PERSONAL%2520AUTO%2520POLICY

PERSONAL%2520AUTO%2520POLICY - PERSONAL AUTO POLICY...

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PERSONAL AUTO POLICY Contains copyrighted material of the Insurance Services Office, Inc. Used with permission
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PERSONAL AUTO POLICY DECLARATIONS Policy Number PA COMPANY NAME Previous Policy Number Policy Period From To 12:01 A.M. Standard time Named Insured and mailing address The Auto(s) or Trailer(s) described in this policy is principally garaged at the above address unless otherwise stated: Number, Street, City, State, ZIP Code Coverage is provided where a premium or limit of liability is shown for the coverage. Coverage Limit of Liability Auto 1 Premium Auto 2 Premium Bodily Injury Liability $ each person A Bodily Injury Liability $ each accident $ $ Property Damage Liability $ each accident $ $ B Medical Payments $ each person $ $ C Uninsured Motorists $ each accident $ $ C Uninsured Motorists $ each person each accident $ $ $ $ D Damage to Your Auto $ Actual Cash Value minus $ 1. Collision Loss $ Deductible $ $ 2. Other than Collision Loss $ Deductible $ $ Towing and Labor Costs $ Each disablement $ $ $ $ Endorsements made part of this Policy at time of issue: Endorsement Premium $ $ Total Premium Per Auto $ $ Total Premium $ Auto Year Trade Name Model VIN Symbol Age 1 2 Loss Payee (Name and Address) Countersignature of agent/date Signature/Title - Company Officer
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PP 00 01 06 98 Copyright, Insurance Services Office, Inc., 1997 Page 1 of 12 SAMP LE PERSONAL AUTO POLICY AGREEMENT In return for payment of the premium and subject to all the terms of this policy, we agree with you as follows: DEFINITIONS A . Throughout this policy, “you” and “your” refer to: 1 . The “named insured” shown in the Declarations; and 2. The spouse if a resident of the same house- hold. If the spouse ceases to be a resident of the same household during the policy period or prior to the inception of this policy, the spouse will be consid- ered “you” and “your” under this policy but only until the earlier of. 1 . The end of 90 days following the spouse’s change of residency; 2 . The effective date of another policy listing the spouse as a named insured; or 3 . The end of the policy period. B . “We”, “us” and “our” refer to the Company provid- ing this insurance. C. For purposes of this policy, a private passenger type auto, pickup or van shall be deemed to be owned by a person if leased: 1. Under a written agreement to that person; and 2. For a continuous period of at least 6 months. Other words and phrases are defined. They are in quotation marks when used. D. “Bodily injury” means bodily harm, sickness or disease, including death that results. E. “Business” includes trade, profession or occupa- tion. F. “Family member” means a person related to you by blood, marriage or adoption who is a resident of your household. This includes a ward or foster child. G.
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This note was uploaded on 04/01/2012 for the course 06F 102 taught by Professor Donnal.pearcy during the Spring '11 term at University of Iowa.

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PERSONAL%2520AUTO%2520POLICY - PERSONAL AUTO POLICY...

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