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Limited Powertrain Protection
Declaration Section
Personal Information
Last Name* First Name*
Phone (numbers only)* Cell Phone(numbers only)
Email*
 
Seller Information
 
VIN*
 
MAKE* MODEL*
Year* Vehicle Value

Odometer (numbers only)
*
*Please refer to the ineligible vehicles list below before purchasing your protection policy. Some makes may rate even if they cannot be covered. In the event a contract is purchased on an ineligible vehicle the contract will remain in a pending status and the policyholder will be contacted. 

CONTRACT DETAILS

*Ineligible Vehicles

·         ASTON MARTIN, AUDI R, BENTLEY, BMW ALPENA, BMW M CLASS, BMW DINAN, BUGATTI, CITRON, DELOREAN, FERRARI, JAGUAR, LAMBORGHINI, LAND ROVER, MCLAREN, MAYBACH, MERCEDES AMG, PORSCHE RUF, ROLLS ROYCE, SAAB (ADDITIONAL LUXURY VEHICLES MAY BE INELIGIBLE FOR COVERAGE)

·         ALL CHINESE OR RUSSIAN VEHICLES

·         ALL ELECTRIC VEHICLES

·         ALL VEHICLES OVER 8 CYLINDERS AND EXOTIC VEHICLES ALL NITROUS OXIDE EQUIPPED VEHICLES

·         ALL NORTHSTAR ENGINES

·         ALL MARINE INCLUDING BOATS AND PERSONAL WATERCRAFTS

·         ALL ATVs, MOTORCYCLES, SCOOTERS

·         ALL GOLF CARTS, GO-KARTS, AND AIRCRAFTS

·         ALL FARM IMPLEMENTS INCLUDING TRACTORS

·         NO VEHICLES OLDER THAN 1920

 

Throughout this LIMITED POWERTRAIN PROTECTION certain words and phrases are used that have special meanings. These
terms appear in boldface type. Their meanings are listed below:
Administrator means the company identified in Section VI. that provides administrative services for this LIMITED POWERTRAIN
PROTECTION.
Breakdown means the failure of a Covered Part under normal service. A Covered Part has failed when it can no longer perform the
function for which it was designed solely because of its condition and not because of the action or inaction of any non-covered parts.
Covered Part(s) means the mechanical and electrical parts and components described under Section II., BREAKDOWN COVERAGE,
in this LIMITED POWERTRAIN PROTECTION.
Deductible means the amount set forth in the Declaration Section that You are required to pay.
Repair Facility means a Repair Facility engaged in the business or providing mechanical services for automobiles. The Repair
Facility must have a tax identification number.
Reasonable Cost means the repair costs that are recognized locally and/or nationally for a similar repair. We may use published parts
and labor guides to establish reasonable costs.
We, Us, Ours means the ADMINISTRATOR.
You and Your means the Purchaser shown on the Declaration Section to whom this LIMITED POWERTRAIN PROTECTION is
issued.
Your Vehicle means the Vehicle which is described on the Declaration Section.

ACCEPTED BY THE PURCHASER ON THE DATE INDICATED ABOVE

ENTIRE LIMITED POWERTRAIN PROTECTION

This LIMITED POWERTRAIN PROTECTION constitutes the entire LIMITED POWERTRAIN PROTECTION given by us in
connection with your purchase of the above vehicle. No person or entity has authority to modify the terms of this LIMITED
POWERTRAIN PROTECTION or to waive any of its provisions.
Any implied warranties, included the implied warranties of merchantability and fitness for a particular purpose, are hereby
limited to the same duration of time as this LIMITED POWERTRAIN PROTECTION. Some states do not allow limitations on
how long an implied warranty lasts, so the above limitation may not apply to you.
This LIMITED POWERTRAIN PROTECTION does not cover any incidental or consequential damages of any kind, including,
but not limited to, damages for loss of use of the vehicle, damages to property, loss of time, loss of profits or loss of income.
This LIMITED POWERTRAIN PROTECTION does not provide for diminished value regardless of the cause.
This LIMITED POWERTRAIN PROTECTION gives you specific legal rights. You may also have other rights which vary from
state to state.

II. BREAKDOWN COVERAGES

We will pay or reimburse You for Reasonable Costs to repair or replace any Breakdown of a mechanical part listed below (Covered
Parts), less any Deductibles You are required to pay. Replacement parts may be new, remanufactured or used parts, at Our sole
discretion.
1. Engine Assembly: All internally lubricated parts, to include Pistons, Piston Rings and Pins; Crankshaft and Main Bearings;
Timing Chain and Timing Gears; Cam Belt; Intake and Exhaust Valves; Valve Springs; Guides; Push Rods; Rocker Arms;
Hydraulic Lifters; Rocker Arm Shafts; Oil Pump, Engine Mounts. The Engine Block, Cylinder Barrel(s) and Head(s) are
covered if damaged by an internally lubricated part specified above. Rotary Engine: Rotors; Rotor Chamber; Eccentric Shaft
and Bearings and all other internal parts of a Rotary Engine.
2. Turbocharger/Supercharger: All internally lubricated parts and housing. Provided the Surcharge is paid for and the box
checked.
3. Transmission (Automatic): All internally lubricated parts including Clutches, Bands, Pump, Drums, Vacuum
Modulator, Electronic Shift Control Unit, Transmission Mounts, Valve Body and Torque Converter. Transmission Case
only if damaged by an internally lubricated part.
Transmission (Standard): All internally lubricated parts including Main Shaft, Counter Shaft, All Gears, Input Shaft, Synchronizers,
Transmission Mounts, Shift Rails and Shift Fork Bearings. Housing only when damaged by an internally lubricated part.
Transfer Case Unit and internally lubricated parts; 4WD/AWD Locking Hubs. Provided the Surcharge is paid for and the box
checked.
4. Front and Rear Wheel Drive: All internal parts of Final Drive Housing. Constant Velocity Joints; Universal Joints; Drive
Shafts, Center Support Bearings. Housing also covered if failure due to above parts.
5. Towing: In the event of a repair covered by this LIMITED POWERTRAIN PROTECTION, WE will reimburse YOUR receipted
expenses not to exceed three hundred dollars ($300.00).
Filters, Lubricants, Coolants, Fluids, Refrigerants, Seals and Gaskets may be covered if replacement is required in connection with a
Breakdown.

III. GENERAL PROVISIONS

This LIMITED POWERTRAIN PROTECTION is between You and Us, and is subject to all the terms and conditions contained herein:
A. LIMITED POWERTRAIN PROTECTION Period
Coverage under this LIMITED POWERTRAIN PROTECTION begins after a thirty (30) day and two hundred fifty (250) mile
elimination period after the Vehicle Purchase Date or if Your Vehicle is shipped using a transport company, the delivery date will
be beginning date set forth in the Declaration Section and will expire at 12:01 a.m. Eastern Standard Time on the Expiration
Date set forth in the Declaration Section.
B. Limit of Liability
Our liability for the duration of this LIMITED POWERTRAIN PROTECTION shall in no event exceed seventy-five hundred
($7,500.00) dollars.
C. Deductible
Two-hundred dollars ($200.00) per visit or Five-hundred dollars ($500.00) depending on selection.

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D. Cancellation You may cancel this LIMITED POWERATARAIN PROTECTION at any time. A full refund will be given within
thirty (30) days of purchase and no claims have been filed. After thirty days or if a claim has been authorized, a pro-rata
refund will be issued less any claims authorized and an administrative fee of one-hundred and fifty ($ 150.00) dollars.

IV. WHAT IS NOT COVERED

A. This LIMITED POWERTRAIN PROTECTION DOES NOT PROVIDE COVERAGE IF YOUR VEHICLE IS OR WAS USED
FOR ANY TYPE OF COMPETITIVE OR PERFORMANCE DRIVING EVENTS.
B. FOR REPAIRS MADE WITHOUT PRIOR APPROVAL AND AUTHORIZATION FROM THE ADMINISTRATOR.
C. FOR REPAIRS TO ANY PART OR PARTS OF THE DESCRIBED VEHICLE NOT SPECIFICALLY LISTED IN SECTION II.,
BREAKDOWN COVERAGES, OF THIS LIMITED POWERTRAIN PROTECTION.
D. FOR MAINTENANCE SERVICES AND PARTS DESCRIBED IN YOUR VEHICLE’S OWNER MANUAL AS SUPPLIED BY
THE MANUFACTURER AND OTHER NORMAL MAINTENANCE SERVICES AND PARTS WHICH INCLUDE, BUT ARE
NOT LIMITED TO: ALIGNMENTS, ADJUSTMENTS, CLEANING, WHEEL BALANCING, TUNE-UPS, SPARK PLUGS,
SPARK PLUG WIRES, GLOW PLUGS, HOSES, DRIVE BELTS, SHOP SUPPLIES AND ENVIRONMENTAL WASTE
CHARGES.
E. FOR DAMAGE AND/OR BREAKDOWN RESULTING FROM COLLISION, ROAD HAZARD, FIRE, THEFT, VANDALISM,
RIOT, EXPLOSION, LIGHTNING, EARTHQUAKE, WINDSTORM, VOLCANIC ERUPTION, FREEZING, RUST OR
CORROSION, WINDSTORM, HAIL, WATER OR FLOOD, ACTS OF GOD, SALT, ENVIRONMENTAL DAMAGE,
CHEMICALS, CONTAMINATION OF FLUIDS, FUELS, COOLANTS OR LUBRICANTS.
F. FOR ANY BREAKDOWN CAUSED BY MISUSE, ABUSE, NEGLIGENCE, LACK OF SCHEDULED MAINTENANCE
REQUIRED BY THE LIMITED POWERTRAIN PROTECTION OR THE MANUFACTURER’S MAINTENANCE SCHEDULE
FOR YOUR VEHICLE, OR IMPROPER SERVICING OR REPAIRS PERFORMED BY A REPAIR FACILITY. FOR ANY
BREAKDOWN CAUSED BY SLUDGE BUILD-UP, LUBRICANT BLOCKAGE OR THE FAILURE TO MAINTAIN PROPER
LEVELS OF LUBRICANTS, AND/OR COOLANTS, OR ANY BREAKDOWN RESULTING FROM FAILURE TO PROTECT
YOUR VEHICLE FROM FURTHER DAMAGE WHEN A BREAKDOWN HAS OCCURRED.
G. FOR ANY REPAIR OR REPLACEMENT OF ANY COVERED PART IF A BREAKDOWN HAS NOT OCCURRED OR IF THE
WEAR ON THAT PART HAS NOT EXCEEDED THE PUBLISHED FIELD TOLERANCES ALLOWED BY THE
MANUFACTURER.
H. FOR ANY LOSS, CLAIM OR SERVICE OBLIGATION WHICH ARISES FROM OR IS IN ANY MANNER RELATED TO THE
FAILURE OF ANY COMPUTER, COMPUTER CHIP, COMPUTERIZED COMPONENT, COMPUTER SOFTWARE OR
OTHER MACHINE OR PRODUCT TO RECOGNIZE DATA, PERFORM OPERATIONS OR CALCULATIONS, OPERATE
PROPERLY OR PERFORM AS EXPECTED, INCLUDING BUT NOT LIMITED TO ANY LOSS, CLAIM OR SERVICE
OBLIGATION INVOLVING MISCALCULATIONS, INTERFERENCE WITH OR DAMAGE TO EXISTING DATA, LOSS OF
DATA, OR INABILITY TO OPERATE REGARDLESS OF WHETHER SUCH FAILURE OCCURS IN EQUIPMENT OWNED
OR USED BY YOU OR OTHERS.
I. FOR REPAIR OR REPLACEMENT OF A COVERED PART THAT IS COVERED BY AN INSURANCE POLICY, SUPPLIER
OR REPAIRER GUARANTEE/WARRANTY, MANUFACTURER AND/OR DEALER CUSTOMER ASSISTANCE PROGRAM
OR ANY WARRANTY FROM THE MANUFACTURER OF THE VEHICLE AND/OR FOR A BREAKDOWN OF A COVERED
PART IF THE MANUFACTURER HAS ANNOUNCED ITS RESPONSIBILITY TO REPAIR OR REPLACE THE PART
THROUGH ANY MEANS, INCLUDING PUBLIC RECALLS AND FACTORY SERVICE BULLETINS.
J. IF YOUR VEHICLE IS USED FOR TOWING OR HAULING A TRAILER, OR ANOTHER VEHICLE OR OBJECT, UNLESS
YOUR VEHICLE IS EQUIPPED WITH FACTORY INSTALLED OR FACTORY AUTHORIZED TOW PACKAGE AND THE
ITEMS TOWED OR HAULED DID NOT EXCEED THE MANUFACTURER’S RATED CAPACITY.
K. IF YOUR VEHICLE IS USED FOR RACING OR COMPETITIVE DRIVING: COMMERCIAL OR FARMING PURPOSES,
INCLUDING, BUT NOT LIMITED TO: DELIVERY OR ROUTE WORK; REPAIR OR SERVICE; RENTAL; TAXI, LIMOUSINE
OR SHUTTLE SERVICES; ROAD REPAIR OPERATIONS; CONSTRUCTION; JOB SITE ACTIVITIES; POLICE OR
EMERGENCY SERVICE; COMPRESSED NATURAL GAS VEHICLES, EQUIPPED WITH NITROUS OXIDE, PRINCIPALLY
OFF-ROAD USE; SNOW REMOVAL; OR IS USED BY MULTIPLE DRIVERS. ANY DAMAGE WHICH IS PRE-EXSISTING.
L. FOR ANY BREAKDOWN THAT OCCURS AFTER THE EXPIRATION OF THE LIMITED POWERTRAIN PROTECTION
PERIOD.
M. FOR ANY BREAKDOWN IF THE REPAIR INFORMATION PROVIDED BY YOU OR THE REPAIR FACILITY IS NOT TRUE.

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N. FOR BREAKDOWNS THAT OCCUR TO YOUR VEHICLE AND REPAIRS THAT ARE MADE OUTSIDE THE UNITED
STATES OF AMERICA OR CANADA.
O. GRAY MARKET VEHICLES OR NEW VEHICLES FOR WHICH THE FULL MANUFACTURER WARRANTY IS NOT IN
PLACE OR ACKNOWLEDGED BY THE MANUFACTURER.

V. YOUR RESPONSIBILITIES
FILING A CLAIM
If Your Vehicle incurs a Breakdown, You must take the following steps to file a claim:
1. Prevent Further Damage – Take immediate action to prevent further damage. This LIMITED POWERTRAIN PROTECTION
will not cover the damage caused by Your failure to secure a prompt repair or replacement of the failed part.
2. Take Your Vehicle to a Repair Facility – If Your Vehicle breaks down, take Your Vehicle to a Repair Facility.
3. Provide the Repair Facility with a Copy of Your LIMITED POWERTRAIN PROTECTION.
4. Obtain Authorization from the Administrator – Prior to any repair being made, instructs the Repair Facility to contact the
Administrator to obtain an authorization for the claim. Any repairs made without prior authorization will not be covered. The
Administrator can be contacted Monday through Friday, 9:00 a.m. to 5:00 p.m. Eastern Standard Time at 1-855-338-1819.
No claims will be paid without prior authorization from the Administrator.
The amount authorized by the Administrator is the maximum amount that will be paid for repairs covered under the terms of
this LIMITED POWERTRAIN PROTECTION. Any additional amount must receive prior approval.
5. Authorize Tear-Down and/or Inspection – In some cases, You may need to authorize the Repair Facility to inspect and/or
tear-down Your Vehicle in order to determine the cause and cost of the repair. You will be responsible for these charges if
the failure is not covered under this LIMITED POWERTRAIN PROTECTION. We reserve the right to require an inspection of
Your Vehicle prior to any repair being made.
6. Review Coverage – After the Administrator has been contacted, review with the Repair Facility what will be covered by this
LIMITED POWERTRAIN PROTECTION and what portions of the repair (if any) will not be covered.
7. Pay Any Applicable Deductible – We will reimburse the Repair Facility or You for the cost of the repair work performed on
Your Vehicle that is covered by this LIMITED POWERTRAIN PROTECTION and previously authorized, less any Deductible.
Once authorization is obtained and the repair is completed, all repair orders and documentation must be submitted to the
Administrator within thirty (30) days to be eligible for payment. You must pay for any repair that is not covered by this
LIMITED POWERTRAIN PROTECTION.
8. Proof of Service and/or Repair – To obtain payment for a covered repair You, or the Repair Facility must submit a legible
copy or original repair order and all related invoices to the Administrator. Repair orders must be readable and
understandable, with customer complaint and repair diagnosis, parts, labor hours, vehicle identification number, date, vehicle
mileage, Your name and signature, repair facility name, address and phone number, repair totals, Deductible (if applicable),
and method of payment to satisfy the repair order.

VI. ADMINISTRATOR

PROTECT ADMINISTRATION CORPORATION5195 HAMPSTED VILLAGE CENTER WAY STE 75 NEW ALBANY, OHIO 43054

TELEPHONE: 855-338-1819