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AGREEMENT
This agreement (Agreement) is between the Agreement Holder (named on the Declaration page) and the
Service Agreement Provider as defined under the Definitions section of this Agreement. The Seller (issuing
party) is not a party to this Agreement and has no obligations to You in regards to the benefits provided.
Your benefits and OUR OBLIGATIONS, as defined below, to perform under this Agreement are insured
by an insurance policy with Lyndon Southern Insurance Company, 10151 Deerwood Park Blvd, Bldg 100,
Suite 500, Jacksonville, FL 32256, (800) 888-2738. If the benefits as described are not provided within
sixty (60) days after You provide proof of loss covered by this Agreement, then You may make a direct
claim against Lyndon Southern Insurance Company.
In New York, Rhode Island, and Wisconsin, our obligations under this agreement are insured under
an insurance policy issued by Atlantic Specialty Insurance Company 605 North Highway 169, Suite
800, Plymouth, MN 55441, Tel: (800) 888-2738.
For Georgia residents only: Our obligations are guaranteed by an insurance policy issued by Insurance
Company of the South, [10151 Deerwood Park Blvd., Building 100, Suite 500, Jacksonville, FL 32256
(800-888-2738)].
DEFINITIONS
The following definitions apply to words used frequently throughout this Vehicle Service AGREEMENT
and which appear in
BOLD-FACED, SMALL CAPS type:
1. ADMINISTRATOR EGV Companies, Inc., [50 N. Laura St., Suite 2500, Jacksonville, FL 32202, (877)
850-0443], the entity that administers this AGREEMENT on OUR behalf.
2. AGREEMENT - This VEHICLE Service AGREEMENT, which YOU have purchased for the VEHICLE described
on the D
ECLARATION PAGE.
3. B
REAKDOWN - The failure of a COVERED PART under normal service and usage of the VEHICLE. A COVERED
P
ART has failed when it can no longer perform the function for which it was designed solely because of
its condition.
4. B
USINESS USE Coverage is provided if the BUSINESS USE surcharge has been paid as specified on YOUR
D
ECLARATION PAGE. Eligibility is limited to the following: cars, trucks and vans used for route sales,
inspections, maintenance, repair, landscaping, carrying tools to a job site and eligible vehicles owned by
religious / charitable organizations.
5. C
LAIM - A demand by YOU for benefits under this AGREEMENT.
6. C
OVERED PARTS - The parts listed in the Schedule of COVERED PARTS subsection of this AGREEMENT.
7. D
ECLARATION PAGE - The numbered document provided to YOU which is attached to the AGREEMENT. It
lists information regarding the V
EHICLE to be covered, AGREEMENT terms, and other vital information.
8. D
EDUCTIBLE - The amount YOU are required to pay, as shown on the DECLARATION PAGE, towards the
total cost for the repair or replacement of C
OVERED PARTS per CLAIM made.
9. Mileage Limit The maximum number of miles that this Agreement shall be I force, as indicated on the
Declarations Page.
10. PLAN - Refers to the Plan Selected and Term Selected by YOU as shown on the DECLARATION PAGE of
this A
GREEMENT.
11. R
EPAIR FACILITY - A licensed repair facility authorized by the ADMINISTRATOR to perform repair services
under this A
GREEMENT.
12. S
ELLERThe entity that sold this Agreement to You.
13. V
EHICLE - The VEHICLE described on the DECLARATION PAGE that is covered under this AGREEMENT.
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14. W
E, US, OUR AND SERVICE CONTRACT PROVIDER EGV Companies, Inc., [50 N. Laura St., Suite 2500,
Jacksonville, FL 32202,] (877) 850-0443, the entity that is obligated to perform under this A
GREEMENT in
all states except in Florida, Louisiana, New Mexico and Oklahoma where it is Lyndon Southern
Insurance Company
(Florida License Number 03698), [10151 Deerwood Park Blvd., Building 100,
Suite 500, Jacksonville,
FL 32256, (800) 888-2738].
15. Y
OU, YOUR - The AGREEMENT holder shown on the DECLARATION PAGE of this AGREEMENT.
OUR OBLIGATIONS
If a Covered BREAKDOWN of YOUR VEHICLE occurs during the term of this AGREEMENT, WE will:
Pay YOU or the Repair Facility, for repair or replacement of the COVERED PARTS and associated labor as required
for the completion of the repair or replacement of those parts, which cause the B
REAKDOWN. Labor will be verified
by the standard versions of the following nationally recognized labor guides: Motor’s, Mitchell & All Data.
Replacement parts, not to exceed manufacturer’s suggested retail price, may be of like kind and quality. This
may include the use of new, remanufactured or used parts as determined by U
S.
Reimburse YOU for a rental car at the rate of up to thirty dollars ($30) per day and a maximum of one
hundred fifty dollars ($150) up to five (5) days per Mechanical Breakdown. For claims in excess of $3,000,
WE will reimburse YOU for a rental car at the rate of up to thirty dollars ($30) per day and a maximum of
two hundred forty dollars ($240) up to eight (8) days per Mechanical Breakdown. Unless a parts delay
occurs during the Breakdown, in which case, we will add an additional three (3) days for a maximum of
ninety ($90) additional dollars. To receive rental benefits, You must supply US with YOUR receipt from a
licensed rental agency. No Deductible will apply to this benefit.
Reimburse YOU for lodging and meal expenses actually incurred by YOU if the covered repairs are
completed more than one hundred (100) miles from Y
OUR primary residence and YOU are stranded
overnight. The limit on this reimbursement is seventy-five dollars ($75) per day for up to three (3) days
and a maximum of two hundred twenty-five dollars ($225) per B
REAKDOWN.
YOUR OBLIGATIONS
In order for this Agreement to remain active, You must have the engine oil and filter changed within sixty
(60) days after Contract Purchase Date, unless you have verifiable receipts that the Vehicle engine oil and
filter were replaced within six (6) months prior to Contract Purchase Date. The minimum requirement on
oil and filter changes thereafter is every six (6) months or 5,000 miles, whichever comes first, or You must
follow the maintenance schedules in accordance with Your Vehicle’s manufacturer recommendations. All
other maintenance schedules must be done in accordance with Y
OUR VEHICLE manufacturer
recommendations. If applicable, replace the engine timing belt at the intervals specified by the V
EHICLE
manufacturer. Y
OU must keep and make available verifiable service/purchase receipts (indicating dates,
mileage, and a description of Y
OUR VEHICLE) which show that this maintenance has been performed within
the time and mileage limits required. W
E will not reimburse for repair costs or expenses if YOU cannot
provide accurate records proving that You have maintained the failed C
OVERED PART.
Y
OU must make your first monthly payment per the payment plan agreement before claims can be paid,
and said payment serves as your acceptance of the terms of this contract.
Y
OU or YOUR REPAIR FACILITY are required to obtain OUR authorization prior to beginning any repair
covered by this A
GREEMENT.
Y
OU are responsible for paying the Deductible indicated on the DECLARATION PAGE of this AGREEMENT each
time Y
OU have a BREAKDOWN. A one hundred dollar ($100) DEDUCTIBLE per repair visit will apply.
Y
OU are responsible for authorizing any teardown or diagnosis time needed to determine if YOUR VEHICLE
has a Covered B
REAKDOWN. If it is subsequently determined that the repair is needed due to a Covered
B
REAKDOWN, WE will pay for this part of the repair. If the failure is not a Covered BREAKDOWN, then YOU
are responsible for this charge.
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OTHER IMPORTANT AGREEMENT PROVISIONS
The aggregate total of OUR liability for all benefits paid or payable during the term of this AGREEMENT shall not
exceed the actual cash value of Y
OUR VEHICLE at time of AGREEMENT purchase, or $12,500, whichever is greater.
In return for YOUR payment for this AGREEMENT and subject to its terms, YOU will be provided with the protection
described herein. After Y
OU receive any benefits under this AGREEMENT, WE are entitled to all of Your rights of
recovery against any manufacturer, repairer or other party who may be responsible to Y
OU for the costs covered
by this A
GREEMENT or for any other payment made by U S. If WE ask, YOU agree to help US enforce these rights
unless transferred as provided in the transfer section of this A
GREEMENT. YOU also agree to cooperate and help
us in any other matter concerning this A
GREEMENT.
This AGREEMENT will terminate when YOU sell YOUR VEHICLE unless transferred as provided in the Transfer
Section or when this A
GREEMENT is cancelled as outlined in the Cancellation Section.
We agree to pay on behalf of the Seller, the unearned refund based on consideration received from the
Seller. The Seller agrees to pay the unearned portion of the commission originated from the sale of this
Agreement. Neither the Seller’s Administrator, claims service, nor the Seller’s insurer can be held liable
for return of the Seller’s commission or any part thereof as paid under this Agreement.
In the event the Purchase Price of Your Agreement is being paid through a Payment Plan (or its equivalent)
which is terminated for non-payment, the Term and Mileage Limit of this Agreement will be modified to
reflect the portion of the Agreement that you have paid for. The modified Term and Mileage Limit of the
Agreement will be calculated on a pro-rata basis by adding the time and mileage that you have paid for to the
Agreement Purchase Date and Vehicle Odometer Mileage on the Agreement Purchase Date as listed on
the Declarations Page. You may contact the Administrator toll free at 877-850-0443 to obtain the modified
Term and Mileage Limits.
GUIDE TO FILING A CLAIM - CALL 877-850-0443
If YOU have a BREAKDOWN, YOU must follow this procedure:
(1) Use all reasonable means to protect YOUR VEHICLE from further damage. This may require YOU to stop
Y
OUR VEHICLE and call for roadside assistance to have the VEHICLE towed.
(2) Take Y
OUR VEHICLE to a licensed REPAIR FACILITY, have the REPAIR FACILITY contact Us at 877-850-0443
for instructions, before ANY repairs are made.
(3) The A
DMINISTRATOR reserves the right to inspect YOUR Vehicle prior to issuing any authorization to the
Repair Facility. In the event that the A
DMINISTRATOR determines the Repair Facility is unable to perform a
proper diagnosis or repair Y
OUR Vehicle, or there is a dispute between the ADMINISTRATOR and the Repair
Facility, the A
DMINISTRATOR reserves the right to move YOUR Vehicle to a repair facility of the
A
DMINISTRATOR ‘s choice.
(4) Prior to proceeding with repairs, ensure the Repair Facility has been provided an authorization number for
the covered repairs by the A
DMINISTRATOR. Repairs performed without prior approval will not be honored
(except for Emergency Repairs as described within).
(5) Furnish U
S or the REPAIR FACILITY with such reasonable information that We may require. This includes
receipts for car rental charges, lodging, meals, and signed service receipts (indicating dates, mileage, and
a description of Y
OUR VEHICLE) as required by this AGREEMENT.
(6) For simple repairs needed when the A
DMINISTRATOR is not available for prior authorization, please use the
following procedure:
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Emergency Repairs:
Refer to YOUR AGREEMENT to determine if the BREAKDOWN is due to the failure of a COVERED PART and there are
no listed exclusions or wait period in effect that apply. For a simple repair, (Any repair requiring two (2) hours or
less of labor time to complete, not to exceed $500), that is determined to be a C
OVERED PART, authorize the
R
EPAIR FACILITY to perform the repair, and call the ADMINISTRATOR for instructions within five (5) business days,
during normal business hours. On major repairs, (Any repair requiring more than two (2) hours of labor time, or
exceeds a total cost of $500, to complete), determine the failure and repair costs and then contact the
A
DMINISTRATOR on the next normal business day for an authorization before repairs are performed (Utah
Residents see special state requirements and disclosures for additional clarifying language).
Business Hours (Central Time Zone) Monday through Friday 7:30 AM until 7:00 PM & Sat 7:30AM-1:00PM
SCHEDULE OF COVERED PARTS
The following is a list of Covered Parts as determined by the coverage You selected, as indicated on Your
Vehicle Service Agreement. For convenience, Covered Parts are listed next to the vehicle systems to which
they are related. The vehicle systems listed are NOT Covered Parts.
STATED COVERAGE
ENGINE: Cylinder block and cylinder heads and all internally Lubricated Parts; turbocharger;
supercharger; harmonic balancer; timing gear, chain and belt; timing cover; intake
manifolds; valve covers; oil pan; water pump; engine mounts; belt tensioners; cam gear
bolt; harmonic balancer bolt; and head bolts.
TRANSMISSION: Transmission case and all internally Lubricated Parts; torque converter; flywheel/flex
plate; vacuum modulator and transmission mounts; transmission cooler; transmission oil
pan; and Transmission Control Module (TCM).
TRANSFER CASE: Transfer case and all internally Lubricated Parts.
DRIVE AXLE(S): Drive axle housing and all internally Lubricated Parts; 4X4 actuator; drive shafts; universal
joints; constant velocity joints and locking hubs; center support/carrier bearings; and
differential cover.
AC/HEATING: (Includes only factory installed equipment) Condenser; condenser fan; condenser fan
motor; compressor; compressor clutch; evaporator; compressor pulley; accumulator;
dryer; expansion valve; idler pulley; A/C controls and module; heater core; blower motor;
high/low cut off switch; and pressure cycling switch.
SUSPENSION: Upper and lower control arm shafts, bearings and bushings; wheel bearings; spindles;
ball joints; kingpins and bushings; radius arm and bushings; stabilizer bar, arm and
bushings; torsion bars; hub assembly; coil springs; leaf springs; and suspension level
control compressor.
STEERING: Steering gear box/rack and all internally Lubricated Parts; power steering pump; pitman
arm; idler arm; tie rod ends; drag link; steering column shaft and column couplings.
COOLING: Radiator; cooling fan; cooling fan motor; fan clutch; and coolant recovery tank.
FUEL SYSTEM: Fuel delivery pump; fuel injection pump; fuel injectors; fuel tank; metal fuel lines; fuel
pressure regulator; fuel sending unit; fuel gauge; air control valve; engine control module
(ECM) and fuel injection sensors.
BRAKE: Master cylinder; power brake cylinder; vacuum assist booster; calipers; wheel cylinders;
compensating valve; anti-lock brake sensors; hydraulic lines and fittings; and parking
brake actuator.
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ELECTRICAL: Alternator/generator; ignition coil; horns; distributor (does not include cap and rotor);
starter motor; starter solenoid; starter drive; windshield wiper motors; windshield wiper
delay switch; windshield wiper linkage; windshield washer pump; power seat motor;
power antenna motor; power window motors and regulators; power door lock actuators;
power trunk release actuator; wiring harness; cruise control assembly; ignition lock
cylinder; manually operated switches (excluding AC/Heating and audio/video switches);
convertible top motor; and driver information gauges (excludes burned out light bulbs).
(Original factory installed radio, main speaker system, and single compact disk/cassette
player up to a maximum of three hundred dollars ($300) of repair or replacement cost.).
SEALS and Leaking seals and gaskets on any covered part listed above. Minor loss of fluid such as
GASKETS: seepage is considered normal and is not considered a Breakdown.
HYBRID: Hybrid transaxle, electronic transmission, inverter, generator(s), and electronic display
monitor. (Batteries are excluded).
Fastening hardware (external nuts, bolts, springs, brackets etc.) are only covered when required in
connection with the replacement of a covered part, but never as a cause of failure.
ADDITIONAL COVERAGE OPTION
ENHANCED ELECTRONICS PACKAGE - If the AGREEMENT DECLARATION PAGE indicates that YOU marked
and paid for the Enhanced Electronics Package, WE will pay ($750.00) to repair or replace any of the
following Original factory installed components: radio/CD/DVD/VCR players, audio/video equipment,
navigation systems, all touch screen and/or voice activated accessories including related display screens and
heads up displays on windshields, and voice recognition systems (Bluetooth).
EXCLUSIONS FROM COVERAGE
THIS AGREEMENT DOES NOT PROVIDE COVERAGE:
1. FOR REPAIR COSTS OR EXPENSES REPORTED OR MADE AFTER THE EXPIRATION OF THE
TERM OF THIS AGREEMENT OR NOT AUTHORIZED BY THE ADMINISTRATOR;
2. FOR REPAIR COSTS OR EXPENSES IF THE ODOMETER OF THE VEHICLE BREAKS OR BECOMES
INOPERABLE OR UNRELIABLE FOR ANY REASON AND ODOMETER REPAIRS WERE NOT MADE
IMMEDIATELY AT THE TIME OF FAILURE, OR IF THE ODOMETER HAS BEEN TAMPERED WITH,
DISCONNECTED OR ALTERED IN ANY WAY;
3. A BREAKDOWN THAT IS REASONABLY DETERMINED TO HAVE EXISTED PRIOR TO THE
CONTRACT PURCHASE DATE OR THE DATE COVERAGE TAKES EFFECT.
4. FOR REPAIR COSTS OR EXPENSES IF THE VEHICLE HAS BEEN USED FOR THE FOLLOWING
PURPOSES, REGARDLESS OF WHETHER THE BUSINESS USE OPTION WAS PURCHASED:
POLICE OR LAW ENFORCEMENT SERVICES, FIRE, AMBULANCE OR EMERGENCY SERVICES,
TAXI, LIMOUSINE OR SHUTTLE SERVICES, PICK-UP AND/OR DELIVERY OPERATIONS, RACING,
NEWSPAPER OR MAIL DELIVERY, RENTAL SERVICES, CONSTRUCTION, SECURITY SERVICES,
SNOW REMOVAL OR SNOW PLOWING, CABLE OR LINE INSTALLATION, OR HAULING FOR HIRE,
OR IF THE VEHICLE HAS BEEN USED FOR HAULING TRAILERS IN EXCESS OF THE
MANUFACTURER’S RATED CAPACITY OR HAULING TRAILERS WITHOUT SUITABLE
EQUIPMENT, OR IF THE REQUIREMENTS IN THE MANUFACTURER’S MANUAL FOR VEHICLES
USED TO PULL TRAILERS ARE NOT FOLLOWED;
5. FOR REPAIR COSTS OR EXPENSES IF YOU CANNOT PROVIDE TO THE ADMINISTRATOR
ACCURATE RECORDS PROVING THAT YOU HAVE MAINTAINED THE VEHICLE IN ACCORDANCE
WITH THE MANUFACTURER’S SPECIFICATIONS AND INSTRUCTIONS FOR THE LENGTH OF
OWNERSHIP, OR IF ANY MECHANICAL OR ELECTRICAL ALTERATIONS HAVE BEEN MADE TO
THE VEHICLE INCLUDING, BUT NOT LIMITED TO, THE USE OF OVERSIZED TIRES, INSTALLATION
OF HEADER PIPES OR LIFT KITS, AND REMOVAL OF ANY EMISSION CONTROL PARTS SYSTEM;
6. FOR REPAIR COSTS OR EXPENSES IF THE VEHICLE IS STILL IN THE MANUFACTURER’S BASIC
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WARRANTY PERIOD OR COVERED BY A RECALL OR SPECIAL POLICY BY THE MANUFACTURER
OR REPAIRS FOR UPDATES OR TECHNICAL SERVICE BULLETINS;
7. FOR REPAIR COSTS OR EXPENSES IF THE VEHICLE HAS BEEN ABUSED OR NEGLECTED, OR
ANY PART OF IT HAS BEEN SUBJECT TO ALTERATION OR ACCIDENT, OR FOR ANY
ACCIDENTAL LOSS OR DAMAGE RESULTING FROM COLLISION OR UPSET, FALLING MISSILES
OR OBJECTS, FIRE, THEFT, ARSON, EXPLOSION, LIGHTNING, EARTHQUAKE, WINDSTORM, ICE,
HAIL, WATER, FLOOD, MALICIOUS MISCHIEF, VANDALISM, RIOT OR CIVIL COMMOTION, OR IF
THE VEHICLE IS A TOTAL LOSS, HAS BEEN REPOSSESSED OR IS THE SUBJECT OF A
REPOSSESSION ACTION, OR FROM ANY OTHER CAUSE WHATSOEVER, EXCEPT AS OUTLINED
IN THIS AGREEMENT; AND FOR REPAIR COSTS OR EXPENSES RESULTING FROM THE
CONTINUED OPERATION OF AN IMPAIRED VEHICLE;
8. FOR LIABILITIES FOR DAMAGE TO PROPERTY OR FOR INJURY TO OR DEATH OF ANY PERSON
ARISING OUT OF THE OPERATION, REPAIR, MAINTENANCE OR USE OF THE VEHICLE, WHETHER OR
NOT RELATED TO ANY COVERED PART, OR FOR CONSEQUENTIAL LOSSES OR DAMAGE,
INCLUDING, BUT NOT LIMITED TO, PROPERTY DAMAGE, LOSS OF USE OF THE VEHICLE, LOSS OF
TIME, INCONVENIENCE, OR COMMERCIAL LOSS RESULTING FROM THE OPERATION, MAINTENANCE
AND/OR USE OF THE VEHICLE, UNLESS SPECIFICALLY COVERED HEREIN;
9. FOR ANY MECHANICAL PROBLEMS THAT EXISTED PRIOR TO THE COMPLETION OF THE
VALIDATION PERIOD OR BY THE FAILURE OF THE INSURED TO MAINTAIN PROPER QUALITIES
OR LEVELS OF COOLANTS OR LUBRICANTS;
10. FOR REPAIRS TO ANY PART THAT HAS NOT SUFFERED A BREAKDOWN, OR IF THE WEAR ON
THE PART HAS NOT EXCEEDED THE PUBLISHED FIELD TOLERANCE ALLOWED BY THE
MANUFACTURER, OR FOR REPAIR COSTS NOT NECESSARY TO CORRECT A BREAKDOWN, OR
FOR DAMAGES OR ANY LOSS RESULTING FROM FAULTY OR NEGLIGENT AUTO REPAIR WORK
OR FROM THE INSTALLATION OF DEFECTIVE PARTS;
11. FOR ANY REPAIR COSTS DUE TO CONTAMINATION OF ANY KIND, CORROSION, RUST, DRY ROT,
DETONATION, PRE-IGNITION, CARBON BUILD UP, OIL: SLUDGE, ELECTROLYSIS, RATTLES,
WATER LEAKS, WIND NOISES, INCORRECT FUEL TYPE;
11. FOR ANY OF THE FOLLOWING PARTS: INCLUDING BUT NOT LIMITED TO MANUAL CLUTCH
ASSEMBLY; GLOW PLUGS; BRAKE PADS, SHOES, ROTORS AND DRUMS; WIPER BLADES,
WIPER ARMS; ALL BATTERIES, BATTERY CABLES; AIR FILTERS, OIL FILTER, COOLANTS AND
FLUIDS, IF NOT IN CONNECTION WITH A COVERED REPAIR; SPARK PLUGS; PLUG WIRES; EGR
VALVE; DRIVE BELTS; RUBBER HOSES; EXHAUST SYSTEMS; CATALYTIC CONVERTERS;
MUFFLERS; RESONATORS; SHOCK ABSORBERS; TIRES, WHEELS, SEALED BEAMS; LIGHT
BULBS AND LENSES; NON-FACTORY INSTALLED AUDIO SYSTEMS AND DISC PLAYERS;
PLASMA TELEVISIONS; CAR PHONES; CELLULAR, SATELLITE, OR MICROWAVE
COMMUNICATON DEVICES; BRIGHT METAL PARTS; RUBBER MOLDINGS; WEATHER STRIPS;
METAL, GLASS OR PLASTIC TRIM; UPHOLSTERY; CARPET; ASH TRAYS; CUP HOLDERS; ANY
NON-FACTORY INSTALLED PARTS; CONVERTIBLE TOP, FRAME AND MECHANISM; SUNROOF
TRACK AND MECHANISM; SAFETY RESTRAINT SYSTEMS (SEAT BELTS AND AIR BAGS, EXCEPT
STEERING WHEEL) OR PART THEREOF; OR BODY PARTS AND COMPONENTS.
12. CHARGES FOR: SHOP SUPPLIES, FREIGHT, HAZARDOUS WASTE DISPOSAL, WHEEL
ALIGNMENT AND TIRE BALANCE, ADJUSTMENTS, SEALING, REPOSITIONING, REFITTING,
REALIGNING, AND/OR CLEANING
12. GRADUAL REDUCTION IN OPERATING PERFORMANCE DUE TO NORMAL WEAR AND TEAR.
13. FOR A BREAKDOWN NOT OCCURING IN THE UNITED STATES OR CANADA
14. A BREAKDOWN OF A COVERED PART BY A NON-COVERED PART, OR OF A NON-COVRED PART
DAMAGED BY A COVERED PART.
OMEGAEGVST0319 7
15. A BREAKDOWN CAUSED BY OR FOR DAMAGES RESULTING FROM OVERHEATING
REGARDLESS OF CAUSE.
16. CERTAIN VEHICLES OUTLINED ON THE ADMINISTRTATOR’S OR SERVICE CONTRACT
PROVIDER’S GUIDELINES WITH THE SELLER ARE INELIGIBLE. THESE INCLUDE BUT ARE NOT
LIMITED TO; EXOTIC VEHICLES, GREY MARKET VEHICLES, INCOMPLETE CHASIS, SALVAGE OR
BRANDED TITLE VEHICLES, SECURITY VEHICLES, RENTAL VEHICLES, TOW VEHICLES,
VEHICLES EQUIPPED WITH A SNOW PLOW, VEHICLES USED FOR CABLE OR LINE
INSTALATION, LIFTED VEHICLESVEHICLES EQUIPPED WITH A FLAT BED AND VEHICLES
GREATER THAN 1 TON.
ROADSIDE COVERAGE - If you require Roadside Assistance You must call 1-877-553-0531
Emergency Roadside Assistance is available 24 hours a day, every day of the year throughout the United States
& Canada. Your coverage begins on the date shown on this contract and terminates on either the expiration
date shown or at the expiration of your contract. You will only have to pay for any non-covered expenses or
costs in excess of your one hundred dollars ($100) per occurrence maximum. Service must be a covered benefit
under the terms and conditions of this contract and is available only for the specific Covered Vehicle registered
with United States Auto Club, Motoring Division, Inc. as part of this contract. “Covered Vehicle” is defined as
the vehicle listed on the application for this contract and registered with United States Auto Club, Motoring
Division, Inc (Vehicle Identification Number and Year, Manufacturer and Model).
All of the emergency roadside assistance services are provided by United States Auto Club, Motoring Division,
Inc. administrative offices located at P.O. Box 660460, Dallas, TX 75266-0460. All entities are collectively
referred to as “United States Auto Club, Motoring Division, Inc” throughout these Terms and Conditions.
EMERGENCY ROADSIDE ASSISTANCE
Just call TOLL-FREE 1-877-553-0531 and a service vehicle will be dispatched to your assistance. Important: Please
be with your Covered Vehicle when the service provider arrives, unless it is unsafe to remain with the vehicle, as the
provider cannot service an unattended vehicle. In the event that service is not obtainable through United States Auto
Club, Motoring Division, Inc
, you will receive an authorization number to receive a refund of payments made
according to your program benefit and coverage limits for services received independently. You must first contact
United States Auto Club, Motoring Division, Inc. for authorization to obtain independent services. NOTE: ASSISTANCE
OBTAINED THROUGH ANY SOURCE OTHER THAN UNITED STATES AUTO CLUB, MOTORING DIVISION,
INC.IS NOT COVERED AND IS NOT REIMBURSABLE.
The following are covered emergencies, subject to the one hundred dollars ($100.00) per occurrence limit:
(1.) Towing Assistance - When towing is necessary, the Covered Vehicle will be towed to the nearest qualified
service facility or to another location requested by the driver of the Covered Vehicle.
(2.) Flat Tire Assistance - Service consists of the removal of the Covered Vehicle’s flat tire and its replacement
with the spare tire located with the Covered Vehicle, or the service provider will drive you to the closest
tire store for repair.
(3.) Fuel, Oil, Fluid and Water Delivery Service - An emergency supply of fuel (3 gallons), oil, fluid and water
will be delivered if the Covered Vehicle is in immediate need. You must pay for the fuel or other fluid when
it is delivered.
(4.) Lock-out Assistance If your keys are locked inside the Covered Vehicle, assistance will be provided to
gain entry into the Covered Vehicle.
(5.) Battery Assistance If battery failure occurs, a jump start will be provided to start your Covered Vehicle.
OMEGAEGVST0319 8
The following items are not included as part of the emergency roadside assistance benefit: Coverage shall not be
provided in the event of emergencies resulting from the use of intoxicants or narcotics, or the use of the Covered
Vehicle in the commission of a felony. Cost of parts, replacement keys, fluids, lubricants, or fuel, material, additional
labor relating to towing, or the cost of installation of products. Non-emergency towing or other non-emergency service.
Non-emergency mounting or removing of snow tires or chains. Shoveling snow from around a vehicle. Tire Repair.
Extrication or Winching. Motorcycles, trucks over one and a half ton capacity, antique vehicles (meaning vehicles over
20 years old or out of manufacture for 10 years or more), taxicabs, limousines, or other commercial vehicles.
Recreational Vehicles (RVs), camping trailers, travel trailers, or any vehicles in tow. Any and all taxes or fines. Damage
or disablement due to collision, fire, flood or vandalism. Towing from or repair work performed at a service station,
garage or repair shop. Towing by other than a licensed service state or garage; vehicle storage charges; a second
tow for the same disablement. Service on a vehicle that is not in a safe condition to be towed or serviced or that may
result in damage to the vehicle if towed or serviced. Towing or service on roads not regularly maintained, such as sand
beaches, open fields, forests, and areas designated as not passable due to construction, etc. Towing at the direction
of a law enforcement officer relating to traffic obstruction, impoundment, abandonment, illegal parking, or other
violations of law. Repeated service calls for a covered vehicle in need of routine maintenance or repair. Services
received independently from United States Auto Club, Motoring Division, Inc. without prior authorization from United
States Auto Club, Motoring Division, Inc.. Only one disablement for the same service type during any seven day period
will be accepted. THIS IS NOT A ROADSIDE ASSISTANCE REIMBURSEMENT SERVICE.
TIRE HAZARD PROTECTION COVERAGE
Pre-authorization for all Tire Hazard service is required. You must call toll free 1-877-553-0531 prior to
any service being performed. Direct payment is available via phone M-F 8:00 am-5:30pm CST. You are
also eligible for reimbursement for any covered cost to repair or, if non-repairable, the cost to replace a
damaged tire on Your vehicle if damage is caused by a Road Hazard on a public roadway. Road Hazard
is defined as objects and road conditions such as potholes, rocks, wood debris, metal parts, plastic or
composite scraps or any item causing tire damage other than wear and tear and those conditions excluded
below.
1. Tire Repair You will be covered for the full charges incurred for the repair of the flat tire(s) up to twenty
dollars ($20.00) per tire.
2. Tire Replacement You will be covered for a replacement tire should the tire become non-repairable due to
impact breaks, snags, punctures, or other Road Hazards up to one hundred dollars ($100.00) for each tire
replacement per occurrence up to a maximum aggregate of four hundred dollars ($400.00) during the term of
this contract. Your tire must have more than 3/32” tread depth remaining to be eligible for coverage. Important:
You will be covered for the cost of a new tire as shown on the sales invoice up to $100.00.
3. Replacement will be with a tire of like kind, quality, and cost of the original tire as determined by reasonable
and customary retail prices available from reputable national vendors.
WE WILL NOT PAY BENEFITS FOR:
1. Tires that have 3/32” or less tread depth remaining.
2. Repair or replacement covered by the manufacturer, or other warranty, or customer’s primary
insurance coverage.
3. Replacement exceeding the manufacturer’s vehicle specification or when the manufacturer, by public
announcement or recall, establishes the responsibilities for the replacement for any manufacturer’s
defect.
4. Damage caused by negligence, abuse, misuse, collision, manufacturer’s defect, curb impact, valve
or rim leaks, improper installation, dry rot in either sidewall or tread, tire chains, racing or off-road
use, vandalism, malicious mischief, chain damage, fire or theft.
OMEGAEGVST0319 9
5. Vehicles other than on-road passenger or re-capped tires.
6. Failure occurring from operating on any surface other than federal, state, country, city or
municipally paved roads or highways.
7. Vehicles with off-road tires and wheels.
8. Vehicles that are truck rated more than one (1) ton
9. Vehicles that are used for commercial purposes, including but not limited to vehicles used for pick-up
and
delivery service, shuttle, hauling, towing, road repair service, construction service, dealer
service, snow removal or any other commercial use.
10. Vehicles used for racing, rentals, dealer loaner, limousine, taxi, police car or other emergency use.
11. Vehicles registered and/or other normally operated outside the continental United States or
America, Alaska, Hawaii, Canada and Mexico.
12. Tires and/or wheels that do not meet the manufacturer’s recommended specifications of your
vehicle.
13. Misuse occasioned from driving on tires that are over inflated, under inflated or flat.
14. Replacement not pre-authorized by us prior to its replacement.
15. Any consequential loss or damage whatsoever, including loss, damage or injury to person or
property resulting from the failure of any parts of your vehicle, the replacement of which are
covered under the terms and conditions of this contract.
16. Replacement of a tire if wheels are bent and cause vibration, yet tire holds air and is not damaged.
17. Any and all additional fees and taxes including mounting, balancing, new valve stems, wheel
weights and sales tax.
Pre-authorization for all Tire Hazard service is required.
EGV Companies, Inc. reserves the right to inspect all damaged tires prior to issuance of a claim
authorization number. You must call toll-free 1-877-553-0531 for authorization. After a claim number has
been issued by EGV Companies, Inc, proceed by having all covered repairs performed at your Selling
Dealership or licensed repair facility. For direct payment to your licensed repair facility, or reimbursement,
under this coverage, up to the benefit limit, you must provide EGV Companies, Inc the following:
1. A copy of the original repair order containing your Selling Dealership’s or licensed repair facility’s pre-
printed name, address and telephone number. Please note the repair order must confirm in writing by your
Selling Dealership or licensed repair facility the tread depth remaining on the covered tire.
2. The repair order must also include the Year, Make, Model, VIN and the current odometer reading of your
vehicle as well as the tire brand, model and size.
3. All documents must be provided to EGV Companies, Inc. via fax at 636-246-0333, or email
fax@omegaautocare.com
. Claims submitted for reimbursement must be submitted within forty five (45)
days after your claim number has been issued.
4. If pre-authorization is not obtained or steps 1 through 4 are not followed, EGV Companies, Inc. may deny
your claim.
ARBITRATION PROVISION
OMEGAEGVST0319 10
READ THE FOLLOWING ARBITRATION PROVISION (“PROVISION”) CAREFULLY. IT LIMITS CERTAIN OF YOUR RIGHTS,
I
NCLUDING YOUR RIGHT TO OBTAIN RELIEF OR DAMAGES THROUGH COURT ACTION.
As used in this Provision, “You” and “Your” mean the person or persons named in this Service Plan, and all of
his/her heirs, survivors, assigns and representatives. And, “We” and “Us” shall mean the Obligor identified
above and shall be deemed to include all of its agents, affiliates, successors and assigns, and any retailer or
distributor of its products, and all of the dealers, licensees, and employees of any of the foregoing entities.
Any and all claims, disputes, or controversies of any nature whatsoever (whether in AGREEMENT, tort or otherwise,
including statutory, common law, fraud (whether by misrepresentation or by omission) or other intentional tort, property,
or equitable claims) arising out of, relating to, or in connection with (1) this Service Plan or any prior Service Plan, and
the purchase thereof; and (2) the validity, scope, interpretation, or enforceability of this Provision or of the entire
Agreement (“Claim”), shall be resolved by binding arbitration before a single arbitrator. All arbitrations shall be
administered by the American Arbitration Association (“AAA”) in accordance
with its Expedited Procedures of the
Commercial Arbitration Rules of the AAA in effect at the time the Claim is filed. The terms of this Provision shall
control any inconsistency between the AAA’s Rules and this Provision. You may obtain a copy of the AAA’s
Rules by calling (800) 778-7879. Upon written request We will advance to You either all or part of the fees of
the AAA and of the arbitrator. The arbitrator will decide whether You or We will be responsible for these fees.
The arbitrator shall apply relevant substantive law and applicable statute of limitations and shall provide written,
reasoned findings of fact and conclusions of law. This Provision is part of a transaction involving interstate
commerce and shall be governed by the Federal Arbitration Act, 9 U.S.C. § 1 et seq. If any portion of this
Arbitration Provision is deemed invalid or unenforceable, it shall not invalidate the remaining portions
of the Arbitration Provision.
This Arbitration Provision shall inure to the benefit of and be binding on You and Us and its Provision shall
continue in full force and effect subsequent to and notwithstanding the expiration of termination of this Service
Plan.
You agree that any arbitration proceeding will only consider Your Claims. Claims by, or on behalf of, other
individuals will not be arbitrated in any proceeding that is considering Your Claims.
YOU AND WE UNDERSTAND AND AGREE THAT BECAUSE OF THIS ARBITRATION PROVISION
NEITHER YOU NOR WE WILL HAVE THE RIGHT TO GO TO COURT EXCEPT AS PROVIDED ABOVE OR
TO HAVE A JURY TRIAL OR TO PARTICIPATE AS ANY MEMBER OF A CLASS OF CLAIMANTS
PERTAINING TO ANY CLAIM.
TRANSFER OF YOUR AGREEMENT
This AGREEMENT is subject to transfer, reassignment or sale. It is YOUR responsibility to notify Us in the event
this A
GREEMENT has been transferred to a subsequent owner stating the name, address and telephone number
of the purchaser.
This provision is only available if YOU are the original AGREEMENT purchaser. YOUR rights and duties under this
A
GREEMENT may only be assigned if You sell YOUR VEHICLE directly to another individual (excluding dealer trade-
ins) and W
E receive YOUR written notification, as noted above, within thirty (30) days from the date of sale to the
subsequent owner and upon payment to U
S of a fifty dollar ($50) transfer fee, Unless contrary to state law,
insurance subrogation is waived by all parties (For Florida residents only, the transfer fee is forty dollars ($40).
For A
GREEMENTS sold as New Coverage, there may be certain criteria required by YOUR manufacturer (including
transfer of the powertrain coverage) in order for the powertrain coverage to remain in effect and in order for the
transfer to be considered valid. A
GREEMENTS purchased on a payment plan must be paid in full or payment
obligations assigned to new V
EHICLE owner prior to transfer. Confirmation of the transfer acceptance by US is
required before coverage for the new owner is effective.
The coverage provided by this AGREEMENT cannot be renewed. This AGREEMENT is only transferable if YOU are the first
retail purchaser of this A
GREEMENT, and if required verification of the transfer of the VEHICLE manufacturer’s warranty
OMEGAEGVST0319 11
is attached. Otherwise this AGREEMENT IS NOT transferable to any subsequent purchaser.
CANCELLATION OF YOUR AGREEMENT
1. YOU may cancel this AGREEMENT by returning it to the Seller or directly to US. An odometer statement
indicating the odometer reading at the date of the request for cancellation will be required. If Y
OU cancel
this A
GREEMENT within the first thirty (30) days, WE will refund the entire AGREEMENT Purchase Price, less
any claims paid. If this A
GREEMENT is canceled after the first thirty (30) days, WE will refund the unearned
A
GREEMENT Purchase Price to YOU calculated on a pro rata basis. The refund will be equal to the lesser
amount produced using either the number of days the A
GREEMENT was in force or the number of miles the
V
EHICLE was driven prior to cancellation, less a cancellation fee of seventy-five dollars ($75) and deducting
all incurred Claims, except where state law provides otherwise. In the event of cancellation, the Lienholder
identified on the D
ECLARATION PAGE, if any, will be named on a cancellation refund check as its interest
may appear.
2. W
E may cancel this AGREEMENT based on one or more of the following reasons: (A) non-payment of the
A
GREEMENT Purchase Price;
(B) a material misrepresentation made by Y
OU; or (C) a substantial breach of duties by YOU under the
A
GREEMENT relating to the VEHICLE or its use. If this AGREEMENT is canceled by US, WE will refund the
unearned A
GREEMENT Purchase Price to YOU calculated on a pro rata basis. The refund will be equal to
the lesser amount produced using either the number of days the A
GREEMENT was in force or the number
of miles the V
EHICLE was driven prior to cancellation, less a cancellation fee of seventy-five dollars ($75)
less all Claims incurred. In the event of cancellation, the Lienholder identified on the D
ECLARATION PAGE,
if any, will be named on a cancellation refund check as its interest may appear.
3. If the VEHICLE and this AGREEMENT have been financed, the Lienholder shown on the DECLARATION PAGE
may cancel this A
GREEMENT for non-payment or if the VEHICLE is declared a total loss or is repossessed.
This right of cancellation does not confer ownership of this A
GREEMENT to the Lienholder or otherwise
entitle the Lienholder to performance under this A
GREEMENT.
4. If this A
GREEMENT was financed or purchased on a payment plan (by a funding company) the Finance
Company or Funding Company shall be entitled to any refunds resulting from cancellation of this
A
GREEMENT for repossession of YOUR VEHICLE, total loss of YOUR VEHICLE or cancellation prior to balance
being paid in full. Failure to make monthly payments in a timely manner may result in cancellation of this
A
GREEMENT and no refund will be due.
NOTE: We agree to pay on behalf of the Seller, the unearned refund based on consideration received
from the Seller. The Seller agrees to pay the unearned portion of the commission originated from the sale
of this Agreement. Neither the Seller’s Administrator, claims service, nor the Seller’s insurer can be
held liable for return of the Seller’s commission or any part thereof as paid under this Agreement.
THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK
OMEGAEGVST0319 12
CANCELLATION APPLICATION
To transfer and/or cancel this Agreement, complete the following and mail a photocopy of the front
of this Agreement to the Seller listed on the declarations page of this Agreement. You may also
contact the Seller or the Administrator listed in the Definitions section of this agreement.
Please mark one of the following:
TRANSFER
CANCELLATION
Please transfer / cancel the remainder of the Agreement. I am transferring / canceling this Agreement in
accordance with the provisions stated in the Agreement. In order to transfer, I am enclosing with this
application a fifty dollar ($ 50) check or money order made payable to EGV Companies, Inc., (For Florida
residents only, the transfer fee is $40). I understand that if this Agreement has been financed through a
payment plan and there is an outstanding balance owed, that the balance must be paid to keep this Agreement
in force. If I still choose to transfer this Agreement, I will contact the payment plan company and transfer the
payment plan account obligations to the new owner of the Vehicle identified in the application below.
Name of New Owner Phone Number
Address
City, State, Zip
Odometer Mileage at date of
Transfer / Cancellation __________________Date of Transfer/Cancellation
Verification that the Vehicle has been maintained as required by this Agreement must be supplied
by Original Agreement Holder to Vehicle purchaser. Application must be received within 30 days of
the transfer / cancellation date. Transfer will be considered to be valid when Vehicle purchaser
receives confirmation letter from Administrator or Service Agreement Provider.
Date
Date
Signature of Agreement Holder or representative of lien holder (if cancelling)
Date
Phone
Signature of authorized representative of Seller (if cancelling)
Date
Title
OMEGAEGVST0319 13
PRIVACY POLICY
The trust of our customers is our most valuable asset. We safeguard that trust by keeping
nonpublic personal information about customers in a secure environment and using that
information in accordance with this Privacy Policy. Below is our privacy pledge to our
customers:
Information We May Collect
We may collect nonpublic personal information about you from the following sources:
Information we receive from you (or is provided to us on your behalf) on applications
and other forms, such as your name, address, telephone number, employer, and
income;
Information about your transactions with us or other nonaffiliated parties, such as
your name, address, telephone number, age, insurance coverage, transaction
history, claims history and premiums;
Information We May Disclose and To Whom We May Disclose Information
The nonpublic personal information we may collect as described above may be disclosed
in order to deliver products and services to you, provide customer service or administer
your account.
Disclosures Permitted by Law
We may disclose all of the nonpublic personal information described above, as permitted by
law. For example, we may use affiliated and nonaffiliated parties to perform services for us,
such as providing customer assistance, handling claims, protection against fraud and
maintaining software for us. We also may disclose information in response to requests from
law enforcement agencies or State insurance authorities.
Information Regarding Former Customers
We do not disclose nonpublic personal information about former customers or customers
with inactive accounts, except in accordance with this Privacy Policy.
Our Security Procedures
We restrict access to nonpublic personal information about you to those employees
whom we determine have a legitimate business purpose to access such information in
connection with the provision of products or services to you. We employ security
techniques designed to protect our customer data. We provide training and
communications programs designed to educate employees about the meaning and
requirements of our strict standards for data security and confidentiality.