Texas: Auto Policy
Texas: Auto Policy
TEXAS
AUTO POLICY
INSURING AGREEMENT.................................................................................. 1
GENERAL DEFINITIONS.................................................................................. 1
ii
TEXAS AUTO POLICY
INSURING AGREEMENT
In return for your payment of the premium, we agree to insure you subject to all the
terms, conditions and limitations of this policy. We will insure you for the coverages
and the limits of liability shown on this policy’s declarations page. Your policy consists
of the policy contract, your insurance application, the declarations page, and all en-
dorsements to this policy.
GENERAL DEFINITIONS
The following definitions apply throughout the policy. Defined terms are printed in bold-
face type and have the same meaning whether in the singular, plural, or any other
form.
1. “Additional auto” means an auto and any land motor vehicle of the private
passenger automobile, pickup body, utility vehicle or van type with a gross vehicle
weight rating of 25,000 pounds or less whose primary use is not the delivery or
transportation of goods, materials or supplies, unless their transport is related to
farming or ranching, of which you become the owner of during the policy period
that does not permanently replace an auto shown on the declarations page, if:
a. you notify us within 30 days of becoming the owner of the additional auto;
and
b. you pay any additional premium due.
An additional auto will have the broadest coverage we provide for any auto shown
on the declarations page. If you ask us to insure an additional auto more than
30 days after you become the owner, any coverage we provide will begin at the
time you request coverage.
2. “Auto” means a land motor vehicle:
a. of the private passenger, pickup body, or cargo van type;
b. designed for operation principally upon public roads;
c. with at least four wheels; and
d. with a gross vehicle weight rating of 12,000 pounds or less, according to the
manufacturer’s specifications.
However, “auto” does not include step-vans, parcel delivery vans, or cargo cutaway
vans or other vans with cabs separate from the cargo area.
3. “Auto business” means the business of selling, leasing, repairing, parking, storing,
servicing, delivering or testing vehicles.
4. “Bodily injury” means bodily harm, sickness, or disease, including death that re-
sults from bodily harm, sickness, or disease.
5. “Business day” means a day other than a Saturday, Sunday, or a holiday recog-
nized by the state of Texas.
6. “Covered auto” means:
a. any auto or trailer shown on the declarations page for the coverages appli-
cable to that auto or trailer;
b. any additional auto;
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c. any replacement auto; or
d. a trailer owned by you.
7. “Declarations page” means the document showing your coverages, limits of li-
ability, covered autos, premium, and other policy-related information. The declara-
tions page may also be referred to as the Auto Insurance Coverage Summary.
8. “Occupying” means in, upon, or getting in, on, out, or off.
9. “Personal vehicle sharing program” means a system or process, operated by a
business, organization, network, group, or individual, that facilitates the sharing of
private passenger motor vehicles for use by individuals, businesses, or other enti-
ties.
10. “Relative” means a person residing in the same household as you, and related to
you by blood, marriage or adoption, and includes a ward, stepchild, or foster child.
Your unmarried dependent children temporarily away from home will qualify as a
relative if they intend to continue to reside in your household.
11. “Replacement auto” means an auto that permanently replaces an auto shown on
the declarations page. “Replacement auto” also means any land motor vehicle
of the private passenger automobile, pickup body, utility vehicle or van type with a
gross vehicle weight rating of 25,000 pounds or less whose primary use is not the
delivery or transportation of goods, materials or supplies, unless their transport is
related to farming or ranching. A replacement auto will have the same coverage
as the auto it replaces. However, if the auto being replaced had or did not have
coverage under Part IV—Damage To A Vehicle, such coverage will apply to the
replacement auto only during the first 30 days after you become the owner un-
less you notify us within that 30-day period that you want us to extend coverage
beyond the initial 30 days.
12. “Ride-sharing activity” means the use of any vehicle to provide transportation
of persons or property in connection with a transportation network company
from the time a driver logs on to, or signs in to, any online-enabled application,
software, website or system until the time the driver logs out of, or signs off of, any
such online-enabled application, software, website or system, whether or not the
driver has accepted any passenger(s) or delivery assignment, including the time
the driver is on the way to pick up any passenger(s) or property, or is transporting
any passenger(s) or property.
13. “Trailer” means a non-motorized trailer, including a farm wagon or farm implement,
designed to be towed on public roads by an auto and not being used:
a. for commercial purposes;
b. as an office, store, or for display purposes; or
c. as a passenger conveyance.
14. “Transportation network company” means a corporation, partnership, sole
proprietorship, or other entity that uses any online-enabled application, software,
website or system to connect drivers with clients or passengers to facilitate and/or
provide transportation or delivery services for compensation or a fee.
15. “We,” “us” and “our” mean the underwriting company providing the insurance, as
shown on the declarations page.
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16. “You” and “your” mean:
a. a person shown as a named insured on the declarations page; and
b. the spouse of a named insured if:
(i) residing in the same household at the time of the loss; or
(ii) not residing in the same household during a period of separation in con-
templation of divorce.
INSURING AGREEMENT
If you pay the premium for this coverage, we will pay damages for bodily injury and
property damage for which an insured person becomes legally responsible because
of an accident.
We will settle or defend, at our option, any claim for damages covered by this Part I.
Our duty to settle or defend ends when our limit of liability for this coverage has been
exhausted.
ADDITIONAL DEFINITIONS
ADDITIONAL PAYMENTS
Coverage under this Part I, including our duty to defend, will not apply to any insured
person for:
1. bodily injury or property damage arising out of the ownership, maintenance or
use of any vehicle or trailer while it is:
a. being used to carry persons for compensation or a fee;
b. being used to carry property for compensation or a fee. This exclusion does
not apply to you or a relative, unless the primary usage of the auto is to carry
property for compensation or a fee;
c. rented or leased to another. This exclusion does not apply if you or a relative
lends your covered auto to another at no charge other than for reimburse-
ment of operating expenses;
d. being used for retail or wholesale delivery, including, but not limited to, the pick-
up, transport or delivery of magazines, newspapers, mail or food; or
e. for ride-sharing activity.
This exclusion does not apply to shared-expense car pools;
2. bodily injury to an employee of that insured person arising out of or within the
course of employment. This exclusion does not apply to domestic employees if
benefits are neither paid nor required to be provided under workers’ compensation,
disability benefits, or similar laws;
3. bodily injury or property damage arising out of an accident involving any vehicle
while being maintained or used by a person while employed or engaged in any
auto business. This exclusion does not apply to you or a relative, or an agent or
employee of you or a relative, when using a covered auto;
4. bodily injury or property damage resulting from, or sustained during practice or
preparation for:
a. any pre-arranged or organized racing, stunting, speed or demolition contest or
activity; or
b. any driving activity conducted on a permanent or temporary racetrack or race-
course;
5. bodily injury or property damage due to a nuclear reaction or radiation;
6 bodily injury or property damage for which insurance:
a. is afforded under a nuclear energy liability insurance contract; or
b. would be afforded under a nuclear energy liability insurance contract but for its
termination upon exhaustion of its limit of liability;
7. any obligation for which the United States Government is liable under the Federal
Tort Claims Act;
8. bodily injury or property damage caused by an intentional act of that insured
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person, or at the direction of that insured person, even if the actual injury or dam-
age is different than that which was intended or expected;
9. property damage to any property owned by, rented to, being transported by, used
by, or in the charge of that insured person. This exclusion does not apply to a
rented residence or garage;
10. bodily injury to you or any relative, except to the extent of the minimum limits of
liability coverage required by the Texas Transportation Code Chapter 601, entitled
“Motor Vehicle Safety-Responsibility Act”;
11. bodily injury or property damage arising out of the ownership, maintenance or
use of any vehicle owned by you or furnished or available for your regular use,
other than a covered auto for which this coverage has been purchased;
12. bodily injury or property damage arising out of the ownership, maintenance or
use of any vehicle owned by a relative or furnished or available for the regular use
of a relative, other than a covered auto for which this coverage has been pur-
chased. This exclusion does not apply to your maintenance or use of such vehicle;
13. bodily injury or property damage arising out of your or a relative’s use of a ve-
hicle, other than a covered auto, without the permission of the owner of the vehicle
or the person in lawful possession of the vehicle;
14. punitive or exemplary damages;
15. bodily injury or property damage caused by, or reasonably expected to result
from, a criminal act or omission of that insured person. This exclusion applies
regardless of whether that insured person is actually charged with, or convicted
of, a crime. For purposes of this exclusion, criminal acts or omissions do not include
traffic violations; or
16. property damage due to or as a consequence of a seizure of any vehicle by
federal or state law enforcement officers as evidence in a case against you under
Chapter 481 of the Health and Safety Code, or under the federal Controlled Sub-
stances Act, if you are convicted in such a case.
LIMITS OF LIABILITY
The limit of liability shown on the declarations page for liability coverage is the most we
will pay regardless of the number of:
1. claims made;
2. covered autos;
3. insured persons;
4. lawsuits brought;
5. vehicles involved in the accident; or
6. premiums paid.
The “each person” limit of liability applies to the total of all claims made for bodily in-
jury to a person and all claims of others arising from such bodily injury, including, but
not limited to, bystander claims, emotional injury or mental anguish resulting from the
bodily injury of another, loss of society, loss of companionship, loss of services, loss of
consortium, and wrongful death.
If the declarations page shows that “combined single limit” or “CSL” applies, the
amount shown is the most we will pay for the total of all damages resulting from any
one accident. However, without changing this limit of liability, we will comply with any law
that requires us to provide any separate limits.
Any payment to a person under this Part I will be reduced by any payment to that person
under Part II(A)—Medical Payments Coverage, Part II(B)—Personal Injury Protection
Coverage, or Part III—Uninsured/Underinsured Motorist Coverage.
We will not pay under this Part I any expenses paid or payable under Part II(A)—
Medical Payments Coverage.
If multiple auto policies issued by us are in effect for you, we will pay no more than the
highest limit of liability for this coverage available under any one policy.
An auto and attached trailer are considered one auto. Therefore, the limits of liability
will not be increased for an accident involving an auto that has an attached trailer.
When we certify this policy as proof of financial responsibility, this policy will comply with
the law to the extent required.
OTHER INSURANCE
If there is any other applicable liability insurance or bond, any liability insurance we pro-
vide will be excess over any other applicable liability insurance or bond. If more than one
liability insurance policy or bond applies on an excess basis, we will pay only our share
of the damages. Our share is the proportion that our limit of liability bears to the total of
all applicable limits.
OUT-OF-STATE COVERAGE
If an accident to which this Part I applies occurs in any state, territory or possession of
the United States of America or any province or territory of Canada, other than the one
in which a covered auto is principally garaged, and the state, province, territory or pos-
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session has:
1. a financial responsibility or similar law requiring limits of liability for bodily injury
or property damage higher than the limits shown on the declarations page, this
policy will provide the higher limits; or
2. a compulsory insurance or similar law requiring a non-resident to maintain insur-
ance whenever the non-resident uses an auto in that state, province, territory or
possession, this policy will provide the greater of:
a. the required minimum amounts and types of coverage; or
b. the limits of liability under this policy.
INSURING AGREEMENT
If you pay the premium for this coverage, we will pay the reasonable expenses incurred
for necessary medical services received within three years from the date of a motor
vehicle accident because of bodily injury:
1. sustained by an insured person; and
2. caused by that motor vehicle accident.
ADDITIONAL DEFINITIONS
Coverage under this Part II(A) will not apply to bodily injury:
1. sustained by any person while occupying a covered auto while it is being used:
a. to carry persons or property for compensation or a fee;
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b. for retail or wholesale delivery, including, but not limited to, the pickup, transport
or delivery of magazines, newspapers, mail or food; or
c. for ride-sharing activity.
This exclusion does not apply to shared-expense car pools;
2. arising out of an accident involving a vehicle while being maintained or used by a
person while employed or engaged in any auto business. This exclusion does not
apply to you, a relative, or an agent or employee of you or a relative, when using
a covered auto;
3. to any person resulting from, or sustained during practice or preparation for:
a. any pre-arranged or organized racing, stunting, speed or demolition contest or
activity; or
b. any driving activity conducted on a permanent or temporary racetrack or race-
course;
4. due to a nuclear reaction or radiation;
5. for which insurance:
a. is afforded under a nuclear energy liability insurance contract; or
b. would be afforded under a nuclear energy liability insurance contract but for its
termination upon exhaustion of its limit of liability;
6. for which the United States Government is liable under the Federal Tort Claims Act;
7. sustained by any person while occupying any vehicle or trailer while located for
use as a residence or premises;
8. if workers’ compensation benefits are available for the bodily injury;
9. sustained by any person while occupying or when struck by any vehicle owned by
you or furnished or available for your regular use, other than a covered auto for
which this coverage has been purchased;
10. sustained by any person while occupying or when struck by any vehicle owned
by a relative or furnished or available for the regular use of a relative, other than
a covered auto for which this coverage has been purchased. This exclusion does
not apply to you;
11. to you or a relative, while occupying any vehicle, other than a covered auto,
without the permission of the owner of the vehicle or the person in lawful posses-
sion of the vehicle;
12. to any person while occupying a covered auto while leased or rented to others,
including while being used in connection with a personal vehicle sharing pro-
gram. This exclusion does not apply if you or a relative lends your covered auto
to another at no charge other than for reimbursement of operating expenses;
13. caused directly or indirectly by:
a. war (declared or undeclared) or civil war;
b. warlike action by any military force of any government, sovereign or other au-
thority using military personnel or agents. This includes any action taken to
hinder or defend against an actual or expected attack; or
c. insurrection, rebellion, revolution, usurped power, or any action taken by a gov-
ernmental authority to hinder or defend against any of these acts;
14. caused directly or indirectly by:
a. any accidental or intentional discharge, dispersal or release of radioactive,
nuclear, pathogenic or poisonous biological material; or
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b. any intentional discharge, dispersal or release of chemical or hazardous mate-
rial for any purpose other than its safe and useful purpose; or
to an insured person caused by, or reasonably expected to result from, a crimi-
15.
nal act or omission of that insured person. This exclusion applies regardless of
whether the insured person is actually charged with, or convicted of, a crime. For
purposes of this exclusion, criminal acts or omissions do not include traffic violations.
LIMITS OF LIABILITY
The limit of liability shown on the declarations page for Medical Payments Coverage is
the most we will pay for each insured person injured in any one accident, regardless
of the number of:
1. claims made;
2. covered autos;
3. insured persons;
4. lawsuits brought;
5. vehicles involved in the accident; or
6. premiums paid.
No one will be entitled to duplicate payments under this policy for the same elements
of damages.
Any amount payable to an insured person under this Part II(A) will be reduced by any
amount paid or payable for the same expense under Part I—Liability To Others or Part
III—Uninsured/Underinsured Motorist Coverage.
If multiple auto policies issued by us are in effect for you, we will pay no more than the
highest limit of liability for this coverage available under any one policy.
If an insured person incurs expenses for medical services that we deem to be unrea-
sonable or unnecessary, we may refuse to pay for those expenses and contest them.
If the medical service provider sues the insured person because we refuse to pay
expenses for medical services that we deem to be unreasonable or unnecessary, we
will pay any resulting defense costs, and any resulting judgment against the insured
person, subject to the limit of liability for this coverage. We will choose the counsel.
We will also pay reasonable expenses, including loss of earnings up to $200 per day,
incurred at our request.
The insured person may not sue us for expenses for medical services we deem to
be unreasonable or unnecessary unless the insured person paid the entire disputed
amount to the medical service provider or the medical service provider has initiated
collection activity against the insured person for the unreasonable or unnecessary
expenses.
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ASSIGNMENT OF BENEFITS
Payments for medical expenses will be paid directly to a physician or other healthcare
provider if we receive a written assignment signed by the insured person to whom
such benefits are payable.
OTHER INSURANCE
If there is other applicable auto medical payments insurance, we will pay only our share
of the loss. Our share is the proportion that our limit of liability bears to the total of all
applicable limits. However, any insurance we provide for an insured person occupy-
ing a vehicle or trailer, other than a covered auto, will be excess over any other auto
insurance providing payments for medical services.
INSURING AGREEMENT
If you pay the premium for this coverage, we will pay Personal Injury Protection Benefits
because of bodily injury:
1. resulting from a motor vehicle accident; and
2. sustained by an insured person.
Our payment will only be for losses or expenses incurred within three years of the ac-
cident.
ADDITIONAL DEFINITION
We do not provide Personal Injury Protection Coverage for bodily injury sustained:
1. by any person in an accident caused intentionally by, or at the direction of, that
person;
2. by any person while that person is committing a felony;
3. by any person while that person is attempting to elude arrest by a law enforcement
official;
4. by any person while occupying, or when struck by, any motor vehicle, other than
your covered auto, which is owned by you; or
5. by a relative while occupying, or when struck by, any motor vehicle, other than
your covered auto, which is owned by a relative.
LIMITS OF LIABILITY
The limit of liability shown on the declarations page for this coverage is the maximum
limit of liability for each person injured in any one accident. This is the most we will pay
regardless of the number of:
1. insured persons;
2. claims made;
3. vehicles or premiums shown on the declarations page; or
4. vehicles involved in the accident.
Any amount payable to an insured person under this Part II(B) will be reduced by any
amount paid or payable for the same expense under Part I—Liability To Others or Part
III—Uninsured/Underinsured Motorist Coverage.
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If multiple auto policies issued by us are in effect for you, we will pay no more than the
highest limit of liability for this coverage available under any one policy.
OTHER INSURANCE
If there is other applicable Personal Injury Protection insurance, we will pay only our
share. Our share is the proportion that our limit of liability bears to the total of all appli-
cable limits. However, any insurance we provide with respect to an auto you do not own
shall be excess over any other collectible Personal Injury Protection insurance.
LOSS PAYMENTS
ASSIGNMENT OF BENEFITS
Payments for medical expenses will be paid directly to a physician or other health care
provider if we receive a written assignment signed by the insured person to whom
such benefits are payable.
If you pay the premium for this coverage, we will pay for damages that an insured
person is legally entitled to recover from the owner or operator of an uninsured motor
vehicle because of bodily injury:
1. sustained by an insured person;
2. caused by an accident; and
3. arising out of the ownership, maintenance or use of an uninsured motor vehicle.
If you pay the premium for this coverage, we will pay for damages that an insured
person is legally entitled to recover from the owner or operator of an uninsured motor
vehicle due to property damage to a covered auto:
1. caused by an accident; and
2. arising out of the ownership, maintenance, or use of an uninsured motor vehicle.
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Any judgment or settlement for damages against an owner or operator of an uninsured
motor vehicle that arises out of a lawsuit brought without our written consent is not
binding on us.
ADDITIONAL DEFINITIONS
LIMITS OF LIABILITY
The “each person” limit of liability includes the total of all claims made for bodily injury
to an insured person and all claims of others arising from such bodily injury, includ-
ing, but not limited to, bystander claims, emotional injury or mental anguish resulting
from the bodily injury of another, loss of society, loss of companionship, loss of ser-
vices, loss of consortium, and wrongful death.
If the declarations page shows that “combined single limit” or “CSL” applies, the
amount shown is the most we will pay for the total of all damages resulting from any
one accident. However, without changing this total limit of liability, we will comply with
any law that requires us to provide any separate limits.
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The damages recoverable under this Part III will be reduced by all sums:
1. paid or payable because of bodily injury by or on behalf of any persons or organi-
zations that may be legally responsible;
2. paid or payable under Part I—Liability To Others; and
3. paid or payable because of bodily injury under any of the following or similar laws:
a. workers’ compensation law; or
b. disability benefits law.
We will not pay under this Part III any expenses paid or payable under Part II(A)—Medi-
cal Payments Coverage or Part II(B) Personal Injury Protection Coverage.
The damages recoverable for property damage under this Part III will be reduced by
all sums paid or payable because of property damage by or on behalf of any persons
or organizations who may be legally responsible, including, but not limited to, all sums
paid under Part I—Liability To Others.
No one will be entitled to duplicate payments for the same elements of damages.
If multiple auto policies issued by us are in effect for you, we will pay no more than the
highest limit of liability for this coverage available under any one policy.
OTHER INSURANCE
For any property damage to which the coverage under Part IV—Damage To A Vehicle
of this policy (or similar coverage from another policy) and this coverage both apply, you
may choose the coverage from which damages will be paid. You may recover under
both coverages, but only if:
1. neither one by itself is sufficient to cover the loss;
2. you pay the higher deductible amount (but you do not have to pay both deduct-
ibles); and
3. you will not recover more than the actual damages.
If you pay the premium for this coverage, we will pay for sudden, direct and accidental
loss to a:
1. covered auto, including an attached trailer; or
2. non-owned auto;
and its custom parts or equipment, resulting from collision.
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In addition, we will pay the reasonable cost to replace any child safety seat damaged in
an accident to which this coverage applies.
If you pay the premium for this coverage, we will pay for sudden, direct and accidental
loss to a:
1. covered auto, including an attached trailer; or
2. non-owned auto;
and its custom parts or equipment, that is not caused by collision.
Coverage for transportation expenses and loss of use damages begins 48 hours after
you report the theft to us and ends the earliest of:
1. when the auto has been recovered and returned to you or its owner;
2. when the auto has been recovered and repaired;
3. when the auto has been replaced; or
4. 72 hours after we make an offer to settle the loss if the auto is deemed by us to be
a total loss.
We must receive written proof of transportation expenses and loss of use damages.
We will pay for sudden, direct and accidental loss to custom parts or equipment on a
covered auto for which this coverage has been purchased. This coverage applies only
if you have purchased both Comprehensive Coverage and Collision Coverage for that
covered auto and the loss is covered under one of those coverages. This coverage
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applies in addition to any coverage automatically provided for custom parts or equip-
ment under Comprehensive Coverage or Collision Coverage.
We will reimburse rental charges incurred when you rent an auto from a rental agency
or auto repair shop due to a loss to a covered auto for which Rental Reimbursement
Coverage has been purchased. This coverage applies only if you have purchased both
Comprehensive Coverage and Collision Coverage for that covered auto and the loss
is covered under one of those coverages.
Additional fees or charges for insurance, damage waivers, optional equipment, fuel, or
accessories are not covered.
This coverage is limited to the each day limit shown on the declarations page for a
maximum of 30 days.
If Rental Reimbursement Coverage applies, no other coverage under this policy for
rental expenses will apply.
If you pay the premium for this coverage, and the covered auto for which this cover-
age was purchased is deemed by us to be a total loss, we will pay, in addition to any
amounts otherwise payable under this Part IV, the difference between:
1. the actual cash value of the covered auto at the time of the total loss; and
2. any greater amount the owner of the covered auto is legally obligated to pay under
a written loan or lease agreement to which the covered auto is subject at the time
of the total loss, reduced by:
a. unpaid finance charges or refunds due to the owner for such charges;
b. excess mileage charges or charges for wear and tear;
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c. charges for extended warranties or refunds due to the owner for extended war-
ranties;
d. charges for credit insurance or refunds due to the owner for credit insurance;
e. past due payments and charges for past due payments; and
f. collection or repossession expenses.
However, our payment under this coverage shall not exceed the limit of liability shown
on the declarations page. The limit of liability is a percentage of the actual cash value
of the covered auto at the time of the loss.
This coverage applies only if you have purchased both Comprehensive Coverage and
Collision Coverage for that covered auto and the loss is covered under one of those
coverages.
If you have purchased Collision coverage for at least one covered auto under your
policy, and if your pet sustains injury or death while inside a covered auto or non-
owned auto at the time of a loss covered under Collision or Comprehensive coverage,
we will provide:
1. up to $1,000 for reasonable and customary veterinary fees incurred by you or a
relative if your pet is injured in, or as a direct result of, the covered loss; or
2. a $1,000 death benefit if your pet dies in, or as a direct result of, the covered loss,
less any payment we made toward veterinary expenses for your pet.
In the event of a covered loss due to the theft of a covered auto or non-owned auto,
we will provide the death benefit provided your pet is inside that auto at the time of the
theft and your pet is not recovered.
ADDITIONAL DEFINITIONS
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EXCLUSIONS—READ THE FOLLOWING EXCLUSIONS CAREFULLY. IF AN EX-
CLUSION APPLIES, COVERAGE WILL NOT BE AFFORDED UNDER THIS PART IV.
LIMITS OF LIABILITY
1. The limit of liability for loss to a covered auto, non-owned auto, or custom parts
or equipment is the lowest of:
a. the actual cash value of the stolen or damaged property at the time of the loss
reduced by the applicable deductible;
b. the amount necessary to replace the stolen or damaged property reduced by
the applicable deductible;
c. the amount necessary to repair the damaged property to its pre-loss condition
reduced by the applicable deductible; or
d. the Stated Amount shown on the declarations page for that covered auto.
However, the most we will pay for loss to:
a. custom parts or equipment is $1,000 unless you purchased Additional
Custom Parts or Equipment Coverage (“ACPE”). If you purchased ACPE, the
most we will pay is $1,000 plus the amount of ACPE you purchased.
b. a trailer is the limit of liability shown on the declarations page for that trailer.
If the trailer is not shown on the declarations page, the limit of liability is $500.
2. Payments for loss to a covered auto, non-owned auto, or custom parts or
equipment are subject to the following provisions:
a. If coverage applies to a non-owned auto, we will provide the broadest cover-
age applicable to any covered auto shown on the declarations page.
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b. If you have elected a Stated Amount for a covered auto, the Stated Amount
is the most we will pay for all loss to that covered auto, including its custom
parts or equipment.
c. Coverage for custom parts or equipment will not cause our limit of liability
for loss to an auto under this Part IV to be increased to an amount in excess of
the actual cash value of the auto, including its custom parts or equipment.
d. In determining the amount necessary to repair damaged property to its pre-
loss condition, the amount to be paid by us:
(i) will not exceed the prevailing competitive labor rates charged in the area
where the property is to be repaired and the cost of repair or replacement
parts and equipment, as reasonably determined by us; and
(ii) will be based on the cost of repair or replacement parts and equipment
which may be new, reconditioned, remanufactured or used, including, but
not limited to:
(a) original manufacturer parts or equipment; and
(b) nonoriginal manufacturer parts or equipment.
e. To determine the amount necessary to repair or replace the damaged prop-
erty as referred to in subsection 1., the total cost of necessary repair or replace-
ment may be reduced by unrepaired prior damage. Unrepaired prior damage
includes broken, cracked or missing parts; rust; dents; scrapes; gouges; and
peeling paint. The reduction for unrepaired prior damage is the cost of labor,
parts and materials necessary to repair or replace damage, deterioration, de-
fects, or wear and tear on exterior body parts, windshields and other glass,
wheels, and paint, that existed prior to the accident and that is eliminated as a
result of the repair or replacement of property damaged in the loss.
f. The actual cash value is determined by the market value, age, and condition
of the vehicle at the time the loss occurs.
3. No deductible will apply to a loss to window glass when the glass is repaired in-
stead of replaced.
4. Duplicate recovery for the same elements of damages is not permitted.
5. The following additional limits of liability apply to Pet Injury coverage:
a. The most we will pay for all damages in any one loss is a total of $1,000 re-
gardless of the number of dogs or cats involved.
b. If your pet dies in, or as a direct result of, a covered loss, we will provide a
death benefit of $1,000, less any payment we made toward veterinary ex-
penses for your pet.
c. No deductible shall apply to this coverage.
PAYMENT OF LOSS
At our expense, we may return any recovered stolen property to you or to the address
shown on the declarations page, with payment for any damage resulting from the theft.
We may keep all or part of the property at the agreed or appraised value.
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We may settle any loss with you or the owner or lienholder of the property.
NO BENEFIT TO BAILEE
Coverage under this Part IV will not directly or indirectly benefit any carrier or other
bailee for hire.
Payment under this Part IV for a loss to a covered auto will be made according to your
interest and the interest of any lienholder shown on the declarations page or desig-
nated by you. However, if the covered auto is not a total loss, we may make payment
to you and the repairer of the auto.
If other sources of recovery also cover the loss, we will pay only our share of the loss.
Our share is the proportion that our limit of liability bears to the total of all applicable
limits. However, any insurance we provide for a non-owned auto, or trailer not shown
on the declarations page, will be excess over any other collectible source of recovery
including, but not limited to:
1. any coverage provided by the owner of the non-owned auto or trailer;
2. any other applicable physical damage insurance; and
3. any other source of recovery applicable to the loss.
APPRAISAL
If we cannot agree with you on the amount of a loss, then we or you may demand
an appraisal of the loss. Within 30 days of any demand for an appraisal, each party
shall appoint a competent appraiser and shall notify the other party of that appraiser’s
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identity. The appraisers will determine the amount of loss. If they fail to agree, the dis-
agreement will be submitted to a qualified umpire chosen by the appraisers. If the two
appraisers are unable to agree upon an umpire within 15 days, we or you may request
that a judge of a court of record, in the county where you reside, select an umpire. The
appraisers and umpire will determine the amount of loss. The amount of loss agreed
to by both appraisers, or by one appraiser and the umpire, will be binding. You will pay
your appraiser’s fees and expenses. We will pay our appraiser’s fees and expenses. All
other expenses of the appraisal, including payment of the umpire if one is selected, will
be shared equally between us and you. Neither we nor you waive any rights under this
policy by agreeing to an appraisal.
INSURING AGREEMENT
If you pay the premium for this coverage, we will pay for our authorized service represen-
tative to provide the following services when necessary due to a covered emergency:
1. towing of a covered disabled auto to the nearest qualified repair facility; and
2. labor on a covered disabled auto at the place of disablement.
If a covered disabled auto is towed to any place other than the nearest qualified repair
facility, you will be responsible for any additional charges incurred.
ADDITIONAL DEFINITIONS
OTHER INSURANCE
Any coverage provided under this Part V for service rendered by an unauthorized ser-
vice provider will be excess over any other collectible insurance or towing protection
coverage.
For coverage to apply under this policy, you or the person seeking coverage must
promptly report each accident or loss even if you or the person seeking coverage is not
at fault. You or the person seeking coverage must provide us with all accident or loss
information, including time, place, and how the accident or loss happened. You or the
person seeking coverage must also obtain and provide us the names and addresses of
all persons involved in the accident or loss, the names and addresses of any witnesses,
and the license plate numbers of the vehicles involved.
If you or the person seeking coverage cannot identify the owner or operator of a vehicle
involved in the accident, or if theft or vandalism has occurred, you or the person seeking
coverage must notify the police within 24 hours or as soon as practicable.
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A person seeking coverage must:
1. cooperate with us in any matter concerning a claim or lawsuit;
2. provide any written proof of loss we may reasonably require;
3. allow us to take signed and recorded statements, including sworn statements and
examinations under oath, which we may conduct outside the presence of you or
any other person seeking coverage, and answer all reasonable questions we may
ask as often as we may reasonably require;
4. promptly call to notify us about any claim or lawsuit and send us any and all legal
papers relating to the claim or suit;
5. attend hearings and trials as we require;
6. take reasonable steps after a loss to protect the covered auto, or any other vehicle
for which coverage is sought, from further loss. We will pay reasonable expenses
incurred in providing that protection. If failure to provide such protection results in
further loss, any additional damages will not be covered under this policy;
7. allow us to have the damaged covered auto, or any other damaged vehicle for
which coverage is sought, inspected and appraised before its repair or disposal;
8. submit to medical examinations at our expense by doctors we select as often as
we may reasonably require; and
9. authorize us to obtain medical and other records reasonably related to the injury or
damage asserted.
This policy applies only to accidents and losses occurring during the policy period
shown on the declarations page and that occur within a state, territory, or possession
of the United States of America, or a province or territory of Canada, or while a covered
auto or trailer shown on the declarations page is being transported between their ports.
Coverage is also extended to accidents and losses occurring in Mexico, but only to the
extent described under the following “Mexico Coverage—Limited” provision.
MEXICO COVERAGE—LIMITED
Coverage for your covered auto under this policy is extended to accidents occurring in
Mexico, but only if within 25 miles of the United States border. This limited extension of
coverage only applies to infrequent trips into Mexico that do not exceed 10 days at any
one time. “Infrequent trips” means less than 10 trips into Mexico during the 30-day pe-
riod leading up to and including the actual date of loss. Any insurance that we may pro-
vide under this provision shall be excess over any other valid and collectible insurance.
WARNING—READ CAREFULLY
Auto accidents in Mexico are subject to the laws of Mexico—NOT the laws of the United
States of America. Unlike the United States, the Republic of Mexico considers an auto
accident a CRIMINAL OFFENSE as well as a civil matter.
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In some cases, the coverage under this section may NOT be recognized by Mexican
authorities, and the company may not be allowed to implement this coverage at all in
Mexico. You should consider purchasing auto coverage from a licensed Mexican insur-
ance company before driving into Mexico.
The coverage under this section does not apply to trips into Mexico that exceed 25
miles from the boundary of the United States of America.
CHANGES
This policy contract, your insurance application (which is made a part of this policy as if
attached hereto), the declarations page, and all endorsements to this policy issued by
us, contain all the agreements between you and us. Subject to the following, the terms
of this policy may not be changed or waived except by an endorsement issued by us.
The premium for this policy is based on information we received from you and other
sources. You agree to cooperate with us in determining if this information is correct
and complete, and to promptly notify us if it changes during the policy period. If this
information is determined by us to be incorrect, incomplete, or if it changes during the
policy period, you agree that we may adjust your policy information and premium ac-
cordingly. Changes that may result in a premium adjustment are contained in our rates
and rules. These include, but are not limited to, you or a relative obtaining a driver’s
license or operator’s permit, or changes in:
1. the number, type or use classification of covered autos;
2. the persons who regularly operate a covered auto;
3. the persons of legal driving age residing in your household;
4. the residents in your household;
5. an operator’s marital status;
6. your mailing address and your residence address;
7. the principal garaging address of any covered auto;
8. coverage, deductibles, or limits of liability; or
9. rating territory or discount eligibility.
The coverage provided in your policy may be changed only by the issuance of a new
policy or an endorsement by us. However, if during the policy period we broaden any
coverage afforded under the current edition of your policy without additional premium
charge, that change will automatically apply to your policy as of the date the coverage
change is implemented in your state.
If you ask us to delete a vehicle from this policy, no coverage will apply to that vehicle
as of the date and time you ask us to delete it.
You must promptly report to us all changes, including additions and deletions, in policy
information. This includes, but is not limited to, changes in:
1. your mailing address or your residence address;
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2. the principal garaging address of any covered auto;
3. the residents in your household;
4. the persons of legal driving age residing in your household;
5. the persons who regularly operate a covered auto;
6. an operator’s marital status; or
7. the driver’s license or operator’s permit status of you or a relative.
SETTLEMENT OF CLAIMS
If any provision of this policy fails to conform to the statutes of the state listed on your
application as your residence, the provision shall be deemed amended to conform to
such statutes. All other provisions shall be given full force and effect. Any disputes as to
the coverages provided or the provisions of this policy shall be governed by the law of
the state listed on your application as your residence.
TRANSFER OF INTEREST
The rights and duties under this policy may not be transferred or assigned to another
person without our written consent. However, if a named insured shown on the dec-
larations page dies, this policy will provide coverage until the end of the policy period
for the legal representative of the named insured, while acting as such, and for persons
covered under this policy on the date of the named insured’s death.
FRAUD OR MISREPRESENTATION
This policy was issued in reliance upon the information provided on your insurance
application. We may void this policy at any time, including after the occurrence of an
accident or loss, if you:
1. made incorrect statements or representations to us with regard to any material fact
or circumstance;
2. concealed or misrepresented any material fact or circumstance; or
3. engaged in fraudulent conduct;
at the time of application. This means that we will not be liable for any claims or dam-
ages that would otherwise be covered.
Any changes we make at your request to this policy after inception will be made in reli-
ance upon information you provide. If you:
1. make incorrect statements or representations to us with regard to any material fact
or circumstance;
2. conceal or misrepresent any material fact or circumstance; or
3. engage in fraudulent conduct;
in connection with a requested change we may void the policy or reform it as it existed
immediately prior to the requested change. We may do this at any time, including after
the occurrence of an accident or loss.
When we have not voided or reformed the policy, we may still deny coverage for an
accident or loss if you, in connection with the policy application, in connection with any
requested change, or at any time during the policy period, have concealed or misrepre-
sented any material fact or circumstance or engaged in fraudulent conduct and that con-
cealment, misrepresentation, or fraudulent conduct was material to a risk we assumed.
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We may deny coverage for an accident or loss if you or a person seeking coverage has
concealed or misrepresented any material fact or circumstance, or engaged in fraudu-
lent conduct, in connection with the presentation or settlement of a claim.
If your initial premium payment is by check, draft, electronic funds transfer, or simi-
lar form of remittance, coverage under this policy is conditioned on payment to us by
the financial institution. If the financial institution upon presentment does not honor the
check, draft, electronic funds transfer, or similar form of remittance, this policy may, at
our option, be deemed void from its inception. This means we will not be liable under
this policy for any claims or damages that would otherwise be covered if the check,
draft, electronic funds transfer, or similar form of remittance had been honored by the
financial institution. Any action by us to present the remittance for payment more than
once shall not affect our right to void this policy.
CANCELLATION
You may cancel this policy during the policy period by calling or writing us and stating
the future date you wish the cancellation to be effective.
We may cancel this policy during the policy period by mailing a notice of cancellation
to the named insured shown on the declarations page at the last known address ap-
pearing in our records.
Notice of cancellation will be mailed at least 10 days before the effective date of cancel-
lation.
We may cancel this policy for any reason if the notice is mailed within the first 59 days
of the initial policy period.
After this policy is in effect for more than 59 days, or if this is a renewal or continuation
policy, we may cancel only for one or more of the following reasons:
1. nonpayment of premium;
2. you submit a fraudulent claim; or
3. loss of driving privileges through suspension or revocation of an operator’s license
issued to you, any driver in your household, or any regular operator of a covered
auto, however, we will not cancel if you complete a Named Driver Exclusion Elec-
tion for the principal operator whose license has been suspended or revoked.
We may not cancel based solely on the fact that you are an elected official.
Proof of mailing will be sufficient proof of notice. If this policy is cancelled, coverage will
not be provided as of the effective date and time shown in the notice of cancellation. For
purposes of cancellation, this policy is neither severable nor divisible. Any cancellation
will be effective for all coverages for all persons and all vehicles.
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CANCELLATION REFUND
Upon cancellation, you may be entitled to a premium refund. However, our making or
offering of a refund is not a condition of cancellation. We charge a fully earned policy fee
for each policy period.
If this policy is cancelled, any refund due will be computed on a daily pro rata basis and
mailed no later than 15 days after the effective date of cancellation.
NONRENEWAL
If neither we nor one of our affiliates offers to renew or continue this policy, we will mail
notice of nonrenewal to the named insured shown on the declarations page at the
last known address appearing in our records. Proof of mailing will be sufficient proof of
notice. Notice will be mailed at least 30 days before the end of the policy period. We may
not refuse to renew solely because of the age of an insured person. We may also not
refuse to renew based solely on the fact that you are an elected official.
If the policy period is other than one year, we will only have the right to refuse to renew
at each anniversary of the original effective date.
AUTOMATIC TERMINATION
If we or an affiliate offers to renew or continue this policy and you or your representative
does not accept, this policy will automatically terminate at the end of the current policy
period. Failure to pay the required renewal or continuation premium when due will mean
that you have not accepted our offer.
If you obtain other insurance on a covered auto, any similar insurance provided by this
policy will terminate as to that covered auto on the effective date of the other insurance.
If a covered auto is sold or transferred to someone other than you or a relative, any
insurance provided by this policy will terminate as to that covered auto on the effective
date of the sale or transfer.
We may not be sued unless there is full compliance with all the terms of this policy.
We may not be sued for payment under Part I—Liability To Others until the obligation of
an insured person under Part I to pay is finally determined either by judgment after trial
against that person or by written agreement of the insured person, the claimant, and us.
No one will have any right to make us a party to a lawsuit to determine the liability of an
insured person.
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We may not be sued for contractual benefits under Part II(A)—Medical Payments Cov-
erage, Part II(B)—Personal Injury Protection Coverage, Part III—Uninsured/Underin-
sured Motorist Coverage, or Part IV—Damage to a Vehicle unless suit is filed within
three years of the date of the accident or loss.
If we retain salvage, we have no duty to preserve or otherwise retain the salvage for any
purpose, including evidence for any civil or criminal proceeding.
We are entitled to the rights of recovery that the insured person to whom payment was
made has against another, to the extent of our payment. That insured person may be
required to sign documents related to the recovery and must do whatever else we re-
quire to help us exercise those recovery rights, and do nothing after an accident or loss
to prejudice those rights.
When an insured person has been paid by us and also recovers from another, the
amount recovered will be held by the insured person in trust for us and reimbursed to
us to the extent of our payment. If we are not reimbursed, we may pursue recovery of
that amount directly against that insured person.
If an insured person recovers from another without our written consent, the insured
person’s right to payment under any affected coverage will no longer exist.
If we elect to exercise our rights of recovery against another, we will also attempt to
recover any deductible incurred by an insured person under this policy unless we are
specifically instructed by that person not to pursue the deductible. We have no obligation
to pursue recovery against another for any loss not covered by this policy.
We reserve the right to compromise or settle the deductible and property damage
claims against the responsible parties for less than the full amount. We also reserve the
right to incur reasonable expenses and attorney fees in pursuit of the recovery.
If the total recovery is less than the total of our payment and the deductible, we will re-
duce reimbursement of the deductible based on the proportion that the actual recovery
bears to the total of our payment and the deductible. A proportionate share of collection
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expenses and attorney fees incurred in connection with these recovery efforts will also
reduce reimbursement of the deductible.
If there is more than one named insured on this policy, any named insured may cancel
or change this policy. The action of one named insured will be binding on all persons
provided coverage under this policy.
BANKRUPTCY
The bankruptcy or insolvency of an insured person will not relieve us of any obligations
under this policy.
The insured is notified that by virtue of this policy, the insured is a member of the
Progressive County Mutual Insurance Company and is entitled as is lawfully provided in
the charter, constitution, or bylaws to only one vote, regardless of the number of policies
owned, either in person or by proxy in any or all meetings of said company. The Annual
Meetings are held in its Home Office at Austin, Texas, on the last Saturday in May, in
each year, at 10 o’clock AM.
This policy is issued subject to the constitution and bylaws and all amendments thereto
of the company, which shall form a part of this policy.
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9611A TX 0815