Loading...
HomeMy WebLinkAbout95-04102 ,. .. 3. On or ollout Moy 12, 1995, on<l 011 May 19, 1005, ponnDOr tal\uo~lllll that RPV Vehlole leosll1ll Corp, provldo Ilnal1c1ol rosponslhllllY InlotlllllllUII fOlllltdlll1/ II (;11<1111111: Sedan, VIN No.1 G6K0521331lU30050ti, Iltlo l1ul11hor 4760.,030.1111<1 nil Il1lntl1l1l!lll1l1lltuuk VIN No, 1 HTlOZZM9JH600217, 11110 I1Ulllhot 41 03B206, Truo I1l1d ,;uftOlll l)l)plo~ of Ihls oorreepondenoo oro allnchod horolo os E~hlhll "A", 4, Tho Inlorl11ollon roquoslo<l WIIS provl<lo<llo p'lIlnPor un .JUllo 26, 190B, A true end oorrecl copy ollhls corrospondonco <lnto<l Juno 26, 1995, fflllll JIII11US F. Hny to PonnOOT Is ellachod horolo as E~hlllll "13", 5, Thoreaflar, on July 3, 1905 and July 10, 1906, fWV Vohll)lo loasll1U Corp, received addlllonal corraspondal1co frOI11 ll1Wrafll;o p, Whllll, Alltll1ll Dllolltur 01 tho Buroau of Molor Vohlclas, InrJlcatlnu Iho vohlclo rOlllstrl1l1llll Illr tho CI1<1II1I1I) 1111<1 tho Internallonal truck would llo suopol1do<l uffucllvu AuOUSI 7, 100!i 1111<1 A\Juusl 14, 1996, respactlvely. Soa truo and corract coploo of thoso 110llcun ulll1chud hnfolll I1S E~hlhlt "C", 6. On July 6. 1995. RPV Vohlclo luuoll111 Corp, spoko hI II Pnlll1ll0T o\lOl1t regarding the ouspenolon of Iho roololrollol1 prlvllol/os lor Iho oulljlJ()1 vohll;lus 1U1IJ woe Informed that the Motor Vehicle Reulstttlllol1 ROl1owol Appllcullol18 lor thosu vahloles wuto oompletl! end that tho vohlcleo woro morely sulllllct to all audit. .2. COMMONWI~A1:I'JII)I' I'~:NNNYI.V ANIA lllWAltTMIWl' Ill' TltANM'llllTATlON IIUltl':AU 01' MOTlllt Vl':lIlcn:s I'll 1I0X H~H lIAltRINlIlllHi, I'A 17111~ " I' V LEASlNG CDRp .... E HAlN ST NEW KINGSTDWN, pA 17072 lnrlltlll.lllIIl (7100 AM III ~13111':\1. 1'lllllbutKh ArL'A 41 H~~~(r71\ ' l'hll.del""l. AtL'll 11~6~K.KIIIII lIarrlllblltll Atra 717.7H7.31~" I ToIll;tett HI)I).931.46111, '1"1)1) 111)1).1111-067(, I\hy 11, IIJIJ~ I)elt Mototlllll '111e IIUtl!llllllr l\Iolot VehldL'4 h.. dell1l'lnlned Ih.1 tL~luhed nn.lld.1 rL'$(IIlIIIllbllllY (InllltllleU) Inflltm.llon WlIJllllellllllllelc 1111 yoUt re~llIlrlllulI tenewlllI,pllL'llllun (MV Ill!) fot he fllllowlnll vehldel MAKEI cAl>lU.A(, 1I0llY TYI'l':1 N~:IlAN, VIN NOI IG6Kll~1113ltU300Sl1S, 'I'ITll':1 471il17939. flnlndl! tapllnlllbUlly III rl:tlulrollll be IlIllnllllll!d 1IIl oil currelltly tL'~hlrtL..t ,chldCll for the period IIf teallll'1lllllll. 1'.III1t<' 10 m.11I1111I nnllldll rL'fponlllblllly IIn I mlllllr vehlrlu tl:tl1l1tl!d III be rqllaletl!d hll'enJlaylunl. will rftlulllll Iho lusprnllhlll of Yllur tClllllnallllllllrivllCllo. In order IlIprcvellllhe sulpmshlll"r YUill relllllnallon privlleae .nd .1I0w 110 III upd.le lIUt tL'Ctll'<U, plcallU I'tovlde I L'IlI'y of ono of Ihe fllllowlnw YOUt Inllllunel' IIlcnlln....IIOII card, Iho ded....lllIIl'..lle IIr Yllllt IlIlIunanee IlCllley, . vllld blndtt 1If1l1ll1l'11ncU, '" In lr.pllf:lItlon fllr hllllll'~lIee 10 th. I'ennlylullhl. Aulo IlIsut.nee l'l.n fllr Ihe dCllt:tlbL'<i 1lI11111r Yfhlde. 1111 neCClSllI1' flit YlllI 0 prllvhle CIlpIL'" IIf .he Ipeclt100 dOCulllentl .nd rdllm wllh Ihll nllllncaUlln, A IUlf..ddrL>Yed envclullO has """.II encllllcd (01' your collvenlwCll. flnlndll rL'lIllClnalblllly rovrtlnlllhe Indicated vehicle II nil 11InKer t<"IlIltoo booallllU Ihe vehlde has berm ( ) ,JunkL'<i ( ) TradL'<i In ( ) S.lld ( ) Tranllfettl!d Ai A Gift ( ) Olher . I'ICIIC ptllvlde lIeenae pllte reedl.lllt ulhet IUlllMlrlhl1l doclllllenlllllln If y"u hlvu chL'ilked .ny IIf Ihe .llClve tClllltltllllr If Yllllt vehlclu 1lllIlIlot.l/e '" hl011OI'1Ible .llhls Ume, you IlIl1lt Imml!dl.lely lIurrcndct Iny Cllrrent tL'1lllltrlllllln pille 111.1 eard fllr Ihe dCllt:rlbo.'<i mlllur vehicle III Ihe llcl..rllncnllll Ihe lime Inlllrllncc euvel'1l11U Irtmlnlllctlur nnlndll rcs!l'lnlllblllty 1111lll.'<i 1lIlltcv<nllhe llIlllOnlhlllllf Y"I" rL'1lllltl'1lUlln prlvlleae. 1'leaM relllrn your rLlIllIlnallon pille Ind and tOI llt:PARlM~:NT 01' TRANSPORTATION, DUREAU 01; I\IOTOR VEflICLES, t'lNANCIAL RESI'ONSIDILnl{ SECTION, 1',O.1I0X 68614, IlARRISlIURG, I'A 1710l).8614. PI.l':ASE NOn:1 ORIGINAl. IlOCUi\U:NTS WILL NOT liE RETURNEO. Slnecrcly, Smlce ReprL""'nlllllve Team lIuralll IIf l\Iolur V chides IJSlIS 11 111011 ~1311J1J3400361l11101 - COI\II\IONWEAI.TlIOl'I'I':NNNYI.V'\NIA UlW,\R'I'I\IlWI' (110' 'l'ltANNI'llIlTATlllN IIUIU:,\lJ 0'" MOTllll VWICU:S 1'0 IlOX K~74 IIAlllllNlItJlU;, I'A 171U~ ~~IW ? 6 I~ ~._h. ___u. ~_...__ R I' V VEHICLE LEASING CORP I' 0 1I0X 401. NEW ~INGSTOWN. PA 1707a lttrl/l'lIIalllll' (7IUO Asnii'6i3lJ 1'1\'\ "IIIIIIJlltKh Atea 411. ~~~.~~711 I'hll.drll,hl. At... 11~.~~H.HIIIU lIarrlllllltK At... 7 17.7H7-313U 'I"IIII,tre HUU.911.4~IIU '1'1>1) HIIU.1111-1I~7~ May IIJ, I~~~ I>rtlr l\I11h1tlllll 'l1,e IIlIt,'all IIr :\(III11t VehldrA hll4 delerllllnrd Ih.1 tr,\"lted nnlnd.1 t.\lfllllllll~lIly (lnlllrance) IlIlImn.II1111 waa IncIIlIIl'le'. IIn Yllnt t"KllIltallolll rrllclul al'l'lIcIllIIIl (MVIUIJ) rllr 1111 Mlllwhlll vehldel I\lAK~:, INTUIN'\'I'ION/\L, IIOllY TYI'EI 'IllUCK, VIN NOI IIITWZZM9.J1l6U9117, TlTI.l':1 41~3H1U6. ~'III'"cl.1 tcal'IIl1alblllly II tr'llIlrCJIIII be IIIlh...lllclI IIn .11 cllttelllly teKlllere,1 vthlr.lfJI rllt Ihe l,.rlllll IIr t.KIIlIr.IIIIII. 1'.lIl1te 111111111111111 IIn'lIctal t"'lllInllll~IIIY IIn . 1II11111r vehlde tllljlllred III be teKllllrt..' h, I'ennlylnn . will t..ulllnlhe IIl1al'enlllun IIr Yllllr reKIII.rallon '1I'lvl .1Ie. In "tdrr III Iwennl Ihe IUIIllCnalllnllr y""t trKla,....ll)Ill'tlvllelle I"d .111111' UI '"l1l'dale oor t''Cllr,l" "lr05e lltllvlolr . CIII'Y "r I!II. IIr Ih. rllllowlnKt Y"llr Inall",n.>! Iolrnllllc.tllln e.td, 'he d.r1....lIl111 'liKe IIr Yllllt 1"lIu",nc. 1,"l1ey, a valid I~ndrt IIr IIIIUtllwe, IIr In .wllralllln rllr Inlllrance III Ih. I'ennaylvlllla Allllllnllltan.'\! l'l.n rllr Ibe Ikacrlbe,l,nolllt v.hld.. ilia lIeel'Jl.,.ty rl/l' YIIII 10 llrllvlole OOlites IIr .he aperltled docUlllenla anti relurn wllh Ihls nlllltlCllllolll. ,\ adr..,hlt....tI env."'I" h05 b",," .ncl'lIL'd rllr Y"U' oonvenlenre. flnlndal te."llInalhIIlIY ''IIvetlnltlhe l"dleAled vehlde la nil IlInlter t.'I"lr.1I brCJluae Ihe v.hlde h.. b""llI ( ) ,'lIl1kr,1 ( ) Ttall.d In ( ) SIIhl ( ) Tnanllrem',l Aa ,\ Gift ( ) Olhet . 1'1.... Ilrllvlde lI.elll. I'lale trcdlll IIr III her alll'llotllnK dlll:lll11entalllln If YIIII have eh.cke,1 any IIr Ihe allllve te""",,s lit Ir Yllllr vehicle lain sloralle IIr Inllll.nallle allhlallme, YOII IIIUII hlltll.,II.I<ly autrendet any <lIlt.nl r<Kllllrallllllll,.le and r.llr" rllt the des.rlh... 11I11111. y.hld. III the O.fIlItlment '1lhe IIl11e InNllranc. ''IIvet'Ke l<tmlnal.,1 IIr l1nanrlal ."llllllalblllly '."mlln l"eY.nllhe 11I~I'<n~hlllnr ynllr telllalrallnn .,tlvllello. l'I"lIA< t<lorn ynur t.Klltratlllnlllale 11\11 cJltlllnl OEI'ARTMl':NT OF 'J'IlANSI'OltTA'JlON, IIUllEAU OF MOTOR VEllICl.ES, ..,S "Nr'lo\l. IlESI'ONSlDIl.lTY SECTION, 1',0, "OX 68674, HARIUSfllJllG, 1''\ 17106.8674. 1'l.~:ASE NOTEI OIUGlN,\L DOCUMENTS WII.l. NOT 1m IlETUllNJm, SIII<<t.ly, Serylce Rellr""<lIlatlve T<a,n IInreau IIr ;\Inlnr V.hldes 9~1l51 ~ 11100 95139 ~1J130Ul~~U 001 OU.,NlOIIlG/)ll ~~LM.L?': !!!!!..!I~!!U.U.I!~!9!~X..l~~~"~.E~- .~O,NT.".".Il.TI,~.~~~I.OT T.O.,THI. CI1NOITICl~,~.:!IIOWN!,N Tlil. !!,IYI-"[,S!. ~IOI 0' TlUS 'E"-~ "'llUm l..r./Jt'.oL..JlJUU1:.ittJ-l'U.l.__,.......- CON""1 IIHIlI"' DARR-THUMAA INSUAANCE,TIJ.IL\',MIJC~r.Q.l}p',. -.. -- .._[~ -!.--mn"'llN--"-. POBOX 699 ....~....IJAJL.,._____. .JJ~~KI-;;"'.. ....J1ML.-.-.t~:l.~:~~. CARI.ISLE L'A 1701J _.9~_/l!lLJ_q_ __1;1.1.9)1 _,!~_ .9.?.LJ!J.L9E___ -- !!~", ---r.::- --------.. ""UlNo," 's 'IiIVlo 10 ,,"ho CO""'C~ IN "., PloV' "';'10 CON,,,,, CCDI, 1701 __L!~I-<:ooll X ',"""""OI'OLIllV" 1591)009176900 l r.;;o, A V ALM 5 0 _ ~ .--.-.--.---' Ollell,no" d. D"".nOHII'IlI~e~"""O"""IInoI_ LOCiij"'1 D "....I.... l~,SURANCE BINDER VALK MANUFACTURING COMPANY P.O. BOX 210 CARLISLE CCVI"/lOH6 h~. 0' IN.U.....HC. COYI...QL,rHU.. ;iii:"~"~ ..- 'c~'~'a.1I om4s ----.,~_._.. .------.....-,.--.~-----..-..-. :~= ,,"C [] ..0.0 CJ mc P 1'1013-0210 W,IIU .. _.~p~~t_ ___ '4_~~~5!!!!:!_...E-~~~ '\ I -L_. 0111'''''1. LJ."Un ~ '-' COhA....RCI...... QIHI"M. U,lAIl/TY ==.J CUd~. ......0. Doccu" _1 0"'.1"1 . CO.,""CTO"'S ,"or I ,--~. -_.- -..---- I "1''''0 D~" 'OR CUd..... J\,l~DII ,,"NOIILl u..,un Un er nsured Motor ist _x, "'''UfO lilred Car Phys ica 1 Damage .,,-O"'.ID'V'O' Work Loss - 1$1,000/$5,000 : IC.,oVLlD 'u'D' Funern 1 Expense -X "'.'0 'VfOIl DOC coverage - HEllen Va lk & spouse X. .C.O"'''O 'urol Ted Va lk & Spouse Broadened FPB -Helen,Ted, Linda Valk -Judy Brannon $ 35,000 $150,000 Olhl"..L '+'OQAIO"" --- ~t!Ducta ' CQM'ICI' "00 . PI"W"'''L l "OV IkJlJ"Y I r~~!.. OC~~INC!.___ .L:===... 1.!1..!!.~"Q_~J~_ont '!!L .!___~__. I ""10 UP ( ant peo'tI;lf\l I CO~I"lo ".O~ "'lIT !.lJ. 00 lh.QQ.C ~~:.U"Y II'., ~l I DOI~I!. Y IN,IU"'" III.. fICIClIl>>nll . PROPIAN 0"......0. I ~.01C.....""... , 10, aae \ p."leN"!. INJURY ""o~ ~I - I VN<Nllu"IO ~o!.~~~~__._-1,~1 OO~ I AUf 0 "i'flIC"L o"W,U)I DIDUCTilILl ' "LL ~1"'ICLU .X, CCL".,O. __1..,.9.9.9 X 0"'" "'.. co~, _ , 5QO 50'IOUllll ~lt'ICln X ...,tV"l C"l5ti 'Ol.1 5U'l!O "~Cl..",t Oo.lA ..uta Chl Y ItA .l,e OINT I I on<eA l'lim .lU.,o.c~!.;..- r-'." - ("~"'t;' ltAlUltY'J' "Ny"'U'O I"'C!I.~C~!.._:.~. __.,_._ ._.. "OUII'O"'" I [""Ii O:CCvAR!f.NCI . ._._-----_._---_..._._-_.~_.-_..-- . uelll LI"II!.I"" \"",III"HU '0"'" .,:ntlt' rn"N ulIIlIIILlJo '0"'" ; "nllO 0"1"1 '0" C~IJ\,la ~"Oll ~O"IlIR" (:O",,.HI.'tO,.. 'HD 1t.l'lO_I,,'ILlUlun ..tJCf' IftJAt 1 . .,_..__._----~--- UL~ ,r-,I5\JflIO "I""''''CI'I I 5U,f\J'rGf'Y l.~l.' ....______-. . He... .ACCIOINT I .-...--. ...-.----- OIUMUt . POLICY l;I~U" I I ...-- .._-------------~..-. 016."51 '.ACH UMP\C~II : I ''':iJ'' RPV VEHICLE LEASING CORP IS TO BE SHOWN AS ADDITIONAL INSURED/LESSOR 1V~I~noHII 1994 CADILLAC SE VItI ,jIlG7KD526JRU300505 "'.'011 COMPREHENSIVE DEDUCTIBLE I $500 COLLIS ION DEDUCTI BLE: $l 000 NAMI! . ADO"I!SB RPV VEHICLE BOX 406 RT # 11 ~EWI<INGSTON . LEASING CORP . ~O"'Q"Cll rx _.!.on t~~..~_.._..__._. ,LOM, ! ~. . "'CDlfICN"'l hl5UAIO --------.- ACOIID TIIo PA l7072 N TI 1M IT" €.~ XS (l CI "COIID co,,'OI'lAT10N It . " ,. , ~!I~ [ Il! - E ~ ! ~ ~ c: e ~ 0 ~~ - := . ~ . ~ . - ,... - 8.~ r.o h CIO , . ~ ! u .,.. e~ ~ u. IX ,... 00 .,.. ....> ~ ....1- < O..~ i 0 ~ c. ~~Cl ...0,.....,.. C:"U)"" U.CIO~ ~ 0 .,.. ~Or.oll3 E~m~ ::I><cn fh~ii ..- io~e' ~ ~~~~ 0 5t'~m ::J .,.. Omc:i~ -- J c( ~ . CO o..ma.:x: ~ ~ - ~ i I 1'," ! /' .. .'" " ' . ..,"I.I,;~I.;~_~').:I;:" . , l(, '_',' 1""",1, , :,' I ., , , ", . ,,' l -'1/" .' ',' ':.' ~ - i ~ ~ ~ '& '1 C ~ =: 0 '1 '+:J ~ - ~ ~ . >or . " - 8..; cD . ~ : ~ cD 1 ! (,) 0 E (!-- .... ... ....i 10 lJ.a: " 00 ... -> ~ 16..~ o ~ lilt :I"<.? i"'''''r:: u.~a: o CD .,.. ~OcDffi ~:I~4 ::Ix(/) - O>C~ lh~ga: ~ o ... ca:oa: 5J-:1tQ ::s c(::I~~ ... o mo 1 ...... ~lX1 ~ c(:1 -Ill Q.tQQ.X ~ c. ~ i ; ,'., ',' : 1i,II.'::~">'" ,r, . '. '.". ' , . .'" "1. JudV Runkle Bure.u of Motor Vehicle. July 8, 1995 Page Two WI Wltl "ot able to respond to your t.questln a morl IImely fashion dUI to thl followlngl The above referenced vehicle Is oovered by a buslnlSs automobile polloy Issued to thl leseee of the vehicle. The current Insurance eHectlvQ April 30, 1996 Is through a new Insuranoe oarrler; the polloy was not tecelved until last Wllllk, The blndet tecelved for tho Insuranoe did not list the addltlonell~amed Insured or provide any epeolflc vehicle Informallon. The dllclaretlon page of the Insurance policy does not provide any vehlole Informallon and dOllS not Include RPV Vehicle Leasing Corp, alS the namlld Insured; RPV Vehicle Leasing Cotp. Ie an additional named Insured by endorsement to the polloy, Thl flnanolal responslbll~y IdentHlcatlon cards do not list the additional named Insured, only the primary Insured which Is the lessee, Since we have and have conGlstently from the date of purchase maintained Insuranoe ooverlng the above referenced vehlole, we have no need to be applying for Ineurence to the Pennsylvania Auto Insurance Plan for It. It Is Important to note that there 1'111 no due date or rlllponse period eteted or Implied In your original requlllt for Information. Alter talking to your telephone representative, It would appear that the Bureau of Motor Vehloles had not received end/or processed our In~lel response prior to your Issuing of the above referenced notlcll, As discussed In that telephone conference. enclosed are the following: . Another copy of the Certificate of Insurance relative to the above referenced vehicle, A copy of the following pages Irom the current policy providing Insurance lor the abovl referenoed vehicle: Declaration page Automobile Extension Schedule showing the above referenced vehicle as Included under the policy ae vehlole numblr 0021 Additional Named Insured(s) Endors'iment showing RPV Vehicle Leasing Corp, as on add~lonal named Inlured An....... INSURANCE BINDERuQ~'i.r;I'?!i .T'III_~I~P~!!.I,S_~_!~"'''l=to':.v~~UA~N.E~_CO~TA~C_TI. SUeJICT TO,..Tltl.CONDITIONI, SHOWN. ON TIll "I. VIA\GI. .11._0 10.r. JI4IS .~O"M ,~oovm .wg,:4t,."JI~J,I:, fi 1.J.7: ~ ~~. L... .. _.. gOM',H. '1Hll1~ , DAHR-'rHUMMA IlHIURMICE 'J.'1\.E.PM.,~et~r-9YP . - .. .1 mlil~nbw.. pOBOX 699 . .. pm. 1.-. "~II~' mI.. PHI. -- \ X :::v:, ". CAHLIBLE PA 170].J _91DOI~.'5l__PI()1l J.~. o7nO/?LJ ~Il"" ~~ 1701-'-.------ =r;vl-Cujj.~------- ....--..-- ..--- X Lvm:~~~I~:mmj),',O t'5':;I~'O~G't7~W~OVI """u "O~"'" ) r---~I~ V i\U~ 5 O.::r ,- --------.-.'-.----== OIlC~~ 0'.~.110HINII.C~il,,~omn ,..,...... l.oc..onl VALM MANUFACTURING COMPANY P.O. BOX 2l1l Clililli.!&L- COVIA~QI5 .. .__. '...~_~. ~~~}~~~I~C_ ~.__ '1'0'"'''' c,luau 0' losa -r-.- :~~ m'C [] "0'" [J mc PA 1701J-0210 . ...__.__cgJ!!!t~illPU~-~.. .IiQIJ.~!_ LJMITI bJ~U.~J!!~!. a:O~~I." ---,.- ...---------.---. OItII""L LIUlun . ---, r,O....h1l"CI"L GINt"..... u#.8IL1TY ~-:J CU,ltoll ....M). 0 occu", =~~ ~:~:~ :::cro:_:~:. \ I '*IT''O 0"'. 'OR CVI..... ~,.D.I Under insured Motorist Hired Car Physical Damago Work Loss - $1,000/$5,000 Funeral Expanse DOC coverage - Helen Valk & spouse Ted Valk & spouse Broadened FPB -Helen,Ted, Linda Valk -Jud Brannon ,lIJTONUIK.1 UUlun X' my ~U'O --'-'-' , "u, QWldD "UTO' -. ~ $C~IDULID "UTOS X ' MI"ID ",UTO' -~ 1. ",eN,OWNID .lUTOIS $ J5,OOO $150,000 .-9~_~!~~~!9~!...- L.______..__ ..P,ODU<:fI . a;OhlPIOIt "GO J PI "SON"" l U)V INJIJ'W I ~~~.~E~'U~_~~~_H_ I-~_=~~..~~'~' 1}2"l_~"",~~'.!~_?"'.!'''L .L________. \ !IlID IllP . 0111I ~jtot'l I ~' CO~."'O ~"'O~~.':.-""!~ .!1/..9..9.<L_.Q..9-9 ~~~~l. ..!----..~ - - ,.- BO~~ ,11'1 MQdtnlI , _.___ l~~::~,"::'~~ --.. ~-i-o~oo 0 t ~~~~~~~!~__1l-===- I U"'"'U.'O ~oTo.'5T 1. J 5 000 "__._.__..._____._l~_.______L__ , X , "CTU"''' C"'~I~ \1>>.,1,,;1 SU,UD ",~OuN" o 1l"'1 A '-'LJ'0 0"-1.'( , ." "'CC'CINT I' ..- ,--.-- ~ AUTO 'HYlIC"'''' 0......01 OIOUCTilSLI .l_ CClLlIIO" ___1..,.Q.9.0 X 0"'(. """ co~, 5 0 ('\.....Olll....llTY ~y "UTO ",lL\I(tlICLU l\CtiIDlJl.f.D \l1~ICt.U on11~..~~~.u.~~~__~__--- --- ,-. --------- I!...CIi ...CCIClhT I . -. .---.. .,'~ --'--'-'-'- .Aaa~IG.A't l (.ACt. CCCtJ~~INCI ' l ... ..___._._._.~____.___t.___.____._.._. - "aC~la.A'1 l ...-. ~- - ---+... ----- --.-.------- ISH' 'hlStJ~ID I'ITlhrCN l 1S''''I,ITcnv Llhal" r--.- .._-~--- ----..,---------... I"CH "CCLOINT , .._----- -.~ ~-!--~----+_.. OIU"'U ' POLICY Llh,llT I , ,_, _.. __ .__._ ___..______.__ t.-----.---~- Ol151Mil . ."CH IhaPlO'1I1 , .. It. RPV VEHICLE LEASING CORP IS TO BE SHOWN AS ADDITIONAL INSURED/LESSOR iv~i~'OH.' 1994 CADILLAC SE VIH HG7KD52B3RUJ00505 cov~.... COMPREHENSIVE DEDUCTIBLE: $500 COLLISION DEDUCTIBLEt $1,000 N~MI . ~DD"188 1..,1Il1tl'rLU '01'11I OllilR lli,t,h l,It.lI!lI\ILU, 'O"hI I AITRO o,.,n '0" CL)dh,ll ",,,1.)11 UCIII U"III,ln WO"~IA" Co",,.HUTlOH 'HO I""LOYIA" LI".IUT" I t.lOATO"OIl 1"-- )L .~_O~4 ,~~'l'~' I LO,.,N. _X- . "COITION"" ItISU"IO __w_' .____ LEASING CORP THO,ullD A.,,,uIHu.nVI o.p hum\... PA 17072 eve ly . Durham NOTl IMP RTANT ITATI IN OAM~T1DN ON AIVIAII IDI PUSINEllS AUTO COVEMOE PO~M - DECJ..ARATIONS (COntinued) ) ITEM SIX ENDOlUlEMl!.NTS The rollowlnl Ippllu to lhe endcrlCl11enlA Ihl)wn .nd Inachlld to thl5 policy, WITH RlSPECT TO lNOORSl~ENT C~2256 PlNNSVLV~NIA lXTR~ORDIH~RV MEDIC~L BEHlFITS COVER~GE ENDURSlMlNT THIS lHDORSlMEHT PROVIDES $1 ,000,000 EXTR~ORDIHARV MlDIC~L BENEFITS PER INSURED ON ~LL PEHNSVlV~NI~ PRIV~TE P~SSENGER VEHICLES. THE PREMIUM IS INCLUDED ON THE DECL~R~TIOH P~GE. ) J 11o.4WIl1fa,,1 ) AUfOMODU.E E"TENSION SCHEDULE "OLlev NUMBER 159500 917690 0 I'MA NUMBER Ysar r"ake VIN Gar .ged l1egl$tered Slate/Territory Zone Weight l1adlus COSI New Class '~'_.}- Liability Limits L,ablllty Deductible LI.blllty Premium First P.rly Benefltl Add'l First perty PIP Add'l PIP Unlnlured Motor, AUIO Med Pey PhYSical Damage Limite OTC Deducllble OTe Premium Speolfled Peril. Coli, Deductible Coli. Premium Combll1ed Deductible r blned Premium Towing & Lebor ":,."....." lilY 101"UI PAOE ~ OF ~ ~021 f' 0022 9~ I 95 . CADILLAC SE MERC MARQ I IG7KD5283RU3 U\ELM7~W7Sx6 I 00505 ' 5 )985 CARL I SLEPAfCARL ISLE PA I' I , PA 02) I -r---'._' --- I I PA 027 I 35, 2~ 3 21,270 7398 I 7398 BUSINESS BUSINESS Tot.1 By Cover.ge 1,000,000 1,000,000 ))2 ))2 8,61'9 12 12 ~58 53 53 788 6 6 I ! ACV A~V -I 500 500 78 64 108 1,891 1,000 150 1,000 146 4,153 ~/J. C. 1223 ""t U UI coMMONWEAL'l1l ot' I'I~NNSYL VANIA JJI\I'Alt'l'Ml':NT 011 'I'RANIWORl'A'l'ION hUltEAU 01' MOTOR VEIIICI.ES 1'0 lloX H674 IIAIUlISIlUltG,l'A 17101S O~M rr~" MAY ? 6 1995 .---..-----.-' R I' V VEHlCLE LEASlNG CORP I' 0 BOX 401. NEW KINGSTOWN, PA 1707e Inf~nnallu.. (71i1iiAl\nil~i31) I'MI 1'llIshlltKh Area 411.~6~.~670 I'hlladolphla At... 11~.6~H.HIOO Ihttlllbllrll Atm 717.7K7.31311 '1'1111 Iltee HOO.931,~600 TOO HOO.11&-0676 May 19, 199~ lll!llr M~llIrlsli 'lllt DlltoAllllf 1\!IIlllr Vohlclu h.. d.llltmlllOlllhal t.qllltod ""allclal toaponslblllly (lnluraIlCll) IlIflltl11allllll wu hlcllllIl,l.1G ~n Y"Ut ulllslralhm ron.wal a""lIallllll (MVIII5) flit Ihe fllllllwlllll v.hld., MAKF.I INTEIlNATIONAL, DOOY TYI'EI 'tRUCK, VIN NUl IIITLDZZM9J1t6119117, TInE: 4193H1116. . Fillalldal tespllnslbllllY II r"'llllrCJI III bo m.llllalllCJI oil an .lIrulllly r.lliltorCJI v.hldes flit Iha 1,."1Id IIf r.lllllrallllll. Fallur, 10 main lain nnand.1 t"pllnlllblllty on a molot vohldo rOfJultod III b. tOKIII.l'ClIlln 1'.lIluyl~an a will ttlullln Iha sUlp.nllllll IIf y"ur t.lllstrallon Jll'1~1I'lle. In otd.t 10 'tr.~ontlh. 11I1IJl.nslllnllf yoUt t.Klstrallllll JItI~II'lle and allow 11I10 update lIUt r<<ot.u, pi.... I'rll~ld, a .01lY IIf one IIf Ih. follllwlnlll Y"Ut IllIurallOCl IdollUneall1lll card, the declaratlllll f1lIll' of yoUt Insurance JIOllcy, a valid bindOJ' ortnSllranCll, lit an ar,,,lIeallon fot Inluran.. to th. P.nnsyl~allla AUlD lIullranCll Plan for Ih. dl!$Crlbal motllt ~.hld.. Ills ntttSlary for Y"o II "ro~hle tlll'ltS IIf Iho speelnc4 docum""1 .nd tetum wllb Ihll nolmaUon. A sclf.addtrsll.d .n~clllre hu been tllcl,*d flit Y"llr oon~.nl...~, .1n.ndal rCll'olulblllly 1lO~.tlnll the Indlaled v.hlcl. Is 1I1110nlltr tequlted because Iht ~.hlde hu beenl ( I Junk.,1 . ( Trad.d In ( Sold ( Transf.tttd At A Girt ( Olher. l'lealll'ro~ld. IIc.ns. ,11.le tta!lpt or IIlhcr sUl'llorllnll docum.ntalllln If y"u han check.d any IIf Ih. abo~. tl!lllSonl or If y"ur ~.hlcl.ls In 51 ora II. or Inop.rabl. .. Ihla lime, YlIU mUlllmmtdlal.ly lIurr.nd.t any curt.nl t'lllltraUon I'lal. .nd CAtd fllr Ih. d~rlbed molor vthlde 10 Ihe D.f1lIrtm...t at the lime Insurance <overalle termlnaltd or nnanclal resl'onlllblllly lapsed 10 I".venllh. suspension of your relllslrallllll privU.lle. Pi.... teturn your t.lllslrallon I'lala and CArd 101 DEPARTMENT OF TRANSPORTATION, DUREAU OF MOTOR VEHICLES, FIN "Nn".. RF..5PONSlDlI.ITV SECTION, P.O. BOX 6H674, HARRISBURG, PA 17106.8674. PLEASE NOTEI ORIGINAL DOCUMENTS WH.L NOT DE RETURNED. Sincerely, Service Ropr..onlall~o T""m Duteau of Molor Vehld.., 9~0~19 11100 9~139 9913 0019911 001 ') , BUSINESS AUTO COVERAGE FORM DECLARATlONS-(CDlItllllllcll ITEM THREE SCHEDULE OF COVERED AlJTOS YOU OW~ Premium Bill. .... C:beckld BelDw IH '~TIIMOBILI l"INIIO~ 'CIIIDULI 'B,p.)1 Pl~ ,UTOMOBILI ::! '" coMI'OIlTI ~'" INllOR!IMIIH I'U. At1rOMQlIlU CJ COVERAOES-PREMIUMS. LIMITS AND DEDUCTIBLES (AblenCe of I deduclIble or IImll entry III Ill)' columll beloW meonl lbol lhe Iimll or deducllble enlry in the correlpondlllS I TEM TWO colllllln oppllel Inlleadl LI'BILITY PU!O~'L INlun 'OllfD P,I.P. p~I)TEeTlO~ LIMITI LIMITI IT" TED IN LIMIT IT"TED IN " Op )I".ILITY I"ell P,P,I.IPH IACII "OOID INDOUIMINT P,P,II.IP,I,P, MINUI OIDueTllILI INDO~UMINT IIIOWN nLO~' 1,000,000 PUMIUM 8.649 458 788 UNIN'U~ID MOTOIIITl UNDI~IN'UUD I MOTO~IITI I AUTO MIOlCAL P"VMINTI SEE P02104 SEE I P0210J 108 I NCL I L COMPREHENSIVE SPECIFIED CAUSES OF LOSS TOWINO " LABOR COLLISION ! LIMITS OF iLIABILlTY I LIMIT! ".'TlO IN ITlM TWO MINUI DloueTIBLI IIIOW~ BILll'" LIMIT "'TED IN IrlM TWO I P" o1ITirnil1N T LIMIT ITATlO " ITlM TWO MINUI OloueT. I BLI IIIOW~ I!LOW SEE SCHEDULE SEE SCHEDULE \ PREMIUM 2.202 4.453 ) QOolIII-'MT'I INIW IM"II I .r 4 Conn I'" Nu, ,.,.1 e" 00 01 liD I lItO' T" t'1 - () ~ 1') 7, ~ ..t. 0 ~. III C;j r~~ I'!. l'l Q -...J " . ~. ..... ~; r; 01 . yJ C'! l:ft -. r- .~? ..\,1 ',I 'tJ ~.) " I \.,\ "'\..} Ii , I' , ! tJ r:' ~. 0 ,I- r. ~ p r . ~. .4 ..r . ~ ~ . t 1,1 ,-, I~ < J ....,-'1 ~ :;s~ , I ,- <-- .~ .'.~...._.--.,. t'-l, ,. , " ,') '\~ f,~ ., IJ . I" '-.! ",., ''1'" ,!.l ':fD II " ~; (I I" r'i," "i' \lJl ~', . I..;, j "'J ~fl I ",I; .-:" I ' t.' 't ~', .. (, ::I t~ .', Ih