EVS Tech
Resume:
Email: adw6u8@r.postjobfree.com Fax: 1-877-***-**** Phone: 1-877-***-****
Visit us at www.MyNatGenPolicy.com
***** (10012017)
PO Box 3199 ● Winston Salem, NC 27102-3199 Date: 02/03/2023 Personal Auto Policy: 201-***-****
Roadside Assistance: 201-***-****
Named Insured:
BETTY WILLIAMS
Policy Period: 02/03/2023 - 08/03/2023
BETTY WILLIAMS
200 LOWER CREEK PASS
MCDONOUGH GA 30252
Agent:
Helmsman Insurance Agency LLC
2290 E Yeager Dr Ste 100
Chandler AZ 85283
RECEIPT & PAYMENT SCHEDULE
Payment Received: $258.30
Date Payment Received: 2/3/2023 3:12:00 PM
Payment Confirmation Number: cc04607C
Payment Schedule Payment Amount
03/13/2023 $223.94
04/13/2023 $223.94
05/15/2023 $223.94
06/13/2023 $223.94
07/13/2023 $223.94
The above installments may not reflect billing changes made to your policy. Thank you for choosing National General Insurance! Email: adw6u8@r.postjobfree.com Fax: 1-877-***-**** Phone: 1-877-***-**** Visit us at www.MyNatGenPolicy.com
10994 (03012019)
PO Box 3199 ● Winston Salem, NC 27102-3199
BETTY WILLIAMS
200 LOWER CREEK PASS
MCDONOUGH GA 30252
Welcome! Thank you for choosing us to protect your assets! As your insurance agency, we’re excited to provide you with the additional peace of mind of having a policy with National General Insurance. You can file a claim or manage your policy online 24/7, every day of the year. If you ever need help with your policy — whether you have questions about a payment or you want to explore coverage options — do not hesitate to give us a call! Complete your registration for paperless billing and manage your policy online! We just need you to do one more thing… Check your inbox for an email that will allow you to complete registration for paperless billing. You can also register by going to www.MyNatGenPolicy.com. That’s all there is to it! As long as you complete the registration, you’ll receive important notifications about your policy at the email address you provided instead of through regular mail. You’ll have immediate, on-demand access to view and print all your important policy documents — like insurance ID cards — and manage your policy online.
World-Class Claim Service
We’re happy to tell you that as a policyholder with National General Insurance you can expect world-class claim service. And, collision repairs made at any of their Gold Medal Repair Shops are backed by a lifetime guarantee. You can report a claim at any time by calling 1-800-***-****. A claims professional will be there to take your call and help you get back on the road as quickly as possible. Customer Service
You can always call the customer service department at National General Insurance if you need help with anything relating to your policy. Call them at 1-877-***-****. 11153 (08012017)
Dear Customer,
Enjoy the flexibility of on-demand access to your policy documents and Go Paperless! Just follow the steps below to verify your policy information: 1. Check your email adw6u8@r.postjobfree.com for a Go Paperless reminder 2. Click on the link and enter your policy number and date of birth 3. Establish a login ID and password
4. Accept the terms and conditions
That’s all there is to it! Once you complete your registration, you will have immediate, online access to all of your policy documents including ID cards, declarations pages, monthly bills and more!
Take advantage of these online benefits when you Go Paperless!
Get instant, on-demand access to policy documents — like your ID cards
Make payments securely, check your balance and view payment history
No paper, no clutter — with easy access to all your policy documents in one location
Report a claim!
10119GA R6V (07012020)
Georgia
Personal
AutoInsurance
Application
Direct General Insurance Company
PO Box 3199
Winston Salem, NC 27102-3199
GA
Policy #: 201-***-**** Effective Date: 02/03/2023 Time: 3:12 PM Amount Enclosed: $258.30 Agency Information
Agency Name: Helmsman Insurance Agency LLC Producer: Sarah Althea Ida Young Agency Number-Producer Code: 9028135 Agency E-Mail: adw6u8@r.postjobfree.com Applicant Information
Applicant Name: BETTY WILLIAMS Social Security #:
Affinity Group: NatGen VALUE Agency Plan Code
Mailing Address:
200 Lower Creek Pass
City:
Mcdonough
State:
GA
Zip:
30252
E-Mail Address:
adw6u8@r.postjobfree.com
Phone Number:
Work Number:
Payment Options
Policy Term # of Payments Payment Type Account #
6 5 Auto Pay - Checking/Savings 6630
Underwriting Information Policy Discount and Surcharge Information Prior Company Name:
Accident Free Claims Free
AutoPay
Multiproduct Discount
Paperless Discount
Prior Policy Expiration/ Cancellation Date:
Prior BI Limits:
Vehicle Information
Veh Terr Year Make Model Serial (VIN) Number Usage Veh Sym 1 1162 2013 NISS ROGUE S/ JN8AS5MVXDW114368 Pleasure/Commute DF1627 Coverage Information - 2013 NISS ROGUE S/SV
Coverages Limits/Deductibles Premium
Bodily Injury $25,000 Each Person / $50,000 Each Accident $591.00 Property Damage $27,500 Each Accident $289.00
Other Than Collision $1,000 Deductible $68.00
Collision $1,000 Deductible $287.00
Combined Vehicle Premium: $1,235.00
Additional Charges: $25.00
Total 6 Month Policy Premium: $1,260.00
Driver and Household Member Information
List: (1) All persons living in your household whether related to you or not who are 15 years of age or older;
(2)Your children/step-children or dependents who are between the ages of 15 and 21 who do not reside in your household, such as students living away from home and/or dependents serving in the Armed Services; and (3) All persons who do not reside in your household but who are “regular operators” of your vehicle(s). For purposes of this requirement, a “regular operator” is anyone who has used or uses your vehicle(s) at least once a week, or 2 days in a row, or at least 7 times over the last 6 months. NOTE: You have a continuing duty during the life of the issued policy to notify the Company within 7 days from when any household member turns 15 years of age or obtains a learner’s permit or a driver’s license, whichever is earlier. In addition, you have a continuing duty during the life of the policy to notify the Company within 7 days from when a person age 15 years or older becomes a member of your household or regular operator. 0000003724980300010372428400006563002030019000010005 10119GA R6V (07012020)
Name
(As shown on license)
Drivers License
Number
License
State
Driver Status
Date of
Birth
Gender
Marital
Status
Relationship to
Applicant
1 BETTY WILLIAMS XXXXX0885 GA Rated Driver 11/12/1962 Female Single Named Insured Driver and Household Member Information (continued) SR-22 Discounts and Surcharges
1 No
Accidents, Violations and Nonchargeable Incidents
Driver Name
Violation/
Conviction/
Accident Date
List Date and Details of All Accidents,
Violations and Convictions During
Previous 59 months
Coverage and
Amount Paid for
Damages
Disputed Points
BETTY WILLIAMS 01/05/2022
Uninsured/Underinsured Motorist Loss
- BI /Property
No 0
0000003724980400010372428400006563002030019000020005 10119GA R6V (07012020)
UNDISCLOSED DRIVER
WARNING! READ THIS NOTICE CAREFULLY!
By my signature below, I acknowledge and agree that ALL persons age 15 years or older who live with me are listed on this Application. In addition, I agree that ALL persons who do not live with me but who regularly operate or have access to my vehicle(s) are listed on this Application.
I understand that I have a continuing duty to notify the Company within 7 days from when any person in my household turns 15 years of age or when any person age 15 years or older becomes a member of my household as further defined in the Applicant’s Statement below. In addition, I have a continuing duty to notify the Company within 7 days of any person becoming a Regular Operator of any vehicle listed on the Policy. I understand the Company may deny coverage if the answers on this Application are false or misleading and materially affect the risk the Company assumes by issuing the Policy. Applicant’s Signature: <PrimarySign> Date: <PrimaryDate> Applicant’s Statement
Is any vehicle leased or rented to others? NO
Is any vehicle regularly available to an operator that is not listed on this Application? NO Do any vehicles have a modified or altered engine or suspension? NO Is any vehicle salvaged, customized, rebuilt, modified, gray market, in unsafe mechanical condition, or have existing damage?
NO
Is any vehicle equipped with cooking equipment, bathroom facilities, or snow removal equipment? NO Does any vehicle have greater than a one-ton load capacity or a gross vehicle weight in excess of 10,000 pounds?
NO
Is any vehicle a dump truck, flatbed truck, or stake-bed truck? NO Is any vehicle used as a taxi or limousine? NO
Is any vehicle used for delivery, the pick-up of goods, or any other commercial purpose
(examples include, but are not limited to, pizza, newspaper, or mail delivery)? NO
Is any vehicle used as a public or livery conveyance? NO Are any vehicles used for racing? NO
Is any vehicle used to haul explosives or hazardous materials? NO With the exception of any lien from a person or financial institution, is any vehicle not solely owned by and registered to you?
NO
Are there any household members (which means anyone living with you), including any students who are temporarily away attending college, persons away serving in the military, or persons living sometimes with you but subject to a joint custody agreement, not listed on this Application? NO
Are any Regular Operators/drivers of vehicles to be insured by us not listed in this application, whether or not they live with you? (Regular operator means any person who has used the vehicle to be insured under this policy once a week or more, or 2 days in a row, or 7 times or more in a 6 month period.)
NO
Do you own any vehicle(s) not listed on the Application that are not insured under any other motor vehicle insurance policy?
NO
Are any listed drivers or vehicles used to drive for a Transportation Network Company such as Uber, Lyft or Side Car?
NO
Consent for Policy and Driver service calls and texts? YES 0000003724980500010372428400006563002030019000030005 10119GA R6V (07012020)
Applicant’s Statement – Please read carefully.
I agree all answers to all questions in this Application are true and correct. I understand, recognize, and agree said answers are given and made for the purpose of inducing the Company to issue the Policy for which I have applied. I further agree that ALL persons age 15 years or older who live with me, as well as ALL persons who regularly operate my vehicles and do not reside in my household, are shown above. I agree that my principal residence and place of vehicle garaging is correctly shown above and that the vehicle is in this state at least 10 months each year. I understand the Company may rescind the Policy if said answers on this Application are false or misleading, and materially affect the risk the Company assumes by issuing the Policy. In addition, I understand that I have a continuing duty to notify the Company within 7 days of any changes of: (1) address; (2) garaging location of vehicles; (3) number, type, and use of vehicles to be insured under the Policy. This includes the use of the vehicle to carry persons or property for compensation or a fee, ride sharing activity, TNC prearranged trips, personal vehicle sharing program, limousine, or taxi service, livery conveyance, including not-for-hire livery, or for retail or wholesale delivery, including but not limited to, the pickup, transport, or delivery of magazines, newspapers, mail, or food. (4) residents of my household of eligible driving age or permit age; (5) driver’s license or permit status (new, revoked, suspended or reinstated) of any resident of my household; (6) operators using any vehicles to be insured under this Policy; or (7) the marital status of any resident or family member of my household. I understand the Company may rescind this Policy, or cancel the policy, and/or deny coverage if I do not comply with my continuing duty of advising the Company of any change as noted above.
I understand and agree that in connection with this Application, the Company may obtain and review vehicle history reports and consumer reports which may include: driver history reports; my credit report or an insurance score based on the information contained in that credit report; individual background checks on all listed drivers; or personal or privileged information from third parties. I further understand and agree (1) that the Company may use a third party in connection with the development of my credit-based insurance score; (2) information from the consumer reports may be disclosed to affiliated or unaffiliated third parties without my prior permission but only as permitted or required by law; (3) upon my written request, the Company will inform me if a consumer report was requested and the name and address of the consumer reporting agency that furnished the report; (4) I may also request access to and correction of information the Company has collected on me; (5) where permitted by law, the Company may request and use subsequent consumer reports in updating and renewing any insurance afforded in connection with this Application; (6) the Company will furnish a more detailed explanation of its information practices upon my request; and (7) refusal to authorize the Company to obtain a consumer report may give the Company the right to decline insurance to me. I hereby authorize the Company to obtain history reports on my vehicles and consumer reports on me. I agree the named members of my household and all other operators of any vehicle(s) to be insured under this Policy have authorized me to consent on their behalf to all coverages provided herein and to authorize the Company to obtain consumer reports on them for the rating and/or underwriting of the insurance for which I am applying and, where permitted by law, for any renewal thereof. I agree to pay any additional premium owed if the amount of premium shown is inaccurate for any reason.
I have had the liability coverages and available limits available fully explained to me and have selected the limits shown on the Application. I have had the different Policy coverage levels available to me fully explained. I made an informed decision and have selected the Policy coverage level shown on the Application. I understand the Policy may be rescinded and no coverage provided if my initial payment or full payment is paid by check, credit card, debit card, or other remittance and the bank returns said check unpaid or fails to honor the credit charge or debit charge, or other remittance in full. I understand there may be a processing fee imposed on any returned checks. I understand processing fees may be included with my initial payment and installment payments, and additional fees may be charged for late payments. I understand that if my policy cancels there may be a cancellation fee. I understand my payments are first applied to the fees owed and then to the premium. I understand and agree that certain fees are non-refundable and not part of the premium due. PUNITIVE AND EXEMPLARY DAMAGES EXCLUDED. I understand that in consideration of a reduced premium, the Policy excludes coverage for punitive and exemplary damages. Punitive or exemplary damages are those damages which are not compensatory and which are awarded to punish, deter, fine or penalize a person’s improper conduct. Consent to Use Cell Phone Number. By providing phone number(s) for myself and any other individual(s) I have listed on this application, I acknowledge and confirm that I, and each such individual, expressly consent to the Company making policy related service calls and/or texts to our respective numbers. Each person has authorized me to give their consent to the Company. I agree that I have or will notify them that I have communicated their consent and that the Company may be calling or texting them as described. If I also consented to marketing communication as set forth in this application, I understand and agree that the Company and its affiliates can use texts, recorded messages, and/or an automated dialer to call me about insurance quotes, to discuss the status of my policy and about other their other products and services. I understand that I did not have to agree to that in order to purchase my policy and that I can revoke my consent at any time by notifying the Company in writing. I understand my producer will receive compensation for this Policy in the form of a commission and may from time to time receive other compensation from the Company based on sales and/or profitability. 0000003724980600010372428400006563002030019000040005 10119GA R6V (07012020)
WARNING: Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud. Applicant’s Signature <PrimarySign> Date <PrimaryDate> 0000003724980700010372428400006563002030019000050005 IDBEGINS
IDENDS
Thank you for insuring with us! Here are your identification cards for proof of insurance. These are your Temporary ID Cards.
Your Permanent ID Cards will arrive soon in the mail with your Policy. GEORGIA LIABILITY INSURANCE IDENTIFICATION
CARD
KEEP THIS CARD IN YOUR MOTOR VEHICLE
Direct General Insurance Company NAIC NUMBER Report all accidents immediately to: PO Box 3199 Winston Salem, NC 271**-****-***** National General Insurance INSURED POLICY NUMBER Toll free at: 1-800-***-**** Glass Claims: BETTY WILLIAMS
200 Lower Creek Pass
Mcdonough, GA 30252
201-***-**** Customer Service : 1-877-***-****
EFFECTIVE DATE This card is satisfactory evidence of financial responsibility for this motor vehicle.
2/3/2023
EXPIRATION DATE Keep this card in your motor vehicle while in operation. 8/3/2023
YEAR MAKE MODEL VEHICLE IDENTIFICATION NUMBER
2013 NISS ROGUE S/ JN8AS5MVXDW114368
AGENCY: 9028135
Helmsman Insurance Agency LLC
2290 E Yeager Dr Ste 100
Chandler, AZ 85283
The current status of actual motor vehicle liability insurance coverage is maintained by the GA DMVS and is accessible to law enforcement agencies upon a check of the vehicle registration. MOD: 00 10043GA (03012010)
Cut On Solid Line – Fold On Dotted Line
42198 (08012014)
MOTOR VEHICLE INSPECTION FORM
PO Box 3199
Winston Salem, NC 27102-3199
APPLICATION INFORMATION
Name Policy Number
BETTY WILLIAMS 201-***-****
VEHICLE INFORMATION
Year Make Model License Plate No.
2013 NISS ROGUE S/SV
VIN Body Style Mileage
JN8AS5MVXDW114368 SPORT UTILITY VEHICL 4 Cyl 4x4
Describe any existing damage
If Customized Vehicle, itemize the customization:
Value of Customized Vehicle: $
NOTE: UNACCEPTABLE VEHICLES AND MODIFICATIONS:
Traction Bars Added Steering geometry changed
Oversized Tires/More than 4 tires Major Safety deficiencies observed
Engine or drivetrain altered or changed Raised or lowered suspension
Kit built, homemade, custom made or limited production ACCESSORIES AND OPTIONAL EQUIPMENT
Stereo Amplifier System Permanently Installed Value Equipment Brand Yes No $
Compact Disk Player Factory Installed Value
Equipment Brand Yes No $
Other Equipment (See program guide for coverage details) Permanently Installed Value Equipment Brand Yes No $
Equipment Brand Yes No $
Equipment Brand Yes No $
In order for the above equipment to be covered, an additional premium may need to be paid. See the program guide for restrictions. Anti-Theft Device Permanently Installed Value
Equipment Brand Yes No $ No
Equipment Brand Yes No $ No
Air Bags - Model Type -
Wheel Drive - Load Capacity –
The undersigned certifies that this Inspection Report is true and also attests to the authenticity of the Vehicle Identification Number. Person Presenting Vehicle for Inspection Date Signed Inspector Signature Date Signed
0000003724603900010372428400002803002030019000010001 RA-ACK (Rev. 01/18) 12079 (01012018)
OPTIONAL
DIRECT ROADSIDE ASSISTANCE PROGRAM
Summary of Benefits and Acknowledgements
Plan Types & Annual Cost:
Plan I: $138.00 Add: $94.00 for each additional vehicle Semi-Annual Cost:
Plan I: $78.00 Add: $65.00 for each additional vehicle ROADSIDE BENEFITS INCLUDE:
24 Hour Emergency Towing
Assistance
Vehicle tow to nearest qualified facility or a facility of your choice within 15 miles of vehicle location
Tire Service Dispatch of a service provider to assist in changing an inflated spare tire from mount to wheel
Lost Keys and Lockout Dispatch of a service provider to assist in gaining entry to your vehicle Essential Fluids Delivery Deliver of essential fluids for vehicle (gas, water, antifreeze) to the vehicle’s location (cost of the fluid will be the responsibility of the customer) Battery Service Jump start or boost a dead battery THE DIRECT ROADSIDE ASSISTANCE PROGRAM IS NOT AN INSURANCE CONTRACT. Read The Membership Service Contract For A Full Explanation Of Benefits, Terms & Conditions. I, the undersigned, hereby acknowledge that my agent has fully explained to me and I understand: 1. The Direct Roadside Assistance Program is not insurance and does not provide liability coverage insurance for bodily injury or property damage. It does not meet any financial responsibility law and is not required by the State. 2. The Direct Roadside Assistance Program is an optional product that is separate from my automobile insurance policy. I have a 30 day free look period during which I can cancel with no obligation. Buying it is not a condition of buying my automobile insurance policy. 3. I am making an informed decision about the optional Direct Roadside Assistance Program. 4. I have received a signed copy of this summary and acknowledgment. I HAVE ELECTED TO PURCHASE THE DIRECT ROADSIDE ASSISTANCE PROGRAM FOR THE COST INDICATED ABOVE:
BETTY WILLIAMS 201-***-****
Applicant’s Name Policy Number:
<PrimarySign> <PrimaryDate>
Applicant’s Signature Date
All membership benefits are subject to terms and conditions. TO FILE A CLAIM: For Roadside Assistance call 877-***-****. Roadside Assistance benefits are provided through Nation Safe Drivers, 800 Yamato Rd. Boca Raton, FL 33431 which is not affiliated with the Direct General Group. (Please also refer to your Service Agreement)
0000003724844500010372428400005209002030019000010001 TBnR 10/14 131
ROADSIDE ASSISTANCE PROGRAM
Home office: Nation Motor Club, LLC • 800 Yamato Road, Suite 100 • Boca Raton, FL 33431 MEMBER INFORMATION VEHICLE INFORMATION
Name Year Make Model
BETTY WILLIAMS 1 2013 NISS ROGUE S/
Address
200 Lower Creek Pass
City State Zip
Mcdonough GA 30252
SELLER INFORMATION
Name
Helmsman Insurance Agency LLC
Address
MEMBERSHIP INFORMATION
2290 E Yeager Dr Ste 100
City State Zip Effective Date Expiration Date Membership Fee Chandler AZ 85283 02/03/2023 08/03/2023 $78.00
For Emergency Roadside Assistance Only Call 1-877-***-**** Member #: 201-***-****
Producer Code: 26224
Plan Letter: B
For Customer Service Only Call 888-***-****, Monday through Friday, from 8:30 am - 5 pm eastern time THIS IS NOT AN INSURANCE CONTRACT
This is not an Automobile Physical Damage or
Automobile Liability insurance contract.
Your Membership contains Our 24 hour emergency road service telephone number for You to call when Your Covered Vehicle is disabled. When arranging for Roadside Assistance, please call 1-877-***-**** and reference Your Producer Code, Member Number and Plan Letter (located above). You will not be required to pay any additional fee or sum in addition to the Membership Fee when Your service is for a tow up to fifteen (15) miles or other covered service listed below. You are entitled to one (1) covered service within a seventy two (72) hour period. Covered services not obtained through Us are limited to a maximum reimbursement amount of fifty dollars ($50). Towing: Up to fifteen (15) miles at no out of pocket expense to You. Additional mileage is available and will be negotiated prior to sending out a service vehicle. Additional mileage is to be paid by You directly to the service provider at the time of service. Mechanical First Aid: Any minor adjustment that a dispatched service provider might perform to allow Your Covered Vehicle to proceed safely under its own power.
Tire Service: Includes changing a flat tire with Your good spare. Battery Service: Jumpstart or boost a dead battery. Delivery Service: Including gasoline, water, oil, or any supplies necessary to send Your Covered Vehicle on its way. You are responsible for the actual cost of fluid and/or supplies delivered.
Lockout Services: We will send a locksmith if You are accidentally locked out of Your Covered Vehicle. Access to passenger compartment only. Limit: No more than five (5) service calls within twelve (12) months. ADDITIONAL BENEFITS
Theft Hit & Run Protection: We will pay a person, (excluding Member or Member's family) five hundred dollars ($500) for information leading to the arrest and conviction of a person for the theft of a Your Covered Vehicle or tagged valuable articles. Rental Car Discounts: You may access car rental discounts for: NATIONAL (1-877-***-**** ID# XZ41148 PIN# NSD); THRIFTY (1-800-***-**** ID# 001*******); and ENTERPRISE (1-800-***-**** ID# XZ41148 PIN# NSD) Concierge Benefits: You may contact Our Concierge center at 1-855-***-****, and give the producer code number listed on the front of this Membership, twenty four (24) hours a day / seven (7) days a week, to speak with a representative who will assist You with the following concierge services: a) emergency message relays to family friends or co-workers; b) hotel and rental car availability; c) ATM locations; d) locate medical facilities; e) theme park and local attraction information; f) restaurant locations; g) movie schedules and locations; h) directional assistance; i) traffic alerts; and j) sport scores. Please note: Services provided are for informational purposes ONLY. You are responsible for making any/all payment arrangements and for setting up benefits that require additional billing, such as the actual cost of hotel rooms, rental cars, etc. Payment is to be made directly by You to the providers, vendors or establishments.
0000003724825700010372428400005019002030019000010003 TBnR 10/14
TERMS AND CONDITIONS
You, Your, Member means the individual(s) listed in the registration section of this Membership; We, Us or Our means the Provider/Administrator of the Motor Club benefits and services; Covered Vehicle means the vehicle(s) listed in the registration section of this Membership; All benefits are available to You up to Your benefit limit, as described throughout this Membership, without any additional payments. You are responsible for any non-covered expenses;
Your Membership begins on the Effective Date as shown above and continues until the Expiration Date, unless cancelled. All of the benefits and services of Your Motor Club Membership are described herein and are applicable throughout the United States, Canada and Puerto Rico;
All services and benefits are Administered through Nation Safe Drivers, LLC. dba Nation Safe Drivers located at 800 Yamato Road, Suite 100, Boca Raton, FL 33431. In California: All services and benefits are Administered through Nation Motor Club, LLC. located at 800 Yamato Road, Suite 100, Boca Raton, FL 33431. California Motor Club Permit Number: 5157-3. In Alabama, Alaska, Utah & Virginia: All services and benefits are Administered through Nation Safe Drivers Services, Inc.;
For Customer Service please contact the Administrator at 888-***-****, Monday through Friday, from 8:30 am - 5 pm eastern time; All claims must be reported to the Administrator at 800 Yamato Road, Suite 100, Boca Raton, FL 33431; 888-***-****; You have the right to file a complaint by submitting a written complaint to Our Customer Service Department at 800 Yamato Road, Suite 100, Boca Raton, FL 33431 or by calling 888-***-****, Monday through Friday, from 8:30 am - 5 pm eastern time; You may obtain a full copy of Our company's privacy notice by sending a written request to the Administrator, Attention: Privacy Notice Department, 800 Yamato Road, Suite 100, Boca Raton, Florida 33431. EXCLUSIONS
This Membership does not cover the following: a) Any violation of motor vehicle or traffic laws relating to the operation of a motor vehicle; b) Driving under the influence of intoxicating liquors, narcotics or psychedelic drugs; c) Driving without a valid operator's permit, or leaving the scene of an accident without disclosing identity, or failing to stop to ascertain injury and lend assistance (i.e. hit and run); d) When any motor vehicle is operated without permission of the owner thereof; e) Service for trucks in excess of one ton chassis, busses, trailers, tractors, or vehicles of dual wheel class; f) Any service requiring removal of snow or ice from or around Your Covered Vehicle(s), or from any driveway or premises, or street, highway or parking area; g) Gas/credit card receipts are not accepted; h) Reimbursement sought for any bill which, in Our opinion appears to be false or fraudulent, and not for the claimed services; i) Any parts of the Covered Vehicle, rental battery or return of rental battery. Supplies or accessories furnished by garage or service station shall be at the sole expenses of the Member; j) All repairs and material used in repairing flat tire, or services requiring more than one trip by garage or service station shall be at the sole expense of the Member; k) By being involved in any traffic accident or any accident involving a motor vehicle in which a Police Traffic Accident Report is not filed or made a matter of record; l) In
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