Colorado Auto Policy
Sample Progressive Form 9611D CO (12/14)
Contents
- • Important Notice — Named Non-Owner Coverage
- • Insuring Agreement
- • General Definitions
- • Part I — Liability to Others
- • Part II — Medical Payments Coverage
- • Part III — Uninsured/Underinsured Motorist Coverage
- • Part IV — Damage to a Vehicle
- • Part V — Roadside Assistance Coverage
- • Part VI — Duties in Case of an Accident or Loss
- • Part VII — General Provisions
- • Appendix A — Linked Colorado Authorities for This Policy Form
Important Notice — Named Non-Owner Coverage
Contents
- • Important Notice — Named Non-Owner Coverage
- • Insuring Agreement
- • General Definitions
- • Part I — Liability to Others
- • Part II — Medical Payments Coverage
- • Part III — Uninsured/Underinsured Motorist Coverage
- • Part IV — Damage to a Vehicle
- • Part V — Roadside Assistance Coverage
- • Part VI — Duties in Case of an Accident or Loss
- • Part VII — General Provisions
- • Appendix A — Linked Colorado Authorities for This Policy Form
IMPORTANT NOTICE: If you have no vehicles listed on this policy and you have only purchased Named Non-Owner Coverage, then for purposes of coverage under Part I—Liability To Others:
The insurer is only liable under the policy for liability or damages incurred by the insured while the named insured is the operator of a motor vehicle or while a motor vehicle owned by the insured is not being operated by any person;
The policy does not provide coverage for any vicarious liability imposed on the owner of the motor vehicle as a result of the operation by another person of a motor vehicle owned by the insured that is insured under an operator’s policy of liability insurance; and
The coverage provided by the policy may not meet the requirements of the mandatory motor vehicle insurance or financial responsibility laws of other states.
Form 9611D CO (12/14) version 2.0
Restated policy text
Colorado 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 endorsements to this policy.
General Definitions
The following definitions apply throughout the policy. Defined terms are printed in boldface type and have the same meaning whether in the singular, plural, or any other form.
“Additional auto” means an auto you become the owner of during the policy period that does not permanently replace an auto shown on the declarations page if:
we insure all other autos you own;
the additional auto is not covered by any other insurance policy;
you notify us within 30 days of becoming the owner of the additional auto; and
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.
“Auto” means a land motor vehicle:
of the private passenger, pickup body, or cargo van type;
designed for operation principally upon public roads;
with at least four wheels; and
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.
“Auto business” means the business of selling, leasing, repairing, parking, storing, servicing, delivering or testing vehicles.
“Bodily injury” means bodily harm, sickness, or disease, including death that results from bodily harm, sickness, or disease.
“Covered auto” means:
any auto or trailer shown on the declarations page for the coverages applicable to that auto or trailer;
any additional auto;
c. any replacement auto; or
d. a trailer owned by you.
“Declarations page” means the document showing your coverages, limits of liability, covered autos, premium, and other policy-related information.
The declarations page may also be referred to as the Auto Insurance Coverage Summary.
“Occupying” means in, on, entering or exiting.
“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 entities.
“Rated resident” means a person residing in the same household as you at the time of the loss who is not a relative, but only if that person is both:
listed in the “Drivers and household residents” section on the declarations page; and
not designated as either an “Excluded” or a “List Only” driver.
“Relative” means a person residing in the same household as you, and related to you by blood, marriage, civil union pursuant to state law, 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.
“Replacement auto” means an auto that permanently replaces an auto shown on the declarations page.
A replacement auto will have the same coverage as the auto it replaces if the replacement auto is not covered by any other insurance policy.
However, if the auto being replaced had 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 unless you notify us within that 30-day period that you want us to extend coverage beyond the initial 30 days.
If the auto being replaced did not have coverage under Part IV—Damage To A Vehicle, such coverage may be added, but the replacement auto will have no coverage under Part IV until you notify us of the replacement auto and ask us to add the coverage.
“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 user logs on to, or signs in to, any online-enabled application, software, website or system until the time the user logs out of, or signs off of, any such online-enabled application, software, website or system, whether or not the user has accepted any passenger(s) or delivery assignment, including the time the user is on the way to pick up any passenger(s) or property, or is transporting any passenger(s) or property.
“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;
as an office, store, or for display purposes; or
as a passenger conveyance.
“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.
“We,” “us” and “our” mean the underwriting company providing the insurance, as shown on the declarations page.
“You” and “your” mean:
a person shown as a named insured on the declarations page; and
the following person, if residing in the same household at the time of the loss:
the spouse of that named insured; or
a person who has entered into a civil union with that named insured pursuant to state law.
Part I — Liability To Others
This Part addresses liability coverage for bodily injury and property damage claims brought by other people.
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.
Damages include prejudgment interest awarded against an insured person.
We will settle or defend, at our option, any claim for damages covered by this Part I.
Additional Definitions
When used in this Part I:
“Insured person” means:
you, a relative, or a rated resident with respect to an accident arising out of the ownership, maintenance or use of an auto or a trailer;
any person with respect to an accident arising out of that person’s use of a covered auto with the permission of you, a relative, or a rated resident;
any person or organization with respect only to vicarious liability for the acts or omissions of a person described in a. or b.above; and
any “Additional Interest” shown on the declarations page with respect only to its liability for the acts or omissions of a person described in a. or b.above.
“Property damage” means physical damage to, destruction of, or loss of use of, tangible property.
Additional Payments
In addition to our limit of liability, we will pay for an insured person:
all expenses we incur in the settlement of any claim or defense of any lawsuit;
interest accruing after entry of judgment, until we have paid, offered to pay, or deposited in court, that portion of the judgment which does not exceed our limit of liability.
This does not apply if we have not been given notice of suit or the opportunity to defend an insured person;
the premium on any appeal bond or attachment bond required in any lawsuit we defend.
We have no duty to purchase a bond in an amount exceeding our limit of liability, and we have no duty to apply for or furnish these bonds;
up to $250 for a bail bond required because of an accident resulting in bodily injury or property damage covered under this Part I.
We have no duty to apply for or furnish this bond; and
reasonable expenses, including loss of earnings up to $200 per day, incurred at our request.
Exclusions
Read the following exclusions carefully. If an exclusion applies, coverage will not be afforded under this Part.
Coverage under this Part I, including our duty to defend, will not apply to any insured person for:
bodily injury or property damage arising out of the ownership, maintenance or use of any vehicle or trailer while being used:
to carry persons or property for compensation or a fee; or
for retail or wholesale delivery, including, but not limited to, the pickup, transport or delivery of magazines, newspapers, mail or food.
This exclusion applies only to damages in excess of the minimum limit of liability coverage mandated by the motor vehicle financial responsibility law of Colorado.
This exclusion does not apply to shared-expense car pools;
any liability assumed under any contract or agreement by you, a relative, or a rated resident;
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;
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, a relative, a rated resident, or an agent or employee of you, a relative, or a rated resident, when using a covered auto;
bodily injury or property damage resulting from, or sustained during practice or preparation for:
any pre-arranged or organized racing, stunting, speed or demolition contest or
activity; or
any driving activity conducted on a permanent or temporary racetrack or racecourse;
bodily injury or property damage due to a nuclear reaction or radiation;
7. bodily injury or property damage for which insurance:
is afforded under a nuclear energy liability insurance contract; or
would be afforded under a nuclear energy liability insurance contract but for its termination upon exhaustion of its limit of liability;
any obligation for which the United States Government is liable under the Federal Tort Claims Act;
bodily injury or property damage caused by an intentional act of that insured person, or at the direction of that insured person, even if the actual injury or damage is different than that which was intended or expected;
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 a rented garage;
bodily injury to you or a relative.
However, this exclusion does not apply if the bodily injury arises out of the operation of a covered auto by an insured person other than you or a relative;
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;
bodily injury or property damage arising out of the ownership, maintenance or use of any vehicle owned by a relative or a rated resident or furnished or available for the regular use of a relative or a rated resident, other than a covered auto for which this coverage has been purchased.
This exclusion does not apply to your maintenance or use of such vehicle;
bodily injury or property damage arising out of your, a relative’s, or a rated resident’s use of a vehicle, other than a covered auto, without the permission of the owner of the vehicle or the person in lawful possession of the vehicle;
bodily injury or property damage arising out of the use of a covered auto while leased or rented to others or given in exchange for any compensation.
This exclusion does not apply to the operation of a covered auto by you, a relative, or a rated resident;
punitive or exemplary damages;
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;
bodily injury or property damage arising out of the ownership, maintenance or use of any vehicle or trailer while being used for ride-sharing activity; or
bodily injury or property damage arising out of the use of any vehicle while being used in connection with a personal vehicle sharing program.
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:
claims made;
covered autos;
3. insured persons;
lawsuits brought;
vehicles involved in the accident; or 6. premiums paid.
If your declarations page shows a split limit:
the amount shown for “each person” is the most we will pay for all damages due to bodily injury to one person resulting from any one accident;
subject to the “each person” limit, the amount shown for “each accident” is the most we will pay for all damages due to bodily injury sustained by two or more persons in any one accident; and
the amount shown for “property damage” is the most we will pay for the total of all property damage resulting from any one accident.
The “each person” limit of liability applies to the total of all claims made for bodily injury to a person and all claims of others derived from such bodily injury, including, but not limited to, emotional injury or mental anguish resulting from the bodily injury of another or from witnessing the bodily injury to 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.
No one is entitled to duplicate payments for the same elements of damages.
Any payment to a person under this Part I will be reduced by any payment to that person under Part III—Uninsured/Underinsured Motorist Coverage.
We will not pay under this Part I any expenses paid or payable under Part II—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.
Financial Responsibility Laws
When we certify this policy as proof of financial responsibility, this policy will comply with the law to the extent required.
The insured person must reimburse us if we make a payment that we would not have made if this policy was not certified as proof of financial responsibility.
Other Insurance
If there is any other applicable liability insurance or bond, 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.
However, any insurance we provide for a vehicle or trailer, other than a covered auto, will be excess over any other collectible insurance, self-insurance, or bond.
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 possession has:
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
a compulsory insurance or similar law requiring a non-resident to maintain insurance whenever the non-resident uses an auto in that state, province, territory or possession, this policy will provide the greater of:
the required minimum amounts and types of coverage; or
the limits of liability under this policy.
Part Ii — Medical Payments Coverage
This Part addresses first-party medical payments coverage, often referred to as MedPay.
Insuring Agreement
If you pay the premium for this coverage, we will pay the reasonable expenses incurred for medically necessary and accident-related medical services received within three years from the date of a motor vehicle accident because of bodily injury:
sustained by an insured person; and
resulting from the ownership, maintenance, or use of a motor vehicle.
We, or someone on our behalf, will determine:
whether the expenses for medical services are reasonable; and
whether the medical services are medically necessary and accident-related.
Additional Definitions
When used in this Part II:
“Insured person” means:
a. you, a relative, or a rated resident:
while occupying an auto; or
when struck by a motor vehicle or a trailer while not occupying a self-propelled motorized vehicle; and
b. any other person while occupying a covered auto with the permission of you, a relative, or a rated resident.
“Licensed air ambulance” means an air ambulance, as defined in section 25-3.5-103(1), C.R.S., that is licensed by the Department of Public Health and Environment pursuant to section 25-3.5-307, C.R.S.
“Licensed ambulance” means an ambulance, as defined in section 25-3.5-103(1.5), C.R.S., that is licensed pursuant to section 25-3.5-301, C.R.S.
“Licensed health care provider” shall have the same meaning as set forth in section 10-4-601, C.R.S., and also includes an occupational therapist as described in section 12-40.5-103(8), C.R.S.
“Medical services” means all medically necessary and accident-related health care, rehabilitation services and funeral services, provided by a licensed health care provider to a person injured in a motor vehicle accident for which benefits under the terms of this Part II are payable.
“Motor vehicle” means a land motor vehicle designed for use principally on public roads.
“Provider” means a licensed health care provider, licensed air ambulance, licensed ambulance, trauma physician, or trauma center.
“Stabilize” means, with respect to a medical condition resulting from a trauma, to provide such medical treatment of the condition as may be necessary to assure, within reasonable medical probability, that no material deterioration of the condition is likely to result or occur during the transfer of the individual to or from a trauma center.
“Trauma” means an injury or wound to a living person caused by the application of an external physical force.
Trauma includes any event that threatens life, limb, or the well-being of an individual in such a manner that a prudent lay person would believe that immediate medical care is needed.
“Trauma care” means care provided by a licensed ambulance, licensed air ambulance, trauma physician, or trauma center to a person injured in a motor vehicle accident from the time the administration of care begins to the time the patient is fully stabilized or through the first episode of care, not to exceed 72 hours after the administration of care begins.
The term includes a trauma care system, trauma transport protocols, and triage, as defined in section 25-3.5-703, C.R.S.
“Trauma center” means the emergency department in a licensed or certified hospital or a health care facility that is designated by the Department of Public Health and Environment as a level I, II, III, IV, or V facility or as a regional pediatric trauma center.
“Trauma physician” means a trauma surgeon, orthopedic surgeon, neurosurgeon, intensive care unit physician, anesthesiologist, or physician who provides care in a trauma center to a trauma patient injured in a motor vehicle accident.
Exclusions
Read the following exclusions carefully. If an exclusion applies, coverage will not be afforded under this Part.
Coverage under this Part II will not apply to bodily injury:
sustained by any person while occupying a covered auto while it is being used:
to carry persons or property for compensation or a fee;
for retail or wholesale delivery, including, but not limited to, the pickup, transport or delivery of magazines, newspapers, mail or food; or
for ride-sharing activity.
This exclusion does not apply to shared-expense car pools;
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, a rated resident, or an agent or employee of you, a relative, or a rated resident, when using a covered auto;
to any person resulting from, or sustained during practice or preparation for:
any pre-arranged or organized racing, stunting, speed or demolition contest or
activity; or
any driving activity conducted on a permanent or temporary racetrack or racecourse;
due to a nuclear reaction or radiation;
5. for which insurance:
is afforded under a nuclear energy liability insurance contract; or
would be afforded under a nuclear energy liability insurance contract but for its termination upon exhaustion of its limit of liability;
for which the United States Government is liable under the Federal Tort Claims Act;
sustained by any person while occupying any vehicle or trailer while located for use as a residence or premises;
if workers’ compensation benefits are available for the bodily injury;
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;
sustained by any person while occupying or when struck by any vehicle owned by a relative or a rated resident or furnished or available for the regular use of a relative or a rated resident, other than a covered auto for which this coverage has been purchased.
This exclusion does not apply to you;
to you, a relative, or a rated resident, while occupying any vehicle, other than a covered auto, without the permission of the owner of the vehicle or the person in lawful possession of the vehicle;
to any person while occupying a covered auto while leased or rented to others or given in exchange for any compensation.
This exclusion does not apply to the operation of a covered auto by you, a relative, or a rated resident;
caused directly or indirectly by:
war (declared or undeclared) or civil war;
warlike action by any military force of any government, sovereign or other authority using military personnel or agents.
This includes any action taken to hinder or defend against an actual or expected attack; or
insurrection, rebellion, revolution, usurped power, or any action taken by a governmental authority to hinder or defend against any of these acts;
caused directly or indirectly by:
any accidental or intentional discharge, dispersal or release of radioactive, nuclear, pathogenic or poisonous biological material; or
any intentional discharge, dispersal or release of chemical or hazardous material for any purpose other than its safe and useful purpose;
caused by, or reasonably expected to result from, a criminal act or omission of an 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; or
sustained by any person while occupying a covered auto while being used in connection with a personal vehicle sharing program.
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;
lawsuits brought;
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 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.
Unreasonable Or Unnecessary Medical Expenses
If an insured person incurs expenses for medical services that we deem to be unreasonable 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.
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 occupying a vehicle or trailer, other than a covered auto, will be excess over any other auto insurance providing payments for medical services.
Payment Of Benefits
When required under Colorado law, we will make payments under this Part II directly to providers for medical services meeting the definition of trauma care.
The periods specified in 10-4-642, C.R.S., for the prompt payment of benefits shall be tolled for the period that we are required to suspend payment of claims for medical services furnished by providers that did not provide trauma care, but only to the extent that the available benefits under this Part II not held in reserve for trauma care are insufficient to pay those claims.
Trauma Care And Priority Of Benefits
Upon receiving notice, either from a provider or an insured person, of an accident for which coverage under this Part II may apply, we will reserve $5,000 for the payment of trauma care provided by a licensed air ambulance, licensed ambulance, trauma physician, or trauma center in the following priority, as applicable:
Benefits will be paid first to licensed ambulances or licensed air ambulances that provided trauma care at the scene of or immediately after the motor vehicle accident, including transport to or from a trauma center.
After payments to providers described in 1. above, benefits will be paid next to trauma physicians that provided trauma care to stabilize or provided the first episode of care to the injured person.
After payments to providers described in 1.and 2. above, benefits will be paid next to trauma centers designated as level IV or V pursuant to section 25-3.5-703(4), C.R.S., that provided trauma care to stabilize or provided the first episode of care to the injured person.
After payments to providers described in 1., 2., and 3. above, benefits will be paid next to trauma centers designated as level I, II, or III or as a regional pediatric trauma center pursuant to section 25-3.5-703(4), C.R.S., that provided trauma care to stabilize or provided the first episode of care to the injured person.
We will hold the reserve described in this section for no more than 30 days after receipt of the accident notice.
After the 30 day period, any amount of the reserve for which we have not received a claim for reimbursement from a trauma care provider will be used to pay any other claims for reimbursement submitted by other providers or by insured persons.
Part Iii — Uninsured/Underinsured Motorist Coverage
This Part addresses protection for bodily injury and, where purchased, property damage caused by uninsured or underinsured motorists.
Insuring Agreement—Uninsured/Underinsured Motorist
Bodily Injury Coverage
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 or an underinsured motor vehicle because of bodily injury:
sustained by an insured person;
caused by an accident; and
arising out of the ownership, maintenance or use of an uninsured motor vehicle or an underinsured motor vehicle.
We will pay under this Part III only after the limits of liability under all applicable bodily injury liability bonds and policies have been exhausted by payment of judgments or settlements.
Insuring Agreement—Uninsured Motorist Property Damage Coverage
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 property damage:
caused by an accident; and
arising out of the ownership, maintenance, or use of an uninsured motor vehicle.
Notice Requirement
Any insured person who brings a lawsuit against an owner or operator of:
1. an uninsured motor vehicle or an underinsured motor vehicle with respect to a bodily injury claim; or
2. an uninsured motor vehicle with respect to a property damage claim; must promptly notify us of the filing of said lawsuit.
Additional Definitions
When used in this Part III:
1. “Insured person” means:
a. you, a relative, or a rated resident;
any person while operating or using a covered auto with the permission of you, a relative, or a rated resident;
any person occupying, but not operating, a covered auto; and
any person who is entitled to recover damages covered by this Part III because of bodily injury sustained by a person described in a., b.or c. above.
“Property damage” means physical damage to, or destruction of, a covered auto as a result of actual physical contact between the covered auto and an uninsured motor vehicle.
“Property damage” does not include loss of use of a covered auto.
“Underinsured motor vehicle” means a land motor vehicle to which a bodily injury liability bond or policy applies at the time of the accident, but its limit of liability for bodily injury is less than the amount of the insured person’s bodily injury damages.
An “underinsured motor vehicle” does not include any vehicle or equipment:
owned by you, a relative, or a rated resident or furnished or available for the regular use of you, a relative, or a rated resident;
owned by any governmental unit or agency;
operated on rails or crawler treads;
designed mainly for use off public roads, while not on public roads;
while located for use as a residence or premises;
that is a covered auto; or
that is an uninsured motor vehicle.
“Uninsured motor vehicle” means a land motor vehicle or trailer of any type:
to which no bodily injury liability bond or policy applies at the time of the accident;
to which a bodily injury liability bond or policy applies at the time of the accident, but the bonding or insuring company:
denies coverage; or
is or becomes insolvent;
that is a hit-and-run vehicle whose owner or operator cannot be identified and that causes an accident resulting in property damage or in bodily injury to an insured person, provided that the insured person, or someone on his or her behalf, reports the accident to the police or civil authority within 24 hours or as soon as practicable after the accident; or
that is operated by an alleged tortfeasor who is deemed to be uninsured as set forth in Colorado Revised Statute 10-4-609, as amended.
An “uninsured motor vehicle” does not include any vehicle or equipment:
owned by you, a relative, or a rated resident or furnished or available for the regular use of you, a relative, or a rated resident;
owned or operated by a self-insurer under any applicable motor vehicle law, except a self-insurer that is or becomes insolvent;
owned by any governmental unit or agency;
operated on rails or crawler treads;
designed mainly for use off public roads, while not on public roads;
while located for use as a residence or premises;
that is a covered auto; or
that is an underinsured motor vehicle.
Exclusions
Read the following exclusions carefully. If an exclusion applies, coverage will not be afforded under this Part.
Coverage under this Part III will not apply:
to bodily injury sustained by any person while using or occupying a covered auto while being used:
to carry persons or property for compensation or a fee;
for retail or wholesale delivery, including, but not limited to, the pickup, transport or delivery of magazines, newspapers, mail or food; or
for ride-sharing activity.
This exclusion does not apply to shared-expense car pools;
to bodily injury sustained by you, a relative, or a rated resident while using any vehicle, other than a covered auto, without the permission of the owner of the vehicle or the person in lawful possession of the vehicle;
directly or indirectly to benefit any insurer or self-insurer under any of the following or similar laws:
workers’ compensation law; or
disability benefits law;
to any punitive or exemplary damages;
to bodily injury sustained by any person if that person or the legal representative of that person settles without our written consent; or
to bodily injury arising out of the use of any vehicle while being used in connection with a personal vehicle sharing program.
Coverage under this Part III will not apply to property damage:
sustained while a covered auto is being used:
to carry persons or property for compensation or a fee;
for retail or wholesale delivery, including, but not limited to, the pickup, transport or delivery of magazines, newspapers, mail or food; or
for ride-sharing activity.
This exclusion does not apply to shared-expense car pools;
resulting from, or sustained during practice or preparation for:
any pre-arranged or organized racing, stunting, speed, or demolition contest or activity; or
any driving activity conducted on a permanent or temporary racetrack or racecourse;
to a covered auto for which insurance:
is afforded under a nuclear energy liability insurance contract; or
would be afforded under a nuclear energy liability insurance contract but for its termination upon exhaustion of its limit of liability;
to a trailer;
if there is no actual physical contact between the uninsured motor vehicle and the covered auto; or
arising out of the use of any vehicle while being used in connection with a personal vehicle sharing program.
Limits Of Liability
The limit of liability shown on the declarations page for Uninsured/Underinsured Motorist Coverage is the most we will pay regardless of the number of:
claims made;
covered autos;
3. insured persons;
lawsuits brought;
vehicles involved in the accident; or 6. premiums paid.
If your declarations page shows a split limit:
the amount shown for “each person” is the most we will pay for all damages due to bodily injury to one person; and
subject to the “each person” limit, the amount shown for “each accident” is the most we will pay for all damages due to bodily injury sustained by two or more persons in any one accident.
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 derived from such bodily injury, including, but not limited to, emotional injury or mental anguish resulting from the bodily injury of another or from witnessing the bodily injury to 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 bodily injury 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.
The damages recoverable for bodily injury under this Part III will be reduced by all sums:
paid because of bodily injury by or on behalf of any persons or organizations that may be legally responsible; and
paid under Part I—Liability To Others.
We will not pay under this Part III any expenses paid or payable under Part II—Medical Payments Coverage.
The limit of liability for property damage to a covered auto is the lowest of:
the actual cash value of the covered auto at the time of the accident;
the amount necessary to replace the covered auto;
the amount necessary to repair the covered auto to its pre-loss condition; or
the limit of liability shown on the declarations page for Uninsured Motorist Property
Damage.
The limit of liability for property damage under this Part III will be reduced by all sums paid because of property damage by or on behalf of any persons or organizations that may be legally responsible, including, but not limited to, all sums paid under Part I—Liability To Others.
We shall not pay for property damage to the extent that such damages are paid or payable under any other property damage or physical damage insurance, including all sums paid or payable under Part IV—Damage To A Vehicle.
Payments for property damage under this Part III are subject to the following provisions:
any amount payable under this Part III for property damage shall be subject to the deductible shown on the declarations page; and
no more than one deductible shall be applied to any one accident.
No one will be entitled to duplicate payments for the same elements of damages.
Other Insurance
If there is other applicable uninsured or underinsured motorist coverage, 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 available coverage limits.
However, any insurance we provide with respect to a vehicle that is not a covered auto will be excess over any other uninsured or underinsured motorist coverage.
Arbitration
If we and an insured person cannot agree on:
1. the legal liability of the operator or owner of an uninsured motor vehicle; or 2. the amount of the damages sustained by the insured person; this will be determined by arbitration if we and the insured person mutually agree to arbitration prior to the expiration of the bodily injury statute of limitations in the state in which the accident occurred.
If we and the insured person have agreed to arbitration, the decision will be made by an arbitrator mutually agreed to by the parties.
If the parties cannot agree on an arbitrator within 30 days, then on joint application by the insured person and us, the arbitrator will be appointed by a court having jurisdiction.
We will pay the costs and fees of the arbitrator.
Each party will pay their own costs and fees that they incur, including but not limited to attorney fees and fees paid to medical or other expert witnesses.
Unless both parties agree otherwise, arbitration will take place in the county in which the insured person resides. Local rules of procedure and evidence will apply.
A decision by the arbitrator will be binding with respect to a determination of:
the legal liability of the operator or owner of an uninsured motor vehicle; and
the amount of the damages sustained by the insured person.
The arbitrator will have no authority to award an amount in excess of the limit of liability.
We and an insured person may agree to an alternate form of arbitration.
Part Iv — Damage To A Vehicle
This Part addresses physical damage coverage for your vehicle and related optional add-on coverages.
Insuring Agreement—Collision Coverage
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.
In addition, we will pay the reasonable cost to replace any child safety seat damaged in an accident to which this coverage applies.
Insuring Agreement—Comprehensive Coverage
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.
A loss not caused by collision includes:
contact with an animal (including a bird);
explosion or earthquake;
fire;
malicious mischief or vandalism;
missiles or falling objects;
riot or civil commotion;
theft or larceny;
windstorm, hail, water or flood; or
breakage of glass not caused by collision.
In addition, we will pay for:
1. reasonable transportation expenses incurred by you if a covered auto is stolen; and 2. loss of use damages that you are legally liable to pay if a non-owned auto is stolen. A combined maximum of $900, not exceeding $30 per day, will apply to these additional benefits. The additional benefit for transportation expenses will not apply if you purchased Rental Reimbursement Coverage for the stolen covered auto.
Coverage for transportation expenses and loss of use damages begins 48 hours after you report the theft to us and ends the earliest of:
when the auto has been recovered and returned to you or its owner;
when the auto has been recovered and repaired;
when the auto has been replaced; or
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.
Insuring Agreement—Additional Custom Parts
Or Equipment Coverage
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 applies in addition to any coverage automatically provided for custom parts or equipment under Comprehensive Coverage or Collision Coverage.
Insuring Agreement—Rental Reimbursement 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.
Rental charges will be reimbursed beginning:
when the covered auto cannot be driven due to a loss; or
if the covered auto can be driven, when you deliver the covered auto to an auto repair shop or one of our Service Centers for repairs due to the loss;
and ending the earliest of:
when the covered auto has been returned to you;
when the covered auto has been repaired;
when the covered auto has been replaced;
72 hours after we make an offer to settle the loss if the covered auto is deemed by us to be a total loss; or
when you incur 30 days worth of rental charges.
You must provide us written proof of your rental charges to be reimbursed.
Insuring Agreement—Loan/Lease Payoff Coverage
If you pay the premium for this coverage, and the covered auto for which this coverage 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:
the actual cash value of the covered auto at the time of the total loss; and
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:
unpaid finance charges or refunds due to the owner for such charges;
excess mileage charges or charges for wear and tear;
charges for extended warranties or refunds due to the owner for extended warranties;
charges for credit insurance or refunds due to the owner for credit insurance;
past due payments and charges for past due payments; and
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.
Insuring Agreement—Pet Injury Coverage
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 nonowned auto at the time of a loss covered under Collision or Comprehensive coverage, we will provide:
up to $1,000 for reasonable and customary veterinary fees incurred by you, a relative, or a rated resident if your pet is injured in, or as a direct result of, the covered loss; or
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
When used in this Part IV:
“Collision” means the upset of a vehicle or its impact with another vehicle or object.
“Custom parts or equipment” means equipment, devices, accessories, enhancements and changes, other than those that are offered by the manufacturer specifically for that auto model, or that are installed by the auto dealership as part of the original sale of a new auto, that:
are permanently installed or attached; and
alter the appearance or performance of the auto.
“Mechanical parts” means operational parts on a vehicle that wear out over time or have a finite useful life or duration typically shorter than the life of the vehicle as a whole.
Mechanical parts do not include external crash parts, wheels, paint, or windshields and other glass.
“Non-owned auto” means an auto that is not owned by or furnished or available for the regular use of you, a relative, or a rated resident while in the custody of or being operated by you, a relative, or a rated resident with the permission of the owner of the auto or the person in lawful possession of the auto.
“Your pet” means any dog or cat owned by you, a relative, or a rated resident.
Exclusions
Read the following exclusions carefully. If an exclusion applies, coverage will not be afforded under this Part.
Coverage under this Part IV will not apply for loss:
to any vehicle while being used:
to carry persons or property for compensation or a fee;
for retail or wholesale delivery, including, but not limited to, the pickup, transport or delivery of magazines, newspapers, mail or food; or
for ride-sharing activity.
This exclusion does not apply to shared-expense car pools;
to a non-owned auto while being maintained or used by a person while employed or engaged in any auto business;
to any vehicle resulting from, or sustained during practice or preparation for:
any pre-arranged or organized racing, stunting, speed or demolition contest or
activity; or
any driving activity conducted on a permanent or temporary racetrack or racecourse;
to any vehicle for which insurance:
is afforded under a nuclear energy liability insurance contract; or
would be afforded under a nuclear energy liability insurance contract but for its termination upon exhaustion of its limit of liability;
to any vehicle caused by an intentional act committed by or at the direction of you, a relative, a rated resident, or the owner of a non-owned auto, even if the actual damage is different than that which was intended or expected;
to a covered auto while it is leased or rented to others or given in exchange for compensation.
This exclusion does not apply to the operation of a covered auto by you, a relative, or a rated resident;
due to destruction or confiscation by governmental or civil authorities of any vehicle because you, any relative, or any rated resident engaged in illegal activities;
to any vehicle that is due and confined to:
wear and tear;
freezing;
mechanical, electrical or electronic breakdown or failure; or
road damage to tires.
This exclusion does not apply if the damage results from the theft of a vehicle;
to portable equipment, devices, accessories, and any other personal effects that are not permanently installed. This includes, but is not limited to:
tapes, compact discs, cassettes, DVDs, and other recording or recorded media;
any case or other container designed for use in storing or carrying tapes, compact discs, cassettes, DVDs, or other recording or recorded media;
any device used for the detection or location of radar, laser, or other speed measuring equipment or its transmissions; and
CB radios, telephones, two-way mobile radios, DVD players, personal computers, personal digital assistants, or televisions;
to any vehicle for diminution of value;
to any vehicle caused directly or indirectly by:
war (declared or undeclared) or civil war;
warlike action by any military force of any government, sovereign, or other authority using military personnel or agents.
This includes any action taken to hinder or defend against an actual or expected attack; or
insurrection, rebellion, revolution, usurped power, or any action taken by a governmental authority to hinder or defend against any of these acts;
to any vehicle caused directly or indirectly by:
any accidental or intentional discharge, dispersal or release of radioactive, nuclear, pathogenic or poisonous biological material; or
any intentional discharge, dispersal or release of chemical or hazardous material for any purpose other than its safe and useful purpose;
to any vehicle caused by, or reasonably expected to result from, a criminal act or omission of you, a relative, a rated resident, or the owner of a non-owned auto.
This exclusion applies regardless of whether you, the relative, the rated resident, or the owner of the non-owned auto is actually charged with, or convicted of, a crime.
For purposes of this exclusion, criminal acts or omissions do not include traffic violations; or
to any vehicle while being used in connection with a personal vehicle sharing program.
Limits Of Liability
The limit of liability for loss to a covered auto, non-owned auto, or custom parts or equipment is the lowest of:
the actual cash value of the stolen or damaged property at the time of the loss reduced by the applicable deductible;
the amount necessary to replace the stolen or damaged property reduced by the applicable deductible;
the amount necessary to repair the damaged property to its pre-loss condition reduced by the applicable deductible; or
the Stated Amount shown on the declarations page for that covered auto. However, the most we will pay for loss to:
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.
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.
Payments for loss to a covered auto, non-owned auto, or custom parts or equipment are subject to the following provisions:
If coverage applies to a non-owned auto, we will provide the broadest coverage applicable to any covered auto shown on the declarations page.
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.
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.
In determining the amount necessary to repair damaged property to its pre-loss condition, the amount to be paid by us:
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
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.
To determine the amount necessary to repair or replace the damaged property as referred to in subsection 1., the total cost of necessary repair or replacement 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, defects, 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.
To determine the amount necessary to repair or replace the damaged property as referred to in subsection 1., an adjustment may be made for betterment or depreciation and physical condition on:
batteries;
tires;
engines and transmissions, if the engine has greater than 80,000 miles; and
any other mechanical parts that are nonfunctioning or inoperative. We will not make an adjustment for the labor costs associated with the replacement or repair of these parts.
The actual cash value is determined by the market value, age, and condition of the vehicle at the time the loss occurs.
No deductible will apply to a loss to window glass when the glass is repaired instead of replaced.
Duplicate recovery for the same elements of damages is not permitted.
Any amount paid or payable to a person under this Part IV shall be reduced by any amount paid for property damage under Part III—Uninsured/Underinsured Motorist Coverage.
The following additional limits of liability apply to Pet Injury coverage:
The most we will pay for all damages in any one loss is a total of $1,000 regardless of the number of dogs or cats involved.
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 expenses for your pet.
No deductible shall apply to this coverage.
Payment Of Loss
We may, at our option:
pay for the loss in money; or
repair or replace the damaged or stolen property.
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.
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.
Loss Payable Clause
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 designated by you.
At our option, payment may be made to both jointly, or to either separately.
However, if the covered auto is not a total loss, we may make payment to you and the repairer of the auto.
The lienholder’s interest will not be protected:
where fraud, misrepresentation, material omission, or intentional damage resulting in a denial of coverage by us has been committed by or at the direction of you or any person seeking coverage; or
where the loss is otherwise not covered under the terms of this policy.
If this policy is cancelled, nonrenewed or voided, the interest of any lienholder under this agreement will also terminate.
Other Sources Of Recovery
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 identity.
The appraisers will determine the amount of loss.
If they fail to agree, the disagreement 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.
Part V — Roadside Assistance Coverage
This Part addresses towing and roadside labor when a covered disabled auto suffers a covered emergency.
Insuring Agreement
If you pay the premium for this coverage, we will pay for our authorized service representative 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
When used in this Part V:
“Covered disabled auto” means a covered auto for which this coverage has been purchased that sustains a covered emergency.
“Covered emergency” means a disablement that is a result of:
mechanical or electrical breakdown;
battery failure;
insufficient supply of fuel, oil, water, or other fluid;
flat tire;
lock-out; or
entrapment in snow, mud, water or sand within 100 feet of a road or highway.
Exclusions
Read the following exclusions carefully. If an exclusion applies, coverage will not be afforded under this Part.
Coverage under this Part V will not apply to:
more than three covered emergencies for any single covered auto in a six-month period;
the cost of purchasing parts, fluid, lubricants, fuel, or replacement keys, or the labor to make replacement keys;
installation of products or material not related to the disablement;
labor not related to the disablement;
labor on a covered disabled auto for any time period in excess of 60 minutes per disablement;
towing or storage related to impoundment, abandonment, illegal parking, or other violations of law;
assistance with jacks, levelers, airbags or awnings;
labor or repair work performed at a service station, garage, or repair shop;
auto storage charges;
disablement that occurs on roads not regularly maintained, sand beaches, open fields, or areas designated as not passable due to construction, weather, or earth movement;
mounting or removing of snow tires or chains;
12. tire repair;
disablement that results from an intentional or willful act or action by you, a relative, or the operator of a covered disabled auto;
any covered auto while being used in connection with ride-sharing activity;
any covered auto while being used in connection with a personal vehicle sharing program; or
a trailer.
Unauthorized Service Provider
When service is rendered by a provider in the business of providing roadside assistance and towing services, other than one of our authorized service representatives, we will pay only reasonable charges, as determined by us, for:
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; which is necessary due to a covered emergency.
Other Insurance
Any coverage provided under this Part V for service rendered by an unauthorized service provider will be excess over any other collectible insurance or towing protection coverage.
Part Vi — Duties In Case Of An Accident Or Loss
This Part addresses the insured’s contractual duties after an accident, theft, vandalism, or other loss.
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.
A person seeking coverage must:
cooperate with us in any matter concerning a claim or lawsuit;
provide any written proof of loss we may reasonably require;
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;
promptly call to notify us about any claim or lawsuit and send us any and all legal papers relating to the claim or suit;
attend hearings and trials as we require;
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;
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;
submit to medical examinations at our expense by doctors we select as often as we may reasonably require; and
authorize us to obtain medical and other records.
Part Vii — General Provisions
This Part addresses the contract rules that apply across the policy as a whole.
Policy Period And Territory
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 is being transported between their ports.
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 accordingly.
Changes that may result in a premium adjustment are contained in our rates and rules.
These include, but are not limited to, you, a relative, or a rated resident obtaining a driver’s license or operator’s permit, or changes in:
the number, type or use classification of covered autos;
the persons who regularly operate a covered auto;
the persons of legal driving age residing in your household;
the residents in your household;
an operator’s marital or civil union status;
your mailing address and your residence address;
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.
Duty To Report Changes
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;
the principal garaging address of any covered auto;
the residents in your household;
the persons of legal driving age residing in your household;
the persons who regularly operate a covered auto;
an operator’s marital or civil union status; or
the driver’s license or operator’s permit status of you, a relative, or a rated resident.
Settlement Of Claims
We may use estimating, appraisal, or injury evaluation systems to assist us in adjusting claims under this policy and to assist us in determining the amount of damages, expenses, or loss payable under this policy.
Such systems may be developed by us or a third party and may include computer software, databases, and specialized technology.
Terms Of Policy Conformed To Statutes
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 to another person without our written consent.
However, if a named insured shown on the declarations 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 have knowingly and with the intent to defraud:
made incorrect statements or representations to us with regard to any material fact or circumstance;
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 damages that would otherwise be covered.
However, if we void this policy, this shall not affect coverage under Part I—Liability To Others or under Part III—Uninsured/Underinsured Motorist Coverage, up to the minimum limits required by the financial responsibility law of the state shown on your application as your residence, for an accident that occurs before we notify the named insured that the policy is void.
No payment will be made to any person who engages in fraudulent conduct.
If we void this policy, you must reimburse us if we make a payment.
Any changes we make at your request to this policy after inception will be made in reliance upon information you provide. If you:
make incorrect statements or representations to us with regard to any material fact or circumstance;
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.
However, if we void this policy, this shall not affect coverage under Part I—Liability To Others or under Part III—Uninsured/Underinsured Motorist Coverage, up to the minimum limits required by the financial responsibility law of the state shown on your application as your residence, for an accident that occurs before we notify the named insured that the policy is void.
No payment will be made to any person who engages in fraudulent conduct.
If we void this policy, you must reimburse us if we make a payment.
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 misrepresented any material fact or circumstance or engaged in fraudulent conduct and that concealment, misrepresentation, or fraudulent conduct was material to a risk we assumed.
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 fraudulent conduct, in connection with the presentation or settlement of a claim.
Payment Of Premium And Fees
If your initial premium payment is by check, draft, electronic funds transfer, or similar 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.
In addition to premium, fees may be charged on your policy.
We may charge fees for installment payments, late payments, and other transactions.
Payments made on your policy will be applied first to fees, then to premium due.
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 appearing in our records.
We will give at least 10 days notice of cancellation if:
we cancel during the first 59 days of the initial policy period; or
the policy is cancelled for nonpayment of premium.
We will give at least 30 days notice of cancellation in all other cases.
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:
nonpayment of premium;
an applicant knowingly made a false statement on the application for this policy or an insured person knowingly and willfully made a false material statement in the submission of any claim under this policy;
your motor vehicle registration or operator’s license, or that of any operator who either resides in the same household as you or who customarily operates a covered auto, has been under suspension or revocation during the policy period or, if this is a renewal policy, during its policy period or the 180 days immediately preceding its effective date; or
any other reason permitted by law.
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.
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.
If this policy is cancelled, any refund due will be computed on a daily pro rata basis.
Nonrenewal
If neither we nor one of our affiliates offers to renew or continue this policy, other than for nonpayment of premium, 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.
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, a relative, or a rated resident, any insurance provided by this policy will terminate as to that covered auto on the effective date of the sale or transfer.
Legal Action Against Us
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.
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.
Our Rights To Recover Payment
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 require 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 reduce 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 expenses and attorney fees incurred in connection with these recovery efforts will also reduce reimbursement of the deductible.
These provisions will be applied in accordance with state law.
Service Of Process
If the insured’s whereabouts for service of process cannot be determined through reasonable effort, the insured agrees to designate and irrevocably appoint us as the agent of the insured for service of process, pleadings, or other filings in a civil action brought against the insured or to which the insured has been joined as a defendant or respondent in any Colorado court if the cause of action concerns an incident for which the insured can possibly claim coverage.
Subsequent termination of the insurance policy does not affect the appointment for an incident that occurred when the policy was in effect.
The insured agrees that any such civil action may be commenced against the insured by the service of process upon us as if personal service had been made directly on the insured.
We agree to forward all communications related to service of process to the last-known e-mail and mailing address of the policyholder in order to coordinate any payment of claims or defense of claims that are required.
Joint And Individual Interests
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.
Appendix A — Linked Colorado authorities for this policy form
The statute links below are grouped by the policy provisions they most directly inform. They do not replace the policy text. They provide public research access to the Colorado statutory framework that governs policy form approval, compulsory coverage, MedPay, UM/UIM, claims handling, fraud, and service of process.
Policy form readability and consumer disclosure
C.R.S. § 10-4-633.5 — Requires Colorado auto policy forms to meet readability standards and to include a readable index or table of contents.
C.R.S. § 10-4-636 — Requires disclosure forms explaining major coverages and exclusions and requires clearer consumer explanation of products purchased.
C.R.S. § 10-4-601.5 — Confirms the commissioner’s administrative and enforcement authority over Colorado auto insurance in Part 6.
Important notice and named non-owner coverage
C.R.S. § 10-4-640 — Governs operator’s policies of insurance and closely tracks the named non-owner notice language that appears at the front of this form.
Compulsory liability coverage and minimum limits
C.R.S. § 10-4-619 — Makes complying coverage compulsory for owners operating or permitting use of motor vehicles on Colorado public highways.
C.R.S. § 10-4-620 — Sets the required minimum bodily injury and property damage liability limits.
C.R.S. § 10-4-623 — Allows conditions and exclusions that are not inconsistent with Colorado’s mandatory auto coverage statutes.
C.R.S. § 42-7-103 — Defines the financial responsibility framework and the minimum proof-of-future-responsibility limits used throughout Colorado auto insurance law.
C.R.S. § 42-7-414 — Sets mandatory provisions for motor vehicle liability and operator’s policies accepted as proof under the Financial Responsibility Act.
Medical payments coverage
C.R.S. § 10-4-635 — Creates Colorado’s MedPay framework, including the default $5,000 benefit, the trauma reserve, and the priority-of-payment structure.
C.R.S. § 10-4-642 — Sets the prompt-payment rules for MedPay claims, forms, deadlines, and required written explanations.
C.R.S. § 10-4-643 — Addresses electronic claim forms and claim-submission rules tied to MedPay administration.
C.R.S. § 10-4-601 — Contains Part 6 definitions, including “licensed health-care provider” and related automobile-policy terms.
C.R.S. § 25-3.5-103 — Provides Title 25 definitions for air ambulance and ambulance services referenced in the MedPay section.
C.R.S. § 25-3.5-703 — Provides the statewide trauma care system framework tied to the trauma-care definitions and priority provisions.
C.R.S. § 12-270-104 — Supplies the occupational therapist definition now referenced through the MedPay statutory scheme.
Uninsured and underinsured motorist coverage
C.R.S. § 10-4-609 — Requires UM/UIM coverage unless rejected, defines underinsured protection, and bars certain setoffs from other coverages.
C.R.S. § 10-4-610 — Addresses uninsured motorist property damage coverage and related disclosure rules.
C.R.S. § 42-7-103 — Supplies the liability-limit reference point used by the UM/UIM statute.
Vehicle damage, glass claims, and first-party claim handling
C.R.S. § 10-4-613 — Restricts steering and coercion in Colorado auto glass repair and replacement claims.
C.R.S. § 10-3-1104 — Defines unfair claim settlement practices, misrepresentation, and unfair compensation practices in insurance operations.
C.R.S. § 10-3-1115 — Prohibits unreasonable delay or denial of first-party benefits.
C.R.S. § 10-3-1116 — Creates the private remedy for unreasonable delay or denial of covered first-party benefits.
Duties after an accident and service of process
C.R.S. § 42-4-1601 — Sets duties after accidents involving death or personal injuries.
C.R.S. § 42-4-1603 — Requires notice, information, and aid after an accident.
C.R.S. § 42-4-1606 — Requires reporting of certain accidents.
C.R.S. § 42-7-414 — Contains Colorado’s required service-of-process language for motor vehicle policies used as proof under the Financial Responsibility Act.
Fraud, misrepresentation, and insurer regulatory enforcement
C.R.S. § 10-1-128 — Addresses fraudulent insurance acts and information-sharing immunity.
C.R.S. § 10-1-129 — Addresses enforcement of fraudulent insurance act provisions.
C.R.S. § 18-5-211 — Contains the Colorado criminal insurance-fraud statute.
C.R.S. § 10-3-1104 — Also matters here because misrepresentation and unfair claim settlement practices are separately regulated as unfair or deceptive acts or practices.