SAMPLE
FORM #: 09-NMAX5100
PAGE 3 OF 6 09-WMB-GN (10/09)
$__ DEDUCTIBLE:
You are responsible to pay only the
first $__ of the total cost of covered component repairs
performed during each repair visit. Repairs not covered by
the Plan are your responsibility. You may be required to pay
state and local taxes in addition to the deductible.
TRIP INTERRUPTION:
The Plan will pay up to $1,000 for
lodging, meals, and emergency transportation such as taxi,
bus, or airline for you and your family if (1) your vehicle is
inoperable due to a failure covered under this Plan or under
the factory warranty, and (2) you are more than 100 miles
from the address of record. Lodging, meals and car rental
receipts must accompany a copy of repair bill and must be
mailed to Chrysler Service Contracts, P.O. Box 2700, Troy,
Michigan 48007-2700.
FIRST DAY RENTAL/CAR RENTAL ALLOWANCE:
Coverage starts on the date you purchase the Plan and is
not subject to a deductible. First Day Rental Allowance
provides $35 car rental allowance if the vehicle is to be
serviced for any same day mechanical or maintenance
service.
Car Rental Allowance will pay up to $35 per day for a rental
any time repairs take overnight, and a component covered
by the Plan or the manufacturer’s Basic Warranty fails.
Total Rental Allowance per occurrence is a maximum of
5 days or $175.
The Plan will not pay for rental charges for a vehicle that is
awaiting service or parts unless the vehicle is inoperable due
to a mechanical failure of a covered component, or unless
continued operation would cause further damage.
The rental car must be obtained from a Dealer. If a Dealer
does not have rental cars available, you may obtain one from
a licensed rental agency. Rental coverage is subject to state
and local laws and policies imposed by the rental agency.
Rental charges in excess of the amount allowed by the Plan
are your responsibility. The Plan is not responsible for any
refusal of a rental agency to rent a vehicle to you.
ROADSIDE ASSISTANCE*
NOTE: YOU MUST CALL 1-800-521-2779 FOR THIS
SERVICE.
The plan provides assistance due to a disablement caused
by any mechanical failure and in addition, the Plan provides
coverage for such items as towing to the nearest Chrysler,
Dodge or Jeep Dealer or Chrysler authorized repair facility,
flat tire change (with your good spare), battery jump, out of
gas delivery (maximum 2 gallons), lockout service i.e. keys
locked in car or frozen lock, to a maximum of $100, per
occurrence. Any expense beyond $100 is your responsibility
at the time and site of service. Towing assistance will be
dispatched only for mechanical disablements which renders
the vehicle inoperative. (See exclusions under “THE PLAN
WILL NOT COVER.”)
This service is provided to you as part of your service
contract to minimize any unforeseen vehicle operation
inconvenience and is available 24 hours per day, 365 days
per year.
HOW TO USE CHRYSLER ROADSIDE
ASSISTANCE*:
All required towing, roadside assistance,
lockout, and other roadside assistance services described
previously
MUST BE ARRANGED AT TIME OF
OCCURRENCE
through Chrysler Roadside Assistance by
calling
1-800-521-2779
. You should be prepared to provide
the Chrysler representative with your name, service contract
number, vehicle license plate number, and location including
the phone number you are calling from and a brief
description of the problem.
In some cases, Chrysler Roadside Assistance may authorize
you or your Chrysler, Dodge or Jeep Dealer to arrange for
local service and will provide an authorization number to do
so. Your service contract will in these instances provide
reimbursement of up to $100 maximum per Roadside
Assistance incident, provided that the claim contains: (A) A
valid original receipt of payment from the tow/repair facility
for the services rendered (Claims which contain other than
original receipts may be denied.); (B) The Chrysler Roadside
Assistance authorization number; and (C) Your valid
Chrysler Service Contract number. All Roadside Assistance
claims that meet these requirements should be mailed or
faxed to:
Chrysler Roadside Assistance
P.O. Box 9145
Medford, MA 02155
Attn: Claims Department
1-800-521-2779
FAX Number: 1-781-658-2691
CHRYSLER ROADSIDE ASSISTANCE WILL NOT COVER
SERVICES WHICH ARE SOLICITED WITHOUT FIRST
CONTACTING CHRYSLER ROADSIDE ASSISTANCE FOR
PRIOR AUTHORIZATION.
* All Roadside Assistance is provided through Cross Country Motor
Club, Inc., Medford, MA 02155, except in Alaska, California, Hawaii,
Oregon, Wisconsin and Wyoming where services are provided
through Cross Country Motor Club of California, Inc., Thousand
Oaks, CA 91360. Both collectively sometimes referred to as CCMC.
CCMC acts merely as a dispatcher of referral service to persons or
entities who provide the actual service. These persons and/or
entities are independent contractors. Accordingly, neither Chrysler
nor CCMC assumes responsibility for the acts, errors, omissions,
negligence, misconduct of such persons and/or entities. All persons
availing themselves of the benefits of Chrysler Roadside Assistance
are to look solely to such persons and/or entities for liability arising in
connection therewith, and not to Chrysler or CCMC.
No Dealer, Dealer employee or Chrysler employee has
the authority to modify or change any provision of this
Plan.
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