GOVERNMENT EMPLOYEES INSURANCE COMPANY

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP58-00453R000200150002-6
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: November 17, 2016
• Document Release Date: May 11, 2000
• Sequence Number: 2
• Content Type: MISC

Combination Automobile Policy
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11. Defense, Settlement, Supplementary Payments.
A respects the insurance afforded by the other terms
ofs this policy under coverages A and B the company
shall :
(a) defend any suit against the insured alleging such
injury, sickness, disease or destruction and seeking
damages on account thereof, even if such suit is
groundless, false or fraudulent; but the company Ill.
may make such investigation, negotiation and set-
tlement of any claim or suit as it deems expedient;
(b) pay all premiums on bonds to release attachments
for an amount not in excess of the applicable limit
of liability of this policy, all premiums on appeal
Not Affiliated with the United States Government WASHINGTON 5, D. C.
DOES HEREBY AGREE with the Insured, named in the Declarations made a part hereof, in con-
sideration of the payment of the premium and in reliance upon the statements contained in the Decla-
rations and subject to the limits of liability, exclusions, conditions and other terms of this policy:
INSURING AGREEMENTS
This policy applies only to accidents which occur and to direct and accidental losses to the automobile which
are sustained during the policy period, while the automobile is within the United States of America, its territories
or possessions, Mexico, Republic of Panama, Canada or Newfoundland, or is being transported between ports thereof,
and is owned, maintained and used for the purposes stated as applicable thereto in the declarations.
1. COVERAGE A-BODILY INJURY LIABILITY
To pay on behalf of the insured all sums which the insured shall become legally obligated to pay as damages
because of bodily injury, sickness or disease, including death at any time resulting therefrom, sustained by any
person, caused by accident and arising out of the ownership, maintenance or use of the automobile.
COVERAGE B-PROPERTY DAMAGE LIABILITY
To pay on behalf of the insured all sums which the insured shall become legally obligated to pay as damages
because of injury to or destruction of property, including the loss of use thereof, caused by accident and arising
out of the ownership, maintenance or use of the automobile.
COVERAGE C-MEDICAL PAYMENTS
To pay all reasonable expenses incurred within one year from the date of accident for necessary medical,
surgical, ambulance, hospital, professional nursing and funeral services, to or for each person who sustains bodily
injury, sickness or disease, caused by accident, while in or upon, entering or alighting from the automobile if the
automobile is being used by the named insured or with his permission.
COVERAGE H -COMPREHENSIVE-Loss of or Damage to the Automobile, Except by Collision or Upset
To pay for any direct and accidental loss of or damage to the automobile, hereinafter called loss, except loss
caused by collision of the automobile with another object or by upset of the automobile or by collision of the auto-
mobile with a vehicle to which it is attached. Breakage of glass and loss caused by missiles, falling objects, fire,
theft, explosion, earthquake, windstorm, hail, water, flood, vandalism, riot or civil commotion shall not be deemed
loss caused by collision or upset.
COVERAGE E-1-COLLISION OR UPSET
To pay for direct and accidental loss of or damage to the automobile, hereinafter called loss, caused by collision
of the automobile with another object or by upset of the automobile, but only for the amount of each such loss in
excess of the deductible amount, if any, stated in the declarations as applicable hereto.
COVERAGE E-2-CONVERTIBLE COLLISION OR UPSET
To pay for direct and accidental loss of or damage to the automobile, hereinafter called loss, caused by col-
lision of the automobile with another object or by upset of the automobile. Upon the occurrence of the first loss
for which payment is. sought hereunder the insured shall pay to the company the additional payment stated in the
declarations. Loss caused by collision or upset occurring prior to the first loss for which payment is sought here-
under is not covered.
COVERAGE E-3-80% COLLISION OR UPSET
To pay for direct and accidental loss of or damage to the automobile, hereinafter called loss, caused by collision
of the automobile with another object or by upset of the automobile but not exceeding 80% of the first $250.00
and 100% of ? the amount in excess of $250.00 of each loss or damage.
COVERAGE D-FIRE, LIGHTNING, THEFT AND COMBINED ADDITIONAL
To pay for direct and accidental loss of or damage to the automobile, hereinafter called loss, caused (a) by
fire or lightning, (b) by smoke or smudge due to a sudden, unusual and faulty operation of any fixed heating equip-
ment serving the premises in which the automobile is located, or (c) by the stranding, sinking, burning, collision
or derailment of any conveyance in or upon which the automobile is being transported on land or on water.
To pay for loss of or damage to the automobile, hereinafter called loss, caused by theft, larceny, robbery or
pilferage.
To pay for direct and accidental loss of or damage to the automobile, hereinafter called loss, caused by wind-
storm, hail, earthquake, explosion, riot or civil commotion, or the forced landing or falling of any aircraft or of
its parts or equipment, flood or rising waters, external discharge or leakage of water except loss resulting from
rain, snow or sleet.
COVERAGE I-TOWING AND LABOR COSTS
To pay for towing and labor costs necessitated by the disablement of the automobile, provided the labor is per-
formed at the place of disablement.
X-LIF AwArl" 10 Tg
nsurance ro n an
A CAPITAL STOCK INSURANCE COMPANY Jar` INCORPORATED UNDER THE LAWS
HEREIN CALLED THE COMPANY ' O vES DNS OF THE DISTRICT OF COLUMBIA
bonds required in any such defended suit, the cost
of bail bonds required of the insured in the event
of accident or traffic law violation during the policy
period, not to exceed the usual charges of surety
companies nor $100 per bail bond, but without any
obligation to apply for or furnish any such bonds;
pay all expenses incurred by the company, all costs
taxed against the insured in any such suit and all
interest accruing after entry of judgment until the
company has paid, tendered or deposited In court
such part of such judgment as does not exceed the
limit of the company's liability thereon;
(d) pay expenses incurred by the insured for such
immediate medical and surgical relief to others as
shall be imperative at the time of the accident;
(e) reimburse the insured for all reasonable expenses,
other than loss of earnings, incurred at the com-
pany's request.
The amounts incurred under this insuring agreement,
except settlements of claims and suits, are payable by
the company in addition to the applicable limit of lia-
bility of this policy.
Definition of Insured. With respect to the insurance
for bodily injury liability and for property damage lia-
bility the unqualified word,"insured" includes the named
insured and also includes any person while using the
automobile and any person or organization legally re-
sponsible for the use thereof, provided the actual use
of the automobile is by the named insured or with his
permission. The insurance with respect to any person
or organization other than the named insured does not
apply:
(a) to any person or organization, or to any agent or
employee thereof, operating an automobile repair
shop, public garage, sales agency, service station
or public parking place, with respect to any acci-
dent arising out of the operation thereof;
(b) to any employee with respect to injury to or sick-
ness, disease or death of another employee of the
same employer injured in the course of such em-
ployment in an accident arising out of the main-
tenance or use of the automobile in the business of
such employer.
 Approved For Rehlktsq J 9 4 000200150002-6
IV. Automobile Defined, Trailers, Two or More Automobiles,
Including Automatic Insurance.
(a) Automobile. Except where stated to the contrary,
the word' "automobile" means:
(1) Described Automobile-the motor vehicle or
trailer described in this policy;
(2) Utility Trailer or Auto Home-under coverages
A, B and C, a trailer not so described, if designed
for use with a private passenger automobile, if
not being used with another type automobile and
if not an office, store, display or passenger trailer;
(3) Temporary Substitute Automobile-under cover-
ages A, B and C, an automobile not owned by the
named, insured while temporarily used as the sub-
stitute for the described automobile while with-
drawn from normal use because of its breakdown,
repair, servicing, loss or destruction;
(4) Newly Acquired Automobile-is an automobile,
ownership of which is acquired by the Named
Insured who is the owner of the described auto-
mobile, which either replaces an automobile
described in this policy, or is an additional auto-
mobile, if the Company insures all automobiles
owned by the Named Insured at such delivery
date, provided the Named Insured notifies the
Company within thirty days following the date of
its delivery to him. However, in the case of a
newly acquired private passenger automobile,
which replaces an automobile described in the
policy, coverages A, B, and C if afforded by the
policy automatically apply without notice being
furnished to the Company.
The insurance with respect to the newly acquired
automobile does not apply to any loss against VI.
which the Named Insured has other valid and
collectible insurance. The Named Insured shall
pay any additional premium required because of
the application of the insurance to such newly
acquired automobile.
The word "automobile" also includes under coverages
H, E-1, E-2, E-3, and D its equipment and other
equipment permanently attached thereto.
(b) Semitrailer. The word "trailer" includes semitrailer.
(c) Two or More Automobiles. When two or more auto-
mobiles are insured hereunder, the terms of this
policy shall apply separately to each, but a motor
vehicle and a trailer or trailers attached thereto shall
be held to be one automobile as respects limits of lia-
bility under coverages A and B and separate auto-
mobiles as respects limits of liability, including any
deductible provisions, under coverages H, E-1, E-2,
E-3, D and I.
V. Use of Other Automobiles. If the named insured is an VII.
individual who owns the automobile classified as "pleas-
ure" or "pleasure and business", or husband and wife
either or both of whom own said automobile, such insur-
ance as is afforded by this policy for bodily injury liability,
for property damage liability and for medical payments,
with respect to said automobile applies with respect to
any other automobile, subject to the following provisions:
(a) With respect to the insurance for bodily injury lia-
bility and for property damage liability the unquali-
fied word "insured" includes (1) such named insured,
(2) the spouse of such individual if a resident of the
same household and (3) any other person or organi-
zation legally responsible for the use by such named
insured or spouse of an automobile not owned or hired
by such other person or organization. Insuring Agree-
ment III, Definition of Insured, does not apply to this
insurance.
This insuring agreement does not apply:
(1) to any automobile owned by, hired as part of a
frequent use of hired automobiles by, or furnished
for regular use to the named insured or a member
of his household other than a private chauffeur
or domestic servant of the named insured or
spouse;
(2) to any automobile while used in the business or
occupation of the named insured or spouse except
a private passenger automobile operated or occu-
pied by such named insured, spouse, chauffeur or
servant;
(3) to any accident arising out of the operation of an
automobile repair shop, public garage, sales
agency, service station or public parking place;
(4) under coverage C, unless the injury results from
the operation of such other automobile by such
named insured or spouse or on behalf of either
by such chauffeur or servant, or from the occu-
pancy of said automobile by such named insured
or spouse.
Lou of Use by Theft-Rental Reimbursement. The com-
pany, following a theft covered under this policy, shall
reimburse the named insured for expense not exceeding
$5 for any one day nor totaling more than $150 or the
actual cash value of the automobile at time of theft, which-
ever is less, incurred for the rental of a substitute auto-
mobile, including taxicabs.
Reimbursement is limited to such expense incurred dur-
ing the period commencing forty-eight hours after such
theft has been reported to the company and the police and
terminating, regardless of expiration of the policy period,
on the date the whereabouts of the automobile becomes
known to the named insured or the company or on such
earlier date as the company makes or tenders settlement
for such theft.
Such reimbursement shall be made only if the stolen
automobile was a private passenger automobile not used
as" a public or livery conveyance and not owned and held
for sale by an automobile dealer.
General Average and Salvage Charges. The company,
with respect to such transportation insurance as is af-
forded by this policy, shall pay any general average and
salvage charges for which the named insured becomes
legally liable.
EXCLUSIONS
THIS POLICY DOES NOT APPLY
(a) Under any of the Coverages, while the automobile is
used as a public or livery conveyance, unless such use
is specifically declared and described in this policy
and premium charged therefor;
(b) Under Coverages A, B and C, to liability assumed
by the insured under any contract or agreement;
(c) Under Coverages A and B. while the automobile is
used for the towing of any trailer owned or hired by
the insured and not covered by like insurance (see
provisions of Insuring Agreement IV) in the com-
pany; or while any trailer covered' by this policy
is used with any automobile owned or hired by the
insured and not covered by like insurance in the
compan ;
(d) Under Coverages A and C, to bodily injury to or
sickness, disease or death of any employee of the
insured while engaged in the employment, other than
domestic, of the insured or in domestic employment if
benefits therefor are either payable or required to be
provided under any workmen's compensation law;
(e) Under Coverage A, to any obligation for which the
insured or any company as his insurer may be held
liable under any workmen's compensation law;
Under Coverage B, to injury to or destruction of
property owned by, rented to, in charge of or trans-
ported by the insured;.except that destruction of prop-
erty rented to the Insured as a residence, or for the
garaging of the automobile described in this'policy,
including the premises thereof shall be covered under
Coverage B. but in no. event shall the limit of the
Company's liability under any such accident- exceed
$100.00;
(g) Under Coverage C. to bodily injury to or sickness,
disease or death of any person if benefits therefor are
payable under any workmen's compensation law;
(h) Under Coverages H, E-I, E-2, E-3, D and I, while the
automobile is subject to any bailment lease, conditional
sale, mortgage or other encumbrance not specifically
declared and described in this policy;
(i) Under Coverages H, E-I, E-2, E-3, D and I, to loss due
to war, whether or not declared, invasion, civil war,
insurrection, rebellion or revolution or to confiscation
by duly constituted governmental or civil authority;
(j) Under Coverages H, E-I, E-2, E-3, D and I, to any
damage to the automobile which is due and confined to
wear and tear, freezing, mechanical or electrical
breakdown or failure, unless such damage is the re-
sult of other loss covered by this policy;
(k) Under Coverages H, E.1, E-2, E-3, D and 1, to robes,
wearing apparel or personal effects; except that loss
of or damage to personal effects of the Named In-
sured and members of his immediate family caused
by fire damage to the automobile shall be covered
under Coverage H but in no event shall the limit of
the Company's liability under any one loss exceed
$50.00;
(1) Under Coverages H, E-I, E-2, E-3, D and I, to tires un-
less damaged by fire or stolen or unless such loss be
coincident with other loss covered by this policy;
(m) Under Coverages H and D, to loss due to conversion,
embezzlement ' or secretion by any person in lawful
possession of the automobile under a bailment lease,
conditional sale, mortgage or other encumbrance;
CONDITIONS
I. Notice of Accident. When an accident occurs writ- 2. Notice of Claim or Suit. If claim is made or suit
Coverages A, B and C ten notice shall be given by or Coverages A and B is brought against the
on behalf of the Insured to. the Insured, the Insured shall
company or any of its authorized agents as soon as prat- immediately forward to the company every demand, notice,
ticable. Such notice shall contain particulars sufficient to summons or other process received by him or his repre-
identify the Insured and also reasonably obtainable infor- sentative.
mation respecting the time, place and circumstances of the 3. Limits of Liability. The limit of bodily injury lia-
acciden , ~a ~d ~t -0f4h4~ 5of CjAGROPM-00453R0001t 9G o?eclarations
avails as app ica a to "each person"
 Approved For Releae 2000/08/25: CIA-RDP58-004 138000200150002-6
is the limit of the company's liability for all damages,
including damages for care and loss of services, arising
out of bodily injury, sickness or disease, including death
at any time resulting therefrom, sustained by one person
in any one accident; the limit of such liability stated in the
declarations as applicable to "each accident" is, subject to
the above provision respecting each person, the total limit
of the company's liability for all damages, including dam-
ages for care and loss of services, arising out of bodily
injury, sickness or disease, including death at any time
resulting therefrom, sustained by two or more persons in
any one accident.
4. Limit of Liability. The limit of liability for medi-
Coverage C cal payments stated in the dec-
larations as applicable to "each
person" is the limit of the company's liability for all
expenses incurred by or on behalf of each person who
sustains bodily injury, sickness or disease, including death
resulting therefrom, in any one accident.
5. Limits of Liability.
Coverages A, B and C
liability.
The inclusion herein of more than
one insured shall not operate to in-
crease the limits of the company's
6. Action Against Company. coNo action shall mpany unless, lie as a against
Coverages A and B precedent thereto, the Insured
shall have fully complied with all the terms of this policy,
nor until the amount of the Insured's obligation to pay
shall have been finally determined either by judgment
against the Insured or the Insured's estate after actual
trial or by written agreement of the Insured or the In-
sured's estate, the claimant and the company.
Any person or organization or the legal representative
thereof who has secured such judgment or written agree-
ment shall thereafter be entitled to recover under this
policy to the extent of the insurance afforded by this policy.
Nothing contained in this policy shall give any person or
organization any right to join the company as a co-defend-
ant in any action against the Insured to determine the In-
sured's liability.
Bankruptcy or insolvency of the Insured or of the In-
sured's estate shall not relieve the company of any of its
obligations hereunder.
7. Action Against Company. coNo action shall mpany unless, lie
as agcondition
Coverage C precedent thereto, there shall
have been full compliance with all the terms of this policy,
nor until thirty days after the required proofs of claim
have been filed with the company.
8. Financial Responsibility Laws. Such insurance as is af-
Coverages A and B forded by this policy for
bodily injury liability or
property damage liability shall comply with the provisions
of the motor vehicle financial responsibility law of any
state or province which shall be applicable with respect
to any such liability arising out of the ownership, mainte-
nance or use of the automobile during the policy period,
to the extent of the coverage and limits of liability required
by such law, but in no event in excess of the limits of
liability stated in this policy. The Insured agrees to re-
imburse the company for any payment made by the com-
pany which it would not have been obligated to make under
the terms of this policy except for the agreement contained
in this paragraph.
9. Assault and Battery.
Coverages A and B
the Insured.
Assault and battery shall be
deemed an accident unless com-
mitted by or at the direction of
10. Medical Reports; Proof
and Payment of Claim..
Coverage C
As soon as practicable the in-
jured person or someone on
his behalf shall give to the
company written proof of
claim, under oath if required, and shall, after each re-
quest from the company, execute authorization to enable
the company to obtain medical reports and copies of
records. The injured person shall submit to physical
examination by physicians selected by the company when
and as' often as the company may reasonably require.
The company may pay the injured person or any per-
son or organization rendering the services and such pay-
ment shall reduce the amount payable hereunder for such
injury. Payment hereunder shall not constitute admission
of liability of the insured or, except hereunder, of the
company.
11. Named Insured's Duties When
Coverages H, E-I, E-2, E-3, D and I
sured shall:
Loss Occurs. When loss
occurs, the
Named In-
(a) PROTECT THE AUTOMOBILE, whether or not the
loss is covered by this policy, and any further loss due
to the Named Insured's failure to protect shall not be
recoverable under this policy; reasonable expense in-
curred in affording such protection shall be deemed
incurred at the company's request;
(b) GIVE NOTICE thereof as soon as practicable to the
company or any of its authorized agents and also, in
the event of theft, larceny, robbery or pilferage, to the
police but shall not, except at his own cost, offer or
pay any reward for recovery of the automobile;
such time is extended in writing by the company, in the
form of a sworn statement of the Named Insured
setting forth the interest of the Named Insured and
of all others in the property affected, any encum-
brances thereon, the actual cash value thereof at time
of loss, the amount, place, time and cause of such loss,
the amount of rental or other expense for which re-
imbursement is provided under this policy, together
with original receipts therefor, and the description
and amounts of all other insurance covering such
property.
Upon the company's request, the Named Insured shall
exhibit the damaged property to the company and submit
to examinations under oath by anyone designated by the
company, subscribe the same and produce for the com-
pany's examination all pertinent records and sales in-
voices, or certified copies if originals be lost, permitting
copies thereof to be made, all at such reasonable times
and places as the company shall designate.
12. Appraisal. If the Named Insured and
Coverages H, E-I, E-2, E-3, D and I the company fail to agree
as to the amount of loss,
each shall, on the written demand of either, made within
sixty days after receipt of proof of loss by the company,
select a competent and disinterested appraiser, and the
appraisal shall be made at a reasonable time and place.
The appraisers shall first select a competent and disinter-
ested umpire, and failing for fifteen days to agree upon
such umpire, then, on the request of the Named Insured or
the company, such umpire shall be selected by a judge of a
court of record in the county and state in which such ap-
praisal is pending. The appraisers shall then appraise
the loss, stating separately the actual cash value at the
time of loss and the amount of loss, and failing to agree
shall submit their differences to the umpire. An award in
writing of any two shall determine the amount of loss.
The Named Insured and the company shall each pay his
or its chosen appraiser and shall bear equally the other
expenses of the appraisal and umpire.
The company shall not be held to have waived any of its
rights by any act relating to appraisal.
13. Limit of Liability; Settlement The limit of the com-
Options; No Abandonment. pany's liability for loss
ac-
Coverages H, E-I, E-2, E-3. and D shall not exce the ac
tual cash value of the
e
automobile, or if the loss is of a part thereof the actual
cash value of such part, at time of loss nor what it would
then cost to repair or replace the automobile or such part
thereof with other of like kind and quality, with deduction
for depreciation, nor the applicable limit of liability stated
in the declarations.
The company may pay for the loss in money or may
repair or replace the automobile or such part thereof, as
aforesaid, or may return any stolen property with payment
for any resultant damage thereto at any time before the
loss is paid or the property is so replaced, or may take all
or such part of the automobile at the agreed or appraised
value but there shall be no abandonment to the company.
14. Payment for Loss; Action No action shall lie against
Against Company. the company unless, as a
Coverages H, E-I, E-2, E-3, D and I condition precedent there-
to, the Named Insured
shall have fully complied with all the terms of this policy
nor until thirty days after proof of loss is filed and the
amount of loss is determined as provided in this policy.
15. No Benefits to Bailee. The insurance afforded by
Coverages H, E-I, E-2, E-3, D and I this policy shall not inure
directly or indirectly to the
benefit of any carrier or bailee liable for loss to the auto-
mobile.
e
16. Assistance and Cooperation of the Insured. ist
ancoiip-
Coverages A, B, H. E-I, E-2, E-3, D and I erate with
the company and, upon the company's request, shall attend
hearings and trials and shall assist in effecting settle-
ments, securing and giving evidence, obtaining the at-
tendance of witnesses and in the conduct of suits. The
Insured shall not, except at his own cost, voluntarily make
any payment, assume any obligation or incur any expense
other than for such immediate medical and surgical relief
to others as shall be imperative at the time of accident.
17. Subrogation. In the event of any
Coverages A, B, H, E-I, E-2, E-3, D and 1 payment under this
policy, the company
shall be subrogated to all the Insured's rights of recovery
therefor against any person or organization and the In-
sured shall execute and deliver instruments and papers
and do whatever else is necessary to secure such rights.
The Insured shall do nothing after loss to prejudice such
rights.
Other Insurance. If the Insured has other
Coverages A, B, H. E-I, E-2, E-3, D andl,insurance against a loss
covered by this policy
the company shall not be liable under this policy for a
greater proportion of such loss than the applicable limit
of liability stated in the declarations bears to the total
applicable limit of liability of all valid and collectible in-
surance against such loss; provided, however, the insurance
with respect to temporary substitute automobiles under
Insuring Agreement IV or other automobiles under Insur-
ing Agreement V shall be excess insurance over any other
valid and collectible insurance available to the insured
(c) F LE PROOF L S with th yy~~ in n "Its e ith respect
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 Approved For Release 2@QNWFJNSC1&
19. Other Insurance. The insurance afforded with respect to
Coverage C other automobiles under Insuring
Agreement V shall be excess insurance
over any other valid and collectible medical payments in-
surance applicable thereto.
20. Changes. Notice to any agent or knowledge possessed
All Coverages by any agent or by any other person shall
not effect a waiver or a change in any
part of this policy or estop the company from asserting
any right under the terms of this policy; nor shall the
terms of this policy be waived or changed, except by 23.
endorsement issued to form a part of this policy, signed
by an authorized representative of the company.
Assignment. Assignment of interest under this policy
All Coverages shall not bind the company until its consent
is endorsed hereon; if, however, the Named
Insured shall die or be adjudged bankrupt or insolvent
within the policy period, this policy, unless canceled, shall,
if written notice be given to the company within sixty
days after the date of such death or adjudication, cover
(1) the Named Insured's legal representative as the Named
Insured, and (2) under Coverages A and B, subject other-
wise to the provisions of Insuring Agreement III, any per-
son having pro per temporary custody of the automobile, as
an insured, and under Coverage C while the automobile is
used by such person, until the appointment and qualification
of such legal representative but in no event for a period
of more than 'sixty days after the date of such death or
adjudication.
22. Cancellation. This policy may be_canceled by the Named
when thereafter such cancellation shall be effective. This
policy may be canceled by the company by mailing to the
Named Insured at the address shown in this policy written
notice stating when not less than ten days thereafter such
cancellation shall be effective. The mailing of notice as
aforesaid shall be sufficient proof of notice and the effective
date and hour of cancellation stated in the notice shall
become the end of the policy period. Delivery of such
written notice either by the Named Insured or by the
company shall be equivalent to mailing.
'i-004Q R000200150002-6
If the Named Insured cancels, earned premiums shall be
computed in accordance with the customary short rate
table and procedure. If the company cancels, earned pre-
miums shall be computed pro rats. Premium adjustment
may be made at the time cancellation is effected and; if not
then made, shall be made as soon as practicable after can-
cellation becomes effective. The company's check or the
check of its representative mailed or delivered as aforesaid
shall be a sufficient tender of any refund of premium due
to the Named Insured.
Cancellation for Non-payment Upon the failure of the
of Premium, first Named Insured to
All, Coverages pay any installment of
the premium as provided in the Declarations, the insurance
shall cease and terminate, provided at least ten (10) days
notice is mailed by the company to the first Named Insured
at the address shown in this policy stating when thereafter
such cancellation shall become effective. Such cancellation
shall be deemed to have been made upon the request of
the first Named Insured and shall be on a short rate basis.
Terms of Policy Conformed to Statute. Terms of this
policy which are in conflict with the statutes of the State
wherein this policy is issued are hereby amended to conform
to such statutes.
Declarations. By acceptance of this. policy the Named
All Coverages Insured agrees that the statements in the
declarations are his agreements and repre-
sentations, that this policy is issued in reliance upon the
truth of such representations and that this policy embodies
all agreements existing between himself and the company
or any of its agents relating to this insurance.
Service or Process on Company.
All Coverages
Should the Named In-
sured desire to institute
suit against the Com-
pany in connection with such insurance as is afforded by
this policy the Company will upon being so advised, a point
a person upon whom process may be served in the Named
Insured's state or territory provided there is not already an
official so designated and will also furnish the Named In-
sured with the name and address of such person.
IN WITNESS WHEREOF, the Government Employees Insurance Company has caused this policy to, be signed by the
President and Secretary and countersigned on the Declarations page by a duly authorized representative of the Company.
Secretary.
President.
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