; If youcariv Comprehensive Coverage for the
(2) Theft; '; : damaged covered "suto: we will p~y for the
following' under 'Comprehllnslve C6verage:
(3) Windstorm, hall or earthquake; " Gl b k
" a. ass res age;
(4) Flood; .. b. "Loss" caused bV hitting s bird 'or animal;
(6) Mischief or vsndallsm; or . ' ~ ,and ,'.' '
,(6) The sinking. bum'lng.". collision or c;':~Loss" caused by 'failing objec.. or mis,
'derailment of any conveyance trans. "':.oailes" :' ~ '"
porting the covered "auto" " , . '
However. you 'have the option of having glass
c. Collision Coverage, Caused by: breakage caused bV a covered "auto's' colli.
(1) The covered' "auto's" collision with an. slon ilr overturn considered e "loss" undor
other object; or " Collision Coverage,
(2) The covered "auto's' overturn,
..-....
"
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Page'S cif 14 ",
Copyright; Insurance Senilces'Q,fflcii! llic., 1990
CA 001lB,,~f90'.' 0
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':' 4. Coverage extension, If your business is shown
".: "in,the Declaratlons;asi something;other,than
",0.'" an ~auto..,daaI8lShlp..W8.,1N1II paY;JJp to $16
I':'", ~ ,per"day.da.amaximum oU4.50 for,transporta-
bil" '.' tion expense sQcurredtbYCYQu::because of the
IIi"" r,'tOtal':theftl aJra..c;awred1'auto."of..the private
erl; l':passengersl.Yper.,We will paYI,only for those
~":! ','ll:overad,,\autos~, fO[iiwhich,you. cany either
Comprehensiv8>;Or.;Speelfled Sa"se, of Loss
Coverage.We will.l!8y for :Y.i'.I}'~I1P!:!~~~'J
penses, incurred ,d....1nl/ the paHOd Deglnnlng
~b~ f.J48:t1Quri-'aft6rthe t!ill" ancr.iindlng,Jftigardless
n~lola of 'thil?p51ic!YiI:l8lclljt8Uo,Q1Whbn" fh6'cO\1!lred
flti"~il~iito!lr;s.t!iturf\ii<t'{<9' usa', o~'\Ne 'illI~1~ 'lis
b,.bi"o'IoSSl(lI1L~clneo slit ,r/r'l!l~"t>':" l.'t!'::Jt't':." , "
. '" ... . I ' "..
B. EXCLUSIONS, , , 'h' " ",'- ..
'("'1l'W'.':lllb.ll(t'~'ti:iO!l?f''''I''.il ~\!Jr'~a::'u' s'e;'d.~)bY"dl re-
. e WI .no ,payor ass,", "
sulllng from any of the following.' S'uch .Ioss.
cr.; :'''is~eiccltJdild'rllgardless:Of arW'other:cause or
event that contritiutilll:lconCi"r~iitly or in any
; , " ,SBq\lenC;ll ~o.,the...':loss.~m'c " <) .:, ..
" N" I' t'H' 'rd -', I""'. "", . ,;', ,.' .
Vtl'''' 'ta~.... uc ea. aZ8 .I~.., .. .... - ..,
Ie ""'"'(1") Thbltx'plO'Ildllidtanv"l,.{J~R'on employ-
Ing atomic fission or fusion: or
b: ,~~{'::J2).: tJ~~j~lir. reli1!tici~ orn;~iati~~, eN radlo-
..~' "."'~I"~"'" 1~.~iv~~c;,;q!)I!1'l!in~p'o,(l':~<1~eyer caused.
'tI1 OI,b. ,Warior Military Action., ,- ;,"
,:c : ..'(1 )"War.lrlcluding undeclared or civil war;
~ - "" ,:' (~) Warlike' ~cti~n ,'by li"mllit8ry force, in-
,\, cludlng action in hindering or defend-
ing against an actual or expected
attack, by any government. sovereign
or other authority using military per-
sonnel or other agents; or
(3f'lnsurrection, .. rebellion.' revolution,
',' -usurped'power or action 'taken by gov-
, 'ernmentiil' authority In hindering or de-
fending against any of these,
2. We will not pay for .Ioss. to any of the fol-
lowing:
a. Any covered "auto" leased or, rented to
others unless ,rented to one ,of your cus-
tomers whlla their .aulo" Is left wilh you
for service or repair,
'"
b. Any, covered .auto. while used In any
professionaror organized racing or demo,
litlon contest or stUnting activity. We will
also, not pay: for - .'oss., to any covered
"auto~ while being prepared for any such
event. ..
c, Tape decks or other sound reproducing
, 'equipment unless permanently installed In
a covered "auto."
'"
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CA 00 06 12 90
d, Tapes. racords or other Bound reproducing
, ,', devices design.ed, for ,!,e,~ith ~ound reo
- producing,eq~lp~e~t. 'l'" - ., ,
e, Sound .receiving equipment ,designed for
use a~' a:cltlzans" bani! radio;. tWo,way
niobne radio" or telephone Or~ scanning
""'l1lonitor reCeiver. 'Inclu,ding <its antannas
'~ ' 'and 'other accassbries, ulllilss permanently
Installed in', the 'dash or"console opening
':,." ,normally Ilsed..bY ,~,,~f1utp~Ll1\a(lufaC1Urer
_ ',' fo~,the. 1!I$18l!at)!l.!l of,. radlQ.. '_, c .~
f. Equipment desiitned'O;' us&d'for'the de-
,.. ' v,', tectiofl,qr.lOCjltllln pf rllda~, ,-;,,,;. ',\,
"3. Falsef"riltansil. We'wlll nlit Pit,/'for "loss. to
-'8 coilered "auto..caused by or resulting from:
~8:' SomeOilii ~~'iln.ii' you,lo iil<<li8iitarilY part
.. ," .., . ,witli If bfil!~~ ;~rlO~h~nf~:el;,ltnder false
_ pretenses; ot " , _
~ , c." '..:. ...~ .,:. .' t. ,.-'. ..\<. .
, b. Your acquiring an-l'auto~ fromAl seller who
," " did not hsve legal title" . , 'I"
4; 'If your 'business Is shown'in the Oilclarations
as an .auto. dealership, we will not pay for:
a. Your'eicpected profit. " "'.
. . .."....... ..
b. "Loss. to sny covered ~auto. displayed or
stored at.imv.Joeatlon, not iihown in ITEM
,1:HREE of th"Dilclarl!~lon,s If, the .Ioss"
occurs more than 46 ,dsys 'after your use
of the location bej:Jlns,
. . . . . ..',0
, , c. Under the Collision Coverage.'to any cov-
ered .auto. ,while being driven or trans-
ported from the, point of purchase or
distribution to its destination if such points
ara mora than 60 road miles apart,
d. Under the Speoified Causes of Loss Cov-
erage. to .Ioss. to any covered .auto"
caused by or resulting, from, the collision
or upset of any vehicle transporting it.
6. Other Exclusions,
We will not pay for .Ioss. caused by or re-
SUlting from any of the following unless
caused by other .Ioss" thllt Is covered' by this
Insurance: 1 .,' (:.. '
a. Wear and tear. freezing. mechanical or
electrical breakdown;
b. Blowouts. punctures or other road dam!lle
to tires, .~ ','-- ,-.. .
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CA 00 061'2' 90'
Copyright, Insurance Services,Qffice. Inc.. 1990
Page 9 of ,14 0
SECTION V-GARAGE CONDITIONS
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The,. following conditions epply In addition to the a, Pay its chosen oppralser; ond
C;ommo,ii P.iilicy Conditions:, b. Bear the ot!ter expenses. of the appraisal
A. LOSS CONDITIONS . ' and umpire equally,'. .
1. APPRAISAL FOR PHYSICAL DAMAGE If we submit to an apprai~al, we will still retain
LOSS our right .to deny the claim, ,
, If you and we disagrea on the amount of 2, DUTIES IN THE EVENT OF AC(OIDENT.
"'ass." either may demand an appraisal of Ihe CLAIM. SUIT OR LOSS
"loss." In this ev~nt, each pany will, select.a a, In the event ~f "accidenl." claim. "suit" or
competent appraiser. T~e two, appral~ers Will "loss." you must give' us or our authorized
select a competent and Impartial umpire, representative prompt notice of the acai-_-
The appraisers will state separately the actual dent or "loss." Include:
cash value and ~mount ?f "I~ss.~ If they fail (1) How, when and where lhe "accident"
to agree~ they Will, ~ubmltthelr differences to or "loss" occurred'
the umplle, A deCISion agreed to by any two '
will b9 binding, Each party will:
r. Page 10 of 14 Copyright. Insurance Services Qffice. Inc,. 1990
CA'OO'061290
C; L1MITS,OF INSURANCE' . .. ,'.. ,',
.., ,;; The mo$t ~e w.!ll:p',~)cir "Ios~: 't~ anyone
covered "auto"'ls tha:.filsser bf:
,';:' !:.~~~The :~CW.li>>,a~h::~A)'i!8 pf tFo.Jimiigad or
~~~~"~;" l!~ole.!1,p,~df.llrtY ~~oo!:~~J1ti.r:n.e, ot"loss"; or
p,snnr,lb. The 1CQl!t~:ot f8Pl'lrlng or ;L\lplacing lhe
"r,. ",.,.,.dam,ged, Qr;,slOle[l p~opellY"wlth other
h"II~Ilr. IP~ope~.QHi~ldnd ~l1d,quaJity.
'I' "'2}1f'0;'tliose';llusJiie'ssas 'shbwri!'lnl'(lia Declara.
tlons as' :lI8uto')fdeaJershfjl,s:J .tha" following
,<I; 6,pro\flslQAlLa\40 app.lYAOl' 'Jr~'''' II :. ,l
B. RegilfllJeu'ofr<tliiJ':'iuJinber\;lb' covered
Of ',. ,I" :',fJl~~ IlnyolvedAit ,tI1e,!I~lo"'';r;tha ,most
,,,,,;"'llnit<f{~WIIl illIY, fpr,a,lI tiloSll"\ot'.Aa;!y pna 10-
o GlItiP.n 'Is tha. amaU'lt sh..oloV{I 11\ the Auto
:.'.~'\ ~'~~B~P.II.,!I~n!'.:S\I~pl~en:t,liry"S9.h~~H!e Jor that
. ..e. ~. "'JoC8ilbh; .IRegardress: ~Cf~,a~.f1umber of
'covered "autos" 'involved 1" tIlaMloss." the
or.'.' " "most we ,will psy for'1I1I,1'../oss"'lo transit is
the smount"shown"in the' Auto Dealers
c" .,'E ',' ,~up'p'ementary . ~!lI).!!d/lJe. ,fqr '. ,::Ioss~, In
..(":' .:. . ~nsit., e.... ':' .~l. "/-, I. 't.
b, Quarterly or, Monthly Reporting Premium
Basis, If. oJ! ,the date of your last report. the
.. .' lictual value' bfthe'covered -autos" at the
, , '"Io~~ io,i;atllin exc!",ds'what you I~st re-
portoo;'wlien' a "loss" occurs we will pay
only s percentage of 'what we would oth-
erwise be obligated td' pay.'We' will deter-
mlne.this percentage by dividing your total
reported value' for the involved location by
the value you actually had on the date of
your last report,
If the first report' due is delinquent on the
date of "Ioss.~ the most we will pay will
not axceed 76 percent of the Umit of In'
surance'shown in the Auto;Deslers Sup,
plementary Schedule for the applicable
location.
,
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c. Non-Reporting Premium Basis, If. when
,"loss" occurs. the total'value of.-your cov-
.. ered. "autos'. exceeds tha Umit of Insur-
'. ance'showlT In ,the 'Declarations; we will
, ' pay onlY'8'.percentaga 'Of what we~ would
'otherwise 'be' obllgal8d to pay. We will
",' determine this peri:entage'by!:dividlng tha
, ',lIml(by the total:villues,youlactuslly had
'0- ,: 'when'"lo~occurred\, :"I.~' .',' ""
D; DEDUCTlB'LE ~ ~ . ",!;. '.": <. ..,.,
:, For ~~ch;co~ered .i~~i~;(~ut~j)lIg~~PP';to pay
:,~,.for.)epalr.,rewm prl.l't\Plac{l,-,!al!1~ll/I~, or, stolen
propeny ,will., be,l'f!.luced:,,/ly ,~a'd!ppliC8bJe
deductible shown In the Declaratlon~ ,provided
that: ,'L:IJ'nllr; '!.8
1; :~I~~;, Deal~rs On!y.. ~P'~ir,!rp~~~~\~le !,ro-
.. ,. . ., t i '-;'1''' "11 11"'tII'\:
If your,businass Is shown;ln th!li.o!,claralions
.,. , as,an'"au!o",c!.e.alership; ,',C ,r" ;:>' ,',
a. The Comprehensive 'or'-Speeiflaij',Causes
of Loss Coverage dadUc1lble.applles only
to "loss" caused by theft or mischief or
vandalism. ' :"..,~,.:. . '
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b. Regardless 9~ -'be nJllJ)ber o,f covered
"autos" damsged.or !ltolen. the' per "loss"
deductible for Comptllhensive or Specified
Causes of Loss Coveraga 'shown 'In tha
Declarations is the !1)sxlmum deductible
applicable for all "loss" in ~ny, one event
caused by' any theft or mischlaf or
vandalism,
2. Non-dealers Only Special Deduclible Pro-
visions,
If your business Is shown in the Declarations
as something other than an ,"auto". dealership.
the Comprehensive Coverage dpductible does
not apply to "loss". ca!lsed by ,fire or lightning,
CA' 00 0612 90,
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. : f, ,.;' (2) The -iri'siired's'tnilme and addres~; ~nd
(3) To the extent possible, the naoies and
,;..'iaddresses' ohany Injuted penions and
bm, 's...",T.[.wltn~,. ',,' '''i ':!: i
;, b. AddltlonallV'",yollllndl-Bny~othjjr Involved
-;I~b "u:-.. :Jns~~T,IJ.l~~',j-..:;t'~. :J~W\l("':'" l.
(1 FAMsume' 'no libllgatlon'. mllka no pay.
",~b\,l 6,1: ,,/lIe,nl09r !Jtcur:nQ),41lWe!ll!8"J!Ylthqut our
\,,~:.,,?c~U1S11!1k,el\.c;ep~'.at;thl! "ln8ur~'.s' own
cosL, 1
" ~lt~ \"O~I1t~~ (~a':"'Jv(' 't~ I
.. (2) IJ1Im..~"WY, !eng U!!:~!lP'!es,of .fIny reo
" qullst'ltemanit;\:jrder, nbtlce; summons
\Irll, I: ;,"c1or;'legal PaPt!r recehilldlcOneernlng the
~.. clalmlor!sllli~.. ,ttOJC b~,~, iJ .
.,'" .
(3) Cooperaill 'whh~s:lfl~he lnfestigatlon.
.. settlemant or deferisl!s,et.pte c)J1lm or
, -suIt.- ',',: ' ,
~~~.~~~~~4f;f.~!h~;IZii:~~:\i~~btitr~,mei:iic8I'~ecords
Ii'"'' 'ej '~llp.r qttier, P4!~ner:lt,lnfofl'(l"tlont" '
. 2;;(~) Submit to. examinallon , at our expense,
'V~L >J! ..Ll.i'~V.IP.!tY,ll,ICllll!~.I~lf Il,Wsfhll.fce. as often
.... . \'-'i.ll:'1 'll,~,~e ~sp'n!l~~v.;:!eq,:,~rt;':, r,'. -'h
, iJ~, '; c.flf:there Is ~Ioss'! tii :a;covered~1auto" or its
lJ..:: ",: e,.;equlpment'fou,milstalso do the following:
.. "~ ';(1) 'ptili!i'pll)l'notltf '~e" pciflcl!.'rr ih,e co~.
" " c,,", ei'lid '"autd" or any 'of. its iKjulpment IS
-....1 ':'.~.~,.'~~~~ Si~Je~::.. :~'!;;",-,';~'>:::__'~: \.' ...., . ~
, .. , (2) Tske all rel\~nllble' steps. to'ilfotect the
. " ':.",' covered ,~~uto. . from, fyJther damage,
. , IV" ' 'Also keep a rllcord of YOlir_e~penses for
consideration in the settlement of the
claim. ~ ....
t. (3) Perinit us to Inspect the covered 'auto'
o' ," ' arid' re'coros proving lhe "loSs"' before
h. . ~, its rapa" or-disposition: ,. .'
..; r. I" . ~.')r'.f"'&_, ...... . _.: '.Jf" .
(4h(\gree"to examlnallons under oath at
'" ,. ,ollr request and give us a signed state.
,'_' lJ1ent of your answjlrs.
. 3. LEGAL ACTION AGAINST US '
.. ....1 ., . _,. .
" , 'No ~ne ,may bring a, legal action /lgalnst us
',1 ' unaer this Coverage Form until: .',
a, There has been full compliance with all the
terms of this Coverage Form; and
b. Under Liability Coverage. we agree in
writing that the "Insured" has an obligation
to payor until the amount of that obli-
gation has finally been determined by
judgment after trial. No one has the right
under this policy to bring us Into an action
to determine the "insured's" liability.
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CA 00 0612 90
4, LOSS PAVMENT~FHVSICAL' DAMAGE
COVERAGES, t,(' ",
At oilr option we may:" ,..,
, _~~ p~y for" ~pal(~r;~p.lac~l~am~g8d or sto-
. r.len pr~perty;.j.". .. .f~\I."=- .';.:,.':
" ',: ,b. Return the stolenlproperty. at our expense.
: . We will pay for eny,damage.that results to
,',' I' the "81110'1 from the, theft; or.;/ "."
"', Ie: . Tallerisll 'or' iirr;:part' 'ol:,n~ ',Clpmaged or
stolen p~operty at an agrilel!, or~ apprelsed
~ "'" . (.value...ilh',: ~ ..: .t~!1 ." c:;;C:~).~ ~"
, ' , I "
&, TRANSFER" OF R~GftY&~'F'RECOVERY
"~,' r'AGAINST,OTHI;RSff.o.,uS,:,'l,(<:/
If any person<or bitrar,iia'iJor\ tit or for whom
41Ne make:: peymentt ul1der this' Jeov8rage Form
"," ' '.llhes 'r1ghts:to ,rec:d\lllp-dsmages ,~m another,
thllse rlghts'ara,transferredto us:T.hat person
, "or orgs!lIz4,tI~'!.,"u~t.~o. ~'.~l!!g:n~essary
," to secure ou~.rlghts,ani! mUsl,dil:11qthlng after
, ' ~l!.~,lilent" 'or, ~11l~~~ii)IllP~ii-:!lifl!"::
B. GENERAL,CONDI1iIONS~[J';" I:, ',;1'
,1. BANKRUp;rCV.,f,::',"':'.:;..' <,.,.;'; ..-
Bankruptcy ~rqn!lolvei!iiy ofth'lr.lnsured" or
the olnsured's" estate will'Oot relieVe us of eny
'. , obligations ,uiider this Colierege Form,
, 2.'CONCEALNiENT. ',", MISREPRE$EN-
.TATION OR' FIJ~,UD ' , " ,
This Coverage Form Js. vClid :in ,any case of
fraud by you at any time as ~t relates to this
Coverage Form, It is also vo)d if you or any
other "Insured: 'at' eny time, in,tentionally
conceal or misrepresent a material fact con.
cemlng:, .. ,
a. !his Coverage Fo;m; ,
b. The covered -auto"; :'
c. Your interest In lhe covered -auto"; or
d, A claim under thls,Coverage Form.
3. LIBERALIZATION " , '
If we revise this Coverage Form to provide
more coverage without additional premium
charge. your policy will automatically provide
the additional coverage es of the day the re-
vision is effective In your state.
4. NO BENEFIT TO BAILEE~HYSICAL
DAMAGE COVERAGES
We will not recognize any assignment or grant
any coverage for the benefit of any person or
organization holding, storing or transporting
property for a fee regardless of any other pro-
vision of this Coverage Form,
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c: CA\'ol) 01j1'1~' 90',
Copyright, Insurimce'Services Q,ffice. Inc.. 1990
Pege 11 of14' 0
. CA 0006 12 90
, .6.,QTHE6INSURANCE ' ,
II. For any covered .aulo" you' own. this
Coverage Form".provldes, primary Insur-
, ance, ,For any, cOI(~red, "auto" you don'l
,.. , ol/Vn,"the 'Insurance prol(l~ed by this Cov.
erage Form Is excess over 'any other
.'.',' lI' 'C01lec:1lbla" Insuranca: ,However. while a
", ." ':', coverad 'aUlo' which Is a .trallar" Is con-
nected ,to', another vehicle. tha Liability
, b ~,.,,~lll!lge.,this ,Cqvp'rage FOnn J;lfovldes for
t'L. :-\f!I)!",th..' t~ite.'" is: 'c. ,:', l:h'l('. -., t:.
,(1) Excess while It Is connec1ed 10 a motor
'.;;;. ,In:l311vlll!lcle VP,!:dq n~\ oW{l,@II,/~'.';
(2), Prinilir\1.wl1i1e,t IseonneCteilitd:e cov-
cow,..... K: 'ol!~.;lI\!t,~~,yPu own",'"a'; \
"", '! b.' For:,Hlrild Auto P.hyslcel' Damage 'Cover-
""':,,0" 'ag';'lIny covered "auto~ you 'hire or borrow
,.' -, ,,,.,deemed to ~e a'covered .auto.you own,
." .. . '. "'tr."... ~ ",' .' ..,.. - j
, .. " ,~: "~lii!lll!55 of the prp)/Isions of p~ragraph
)" . Ii~' above, this' Cpverage ,ForlJl'~ Liability
coverage'lli prlmsry for any liability as-
sumed under.:an,!liisur'lid conli'act:~ ""
d. When this Coverage:Fbim end~llriy other
"Coll!lrage FQrm,.,o!.,pQllcy"cover:s ,pn the
sama ~Is.- elthllr exceSl! or primary. we
. will pay, only our share. Our share is the
IlrC?P2rt!on that the LImit at In,suiance of
our Coverage Form bears to theto.lal of the
limits of all the 'Coverage Forms and poll-
" ,.cles coverlnlton Ihe same basis,
6: PREMIUM AUDIT
8. The estimated premium for lhis Coverage
,Form is based on the exposures you laid
us you would have when this policy be.
gsn. We will compute the final premium
due when we 'determine your lIC1ual expo.
sures. The eS1lmated totel, premium will
be credited sgainstthe final premium due
end the first Nemed Insured will be billed
for the balance. if any. If the' estimated
Iota I pramium exceeds the final premium
, due. Il]e .flrst Named Insured will get a re-
" , .. fund, . ,
to . 1:.. .
b. If this policy Is Issued for more then one
year. the premium for this Coverege Form
will be computed ennually based on our
rates or ,premiums in effect at the begin-
ning of each year of the policy.
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7. POLICY PERIOD. I COVERAGE, TERRI-
TO~Y, ' .'... ,,':",
Under this ,Co~enjge Foiln. we' cover:
a. .Bodily Injury: 'propenydamage. l!nd
~Iosaas~ occurring; and ,'V';,;, .;
, "
b, .Covered pollution cost :or expense. arls-
. lng out,of ,.accldents. occ\lrrlng: . '
"during'lIie pollcy'perlod shown'ln the Decla.
, ratlonli'and'wllhln the co\lerege terrllory.
... 'J
The coverage territory Is: . "',
,;;,'.~.T~~'9.~i~~~~~S:#r~!d~; i~l
, b; ..The ..territories 'lInd I PQ.88esslons, of the
United States of-America;:t~,.'
,"" ,a.e.P.uerto,Rico;.a,nd., '~jv"";,(.':~d(.l,.
'd': Canada: ~'1l',=,,~ l.' ~n':"~I'.It1~~:
'"
We also cover .bodily Injury:' .property dam-
agilt, ~~!Iliere.4polljj~lcln: cciSt;~nll"llxpense.
and 'lo$5es. while a' 'Covered'~auto., Is being
.. ,transported between sny ofthl!Se pl~ces.
..., 'l'he coverage: territory 'Is"eirtiinded.,to any-
whera In the world If'the' .bOdily injury. or
'.', .property damage. is caused' by:one of your
'~., .products~ whlchus sold for use in the United
, States of A.n\erloe. Its, tarritories, 'or pos-
sessions. Piuirto Alco or Ceii,~dlI. The original
.suli. for damages resulting trom such .bodily
Injury" or .propertydemage. must be brought
'in one 'Of these places:' ' '" :',
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8. TWo' OR MORE COVERAGE FORMS OR
POLICIES ISSUED BY US
If this Coverage Form and any other Coverage
Form or policy, issued to you by us or eny
, company affiliated with u~ ap'ply to the same
.accident. ~ the aggregat8 maximum Limit of
Insurance under 'all the' Coverage Forms or
, policies shall not-exceedthil higheSt applica-
ble Limit of Insurance under anyone Cover-
age Form or policy. This condition does not
apply to any €overage Form or policy issued
by us or an affiliated company specifically to
apply as excess insurance over this Coverage
Form,' I.,
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CA,OO'06:.1.a;90;, 0
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SECTION VI.DEFINITIONS,~"'.. ," " ;",' ,I ..J." -jp"~, ,} '....,' ~.,
.. !. . , . . . " -:. . ". . '~:~:,,,..~',, .':." "'1 . ~. ~.~.~ ~/~ ~~~:':;:c.,:".~
,~O: i.;1 . ",,:a.., ,..' _';. . .',' """. S ' . .'" ' '_, . ,',";. ........ .,~. ... :,to . 'l" '~".@~ ..~:., ~
, ~: ,t'~,~AC::lde~i=~(n~iudes co~tlnudJaor '~pi,ated' ex.' ...' ;)1, Par~giaph :~:I.~~g~e ~ri~ . n~i~.~~~KP1~:'fuil~;~~-
" > :".:Poiuril to'the lama cOl\dltlona r8iul~lng III ~bodily, " ,:;. lul?rlcant,l,. f)uf4s(1!lIba!l!i1'ga~or,.oth!ii a1'l'lIar.'
, . ~; InJlI!1. or ,:p'~oP,8rty d~~age.'.. ' " " ',: \, "po!lutlll;\~~1/1a~,gre,naijQed for ,1;I.r res""k.~om the. .
,:8. JAu~~i,means a land;m. o~".,vehlcle, trailer or '.-\,.,np~al !'J~lf,lqa!,:hydraull~(lr,.m,ec.~~npVy'nc. ..:
',.'~,,;, '",' "s8mItrllIIAr: .' ""-~:" ',;,. ,', ',., ..:.,,~onlllng Pt!'1.~:~a,VJrAAl!"!\Ito'\tP'r,~p!!IU'iiI~f1I.~'~'
, .. ...'.'. ,~-' , , .. ., ."~,,' ',f ," p.o utan\ll:"""ape'tseep mgratlk'or.~'u'"[!'
., .c:,"Bodllylnjurf..means bOdily Injury. sickness .or ' ,\)'~"c~l!illed.~~!sPl'is!l!:Or ~al~,~,d ~II' ~~fii?lit:en"I;,'
, ,'~-:'I,''dlseese sustained. by, e pe'!on Inc~u~lng d,lla,th .f,;:;.", .e!ltO.:p.art d"-r~"tIl~VIl!I'il1Il!1",fa. ~r;t<<:,h~li!~r.'''',
,~ ;'/ti '~~~: f~~~~:no~U;~; ~;pe' ~~e'.. ~e~'~~ :~~y' , :' {;,stp~r?;'~he~be'~~~d.Ii,,~%eb..~JI~~i~}f~.lli!~19~~;.;t:~
,'\".., ~.. ' . , ,,-aragraps .an~c..1I0v~'1I0,nohp'py."~t.1I1;~"..
, ':]~~or~,~.se:arlsing,o~~,Pf: ":'~1 ','- '~':~: (' ;,~':c:ldents.')hii~l occ':li.~!'~~iiy'~fflinl.~'p!Omlsel~ne(f:~
. ': 1,'An'l raq!l~'demand or ~rder; or ' ~,; f, ': ;;l'.~y.'-b~..;rent~if, !~ ~~!!:: 'mS~!!~~:wnli'ff5~ ~ol!.f.
'~. 2.:~v_c18I(n'o.r .sult. by cir:or1 b~half o(e;goy., "~~:.'p':o)!uta~~. n09~',OY'PPr~~r~~~~~';<J:r:!q:;If.'- :',' ,
l:~~~ ';'.!emJ11Bp.,taJ ;8,uthorlty ~e~~~dirig,.. ',... " '_,~:.,. :..(1) :The ,poll~~_n~ ,:;o~.eny,(lp.rRptlrtvJ ~1n:Y ,
bdhat--the ~!ns\lrec;!., or',othera t~, for. ml;lnltor, ". ",:,"" ,~hlcjll.the "p91ll!~n~",.arn,~antalnl!c;!~ ."
clean up/remove, c!l!ltaln.,tre~l,i.4etoxlfy otnell- , ", ,.. ", l!re,,up~e,t. 9\{el!!lrn~~,<!.r:d~.f11a"I'~,as ,8 ,:
trallze or'ln any way respond to or esseSll, the ~'" ..:, ".r~~ul",pJ}lj,e T"Ip.t~!In~~,'9.~~lI\l of.e
..'''effecti.of,.polliitilllti..'..' ~'l, ,,:,,";:: ' ,'.. :'. " I cQyer.e~"au~o,ti'!Inif, ,,:~~~(Y!" :-... ,~
, , .Covered p~Outl~~'c~St ;;r!~~penS~"d~eS'ri~~ I~, . I. (2),1;l1e, dlsc~argo. dl.P'!!JllIJi::siW1age(:m!~, "
)" "ctud8'anyc'Ost or exp'ense ,!rlslng'out of the, ac";. ~ratlon. .r~lea,!e .qr, ~pe, rpf:,. the,'
tual. allaged or threatened dlscherge, dispersal. . ' ',f pollu~,~ts ,.Is caused (j1~~~I~Y1~~h ;.
seepage. . migration. release or escape' of . :', UJlS~,~,.ov~~ilr~..~~~~('?a~~.,,:,,';,,', ,.: ',:.
'. ,~pollutants.: ' ,(, E. .Garage operations.' meanli ,the "ownerahlp.
',:;~. That are. or that"enl contained hi any ".malntenance orilse o~l~atlons'fo;'gilrage busl.'~
'., property that Is: :: ',I 'C ness and lha,t, ponlon of.t,~e toadso~ ,o~er ac~", /
",,', ,,', '".: . cesses that 'adjoin these.. locatIons. :Garage
,1. Being transponed or towed by. ~an. operations. includes the owmitsliip. 'malntenence
died, or handled for .movement Into, or use of the .autos" indicated In ,SECTION I of
onto or from the covered "auto"; this Coverage Form as coverad .aulos,. .Garage
2. Otherwise In the course of transit by or operations" also Include all. operations necessary
on behalf of the "Insured.;. or Incidental to e garage business.
3: B~lng "stonld. disposed of. treate!! or F. "Ins~r~d.,. 'means ,any person. or organization
processed In or upon the covered qualifying as.an'lnsurad in the Who Is an Insured
"auto.;'or provision of Ihe eppllceble coverage. Except with
respect to the limit of Insurance, the coverage
afforded applies separately to each insured who
Is seeking coverage or against whom e claim or .
"suit" is brought.
G. .Insured contract. means:
1. A lease of premises;
2, A sidetrack agreemenl;
3. An easement or license agreeml\nt..ln con~
nectlon with vehicle or pedestrian private
railroad crossings at grade;' ,
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b. Before the .pollutants" or any propeny In
which the "pollutants. are contained ere
moved from the place where they are ac-
cepted by the .Insured. for movement Inlo
,or onlo the covared .auto"; or
c. Altar the "pollutants" or any property in
which the "pollutants" ere contained are
moved from the covered "auto" to the
place whore they are finally delivered. dis-
posed of or abandoned by the .Insured."
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'Copyrigti~ Insurance, S~rvlces Q,fflce. Inc,;, 1990 ..,:" "
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CA 00 0612 90
4. An obligation, ea required by ordinence. to
Indemnify e municipslity. excep~, in con-
nectionwith work for e munlclpsll....;. '! ,
6. Thet pan of eny other contrect' or egreement
pertlllnlng to your garage buillne88 (Including
,,' an li'iditnlliifleetlciri' of i"inunfclpalltY 1ri con.
" , ""1' rteCtJon"W1th"y,oHt-peiformec( fo'r ""muillcl.
, ., :,: paUtY) " uniter 'w!flch ';filiP' e~ume .l!te ton
,. ,..; lIab1!ItY."of; efloth~no' paY:'for"'bodlly I,~'ury.
, , "or '''Property tlame'geoO!'to'ethTrd peny or or.
,(;t. . ~a;,fzetio'ri!'Tonllibillt'l meanse liability thet
" r.... 'woUliI bll tm~Oiild by law'1ri>tIieebaence of
'''' 1.'8ri1h:b1fti'acf'o"rillmnlll;\t:,tW "".JI,"
~~.'I)tJ in!" . n:-u& Hi,. i.".,~..:lJ' t~ ~'. . . ~,.. ,L' ",;
',' lS~lN.',~~~~r,T.aj~tena~~~p'r~~'1-',"~~' ..W d
. ".' ,1,." ,TlIit'pe~ O~l!.JlfY ~!.lJ!.8~~..r'.bllf.l!lemente!~terle
,,,,,Infp.,,s ,pen, 0 ,yo\lr gerage U8 ne88, parte n.
, ,I, '''c,\i:i~:to. ~.re9~~Pr;}!I~.,by..v,ou,o,r e9Y,9tvour
.. ,e,mpJoV!'BI, ,of env, "\Iuto." ,However. such
, ,. contract llr allreemont sltall, not be considered
,J'an'.fhsured'ccihrict. 'tolllili emnt that Itob.
';', 'lIgii(lis'You~filliV'of your 'employees to' pay
, " ""proPdIW'd'l'ri~iie,:'o a~V:"~\i'o. renled or
lessed by you 'or any of yoUr employees.
,.' An"'iit__tiied'corit#ilct.. ooes ntit lnclude thai psn
: i'~: ;~f.,an~ .~~~rrcr: ~r ~#~~~~~tt ':'~,,~, :~~:
1. That II\C1em.n!fi4!S"an,.ar.chlt~t.. engineer or
....". survey% for,ln!~'r: or ~!m~~!, ,a.nslng ,o~t of:,:,
a. Preparing, ,!Ippro)/Ing or, faillngto prepare
': o,r approve maps, draw)ng.... opinions, re-
0' ,'p.o~. survl!VB, chsnge ordeRl, designs or
spegfj!1litions; or .
b, Giving directions or Instructions, or falling
to give them. If that Is the primary cause
of the Injury or dsmage.
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2. That indemnlflBl any perean or organization
o l..for, ~amage by flra to premises ranted or
, Joined to you. '
3, That pertelns to the loan. lease or rentel of an
.auto: to you or an'{ of ~oW er(1p'lo'{08I,lf ~
"''''iiiiio' 'Is 'lb"tiii8i:l:'litai'&1"o~' reMe<lI.wltll' It
,,.1, "drwei'i:.ir":' , '" ;,bnl"" mU2 (.n! 01 ~\"'?()'\ '
4. That holds a ''p'e;S~if ~r"li~jfJGati~1) '~~b~ge4
., 'c Iii tlilfbuilrleSSof'1iIihsponlnii'.'PiOMit{ bV
.auto. for hire hannless for yourBu'ifi"bf e
, ,. "..covered. ~autor, ,ovat...routalo(':1territor9"lhn
,j', t1' perean,or organlzatiort lil8tlthorizeddOlll81V8
by public authority::; ~=' ynli :f1L.,i "f1l1lu.~'
H.r .LOss', n'Ieanidirect end'.8ccldint81losa or:tlanlJ.
age. But for Garagakeepera Coverege:only;,~o88'
also IncludJBI,,',I)~ ~~It!!:"gJ~,lltM~'vo;.l', ,I'
I:,., .~oll,uten~:: '1',~an.s,any .sQ)id,JICl!!id!, gal!llo.~1 or
\hennallrnt,8nt ,W ,c~I\Il!iJ:tll'a"J. 1".911l,~,II'!J"lmoke,
vapor. soot.' fumBl, acllls, alkillil. cliemleels and
, 'llivillite; 'WaSte; Inclu'dBl' mat8rialsrtO 1i8,recyi!led.
.' 'rel:onifitlilriild or'reclaJrrilld' ,c' 'OIf'e', ,I'. 'If''':' '
;i:' ';P;Jd~c~" 'jj,~;rn~' iiie:'g~~'i!Rr;;,~pd1iQ,~~YOU
made,or sold In a garagebusln888. .
K.: ~P7o"~~rtv'~~T.8:gVfu~~1t, ~~ijj~a, f,~i~r~:l~ of
i.. use,,~f tangible prolll!!'Yj;~", .., I !l,,',.". :5,
l:. .Su~ mesns a civil proceeding- In wl)lch dam-
sges because of "bodily injury: '.property.~am.
ege:',or ,.cl!vered pollution c9s. or\expe/lse: to
which this Insurance' applre~,are a leged. .Sult.
Includes an arbitration proce8ding' allQging luch
damsges or .covered' pollution C081 or expense.
to which you mu'st submit or submit with our
consent. ' .-
M. "Trailer" Includes semitrailer. ' . ;" "
N. .Work you performed",lncludes wQrk,that some.
omi 'perfonned=for'you; , '. ;'1' ,,' '
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Copyright. Inlurance'ServlcBl Qffice, Inc;;~990
CA' 00 0612.90' CJ
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CA 01,80 0790
THIS ENDORSEMENT CHANGES THE POLICY: PLEASE READ IT CAREFULLY.
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'.' PENNSYLVANIA CHANGES .,u, . ~
'Thlundolleinentmodllleslnsuranceprovlciedunderthe'fOlibwl~'0: .' "'..' ""::: ,..',.,' :', ';"
.. ":,'J ;', '. .: . ~' . "~" . . ...;.) .,':
BUSINESS AUTO' COVERAGE FORM : '..'., /: ...., -(. : ,'P
GARAGE COVERAGE FORM ' '. "";i""d;f:i.:":,",.',, " " ';, ;'
TRUCKERS COVERAGE FORM .,; · . .' "" . , . . " .' ;~ )
"<' . _.,' '.' : "__~:, ,", ~..~'..._ .... ',~');'.1,~1 <.'~".
'. . For e coVirect' 'Iuta' IIcsnsed or prlnclpellV glraged In. 'or 'geri~eoPeiiiJon" condIiCteiiln;):oenilavtVenll. thl
'CoVerage Fonn II liftlrigld II follows: . ,';.:;, ";i"" ,;,;l ' ~''.,}.. ,,',". '
e', .,'....". . ':0 ,". . 'I( ":'~ ."';~: ..'':;''. ~..~~..!.' ..,.? :.*..:.... ~..'. . .:.. .
,A..CHANGES"IN,CONDITIONS, . ,.' '..'",' \,:,,:." :.:" ,t,,' }i;-,
. "The'followlnglsldded,tothIGENERAl.'CONDITIONSleCtlon:" ,.:-:. "":,''1'' -t.,::;,:: "
i ': .. : , CONin1TU'i10'NAi.iTv CLAUSE . ' , ". ';;~:',,' ~i,';, '~' :'::' ':: '::i, , :,.'.'~: .
.. " " ";, The pren:;lum for.lnd the ~ove~ge~ 01. thllcoVenige):;;~}~ve~~n"NtIbll.hidln ;'il8ocs upon the
,~' :, ":'.':,, .. p{6vlslonl, !Jf~~;P~nnsvlvlnll MotorVehlcleFlnln!lIl!IR~PO!!,lbll,~"I;a\V..;: r,:" ,..~: '~.' , "''Ii>
.In the event I court. from which thlre 11 nO,lppell; dlClel'8l,or ente.1I 1',Judgment, thl effect of which iii to
'\, render the provlslonl of lucih ItIltutelnvlUd or uilenforcelble In whQle'or In pert:'We Ihlll hive the right to
~ . i'ecompute the premium plyeble for the Coverlgl Fonn and :ltol~ ~r. i1ni~!Id th, proo.:lllonl ~of .the. Coverage
; . Form. .ubJect to the spproval 01 the Insurance Commlaloner. ' , " ' , ; '. .
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Copyright, Insurence Services .Q.ff1ce. Inc.. 1990 .
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CA 21 06 07 90
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
PENNSYLVANIA UNINSURED MOTORISTS
COVERAGE-STACKED
For a covered .auto. licensed or principally garaged In. or "garage operations. conducted In. Pennsylvania. this
endolHment modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
TRUCKERS COVERAGE FORM
A.COVERAGE
1. We will 'pay all sums the .insured. Is legelly
entitled to recover as damages from the owner
or driver of en .unlnsured motor vehicle." The
demages must result from .bodlly injury" sus-
tained by the .insured. caused by an .accl-
denL. The owner's or driver's liability for these
damsges must result from the ownership.
malntensnce or use of an .unlnsured motor
vehicle."
2. No judgment for damages arising out of a
.sult. brought against the owner or operator
of an .unlnsured motor vehicle. is binding on
us unless we:
a. Received reasonable notice of the
pendency of Ihe "suit" resulting in the
judgment; and
b. Had a reasonable opportunity to protect
our interests in the .suit."
B, WHO IS AN INSURED
1, You,
2, If you are an individual, any "family member."
3, Anyone else "occupying" a covered "auto" or
a temporary substitute for a covered "auto."
The covered "auto" must be out of service
becsuse of its breakdown, repair. servicing,
"loss" or destruction.
4, Anyone for damages he or she is entitled to
recover because of "bodily injury" sustained
by another "insured."
C. EXCLUSIONS
This insurance does not apply to any of lha follow,
ing:
1. Any claim settled without our consent.
2. The direct or Indirect benefit of any Insurer or
self.lnsurer under any workers' compen88tlon,
disability benefits or similar law.
3. Anyone using a vehicle without a reasonable
belief that the person Is entitled to do so.
D. LIMIT OF INSURANCE
1. Except as provided in the following psragraph,
the most we will pay for all damages resulting
from anyone "accident. is the LIMIT OF IN-
SURANCE for UNINSURED MOTORISTS
COVERAGE shown in the Declarations re-
gardless of the number of covered "autos:
"insureds: premiums paid. claims made or
vehicles involved in the .accidenL" '
However, if "bodily injury" Is sustained in an
"accident" by you or any "family member:
and there is more than one covered "auto:
our maximum limit of Iisbility for all damages
in any such "accident" is the sum of the limits
applicable to each covered "auto." Subject to
our maximum limit of liability for all damages,
the most we will pay for "bodily injury" sus'
tained in such "accident" by an "insured"
other lhsn you or any "family member" is the
LIMIT OF INSURANCE for UNINSURED
MOTORISTS COVERAGE shown in the Dec-
larations for the covered "auto" the "insured"
was "occupying" at the time of the "accident."
This is the most we will pay regardless of the
number of covered "autos: "insureds: pre-
miums paid, claims made or vehicles involved
in the "accident."
However, no "Insured" will be entitled to re-
ceive duplicate payments for the same ele-
ments of loss,
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C'A 21 06 07 90
2. Any amount payabla for damages under this
coverage shall be reduced by all sums paid
by or for' anyone who Is lagally rasponslble,
Including all sums paid for the sama damages
undar this Coverage Form's LIABILITY COV.
ERAGE.
3. Any amount paid under this coversge will reo .
duce sny amount an "Insured" may be pald,for, .i .'
theume damsges under this Coverage Form's '
LIABILITY COVERAGE.
E. CHANGES IN CONDITIONS
The CONDITIONS are changed for PENNSYLVANIA
UNINSURED MOTORISTS COVERAGE. STACKED
as follows: .. " .
1; DUTIES IN, THE EVENT. OF ACCIDENT,
CLAIM, SUIT OR LOSS Is chsngild by adding
the following: . . . ""
..Promptly.notlfy the pollce'lf a hlt.and.run
driver Is Involved, and I
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b. Promptly sand us coplas of the legal pa-
pers If a "suit" Is brought
2. TRANSFER OF RIGHTS OF RECOVERY
AGAINST .OTHERS TO US Is changed by
adding the following:
If we make any payment due to an "accident"
involving sn "uninsured motor vehicle" and
the "Insured" recovers from another party, the
"Insured" shall hold the proceeds In trust for
us and pay us back the amount we have paid
to the extant such payment duplicates any
amount ws have paid under this coverage.
3. OTHER INSURANCE is replaced by the fol-
lowing:
.. If thara is other applicable similar Insurance
available under more than one Coversge
Form or policy. the following priorities of
recovery apply:
First The Uninsured Motorists
Coverage applicable to the
vehicle the "insured" was
"occupying" at the time of
the "accident."
Second The Coverage Form or
policy affording Uninsured
Motorists Coverage to the
"insured" as a named
Insured or family member.
b, If two or more Coverage Forms or policies
'have equal priority:
(1) The Insurer against whom the claim Is
. flral made ahsll process and pay tha
cis 1m as If wholly responsible for ell
Insurers with equal priority;
" (2) The Insurer thereafter Is enlltled to re-
cover pro rata contribution' from any
other Insurer on the same level of prl.
orlty for the benefits paid and the costs
of procaulng the clalin;,~!t~:
(3) If we are the Inaurer 'against whom the
claim Is first made. we will pey, subject
to the limit of Insurance for Uninsured
Motorlats Coverage show;lln the Dec.
'.' laratlons. after !ill contributing inaurers
agree' as to:
(a) ,whethar the:~in;ured""slegallY en.
. 'titled' to recover dsmages from the
ownar 'or driver" of an "uninaured
" motor vehicle"; and
....
(b) the amount of damages.
4. lWO OR MORE COVERAGE FORMS OR
POLICIES ISSUED BY US does not apply,
6. The 'following Condition 15 added:
ARBITRATION
8. If we and an "Insured" disagree whether
the "insured" is legally entitled to recover
damsges from the owner or driver of an
"unlnsurad motor vehicle" or do not agree
as to the smount of dsmsges. elthar psrty
may make a written demand for arbltrallon.
Each party will select an arbitrator. The two
arbitrators will select a third, If they cannot
agrae within 30 days, either may request
that selaction be mada by a iudge of a
court having jurisdiction. Each party will
pay the expensas It incurs and bear the
expenses of Ihe third arbitrator equally.
b. Arbitration, shall be conductad in accord.
ance with the Pennsylvania Uniform Arbl.
tratlon Act: Unless both parties agree
otherwise. arbitration will take place In the
county In which the "Insured" lives. Local
rules of law as to arbitration procedure and
evidence will apply. A decision agreed to
by Iwo of the arbitrators will be binding.
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Page 2 of 3
Copyright,. Insurance Services Qffice. Inc.. 1990
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CA 21 06 07 90
.
F. ADDITIONAL DEFINITIONS
The following are added to Ihe DEFINITIONS Sec-
tion:
1. "Family member' meanl a person relsted to
you by blood. marriage or adoption who II a
resident of 'your housahold. Including a ward
or foster child.
2; 'Occupying" meanl' in, upon, getting In. on.
out or off.
3. "Uninlured motor ve,hlcle" meanl a land mo-
tor vehicle or trallar:
e. For which no liability 'bond or policy ap-
plies at t1ie lime of an "accident.'
. ~.' .\
b.., For which" an Inlurlng. or bonding com-
pany:
(1) den lei coverage;
(2) II or becomes Insolvent; or
(3) Is or becomes involved In Insolvency
proceedlngl.
c. That II iI hlt-end-run vehicle and neither
the driver nor owner can be Identified. The
vehicle must
(1) hit an 'Inlured: a covered "auto" or a
vahlcle an "insured" is "occupying"; or
(2) cause an "accident" resulting in "bodily
Injury" to en "Inlured" without hitting
an "Insured: e covered "auto" or a ve-
hicle an "Insured" Is "occupying."
II there is no physlcsl contect with the
hll-and-run vehicle. the facls of the "acci,
dent" must be proved.
However. an "uninlured motor vehicle' does
not Include eny vehicle:
a. Owned or operated by a seif-Insurar under
any sppllcable motor vehicle law. except a
salf.lnsurer who II or who becomes inial-
vent and cannot provide the emounls re-
quired by that motor vehicle law;
b. Owned by a govemmenlsl unit or agency;
or
c, Designed for use mainly off public 'roads
while not on public roads.
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CA 21 91 07 90
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. '
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PENNSVLVANIAUNDERINSURED MOTORISTS
":"':, .~:" ,:r ::;,'~~~', "COVE'RAGE - STACK.ED
"~l:' ."it....i ".' j
. ~t ~ .' \ I'. , .. .
F!Jr II C.!w.llre\!. .~,~I~;Ji~e.:;t~~d, or.JlIi~clpall.v garaged in. or .g~~ge op~rations~ co~dl.\cted in. Pennsylvania. this
e'1~o!1!l\n:'em,1'1od!f'lI!'Jn,,}!~,!ce ~rE',~Ic!.ed under the followllig: . ".. " . .. ':,/ ':,', ,
,~. :....,! -l _I':"~";. ,....
,o,.aUSINESSAUTO'COVERAGE FORM
GARAGE COVERAGE FORM ri::;"
, TIt~~!<E_R~ F91'~!'tP"!3~ FQft,M, II :
fa;t!";'!J. ,v.. 'I;.. ~l':', .'b~l'H ,e;. ..i .......:..
~ 'COV.ERAGE ;c", lollI: ,'h .
',: 'it-We ~~I:P.!iY'~1l sy!rlnlie'~ln.s.lied. is legally
. 'llntitled to recover alt dSfllall.es"rom the owner
or'dHV'er'of an '''\Jhderlmiurecimotor vehicle,.
',... ":'/'fte darTtages,niust;result from'':bodlly Injury"
0'; 'll-SUstBlnedlbythe'~1nsurell.,lcaused by an .ac.
'. ,cidenL. :The' owner's or'driver's liebility for
these damages must result from the owner.
ship. malntenance,or.'us" of an ,"underinsured
'''1:.1 ...' .. .. ' \
:,;,. T~~~r VfJ.I' ~.I1!'=. . :-.~' '.;.: ~.f' .
'2, .~e )/VIII. 'pa,y ,iill ~I,irns the~in,sured" is legally
. entitled to recover as damages from the owner
or drhilir'of in '.underlnsure'd-motor vehicle"
only after all liability bonds iOl'policies have
been exhausted by judgmllnts or payments.
3. No jUdgment:'for damag~s arising o'ut of a
"sult~ brought,egalnst ,the owner or operator
of an'.underlnsured motor,vehicle" is binding
on us unless we: ,,- :..,,' " ;
a.' Received ' reasonable' notice of the
pendency of the .suit" 'resulting in the
judgment; a~d '
b. Had a' reasonable opportunity to protect
our Interests in lhe .suit."
. '. ~
B. WHO'IS'A~INSUREO 'I. ,
. 1. You. -'- ;,~, ..!!:
'.. '
2. If you are an individual, any ~family member,"
. . . . J', J .
3, A(lyone else .occupving" a covered "auto" or
a temporary substitute for, a covered "auto,"
The covered .auto" must be out of service
because ,of its breakdown. repair. servicing.
.Joss" or. destruction., .
4, Anyone for damages he or she 'is entitled to
recover because of .bodily injury" sustained
bV another "insured,"
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C. EXCLUSIONS:-: ':/ ,.;., :,...j' ,:,~I{J
This insursncit..does not apply to any of 'the 101l0w.
'Ingo".' . .':,' , '. 'r' . . ',-.,"!: I
0'" .. '. .'. ".. . .- .
1. Any claim settled wilhout 'our consent. '" . "
: "2: The dinlct or lndlrect'beneflt Qf'li~v:liisur~r or
· . self. Insurer under any workers' compensation,
disability benefits or similar law.
3. Anyone using 8 vehi!lle wit~out a'ressonable
belief that the person is'entltled to do so.
0: LIMIT OF INSURANCE I:' , _,
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1. Exceptss provided in the follo~il'g p~'rsgraph.
the most we will pay for all damages resulting
from anyone "accident. Is' thu'LIMIT OF IN.
SURANCE for UNDERINSiJRED MOTOR,
ISTS"COVERAGEshowri In the Declarations
regardless of the number of covered -autos,"
.insureds," premiums paid. claims made or
vehicles involved in the .accldent..
However. if' "bodily injury" is sustained in an
.accident" by you or any "family member,"
and there is more than one covered "auto,"
our maximum limit of liability for all damages
in any such "accident. is the sum of the limits
applicable to each covered .auto.. Subject to
our maximum limit of liability for all damages,
the most we will pay for "bodily injury" sus-
tained in such .accident" by an "insured"
other than you or any "family member" is the
LIMIT OF INSURANCE for UNDERINSURED
MOTORISTS COVERAGE shown In the Dec.
larations for the covered "auto. the "insured"
was "occupying" at the time of the "accident."
This is Ihe most we will pay regardless of the
'number of covered .autos," "Insureds," pre.
miums paid, claims made or vehicles involved
in the "accident."
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CA 21\91 0790'
.c;:oPVright, Ins!lrance Services .Qffice, Inc.. 1 ~90
Page 1 of.3 0
However. no ,"insured' will be entitled to re-
i',;, ceiile dUfPlllcate~paymenls for thl!,;sam~ ,ele-'
~~. ,.' ; , ments o. ass. '. ..~ :,f', ,'....j -, '.
"'{ , : "2, Any a'!l!lunt payabl~ for damages under'th,is' .' ~ . .
, "~'1i coverage -shall be' reduced by all sums paid
..' .,' by' or for anyone, who,' is legally responsible.
:,:<;,t'""..;;. I I" inc'luding.all,$ums, paid for the .same damages
~~~;'i"tr k~l urideiithls:~venige,:F~an\~IAB1,LI~ '~Ol(~~i
',;;<..'1,; '...'.', ,',. ERAG.E.. '. r(> ,;, " . ':.. . ..
0" ,_' ':r. "l... " '-.' '."'
',::~:,,:....,,~~ .3. Any amount paid un~er thiS coverage will re.)'
:"fI". ~"'..... 'dues anyamount an "Insured~ may be peid for'
\i,; t ~7:~ '~:"" the ~'!le,damag\lSui1de~,~~.ls Coverage Fo.rm'~
.,~~~ ,~ .,., L1A.BI~I!Y',fOYERAGE. '.:.. -.: ,
~.1:(~~)E;~H~r.aG'ES IN'c;~NDn:ION,!;~;: ':'- :,(;,~.,
J;l~\oi.; Ttie,,00NDltIONSaritChanged fod~ENNSYL.VANIA " ',.
:~'; 'UNDERINSURED' MOTORISTS" COVERAGE ,:' ,
,~ ' ST^CI(ED f II" . . .. . . . \
(l ..., ':\,,1,; !I111 0 !l~~; " :'- 1', '. : '::'-\l~" " '~.~.,
~;~,~:,;~;,.1:i,Pujlli~(.IN ~JH" EV,~T:, 9f ACCIDENT. . ,
':: .' .-.;1:;'11.iCIAI,~ISlflJ};)R .Lg~S Ischanged'bY,adiilng .
., " , Ihe folloViip\!l', ..',..,. ' (.
, ", Prpmpyv ~r;id "',5 copies of, the legal pape.rs if .
: .", 8. )suit !s .~ro':lght. ~. i';" :-:' '.' .
2. TRANSF.ER . OF' 'RIGHTS:- OF : 'RECOVERY .
. 'AGAINST OTHERS TO US is changed ,liv"
, ;!, addiriQ t\lli following: '..... : . ,~',' ','
. ,,' , ...,'li,we;~~e'l!nf. payment due to an',"accldent" ,
-.' ,', ~;Inilolvirigiin "underlnsured motQrvehicle" and "..
., ': ~r,,,:, t~e "In~ured" rec~liers fr!Jm aj,oth'e~ party. the
· " " :' ~lOsured",shall hold theoP-roceeds 10 trust for
, : "us and pay' us Qack the amount we,have paid
',' to the extent 'such payment duplicates any
amount we have ~ald under this coverage,
3. OTHER INSURANCE is replaced by the fol-
lowing:
a. If there Is other applicable similar insurance
available under more, than one 'Coverage
Form or policy. lhe fOllowing priorities of
recovery spply:
First The Underlnsured Motorists
Coverage applicable 10 the
vehicle thl! "Insured" was
, "occupying" at the time of
the "accldent."; . ,
The Coverage Form or '
policy 'affording' Underinsured
Motorlsls Coverage to the
"Insured" aS'a named
insured or family member,
'CA 21'91 0.7'90.
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b. If two or more Coverage Forms or policies '
!, hav" eqdal priority: : :"... ,: ,
(1) The insurer again;t' wh~~' th~ claim is
. first, made shall"p!oceSs..'and pay tha '
claim as if wholly' resp'onsible for all
insurers with equal prioriiy; ..
:' ' (2) ,T~e '!1suret'jh!'w~ftli'i;'iS' entli1.ed t!,r~~ .,.
, cover. pro:"rlIta'lcon{nbulion frllrn~f1Y: .:
other Insurei' oh '.the same ,Iavel~of: pri-" ,':.
oril'( fotthe'beriilflts'paid.and thaCDsts ';;..
,of proc;esslnli tho'clalm;'and;" . ,\~~" " '-, .
. .. ". "''\ ~. .... '''-.' - "
" (3),lfwe'lireihe Insureragalnlitwho'm the ~.
-. '..... l' .
claim Is first made. ,we will pay. sUI1JQCt , '
, ,'to lhe. ',Ilmit\. of: "'lnsur8nce~.,a'N .' ,'!.
, ,;, ,!.JJ:lderi(1sur!'#,...,Pt1oiP.!~.. .~~ffl'Qe,. . :"
, ,S~O~{1 1~,;~..l)ecla~lrorJp..~41JJerl'all.
, ' , -~pnlpb,r,!tlOg !"Jur~rs s,~re!t>~~ ~~,:. '" ; . :'
,,,: ..(a) ',whether.the:"insurogT.i.ls.1eIl6I1y an.-
/. :", _ t :.,itt,tItled-ia recovorlpilailliges'froin~\h~:
.." owner 'ot:driver tit'ah' "underinsured
... motor vehicl,e-: ~rid "',~)..., ~,,; !.: ..:.,
. '(b): the ?m.oii~{6fd~m~~~<;:::~~ I" ,:"
~, . TWO OI:l'';MORE..COVI:'Rt-G'e' FO!l~,S. OR, .
." POLICIES 'ISSUED BY. US d!ies notappl"."
. , .....: .;" .:. i..-.:' ct ~~.
'",6. The 'ollow!ng.co/lqitlon Is.e~ded: . ..
ARBITRATION,: " ,r. ;.'....:.: ",
,;: a. If we and: an ::in'sured...'l:llsagree.'whether
, the'insured" is ,legallY enlltled to recover
damages from the 'owner or'driver of an
"underinsured 'motor vehicle" or do not
agree as to the amount of damages. either
party may make a written demand for ar.
bitratilin, Each pany will select an
arbilrator, The two arbitrators will select a
Ihird, If they cannot agree within 3D days,
either may request that selection be made
by a judge of a coun having jurisdiction.
Each party will pay the expenses it Incurs
and bear the expenses. of tha third
arbitrator equally, .
, . '
b. 'Arbilrlltion shall be' conducted in accord,
ance with the Pennsylvanie Unlfo'rm Arbi,
tratlon Act. Unless both' panies agree
otherwise. arbitration will take place In the
cbunl'( in' which the "insured" .Ihills,. Local
rules of law as to arbitration procedure and
evidence will apply, A decision agreed to
by two of.the arbitrators will be binding,
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'Copyright. Insurance Sdrvices Qffjce, Inc" 1990
CA'Z1 91, 07'90
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, \ F. ADDITIONAL DEFINITIONS " However. an, ~underjnsured motor vehicle", 'does'
. . The following ere 'added to the DEFINITIONS See' not,lnclude any"vllh~~le: . , ,,".
,,'? ..: tion: ,'. ,". " " "a. o,wned or operated by a self.insurer unde(
~}..it. ".'," 1" "Faniliy m~mber" 'means a. persp'ri releted to' ' any app~c;:ab'e motor v.hlcle,le~) .'. .
i' :, :' ,. ~.',.,' ':' you by blood, 'marriage or. edoption who is. a .' " : ' : '! b:':Ow!led, by a governmentar; ~I)i,t or agency;';'
J' {, .;~:' .:"';;:":.Rlsldentof your household. including a ward ,,',', 'Qr ..: . '"";,, ,:~ ':, ,,:J~ '
i:" ~ ',I;, ,~,~ ,"orfoltBrc:I1i!d",: ,', ' "~'I'~" ;'0, Dosl911edfor'u.e mslnly'off~i1bllc; roa'ds,
'~'4 r~:,~~::':., , . 2~:~Oc;(:u~lng"'meiins l!l. upo';' gettlng.in....on.. , .' while. not on public rosds.: "
.:,;.;~ ~. (';:.' ,'. out or off.~ :. {." " .". ., . . ." ., .',,::",!.. .
';j,~ ~::...', :. " .:~.,::FU~deri'riiuriidri1otor vetilci~" means a ~ithlcle .,~ :'~~... .,' '.:- .' .<"
";E; ;,' ,'. , for Whlch.....he sum of all lIablllty bonds or '.':; ,'... ;', ..~'h: .
....' ..', poIIcIOSthar~ppJyatthetlmeof:,n"accldenr.", ' ... ~:~:\":,,,.,,~Ar', ' .
:~,; ~!:,~. ~ , . do.,not, proylde at l~a81.the'amOu'1t an "in., '. ~,:;, :-t:l1.:. ,," ~~"',', .,ti',
.',;" ..:,'....~ ,,:\~ ". sured~: III legally entitled ,to,rl!Cover os delT!' ,:;" ': ';, ". '/-' "":: :;:': (\,.....' , .
J'''' ....". . .... . ageS.. ~ . . f ~.'.' . ..... ,.f'. . -/-..
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CA 21.9107 lio
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Copyright. Insurance Services .Qfflce. In~:. 1990 ' .,
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c;A 21 91 07 90
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,. This endorsement does not apply to coverage provided for empl!lYee dlshones!y' (tc)yerag~ r:OQn A)'or ~i~,::
llubllc employee dishonesty (Coverage Fonns 0 and p). ' ."'. '. .' , .'
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A. The CANCELLATION Common Policy Condition c. A condition, factor or loss experienCe ma"
. Is replaced by the lollowlng: terlal to Insurability has changed'.liubsian-:
CANCELLATION tlally or a substantial condition, factor or , ,
loss experience material to Insurability
1. The first Named Insured shown In the Decla- has become known during the policy pe-.
rations may cancel this policy by writing or rlod. Notice of cancellation will be mailed
giving notice of cancellation. or delivered at least 60 days before the
2. CANCELLATION OF POLICIES IN EFFECT effective date of cancellation.
FOR LESS THAN 60 DAYS d. loss of reinsurance or a substantial de-
We may cancel this policy by mailing or de- ' crease In reinsurance has occurred, which
1I'/erlng to the first Named Insured written loss or decrease, at Ihe time of cancella-
notice of cancellation at least 30 days before tlon. shall be certified to the Insurance
the effective date of cancellation, Commissioner as directly affecting In-
3. CANCELLATION OF POLICIES IN EFFECT force policies, Notice of cancellation will
FOR 60 DAYS OR MORE be mailed or delivered at least 60 days
If thl II h b I belore the effective date of cancellation.
s po cy as een n effect lor 60 days or
more or II this policy Is a renewal of a policy e, Material failure to comply wllh policy
we Issued, we may cancel this policy only lor terms, conditions or contractual duties,
one or more of the following reasons: Notice of cancellation will be mailed or
delivered at least 60 days belore the el-
a, You have made a material mlsrepresen- lectlve date of cancellation.
tatlon which affects the Insurability 01 the
risk. Notice of cancellation will be mailed f. Other reasons that the Insurance Com-
or delivered at least 15 days belore the missioner may approve. Notice of can-
effective date of cancellation, cellatlon will be mailed or delivered at
b Y h ' II d t I h least 60 days before the effective date of
. ou ave ,s e 0 pay a prem um w en cancellation.
due, whether the premium Is payable dl- ' .
rectly to us or our agents or Indirectly un. This policy may also be cancelled from Inception
der a premium finance plan or extension upon discovery that the policy was obtained
of credit. Notice of cancellation will be through fraudulent statements, o.m!sllt~n~..E~,
mailed at least 15 days belore the elfec- concealment of facts material to th'e' acceptance
tlve date of cancellation, of the risk or to the hazard assumed by us,
BOILER AND MACHINERY COVERAGE PART
BUSINESSOWNERS POLICY
COMMERCIAL AUTO COVERAGE PART
COMMERCIAL CRIME COVERAGE PART"
, COMMERCIAL GENERAL LIABILITY COVERAGE PART ,
,COMMERCIAL PROPERTY COVERAGE PART " ,
COMMERCIAL INLAND MARINE COVERAGE PART
FARM COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART
PRODUCTS/COMPlETED OPERATIONS LIABILITY COveRAGE PART
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
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PENNSYLVANIA CHANGES.
CANCELLATION AND NONRENEWAL
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This endorsement modifies Insurance provided under the following:
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IL 02 46~06 89
Copyright, Insurance Services Office, Inc., 1986, 1989
Copyright, ISO Commercial Risk Services, Inc" 1986,1989
Page 1 of 2 '"0
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4. We will mall or deliver our notice to the first
Named Insured's last mailing address known
to us, Notice of cancellation will state the
specific reasons for cancellation,
5. Notice 01 cancellation will state the eltectlve
date of cancellation, The policy period will
end on that date. '
8. If this policy Is cancelled. we will send the
first Named Insured any premium relund due,
II we cancel, the relund will be pro rata and
will be returned within 10 business days aner
the errectlve date 01 cancellation, If the first
Named Insured cancels, the relund may be
less than PI1:l rata and will be returned within
30 days aner the errectlve date of cancella-
tion. The cancellation will be errectlve even II
we have not made or altered a refund: .-
.-....
7. If notice Is ",ailed. It will be by registered or
first Class mall. Proof of mailing will be'suffi-
" clent proof of notice,
8, The following are added and supersede any
, proVisions to the contrary:
1. NONRENEWAL , .
. ". .... . '.~": '.
Ilwe decide noUo renew this policy. we will mall
or deliver wrillen notice olno/lrenewaJ,--statlng
the specific reasons for nonrllnewal. to Ihe first
Named Insured, atleas~ 80, d!l~ before t~. expi-
ration date 9lt~e pollw.;" . ~''',-' "
2. INCREASE-OF PREMfuM /
II we In'crease your .renewal. premium.. we will
mall or deliver to the 'first.Named ,Inlured:,', .-
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a. Wrillen neltlce'of our Inlen.t to'lricreaie the
, premium at'!e,i1st ~}lay.;bef9nt', the, et-
'Iectlve date of th, p,remlulliJntreaae: and
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'. ;b. An estimate of; the Incre~.e, at least- 30
. days before the erreCtlve 't;late 'or premium
Increase. '
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Any,notlce of nonrenewal.or,l'1lnewal prel"h.\mln.
crease will be mailed or 'delivered to the first fol'amed
'Insured's last known address~ II'notlce .Ii mailed. 'It
will be by registered ol"llrst claii'mall. Pr06f of
mailing will be sufficient prool QI notice, "::
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Copyright, Insurance Services Office. Inc,. 1986,,1989
Copyright, ISO Commercial Risk Services, tnc" 1986, 1989
IL 02 46 06 89
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.JB1. PENNSYLVANIA NOTICE IL 09 10/KO 291
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An Insurance Company, Its agents, ~mployees, or service contractors acting on Its behall, may provide services to reduce the likelihood
01 Injury, death or loss. These services may Include any 01 the lollowlng or related services Incident to the application lor, luuanee,
renewal or continuation 01, a policy 01 Insurance: " .'
1. surveys;
2. consultation or advice; or
3. Inspections.
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The "Insurance Consultation Services Exemptlon'Act" 01 Pennsylvania provldes that the Insurance ComPa,ny, Its Igents, imp\oytes
or service contractors Ictlng on Its behall; Is not liable lor damages lrom Injury, death or loss OCCUlli,ng es I result 0.1 any act Dr o!"lulon
by any person In the lurnlshlng 01 or the lallure to lurnlsh these servtces. . . ,.,' ~
, The Act does not apply:
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1. II the Injury, death or'loss occurred durtng thnctualperformance 01 the servtces and,was ~u~ by the negligence 01 the '
Insurance Company, Its agants, employees or servtce contractors; " ' ':.. .
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to Consultation services required to' be Perforinacl'under I written servtce contract not related' to I poilcy ol.lnsUrance; or I
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II any Icts or oinlulons 01 theJilsuia~ce CompallY, Its Igents; e~ployees or service con~ctors ,ire J~~IIY ~e\in:nlned to
constitute a crtme, actual malice.. or gross negligence. ' .' .: .!"" , . " . ; ': ,
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Instruction ,. PollcJ Wrltm
AI\Jdt the hMsylvanll NoUco I. an now and nnewal poIIcIts and ItflIWII certlflcalls Insutfn, rlsb locaIod In PonnsyIyanil.
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It 09 10/110 291 (Ed, 01 81)
THIS POLICY CONSISTS OF -
. DECtARA TIONS,
e COMMON POLICY CONOITIONS.
. ONE OR MORE COVERAGE PARTS.
I
A Cover.ge P.tt consists 01 -
. a Coveralle Form.
. applicable endorsements,
,
COMMON POLICY CONDITIONS
AI Covnge ParIs Included In this policy 8IIl subject to the following condltlons.
A. CANCELLATION
1, The flrs1 Named Insured shown In the IleclaratIons may
cancel this policy by maIIlng or delivering to us advance
wrlllen notice of cancellation.
2. We maY cancel this policy by malting or delivering to the
flrs1 Named Insured wrIllen notice 01 cancellation at least
L 10 days belOl\l the effecllve date of canceIIalIon If WI
cancel for nonpayment of premium: or
b. 30 days belOl\l the effecllve date of canceIIalIon If WI
cancel for BtrI other reason.
3. We wID mall or deUver our notice to the first Named
Insured's last malting address known to us,
4, Notice 01 cancellation will state the effecllve date 01
cancellation. The policy period win end on that date.
S. II this policy Is cancelled, we Will send the first Named
Insured any premium refund due. II WI cancel, the relund
win be pro rata II the first Named Insured cancels, the
refund may be less than pro rata The cancellation wlU be
effectl\'ll even If WI have not made or offered a relund,
6, II nollce Is maJIed, prool 01 maftlng will be sulllclent plOOf
01 no1lce.
B. CHANGES
This po6cy contains aft the agreements between you and us
concerning the Insurance afforded, The first Named Insured
shown In the Declarations Is authorized to make changes In the
terms 01 this poUcy with our consent This policy's tenns can be
amended or waived only by endorsement Issued by us and
made a part 01 this policy,
C. EXAMINATION OF YOUR BOOKS AND
RECORDS
We may examine and audit your books and records as they
relate to this policy at BtrItlme during the policy period and up
to three years allerwanl.
D. INSPECTIONS AND SURVEYS
We have the right but are not obllgated to:
1. Make InspectJons and surveys at BtrI time;
2. GIve you reports on the condhlons WI find; IIld
3. Recommend changes.
Arrt inspections, surveys. reports or rec:ommendalIon relate only
to Insumblllly and the premiums to be charged. We do not
make safety inspections. We do not undellake to perform the
duty of BtrI person or organlzalion to provtde for the health or
safety 01 workm or the publlc. And WI do not warrant \hat
conditions:
1. Are safe or healthlu1; or
2. Comply with laws, regulations, codes or standards.
This condition applies not only to us, but also to BtrI rating,
advisory, rate service or similar organization which makes
Insurance Inspections, surveys, reports or recommendallons.
Eo PREMIUMS
The first Named Insured shown In the Declarations:
1. Is responslble for the payment of aft premiums; IIld
2. Wdl be the payee for any return premiums WI pay,
F. TRANSFER OF YOUR RIGHTS AND DUTIES
UNDER THIS POLICY
Your rights and duties under this policy may not be translerred
without our written consent except In the case oj ,~eat,~, 01 ,80_ _
Individual named Insured, -
II you die, your rights and duties will be transferred to your
legal representative but only while acting within the scope 01
duties as your legal representative. Until your' legal
representative Is appointed, anyone having proper temporary
aJstody 01 your property will have your rightS and duties but
only with respect to that property,
tnclud" copyrighted m.terl.' of Insurance s.rvkea Oftice, Inc.. .,11h lis ~rml..kHI.
Copyrlgh1. Insurance Servkfl OffICe. Inc.. 1084.
(Attach Declarations/Coverage Part(s), Coverage Form(s) and Endorsements Here)
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TltE FOLLOWING ENDORSEMENT APPLIES WilEN INDlCATEU IlY lNIJOIISEMlNf NUMUEII ON TilE DECl.AIIATIONS:
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
IL 00 21 11 85 _ NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT (BROAD FORM)
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I. The InsurallCll does not apply:
A. Under I/'rf liability Coverage, to "bOdily Injury" or "property
damage:"
(t) WIth ~ to wlIIch an "Insured" under the policy Is
also III InsUIlId under 8 nuclear energy llabllily poUcy
Iaued by Nuclear Energy liability Insurance Association.
Mutual Atomlc Energy IJabllIty Underwriters. Nuclear
Insurance Assodatlon at Canada or any of their
.~. ..~ or would be an InSUred under any such
poley but for Its tennJnatlon upon exI1austlon of lis Urnlt
'oIl1b11\y: or
(2) ~ tram Ihe "haZaIdOUS properties" of "nudear
Inal.nar n wl1l1 respect \0 wIIIch (a) any person or
a.~.bJIlon Is requlred to maintain flnanCtai protection
JxnuanI \0 Ihe AtomIC Energy Ar:I of 1954, or any law
,NtdatDry 1henlOf, or (b) Ihe "Insured" Is. or had this
"1ioIcY not been Issued would be. enUUed to indemnity
Irom the United States at America. or any agency
IhnoI. under I/'rf agreement entered into by the United
j;Jates of AmeriCa. or 8/l'1 agency thereof, with any
, penon or organIza1lon.
I; IJndej: rnt MedIcal Paymen\S coverage. to expenses Incurred
'c d'raspecI \0 "bodIy Injury" resulllng from \he "hazardous
./ ploplllles" of "rMJCIear material" and arising out of the
operation of 8 "nudear laclIily" by any person or organization.
C. InW ItI'f UabIIity Coverage. to "bOdily Injury" or "property
dnIge' resulllng from the "hazardous properties" of "nuclear
mDtaI." If:
(V The "nuclear material" (a) Is at any "nuclear facility"
owned by, or operated by or on behalt of, an "Insured"
or (b) has been discharged or dispersed therefrom;
(I) The "nuclear material" Is contained In "spent fuel" or
"WaSte" at any lime possessed, handled, used, pro-
cessed, stOled, transported or disposed of by or on
behaIl of an "insured;" or
(lithe "bodily injury" or "property damage" arises out of
\he fumlshing by an "Insured" of services, materials,
paIlS or equipment in connection with the planning,
construction, maintenance, operation or use of any
"nuclear facility; but U such facility Is located within the
United States of America. lis territories or possessions or
Canada. this exclusion (3) applies only to "property
damage" to such "nuclear facility" and any property
thereat.
III~ISS WHEREOF, Ihis Company has executed and attested 1hese presents; bul this policy shall not be valid until countersigned -bi the' duly
~ Agent 01 this Company at the agency hereinaller mentioned,
.:.'.
2. As used in this endorsement:
"Hazardous properties" include radioactive, toxic or explosive
properties;
"Nuclear materlar means "source material; "special nuclear
matertar' or "by-product material;"
"Source material; "speclal nuclear material; and "by-product
material" have \he meanlngs given them In the Atomic Energy Act
of 1954 or In any law amendatory thereot;
"Spent fuel" means any fuel element or fuel componen~ solid or
liquid. which has been used or exposed to radlallon In a "nuclear
reactor;"
"Waste" means any waste material (a) containing "bYilfOduct
matertar' other than Ihe tailings or wastes produced by \he
extractJon or concentrallon at uranium or thorium from any ore
processed pr1martly for lis "source material" content, and (b)
resulllng from Ihe operallon by any peISOfI or organization of any
"nuclear facirlly" Included under \he first two paragraphs of \he
definition of "nuclear facility:
"Nuclear facility" means:
(8) Arry "nuclear reactor,"
(bl Arry equipment or device designed or used for (1)
separating the Isotopes of uranium or plutonium, (2)
processing or utilizing "spent fuel; or (3) handling,
processing or packaging "Waste;"
(01 Any equipment or device used for the processing,
fabricating or alloying of "special nuclear matertar' If at
any time the total amount of such material In the
custody of the "insured" at the premises where such
equipment or device Is located conslsls of or contains
more than 25 grams of plutonium or uranium 233 or any
combination thereof, or more than 250 grams at uranium
235;
(d) Any structure, basin, excavatJon, premises or place
prepared or used for the storage or disposal of "waste;"
and includes the site on which any of the foregoing Is located, all
operations conducted on such site and all premises used for such
operations;
"Nuclear reactor" means any apparatus designed or used to sustain
nuclear fission In a self-supporting chain reaction or to contain a
critical mass 01 fissionable material;
"Property damage" includes all forms of radioactive contamination
of property.
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Include. COPYfighlttd malorlal of Insur.nco Services onica, Inc., wilh its permission.
Copyright, Insurance Services OfflCO, Inc., 19&4.
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PRIORITIES OF POLICIES
We will pay First Party Benefits in accordance
with the order of priority set fonh by the "Act."
We will not pay If there Is another Insurer al a
higher level of priority, The "First" category listed
below Is the highest level of priority and the
"Fourth" category listed below Is the lowest level
of priority, The priority order Is:
First The Insurer providing benefits to the
"Insured" as a named Insured.
Second Tha Insurer providing benefits 10
tha 'Insured" as a fsmlly member
who Is not a named Insured under
another policy providing coverege
under the" Act."
Third The Insurer of the "aulo" which the
'Insured" Is "occupying" st the time
of tha "accident."
Founh The Insurer providing benefits on
any "auto" Involved in the "accident"
If the "Insured" is:
8. Not "occupying" an "auto"; snd
b. Not provided First Party Benefits under any
other policy,
If two or more policies hsve equal priority within
the highest applicable number in the priority or-
der:
1. The insurer against whom the claim is first
made shall process and pay the claim as if
wholly responsible;
2, If we are the insurer against whom the claim
is first made. our payment to or for an "in-
sured" will not exceed the applicable limit
shown in the Schedule or Declarations;
LA 22 37 07 90
CA 22 37 07 90
3. The insurer thereafter is entitled 10 recover pro
rata contribution from any other insurer for the
benefits paid and the costs of processing the
claim, If contribution Is sought among insurers
under the Founh priority. proration shall be
based on the number of Involved motor vehl,
cles; and
4, The maximum recovery under all policies shall
not exceed the amount payable under the
policy with the highest dollar limits of bene,
fits,
F. ADDITIONAL DEFINITIONS
1. The definition of "auto" in Ihe DEFINITIONS
Section is replaced by the following:
"Auto" means a self. propelled motor vehicle
operated or designed for use on pUblic roads,
However, "auto" does not Include a vehicle
operated:
a. By muscular power: or
b, On rails or tracks.
2. The follOWing sre added to the DEFINITIONS
Section:
8, The "Act" means the Pennsylvania Motor
Vehicle Financial Rasponsibillty Law.
b. "Family member" means 8 resident of your
household who is:
(1) Related to you by blood. marrisge or
adoption; or
(2) A minor in your custody or in the cus-
tody of any other "family member."
c, "Occupying' means in. upon. gening in.
on, out or :Iff.
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Copyright, Insurance Services Qlfice, Inc.. 1990
Page 3 of 3 0
CA 22 31 07 90
C. EXCLUSIONS
We will not pay First Party Benefits for .bodlly
injury":
1. Sustained by any person injured while inten-
tionally causing or attampting to cause Injury
to himself or hersalf or sny other person.
2. Sustained by any person while committing a
felony,
3, Sustained by any person while seeking to
eluda lewful apprehension or arrest by a law
enforcement official.
4, Sustained by any person while maintaining or
using an .auto. knowingly convened by that
person, Howevar. this exclusion does not ap-
ply to:
a. You; or
b. Any .family member."
6. Sustained by eny person who. at the time of
the .accident:"
a. Is the owner of one or more currently reg-
istered .autos. and none of those "eutos"
is covered by the flnsncial responsibility
required by the. Act.; or
b. Is "occupying. an 'auto" owned by that
person for which the financial responsibil-
ity required by lhe . Act. Is not in effect,
6. Sustained by any person maintaining or using
sn .auto. while located for use as a residence
or premises.
7. Sustained by any, person injured as e result of
conduct within the course of the business of
repeiring. servicing or olherwise msintaining
"autos." This exclusion does not apply if the
conduC1 is off the business premises,
8. Sustained by a pedestrian if the "accident"
occurs outside of Pennsylvania. This exclusion
does not apply to:
e. You; or
b. Any .famlly member."
Page 2 of 3
9. Sustained by any person while .occupying":
a, A recreational vehicle designed for use off
pUblic roads: or
b. A motorcycle, moped or similar type vehi,
cle.
10. Caused by or as a consequence 01:
,
a, Discharge of a nuclear weapon (even If
accidental);
b. Wer (declared or undeclered);
c. Civil war;
d. Insurrection: or
B. Rebellion or revolution,
11. From or as a consequence of the following
whether controlled or uncontrolled or how-
ever caused:
a. Nuclear reaction:
b. Radiation; or
c, Radioactive contamination.
D. LIMIT OF INSURANCE
1. Regardless of the number of covered "autos,"
premiums paid, claims made, "autos" involved
in the "accident" or insurers providing First
Party Benefits. the mall we will pay to or for
an "insured" as the result of anyone .acci,
dent' is the limit shown in the Schedule or in
lhe Declarations,
2. Any amount payable under First Party Benefits
shall be excess over any sums paid. payable
or required to be provided under any workers'
compensation law or similar law,
E. CHANGES IN CONDITIONS
The CONDITIONS are changed for FIRST PARTY
BENEFITS as follows:
1, TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US does not apply.
2, The following CONDITIONS are added:
NON-DUPLICATION OF BENEFITS
No person may recover duplicate benefits for lhe
same expenses or loss under this or any other
similar automobile coverage including self-
insurance.
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Cooyright, Insurance Services Qlllce, In=.. 1990
CA 22 37 07 90
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CA 22 37 07 90
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PENNSYLVANIA BASIC FIRST PARTY
BENEFIT
For a covared "auto" licensed or principally garaged In. or "garage operations" conducted In. Pannsylvanla, this
endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
TRUCKERS COVERAGE FORM
This endorsement changes the policy effective on the inception dste of the policy unless another date ia indi.
cated below,
Endorsement effective
Named Insured
Countersigned by
Beneflta
SCHEDULE
(Authorized Representative)
Medicsl Expense Benefits
Limit of Liability
(per Insured)
Up to $5,000
(If no enW appears above, information required to complete this endorsement will be shown in the Declara.
tions as applicable to this endorsement.)
A.COVERAGE
We will pay the Basic First Party Benefit in ac-
cordance with the "Act" to or for an "insured"
who sustains "bodily injury" csused by an "acci-
dent" arising out of the maintenance or use of an
"'auto"
BENEFITS
Subject to the limit shown in the Schedule or
Declarations. the Basic First Party Benefit con-
sists of Medical Expense Benefits. These benefits
consist 01 reasonable and necessary medical ex-
penses incurred for an "insured's":
1, care;
2. recovery; or
3, rehabilitation,
This includes remedial care and treatment ren-
dered in accordance with a recognized religious
method of healing,
Medical expenses will be paid If incurred within
1 B months from the date of the "accident" caus,
ing "bodily injury." If wilhln 1 B months from the
dats of the "accident" causing "bodily injury" it
is ascertainable with ressonable medical proba-
bill\'( that further expenses may be incurred as a
result of the "bodily injury," medical expenses
will be paid without limitation as to the time such
further expenses are incurred,
B. WHO IS AN INSURED
1. You,
2. If you are an Individual. any "family member,"
3. Any person while "occupying" a covered
"'auto.'"
4. Any person while not "occupying" an "auto'
if injured as a result 01 an "accident" in
Pennsylvania involving a covered "auto,"
~__. _,0 __
If a covered "auto" is parked and unoccupied,
it is not an "auto" involved in an "accident"
unless it was parked in a manner as to create
an unreasonable risk of injury,
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CA 22 37 07 90
Copyright, Insurance SeNices Qlfice, Inc.. 1990
Page 1 of 3 0
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VERIFICATION
ALLAN C. MOLOTSKY hereby states that he is the attorney for
Defendant, Maryland Casualty Company, in the within action and
verifies that the statements in the foregoing Answer & New Matter
to Plaintiff's Complaint are true and correct to the best of his
knowledge, information and belief. The undersigned understands
that the statements made therein are made subject to the penalties
of 18 P.S. section 4904 relating to unsworn falsification to
authorities.
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AL~ C. MOLOTSKY, ES .
DATED: May 20, 1994
. .. I ..
CERTIFICATE OF SERVICE
ALLAN C. MOLOTSKY, attorney for Defendant, Maryland Casualty
Company, hereby certifies that a true and correct copy of the
foregoing Answer & New Matter to Plaintiff's Complaint, was served
by First-Class Mail to the fOllowing:
George F. Douglas, Jr., Esq.
Douglas, Douglas & Goudlas
27 W. High Street
P.O. Box 261
Carlisle, PA 17013
Robert J. Stewart, Esq.
Barley Snyder Senft & Cohen
100 E. Market Street
P.O. Box 15012
York, PA 17405-7012
.i.:kcz,., ~C~
ALLAN C. MOLOTSKY
DATED: May 20, 1994
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IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENI-iSYLVANIA
HARRY ELMER CUPP and
JUDITH L CUPP, doing
business as CUPP AUTO SALES
NO. 94-1985 CIVIL
CIVIL ACTION" LAW
v.
EMPIRE FIRE AND MARINE
INSURANCE COMPANY and
MARYLAND CASUALTY COMPANY
ACTION FOR DECLARATORY
JUDGMENT
NOTICE
TO: HARRY ELMER CUPP and JUDITH L CUPP,
doing business as CUPP AUTO SALES and
MARYLAND CASUALTY COMPANY
YOU ARE HEREBY NOTIFIED TO FILE A WRITfEN RESPONSE TO
THE ENCLOSED NEW MATfER AND CROSSCLAlM WITHIN TWENTY (20) DAYS
FROM SERVICE HEREOF OR A JUDGMENT MAY BE ENTERED AGAINST YOU.
BARLEY, SNYDER, SENFf & COHEN
By
R ert J. Stewart qUire
Attorney I. D. # 439
Attorneys for Defendant,
EMPIRE FIRE AND MARINE
INSURANCE COMPANY
100 East Market Street
P. O. Box 15012
York, PA 17405-7012
Telephone (717)846-8888
..- ..
.. .
...... '-.
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYLVANIA
HARRY ELMER CUPP and
JUDITH L CUPP, doing
business as CUPP AUTO SALES
NO. 94-1985 CIVIL
CIVIL ACTION - LAW
v.
EMPIRE FIRE AND MARINE
INSURANCE COMPANY and
MARYLAND CASUALTY COMPANY
ACTION FOR DECLARATORY
JUDGMENT
ANSWER WITH NEW MAnER AND CROSSCLAIM OF DEFENDANT
EMPIRE FIRE AND MARINE INSURANCE COMPANY
Defendant Empire Fire and Marine Insurance Company, by its attorneys,
Barley, Snyder, Senft & Cohen, files the following Answer With New Matter and Crossclaim
to Plaintiffs' Complaint in Declaratory Judgment:
COUNT I
HARRY ELMER CUPP and
JUDITH L CUPP, d/b/a
CUPP AUTO SALES
v.
EMPIRE FIRE AND MARINE INSURANCE COMPANY
1. Admitted in part; denied in part. Mter reasonable investigation,
Defendant Empire is without knowledge or information sufficient to form a belief as to the
truth of the averment that Plaintiff Judith L CUpp does business as CUpp Auto Sales; the
same is, therefore, denied and strict proof thereof is hereby demanded, if relevant. Defen-
dant Empire's named insured under the policy which is the subject of Plaintiffs' Complaint
is Harry E. CUpp and Barry A. CUpp dba CUpp Auto Sales. On information and belief,
1
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.
t;;r,~-;:'"""""....::'tc:r*':'~
".- .,.
.. .
...- ..,
Defendant Empire admits that Plaintiff Harry Elmer CUpp does business as CUpp Auto
Sales and has a place of business at 5 Hickory Lane, Mechanicsburg, Pennsylvania.
2. Admitted.
3. Denied. Mter reasonable investigation, Defendant Empire is without
knowledge or information sufficient to form a belief as to the truth of the averment that as
of November 8, 1993, Plaintiff Judith L CUpp was engaged in the business of buying and
selling used cars; the same is, therefore, denied and strict proof thereof is hereby demanded,
if relevant. Defendant Empire's named insured under the policy which is the subject of
Plaintiffs' Complaint is Harry E. CUpp and Barry A. CUpp dba CUpp Auto Sales. On
information and belief, Defendant Empire admits that as of November 8, 1993, Plaintiff
Harry Elmer CUpp was engaged in the business of buying and selling used cars.
4. Denied. Mter reasonable investigation, Defendant Empire is without
knowledge or information sufficient to form a belief as to the truth of the averments con-
tained in paragraph 4 of Plaintiffs' Complaint; the same are, therefore, denied, and strict
proof thereof is demanded.
S. Denied. Mter reasonable investigation, Defendant Empire is without
knowledge or information sufficient to form a belief as to the truth of the averments con-
tained in paragraph 5 of Plaintiffs' Complaint; the same are, therefore, denied, and strict
proof thereof is demanded.
6. Denied. Mter reasonable investigation, Defendant Empire is without
knowledge or information sufficient to form a belief as to the truth of the averments con-
tained in paragraph 6 of Plaintiffs' Complaint; the same are, therefore, denied, and strict
proof thereof is demanded.
2
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7. Denied. Mter reasonable investigation, Defendant Empire is without
knowledge or information sufficient to form a belief as to the truth of the averments con-
tained in paragraph 7 of Plaintiffs' Complaint; the same are, therefore, denied, and strict
proof thereof is demanded.
8. Denied. Mter reasonable investigation, Defendant Empire is without
knowledge or information sufficient to form a belief as to the truth of the averments con-
tained in paragraph 8 of Plainers' Complaint; the same are, therefore, denied, and strict
proof thereof is demanded.
9. Admitted.
10. Denied as stated. The language quoted in paragraph 10 of Plaintiffs'
Complaint constitutes language out of context of the policy issued by Defendant Empire.
Defendant Empire avers that the policy of insurance issued by Defendant
Empire, Garage Coverage Form, contains the following liability coverage exclusion at page
4:
B. Exclusions
This policy does not apply to any of the following:
6. CARE, CUSTODY OR CONTROL
...
d. Property in the I insured's I care, custody or control.
In further answer, Defendant Empire avers that the policy of insurance issued
by Defendant Empire, as evidenced by the policy declaration sheet attached hereto and
made a part hereof as Exhibit A, provides collision coverage designated by symbol 23 in said
policy, which designation read~ as follows:
3
,.- .,.
" .
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A. Description of covered auto designation symbols
23 OWNED PRIVATE PASSENGER "AUTOS" ONLY. Only the
private passenger "autos" you own. . . .
WHEREFORE, Defendant Empire Fire and Marine Insurance Company
prays your Honorable Court to enter a judgment in its favor and against Plaintiffs, denying
that Plaintiffs are entitled to a defense and coverage under the aforesaid policy of insurance.
COUNT II
HARRY ELMER CUPP and
JUDITH L CUPP, d/b/a
CUPP AUTO SALES
v.
MARYLAND CASUALTY COMPANY
11. Defendant Empire incorporates by reference paragraphs 1 through 10
above.
12. Admitted on information and belief.
13. Admitted on information and belief.
14. Admitted on information and belief.
15. Admitted.
WHEREFORE, Defendant Empire Fire and Marine Insurance Company
prays that your Honorable Court enter declaratory judgment ordering Defendant Maryland
Casualty Company to provide a defense and coverage to Plaintiffs.
NEW MATIER
16. Empire Fire and Marine Insurance Company issued policy of insurance
number SG20S070 to Harry E. CUpp and Barry A. CUpp doing business as CUpp Auto Sales,
4
II. . '.
~ .
with a place of business located at 5 Hickory Lane, Mechanicsburg, Pennsylvania, effective
6-14-93 to 6-14-94.
17. The aforesaid policy ofinsurance provides Uability Coverage at Section
n of the Garage Coverage Form number CAOOOS, which reads as follows:
A. Coverage
'GARAGE OPERATIONS I - COVERED 'AUTOS I
We wiIl pay all sums an I insured I legally must pay as da!lages
because of I bodily injury' or I property damage I to which this
insurance applies, caused by an I accident I and resulting from
I garage operations' involving the ownership, maintenance or
use of covered 'autos I .
18. The aforesaid policy of insurance states that cer-
tain Exclusions to coverage apply, as stated at Garage coverage
Form CAOOOS, at page 4, as follows:
B. EXCLUSIONS
This insurance does not apply to any of
the following:
6. CARE, CUSTODY OR CONTROL
'Property damage I to or I covered pollution cost or
expense I involving:
d. Property in the 'insured's I care, custody
or control.
19. The aforesaid policy of insurance provides collision coverage designated
by symbol 23 in said policy, which designation reads as follows:
A. Description of covered auto designation symbols
23 OWNED PRIVATE PASSENGER "AUTOS" ONLY.
Only the private passenger "autos" you own. . . .
5
f . ~ ..
I. "
.. . '.
20. The 1989 Cadillac vehicle which Plaintiff Harry Elmer CUpp was
operating on November 8, 1993, when involved in a collision was owned by Conley Motors
and was not owned by Plaintiffs or either of them at the time of the collision.
21. At the time of the collision of November 8, 1993, the 1989 Cadillac
automobile was in the care, custody or control of Plaintiff Harry Elmer CUpp.
22. According to the provisions of the aforesaid policy of insurance number
SG20S070, no coverage is afforded to Plaintiffs under the circumstances of the accident of
November 8, 1993, as related in Plaintiffs' Complaint.
WHEREFORE, Defendant Empire Fire and Marine Insurance Company
prays that your Honorable Court enter declaratory judgment in its favor, denying coverage
and a defense to Plaintiffs.
NEW MAnER IN THE NATURE OF A CROSSCLAIM
PURSUANT TO PA. R.C.P. 22SUd)
EMPIRE FIRE AND MARINE INSURANCE COMPANY
v.
MARYLAND CASUALTY COMPANY
23. Defendant Empire incorporates by reference the factual averments of
Plaintiffs' Complaint for Declaratory Judgment and paragraphs 1 through 22 above.
24. This action was brought pursuant to the provisions of the Declaratory
Judgment Act of July 9, 1976,42 Pa. C.S.A. ~~7S31, et seq.
25. On information and belief, Defendant Empire avers that the 1989
Cadillac automobile involved in the November 8, 1993, accident, as described in Plaintiffs'
Complaint was a covered vehicle under a policy of insurance issued by Defendant Maryland
Casualty Company, policy number EPA18214248, effective 2/4/93 to 2/4/94.
6
f . 'I ..
,
.. . t.
26. On information and belief, Defendant Empire avers that Plaintiff Harry
Elmer CUpp was operating the aforesaid 1989 Cadillac with the permission of the owners
when it was involved in a motor vehicle accident on November 8, 1993.
27. Defendant Empire believes and, therefore, avers that Defendant
Maryland Casualty Company is solely liable to provide a defense and coverage for any
claims arising out of the accident of November 8, 1993, as described in Plaintiffs' Complaint.
28. In the event it is determined that Defendant Empire owes a defense
and coverage on account of any claims arising out of the accident of November 8, 1993, then
Defendant Maryland Casualty Company is liable over to Defendant Empire on account of
any such defense or coverage provided, or is jointly and severally liable with Defendant
Empire on account of any defense and coverage provided.
WHEREFORE, Defendant Empire Fire and Marine Insurance Company
requests this Honorable Court enter a declaratory judgment in its favor and against
Defendant Maryland Casualty Company.
Respectfully submitted,
BARLEY, SNYDER, SENFT & COHEN
By
ert J. Stewart,
Attorney I. D. #0 39
Attorneys for Defendant,
EMPIRE FIRE AND MARINE
INSURANCE COMPANY
100 East Market Street
P. O. Box 15012
York, PA 17405-7012
Telephone (717) 846-8888
7
. . ~
. .
... .
, .
. .
VERIFICATION
I, Robert J. Stewart, Esquire, counsel for Empire Fire and Marine Insurance
Company, hereby verify that the facts set forth in the foregoing Answer With New Matter
and Crossclaim are true and correct to the best of my knowledge, information and belief.
I understand that false statements herein are made subject to the penalties of 18 Pa. C.S.A.
f4904 relating to unsworn falsification to authorities.
Dated: MIIY 23. 1994
8
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"~"Ufl~'QIot"'-'LO.I""." "'D" IIIt.QID W
.
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.-
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/
., .
(1:0MMON POLlGY ~ DECLARATlO" .~
. .
- '.
Renewal of Number
C SG 20 25 50-90 )
Policy No.
C SG 20 50 70 )
Named Insured and Mailing Address
lNo.. s-. ""'" .. Citr. CounIy. SUll. lip CodII
HARRY E aJPP & BARRY A OlPP
DBA aJPP Al7IO SAW) .
15 W WINDING HIlL RD
~IEQWUCSBURG PA 17055
INSUlWCa: IS '"000[0 BY!H[ COllMlfl AS O[SIGN'I[O BY Mill
~ EMPIRE FIRE AND MARINE INSURANCE COMPANY
OMAHA, NEBRASKA
o EMPIRE INDEMNITY INSURANCE COMPANY
OKLAHOMA CITY, OKLAHOMA
Agent
INI'ERCXlNl'lNENI'AL INS SEll\' 5801
PO BOX 3236
SHIREMANsro.'N PA 17011
Policy Period: From ( 06-14-93
) to (
06-14-<]4
)
12:01 A.M. Standard TIme at
your mailing address shown above.
(Unless otherwise endorsed)
Business Description
USED CAR DEALER
INSTAlLMENT
IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECTTO All THE TERMS OF THIS POLICY, WE AGREE WITH
YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY.
THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED. THIS PREMIUM
MAY BE SUBJECT TO ADJUSTMENT.
COVERAGE PART
COVERAGE PART
OECLARATIONS
(FORM NUMBER)
PREMIUM
Commercial Property
Commercial General Liability
$
$
$
$
$
$ 2JliS.
$
$
$
TOTAL $ 238S.
Commercial Crime
Commercial Inland Marine
Commercial Auto - Business Auto
Commercial Auto- Garage
JDl 19C(12)9 A(6 89)
Commercial Auto - Truckers
THIS POLICY DOES NOT COVER COLLISION
DAMAGE TO ANY AUTO YOU RENT.
Premium shown is payable: 0 at inception
(j Per Payment Form Attached
Audit Period: Annual, unless otherwise stated
Form(s) and Endorsementls) made a part of this policy at time of issue':
PJP
'Om,ts .ppl.ClDI. Forms .nd End....ments II "'own in lpt(llic eo...erage P&r1ICcM"ge Form DeeI"..iDns.
Dale of Issue: 07-15-93 js
Countersigned By
AuthOtlltd RepresentatIve
_ _ '" _ _ _.... . _' .. _." a.. ~...,.. _,.. .... ~a. a..
,.
-
, ...
(~MMERCIAL AUTO COVERAGE PAF" ,
GARAGE DEtL.ft:RATIONS
CODING
. .
~ 20 2<' ';(',..c;o
Renewal of Number'
~~ ~
This Coverage Part is effective the inception date of the policy unless another date is indicated below. (The following information
is required only when this Coverage Part is issued subsequent to preparation of policy.)
Pol' N SG 20 50 70 Effective Dale: NOTE - THIS POLICY
ICY 0.: CONTAINS A STRICT
Named Insured: HARRY E aJPP & BARRY A cupp RADIUS OF OPERATION
DBA CUPP At1IO SALES Countersigned by: RI=STRICTION
Additional Premium: Authotized R.presentati..
(From .nd....m.nl dat.,o Endorsement No.:
Policy upi,atlon)
Form of Business: 0 Individual IE Partnership 0 Corporation 0 Other
nru lWD SCHEDULE OF COVERAGES Thil policy provides on~ lholl CO\""11S whllt a Chill' Is ihowftln tile pI.mium column bllow. tach of tllell _ailS will lPP~ on~ to
..~ -AND COVERED AUTOS lholl "aulos" lhown II CO'Itfod "autos-, "Autos- lit sllown al COVlIld -autos" lor a pa~kulll CO'ItIll' by IhI lnlry of one .. mora of
tile symbolslrom tile COVERED AUlOS Sedion olllll nllll' CMt'I' Fom nut 10 tile nlme of IIllCOWIIll. Entry ola l)'I11bo1 nut 10 UABIUlY
"nMdes CMrll1 for "lIrl I oomlions"
CDVEllED AUTOS
11CtI~......."......... UIlIl PREMIUM
COVERAGES ... II COVElli AUtOS s.. II
1.-. ':.~... c....1t r.-
Each "A(cid"I" AUltl"l-
"nll;';.OOlllbons" "n..jii OPllllions"
UABIUlY "AuIO" OIhtl Than 01"" Th.n
O~;:; -AulD" oiii< "AulD" On~
23 27 28.29 s lSl~O/5 s 300.000. S SGO oeD. S 1021.
PERSONAllNJUPY PROTECTION IPl.P.ltt ?" SEPARATELY STATEO IN EACH HP. EIlO. MINUS S 17 DEDUCTIBLE S ~2
ADDED ?JP. 'ar fl'.II.DI .odeo Ilc-f.ull COYl SEPARATELY STA:EO :N [,ICH ADDED P.I.P. ENDORSEMENT S
PROPERTY PROTECTION INS. lP.W SEPARATElY SiATED IN TllE P.P.!. EIlDORSEMENT MINUS S
lMichiun onlY) S DEDUCTlBl! FOR EACH ACCiDENT
AUTO MEDICAL PAYMENTS S S I
MEDICAL PAYME!frS .-- S 1 i)(~' _ :::.". ,-1?c;nc;(t;.Q ) S .." l
UNINS~RED \lDi~RISTS IUMl I ,? S ,i;J~" _ <:j:'F C'..1),QC;/7_,',n S ~..: ,
. UNDERINSURED "'DTORISTS ,:'l'.\ :P..;"'- ?? s-,,,'nn _ c:~.. (,~'1C';'(7.cr.' S un
.;\ COMPREHENSIVE COVERAGE S EACH lOCATION MINUS S DED. fOR EACH S
m ! SPECIFlEDCAUSESOFlOSSCOVERAGE COVERED AUTO FOR LOSS CAUSED BY TllEFT OR MISCHIEF S I
i OR VANDALISM SUBJECT TO S \lAXIMUM DEDUCTlBl!
! ... FOR AU SUCH lOSS IN AllY ONE EVENT
\ ~ i COlUSION COVERAGE S EACH lOCATION MINUS S DED. FOR EACH S
,I COVERED AUTO
1--1 ! COMPREHEIlSIVE COVERAGE ActUAl S
,"'l'\.. CASH vmE SEE SUPPLEMENTARY ..,c::.?
OR COST OF
i ~ SPECIFIED CAUSES OF lOSS COVERAGE \ REPAIR. SCHEDULE FOR LIMITS S
\\lt1CHEVER AND DEDUCTIBLES
IHISS
I rnf UtlDN cnVfRAGf , .,., , MINUS t t ,..
;nWINr. oIND LABOR ~.... S for m~ disablement of a orival. oamn".r aulD S
FORMS AND EIlDORSEMENTS APPLYING TO TllIS COVERAGE PART AND MADE PART OF TllIS POUCY AT TIME OF ISSUE t:
C'ACCC5(;i-SoZ) ,CA9\i,:)8(1-,:;7 ~li:'N0165(1.a8) ,ElIOGG8(1-<j3) p.176(1-,l7),
CA134(o-9Z),CA0157(10.83 ~D180(7-90) IL024o(6-~9i
O'~17(12-'?2),IW910(1-;;1~,.:.\2192(7-90~ CA2193(7-90~ I PREMIUM FOR ENDORSEMENTS S
I IESilMATED TOTAL PREMIUM S .,.,u~
IIlor tll,,,.I.nt ".Iault cOYI
TllIS DEClARATIONS IIUST IE CDIlPlIlED IY TllE AnACHIlOO DF . SUPPlEIlENTARY SCHEDULE
'Enby OQIioNl if s/Iown in Common Plllicy Dec..rahon..
tf""""nd E""""_Is apphCol~e to lll~ eo.eral' Pa~ amined ,I s/Iown .1_ in tile po/q
THESE OECLARAlIONS ANO THE COMMON OEClARATlONS TOGETH(R WITH THE COUMON POLICY CONOITIONS. COVERAGE FORMISl ANO
FORUS AND ENDORSEMENTS. IF ANY. ISSUEO TO fORU A PART THEREOF. COMPLETE THIS POLICY,
I",(',U":!~ coovr,....,ff'S mJltr~,' 01 lflW'3nCr Strt1crs OttICt In(' . w\1'" ts otom'UIOl'l Cox7r"(flt lnsural'l:' Str.'lces OHICt, Inc. 1988
"i,.~: .t~~~1t
CA 00 07 :2 90
PART I OF 2
- ;
POLICY.NUMBER: SG 20 50 70 GARAGE COVERAGE FORM-AUTO DEALERS'
. IlEM"lHRiE-LOCATIONS WHERE YOU CON!:,r- GARAGE OPERATIONS. SUPPLEM~~T4RY SCHEDULE
~: \1 Address-!!~:e ~r ~in':lusir.ess location as locatio" ,,0. 1
HICKORY lANE ~mWUCS&JRG PA
?
0[11 FOUR-lIABllIlY COVERAGE-PREMIUMS.
IDe.
Nc.
Classes of Operators
Nurr.cer Rating Total Rat,ng Fersonal Injury Prcpert/
Raling Faclor l~i'i~1 P,e~j~m Prottction Protecxn
01 Peos;r,s Units Un,ts Pr mi m P rni ,.,
2.70 1021. 32.
.50 1 .50
2
C:assl-
E-: t:..'!es
C~ull-
NonoE "TIcl es
C'ilS i-
Em:1o s
Class 11-
Non.E llpioyees
T~TAL PRE\liUMS !
RlIUIIr OperatDr _ P:oprietcrs. ~a~,~'5 a~: dfocers actil\! in tt.e 'garage operations: salespe!5Cns. general manage'$. seNicI mar2ief5;
any empl~ Nhose pr;ncipal duty ilMllves the operation of covered 'autos' or who Is furnisr'ld a CM,e: 'aullf.
All Others All other emp,oyees.
NOTE: :, Pan.time employees working a, M'aie of 2" hours :r more a ."el~ 'c' ::'e 1umber of weeks worked are 10 be :c~..led
as ! rating ~Oil each.
2. Oa:Hi",e empl0l"le5 wer'Jn. ao a.lrage of ess than 20 hcws a week ':t:he number of weeks worke~ are to jl! cC'.1ted
as L2 r.ting unit eac~,
Any d :~~ ~ollcw:r:g cerscr:5 IIno !'; '!i..a~ : '.;r~ls:-;: "J::~, .1.;~e!~: 'a~~c.: I"a~j-ie c~pr;e::rs. partrlers or cffice~ a!':o :''1e.r '! a:ives
and the re!a:~es c: any person Oll:~;te:: n C:a5s ..
OEII FI'IH!ABllIlY COVERAGE FOR YUUR C~S1O~E~S.. ._ _ . __. . .. . . . .
r. !:~!':! Mth parairapn 1.{2Ud) CI W,.,O I~ .:..INS~REJ unce. ,::.:7 ... \ '-lo',l.= _.~ ';:'I:.~).'3:.,.. a:::itl CC',E:ai! ':: Jo..t :..S~:r:'!'!,~ 'i~'tec .;rl!!; r.:'ca:!::e!cYt
:'I.X:~
= :, ~-s ~Cl< ;5 :;,e:~ec, oarai":~ 3.:21Idl tj, WHC S ~~ .t.;:':~;~' . ":1' SEC7:~N :l-.:~ellf')' COl:~J~: :oes net apply.
0[11 SIX-GARAGElEEPERS COVERAGES AND PREMIUMS.
I
,
Defl:lltlDnl:
CIIIII-lmplayeel
CIIIlII-!lDn-Emplayell
"':2:'Cr: .:.
:Jierai!S
Com:r!~ensive S
SotC:I;~ ea.!!S oIlZSI i $
::,:! :'"
Compre;,ensrte IS
2
S~;fled Causas :' t:f! :$
eo.l~n 1$
L!mlt "J lnS'JPo..:t ::~ ~:"': :.Oati:", ,~t5t..C! iJ a 'i:""lt :r ~~:...e::~ :! ~ I"".ear.s
~:-L: ::', ;:~O!!::r:: r ITEM TWO ~;: ':~ ':!:t;::~le !c:~!l'
M'NU~ .; D~OI.::T'aLE tCR EACH CMREO 1lJ1C .OR
tOSS c."I.'S!: :v .....;E:-: :;P ',!;S:i"hEF :)R 1~~jC:'L'SM Si..9;E'::'!O
MAY,IML~.~ :e:...:-:- :~: r:C? .iL~ $i..':~ :.CS! \ .i'of' :\E r,:.......
:t"!:"".'..~
.:' 1,' ,::!.:..!
COIl'c~"e-l \t;
S
~A'.ojiJS : :DLC! ai.: :.:~ :)CH :~j\EO :'UiC.
MINUS 5 :':~..:7.a~:: ::? EACh ::'/E.~Ea lUiC :.:it
LOSS C1"SEQ 5Y :-.m OF. \lISC~iE= OR \I\~l~AL:SM ~Ue.E:; 10
MAXIM"f.' =E~~C: 2LE FOR 1LL SUCH LOSS ;N ANY :lNE riE~T.
Specie: Ca.leS :;j :':11:
S
Collis en;
MINUS 5
OEDI.CT ,BLE ~:R EACH CCVERED 'UJO.
i
CAllAGEXEEPERS COVERAGE applies on a Igalliao,,;:) :.5;5 uniess l~e :' :~c ;ire:: C:'Ie'aie ':otions is 'ncicata: te':H :y ':X;:
DIRECT COVERAGE OPTIONS
= oms I~SURAHCE. :f !tis t:ox is c-et,eo. GAF.~~:~E~PERS C:oJE~G; is changed 10 apply ,"theul regare :: :.;lur :r any other 'Ins"rl:~' Ise' hac:'ty 'or
"loSS. :c a covered -autO- and is excess u'ler 3ny Otr.c' :cllec: c'! .r:..r!"C! "eg3': ess :,i ...netne- :::: ::r.e~ :U~,'3:':=! :o\ers your or anI ott'er .lns...rec's' .ntarest
or the ~:e:est of the COIIered "a~tcs' ""ner.
C PRIIlARlINSURANCE. If this POX ,5 c~ec!l<!:. 3ARAGEKEEi'E;;; :::-,.;':3:: . ::.";1: I: apply ...,L~('IJt 'eia'd 10 yOUr or any other 'Insureo's' ,eia, "ec',l}' for
'OS5' t: a covered "auIO' and Is Cflmary ins~rance.
REIl SEYEJ-PHYSICAl DAllAGE COVERAGE-TlPES or COVERED AUlOS AND IN1EREm IN THESE AUTOS-PREMIUMS-mORlING OR NONREPORTlNG BASIS.
~:~ ct 'tie ':,:OIilni OI1VSlCAL C,\M.lGE :=,t~i!S :~a~s :ndiCalej:r ITEM TWO l::';t!:~ 1 to :~e ~:t\ a)..lOS' 1r.: ~.te"ei:S inoiCJ:~::eIO<< r1f .OO~
'F es of .~utos' Ir.:erests Covered
NPIo Uwd .a:J::i', Jtrror.s:'1' "bur lr:ter!!1 :-. ;:-.- ',:,,~ n:'Ot5: :,,:) :r. Your .n:!"es~ l~~:t'If ~:~~ts: tI
.Jutcl' IC'S ar.d !!.._ .tt ,t.. ;~!: ~.!'~ 'J..::5. :,:.. :,.," . ":. :!-: ;:-,f'!: 'l..:~f ~ JIt, :"t: ::0 .3:~'l: JS.! :15 :)a,U ,
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LOSS C1L5~: a.. ~~Eri e;;. ~,I'SCH1Er OR ""~,::"L,SM s.Je~t:: m
2,SOC.1,\1"M~': :,:'.:' 3L~ .C' ~Lt SU:~ tCS3 ~ ~N' C\E r.!~"
'J1NJ:: ~E:..:ileLE r.j~ [1(1.0 :~JE~E~ :-U"~ ::A
lOSS O..-st: 3' "-1E:- :;: ./ S':"!t= 0" .Jt.f.::'l ~'.' 5'w8.::- ..c
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RDlimK (ColltilludJ
IDeation No. ClMlrages
All CoIIisian
GAR:.~:: COVERAGE FORM-AUTO DEALERS'
SUPPLEMENIARY SCHr".lE-IContlnuedl
limit oIjn~urance rOt Each lDcation ""
MINUS' DEDUCTIBLE FOR E.\CH ClMRED AUTO ~
BLANKET ANNUAL COLLISION RATES FlI:3
':v.oollO 5100.000 IMr 5100.0OO
CAOO07I290
ruT UF 2
.. .
Premium
Our limil d insura",e 101 'IOu' at IOcat.,ns DIller than those st.slt~ .n 111M llI.IL
S 20 000. AddItional Iocat,""s wllere you stOle CMred 'auIOS' , 20 000.
PIlIJUIWI$-Ia/OllllIIIUlr1lrfl OII"tlllrl 01 'Oll/lportlq (Indicate BaSIS ,lgr~ Upon by 'ril1. '
o .E'ORTIN; WIS IQua"erly ar Manthly as Indicated belC>Y by '!Kj1,
lbu must report to US on our 101m lI1e IOcatian d your C(Mr!O 'aulos' and the' ~::al ,a'ue at each such lOcation. For your main sa'ts .ocalJOlllden~1ee as
lOcatiOn no. L you must include the total value d all coveted 'aulas' you I1a>1! lur""hed 01 made available to yoursell, your execu~ jeur emplojees 01 fa".. .,.
members ana )ther Class II-Na".[mplojees. and coveted 'aulos' thai are temporanly displayed or stend at lOcatiOns ather then these staled in ITDII1IIa
a~. For your main sales lOcatIOn you must include the IOtal value d all se"'iC! '/Ohleres.
lOUR RE'OIlING WIS IS: 0 lUARTERIJ-lbu must give us your first report by Ihelilleenth d the Iourlh month aller the policy beains. lbur sub,",,~
reporls must be given to us by the rilteenth d INery third month. lbur reports must cantain the values 101 the last business
day d Mry third month comIng within the polic'1 per;oo.
. 0 IOHTHIJ-lbu must give us your reportS by the filleenth d .....ry month. \bur reports will contain :te IOIaI values you ~4:
on the last business day d the preceding month.
Premiums will be calculaled pro rata d the annual premium 101 the ..pasures contained in each reporl. Althe end d each policy year ~ will add the lren:!"1
premiums 01 the Qua"erly premiums to determine your final premium due 101 the entire policy year. Tile estimaled total premiums shown a~ will be =~~:
against the final premium due.
~ ION.E'OR"NG WI$. Stated limit d insurance shc>yn a~ a olies.
IIss PaJle-Aollo1S II plJIbl. Illntllt.t mar appear to IOU end:
S
TOTAL PREMIUM S
1280.
In trans4
ITEM EIGHT-NEDICAl PAYMENTS COVERAGE-REFER TO ITEM NINE FOR COVERED AUTOS INSURED ON A SPECIFIED CAR BASIS
Covera e Premium Determination 1 Premium
Aulo Medical Pa ments Onl Auto Medical Pa ments Premium e uals % S
Premises and Operations Medical Payments Premises and Operations t.1a~~'i\ye
lDoes not a : 10 bodi in'u caused a autol Medical Pa ments Premium e uals 1.72 % s 32.
Premium
PreP1ises ane Ooerations and Auto Medical nls Premises and Ooerat'cns ane ~~to Medical Pa menls Pre"ium eouals % S
nDI liNE-SCHEDULE OF r.OVERED AUTOS WHICH ARE FURNISHED 10 SOMEONE DlHER TIlAN A ClASS I OR ClASS II OPER.l1ORS OR WIlICH ARE INSURED ON A SPECIFIED CAR BASIS
eo..r.d DESCRIPTION PURCHASED I
- ..... Model; bde IWr<; 80cly 'tPt AcIvol NtwlNl TERRITORY: bwn & Sta:e Where the Covn:I
No. _ Null'bo1lSl; Itlldo ld.,_.NumtIer MNI ~rCDSlN.. Coll & USEDlUl hno will be gnncipa,~ garagea
1 1Q~.Tt~~ ?7 InW PA I
2 I
3
ClASSIFICATION Ucept 101 toNing .. physial damai! loss ,S :',JC'f:: ,ou and the loss
eu-d I!adou\u ............. 50:. rNW. GC/I Pnmar'/ Alllnl Sec~'::l1";
"., Doe.."", S-MMCt QtYttllC1e ~ r :....; Rlu", coa. pa,ee named 3'CM' IS inttrHts may appear aI tne :imt rJ d1e loss
r..ttlJ Gnluo
No. (inM,~ '_COIl\ll'<<lIl So.n.. c.o.oty lJm ~,::'I'N. r"""
1 1""'- C
2 I
3 I
CMRAGE5-l'R[MIUMS, LIMITS ANO DEOUCTIBLES IAbsence a a OtOuctibie 01 rim.t enlry in any column beIC>Y mear. :t.atll1e .imlt or dedUClltre en:/) n;ne ;:7uporC"i I
ITEIIWD COlumn appl;es ,nsteadl
lIABILITY P.I.P. ADDED P.P.I. IMiCn. on~1 AUTO MED PAY COMPREHENSIVE Sl'(C C\US( COLLISION It'.\ ~G & _'=:'
P.I.P. DFlOSS I
e lJmlI L>oor ..... Llnu' -- -- I
Un ...... "'"' Umir -- "'"' (In Pr.. """'" Pte- UnutM """" ...,
1.1.< Thou- - - nwm Premium ......"', .~.ou. mium ...~ Premium ........ """"" ...... ,.....,,- :
...... ..... ~ll,j~ ..... moum ......
~ ....411 - - sands) - - .......
1 ........ n.n 1 n.n I
2 I
3 I I
1:UI Premium n";"; 00 ....... 001 1 XXX 1>.rf XXX XXXX XXX I
.a;: c:e'~l!:st.~em~umT~' OfljucM>>e; """" WltO Il'l t.kflIOC)l<.lDol PI.P 01 PPI. tr.:a:n.I~, -...m: a:',H' .. ntI ~
I
~ ~'SOn 01 OIiln,uloon 10 wh(h the ec.e.ed 'Auto' has teen funushe<l IDo nc1 .nc~ua. eo....a 'AuIOS' when nave l>een fum~hed 10 c:.us ; 01 C' ass II :>aerators: .
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nDI m-lllBllIll PREMIUM FOR PICIUP AND Damn OF lUTDHONFRANCHISEO DEAlERS ONLY SEE 00165
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EMPIRE FIRE AND MARINE INSURANCE COMPANY - EMPIRE INDEMNITY INSURANCE COMPANY
EXECUTIVE OFFICES: 1624 Douglas Street, Omaha, Nebraska 68102-1406
PENHSYLVANIA - OTHER pJUmUK REDUCTION OPTIONS
NAMED INSURED:
POLICY NUMBER:
C{.~/S
1990 Pennsylvania Law 6 haa reduced the required amount ot coverage tor medical
expenses trom $10,000 to $5,000. Furthermore, wsge loss coversge and a tuneral
benefit are now optional coverages.
You have to decide it you want to lower your medical expense coverage to the
minimum required. It you have health insurance coverage through your employer,
you should know that most group health insurance does not cover rehabilitation
expenses. Rehabilitation expenses are covered under your auto poliCY. Keep
in mind that your health insurance company will pay benetits only after you
have exhausted the medical benefits of your auto insurance.
Wage loss coverage provides reimbursement tor loss wages due to an auto accident.
The tuneral benefit provides money to pay for a funeral, where the death is
the result ot an auto accident.
1. Do you wsnt to lower your medical coverage to the new $5,000 minimum?
pa- Yes O-No
2. Do you want to drop your wage loss coverage?
@-Yes O-No
/
,. Do you want to drop your funeral benefit?
0-Yes O-No
,
.
It /i ~i.5
Date
EM 11 11 (06-90)
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'. "",' '...r IRE FIRE AND MARINE INSURANCE COMPANY - EMPIRE INDEMNITY INSURANCE COMPANY
'.;';:\ :.,\;" EXECUTIVE OFFICES: 1624 Douglas Street, Omaha, Nebraska 68102-1406
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PENNSYLVANIA UHIllSURED/UNDERINSURED MOTORIST COVERAGE LIMITS
WAIVER OF STACKED LOOTS
{~~.fpb {}&.
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POLICY NUMBm:
Section 1738 of the Pennsylvania Insurance Code states that "when mora than
ona vehicle is insured under one 'or more policiea providing Uninsured or Underinsured
Motorist coverage, the stated limit of uninsured or underinsured coversge
shall spply separately to each vehicle so insured. The limits of coversges
avsilable ... shall be the sum of the limits for each motor vehicle as to
which the injured person is an insured."
However, for a reduced premium, the nsmed insured who purchases uninsured
or underinsured motorist coverage for more than one vehicle under a policy
may waive the stacked limits of coverage by signing the form(s) below:
UNINSURED COVERAGE LIMITS
By signing this waiver, I am rejecting stacked limits of uninsured motorist
coverage under the policy for myself and members of my household under which
the limits of coverage avsilable would be the sum of limits for each motor
vehicle insured under the policy. Instead the limits..ct coverage that I am
purchasing shall be reduced to the limits stated in}he policy. I knowingly
and voluntarily rejectsd the stacked limits of cov~age. I .vnd stand that
my premiums will be reduced if I reject this coy . age. ~/ ///
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s1~at;te ~ First Named nbured
/ ~hk,$
Date
UNDERINSURED COVERAGE LIMITS
By signing this waiver, I am rejecting stacked limits of underinsured motorist
coverage under the policy for myself and members of my household under which
the limits of coversge available would be the sum of limits for each motor
vehicle insured under the policy. Instead the limits of coverage that I am
purchasing shall be reduced to the limits stated in the pelicy. I knowingly
and voluntarily reject the stacked limits of coverage. .I understand that
my premiums will be reduced if I reject this coverage./ , ~/ .
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Signature of iTs~m
--- /
Date
EM 10 36 (04-90)
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IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYLVANIA
HARRY ELMER CUPP and
JUDITH L CUPP, doing
business as CUPP AUTO SALES
NO. 94-1985 CIVIL
CIVIL ACTION - LAW
v.
EMPIRE FIRE AND MARINE
INSURANCE COMPANY and
MARYLAND CASUALTY COMPANY
ACTION FOR DECLARATORY
JUDGMENT
REPLY OF DEFENDANT EMPIRE FIRE AND MARINE INSURANCE COMPANY
TO NEW MAnER CROSSCLAIM OF DEFENDANT
MARYLAND CASUALTY COMPANY
26. Denied. The averments of paragraph 26 of Defendant Maryland
Casualty Company's New Matter constitute conclusions of law to which no response is
required. To the extent a response may be required, it is specifically denied that Defendant
Empire is solely liable to Plaintiffs, or jointly and severally liable to Plaintiff, or liable over
to Defendant Maryland Casualty for indemnity or contribution, and it is averred to the
contrary that Defendant Maryland Casualty is solely liable to Plaintiffs.
WHEREFORE, Defendant Empire Fire and Marine Insurance Company
requests judgment in its favor and against Defendant Maryland Casualty Company.
BARLEY, NYDER, SENFT & COHEN
By
obert J. St a t, Esquire
Attorney I. D. #07439
Attorneys for Defendant,
EMPIRE FIRE AND MARINE
INSURANCE COMPANY
1
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-.
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VERIFICATION
I, Robert J. Stewart, Esquire, counsel for Empire Fire and Marine Insurance
Company, hereby verify that the facts set forth in the foregoing Reply to New Matter Cross-
claim are true and correct to the best of my knowledge, information and belief. I under-
stand that false statements herein are made subject to the penalties of 18 Pa. C.S.A. ~4904
relating to unsworn falsification to authorities.
Dated: June 2, 1994
L:- '-'~:"'''''.~.
OOT 0 3 199~(!..
,
POST & SCHELL, P.C.
BY: ALLAN C. MOLOTSKY
IDENTIFICATION NO.: 28923
1800 J.F.K. BOULEVARD
19TH FLOOR
PHILADELPHIA, PA 19103
(21S) S87-1000
ATTORNEY FOR DEFENDANT
MARYLAND CASUALTY COMPANY
HARRY ELMER CUPP and
JUDITH L. CUPP, d/b/a
CUPP AUTO SALES
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
:
VS.
CIVIL ACTION - LAW
.
.
~lPIRE FIRE AND MARINE INSURANCE
COMPANY and
MARYLAND CASUALTY COMPANY
NO. 94-198S
.
.
:
:
REPLY OF DEFENDANT MARYLAND CASUALTY COMPANY
TO NEW MATTER OF CO-DEFENDANT
EMPIRE FIRE & MARINE INSURANCE COMPANY
23. Answering defendant hereby incorporates by reference its
responses to the factual averments of plaintiffs' complaint.
24. Denied. This is a conclusion of law to which no further
response is necessary.
2S. Admitted in part/denied in part. It is admitted that
defendant Maryland casualty Company issued a policy of insurance
under policy no. EPA18214248, effective February 4, 1993 through
February 4, 1994. That policy of insurance provided coverage to
Conley Enterprises and to Robert and Anna Mae Conley t/a York
Springs Auto Auction.
It did not provide coverage for Conley
Motors. By way of further response, it is denied that the 1989
Cadillac automobile was a covered vehicle under the policy of
insurance issued by defendant Maryland Casualty Company.
26. Denied.
After reasonable investigation, answering
defendant is without knowledge or information sufficient to form a
belief as to the truth of the allegations contained within the
corresponding paragraph of the crossclaim.
27. Denied. This is a conclusion of law to which no further
response is necessary.
28. Denied. This is a conclusion of law to which no further
response is necessary.
WHEREFORE, defendant Maryland Casualty Company requests this
Court to enter declaratory judgment in its favor and against
defendant Empire Fire & Marine Insurance Company.
Respectfully submitted,
POST & SCHELL, P.C.
.../ dcc ../(c ,~e-~// '
ALLAN C. MOLOTSKY, ESQUI
ATTORNEY FOR DEFENDANT,
MARYLAND CASUALTY COMPANY
-2-
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VERIFICATION
I, ANDY HILL, verify that I am an employee of the Defendant,
MARYLAND CASUALTY COMPANY, and that the facts Bet forth in the
foregoing Reply to New Matter of Co-Defendant Empire Fire & Marine
Insurance Company are true and correct to the best of my knowledge,
information and belief. I understand that statements therein are
made subject to the penalties of 18 Pa.C.S. section 4904 relating
to unsworn falsification to authorities.
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CERTIFICATE OF SERVICE
ALLAN C. MOLOTSKY, attorney for Defendant, Maryland Casualty
Company, hereby certifies that a true and correct copy of the
foregoing Reply of Defendant Maryland Casualty to New Matter of Co-
Defendant Empire Fire & Marine Insurance Company, was served by
First-Class Mail to the following:
George F. Douglas, Jr., Esq.
Douglas, Douglas & Goudlas
27 w. High street
P.O. Box 261
Carlisle, PA 17013
Robert J. stewart, Esq.
Barley Snyder Senft & Cohen
100 E. Market Street
P.O. Box lS012
York, PA 1740S-7012
/ de. c. _~.(.t..,..e~
c. MOLOTSKY
ALLAN
DATED:
07/rr'l
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Cupp, doing business as Cupp Auto Sale
In the CoU" of COInIILlIn' Plaa of
Cumberlaad Colll1cy, PCIIJIIl'Inm..
_____~~t~~_~)~~~_g~PR__~~_~~~i~~_~~._._____
VI.
Empire Fire and Marine Insurance
___.~C?'lIl!~l'.Y.J1m_tliDJJ!.~_~!l'.l'.J!.lli~.i'.mPJl~
Nil.
94-1985
CIvil.
:9______
--.-----------------------
---------------------.-..----------------------
-----------------------------
------.....- ____a. '.. .__.. ________.._____________
---------------------..-------..------------------------------------.--..------------------------
Sir:
..-.- ------------------------------------ .------------..--- .. --. ..-----------------------
Please mark this case settled and discontinued.
,..--.----------------------------..-------------------------------------..-..---..---------------
_.____________________________________________M__________________________________________________
.------------------------------------------------------------------------------------------------
~---------------------_._-_._-----------------_._.---_._-------_.-------.-------------------
--------------------- -. ---------------------------- ------------.,.----. -- ,---------------
To
Lawrence Welker
-----------------------------------------
--...
------------------
Prolhonotazy
94
19_____
Oct. 20
~glas.
1 ~jI
Do~~\as. & Douglas
r..J:-~~-1________
~fo'r Plaintiff.
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'VI.
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PR.'ECIPE
pr~ed ___________________________ 19______
__________________________________, AIry,
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