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446394626
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Mercedes Benz, 1960
core
doc
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document
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id
446394626
contentType
document
title
Mercedes Benz, 1960
citationUrl
identifierLocal
25841-005
collections
George H. W. Bush Papers
Zapata Oil Files
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1
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446394626
coverageEndDate
logicalDate
1960-12-31
year
1960
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1960-01-01
year
1960
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nara-archive
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ocrText
Originally Processed With FOIA(s):
FOIA Number:
S
S
FOIA
MARKER
This is not a textual record. This is used as an
administrative marker by the George Bush Presidential
Library Staff.
Record Group/Collection: Donated Historical Materials
Collection/Office of Origin: Bush, George H.W., Collection
Series:
Personal Papers
Subseries:
Zapata Oil File, Personal Alphabetical File
OA/ID Number:
25841
Folder ID Number:
25841-005
Folder Title:
Mercedes Benz, 1960
Stack:
Row:
Section:
Shelf:
Position:
G
5
1
2
3
Photocopy from George Bush Presidential Library
VSALE
MA
QUAN
PART NO.
consignment can for sale PROMISED TIME
REPAIR ORDER
DESCRIPTION
AMOUNT
SOUTHWESTERN
TRIUMPH, INC:
A.M.
3143
22
lbi freen
375
2030 RICHMONDIAVE.
0
JAckson 8-5347
P.M.
6009
YEAR
MAKE
MeRS.
WRITTEN B 9/11/63
DATE
Houston 6, Texas
MODEL
NAME FOREFORD
4-DOOR
MOTOR NUMBER Bar
an ADDRESS George Bush
LICENSE
SL322
Houston club Bldge WHEN
PURCHASE ORDER
SPEEDOMETER
CITY
811 Rusk
20/02
OPER.
INSTRUCTIONS
LABOR
CHECK OPERATION
LABOR
NO
charge
are
Conditioner
500
WASH
POLISH
LUBRICATE
TUNE.UP
CHECK
PLUGS
ADJ:
BRAKES
$ 108
SET
TIMING
WHEEL
ALIGN
FLUSH
TRANS
FLUSH
DIFF
TOTAL
FORW ARD
OTHER
QTS. OIL
LABOR
&
00
BEREBY AUTHORIZE THE ABOVE REPAIR WORK TO BE
DONE ALONG WITH NECESSARY MATERIALS. YOU AND
YOUR EMPLOYEES MAY OPERATE ABOVE VEHICLE FOR,
LBS. GREASE
PARTS
3
75
PURPOSES OF TESTING INSPECTION on DELIVERY AT
MY BISK. AN EXPRESS MECHANIC'S LIEN IS ACKNOWL-
EDGED QN ABOVE VEHICLE TO SECURE THE AMOUNT
OF REP AIRS THERETO, YOU WILL NOT HE HELD RBS.
LBS. GEAR LUBE
GAS, OIL, GREASE
PONSIBLE FOR LOSS OR DAMAGE TO VEHICLE OR
ARTICLES LEFT IN VEHICLE IN CASE OF FIRE THEYT
ACCIDENT on ANY OTHER CAUSE DEFOND YOUR
TRANS. FLUID
ACCESSORIES
CONTROL.
BRAKE FLUID
TIRES AND TUBES
1128
Myl
BODY SHOP
OUTSIDE REPAIRS
EVIC
SIGNED
TAX
8.
ADDITIONAL WALLER
TOTAL
TOTAL
TOTAL
8
83
-
Photocopy from George Bush Presidential Library
CUSTOMER'S NAME
REPAIR ORDER NO
ADDITIONAL MATERIALS = USED
VY
QUAI
PART NUMBER
DESCRIPTION
SALES
COST
QUAN
PART NUMBER
DESCRIPTION
SALES
one)
COST
SERVICE
BROUGHT FORWARD
COOA
10b
11832
14
UND? UTID
THE
IDC
yv.
12311
LOBN
IDD
From
3
AMVIL
LITTER
10311-B
УГОЙ
MHEC
JHING
BURNE
OUTSIDE
REPAIRS
THERE
CILL
USE
YODKEY?
FIGHTE
VIC
WHOCOM
bw
VW
UVUI NOV
DEPOSITED
%
BE OUTRED
TOTAL FORWARD
TOTAL
Photocopy [ BIRTY BATES
SALE
A & B MOTOR COMPANY
QUAN
NET
No
328
AMOUNT
FAirfax 3-4439
1819 Travis Street
FAirfax 3-0680
\
Ib From
200
Tal
04
NAME George HOUSTON Bush 3, TEXAS
204
CHARGE
TO OR MODEL 701 Houston PHONE No. PHONE NO. Club MICENSE NUMBER Bldg. DATE ORDER
8-8-63
BY
ADDRESS
YEAR
Mero Bery, EA20395 2322
SPEEDOMETER
26439
No.
Repair air Conditioner
650
Pickuptas at 59303whermay
pel to n Bb Garage
I HEREBY AUTHORIZE THE ABOVE REPAIR WORK TO BE DONE ALONG WITH
NECESSARY MATERIALS. YOU AND YOUR EMPLOYEES MAY OPERATE ABOVE
TOTAL LABOR
1150
50
VEHICLE FOR PURPOSES OF TESTING, INSPECTION OR DELIVERY AT MY RISK.
AN EXPRESS MECHANIC'S LIEN 19 ACKNOWLEDGED ON ABOVE VEHICLE TO
TOTAL PARTS
SECURE THE AMOUNT OF REPAIRS THERETO. YOU WILL NOT BE HELD RESPON-
2
04
SIBLE FOR LOSS OR DAMAGE TO VEHICLE OR ARTICLES LEFT IN VEHICLE IN
CASE OF FIRE, THEFT, ACCIDENT OR ANY OTHER CAUSE BEYOND YOUR
TOTAL PARTS
CONTROL.
TOTAL
13
RECEIVED BY
54
SALE
QUAN.
PART NO.
DESCRIPTION
Photocopy
Helmut usng G. Holder Motors
AMOUNT
MERCEDES-BENZ SPECIALISTS
/
battery
32
65
5930 Southwest Freeway
838
Pho. SU 1-0641
44
HOUSTON 27, TEXAS
2
/
Confret shiftlenh boot shift busbings Washer boot
58
NAME
GEORGE BUSH
DATE 8.5.63
/
10
TIME RECEIVED
TERMS
ADDRESS 5525 BRIAR DRIVE
A.M.
P.M.
33
77
PHONE
TIME PROMISED
CUSTOMER'S ORDER
HOUSTON
WHEN
READY
?
CITY
A.M.
P.M.
NO.
YEAR
TYPE OR MODEL
MOTOR NO.
SERIAL NUMBER
LICENSE NUMBER
SPEEDOMETER
220
se 322
26423
REPAIR ORDER - LABOR INSTRUCTIONS
ORDER
OPER. NO.
WRITTEN BY
CHANGE
FLUSH
FLUSH
LUBRICATE
OIL
TRANS.
DIFF.
WASH
POLISH
$
Sixtall men Ba Heig
Road Suriee
3
00
Clean shift Contacts
3
60
Small horn Bushing
4
so
Check BaHarg
/
20
U-10111-B
Clean Bakery fox X frame
2
40
Outside Repairs
note: three Absorber are bad
I HEREBY AUTHORIZE THE ABOVE REPAIR WORK TO BE DONE ALONG
WITH NECESSARY MATERIALS. YOU AND YOUR EMPLOYEES MAY
TOTAL LABOR
15
00
OPERATE ABOVE VEHICLE FOR PURPOSES OF TESTING, INSPECTION
OR DELIVERY AT MY RISK. AN EXPRESS MECHANIC'S LIEN IS AC.
KNOWLEDGED ON ABOVE VEHICLE TO SECURE THE AMOUNT OF RE.
PAIRS THERETO. YOU WILL NOT BE HELD RESPONSIBLE FOR LOSS
TOTAL PARTS
OR DAMAGE TO VEHICLE OR ARTICLES LEFT IN VEHICLE IN CASE OF
TOTAL PARTS
33
77
FIRE, THEFT, ACCIDENT OR ANY OTHER CAUSE BEYOND YOUR
CONTROL.
ACCESSORIES TIRES AND TUBES
AUTHORIZED
BY Tom antu in
GAS, OIL, GREASE
RECEIVED BY
a A motor ere
ACCESSORIES
GAL. GASOLINE
@
TIRES, TUBES
QTS. OIL
@
OUTSIDE WORK
LBS, GREASE
@
STATE TAX
67
C
TOTAL ACCES.
TOTAL GAS - OIL GREASE
TOTAL AMOUNT
49
44
CUSTOMER'S NAME
REPAIR ORDER NO.
ADDITIONAL MATERIALS USED
QUAN.
PART NUMBER
DESCRIPTION
SALES
COST
QUAN.
PART NUMBER
DESCRIPTION
SALES
COST
BROUGHT FORWARD
10311-B
OUTSIDE
REPAIRS
Bush Library Photocopy
TOTAL FORWARD
TOTAL
LICENSE NO.
OWNER
SL322
EX Bush Library Photocopy young 2018
PHONE
REPAIR
ADDRESS
1701 Honston BODY TYPE Chef B
DATE
HOUR
SERIAL NO.
RE.
ORDER
N 5130
57
63
CEIVED
MODEL NO.
DATE
HOUR
SPEEDOMETER
220 MB. 5525 Brian Drive
2
PROM.
DATE DELIVERED
ISED
24100
MAY 8
DESCRIPTION OF OPERATION (27)
FREE REPAIRS
GAS. OIL
1903
"X"
& GREASE
MISC.
PARTS
LABOR
TOTAL
1
Check mapple /
2 Install batters ter mind on cable
3
85
MERCEDES-BENZ
4 3 Replau Rior mufple
)
40
28
THANK YOU
We prociale your
5 Check Vocum How to Vacine
and endeavor
34
57
to you the best
Installnew clutch serevo
service. You'll get bet-
ter performance, enjoy
)
12-8771 OF PLATES NORICK OKLAHOMA CITY
Time Engin
your car more, and
7
keep its trade-in value
20
06
high by bringing il to
8
US every 1000 miles for
9 Sufmate Cor.
needed expert lubrica-
lion
and free in-
1
50
10 Repair air condition Light
spection.
/
32
MOSEHART
11
Delive to national
KELLER
12
AUTOMOBILE
13
of comer a gasayso "Your
Studebaker
14
Dealer Since 1907"
15
SUB-TOTAL
16
TUDEBAKER
DEDUCTIONS
TRUCKS
IF ANY
ADDITIONAL ORDERS
SERVICE Rahne SALESMAN
NET
2
101
58
1101 San Jacinto at Lamar
Knight
TAX
130
Phone CA 8-1466
HOUSTON 1, TEXAS
TOTAL
"
102
88
You are hereby authorized lo make the above described repairs to my automobile, supplying
the necessary labor, parts and supplies. It is understood that this company assumes no re-
sponsibilly for loss or damage by theft or fire to vehicles or parts placed with them for
This is Your INVOICE
storage, sale or repair.
SIGNED
OWNER
MOSEHART & KELLER AUTOMOBILE CO.
BY
LITHO IN U. 5. A.
Bush Library Photocopy
OFFICE OF
COUNTY OF HIARRIS
CARL S. SMITH
ASSESSOR AND COLLECTOR OF TAXES
HARRIS COUNTY
TE OF TEXAS
HOUSTON 2, TEXAS
CAR PAPERS ENCLOSED
Bush Library Photocopy
TAX OFFICE HOURS
MONDAY through FRIDAY - 8:00 A.M. to 5:00 P.M.
Closed All Day Saturday - - Open Monday Nights to 8:00 P.M.
Main Office - New Court House, San Jacinto at Preston
Phone CA 8-8311
Baytown Branch - - 205 West DeFee, Baytown, Texas
Phone 582-5990
Pasadena Branch - Texas Cities Trust Bldg
Phone CA 8-8311
FEDERAL INSURANCE
COMPANY
Incorporated under the Laws of New Jersey
R
B
of
B
S
THE 8
@
NAME
AV
OF
INSURED
4
CHUBB & SON INC, Manager
PERIOD
AGENT
OR
BROKER
RATHMELL & COMPANY
FAMILY COMBINATION AUTOMOBILE POLICY
INSURANCE
FAMILY COMBINATION AUTOMOBILE POLICY
3700 MONTROSE BLVD.
PHONE: JA. 3-4481
(Revised 1-60)
HOUSTON 6, TEXAS
TORONTO
SEATTLE
PITTSBURGH
NEW YORK
NEW ORLEANS
MONTREAL
DENVER
WASHINGTON Bush Pibrary Building
SAN FRANCISCO
PHILADELPHIA
MINNEAPOLIS
LOS ANGELES
KANSAS CITY, MO
HUNTINGTON, W. VA
DETROIT
DALLAS
CHICAGO
ATLANTA
THE
100 University Ave.
417 Norton Bldg.
601 California Street
Oliver Bldg.
Public Ledger Bldg.
342 Madison Avenue
Natl. Bk. of Com. Bldg.
276 St. James Street, West
Soo Line Bldg.
611 South Catalina St.
1012 Baltimore Ave.
Keith-Albee Bldg.
First National Bldg.
1515 Cleveland Pl.
Mercantile Securities Bldg.
175 West Jackson Blvd.
Fulton National Bank Bldg.
BRANCH OFFICES
90 John Street, New York 38, N. Y.
CHUBB & SON INC, Manager
I
B B IB $
AV
@
Incorporated under the Laws of New Jersey
COMPANY
FEDERAL INSURANCE
SPECIAL PROVISIONS
Illinois: If this policy is issued in the State of Illinois, Part IV-Protection against
1. In the second sentence of the Cancelation Condition, the word "ten" is replaced
Uninsured Motorists-is amended as follows:
by "twenty" and the following is added thereto: "provided in the event of non-
1. In coverage G, the concluding words "if they fail to agree by arbitration" are re-
payment of premium, such notice shall state when not less than ten days there-
vised to read "if they fail to agree and the insured SO demands, by arbitration."
after such cancelation shall be effective."
2. In the Arbitration provision, the words "upon written demand of either" are re-
2. Such insurance as is afforded by the policy or by any endorsement used there-
vised to read "upon written demand of such person."
with, other than the New York Automobile Accident Indemnification Coverage,
Michigan: If this policy is issued in the State of Michigan, the first paragraph of
with respect to damages which the insured shall become legally entitled to re-
the Cancelation Condition is amended to read:
cover from the owner or operator of an uninsured automobile, does not apply to
"This policy may be canceled by the insured named in Item 1 of the declarations by
any accident occurring within the State of New York.
surrender thereof to the company or any of its authorized agents or by mailing to
3. Exclusion (c) under Part 1 does not apply.
the company written notice stating when thereafter the cancelation shall be effective.
4. Exclusion (g) under Part III does not apply.
This policy may be canceled by the company by mailing to the Insured named in
Item 1 of the declarations at his address last known to the company or its authorized
Wisconsin: If this policy is issued in the State of Wisconsin, the following applies:
agent written notice stating when not less than ten days thereafter such cancelation
1. Subsection (2) of Paragraph (a) of "Persons Insured" is replaced by the following:
shall be effective. The time of the surrender or the effective date of cancelation
"(2) any other person using such automobile, provided the actual use is with the
stated in the notice shall become the end of the policy period. Delivery of such writ-
permission of the named insured or an adult member of his household other
than a chauffeur or domestic servant."
ten notice either by such insured or by the company shall be equivalent to mailing."
2. Exclusion (f) does not apply if bodily injury to a fellow employee arises out of the
New York: If this policy is issued in the State of New York, it is agreed that:
use of an owned automobile.
In Witness Whereof the company has caused this policy to be signed by its president and secretary but this policy shall not be valid unless completed by the attachment here-
to of a declarations page designated Family Combination Automobile Policy-Part 2 and countersigned on the aforesaid declarations page by a duly authorized representative
of the company.
Ping Chall
FORM 14012F (1) REV. 1-60
SECRETARY
PRESIDENT
G7440 (15M)
FEDERAL INSURANCE COMPANY
(A stock insurance company, herein called the company)
Agrees with the insured, named in the declarations made a part hereof, in consideration of the payment of the premium and in reliance upon the statements in the
declarations and subject to all of the terms of this policy:
PART I LIABILITY
Coverage A-Bodily Injury Liability; Coverage B-Property Damage Liability: To
"automobile business" means the business or occupation of selling, repairing,
pay on behalf of the insured all sums which the insured shall become legally obli-
servicing, storing or parking automobiles;
gated to pay as damages because of:
"use" of an automobile includes the loading and unloading thereof;
A. bodily injury, sickness or disease, including death resulting therefrom, herein-
"war" means war, whether or not declared, civil war, insurrection, rebellion or
after called "bodily injury," sustained by any person;
revolution, or any act or condition incident to any of the foregoing.
B. injury to or destruction of property, including loss of use thereof, hereinafter
Exclusions: This policy does not apply under Part I:
called "property damage";
arising out of the ownership, maintenance or use of the owned automobile or any
(a) to any automobile while used as a public or livery conveyance, but this exclu-
non-owned automobile, and the company shall defend any suit alleging such bodily
sion does not apply to the named insured with respect to bodily injury or prop-
injury or property damage and seeking damages which are payable under the terms
erty damage which results from the named insured's occupancy of a non-owned
of this policy, even if any of the allegations of the suit are groundless, false or
automobile other than as the operator thereof;
fraudulent; but the company may make such investigation and settlement of any
(b) to bodily injury or property damage caused intentionally by or at the direction
claim or suit as it deems expedient.
of the insured;
Supplementary Payments: To pay, in addition to the applicable limits of liability:
(c) to bodily injury or property damage with respect to which an insured under
(a) all expenses incurred by the company, all costs taxed against the insured in
this policy is also an insured under a nuclear energy liability policy issued by
Nuclear Energy Liability Insurance Association, Mutual Atomic Energy Liability
any such suit and all interest on the entire amount of any judgment therein
Underwriters or Nuclear Insurance Association of Canada, or would be an
which accrues after entry of the judgment and before the company has paid or
insured under any such policy but for its termination upon exhaustion of its
tendered or deposited in court that part of the judgment which does not exceed
limit of liability;
the limit of the company's liability thereon;
(b) premiums on appeal bonds required in any such suit, premiums on bonds to
(d) to bodily injury or property damage arising out of the operation of farm
release attachments for an amount not in excess of the applicable limit of lia-
machinery;
bility of this policy, and the cost of bail bonds required of the insured because
(e) to bodily injury to any employee of the insured arising out of and in the course
of accident or traffic law violation arising out of the use of an automobile
of (1) domestic employment by the insured, if benefits therefor are in whole
insured hereunder, not to exceed $100 per bail bond, but without any obligation
or in part either payable or required to be provided under any workmen's
to apply for or furnish any such bonds;
compensation law, or (2) other employment by the insured;
(c) expenses incurred by the insured for such immediate medical and surgical relief
(f) to bodily injury to any fellow employee of the insured injured in the course of
to others as shall be imperative at the time of an accident involving an auto-
his employment if such injury arises out of the use of an automobile in the
mobile insured hereunder and not due to war;
business of his employer, but this exclusion does not apply to the named
(d) all reasonable expenses, other than loss of earnings, incurred by the insured
insured with respect to injury sustained by any such fellow employee;
at the company's request.
(g) to an owned automobile while used in the automobile business, but this exclu-
sion does not apply to the named insured, a resident of the same household
Persons Insured: The following are insureds under Part I:
as the named insured, a partnership in which the named insured or such rest
(a) With respect to the owned automobile,
dent is a partner, or any partner, agent or employee of the named insured
(1) the named insured and any resident of the same household,
such resident or partnership;
(2) any other person using such automobile, provided the actual use thereof
(h) to a non-owned automobile while used (1) in the automobile business by the
is with the permission of the named insured;
insured or (2) in any other business or occupation of the insured except
(b) With respect to a non-owned automobile,
private passenger automobile operated or occupied by the named insured
(1) the named insured,
by his private chauffeur or domestic servant, or a trailer used therewith
(2) any relative, but only with respect to a private passenger automobile or
with an owned automobile;
trailer,
(i) to injury to or destruction of (1) property owned or transported by the insured
provided the actual use thereof is with the permission of the owner;
or (2) property rented to or in charge of the insured other than a residence
(c) Any other person or organization legally responsible for the use of
or private garage.
(1) an owned automobile, or
Financial Responsibility Laws: When this policy is certified as proof of financial
(2) a non-owned automobile, if such automobile is not owned or hired by such
responsibility for the future under the provisions of any motor vehicle financial
person or organization,
provided the actual use thereof is by a person who is an insured under (a) or (b)
responsibility law, such insurance as is afforded by this policy for bodily injury
liability or for property damage liability shall comply with the provisions of such
above with respect to such owned automobile or non-owned automobile.
law to the extent of the coverage and limits of liability required by such law, but
The insurance afforded under Part I applies separately to each insured against
in no event in excess of the limits of liability stated in this policy. The insured
whom claim is made or suit is brought, but the inclusion herein of more than one
agrees to reimburse the company for any payment made by the company which
insured shall not operate to increase the limits of the company's liability.
it would not have been obligated to make under the terms of this policy except for
Definitions: Under Part I:
the agreement contained in this paragraph.
"named insured" means the individual named in Item 1 of the declarations and
Limits of Liability: The limit of bodily injury liability stated in the declarations
also includes his spouse, if a resident of the same household;
as applicable to "each person" is the limit of the company's liability for all dam-
"insured" means a person or organization described under "Persons Insured";
ages, including damages for care and loss of services, arising out of bodily injury
"relative" means a relative of the named insured who is a resident of the same
sustained by one person as the result of any one occurrence; the limit of such
household;
liability stated in the declarations as applicable to "each occurrence" is, subject
"owned automobile" means a private passenger, farm or utility automobile or
to the above provision respecting each person, the total limit of the company's
trailer owned by the named insured, and includes a temporary substitute
liability for all such damages arising out of bodily injury sustained by two or more
automobile;
persons as the result of any one occurrence.
"temporary substitute automobile" means any automobile or trailer,
not owned by the named insured, while temporarily used as a sub-
stitute for the owned automobile or trailer when withdrawn from
normal use because of its breakdown, repair, servicing, loss or de-
FAMILY
struction;
"non-owned automobile" means an automobile or trailer not owned
COMBINATION
by or furnished for the regular use of either the named insured or
AUTOMOBILE
any relative, other than a temporary substitute automobile;
POLICY
"private passenger automobile" means a four wheel private pas-
PROVISIONS
senger, station wagon or jeep type automobile;
PART ONE
"farm automobile" means an automobile of the truck type with a
load capacity of fifteen hundred pounds or less not used for busi-
Form 14012-F (1)
ness or commercial purposes other than farming;
"utility automobile" means an automobile, other than a farm auto-
mobile, with a load capacity of fifteen hundred pounds or less of
the pick-up body, sedan delivery or panel truck type not used for business or
The limit of property damage liability stated in the declarations as applicable
commercial purposes;
to "each occurrence" is the total limit of the company's liability for all damages
"trailer" means a trailer designed for use with a p passenger automobile,
if
arising out of injury tr destruction of all property of one or more persons or
not being used for business 06 commercial purpo, with other than a private
organizations, including loss of use thereof, as the result of any one occurrence.
passenger, farm or utility automobile, or a farm wagon or farm implement while
used WII a Jarm automobile;
Other Insurance: If the insured has other insurance against a loss covered by
PART 2. This Declar :S Page with "Policy Provisions-Part 1" [Form 14012-F(1 mpletes the below numbered
FAMILY COMBINATION AUTOMOBILE POLICY
REVISED 1-60
Item
DECLARATIONS
Policy Number
FSF 12136362
1.
Named Insured
GEORGE H. W. BUSH
5525 Briar Drive
Address: Number and Street, Town, County and State
Houston, Harris County, Texas
2.
Policy Period:
12:01 A.M. standard time at the address
of the named Insured as stated herein
From:
January 9, 1963
To: January 9, 1964
Renewal
or Rewrite
Agent or Broker
Langham, Langston, Burnett & Dyer
of No.
FSF 17213700
Address
3700 Montrose Blvd.
DATE OF
12-28-62 LDW/fc
City and State
ISSUE
Houston, Texas
Garage: The owned automobile will be principally garaged in the above town or city, unless otherwise stated herein:*
FEDERAL INSURANCE COMPANY
DB
IB
B
$
INI
@
M
N
CHUBB & SON INC., Manager
90 John Street, New York 38, N. Y.
3.
The insurance afforded is only with respect to such of the following coverages as are indicated by specific premium charge or charges. The limit of the
company's liability against each such coverage shall be as stated herein, subject to all the terms of this policy-having reference thereto.
COVERAGES
LIMITS OF LIABILITY
RATES
PREMIUMS
CAR
A
Bodily Injury Liability
$ 300,000.-
each person
$ X X
$
62.00
1
$ 300,000.-
each occurrence
$ 112.00
2
B
Property Damage Liability
$
50,000.-
each occurrence
XX
$
21.25
1
$ 41.25
2
C
Medical Payments
$
2,000.-
each person
XX
$ 14.00
1
$ 15.00
2
D
(1) Comprehensive-Excluding Collision
(Insert Amount
or "Actual
$ ACV
car 1
1
$
13.00
1
Cash Value")
$ ACV
car 2
$ 12.00
2
(2) Personal Effects
;
$100
XX
E
Collision
Actual Cash
$ 100.-
car 1
deductible
$ 39.00
1
Photocopy from George Bush Presidential Library
Value less
$ 100.-
X X
car 2
$ 74.00
2
F
Towing and Labor Costs
$
per disablement
$
1
$
per disablement
$
2
G
Uninsured Motorists
$
each person.
$
$
each accident
Endorsements: 154
$
Rate Class: Car 1 1A
Car 2
2A
Territory: 01
Total Premium
$ 403.50
4.
(a) The total number of private passenger, farm and utility automobiles owned on the effective date of this policy by the named insured does not exceed the
number of such automobiles described in Item 5, unless otherwise stated herein:*
(b) The named insured does not own any trailer on the effective date of this policy unless otherwise stated herein:
5.
Description of owned automobile or trailer:
Year of
Model
Trade Name
Body Type;
Actual Cost
Model
Serial Number (S)
Motor Number (M)
Purchased
when Purchased
Rating
including Equipment Month, Year New, Used Symbol
Car 1
1962
Chevy II
AC-4 Dr. Sedan
20445K-140203
$2940.
8/62
N
K-1
Car 2
1960 Mercedes Benz 4 Dr. Sedan
220-005736
$5073.
11/60
N
N-3
Loss Payee: Any loss under Part III is payable as interest may appear to the named insured and
(See Reverse) CERTIFICATE OF INSURANCE ISSUED? YES
NO
6.
Occupation of the named insured is
If Married Woman, Give Husband's Occupation or Business
Name and address of employer
7.
During the past three years insurer has canceled insurance, issued to the named insured, similar to that afforded hereunder, unless otherwise stated herein:*
* Absence of an entry means "No Exceptions".
Countersigned by
LANGHAM CBarax LANGSTON BURNETT & DYEB
FORM 14012-F (2) REV. 1/60
BY
FSF
Authorized Representative
2015.00
Ut
sasastst 727
vohec
ЗИОМАШАНОВО
, HOJENCE
2061
bv.e 5807300M 0050
BY
abret notabor
NJ
staw(h)
(Applicable only if there is a Loss Payee shown in item # 5) 93037
NAUA No. 51 Edition,June, 1951
LOSS PAYABLE CLAUSE
(All territories except Pennsylvania)
This insurance as to the interest of the Bailment Lesson, Conditional Vendor or Mortgagee or Assignee of Bailment Lessor, Conditional Vendor
or Mortgagee (hereir called the Lienholder) shall not be invalidated by any act or neglect of the Lessee, Mortgagor or Owner of the within described
automobile nor by any change in the title or ownership of the property; provided, however, conversion embezzlement or secretion by the
Lessee, Mortgagor or Purchaser in possession of the property insured under a bailment lease, conditional sale, mortgage or other encumbrance is
not covered under such policys unless specificallyminsured sagainst and premium paid therefor; and provided, also, that in case the Lessee, Mortgagor
or Owner,shall neglect to pay any premium due under -.000.00 such policy the Lienholder shall, on demand, pay the same
Provided 00 also, that 2 the Lierholder shall notify the company of any change of ownership or increase of hazard which shall come to the
Nose
000 008
knowledge of said Lienholder and, unless permitted by such policy, it shall be noted thereon and the Lienholder shall; on demand, pay the pre-
mium for such increased hazard for the term of the use thereof; otherwise such policy shall be null and void.
The 00.41 company reserves the right to cancel such policy at any time as provided by its terms, but in such case the company shall notify the
2
000
Lienholder when not less than ten days thereafter such cancellation shall be effective as to the interest of said Lienholder therein and the com-=
pany shall have the right, on like notice to cancel this Dement. total
5
00.21
-
VSA
2
If the insured fails to render proof of loss within the time granted in the policy conditions, such Lienholder shall do so within sixty days
thereafter, in form and manner as provided by the .001 policy, and, further, shall be subject to the provisions of the policy relating to appraisal and
Photocopy from George Bush Presidential Library
time of payment and of bringing suit.
00
.00
Whenever the company shall pay the Lienholder- any sum for loss or damage under such policy and shall claim that, as to the Lessee, Mortgo
gor or Owner, no liability therefor existed, the company shall, to the extent of such payment, be thereupon legally subrogated to all the rights
of the party to whom such payment shall be made, under all securities held as collateral to the debt, or may at its option, pay to the Lienholder
the whole principal due or to grow"due on the mortgage with interest, and shall thereupon receive a full assignment and transfer of the mortgage
and of all such other securities; but nossubrogation shall impair the right of the Lienholder to recover the full amount of its claim.
Y8
FAMILY AUTOMOBILE
AUTOMOBILE
A4147
NAUA No. 206 - Edition, September, 1956
COMPREHENSIVE COVERAGE - $50 DEDUCTIBLE
Attached to and forming part of Policy Number FSF 12136362
issued to
GEORGE H. W. BUSH
by
FEDERAL INSURANCE COMPANY
at its Agency
located (city and state) Dallas, Texas
Date of endorsement January 9, 1963
In consideration of the premium at which the policy is written, it is agreed that:
Under the Comprehensive Coverage, $50 shall be deducted from the amount of each loss as to each automobile, other than loss
by (a) theft or larceny of the entire automobile, (b) fire or lightning, (c) smoke or smudge due to a sudden, unusual and faulty
operation of any fixed heating equipment serving the premises in which the automobile is located, or (d) the stranding, sinking,
burning, collision or derailment of any conveyance in or upon which the automobile is being transported.
If the policy affords insurance with respect to the Collision Coverage, breakage of glass caused by collision may, if the insured
so elects, be treated as covered thereunder, subject to the terms hereof, instead of under the Comprehensive Coverage.
LANGHAM, LANGSTON, Baco BURNETT & DYER
AUTHENTIC
5Y
Authorized Representative
:
SUPPLY
DIVISION
LDW/fc 12-28-62
Photocopy from George Bush Presidential Library
154. PRIVATI ASSENGER AUTOMOBILE CL. SIFICATIONS-
RATING INFORMATION ENDORSEMENT
(Individual Owners Only)
(For attachment to automobile policies in Texas affording Bodily Injury Liability, Property Damage Liability or Collision insurance with respect to auto-
mobiles classified and rated as private passenger automobiles-Individual Owners Only)
This endorsement forms a part of Policy No. ESF 12136362
issued to GEORGE H. W. BUSH
by the
FEDERAL INSURANCE COMPANY
at its Agency
(Name of Insurance Company)
located (city and state)
Dallas, Texas
and is effective from January 9 1963
(12:01 A.M. Standard Time)
(The information above is required only when this endorsement is issued subsequent to preparation of the policy.)
This endorsement forms a part of the policy to which attached, effective from its date of issue unless otherwise stated herein.
The automobile is classified for rating purposes herein by the letter "X" on the basis of the statements made by or on behalf of the named insured.
Classification Description
Car
Car
Car
No. 1
No. 2
No. 3
1A There is no male operator under 25 years of age, the automobile is not used for business nor is it driven to or
from work.
Note: Private passenger automobiles owned by a clergyman shall be classified as 1A provided there is no male
operator under 25 years of age.
1B There is no male operator under 25 years of age, the automobile is not used for business but it is driven to or
Photocopy from George Bush Presidential Library
from work.
2A There are one or more male operators under 25 years of aga and each such male operator is either (1) married or
(2) not an owner or principal operator of the automobile.
2C There is an unmarried male operator under 25 years of age who is an owner or principal operator of the automobile.
3 There is no male operator under 25 years of age and the automobile is used for business.
1AF The automobile is a farm automobile and there is no male operator under 25 years of age.
2AF The automobile is a farm automobile and there are one or more male operators under 25 years of age and each
such male operator is either (1) married or (2) not an owner or principal operator of the automobile.
2CF The automobile is a farm automobile and there is an unmarried male operator under 25 years of age who is an
owner or principal operator of the automobile.
The following terms used in the classification descriptions in this endorsement mean:
1. "Male operator under 25 years of age" means a male applicant under 25 years of age, any other male operator of the automobile under 25
years mobile. of age resident in the same household as the applicant or any other male operator under 25 years of age who customarily operates the auto-
a. The term "resident in the same household" shall include an individual absent from the household while attending school; however, it shall not
include an individual in active military service with the armed forces of the United States of America unless such individual customarily operates
the automobile.
b. If there are two or more private passenger automobiles in the same household as the applicant, the rating elements of this endorsement shall
be applied separately to the number of automobiles equal to the number of male operators thereof under 25 years of age. The age of the male
operator shall be disregarded for the purpose of rating the automobiles in excess of the number of such operators. (This provision applies sep-
arately to liability and collision coverages when all automobiles are not insured for both coverages.)
2. "Used for business" means that the use of the automobile is required by or customarily involved in the duties of the applicant or any other
person customarily operating the automobile, in his occupation, profession or business, other than in going to or from his principal place of occupa-
tion, profession or business.
3. "Driven to or from work" means that the automobile is customarily used in the course of driving to or from work.
a. The term "customarily" shall include the use of automobiles in a car-pool or other share-the-ride arrangements.
b. An automobile driven part way to or from work, such as to a railroad or bus depot, shall be considered as driven to or from work whether or
not the automobile is parked at the depot during the day.
4. "Farm automobile" means an automobile principally garaged on a farm or ranch that is not customarily used in going to or from work other than
farming or ranching and is not used in any occupation other than farming or ranching.
It is. agreed that this endorsement is for rating information only and does not affect any of the declarations, insuring agreements, exclusions or
conditions of the policy other than the applicable premium for the coverages afforded.
LANDHAM. LANGSTON BURNETT a DYER
By
FORM 154.-PRIVATE PASSENGER AUTOMOBILE CLASSIFICATIONS-
BY (Duly Authorized C.,Bacal Representative)
RATING INFORMATION ENDORSEMENT-(Individual Owners Only)
Texas Standard Automobile Endorsement
Prescribed August 1, 1962
LDW/fc 12-28-62
Bush
Library
Insert Declarations page (Part here so that top edge butts against I of Contract, and permits policy
number to appear through window. ATTACH ENDORSEMENTS, IF ANY, TO TOP BACK OF DECLARATIONS.
Part I of this policy the company shall not be liable under this policy for a greater
ance against such loss; provided, however, the insurance with respect to a
proportion of such loss than the applicable limit of liability stated in the declara-
temporary substitute automobile or non-owned automobile shall be excess insur-
tions bears to the total applicable limit of liability of all valid and collectible insur-
ance over any other valid and collectible insurance.
PART II - EXPENSES FOR MEDICAL SERVICES
Coverage C-Medical Payments: To pay all reasonable expenses incurred within
relative, other than an automobile defined herein as an "owned automobile,"
one year from the date of accident for necessary medical, surgical, X-ray and dental
or (2) while occupying or through being struck by (i) a farm type tractor or
services, including prosthetic devices, and necessary ambulance, hospital, pro-
other equipment designed for use principally off public roads, while not upon
fessional nursing and funeral services:
public roads, or (ii) a vehicle operated on rails or crawler-treads;
Division 1. To or for the named insured and each relative who sustains bodily
(c) sustained by any person other than the named insured or a relative, resulting
from use of (1) a non-owned automobile in the automobile business or as a
injury, sickness or disease, including death resulting therefrom, hereinafter called
public or livery conveyance, or (2) a non-owned automobile in any other busi-
"bodily injury," caused by accident, while occupying or through being struck by
ness or occupation, except operation or occupancy of a private passenger auto-
an automobile;
mobile by the named insured or by his private chauffeur or domestic servant,
Division 2. To or for any other person who sustains bodily injury, caused by acci-
or of a trailer used therewith or with an owned automobile;
dent, while occupying
(d) sustained by any person who is employed in the automobile business, if the
(a) the owned automobile, while being used by the named insured, by any resident
accident arises out of the operation thereof and if benefits therefor are in
of the same household or by any other person with the permission of the
whole or in part either payable or required to be provided under any work-
named insured; or
men's compensation law;
(b) a non-owned automobile, if the bodily injury results from (1) its operation or
(e) due to war.
occupancy by the named insured or its operation on his behalf by his private
chauffeur or domestic servant or (2) its operation or occupancy by a relative,
Limit of Liability: The limit of liability for medical payments stated in the declara-
provided it is a private passenger automobile or trailer.
tions 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 as the
Definitions: The definitions under Part I apply to Part 11, and under Part II:
result of any one accident.
"occupying" means in or upon or entering into or alighting from;
Other Insurance: If there is other automobile medical payments insurance against
"an automobile" includes a trailer of any type.
a loss covered by Part II of this policy the company shall not be liable under this
Exclusions: This policy does not apply under Part II to bodily injury:
policy for a greater proportion of such loss than the applicable limit of liability
(a) sustained while occupying (1) an owned automobile while used as a public or
stated in the declarations bears to the total applicable limit of liability of all
livery conveyance, or (2) any vehicle while located for use as a residence or
valid and collectible automobile medical payments insurance; provided, however,
premises;
the insurance with respect to a temporary substitute automobile or non-owned
(b) sustained by the named insured or a relative (1) while occupying an automobile
automobile shall be excess insurance over any other valid and collectible auto-
owned by or furnished for the regular use of either the named insured or any
mobile medical payments insurance.
PART III - PHYSICAL DAMAGE
Coverage D (1)-Comprehensive-Excluding Collision; (2)-Personal Effects:
"collision" means collision of an automobile covered by this policy with another
(1) To pay for loss caused other than by collision to the owned automobile or to
object or with a vehicle to which it is attached or by upset of such automobile;
a non-owned automobile. For the purpose of this coverage, breakage of glass
"trailer" means a trailer designed for use with a private passenger automobile,
and loss caused by missiles, falling objects, fire, theft or larceny, explosion,
if not being used for business or commercial purposes with other than a private
earthquake, windstorm, hail, water, flood, malicious mischief or vandalism,
passenger, farm or utility automobile, and if not a home, office, store, display or
riot or civil commotion shall not be deemed to be loss caused by collision.
passenger trailer.
(2) To pay for loss caused by fire or lightning to robes, wearing apparel and other
Exclusions: This policy does not apply under Part III:
personal effects which are the property of the named insured or a relative,
(a) to any automobile while used as a public or livery conveyance;
while such effects are in or upon the owned automobile.
(b) to loss due to war;
Coverage E-Collision: To pay for loss caused by collision to the owned auto-
mobile or to a non-owned automobile but only for the amount of each such loss
(c) to loss to a non-owned automobile arising out of its use by the insured in the
in excess of the deductible amount stated in the declarations as applicable hereto.
automobile business;
Coverage F-Towing and Labor Costs: To pay for towing and labor costs necessi-
(d) to loss to a private passenger, farm or utility automobile or trailer owned by
the named insured and not described in this policy or to any temporary sub-
tated by the disablement of the owned automobile or of any non-owned automobile,
stitute automobile therefor, if the insured has other valid and collectible insur-
provided the labor is performed at the place of disablement.
ance against such loss;
Supplementary Payments: In addition to the applicable limit of liability:
(e) to damage which is due and confined to wear and tear, freezing, mechanical
(a) to reimburse the insured for transportation expenses incurred during the
or electrical breakdown or failure, unless such damage results from a theft
period commencing 48 hours after a theft covered by this policy of the entire
covered by this policy;
automobile has been reported to the company and the police, and terminating
(f) to tires, unless damaged by fire, malicious mischief or vandalism, or stolen
when the automobile is returned to use or the company pays for the loss;
or unless the loss be coincident with and from the same cause as other loss
provided that the company shall not be obligated to pay aggregate expenses in
covered by this policy;
excess of $10 per day or totaling more than $300.
(b) to pay general average and salvage charges for which the insured becomes
(g) to loss due to radioactive contamination;
legally liable, as to the automobile being transported.
(h) under coverage E, to breakage of glass if insurance with respect to such break-
age is otherwise afforded.
Definitions: The definitions of "named insured," "relative," "owned automobile,"
"temporary substitute automobile," "private passenger automobile," "farm auto-
Limit of Liability: The limit of the company's liability for loss shall not exceed the
mobile," "utility automobile," "automobile business" and "war" in Part I apply
actual cash value of the property, or if the loss is of a part thereof the actual cash
to Part III, and under Part III:
value of such part, at time of loss, nor what it would then cost to repair or replace
"insured" means (a) with respect to the owned automobile (1) the named insured
the property or such part thereof with other of like kind and quality, nor, with
and (2) any person or organization, other than a person or organization engaged
respect to an owned automobile described in this policy, the applicable limit of
in the automobile business or as a carrier or other bailee for hire, maintaining,
liability stated in the declarations; provided, however, the limit of the company's
using or having custody of said automobile with the permission of the named
liability (a) for loss to personal effects arising out of any one occurrence is $100,
insured; (b) with respect to a non-owned automobile, the named insured and any
and (b) for loss to any trailer not owned by the named insured is $500.
relative provided the actual use thereof is with the permission of the owner;
Other Insurance: If the insured has other insurance against a loss covered by
"non-owned automobile" means a private passenger automobile or trailer not
Part III of this policy, the company shall not be liable under this policy for a
owned by or furnished for the regular use of either the named insured or any
greater proportion of such loss than the applicable limit of liability of this policy
relative, other than a temporary substitute automobile, while said automobile or
bears to the total applicable limit of liability of all valid and collectible insurance
trailer is in the possession or custody of the insured or is being operated by him;
against such loss; provided, however, the insurance with respect to a temporary
"loss" means direct and accidental loss of or damage to (a) the automobile, includ-
substitute automobile or non-owned automobile shall be excess insurance over any
ing its equipment, or (b) other insured property;
other valid and collectible insurance.
PART IV - PROTECTION AGAINST UNINSURED MOTORISTS
Coverage G-Uninsured Motorists (Damages for Bodily Injury): To pay all sums
(3) an automobile or trailer owned or operated by a self-insurer within the mean-
which the insured or his legal representative shall be legally entitled to recover as
ing of any motor vehicle financial responsibility law, motor carrier law or
damages from the owner or operator of an uninsured automobile because of bodily
any similar law;
injury, sickness or disease, including death resulting therefrom, hereinafter called
(4) an automobile or trailer owned by the United States of America, Canada, a
"bodily injury," sustained by the insured, caused by accident and arising out of the
state, a political subdivision of any such government or an agency of any of
ownership, maintenance or use of such uninsured automobile; provided, for the
the foregoing;
purposes of this coverage, determination as to whether the insured or such repre-
sentative is legally entitled to recover such damages, and if SO the amount thereof,
(5) a land motor vehicle or trailer, if operated on rails or crawler-treads or while
shall be made by agreement between the insured or such representative and the
located for use as a residence or premises and not as a vehicle; or
company or, if they fail to agree, by arbitration.
(6) a farm type tractor or equipment designed for use principally off public roads,
except while actually upon public roads.
Definitions: The definitions under Part I, except the definition of "insured," apply
to Part IV, and under Part IV:
"hit-and-run automobile" means an automobile which causes bodily injury to an
insured arising out of physical contact of such automobile with the insured or
"insured" means:
with an automobile which the insured is occupying at the time of the accident,
(a) the named insured and any relative;
provided: (a) there cannot be ascertained the identity of either the operator or
PHOTOCOPY
(b) any other person while occupying an insured automobile; and
the owner of such "hit-and-run automobile"; (b) the insured or someone on his
BUSH LIBRARY
(c) any person, with respect to damages he is entitled to recover for care or loss
behalf shall have reported the accident within 24 hours to a police, peace or
of services because of bodily injury to which this coverage applies.
judicial officer or to the Commissioner of Motor Vehicles, and shall have filed with
the company within 30 days thereafter a statement under oath that the insured
The insurance afforded under Part IV applies separately to each insured, but the
or his legal representative has a cause or causes of action arising out of such
inclusion herein of more than one insured shall not operate to increase the limits
accident for damages against a person or persons whose identity is unascertain-
of the company's liability.
able, and setting forth the facts in support thereof; and (c) at the company's
"insured automobile" includes a trailer as defined under Part I and means:
request, the insured or his legal representative makes available for inspection the
(a) an owned automobile provided the use thereof is by or with the permission of
automobile which the insured was occupying at the time of the accident.
the named insured, or
"occupying" means in or upon or entering into or alighting from.
(b) any automobile not owned by the named insured while being operated by the
named insured;
"state" includes the District of Columbia, a territory or possession of the United
but the term "insured automobile" shall not include:
States, and a province of Canada.
(1) any automobile or trailer owned by a resident of the same household as the
named insured, or
Exclusions: This policy does not apply under Part IV:
(2) any automobile while used as a public or livery conveyance.
(a) to bodily injury to an insured while occupying an automobile owned by the
"uninsured automobile" includes a trailer of any type and means:
named insured and principally garaged in a state which has not authorized the
(a) an automobile with respect to the ownership, maintenance or use of which
issuance of this coverage;
there is no bodily injury liability bond or insurance policy applicable at the
(b) to bodily injury to an insured, or care or loss of services recoverable by an
time of the accident with respect to any person or organization legally respon-
insured, with respect to which such insured, his legal representative or any
sible for the use of such automobile, or
person entitled to payment under this coverage shall, without written consent
(b) a hit-and-run automobile;
of the company, make any settlement with or prosecute to judgment any
action against any person or organization who may be legally liable therefor;
but the term "uninsured automobile" shall not include:
(c) SO as to inure directly or indirectly to the benefit of any workmen's compensa-
(1) an automobile defined under Part IV as an "insured automobile";
tion or disability benefits carrier or any person or organization qualifying
(2) an automobile or trailer owned by the named insured or by any resident of
as a self-insurer under any workmen's compensation or disability benefits law
the same household;
or any similar law.
Limits of Liability:
Subject to the foregoing paragraphs, if the insured has other similar insurance
(a) The limit of liability for uninsured motorists coverage stated in the declara-
available to him against a loss covered by this Part, the company shall not be
tions as applicable to "each person" is the limit of the company's liability
liable under this Part for a greater proportion of such loss than the applicable
for all damages, including damages for care or loss of services, because of
limit of liability hereunder bears to the total applicable limits of liability of all
bodily injury sustained by one person as the result of any one accident and,
valid and collectible insurance against such loss.
subject to the above provision respecting each person, the limit of liability
stated in the declarations as applicable to "each accident" is the total limit
Arbitration: If any person making claim hereunder and the company do not agree
of the company's liability for all damages, including damages for care or loss
that such person is legally entitled to recover damages from the owner or operator
of services, because of bodily injury sustained by two or more persons as
of an uninsured automobile because of bodily injury to the insured, or do not agree
the result of any one accident.
as to the amount of payment which may be owing under this Part, then, upon
(b) If claim is made under this Part and claim is also made against any person
written demand of either, the matter or matters upon which such person and the
insured under Part ] because of bodily injury sustained in an, accident by a
company do not agree shall be settled by arbitration in accordance with the rules
person who is an insured under this Part:
of the American Arbitration Association, and judgment upon the award rendered
(1) any payment made under this Part to or for any such person shall be
by the arbitrators may be entered in any court having jurisdiction thereof. Such
applied in reduction of any amount which he may be entitled to recover
person and the company each agree to consider itself bound and to be bound
from any person insured under coverage A; and
by any award made by the arbitrators pursuant to this Part.
(2) any payment made under coverage A to or for any such person shall be
applied in reduction of any amount which he may be entitled to recover
Trust Agreement: In the event of payment to any person under this Part:
under this Part.
(a) the company shall be entitled to the extent of such payment to the proceeds of
(c) Any loss payable under the terms of this Part to or for any person shall be
any settlement or judgment that may result from the exercise of any rights of
reduced by the amount paid and the present value of all amounts payable to
recovery of such person against any person or organization legally responsible
him under any workmen's compensation law, exclusive of non-occupational
for the bodily injury because of which such payment is made;
disability benefits.
(b) such person shall hold in trust for the benefit of the company all rights of
recovery which he shall have against such other person or organization because
Other Insurance: With respect to bodily injury to an insured while occupying an
of the damages which are the subject of claim made under this Part;
automobile not owned by the named insured the insurance hereunder shall apply
only as excess insurance over any other similar insurance available to such occu-
(c) such person shall do whatever is proper to secure and shall do nothing after
pant, and this insurance shall then apply only in the amount by which the applicable
loss to prejudice such rights;
limit of liability of this Part exceeds the sum of the applicable limits of liability
(d) if requested in writing by the company, such person shall take, through any
of all such other insurance.
representative designated by the company, such action as may be necessary
With respect to bodily injury to an insured while occupying or through being
or appropriate to recover such payment as damages from such other person
struck by an uninsured automobile, if such insured is a named insured under other
or organization, such action to be taken in the name of such person; in the
similar insurance available to him, then the damages shall be deemed not to exceed
event of a recovery, the company shall be reimbursed out of such-recovery for
the higher of the applicable limits of liability of this insurance and such other in-
expenses, costs and attorneys' fees incurred by it in connection therewith;
surance, and the company shall not be liable under this Part for a greater propor-
(e) such person shall execute and deliver to the company such instruments and
tion of the applicable limit of liability of this Part than such limit bears to the sum
papers as may be appropriate to secure the rights and obligations of such
of the applicable limits of liability of this insurance and such other insurance.
person and the company established by this provision.
CONDITIONS
Conditions 1, 2, 3, 6, 14, 15, 16 and 17 apply to all Parts.
Conditions 4 and 5, and 7 through 13, apply only to the Parts noted thereunder.
1.
Policy Period, Territory-This policy applies only to accidents, occurrences
extent of the Injuries, treatment, and other details entering into the determina-
and loss during the policy period while the automobile is within the
tion of the amount payable. The insured and every other person making claim
United States of America, its territories or possessions, or Canada, or is being
shall submit to examinations under oath by any person named by the company and
transported between ports thereof.
subscribe the same, as often as may reasonably be required. Proof of claim shall
2.
Premium-If the named insured disposes of, acquires ownership of or
be made upon forms furnished by the company unless the company shall have
replaces a private passenger, farm or utility automobile or, with respect
failed to furnish such forms within 15 days after receiving notice of claim.
to Part III, a trailer, he shall inform the company during the policy period of such
The injured person shall submit to physical examinations by physicians
change. Any premium adjustment necessary shall be made as of the date of such
selected by the company when and as often as the company may reasonably
change in accordance with the manuals in use by the company. The named insured
require and he, or in the event of his incapacity his legal representative, or in the
shall, upon request, furnish reasonable proof of the number of such automobiles
event of his death his legal representative or the person or persons entitled to
or trailers and a description thereof.
sue therefor, shall upon each request from the company execute authorization to
Notice-In the event of an accident, occurrence or loss, written notice
enable the company to obtain medical reports and copies of records.
3.
containing particulars sufficient to identify the insured and also reason-
ably obtainable information with respect to the time, place and circumstances
10.
Appraisal-Part III: If the insured and the company fail to agree as to
the amount of loss, either may, within 60 days after proof of loss is filed,
thereof, and the names and addresses of the injured and of available witnesses,
demand an appraisal of the loss. In such event the insured and the company shall
shall be given by or for the insured to the company or any of its authorized agents
each select a competent appraiser, and the appraisers shall select a competent
as soon as practicable. In the event of theft the insured shall also promptly notify
and disinterested umpire. The appraisers shall state separately the actual cash
the police. If claim is made or suit is brought against the insured, he shall imme-
value and the amount of loss and failing to agree shall submit their differences to
diately forward to the company every demand, notice, summons or other process
the umpire. An award in writing of any two shall determine the amount of loss.
received by him or his representative.
The insured and the company shall each pay his chosen appraiser and shall bear
If, before the company makes payment of loss under Part IV, the insured or
equally the other expenses of the appraisal and umpire.
his legal representative shall institute any legal action for bodily injury against
The company shall not be held to have waived any of its rights by any act
any person or organization legally responsible for the use of an automobile involved
relating to appraisal.
in the accident, a copy of the summons and complaint or other process served in
11.
Payment of Loss-Part III: The company may pay for the loss in money;
connection with such legal action shall be forwarded immediately to the company
or may repair or replace the damaged or stolen property; or may, at any
by the insured or his legal representative.
time before the loss is paid or the property is SO replaced, at its expense return
Two or More Automobiles-Parts 1, II and III: When two or more auto-
4.
any stolen property to the named insured, or its option to the address shown
mobiles are insured hereunder, the terms of this policy shall apply
in the declarations, with payment for any resultant damage thereto; or may take
separately to each, but an automobile and a trailer attached thereto shall be held
all or such part of the property at the agreed or appraised value but there shall be
to be one automobile as respects limits of liability under Part I of this policy, and
no abandonment to the company. The company may settle any claim for loss either
separate automobiles under Part III of this policy, including any deductible provi-
with the insured or the owner of the property.
sions applicable thereto.
Part IV: Any amount due is payable (a) to the insured, or (b) if the insured
Assistance and Cooperation of the Insured-Parts 1, III and IV: The
be a minor to his parent or guardian, or (c) if the insured be deceased to his
5.
insured shall cooperate with the company and, upon the company's re-
surviving spouse, otherwise (d) to a person authorized by law to receive such pay-
quest, attend hearings and trials and assist in making settlements, securing and
ment or to a person legally entitled to recover the damages which the payment
giving evidence, obtaining the attendance of witnesses and in the conduct of any
represents; provided, the company may at its option pay any amount due in
legal proceedings in connection with the subject matter of this insurance. The
accordance with division (d) hereof.
insured shall not, except at his own cost, voluntarily make any payment, assume
12.
No Benefit to Bailee-Part III: The insurance afforded by this policy
any obligation or incur any expense other than for such immediate medical and
shall not inure directly or indirectly to the benefit of any carrier or other
surgical relief to others as shall be imperative at the time of accident.
bailee for hire liable for loss to the automobile.
6.
Action Against Company-Part I: No action shall lie against the company
unless, as a condition precedent thereto, the insured shall have fully com-
13.
Subrogation-Parts I and III: In the event of any payment under this
plied with all the terms of this policy, nor until the amount of the insured's obliga-
policy, the company shall be subrogated to all the insured's rights of
tion to pay shall have been finally determined either by judgment against the
recovery therefor against any person or organization and the insured shall execute
insured after actual trial or by written agreement of the Insured, the claimant
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.
and the company.
Any person or organization or the legal representative thereof who has secured
14.
Changes-Notice to any agent or knowledge possessed by any agent or by
such judgment or written agreement shall thereafter be entitled to recover under
any other person shall not effect a waiver or a change in any part of this
this policy to the extent of the insurance afforded by this policy. No person or
policy or estop the company from asserting any right under the terms of this
organization shall have any right under this policy to join the company as a party
policy; nor shall the terms of this policy be waived or changed, except by endorse-
to any action against the insured to determine the insured's liability, nor shall the
ment issued to form a part of this policy.
company be impleaded by the insured or his legal representative. Bankruptcy
15.
Assignment-Assignment of interest under this policy shall not bind the
or insolvency of the insured or of the insured's estate shall not relieve the com-
company until its consent is endorsed hereon; if, however, the insured
pany of any of its obligations hereunder.
named in Item of the declarations, or his spouse if a resident of the same
Parts 11, III and IV: No action shall lie against the company unless, as a
household, shall die, this policy shall cover (1) the survivor as named insured,
condition precedent thereto, there shall have been full compliance with all the
(2) his legal representative as named insured but only while acting within the
terms of this policy nor, under Part III, until thirty days after proof of loss is filed
scope of his duties as such, (3) any person having-proper temporary custody of an
and the amount of loss is determined as provided in this policy.
owned automobile, as an insured, until the appointment and qualification of such
Medical Reports; Proof and Payment of Claim-Part II: As soon as prac-
legal representative, and (4) under division 1 of Part II any person who was a
7.
ticable the injured person or someone on his behalf shall give to the com-
relative at the time of such death.
pany written proof of claim, under oath if required, and shall, after each request
from the company, execute authorization to enable the company to obtain medical
16.
Cancelation-This policy may be canceled by the insured named in Item
1 of the declarations by surrender thereof to the company or any of its
reports and copies of records. The injured person shall submit to physical examina-
authorized agents or by mailing to the company written notice stating when there-
tion by physicians selected by the company when and as often as the company may
after the cancelation shall be effective. This policy may be canceled by the com-
reasonably require.
pany by mailing to the insured named in Item 1 of the declarations at the address
The company may pay the injured person or any person or organization ren-
shown in this policy written notice stating when not less than ten days thereafter
dering the services and such payment shall reduce the amount payable hereunder
such cancelation shall be effective. The mailing of notice as aforesaid shall be
for such injury. Payment hereunder shall not constitute an admission of liability of
sufficient proof of notice. The time of the surrender or the effective date of can-
any person or, except hereunder, of the company.
celation stated in the notice shall become the end of the policy period. Delivery
Insured's Duties in Event of Loss-Part III: In the event of loss the
of such written notice either by such insured or by the company shall be equivalent
8.
insured shall:
to mailing.
(a) protect the automobile, whether or not the loss is covered by this policy, and
If such insured cancels, earned premium shall be computed in accordance
any further loss due to the insured's failure to protect shall not be recoverable
with the customary short rate table and procedure. If the company cancels,
under this policy; reasonable expenses incurred in affording such protection
earned premium shall be computed pro rata. Premium adjustment may be made
shall be deemed incurred at the company's request;
either at the time cancelation is effected or as soon as practicable after can-
(b) file with the company, within 91 days after loss, his sworn proof of loss in
celation becomes effective, but payment or tender of unearned premium is not
such form and including such information as the company may reasonably
a condition of cancelation.
require and shall, upon the company's request, exhibit the damaged property
and submit to examination under oath.
17.
Declarations-By acceptance of this policy, the insured named in Item 1
of the declarations agrees that the statements in the declarations are his
9.
Proof of Claim; Medical Reports-Part IV: As soon as practicable, the
agreements and representations, that this policy is issued in reliance upon the
insured or other person making claim sha'
'e to the company written
truth of such represen'
75 and that this policy embodies all agreements exist-
proof of claim, under oath if required, including ful. ticulars of the nature and
ing between himself an
company or any of its agents relating to this insurance.
Photocopy from George Bush Presidential Library
December 4, 1962
Mr. Carl S. Smith
ASSESSOR-COLLECTOR
Harris County Court House
Houston 2, Texas
Dear Mr. Smith:
Enclosed is Original Title, 1962 License Receipt, and my
check #838 in the amount of $11.44, including postage, for
1963 License for my Mercedes Benz.
Please reserve for me License SD-322 and mail the plates
to the address indicated in the letterhead.
Yours very truly,
ZAPATA OFF-SHORE COMPANY
Bush Library Photocopy
George H. W. Bush
GHWB:1s
enclosures (3)
NOTE: If the letters "SD" are not available, reservation
of the number "322" with any prefix will be satisfactory.
Photocopy fromGeorge Bush Presidential I ibrary
OFFICE OF
HOUND COUNT OF HARRIS
CARL S SMITH
ASSESSOR AND COLLECTOR OF TAXES
HARRIS COUNTY
STATE STATE INI OFTEXAS
HOUSTON 2 TEXAS
or
CAR PAPERS ENCLOSED
Y
TAX OFFICE HOURS
MONDAY through FRIDAY - 8:00 A.M. to 5:00 P.M.
Closed All Day Saturday - Open Monday Nights to 8:00 P.M.
Main Office - New Court House
Phone CA-8-8311
Baytown Branch - 302 West DeFee, Baytown, Texas
Phone 582-5990
Pasadena Branch - Texas Cities Trust Building
Phone CA 8-8311
Court House Annex No. 1 - Pasadena Freeway (Open 9:00 A.M. to 4:00)
Phone CA 8-8311
Photocopy from George Bush Presidential Library
&
POSTAGE RECEIPT
S&CO PAID 0659 FER 6.62
30 a
TEXAS
1961
PASSENGER EXPIRES CAR LICENSE 4-1 62 RECEIPT No RK K 322
Weight
Owner
2800
GeorgepH: OWE Bush
Penalty
Streetor R.F.D.
City or Town
38 TEUM
DUTIT
$
005525 Briar Dr. 21H7 Houston 27 RI
TEX.
Title Number / not YTJ MED 1960 License No.: OT
124/Hmw an I ОИА 2491141 1:0 2800 ISSA 11. 09
Year
Make
Body Style
Motor or Permanent Identification: No.
00.00 21 2YAB MET
61 Mercedes-Benz 4Dr Sed.
220-005736
Date:Registered
County
2/2/61
HARRIS
CARL S. SMITH
Bain
PAS
033EB
L
7.61
11.09 Deputy 12
ORIGINAL I
TEXAS HIGHWAY DEPARTMENT
Form:
Photocopy from George Bush Presidential Library
1 ТЯ1303Я 30AT209
a
@ OE
so a 9333 ezaogy
6V22EMCES CV6 ПСЕИГЕ L'ECEIBLE Ибик 355
SANST
53 T-A 23819X3
PART
BOTTWO
frigioW
doug NOTICE JOSD
0082
mother(s)
0,7,5 TO 100112
X3T. IF VEHICLE SOUTH THIS RECEIPT AND THE ASSIGNED TITLE MUST BE
2
SURRENDERED TO THE PURCHASER PENALTY FOR FAILURE OF PURCHASER Toodmull
e0 MAKE APPLICATION FOR TRANSFER OF REGISTRATION AND TITLE WITHIN
1014 Instrume 900 actom
clvis about
exch
inc?
TEN DAYS IS $5.00.
OFT200-095
592 THIS 10
yinco?
blood
nisH
HTIMS 2 BAD
2199AH
12/9/5
ta C 777 8 is 0
ТИЗМТЯАЧНО YAWHOIH SAXET
I
mol
Photocopy from George Bush Presidential Library
POSTAGE RECEIPT
FAID 700 34 The 761
30 9
0.3 7 61
07 E1
TEXAS
PASSENGER CAR LICENSE PECEIPT № RJ 2866
1960
EXPIRES 4-1 61
Weight
Owner
2800
George H. W. Bush
Penalty
Street or R.F.D.
City or Town
$
38 T20M
5525 Briar Drive Houston 31, TEX
Title Number
1959 License No.
Total Fee
Number Months
SABJIA3 107
ABDRO SHI or
New
$ 4.62
5 unitive
Appenfor In
Year
Make
Body Style
Motor or Permanent Identification No.
100 21 2YAC ИЗТ
961
Mercedes-Benz
4 Dr Sedan
220-005736
Date Registered
County
HARRIS
CARL S. SMITH Schleeter
11-5-60
Deputy
ORIGINAL 1
TEXAS HIGHWAY DEPARTMENT
Form.)
Photocopy from George Bush Presidential Library
ТЯКЗОВЯ 30AT209
D
as
the
OF
TO
105 B.S a 5 51349
aa8s И и SAD ЯВОИЗ2ВАЯ
EAXIT
15-1-1 23819X3
TOTAYO
httple
"NOTICE" ByrooD
008S
nwol TO THIS
035 to tseit?
vilenes
JETT IF VEHICLE 15:09PM THIS RECEPT-ANDTHE ASSIGNED TITLE MUST BE
$
SURRENDERED TO THE PURCHASER PENALTY FOR FAILURE OF dir PURCHASER entrost TO
lotol
mored PART
work
MAKE APPLICATION FOR TRANSFER OF REGISTRATIONCAND TITLE WITHIN a
on no individual treatment to totoM
sixt? a
exple
may
TEN DAYS IS $5.00
10000.71 & IDE!
beneficiar other
HTIMS 2 USAD
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YAWHOIH ЗАХЭТ
(W)
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THE
Photocopy from George Bush Presidential Library
STATE COMPTROLLER'S RECEIPT
TAX COLLECTOR'S RECEIPT FOR TITLE APPLICATION
For Motor Vehicle Sales, Use, Gift, or Transfer Tax
Receipt is hereby acknowledged of fee of 75 cents and oppli-
cation for ORIGINAL CORRECTED Certificate of Title
NO. 245083 Y
Name of Seller
By Owner
dress
MOSEHART & KELLER AUTO
CO
GEORGE H W BUSH
5525 Briar Dr Hou TEX
CASH, CREDIT and/or EXCHANGE
Year
Moke
Body Style
Motor or Permanent Identification No.
PLUS TRADE IN
TOTAL VALUE
5182.53
1961
Mercedes Benz
4dr
sed
Surrendered Title No.
License No.
220 005736
Serial Number
LESS FEDERAL TAX
HOLD
342.00
mc
HERE
RJ 2866
1st Lien Date
Amount
Name and Address of First Lien Holder
FOR
NET VALUE
FIRST
4840.53
None
AMOUNT OF SALE
2nd Lien Date
Amount
SNAP
Name and Address of Second Lien Holder
OR USE TAX
72.61
EVEN EXCHANGE TAX
Date Issued
Issued By:
NEW RESIDENT TAX
GIFT TAX
11 14 60
CARL S. SMITH
franklir
HARRIS
Received amount as shown hereon, in payment of Motor Vehicle
ORIGINAL To
Applicant if no lien.
Tax Assessor-Collector
Sales, Use, Gift, or Transfer Tax as per Art. 7047K on the motor
County
Deputy
vehicle described hereon.
To Lien Holder if lienPAID
00
Address communications regarding this tax to State Comptroller,
Form 31
Austin, Texas.
IMPORTANT S&CO Address any inquiry regarding your Certificate of Title to:Lexes Highway @ Department,
2
NOV
15 59 TEXAS HIGHWAY DEPARTMENT
Motor Vehicle Division, 40th and Jackson Avenue, Austin 14, Texas.-ENCLOSE-THIS RECEIPT.
STATE COMPTROLLER'S RECEIPT
TAX COLLECTOR'S RECEIPT FOR ITLE APPLICATION
For Mate Vehicle Sales, Use, Gift, or Transfer Tax
Receipt is hereby acknowledged of fee of 75 cents and appli-
cation for ORIGINAL CORRECTED Certificate of Title
NO.
Name of Seller
245083
Y
By Owner
dress
to REFEER STUDY
CASH CREDIT and or EXCHANGE
DEOPOR H W RUSH
PLUS TRADE IN
Year
5625
Make
Sulan
Body Style
Motor or Permanent Identification No.
TOTAL VALUE
5102.5
1961
Surrendered Title No.
Rona THE ----
HOLD
LESS FEDERAL TAX
License No.
Serial Number
342.00
HERE
D.T 2866
1st Lien Date
Amount
FOR
NET VALUE
Name and Address of First Lien Holder
FIRST
Frime
SNAP
AMOUNT OF SALE
2nd Date
Amount
OR USE TAX
Name and Address of Second Lien Holder
72.62
EVEN EXCHANGE TAX
Date Issued
NEW.RESIDENT TAX
Issued By:
GIFT TAX
11 14 60
CARL S. SMITH
Franks
Received amount as shown hereon, in payment of Motor Vehicle
HARRIS
Sales, Use, Gift or Transfer Tax as per Art. 7047K on the motor
QUINT UPLICATE
To
vehicle described hereon:
Registered Owner.
Tax Assessor Collector
County
PR
Address communications regarding this tax to State Comptroller
"For"
Austin, Texas.
Form 31
TEXAS HIGHWAY DEPARTMENT
Motor IMPORTANT Vehicle Address any inquiry regarding your Certificate of Title to: Highway
Division, 40th and Jackson Avenue, Austin 14, Texas ENCLOSE THIS RECEIPT Department
Photocopy from George Bush Presidential Deputt Library
OWNER
PHONE
LICENSE So3rq NO.
ADDRESS 1701 Nouta are Fold
Bush 28 Library Photocopy Liney shorg
REPAIR
DATE
8
HOUR
SERIAL NO.
RE.
ORDER
M 3559
CEIVED
MODEL NO.
no MBSeda BODY TYPE
DATE
HOUR
3
PROM.
SPEEDOMETER
DATE DELIVERED
17YY
ISED
DESCRIPTION
OF
FREE REPAIRS
GAS. OIL
"X"
& GREASE
MISC.
PARTS
LABOR
TOTAL
1
Replace bad OPERATION air
2
Inditional hore
MERCEDES:BERZ
19
25
3
4
check
Recharge system
THANK YOU
14
25
5
aim windhide was
leglit Wedppr diate your
business and endedyor
10 give you the best
Day
/
10
service. You'll get bet-
6.
ler performance, enjoy
your car more, and
7
keep its trode-in value
high by bringing it to
8
US every 1000 miles for
needed expert lubrica-
9
tion
and free in.
Photocopy George
spection.
Bush Handwriting
10
MOSEHART
11
& KELLER
12
AUTOMOBILE
CO.
14 13 Deline to mail.
"Your Studebaker
15
Buk commerce
Dealer Since 1907"
OK
SUB-TOTAL
Garage Milla SERVICE SALESMAN
TUDEBAKER
DEDUCTIONS
16
TRUCKS
IF ANY
ADDITIONAL ORDERS
NET
3460
1101 San Jacinto at Lamar
TAX
37
Phone CA 8-1466
Buit
HOUSTON 1, TEXAS
TOTAL
3497
You are hereby authorized to make the above described repairs to my automobile, supplying
the necessary labor, parts and supplies. II is understood that this company assumes no re-
sponsibility for loss or damage by theft or fire to vehicles or parts placed with them for
This is Your INVOICE
storage, sale or repair.
SIGNED
OWNER
MOSEHART & KELLER AUTOMOBILE CO.
BY
LITHO TN U. S. A
zh 11/17/
Ben Sims
Bush Library Photocopy
FEDERAL INSURANCE
COMPANY
Incorporated under the Laws of New Jersey
B
of
B
&
IHE
@
NAME
OF
&
a
INSURED
II
PERIOD
CHUBB & SON INC., Manager
AGENT
OR
BROKER
RATHMELL & COMPANY
FAMILY COMBINATION AUTOMOBILE POLICY
INSURANCE
3700 MONTROSE BLVD.
PHONE JA 3-4481
FAMILY COMBINATION AUTOMOBILE POLICY
HOUSTON 6, TEXAS
(Revised 1-60)
WASHINGTON, D. C.
TORONTO
SEATTLE
SAN FRANCISCO
PITTSBURGH
PHILADELPHIA
NEW YORK
NEW ORLEANS
MONTREAL
MINNEAPOLIS
LOS ANGELES
KANSAS CITY, MO
HUNTINGTON, W. VA
DETROIT
DENVER
DALLAS
CHICAGO
ATLANTA
Bush Library Photocopy
THE
B
Natl. Bk. of Com. Bldg.
276 St. James Street, West
Mercantile Securities Bldg.
Fulton National Bank Bldg.
BRANCH OFFICES
90 John Street, New York 38,
CHUBB & SON INC., Manager
F
B
Shoreham Building
100 Adelaide St., West
618 Second Avenue
320 California Street
Incorporated under the Laws of New Jersey
COMPANY
Oliver Bldg.
Public Ledger Bldg.
342 Madison Avenue
Soo Line Bldg.
611 South Catalina St.
1012 Baltimore Ave.
AV
Keith-Albee Bldg.
First National Bldg.
1700 Broadway
175 West Jackson Blvd.
FEDERAL INSURANCE
SPECIAL PROVISIONS
Illinois: If this policy is issued in the State of Illinois, Part IV-Protection against
Uninsured Motorists-is amended as follows:
1. In the second sentence of the Cancelation Condition, the word "ten" is replaced
by "twenty" and the following is added thereto: "provided in the event of non-
1. In coverage G, the concluding words "if they fail to agree by arbitration" are re-
vised to read "if they fail to agree and the insured SO demands, by arbitration."
payment of premium, such notice shall state when not less than ten days there-
after such cancelation shall be effective."
2. In the Arbitration provision, the words "upon written demand of either" are re-
vised to read "upon written demand of such person."
2. Such insurance as is afforded by the policy or by any endorsement used there-
with, other than the New York Automobile Accident Indemnification Coverage,
Michigan: If this policy is issued in the State of Michigan, the first paragraph of
with respect to damages which the insured shall become legally entitled to re-
the Cancelation Condition is amended to read:
cover from the owner or operator of an uninsured automobile, does not apply to
"This policy may be canceled by the insured named in Item 1 of the declarations by
any accident occurring within the State of New York.
surrender thereof to the company or any of its authorized agents or by mailing to
3. Exclusion (c) under Part 1 does not apply.
the company written notice stating when thereafter the cancelation shall be effective.
4. Exclusion (g) under Part III does not apply.
This policy may be canceled by the company by mailing to the insured named in
Item 1 of the declarations at his address last known to the company or its authorized
Wisconsin: If this policy is issued in the State of Wisconsin, the following applies:
agent written notice stating when not less than ten days thereafter such cancelation
1. Subsection (2) of Paragraph (a) of "Persons Insured" is replaced by the following:
shall be effective. The time of the surrender or the effective date of cancelation
"(2) any other person using such automobile, provided the actual use is with the
stated in the notice shall become the end of the policy period. Delivery of such writ-
permission of the named insured or an adult member of his household other
ten notice either by such insured or by the company shall be equivalent to mailing."
than a chauffeur or domestic servant."
New York: If this policy is issued in the State of New York, it is agreed that:
2. Exclusion (f) does not apply if bodily injury to a fellow employee arises out of the
use of an owned automobile.
In Witness Whereof the company has caused this policy to be signed by its president and secretary but this policy shall not be valid unless completed by the attachment here-
to of a declarations page designated Family Combination Automobile Policy-Part 2 and countersigned on the aforesaid declarations page by a duty authorized representative
of the company.
J.J. magrath
Pain Chubl
FORM 14012F (1) REV. 1.60
SECRETARY
PRESIDENT
G2962 (SSM)
FEDERAL INSURANCE COMPANY
(A stock insurance company, herein called the company)
Agrees with the insured, named in the declarations made a part hereof, in consideration of the payment of the premium and in reliance upon the statements in the
declarations and subject to all of the terms of this policy:
PART I LIABILITY
Coverage A-Bodily Injury Liability; Coverage B-Property Damage Liability: To
"automobile business" means the business or occupation of selling, repairing,
pay on behalf of the insured all sums which the insured shall become legally obli-
servicing, storing or parking automobiles;
gated to pay as damages because of:
"use" of an automobile includes the loading and unloading thereof;
A. bodily injury, sickness or disease, including death resulting therefrom, herein-
after called "bodily injury," sustained by any person;
"war" means war, whether or not declared, civil war, insurrection, rebellion or
revolution, or any act or condition incident to any of the foregoing.
B. injury to or destruction of property, including loss of use thereof, hereinafter
called "property damage";
Exclusions: This policy does not apply under Part I:
arising out of the ownership, maintenance or use of the owned automobile or any
(a) to any automobile while used as a public or livery conveyance, but this exclu-
non-owned automobile, and the company shall defend any suit alleging such bodily
sion does not apply to the named insured with respect to bodily injury or prop-
injury or property damage and seeking damages which are payable under the terms
erty damage which results from the named insured's occupancy of a non-owned
of this policy, even if any of the allegations of the suit are groundless, false or
automobile other than as the operator thereof;
fraudulent; but the company may make such investigation and settlement of any
(b) to bodily injury or property damage caused intentionally by or at the direction
claim or suit as it deems expedient.
of the insured;
Supplementary Payments: To pay, in addition to the applicable limits of liability:
(c) to bodily injury or property damage with respect to which an insured under
(a) all expenses incurred by the company, all costs taxed against the insured in
this policy is also an insured under a nuclear energy liability policy issued by
any such suit and all interest on the entire amount of any judgment therein
Nuclear Energy Liability Insurance Association, Mutual Atomic Energy Liability
which accrues after entry of the judgment and before the company has paid or
Underwriters or Nuclear Insurance Association of Canada, or would be an
tendered or deposited in court that part of the judgment which does not exceed
insured under any such policy but for its termination upon exhaustion of its
the limit of the company's liability thereon;
limit of liability;
(b) premiums on appeal bonds required in any such suit, premiums on bonds to
(d) to bodily injury or property damage arising out of the operation of farm
release attachments for an amount not in excess of the applicable limit of lia-
machinery;
bility of this policy, and the cost of bail bonds required of the insured because
(e) to bodily injury to any employee of the insured arising out of and in the course
of accident or traffic law violation arising out of the use of an automobile
of (1) domestic employment by the insured, if benefits therefor are in whole
insured hereunder, not to exceed $100 per bail bond, but without any obligation
or in part either payable or required to be provided under any workmen's
to apply for or furnish any such bonds;
compensation law, or (2) other employment by the insured;
(c) expenses incurred by the insured for such immediate medical and surgical relief
(f) to bodily injury to any fellow employee of the insured injured in the course of
to others as shall be imperative at the time of an accident involving an auto-
his, employment if such injury arises out of the use of an automobile in the
mobile insured hereunder and not due to war;
business of his employer, but this exclusion does not apply to the named
(d) all reasonable expenses, other than loss of earnings, incurred by the insured
insured with respect to injury sustained by any such fellow employee;
at the company's request.
(g) to an owned automobile while used in the automobile business, but this exclu
Persons Insured: The following are Insureds under Part I:
sion does not apply to the named insured, a resident of the same household
(a) With respect to the owned automobile,
as the named insured, a partnership in which the named insured or such rest-
dent is a partner, or any partner, agent or employee of the named insured,
(1) the named insured and any resident of the same household,
such resident or partnership;
(2) any other person using such automobile, provided the actual use thereof
is with the permission of the named insured;
(h) to a non-owned automobile while used (1) in the automobile business by
(b) With respect to a non-owned automobile,
insured or (2) in any other business or occupation of the insured except
private passenger automobile operated or occupied by the named insured
(1) the named insured,
by his private chauffeur or domestic servant, or a trailer used therewith
(2) any relative, but only with respect to a private passenger automobile or
with an owned automobile;
trailer,
provided the actual use thereof is with the permission of the owner;
(i) to injury to or destruction of (1) property owned or transported by the insured
or (2) property rented to or in charge of the insured other than a residence
(c) Any other person or organization legally responsible for the use of
or private garage.
(1) an owned automobile, or
(2) a non-owned automobile, if such automobile is not owned or hired by such
Financial Responsibility Laws: When this policy is certified as proof of financial
person or organization,
responsibility for the future under the provisions of any motor vehicle financial
provided the actual use thereof is by a person who is an insured under (a) or (b)
responsibility law, such insurance as is afforded by this policy for bodily injury
above with respect to such owned automobile or non-owned automobile.
liability or for property damage liability shall comply with the provisions of such
The insurance afforded under Part I applies separately to each insured against
law to the extent of the coverage and limits of liability required by such law, but
whom claim is made or suit is brought, but the inclusion herein of more than one
in no event in excess of the limits of liability stated in this policy. The insured
insured shall not operate to increase the limits of the company's liability.
agrees to reimburse the company for any payment made by the company which
it would not have been obligated to make under the terms of this policy except for
Definitions: Under Part I:
the agreement contained in this paragraph.
"named insured" means the individual named in Item 1 of the declarations and
also includes his spouse, if a resident of the same household;
Limits of Liability: The limit of bodily injury liability stated in the declarations
"insured" means a person or organization described under "Persons Insured";
as applicable to "each person" is the limit of the company's liability for all dam-
"relative" means a relative of the named insured who is a resident of the same
ages, including damages for care and loss of services, arising out of bodily injury
household;
sustained by one person as the result of any one occurrence; the limit of such
"owned automobile" means a private passenger, farm or utility automobile or
liability stated in the declarations as applicable to "each occurrence" is, subject
trailer owned by the named insured, and includes a temporary substitute
to the above provision respecting each person, the total limit of the company's
automobile;
liability for all such damages arising out of bodily injury sustained by two or more
persons as the result of any one occurrence.
"temporary substitute automobile" means any automobile or trailer,
not owned by the named insured, while temporarily used as a sub-
stitute for the owned automobile or trailer when withdrawn from
normal use because of its breakdown, repair, servicing, loss or de-
struction;
FAMILY
"non-owned automobile" means an automobile or trailer not owned
COMBINATION
by or furnished for the regular use of either the named insured or
AUTOMOBILE
any relative, other than a temporary substitute automobile;
POLICY
"private passenger automobile" means a four wheel private pas-
senger, station wagon or jeep type automobile;
PROVISIONS
"farm automobile" means an automobile of the truck type with a
PART ONE
load capacity of fifteen hundred pounds or less not used for busi-
Form 14012-F (1)
ness or commercial purposes other than farming:
"utility automobile" means an automobile, other than a farm auto-
mobile, with a load capacity of fifteen hundred pounds or less of
the pick-up body, sedan delivery or panel truck type not used for business or
commercial purposes;
The limit of property damage liability stated in the declarations as applicable
to "each occurrence" is the total limit of the company's liability for all damages
"trailer" means a trailer designed for use with a private passenger automobile, if
arising out of injury to or destruction of all property of one or more persons or
not being used for business or commercial purposes with other than a private
organizations, including the loss of use thereof, as the result of any one occurrence.
passenger farm or utility automobile, or a farm wagon or farm implement while
used with a farm automobile;
Other Insurance: If the insured has other insurance against a loss covered by
IE
PART 2. This Declarations Page with "Policy Provisions-Part 1" [Form 14012-F(1)] completes the below numbered
FAMILY COMBINATION AUTOMOBILE POLICY
REVISED 1.60
Item
DECLARATIONS
Policy Number
FSF17213700
I.
Named Insured
George H. W. Bush
5525 Briar Drive
Address: Number and Street, Town, County and State
Houston, Harris County, Texas
2.
Policy Period:
12:01 A.M. standard time at the address
of the named Insured as stated herein
From:
January 9, 1962
To: January 9, 1963
Renewal
or Rewrite
FSF 17180767
Agent or Broker
Langham, Langston, Burnett & Dyer
of No.
Address
3700 Montrose Blvd.
DATE OF
ISSUE
City and State
Houston, Texas
Garage: The owned automobile will be principally garaged in the above town or city, unless otherwise stated herein:*
FEDERAL INSURANCE COMPANY
B
THE E $
CHUBB & SON INC., Manager
90 John Street, New York 38, N. Y.
3.
The insurance afforded is only with respect to such of the following coverages as are indicated by specific premium charge or charges. The limit of the
company's liability against each such coverage shall be as stated herein, subject to all the terms of this policy having reference thereto.
COVERAGES
LIMITS OF LIABILITY
RATES
PREMIUMS
CAR
A
Bodily Injury Liability
$ 300,000
each person
$XX
$ 77.00
1
$
300,000
each occurrence
$ 94.00
2
B
Property Damage Liability
$
50,000
each occurrence
XX
$ 27.50
1
$ 35.00
2
C
Medical Payments
$
2,000
each person
XX
$ 15.00
1
Bush Library Photocopy
$ 11.00
2
D
(1) Comprehensive-Excluding Collision
(Insert Amount $ ACV
car 1
or "Actual
am
$ 24.00
1
Cash Value")
$
ACV
car 2
$ 37.00
2
(2) Personal Effects
$100
XX
E
Collision
Actual Cash
$ 100.
car I
deductible
$ 37.00
1
Value less
$ 100.
X X
car 2
$ 72.00
2
F
Towing and Labor Costs
$
per disablement
$
1
$
per disablement
$
2
G
Uninsured Motorists
$
each person
$
$
each accident
Endorsements: 254, 158C
$
Rate Class: Car 1 IA-1
Car 2 2A-0
Territory: 01/01
Total Premium
$ 429.50
4.
(a) The total number of private passenger, farm and utility automobiles owned on the effective date of this policy by the named Insured does not exceed the
number of such automobiles described in Item 5, unless otherwise stated herein:*
(b) The named insured does not own any traller on the effective date of this policy unless otherwise stated herein:*
5.
Description of owned automobile or trailer:
Year of
Model
Trade Name
Body Type;
Model
Serial Number (S)
Actual Cost
Motor Number (M)
Purchased
Including Equipment Month, Year New, Used Symbol Rating
when Purchased
Car 1 1960
Studebaker Sta. Wagon
5133213
K-3
Car 2 1960
Mercedes Benz 4 Dr. Sedan
220-005736 $5073.
11-60 N
N-2
Loss Payee: Any loss under Part III is payable as Interest may appear to the named insured and
(See Reverse) CERTIFICATE OF INSURANCE ISSUED? YES
NO
6.
Occupation of the named insured is
If Married Woman, Give Husband's Occupation or Business
Name and address of employer
7.
During the past three years no Insurer has canceled insurance, issued to the named insured, similar to that afforded hereunder, unless otherwise stated herein:*
LANGHAM, LANGSTON, BURNETT & DYER
*Absence of an entry means "No Exceptions". tifis
Countersigned by
FORM 14012-F (2) REV. 1/60
FSF
Authorized Representative
(Applicable only if there is a Loss Payee shown in Item #5)
NAUA No. 51,- Edition, June, 1951
LOSS PAYABLE CLAUSE
(All territories except Pennsylvania)
This insurance as to the interest of the Bailment Lessor, Conditional Vendor or Mortgagee or Assignee of Bailment Lessor, Conditional Vendor
or Mortgagee (herein called the Lienholder) shall not be invalidated by any act or neglect of the Lessee, Mortgagor or Owner of the within described
automobile nor by any change in the title or ownership of the property; provided, however, that the conversion, embezzlement or secretion by the
Lessee, Mortgagor or Purchaser in possession of the property insured under a bailment lease, conditional sale, mortgage or other encumbrance is
not covered under such policy, unless specifically insured against and premium paid therefor; and provided, also, that in case the Lessee, Mortgagor
or Owner shall neglect to pay any premium due under such policy the Lienholder shall, on demand, pay the same.
Provided also, that the Lienholder shall notify the company of any change of ownership or increase of hazard which shall come to the
knowledge of said Lienholder and, unless permitted by such policy, it shall be noted thereon and the Lienholder shall, on demand, pay the pro
mium for such increased hazard for the term of the use thereof; otherwise such policy shall be null and void.
The company reserves the right to cancel such policy at any time as provided by its terms, but in such case the company shall notify
Lienholder when not less than ten days thereafter such cancellation shall be effective as to the interest of said Lienholder therein and the com
ibrary the Photocopy
pany shall have the right, on like notice, to cancel this agreement.
If the insured fails to render proof of loss within the time granted in the policy conditions, such Lienholder shall do so within sixty days
thereafter, in form and manner as provided by the policy, and, further, shall be subject to the provisions of the policy relating to appraisal and
time of payment and of bringing suit.
Whenever the company shall pay the Lienholder any sum for loss or damage under such policy and shall claim that, as to the Lessee, Mortga-
gor or Owner, no liability therefor existed, the company shall, to the extent of such payment, be thereupon legally subrogated to all the rights
of the party to whom such payment shall be made, under all securities held as collateral to the debt, or may at its option, pay to the Lienholder
the whole principal due or to grow due on the mortgage with interest, and shall thereupon receive a full assignment and transfer of the mortgage
and of all such other securities; but no subrogation shall impair the right of the Lienholder to recover the full amount of its claim.
158C. NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT (LIMITED FORM)
(To be attached to all Family Automobile Policies which afford Automobile Liability Coverage)
This endorsement forms α part of Policy No. FSF 17213700
issued to George H. W. Bush
by the
Federal Insurance Company
(Name of Insurance Company)
at its Agency
located (city and state)
Houston, Texas
and is effective from Januarh 9, 1962
This
endorsement (The forms information a part above of the is policy required to which only when attached, this endorsement is issued subsequent to preparation of (12:01 the policy.) A.M.
Standard Time)
It is Under agreed any that Liability the exclusion Coverage, relating to to nuclear energy liability effective insurance from its date is replaced of issue unless the otherwise
Mutual policy is Atomic also an insured under a injury, nuclear sickness, energy liability disease, policy death or destruction with by respect following: to which an stated insured herein. under the
such policy but Energy for its Liability termination Underwriters upon exhaustion or Nuclear of its Insurance limit of issued Association liability. by Nuclear of LANGHAM, Canada, Energy or LANGSTON, would Liability be BURNETT Insurance an insured & Association, under DYER any
By
BY
Discod
FORM 158C. Texas NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT (LIMITED FORM)
(Duly Authorized Representative)
Standard Automobile Endorsement
Prescribed January 1, 1960
Bush Library Photocopy
S.
si
II
SI
ti
of
254. PRIVATE PASSENGER AUTOMOBILE CLASSIFICATIONS-
RATING INFORMATION ENDORSEMENT
TEXAS SAFE DRIVING INSURANCE PLAN
(For attachment to automobile policies in Texas affording Bodily Injury Liability, Property Damage Liability or Collision Insurance with respect to
private passenger automobiles eligible for rating under the Texas Safe Driving Insurance Plan.)
This endorsement forms a part of Policy No. FSF 17213700
issued
to
George H. W. Bush
Federal Insurance Company
at Its Agency
by the
(Name of Insurance Company)
located (city and state)
Houston, Texas
and is effective from January 9, 1962
(12:01 A. M. Standard Time)
(The Information above Is required only when this endorsement Is Issued subsequent to preparation of the policy.)
This endorsement forms a part of the policy to which attached, effective from its date of issue unless otherwise stated herein.
The Automobile is Classified:
Car 1:
1A
XI:
IAF
1B
2A
2AF
2C
2CF
3
Sub-Class 1
Car 2:
1A
IAF
1B
2A
X
;
2AF
2C
2CF
3
Sub-Class 0
2A
2AF
2C
2CF
3
Sub-Class
Car 3:
1A
1AF
1B
:
;
A. Classification Information-The information covering ownership, operators and use of the automobile is as follows:
Car
Cor
Car
No. 1 No. 2 No. 3
X
1. The automobile Is not used for business and is not driven to or from work, and there is no male operator under 25
years of age.
2, The automobile is driven to or from work, but it is not used for business, and there is no male operator under 25
years of age.
3. The owner or principal operator of the automobile Is α married male under 25 years of age; or on unmarried male
under 25 years of age who is not an owner or a principal operator.
4. The owner or principal operator of the automobile is on unmarried male under 25 years of age.
5. The automobile is used for business, and there is no male operator under 25 years of age.
6. The above automobile is owned by a farmer or a rancher and is principally garaged on form or ranch and not
Bush Library Photocopy
customarily used in going to or from work other than forming of ranching.
B. Accident Information: During the 36-month period ending 3 months prior to the effective date of the policy (except in the case of α policy OF
assigned through the Texas Motor Vehicle Assigned Risk Plan, the 36-month period immediately prior to the date of the application house-
renewal application during the period of assignment), the named insured and other operators of the automobile resident in the same
0
hold as the named insured have had
chargeable accidents.
(Insert No.)
C. Conviction Information: During the 36-month period ending 3 months prior to the effective date of the policy (except in the case of a policy
assigned through the Texas Motor Vehicle Assigned Risk Plan, the 36-month period immediately prior to the date of the application house- or
renewal application during the period of assignment). the named insured and other operators of the automobile resident in the same
hold as the nonned insured have had
1
chargeable convictions.
(Insert No.)
The following terms used in the paragraphs A. B, and C above shall mean:
mobile under 25 of age years resident in the same household as the named insured or employed as a chauffeur of the automobile.
1. "Male operator under 25 of age" means a male named insured under 25 years of age or any other male operator of the auto-
CL A male individual years under 25 years of age in active military service with the armed forces of the United States of America is not
considered on operator of the automobile unless such individual customarily operates the automobile.
(SEE REVERSE SIDE FOR FURTHER PROVISIONS)
LAWGSTON,
BURNETT
SY,
By
(Duly Authorized Representative)
the for b. If the there purpose are two of rating or more the automobiles automobiles in in the excess same of household the number as of the named insured, the age of male operators shall be disregarded
by such applicable operators. classification for male operators under 25 years of age shall male be operators applied under to the age automobile 25. With or respect automobiles to collision principally insurance, used
insured 2. "Not or used any for other business" person customarily means that operating the use of the the automobile is not required by or customarily involved in the duties of the named
3. principal "Driven place of occupation, profession or business. Automobiles automobile, in owned his occupation, by clergymen profession are considered or business, except in used going for to business. and from
his
b. CL Automobiles "customarily" includes the use of automobiles in car-pools or other share-the-ride course driving to or
The term to or from work" means that the automobile is customarily used in the of as from not being work.
work" whether or driven not the part automobile way to or is from parked work, at such the as depot to railroad during the or bus depot, are considered arrangements. "in the course of driving to or from
C. Automobiles owned by clergymen are not considered as being driven day. to or from work.
5. 4. going "Chargeable "Owned to or from by α work farmer" other means than that farming the automobile or ranching is principally and is not garaged used in any on a occupation form or ranch other and than the farming automobile is not customarily used in
private passenger accidents" automobile*, means resulting each (1) automobile in damage to accident any property, involving including the named his own, insured in excess or any of $25.00, resident (2) in operator or bodily ranching. injury, while operating any
Exceptions-Accidents under the following circumstances are not chargeable accidents:
or
(3)
in
death.
b. CC. Medical Payments: accidents involving medical payments coverage only;
ef
Legally stopped; Parked, or Standing or Stopped: a motor vehicle of the applicant or resident or operator damaged while legally parked, standing or
18
S1
d. C. Unattended or Automobile: accidents involving on automobile of the applicant or resident operator while such automobile is unattended;
-D
e. Reimbursement: by or on behalf applicant of the person or other responsible resident for operator, the accident or owner or has of the judgment automobile against driven such by applicant or resident operator, reimbursed
Governmental covery from the Immunity: government; accidents or involving government-owned properly or vehicles when person; governmental or immunity solely prevents IO-
f. Rear-end Other the rear, Party and Collision: Convicted: the applicant automobile or other driven resident by applicant operator or was other not resident convicted operator of a moving struck traffic in rear violation end by in another vehicle approaching from
"Bush Library Phetocopy
g. Hit-and-Run: cant or other resident operator operator not of any convicted other automobile of a moving involved traffic violation in the accident in convicted of a moving connection traffic violation with the and accident; the appli- or
h. 1. operator reports automobile the accident operated to proper by applicant authority or within other 24 resident hours; operator or damaged connection by "hit-and-run" therewith; driver, or If applicant or other resident
Employer's not the applicant Car: accidents or a resident involving operator; applicant or or any resident operator while operating on employer's car, provided the employer is
k 1. Animals or Fowls: accidents involving damage by contact with animals or fowls;
objects; Flying Gravel or and Falling Missiles: accidents involving physical damage, limited to or and caused by flying gravel, missiles or falling
"Chargeable I. Accidents on Premises: accidents occurring on premises owned, rented
while 6. operating any convictions" private passenger means each automobile* moving traffic involving violation the following for which offenses: the or named leased insured by applicant or any or resident any resident operator operator. has been convictedt
b. C. Driving while under the influence of intoxicating liquor or narcotic drugs;
C. Failure 10 stop, render old, or disclose identity when involved in on accident; or
d. Negligent Any offense homicide, punishable murder as a by felony driving under while the intoxicated motor vehicle or aggravated laws of this assoult state; or or arising out of the operation of a motor vehicle; or
e. Any violation of a speed law; or
£ Passing in a no-passing zone; or
Exception: g. Driving Convictions while license for suspended or driving without ever having had α valid driver's or
convictions. private Only the chargeable offenses accident listed invd. shall through be counted. g: above resulting from € chargeable accident operator's shall license. not be considered chargeable
tThe automobiles type *A with a passenger lood used capacity as public automobile of livery 1,500 vehicles is pounds (1) 0 and or four-wheel less police not and automobile used fire for business of the or private commercial passenger, purposes station other wagon than or farming jeep type or (2) on outomobile toxicabs of and the other truck
D. Two term or "convicted" More Automobiles as used herein means a final conviction department in any court automobiles. in the United States, forfeiture of boil, or or ranching payment except of fine.
automobile policies When in two the principally same or more company, used automobiles by points the operator used which by who are the named incurred incurred insured the by the points. or named other insured resident or operator other resident are insured operator in are the assigned same policy in the or rating in separate of the
highest Points When basic points rate, cannot and all be other assigned automobiles in accordance shall be with assigned the paragraph to Sub-Classification above, such points shall be assigned to the automobile with the
other automobile assigned in the rating of an automobile insured through the Texas Motor 0.
by any a member of the same owned household by members be used of the in the same rating household, of an automobile nor shall points Vehicle assigned Assigned in the rating Risk Plan of any shall other not automobile be used in owned rating
E. By and of his the that knowledge acceptance and of this belief; policy, that the each named statement insured is true agrees that the statements insured of fact through contained the Texas in this Motor endorsement Vehicle are Assigned true to Risk the Plan.
provided rights he the might Company be entitled relies to upon under the such truth, policy, thereof.-If-there provided severally such be wilful and that misstatements each is C material of material inducement fact, the to named the Company insured issuing shall this forfeit policy, best any
further that such forfeiture shall not be applicable to coverages forfeiture shall not subject not operate to the to Texas the injury Safe Driving of any third Insurance person Plan. or persons
and
FORM 254. TEXAS PRIVATE SAFE PASSENGER DRIVING AUTOMOBILE INSURANCE PLAN CLASSIFICATIONS-RATING INFORMATION ENDORSEMENT-
Texas Standard Automobile Endorsement
Prescribed August 1, 1961
Photocopy from George Bush Presidential Library
Insert Declarations page (Part 2) here so that top edge butts against fold of Contract, and permits policy
-number to appear through window. ATTACH ENDORSEMENTS, IF ANY, TO TOP BACK OF DECLARATIONS.
Part I of this policy the company shall not be liable under this policy for a greater
ance against such loss; provided, however, the insurance with respect to a
proportion of such loss than the applicable limit of liability stated in the declara-
temporary substitute automobile or non-owned automobile shall be excess insur-
tions bears to the total applicable limit of liability of all valid and collectible insur-
ance over any other valid and collectible insurance.
PART II - EXPENSES FOR MEDICAL SERVICES
Coverage C-Medical Payments: To pay all reasonable expenses incurred within
relative, other than an automobile defined herein as an "owned automobile,"
one year from the date of accident for necessary medical, surgical, X-ray and dental
or (2) white occupying or through being struck by (i) a farm type tractor or
services, including prosthetic devices, and necessary ambulance, hospital, pro-
other equipment designed for use principally off public roads, while not upon
fessional nursing and funeral services:
public roads, or (ii) a vehicle operated on rails or crawler-treads;
Division 1. To or for the named insured and each relative who sustains bodily
(c) sustained by any person other than the named insured or a relative, resulting
from use of (1) a non-owned automobile in the automobile business or as a
injury, sickness or disease, including death resulting therefrom, hereinafter called
public or livery conveyance, or (2) a non-owned automobile in any other busi-
"bodily injury," caused by accident, while occupying or through being struck by
ness or occupation, except operation or occupancy of a private passenger auto-
an automobile;
mobile by the named insured or by his private chauffeur or domestic servant,
Division 2. To or for any other person who sustains bodily injury, caused by acci-
or of a trailer used therewith or with an owned automobile;
dent, while occupying
(d) sustained by any person who is employed in the automobile business, if the
(a) the owned automobile, while being used by the named insured, by any resident
accident arises out of the operation thereof and if benefits therefor are in
of the same household or by any other person with the permission of the
whole or in part either payable or required to be provided under any work-
named insured; or
men's compensation law;
(b) a non-owned automobile, if the bodily injury results from (1) its operation or
(e) due to war.
occupancy by the named insured or its operation on his behalf by his private
chauffeur or domestic servant or (2) its operation or occupancy by a relative,
Limit of Liability: The limit of liability for medical payments stated in the declara-
provided it is a private passenger automobile or trailer.
tions 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 as the
Definitions: The definitions under Part I apply to Part II, and under Part II:
result of any one accident.
"occupying" means in or upon or entering into or alighting from;
Other Insurance: If there is other automobile medical payments Insurance against
"an automobile" includes a trailer of any type.
a less covered by Part II of this policy the company shall not be liable under this
Exclusions: This policy does not apply under Part 11 to bodily injury:
policy for a greater proportion of such loss than the applicable limit of liability
(a) sustained while occupying (1) an owned automobile while used as a public or
stated in the declarations bears to the total applicable limit of liability of all
livery conveyance, or (2) any vehicle while located for use as a residence or
valid and collectible automobile medical payments insurance; provided, however,
premises;
the insurance with respect to a temporary substitute automobile or non-owned
(b) sustained by the named insured or a relative (1) while occupying an automobile
automobile shall be excess insurance over any other valid and collectible auto-
owned by or furnished for the regular use of either the named insured or any
mobile medical payments insurance.
PART III - PHYSICAL DAMAGE
Coverage D (1)-Comprehensive-Excluding Collision; (2)-Personal Effects:
"collision" means collision of an automobile covered by this policy with another
(1) To pay for loss caused other than by collision to the owned automobile or to
object or with a vehicle to which it is attached or by upset of such automobile;
a non-owned automobile. For the purpose of this coverage, breakage of glass
"trailer" means a trailer designed for use with a private passenger automobile,
and loss caused by missiles, falling objects, fire, theft or larceny, explosion,
if not being used for business or commercial purposes with other than a private
earthquake, windstorm, hail, water, flood, malicious mischief or vandalism,
passenger, farm or utility automobile, and if not a home, office, store, display or
riot or civil commotion shall not be deemed to be loss caused by collision.
passenger trailer.
(2) To pay for loss caused by fire or lightning to robes, wearing apparel and other
Exclusions: This policy does not apply under Part III:
personal effects which are the property of the named insured or a relative,
(a) to any automobile while used as a public or livery conveyance;
while such effects are in or upon the owned automobile.
(b) to loss due to war;
Coverage E-Collision: To pay for loss caused by collision to the owned auto-
mobile or to a non-owned automobile but only for the amount of each such loss
(c) to loss to a non-owned automobile arising out of its use by the insured in the
in excess of the deductible amount stated in the declarations as applicable hereto.
automobile business;
(d) to loss to a private passenger, farm or utility automobile or trailer owned by
Coverage F-Towing and Labor Costs: To pay for towing and labor costs necessi-
the named insured and not described in this policy or to any temporary sub-
tated by the disablement of the owned automobile or of any non-owned automobile,
stitute automobile therefor, If the insured has other valid and collectible insur-
provided the labor is performed at the place of disablement.
ance against such loss;
Supplementary Payments: In addition to the applicable limit of liability:
(e) to damage which is due and confined to wear and tear, freezing, mechanical
(a) to reimburse the insured for transportation expenses incurred during the
or electrical breakdown or failure, unless such damage results from a theft
period commencing 48 hours after a theft covered by this policy of the entire
covered by this policy;
automobile has been reported to the company and the police, and terminating
(f) to tires, unless damaged by fire, malicious mischief or vandalism, or stolen
when the automobile is returned to use or the company pays for the loss;
or unless the loss be coincident with and from the same cause as other loss
provided that the company shall not be obligated to pay aggregate expenses in
covered by this policy;
excess of $10 per day or totaling more than $300.
(g) to loss due to radioactive contamination;
(b) to pay general average and salvage charges for which the insured becomes
legally liable, as to the automobile being transported.
(h) under coverage E, to breakage of glass if insurance with respect to such break-
age is otherwise afforded.
Definitions: The definitions of "named insured," "relative," "owned automobile,"
"temporary substitute automobile," "private passenger automobile," "farm auto-
Limit of Liability: The limit of the company's liability for loss shall not exceed the
mobile," "utility automobile," "automobile business" and "war" in Part I apply
actual cash value of the property, or if the loss is of a part thereof the actual cash
to Part III, and under Part III:
value of such part, at time of loss, nor what it would then cost to repair or replace
"insured" means (a) with respect to the owned automobile (1) the named insured
the property or such part thereof with other of like kind and quality, nor, with
and (2) any person or organization, other than a person or organization engaged
respect to an owned automobile described in this policy, the applicable limit of
in the automobile business or as a carrier or other bailee for hire, maintaining,
liability stated in the declarations; provided, however, the limit of the company's
using or having custody of said automobile with the permission of the named
liability (a) for loss to personal effects arising out of any one occurrence is $100,
insured; (b) with respect to a non-owned automobile, the named insured and any
and (b) for loss to any trailer not owned by the named insured is $500.
relative provided the actual use thereof is with the permission of the owner;
Other Insurance: If the insured has other insurance against a loss covered by
"non-owned automobile" means a private passenger automobile or trailer not
Part III of this policy, the company shall not be liable under this policy for a
owned by or furnished for the regular use of either the named insured or any
greater proportion of such loss than the applicable limit of liability of this policy
relative, other than a temporary substitute automobile, while said automobile or
bears to the total applicable limit of liability of all valid and collectible insurance
trailer is in the possession or custody of the insured or is being operated by him;
against such loss; provided, however, the insurance with respect to a temporary
"loss" means direct and accidental loss of or damage to (a) the automobile, includ-
substitute automobile or non-owned automobile shall be excess Insurance over any
ing its equipment, or (b) other insured property;
other valid and collectible insurance.
PART IV - PROTECTION AGAINST UNINSURED MOTORISTS
Coverage G-Uninsured Motorists (Damages for Bodily Injury): To pay all sums
(3) an automobile or trailer owned or operated by a self-insurer within the mean-
which the insured or his legal representative shall by 'gally entitled to recover as
ing of any motor vehicle financial responsibility law, motor carrier law or
damages from the owner or operator of an uninsure omobile because of bodily
any similar law;
100
injury, sickness or disease, including death resulting merefrom, hereinafter called
(4) an automobile or If owned by the United States of America, Canada, a
"bodily injury," sustained by the insured, caused by accident and arising out of the
state, a political subdivision of any such government or an agency of any of
ownership, maintenance or use of such uninsured automobile; provided, for the
the foregoing;
purposes of this coverage, determination as to whether the insured or such repre-
sentative is legally entitled to recover such damages, and if SO the amount thereof,
(5) a land motor vehicle or trailer, if operated on rails or crawler-treads or while
shall be made by agreement between the insured or such representative and the
located for use as a residence or premises and not as a vehicle; or
company or, if they fail to agree, by arbitration.
(6) a farm type tractor equipment designed for use principally off public roads,
except
while
actua
Jon public roads.
Delinitions: The definitions under Part I, except th
inition of "insured," apply
to Part IV, and under Part IV:
"hit-and-run automobile" means an automobile which causes bodily injury to an
Insured arising out of physical contact of such automobile with the insured or
"insured" means:
with an automobile which the insured is occupying at the time of the accident,
(a) the named insured and any relative;
provided: (a) there cannot be ascertained the identity of either the operator or
(b) any other person while occupying an insured automobile; and
the owner of such "hit-and-run automobile"; (b) the insured or someone on his
(c) any person, with respect to damages he is entitled to recover for care or loss
behalf shall have reported the accident within 24 hours to a police, peace or
judicial officer or to the Commissioner of Motor Vehicles, and shall have filed with
of services because of bodily injury to which this coverage applies.
the company within 30 days thereafter a statement under oath that the insured
The insurance afforded under Part IV applies separately to each Insured, but the
or his legal representative has a cause or causes of action arising out of such
inclusion herein of more than one insured shall not operate to increase the limits
accident for damages against a person or persons whose identity is unascertain-
of the company's liability.
able, and setting forth the facts in support thereof; and (c) at the company's
"insured automobile" includes a trailer as defined under Part I and means:
request, the insured or his legal representative makes available for Inspection the
(a) an owned automobile provided the use thereof is by or with the permission of
automobile which the insured was occupying at the time of the accident.
the named insured, or
"occupying" means in or upon or entering into or alighting from.
(b) any automobile not owned by the named insured while being operated by the
named insured:
"state" includes the District of Columbia, a territory or possession of the United
but the term "insured automobile" shall not include:
States, and a province of Canada.
(1) any automobile or trailer owned by a resident of the same household as the
named insured, or
Exclusions: This policy does not apply under Part IV:
(2) any automobile while used as a public or livery conveyance.
(a) to bodily injury to an insured while occupying an automobile owned by the
"uninsured automobile" includes a trailer of any type and means:
named insured and principally garaged in a state which has not authorized the
(a) an automobile with respect to the ownership, maintenance or use of which
issuance of this coverage;
there is no bodily injury liability bond or insurance policy applicable at the
(b) to bodily injury to an insured, or care or loss of services recoverable by an
time of the accident with respect to any person or organization legally respon-
insured, with respect to which such insured, his legal representative or any
sible for the use of such automobile, or
person entitled to payment under this coverage shall, without written consent
(b) a hit-and-run automobile;
of the company, make any settlement with or prosecute to judgment any
action against any person or organization who may be legally liable therefor;
but the term "uninsured automobile" shall not include:
(c) SO as to inure directly or indirectly to the benefit of any workmen's compensa-
(1) an automobile defined under Part IV as an "insured automobile";
tion or disability benefits carrier or any person or organization qualifying
(2) an automobile or trailer owned by the named insured or by any resident of
as a self-insurer under any workmen's compensation or disability benefits law
the same household;
or any similar law.
Limits of Liability:
Subject to the foregoing paragraphs, if the insured has other similar insurance
(a) The limit of liability for uninsured motorists coverage stated in the declara-
available to him against a loss covered by this Part, the company shall not be
tions as applicable to "each person" is the limit of the company's liability
liable under this Part for a greater proportion of such loss than the applicable
for all damages, including damages for care or loss of services, because of
limit of liability hereunder bears to the total applicable limits of liability of all
bodily Injury sustained by one person as the result of any one accident and,
valid and collectible insurance against such loss.
subject to the above provision respecting each person, the limit of liability
stated in the declarations as applicable to "each accident" Is the total limit
Arbitration: If any person making claim hereunder and the company do not agree
of the company's liability for all damages, Including damages for care or loss
that such person is legally entitled to recover damages from the owner or operator
of services, because of bodily injury sustained by two or more persons as
of an uninsured automobile because of bodily injury to the insured, or do not agree
the result of any one accident.
as to the amount of payment which may be owing under this Part, then, upon
(b) If claim is made under this Part and claim is also made against any person
written demand of either, the matter or matters upon which such person and the
insured under Part I because of bodily Injury sustained in an accident by a
company do not agree shall be settled by arbitration in accordance with the rules
person who is an insured under this Part:
of the American Arbitration Association, and judgment upon the award rendered
(1) any payment made under this Part to or for any such person shall be
by the arbitrators may be entered in any court having jurisdiction thereof. Such
applied in reduction of any amount which he may be entitled to recover
person and the company each agree to consider itself bound and to be bound
from any person insured under coverage A; and
by any award made by the arbitrators pursuant to this Part.
(2) any payment made under coverage A to or for any such person shall be
applied in reduction of any amount which he may be entitled to recover
Trust Agreement: In the event of payment to any person under this Part:
under this Part.
(a) the company shall be entitled to the extent of such payment to the proceeds of
(c) Any loss payable under the terms of this Part to or for any person shall be
any settlement or judgment that may result from the exercise of any rights of
reduced by the amount paid and the present value of all amounts payable to
recovery of such person against any person or organization legally responsible
him under any workmen's compensation law, exclusive of non-occupational
for the bodily injury because of which such payment is made;
disability benefits.
(b) such person shall hold in trust for the benefit of the company all rights of
recovery which he shall have against such other person or organization because
Other Insurance: With respect to bodily injury to an Insured while occupying an
of the damages which are the subject of claim made under this Part;
automobile not owned by the named insured the insurance hereunder shall apply
only as excess insurance over any other similar insurance available to such occu-
(c) such person shall do whatever is proper to secure and shall do nothing after
pant, and this insurance shall then apply only in the amount by which the applicable
loss to prejudice such rights;
limit of liability of this Part exceeds the sum of the applicable limits of liability
(d) if requested in writing by the company, such person shall take, through any
of all such other insurance.
representative designated by the company, such action as may be necessary
With respect to bodily injury to an insured while occupying or through being
or appropriate to recover such payment as damages from such other person
struck by an uninsured automobile, if such Insured is a named Insured under other
or organization, such action to be taken in the name of such person; in the
similar insurance available to him, then the damages be deemed not to exceed
event of a recovery, the company shall be reimbursed out of such recovery for
the higher of the applicable limits of liability of this
urance
and
such
other
in-
expenses, costs and 'rneys' fees incurred by it in connection therewith;
surance, and the company shall not be liable under tills Part for a greater propor-
(e) such person shall t. te and deliver to the company such instruments and
tion of the applicable limit of liability of this Part than such limit bears to the sum
papers as may be appropriate to secure the rights and obligations of such
of the applicable limits of liability of this insurance and such other insurance.
person and the company established by this provision.
CONDITIONS
Conditions 1, 2, 3, 6, 14, 15, 16 and 17 apply to all Parts
Conditions 4 and 5, and 7 through 13, apply only to the Parts noted thereunder.
1.
Policy Period, Territory-This policy applies only to accidents, occurrences
extent of the injuries, treatment, and other details entering into the determina-
and loss during the policy period while the automobile is within the
tion of the amount payable. The insured and every other person making claim
United States of America, its territories or possessions, or Canada, or is being
shall submit to examinations under oath by any person named by the company and
transported between ports thereof.
subscribe the same, as often as may reasonably be required. Proof of claim shall
Premium-If the named insured disposes of, acquires ownership of or
be made upon forms furnished by the company unless the company shall have
2.
replaces a private passenger, farm or utility automobile or, with respect
failed to furnish such forms within 15 days after receiving notice of claim.
to Part III, a trailer, he shall inform the company during the policy period of such
The Injured person shall submit to physical examinations by physicians
change. Any premium adjustment necessary shall be made as of the date of such
selected by the company when and as often as the company may reasonably
change in accordance with the manuals in use by the company. The named insured
require and he, or in the event of his incapacity his legal representative, or in the
shall, upon request, furnish reasonable proof of the number of such automobiles
event of his death his legal representative or the person or persons entitled to
or trailers and a description thereof.
sue therefor, shall upon each request from the company execute authorization to
Notice-In the event of an accident, occurrence or loss, written notice
enable the company to obtain medical reports and copies of records.
3.
containing particulars sufficient to identify the Insured and also reason-
10.
Appraisal-Part 111: If the insured and the company fail to agree as to
ably obtainable information with respect to the time, place and circumstances
the amount of loss, either may, within 60 days after proof of loss is filed,
thereof, and the names and addresses of the injured and of available witnesses,
demand an appraisal of the loss. In such event the Insured and the company shall
shall be given by or for the insured to the company or any of its authorized agents
each select a competent appraiser, and the appraisers shall select a competent
as soon as practicable. In the event of theft the insured shall also promptly notify
and disinterested umpire. The appraisers shall state separately the actual cash
the police. If claim is made or suit is brought against the insured, he shall imme-
value and the amount of loss and failing to agree shall submit their differences to
diately forward to the company every demand, notice, summons or other process
the umpire. An award in writing of any two shall determine the amount of loss.
received by him or his representative.
The insured and the company shall each pay his chosen appraiser and shall bear
If, before the company makes payment of loss under Part IV, the insured or
equally the other expenses of the appraisal and umpire.
his legal representative shall institute any legal action for bodily injury against
The company shall not be held to have waived any of its rights by any act
any person or organization legally responsible for the use of an automobile involved
relating to appraisal.
in the accident, a copy of the summons and complaint or other process served in
connection with such legal action shall be forwarded immediately to the company
11.
Payment of Loss-Part III: The company may pay for the loss in money;
by the insured or his legal representative.
or may repair or replace the damaged or stolen property; or may, at any
time before the loss is paid or the property is $0 replaced, at its expense return
Two or More Automobiles-Parts 1, II and III: When two or more auto-
4.
any stolen property to the named insured, or its option to the address shown
mobiles are insured hereunder, the terms of this policy shall apply
in the declarations, with payment for any resultant damage thereto; or may take
separately to each, but an automobile and a trailer attached thereto shall be held
all or such part of the property at the agreed or appraised value but there shall be
to be one automobile as respects limits of liability under Part I of this policy, and
no abandonment to the company. The company may settle any claim for loss either
separate automobiles under Part III of this policy, including any deductible provi-
with the Insured or the owner of the property.
sions applicable thereto.
Part IV: Any amount due is payable (a) to the Insured, or (b) if the insured
5.
Assistance and Cooperation of the Insured-Parts I, III and IV: The
be a minor to his parent or guardian, or (c) if the insured be deceased to his
insured shall cooperate with the company and, upon the company's re-
surviving spouse, otherwise (d) to a person authorized by law to receive such pay-
quest, attend hearings and trials and assist in making settlements, securing and
ment or to a person legally entitled to recover the damages which the payment
giving evidence, obtaining the attendance of witnesses and in the conduct of any
represents; provided, the company may at its option pay any amount due in
legal proceedings in connection with the subject matter of this insurance. The
accordance with division (d) hereof.
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
12.
No Benefit to Bailee-Part III: The insurance afforded by this policy
shall not inure directly or Indirectly to the benefit of any carrier or other
surgical relief to others as shall be imperative at the time of accident.
bailee for hire liable for loss to the automobile.
6.
Action Against Company-Part I: No action shall lie against the company
unless, as a condition precedent thereto, the insured shall have fully com-
13.
Subrogation-Parts I and III: In the event of any payment under this
plied with all the terms of this policy, nor until the amount of the insured's obliga-
policy, the company shall be subrogated to all the insured's rights of
tion to pay shall have been finally determined either by judgment against the
recovery therefor against any person or organization and the insured shall execute
insured after actual trial or by written agreement of the insured, the claimant
and deliver instruments and papers and do whatever else is necessary to secure
and the company.
such rights. The insured shall do nothing after loss to prejudice such rights.
Any person or organization or the legal representative thereof who has secured
such judgment or written agreement shall thereafter be entitled to recover under
14.
Changes-Notice to any agent or knowledge possessed by any agent or by
any other person shall not effect a waiver or a change in any part of this
this policy to the extent of the insurance afforded by this policy. No person or
policy or estop the company from asserting any right under the terms of this
organization shall have any right under this policy to join the company as a party
policy; nor shall the terms of this policy be waived or changed, except by endorse-
to any action against the insured to determine the insured's liability, nor shall the
ment issued to form a part of this policy.
company be impleaded by the insured or his legal representative. Bankruptcy
15.
Assignment-Assignment of interest under this policy shall not bind the
or insolvency of the Insured or of the Insured's estate shall not relieve the com-
company until its consent is endorsed herean; if, however, the insured
pany of any of its obligations hereunder.
named in Item 1 of the declarations, or his spouse if a resident of the same
Parts II, III and IV: No action shall lie against the company unless, as a
household, shall die, this policy shall cover (1) the survivor as named insured,
condition precedent thereto, there shall have been full compliance with all the
(2) his legal representative as named insured but only while acting within the
terms of this policy nor, under Part III, until thirty days after proof of loss is filed
scope of his duties as such, (3) any person having proper temporary custody of an
and the amount of loss is determined as provided In this policy.
owned automobile, as an insured, until the appointment and qualification of such
7.
Medical Reports; Proof and Payment of Claim-Part II: As soon as prac-
legal representative, and (4) under division 1 of Part II any person who was a
ticable the injured person or someone on his behalf shall give to the com-
relative at the time of such death.
pany written proof of claim, under oath if required, and shall, after each request
from the company, execute authorization to enable the company to obtain medical
16.
Cancelation-This policy may be canceled by the insured named in Item
1 of the declarations by surrender thereof to the company or any of its
reports and copies of records. The injured person shall submit to physical examina-
authorized agents or by mailing to the company written notice stating when there-
tion by physicians selected by the company when and as often as the company may
after the cancelation shall be effective. This policy may be canceled by the com-
reasonably require.
pany by mailing to the insured named in Item 1 of the declarations at the address
The company may pay the injured person or any person or organization ren-
shown in this policy written notice stating when not less than ten days thereafter
dering the services and such payment shall reduce the amount payable hereunder
such cancelation shall be effective. The mailing of notice as aforesaid shall be
for such injury. Payment hereunder shall not constitute an admission of liability of
sufficient proof of notice. The time of the surrender or the effective date of can-
any person or, except hereunder, of the company.
celation stated in the notice shall become the end of the policy period. Delivery
Insured's Duties in Event of Loss-Part III: In the event of loss the
8.
of such written notice either by such Insured or by the company shall be equivalent
Insured shall:
to mailing.
(a) protect the automobile, whether or not the loss is covered by this policy, and
If such Insured cancels, earned premium shall be computed in accordance
any further loss due to the insured's failure to protect shall not be recoverable
with the customary short rate table and procedure. If the company cancels,
under this policy; reasonable expenses incurred in affording such protection
earned premium shall be computed pro rata. Premium adjustment may be made
shall be deemed incurred at the company's request;
either at the time cancelation is effected or as soon as practicable after can-
(b) file with the company, within 91 days after loss, his sworn proof of loss in
celation becomes effective, but payment or tender of unearned premium is not
such form and including such Information as the company may reasonably
a condition of cancelation.
require and shall, upon the company's request, exhibit the damaged property
and submit to examination under oath.
17.
Declarations-By acceptance of this policy, the insured named in Item 1
of the declarations agrees that the statements in the declarations are his
9.
Proof of Claim; Medical Reports-Part IV: As soon as practicable, the
agreements and representations, that this policy is issued in reliance upon the
insured or other person making claim shall give to the company written
truth of such representations and that this policy embodies all agreements exist-
proof of claim, under oath if required, including full particulars of the nature and
ing between himself and the company or any of its agents relating to this insurance.
Signature
inpuapisal
M
11 checking his own insurance. In the In the
is will tell you roughly what happened.
the bill in from Bennett I will be
ahead and pay it and when He can work
lection cither through Federal OT Kerr's
Very truly yours,
George H. 11.10 Bush
Texas
FEDERAL INSURAN
pol. Dec 30 1960 chee 203
COMPANY
Incorporated under the Laws of New Jersey
B
B
S
IHI
NAME
3
OF
a
INSURED
&
PERIOD
CHUBB & SON INC., Manager
AGENT
OR
BROKER
JOHN A. RATHMELL INSURANCE AGENCY
FAMILY COMBINATION AUTOMOBILE POLICY
All Forms of Insurance
ASSOCIATED WITH LANGHAM, LANGSTON & BURNETT
3700 MONTROSE BLVD.
JAckson 3-4481
FAMILY COMBINATION AUTOMOBILE POLICY
HOUSTON 6, TEXAS
(Revised 1-60)
WASHINGTON
TORONTO
SEATTLE
SAN FRANCISCO
PITTSBURGH
PHILADELPHIA
NEW YORK
NEW ORLEANS
MONTREAL
LOS ANGELES
HUNTINGTON, W. VA.
DETROIT
DENVER
DALLAS
CHICAGO
ATLANTA
C
THE
w
Bush Library Photocopy
Shoreham Building
100 Adelaide St., West
618 Second Avenue
320 California Street
Oliver Building
Public Ledger Bldg.
342 Madison Avenue
Natl. Bk. of Com. Bldg.
276 St. James Street, West
611 South Catalina St.
Keith-Albee Bldg.
First National Bldg.
1700 Broadway
Mercantile Securities Bldg.
175 West Jackson Blvd.
Fulton National Bank Bldg.
Branch Offices
90 John Street, New York 38,
CHUBB & SON INC., Manager
B
=
IB
AV
Incorporated under the Laws of New Jersey
COMPANY
FEDERAL INSURANCE
SPECIAL PROVISIONS
Illinois: If this policy is issued in the State of Illinois, Part IV-Protection against
1. In the second sentence of the Cancelation Condition, the word "ten" is replaced
Uninsured Motorists-is amended as follows:
by "twenty" and the following is added thereto: "provided in the event of non-
1. In coverage G, the concluding words "if they fail to agree by arbitration" are re-
payment of premium, such notice shall state when not less than ten days there-
vised to read "if they fail to agree and the insured SO demands, by arbitration."
after such cancelation shall be effective."
2. In the Arbitration provision, the words "upon written demand of either" are re-
2. Such insurance as is afforded by the policy or by any endorsement used there-
vised to read "upon written demand of such person."
with, other than. the New York Automobile Accident Indemnification Coverage,
Michigan: If this policy is issued in the State of Michigan, the first paragraph of
with respect to damages which the insured shall become legally entitled to re-
the Cancelation Condition is amended to read:
cover from the owner or operator of an uninsured automobile, does not apply to
"This policy may be canceled by the insured named in Item 1 of the declarations by
any accident occurring within the State of New York.
surrender thereof to the company or any of its authorized agents or by mailing to
3. Exclusion (c) under Part 1 does not apply.
the company written notice stating when thereafter the cancelation shall be effective.
4. Exclusion (g) under Part III does not apply.
This policy may be canceled by the company by mailing to the insured named in
Item 1 of the declarations at his address last known to the company or its authorized
Wisconsin: If this policy is issued in the State of Wisconsin, the following applies:
agent written notice stating when not less than ten days thereafter such cancelation
1. Subsection (2) of Paragraph (a) of "Persons Insured" is replaced by the following:
shall be effective. The time of the surrender or the effective date of cancelation
"(2) any other person using such automobile, provided the actual use is with the
permission of the named insured or an adult member of his household other
stated in the notice shall become the end of the policy period. Delivery of such writ-
than a chauffeur or domestic servant."
ten notice either by such insured or by the company shall be equivalent to mailing."
2. Exclusion (f) does not apply if bodily injury to a fellow employee arises out of the
New York: If this policy is issued in the State of New York, it is agreed that:
use of an owned automobile.
In Witness Whereof the company has caused this policy to be signed by its president and secretary but this policy shall not be valid unless completed by the attachment here-
to of a declarations page designated Family Combination Automobile Policy-Part 2 and countersigned on the aforesaid declarations page by a duly authorized representative
of the company.
J.J. magrath
Pain Chabl-'
FORM 14012F (1) REV. 1-60
SECRETARY
PRESIDENT
F8357 (80M)
FEDERAL INSURANCE COMPANY
(A stock insurance company, herein called the company)
Agrees with the insured, named in the declarations made a part hereof, in consideration of the payment of the premium and in reliance upon the statements in the
declarations and subject to all of the terms of this policy:
PART I - LIABILITY
Coverage A-Bodily Injury Liability; Coverage B-Property Damage Liability: To
"automobile business" means the business or occupation of selling, repairing,
pay on behalf of the insured all sums which the insured shall become legally obli-
servicing, storing or parking automobiles;
gated to pay as damages because of:
"use" of an automobile includes the loading and unloading thereof;
A. bodily injury, sickness or disease, including death resulting therefrom, herein-
"war" means war, whether or not declared, civil war, insurrection, rebellion or
after called "bodily injury," sustained by any person;
revolution, or any act or condition incident to any of the foregoing.
B. injury to or destruction of property, including loss of use thereof, hereinafter
Exclusions: This policy does not apply under Part I:
called "property damage";
arising out of the ownership, maintenance or use of the owned automobile or any
(a) to any automobile while used as a public or livery conveyance, but this exclu-
non-owned automobile, and the company shall defend any suit alleging such bodily
sion does not apply to the named insured with respect to bodily injury or prop-
injury or property damage and seeking damages which are payable under the terms
erty damage which results from the named insured's occupancy of a non-owned
of this policy, even if any of the allegations of the suit are groundless, false or
automobile other than as the operator thereof;
fraudulent; but the company may make such investigation and settlement of any
(b) to bodily injury or property damage caused intentionally by or at the direction
claim or suit as it deems expedient.
of the insured;
Supplementary Payments: To pay, in addition to the applicable limits of liability:
(c) to bodily injury or property damage with respect to which an insured under
(a) all expenses incurred by the company, all costs taxed against the insured in
this policy is also an insured under a nuclear energy liability policy issued by
any such suit and all interest on the entire amount of any judgment therein
Nuclear Energy Liability Insurance Association, Mutual Atomic Energy Liability
which accrues after entry of the judgment and before the company has paid or
Underwriters or Nuclear Insurance Association of Canada, or would be an
tendered or deposited in court that part of the judgment which does not exceed
insured under any such policy but for its termination upon exhaustion of its
the limit of the company's liability thereon;
limit of liability;
(b) premiums on appeal bonds required in any such suit, premiums on bonds to
(d) to bodily injury or property damage arising out of the operation of farm
release attachments for an amount not in excess of the applicable limit of lia-
machinery;
bility of this policy, and the cost of bail bonds required of the insured because
(e) to bodily injury to any employee of the insured arising out of and in the course
of accident or traffic law violation arising out of the use of an automobile
of (1) domestic employment by the insured, if benefits therefor are in whole
insured hereunder, not to exceed $100 per bail bond, but without any obligation
or in part either payable or required to be provided under any workmen's
to apply for or furnish any such bonds;
compensation law, or (2) other employment by the insured;
(c) expenses incurred by the insured for such immediate medical and surgical relief
(f) to bodily injury to any fellow employee of the insured injured in the course of
to others as shall be imperative at the time of an accident involving an auto-
his employment if such injury arises out of the use of an automobile in the
mobile insured hereunder and not due to war;
business of his employer, but this exclusion does not apply to the named
(d) all reasonable expenses, other than loss of earnings, incurred by the insured
insured with respect to injury sustained by any such fellow employee;
at the company's request.
(g) to an owned automobile while used in the automobile business, but this exch
sion does not apply to the named insured, a resident of the same household
Persons Insured: The following are insureds under Part I:
as the named insured, a partnership in which the named insured or such rest
(a) With respect to the owned automobile,
dent is a partner, or any partner, agent or employee of the named insured
(1) the named insured and any resident of the same household,
such resident or partnership;
(2) any other person using such automobile, provided the actual use thereof
(h) to a non-owned automobile while used (1) in the automobile business by the
is with the permission of the named insured;
insured or (2) in any other business or occupation of the insured except
(b) With respect to a non-owned automobile,
private passenger automobile operated or occupied by the named insured
E
(1) the named insured,
by his private chauffeur or domestic servant, or a trailer used therewith
(2) any relative, but only with respect to a private passenger automobile or
with an owned automobile;
trailer,
(i) to injury to or destruction of (1) property owned or transported by the insur
provided the actual use thereof is with the permission of the owner;
or (2) property rented to or in charge of the insured other than a residence
(c) Any other person or organization legally responsible for the use of
or private garage.
(1) an owned automobile, or
(2) a non-owned automobile, if such automobile is not owned or hired by such
Financial Responsibility Laws: When this policy is certified as proof of financial
person or organization,
responsibility for the future under the provisions of any motor vehicle financial
provided the actual use thereof is by a person who is an insured under (a) or (b)
responsibility law, such insurance as is afforded by this policy for bodily injury
above with respect to such owned automobile or non-owned automobile.
liability or for property damage liability shall comply with the provisions of such
law to the extent of the coverage and limits of liability required by such law, but
The insurance afforded under Part I applies separately to each insured against
in no event in excess of the limits of liability stated in this policy. The insured
whom claim is made or suit is brought, but the inclusion herein of more than one
agrees to reimburse the company for any payment made by the company which
insured shall not operate to increase the limits of the company's liability.
it would not have been obligated to make under the terms of this policy except for
Definitions: Under Part I:
the agreement contained in this paragraph.
"named insured" means the individual named in Item 1 of the declarations and
Limits of Liability: The limit of bodily injury liability stated in the declarations
also includes his spouse, if a resident of the same household;
as applicable to "each person" is the limit of the company's liability for all dam-
"insured" means a person or organization described under "Persons Insured";
ages, including damages for care and loss of services, arising out of bodily injury
"relative" means a relative of the named insured who is a resident of the same
sustained by one person as the result of any one occurrence; the limit of such
household;
liability stated in the declarations as applicable to "each occurrence" is, subject
"owned automobile" means a private passenger, farm or utility automobile or
to the above provision respecting each person, the total limit of the company's
trailer owned by the named insured, and includes a temporary substitute
liability for all such damages arising out of bodily injury sustained by two or more
automobile;
persons as the result of any one occurrence.
"temporary substitute automobile" means any automobile or trailer,
not owned by the named insured, while temporarily used as a sub-
stitute for the owned automobile or trailer when withdrawn from
normal use because of its breakdown, repair, servicing, loss or de-
struction;
FAMILY
"non-owned automobile" means an automobile or trailer not owned
COMBINATION
by or furnished for the regular use of either the named insured or
AUTOMOBILE
any relative, other than a temporary substitute automobile;
POLICY
"private passenger automobile" means a four wheel private pas-
PROVISIONS
senger, station wagon or jeep type automobile;
PART ONE
"farm automobile" means an automobile of the truck type with a
load capacity of fifteen hundred pounds or less not used for busi-
Form 14012-F (1)
ness or commercial purposes other than farming;
"utility automobile" means an automobile, other than a farm auto-
mobile, with a load capacity of fifteen hundred pounds or less of
the pick-up body, sedan delivery or panel truck type not used for business or
The limit of property damage liability stated in the declarations as applicable
commercial purposes;
to "each occurrence" is the total limit of the company's liability for all damages
"trailer" means a trailer designed for use with a pr passenger automobile,
if
arising
out
of
injury
to
(estruction of all property of one or more persons or
not being used for business or commercial purpos fith other than a private
organizations, including loss of use thereof, as the result of any one occurrence.
passenger, farm or utility automobile, or 3 farm wagon or farm implement while
used with a farm automobile;
Other Insurance: If the insured has other insurance against a loss covered by
Insert Declarations page (Part here SO that top edge butts against f of Contract, and permits policy
number to appear through window. ATTACH ENDORSEMENTS, IF ANY, To TOP BACK OF DECLARATIONS.
Part I of this policy the company shall not be liable under this policy for a greater
ance against such loss; provided, however, the insurance with respect to a
proportion of such loss than the applicable limit of liability stated in the declara-
temporary substitute automobile or non-owned automobile shall be excess insur-
tions bears to the total applicable limit of liability of all valid and collectible insur-
ance over any other valid and collectible insurance.
PART II EXPENSES FOR MEDICAL SERVICES
Coverage C-Medical Payments: To pay all reasonable expenses incurred within
relative, other than an automobile defined herein as an "owned automobile,"
one year from the date of accident for necessary medical, surgical, X-ray and dental
or (2) while occupying or through being struck by (i) a farm type tractor or
services, including prosthetic devices, and necessary ambulance, hospital, pro-
other equipment designed for use principally off public roads, while not upon
fessional nursing and funeral services:
public roads, or (ii) a vehicle operated on rails or crawler-treads;
Division 1. To or for the named insured and each relative who sustains bodily
(c) sustained by any person other than the named insured or a relative, resulting
injury, sickness or disease, including death resulting therefrom, hereinafter called
from use of (1) a non-owned automobile in the automobile business or as a
"bodily injury," caused by accident, while occupying or through being struck by
public or livery conveyance, or (2) a non-owned automobile in any other busi-
an automobile;
ness or occupation, except operation or occupancy of a private passenger auto-
mobile by the named insured or by his private chauffeur or domestic servant,
Division 2. To or for any other person who sustains bodily injury, caused by acci-
or of a trailer used therewith or with an owned automobile;
dent, while occupying
(d) sustained by any person who is employed in the automobile business, if the
(a) the owned automobile, while being used by the named insured, by any resident
accident arises out of the operation thereof and if benefits therefor are in
of the same household or by any other person with the permission of the
whole or in part either payable or required to be provided under any work-
named insured; or
men's compensation law;
(b) a non-owned automobile, if the bodily injury results from (1) its operation or
(e) due to war.
occupancy by the named insured or its operation on his behalf by his private
chauffeur or domestic servant or (2) its operation or occupancy by a relative,
Limit of Liability: The limit of liability for medical payments stated in the declara-
provided it is a private passenger automobile or trailer.
tions 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 as the
Definitions: The definitions under Part I apply to Part II, and under Part II:
result of any one accident.
"occupying" means in or upon or entering into or alighting from;
"an automobile" includes a trailer of any type.
Other Insurance: If there is other automobile medical payments insurance against
a loss covered by Part II of this policy the company shall not be liable under this
Exclusions: This policy does not apply under Part II to bodily injury:
policy for a greater proportion of such loss than the applicable limit of liability
(a) sustained while occupying (1) an owned automobile while used as a public or
stated in the declarations bears to the total applicable limit of liability of all
livery conveyance, or (2) any vehicle while located for use as a residence or
valid and collectible automobile medical payments insurance: provided, however,
premises;
the insurance with respect to a temporary substitute automobile or owned
(b) sustained by the named insured or a relative (1) while occupying an automobile
automobile shall be excess insurance over any other valid and collectible auto-
owned by or furnished for the regular use of either the named insured or any
mobile medical payments insurance.
PART III PHYSICAL DAMAGE
Coverage D (1)-Comprehensive-Excluding Collision; (2)-Personal Effects:
"collision" means collision of an automobile covered by this policy with another
(1) To pay for loss caused other than by collision to the owned automobile or to
object or with a vehicle to which it is attached or by upset of such automobile;
a non-owned automobile. For the purpose of this coverage, breakage of glass
"trailer" means a trailer designed for use with a private passenger automobile,
and loss caused by missiles, falling objects, fire, theft or larceny, explosion,
if not being used for business or commercial purposes with other than a private
earthquake, windstorm, hail, water, flood, malicious mischief or vandalism,
passenger, farm or utility automobile, and if not a home, office, store, display or
riot or civil commotion shall not be deemed to be loss caused by collision.
passenger trailer.
(2) To pay for loss caused by fire or lightning to robes, wearing apparel and other
Exclusions: This policy does not apply under Part III:
personal effects which are the property of the named insured or a relative,
while such effects are in or upon the owned automobile.
(a) to any automobile while used as a public or livery conveyance;
(b) to loss due to war:
Coverage E-Collision: To pay for loss caused by collision to the owned auto-
mobile or to a owned automobile but only for the amount of each such loss
(c) to loss to a non-owned automobile arising out of its use by the insured in the
in excess of the deductible amount stated in the declarations as applicable hereto.
automobile business;
Coverage F-Towing and Labor Costs: To pay for towing and labor costs necessi-
(d) to loss to a private passenger, farm or utility automobile or trailer owned by
tated by the disablement of the owned automobile or of any non-owned automobile,
the named insured and not described in this policy or to any temporary sub-
provided the labor is performed at the place of disablement.
stitute automobile therefor, if the insured has other valid and collectible insur-
ance against such loss;
Supplementary Payments: In addition to the applicable limit of liability:
(e) to damage which is due and confined to wear and tear, freezing, mechanical
(a) to reimburse the insured for transportation expenses incurred during the
or electrical breakdown or failure, unless such damage results from a theft
period commencing 48 hours after a theft covered by this policy of the entire
covered by this policy;
automobile has been reported to the company and the police, and terminating
(f) to tires, unless damaged by fire, malicious mischief or vandalism, or stolen
when the automobile is returned to use or the company pays for the loss;
or unless the loss be coincident with and from the same cause as other loss
provided that the company shall not be obligated to pay aggregate expenses in
covered by this policy;
excess of $10 per day or totaling more than $300.
(b) to pay general average and salvage charges for which the insured becomes
(g) to loss due to radioactive contamination;
legally liable, as to the automobile being transported.
(h) under coverage E, to breakage of glass if insurance with respect to such break-
age is otherwise afforded.
Definitions: The definitions of "named insured," "relative," "owned automobile,"
"temporary substitute automobile," "private passenger automobile," "farm auto-
Limit of Liability: The limit of the company's liability for loss shall not exceed the
mobile," "utility automobile." "automobile business" and "war" in Part I apply
actual cash value of the property, or if the loss is of a part thereof the actual cash
to Part III, and under Part III:
value of such part, at time of loss, nor what it would then cost to repair or replace
"insured" means (a) with respect to the owned automobile (1) the named insured
the property or such part thereof with other of like kind and quality, nor, with
and (2) any person or organization, other than a person or organization engaged
respect to an owned automobile described in this policy, the applicable limit of
in the automobile business or as a carrier or other bailee for hire, maintaining,
liability stated in the declarations; provided, however, the limit of the company's
using or having custody of said automobile with the permission of the named
liability (a) for loss to personal effects arising out of any one occurrence is $100,
insured; (b) with respect to a non-owned automobile, the named insured and any
and (b) for loss to any trailer not owned by the named insured is $500.
relative provided the actual use thereof is with the permission of the owner;
"non-owned automobile" means a private passenger automobile or trailer not
Other Insurance: If the insured has other insurance against a loss covered by
owned by or furnished for the regular use of either the named insured or any
Part III of this policy, the company shall not be liable under this policy for a
relative, other than a temporary substitute automobile, while said automobile or
greater proportion of such loss than the applicable limit of liability of this policy
trailer is in the possession or custody of the insured or is being operated by him;
bears to the total applicable limit of liability of all valid and collectible insurance
against such loss; provided, however, the insurance with respect to a temporary
"loss" means direct and accidental loss of or damage to (a) the automobile, includ-
substitute automobile or non-owned automobile shall be excess insurance over any
ing its equipment, or (b) other insured property;
other valid and collectible insurance.
PART IV PROTECTION AGAINST UNINSURED MOTORISTS
Coverage G-Uninsured Motorists (Damages for Bodily Injury): To pay all sums
(3) an automobile or trailer owned or operated by a self-insurer within the mean-
which the insured or his legal representative shall be legally entitled to recover as
ing of any motor vehicle financial responsibility law, motor carrier law or
damages from the owner or operator of an uninsured automobile because of bodily
any similar law;
injury, sickness or disease, including death resulting therefrom, hereinafter called
(4) an automobile or trailer owned by the United States of America, Canada, a
"bodily injury," sustained by the insured, caused by accident and arising out of the
state, a political subdivision of any such government or an agency of any of
ownership, maintenance or use of such uninsured automobile; provided, for the
the foregoing;
purposes of this coverage, determination as to whether the insured or such repre-
sentative is legally entitled to recover such damages, and if SO the amount thereof,
(5) a land motor vehicle or trailer, if operated on rails or or while
shall be made by agreement between the insured or such representative and the
located for use as a residence or premises and not as a vehicle; or
company or, if they fail to agree, by arbitration.
(6) a farm type tractor or equipment designed for use principally off public roads,
except while actually upon public roads.
Definitions: The definitions under Part I, except the definition of "insured," apply
to Part IV, and under Part IV:
"hit-and-run automobile" means an automobile which causes bodily injury to an
insured arising out of physical contact of such automobile with the insured or
"insured" means:
with an automobile which the insured is occupying at the time of the accident,
(a) the named insured and any relative:
provided: (a) there cannot be ascertained the identity of either the operator or
(b) any other person while occupying an insured automobile; and
the owner of such "hit-and-run automobile"; (b) the insured or someone on his
(c) any person, with respect to damages he is entitled to recover for care or loss
behalf shall have reported the accident within 24 hours to a police, peace or
of services because of bodily injury to which this coverage applies.
judicial officer or to the Commissioner of Motor Vehicles, and shall have filed with
the company within 30 days thereafter a statement under oath that the insured
The insurance afforded under Part IV applies separately to each insured, but the
or his legal representative has a cause or causes of action arising out of such
inclusion herein of more than one insured shall not operate to increase the limits
accident for damages against a person or persons whose identity is unascertain-
of the company's liability.
able, and setting forth the facts in support thereof; and (c) at the company's
"insured automobile" includes a trailer as defined under Part I and means:
request, the insured or his legal representative makes available for inspection the
(a) an owned automobile provided the use thereof is by or with the permission of
automobile which the insured was occupying at the time of the accident.
the named insured, or
(b) any automobile not owned by the named insured while being operated by the
"occupying" means in or upon or entering into or alighting from.
named insured;
"state" includes the District of Columbia, a territory or possession of the United
but the term "insured automobile" shall not include:
States, and a province of Canada.
(1) any automobile or trailer owned by a resident of the same household as the
named insured, or
Exclusions: This policy does not apply under Part IV:
(2) any automobile while used as a public or livery conveyance.
(a) to bodily injury to an insured while occupying an automobile owned by the
"uninsured automobile" includes a trailer of any type and means:
named insured and principally garaged in a state which has not authorized the
(a) an automobile with respect to the ownership, maintenance or use of which
issuance of this coverage;
there is no bodily injury liability bond or insurance policy applicable at the
(b) to bodily injury to an insured, or care or loss of services recoverable by an
time of the accident with respect to any person or organization legally respon-
insured, with respect to which such insured, his legal representative or any
sible for the use of such automobile, or
person entitled to payment under this coverage shall, without written consent
(b) a hit-and-run automobile;
of the company, make any settlement with or prosecute to judgment any
but the term "uninsured automobile" shall not include:
action against any person or organization who may be legally liable therefor;
(1) an automobile defined under Part IV as an "insured automobile";
(c) so as to inure directly or indirectly to the benefit of any workmen's compensa-
tion or disability benefits carrier or any person or organization qualifying
(2) an automobile or trailer owned by the named insured or by any resident of
as a self-insurer under any workmen's compensation or disability benefits law
the same household;
or any similar law.
BUSH LIBRARY
PHOTOCOPY
Limits of Liability:
Subject to the foregoing paragraphs, if the insured has other similar insurance
(a) The limit of liability for uninsured motorists coverage stated in the declara-
available to him against a loss covered by this Part, the company shall not be
tions as applicable to "each person" is the limit of the company's liability
liable under this Part for a greater proportion of such loss than the applicable
for all damages, including damages for care or loss of services, because of
limit of liability hereunder bears to the total applicable limits of liability of all
bodily injury sustained by one person as the result of any one accident and,
valid and collectible insurance against such loss.
subject to the above provision respecting each person, the limit of liability
stated in the declarations as applicable to "each accident" is the total limit
Arbitration: If any person making claim hereunder and the company do not agree
of the company's liability for all damages, including damages for care or loss
that such person is legally entitled to recover damages from the owner or operator
of services, because of bodily Injury sustained by two or more persons as
of an uninsured automobile because of bodily injury to the insured, or do not agree
the result of any one accident.
as to the amount of payment which may be owing under this Part, then, upon
(b) If claim is made under this Part and claim is also made against any person
written demand of either, the matter or matters upon which such person and the
insured under Part I because of bodily injury sustained in an accident by a
company do not agree shall be settled by atbitration in accordance with the rules
person who is an insured under this Part:
of the American Arbitration Association, and judgment upon the award rendered
(1) any payment made under this Part to or for any such person shall be
by the arbitrators may be entered in any court having jurisdiction thereof. Such
applied in reduction of any amount which he may be entitled to recover
person and the company each agree to consider itself bound and to be bound
from any person Insured under coverage A; and
by any award made by the arbitrators pursuant to this Part.
(2)
any payment made under coverage A to or for any such person shall be
applied in reduction of any amount which he may be entitled to recover
Trust Agreement: In the event of payment to any person under this Part:
under this Part.
(a) the company shall be entitled to the extent of such payment to the proceeds of
(c) Any loss payable under the terms of this Part to or for any person shall be
any settlement or judgment that may result from the exercise of any rights of
reduced by the amount paid and the present value of all amounts payable to
recovery of such person against any person or organization legally responsible
him under any workmen's compensation law, exclusive of non-occupational
for the bodily injury because of which such payment is made;
disability benefits.
(b) such person shall held in trust for the benefit of the company all rights of
recovery which he shall have against such other person or organization because
Other Insurance: With respect to bodily injury to an Insured while occupying an
of the damages which are the subject of claim made under this Part;
automobile not owned by the named insured the insurance hereunder shall apply
only as excess insurance over any other similar insurance available to such OCCU-
(c) such person shall do whatever is proper to secure and shall do nothing after
pant, and this insurance shall then apply only in the amount by which the applicable
loss to prejudice such rights;
Mimit of liability of this Part exceeds the sum of the applicable limits of liability
(d) if requested in writing by the company, such person shall take, through any
of all such other insurance.
representative designated by the company, such action as may be necessary
With respect to bodily Injury to an insured while occupying or through being
or appropriate to recover such payment as damages from such other person
struck by an uninsured automobile, if such insured is a named insured under other
or organization, such action to be taken in the name of such person; in the
similar Insurance available to him, then the damages shall be deemed not to exceed
ovent of a recovery, the company shall be reimbursed out of such recovery for
the higher of the applicable limits of liability of this Insurance and such other in-
expenses, costs and attorneys' fees incurred by it in connection therewith;
surance, and the company shall not be liable under this Part for a greater propor-
(e) such person shall execute and deliver to the company such instruments and
tion of the applicable limit of liability of this Part than such limit bears to the sum
papers as may be appropriate to secure the rights and obligations of such
of the applicable limits of liability of this insurance and such other insurance.
person and the company established by this provision.
CONDITIONS
Conditions 1, 2, 3, 6, 14, 15, 16 and 17 apply to all Parts.
Conditions 4 and 5, and 7 through 13, apply only to the Parts noted thereunder.
1.
Policy Period, Territory-This policy applies only to accidents, occurrences
extent of the injuries, treatment, and other details entering into the determina-
and loss during the policy period while the automobile is within the
tion of the amount payable. The insured and every other person making claim
United States of America, its territories or possessions, or Canada, or is being
shall submit to examinations under oath by any person named by the company and
transported between ports thereof.
subscribe the same, as often as may reasonably be required. Proof of claim shall
2.
Premium-If the named insured disposes of, acquires ownership of or
be made upon forms furnished by the company unless the company shall have
replaces a private passenger, farm or utility automobile or, with respect
failed to furnish such forms within 15 days after receiving notice of claim.
to Part III, a trailer, he shall inform the company during the policy period of such
The Injured person shall submit to physical examinations by physicians
change. Any premium adjustment necessary shall be made as of the date of such
selected by the company when and as often as the company may reasonably
change In accordance with the manuals in use by the company. The named insured
require and he, or in the event of his incapacity his legal representative, or in the
shall, upon request, furnish reasonable proof of the number of such automobiles
event of his death his legal representative or the person or persons entitled to
or trailers and a description thereof.
sue therefor, shall upon each request from the company execute authorization to
enable the company to obtain medical reports and copies of records.
3.
Notice-In the event of an accident, occurrence or loss, written notice
containing particulars sufficient to Identify the insured and also reason-
ably obtainable information with respect to the time, place and circumstances
10.
Appraisal-Part III: If the insured and the company fail to agree as to
the amount of loss, either may, within 60 days after proof of loss is filed,
thereof, and the names and addresses of the injured and of available witnesses,
demand an appraisal of the loss. In such event the insured and the company shall
shall be given by or for the insured to the company or any of its authorized agents
each select a competent appraiser, and the appraisers shall select a competent
as soon as practicable. In the event of theft the Insured shall also promptly notify
and disinterested umpire. The appraisers shall state separately the actual cash
the police. If claim is made or suit is brought against the insured, he shall imme-
value and the amount of loss and failing to agree shall submit their differences to
diately forward to the company every demand, notice, summons or other process
the umpire. An award in writing of any two shall determine the amount of loss.
received by him or his representative.
The insured and the company shall each pay his chosen appraiser and shall bear
If, before the company makes payment of loss under Part IV, the insured or
equally the other expenses of the appraisal and umpire.
his legal representative shall institute any legal action for bodily injury against
The company shall not be held to have waived any of its rights by any act
any person or organization legally responsible for the use of an automobile Involved
relating to appraisal.
in the accident, a copy of the summons and complaint or other process served in
11.
Payment of Loss-Part III: The company may pay for the loss in money;
connection with such legal action shall be forwarded immediately to the company
or may repair or replace the damaged or stolen property; or may, at any
by the insured or his legal representative.
time before the loss is paid or the property is SO replaced, at its expense return
Two or More Automobiles-Parts I, II and III: When two or more auto-
4.
any stolen property to the named insured, or its option to the address shown
mobiles are insured hereunder, the terms of this policy shall apply
in the declarations, with payment for any resultant damage thereto; or may take
separately to each, but an automobile and a trailer attached thereto shall be hald
all or such part of the property at the agreed or appraised value but there shall be
to be one automobile as respects limits of liability under Part I of this policy, and
no abandonment to the company. The company may settle any claim for loss either
separate automobiles under Part III of this policy, including any deductible provi-
with the insured or the owner of the property.
sions applicable thereto.
Part IV: Any amount due is payable (a) to the insured, or (b) if the insured
Assistance and Cooperation of the Insured-Parts I, III and IV: The
be a minor to his parent or guardian, or (c) if the insured be deceased to his
5.
Insured shall cooperate with the company and, upon the company's re.
surviving spouse, otherwise (d) to a person authorized by law to receive such pay.
quest, attend hearings and trials and assist in making settlements, securing and
ment or to a person legally entitled to recover the damages which the payment
giving evidence, obtaining the attendance of witnesses and in the conduct of any
represents; provided, the company may at its option pay any amount due in
legal proceedings in connection with the subject matter of this insurance. The
accordance with division (d) hereof.
insured shall not, except at his own cost, voluntarily make any payment, assume
12.
No Benefit to Bailee-Part III: The insurance afforded by this policy
any obligation or incur any expense other than for such immediate medical and
shall not inure directly or indirectly to the benefit of any carrier or other
surgical relief to others as shall be imperative at the time of accident.
bailee for hire liable for loss to the automobile.
6.
Action Against Company-Part No action shall lie against the company
unless, as a condition precedent thereto, the Insured shall have fully com-
13.
Subrogation-Parts I and III: In the event of any payment under this
plied with all the terms of this policy, nor until the amount of the insured's obliga-
policy, the company shall be subrogated to all the insured's rights of
tion to pay shall have been finally determined either by judgment against the
recovery therefor against any person or organization and the Insured shall execute
insured after actual trial or by written agreement of the insured, the claimant
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.
and the company.
Any person or organization or the legal representative thereof who has secured
14.
Changes-Notice to any agent or knowledge possessed by any agent or by
such judgment or written agreement shall thereafter be entitled to recover under
any other person shall not effect a waiver or a change in any part of this
this policy to the extent of the insurance afforded by this policy. No person or
policy or estop the company from asserting any right under the terms of this
organization shall have any right under this policy to join the company as a party
policy; nor shall the terms of this policy be waived or changed, except by endorse-
to any action against the insured to determine the insured's liability, nor shall the
ment issued to form a part of this policy.
company be impleaded by the insured or his legal representative. Bankruptcy
15.
Assignment-Assignment of interest under this policy shall not bind the
or Insolvency of the insured or of the insured's estate shall not relieve the com-
company until its consent is endorsed hereon; if, however, the insured
pany of any of its obligations hereunder.
named in Item 1 of the declarations, or his spouse if a resident of the same
Parts II, III and IV: No action shall lie against the company unless, as a
household, shall die, this policy shall cover (1) the survivor as named insured,
condition precedent thereto, there shall have been full compliance with all the
(2) his legal representative as named insured but only while acting within the
terms of this policy nor, under Part III, until thirty days after proof of loss is filed
scope of his duties as such, (3) any person having proper temporary custody of an
and the amount of loss is determined as provided in this policy.
owned automobile, as an insured, until the appointment and qualification of such
Medical Reports; Proof and Payment of Claim-Part 11: As soon as prac-
legal representative, and (4) under division 1 of Part II any person who was a
7.
ticable the injured person or someone on his behalf shall give to the com-
relative at the time of such death.
pany written proof of claim, under oath if required, and shall, after each request
16.
Cancelation-This policy may be canceled by the insured named in Item
from the company, execute authorization to enable the company to obtain medical
1 of the declarations by surrender thereof to the company or any of its
reports and copies of records. The injured person shall submit to physical examina-
authorized agents or by mailing to the company written notice stating when there-
tion by physicians selected by the company when and as often as the company may
after the cancelation shall be effective. This policy may be canceled by the com-
reasonably require.
pany by mailing to the insured named in Item 1 of the declarations at the address
The company may pay the Injured person or any person or organization ren-
shown in this policy written notice stating when not less than ten days thereafter
dering the services and such payment shall reduce the amount payable hereunder
such cancelation shall be effective. The mailing of notice as aforesaid shall be
for such injury. Payment hereunder shall not constitute an admission of liability of
sufficient proof of notice. The time of the surrender or the effective date of can-
any person or, except hereunder, of the company.
celation stated in the notice shall become the end of the policy period. Delivery
Insured's Duties in Event of Loss-Part III: In the event of loss the
of such written notice either by such insured or by the company shall be equivalent
8.
insured shall:
to mailing.
(a) protect the automobile, whether or not the loss is covered by this policy, and
If such Insured cancels, earned premium shall be computed in accordance
any further loss due to the insured's failure to protect shall not be recoverable
with the customary short rate table and procedure. If the company cancels,
under this policy; reasonable expenses incurred in affording such protection
earned premium shall be computed pro rata. Premium adjustment may be made
shall be deemed incurred at the company's request;
either at the time cancelation is effected or as soon as practicable after can-
(b) file with the company, within 91 days after loss, his sworn proof of loss in
celation becomes effective, but payment or tender of unearned premium Is not
such form and including such information as the company may reasonably
a condition of cancelation.
require and shall, upon the company's request, exhibit the damaged property
17.
Declarations-By acceptance of this policy, the Insured named in Item 1
and submit to examination under oath.
of the declarations agrees that the statements in the declarations are his
Proof of Claim; Medical Reports-Part IV: As soon as practicable, the
agreements and representations, that this policy is Issued in reliance upon the
9.
insured or other person making claim shal'
9 to the company written
truth of such represent
$ and that this policy embodies all agreements exist-
proof of claim, under oath if required, including full
liculars of the nature and
ing between himself ant
company or any of its agents relating to this insurance.
158C. NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT (LIMITED FORM)
(To be attached to all Family Automobile Policies which afford Automobile Liability Coverage)
This endorsement forms α part of Policy No. FSF 17180767
issued to George H. W. Bush
by the
Federal Insurance Company
at its Agency
(Name of Insurance Company)
located (city and state)
New York, New York
and is effective from 1/9/61
(12:01 A.M. Standard Time)
(The information above is required only when this endorsement is issued subsequent to preparation of the policy.)
This endorsement forms a part of the policy to which attached, effective from its date of issue unless' otherwise stated herein.
It is agreed that the exclusion relating to nuclear energy liability Insurance is replaced by the following:
Under any Liability Coverage, to injury, sickness, disease, death or destruction with respect to which on insured under the
policy is also an insured under a nuclear energy liability policy issued by Nuclear Energy Liability Insurance Association,
Mutual Atomic Energy Liability Underwriters or Nuclear Insurance Association of Canada, or would be on insured under any
such policy but for its termination upon exhaustion of its limit of liability.
BY Qwood
LANGHAM LANGSTON, BURNETT & DYER
By
(Duly Authorized Representative)
FORM 158C. NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT (LIMITED FORM)
Texas Standard Automobile Endorsement
Prescribed January 1, 1960
Bush Library Photocopy
ET
TO
4
Endorsement # 1
III B B
" N I
Effective date of
January 9, 1961
Attached to and forming
this endorsement
part of Policy Number FSF 17180767
Agent or
Broker
Langham, Langston & Burnett
Issued to George H. W. Bush
automobile Schedule
Entry
Year
TRADE NAME
Body Type: Truck Size: Model:
SERIAL
MOTOR
RATING
No.
MODEL
Tank Gallonage: or Bus Seating Capacity
NUMBER
NUMBER
SYMBOL
1
1959
Rambler
A/C 4 Dr. Station Wagon
A28497
L
Super
2
1960
Mercedes-Benz
4 Dr. Sedan
220-005736
N
Entry
Purchased by Insured
Except with respect to bailment lease, conditional
ACTUAL COST
No.
LOCATION
Month
sale, mortgage or other encumbrance the insured is the
YEAR
New or S.H.
sole owner of the automobile, except as stated herein
1
7
59
N
3,887.
Houston, Texas
No Exceptions
2
11
60
N
5,073.
"
"
Entry
AMOUNT OF
BOD. INJURY
PROP. DAM.
MED. PAY'T
COLLISION
COMPREHENSIVE
FIRE
THEFT
No.
INSURANCE
Premium
Premium
Premium
Ded.
Premium
Rate
Premium
Rafe
Premium
Rate
Premium
1
ACV
37.00
15.00
5.25
100.
23.00
25.00
2
ACV
56.00
22.50
9.00
100.
43.00
36.00
93.00
37.50
14.25
66.00
61.00
RATE CLASS 1) 1A-0-25%
2) 1B-0
TERR.
01/01
Bush Library Photocopy
All other terms and conditions not inconsistent herewith remain unchanged.
In Witness Whereof, the FEDERAL INSURANCE COMPANY has
caused this endorsement to be signed by its President and Secretary
J.J.hagrath
and countersigned by a duly authorized representative.
SECRETARY
PRESIDENT
LANGHAM, LANGSTON, BURNETT & DYER
Date of Issue
12/15/60
Countersigned by BY Dwood
Authorized Representative
PRINTED
14144F (ED. 3.60)
IN
G1392 (30M)
USA
252. PRIVATE PASSENGER AUTOMOBILE CLASSIFICATIONS
RATING INFORMATION ENDORSEMENT
TEXAS SAFE DRIVING INSURANCE PLAN
(For attachment to automobile policies in Texas affording Bodily Injury Liability, Property Damage Liability or Collision insurance with respect to
automobiles classified and rated as private passenger automobiles and owned by an individual or husband and wife.)
This endorsement forms α part of Policy No. FSF 17180767
issued
to
George H. W. Bush
by the
Federal Insurance Company
at its Agency
(Name of Insurance Company)
located (city and state)
New York, New York
and is effective from 1/9/61
(12:01 A. M. Standard Time)
(The information above is required only when this endorsement is issued subsequent to preparation of the policy.)
This endorsement forms a part of the policy to which attached, effective from its date of issue unless otherwise stated herein.
The Automobile is Classified:
Car 1:
1A
X
1AF
1B
2A
2AF
2C
:
2CF
3
Sub-Class
Car 2:
1A
1AF
1B
X
2A
2AF
2C
2CF
3
Sub-Class
A. Classification Information-The information covering ownership, operators and use of the automobile is as follows:
Car
Car
WNo. 1 No. 2
Bush Library Photocopy
1. The automobile is not used for business and is not driven to or from work, and there is no male operator under 25
years of age.
2. The automobile is driven to or from work, but it is not used for business, and there is no male operator under 25 years
of age.
3. The owner or principal operator of the automobile is a married male under 25 years of age; or an unmarried male
under 25 years of age who is not on owner or a principal operator.
4. The owner or principal operator of the automobile is an unmarried male under 25 years of age.
5. The automobile is used for business, and there is no male operator under 25 years of age:
6. The above automobile is owned by a farmer or a rancher and is principally garaged on farm or ranch and not custom-
arily used in going to or from work other than farming or ranching.
B. Accident Information: During the 36-month period ending 3 months prior to the effective date of the policy (except in the case of a policy
assigned through the Texas Motor Vehicle Assigned Risk Plan, the 36-month period immediately prior to the date of the application or
renewal application during the period of assignment), the named insured and other operators of the automobile resident in the some house-
hold as the named insured have had
chargeable accidents
(Insert No.)
C. Conviction Information: During the 36-month period ending 3 months prior to the effective date of the policy (except in the case of a policy
assigned through the Texas Motor Vehicle Assigned Risk Plan, the 36-month period immediately prior to the date of the application or
renewal application during the period of assignment), the named insured and other operators of the automobile resident in the same house-
hold as the named insured have had
chargeable convictions.
(Insert No.)
The following terms used in the paragraphs A, B, and C above shall mean:
1. "Male operator under 25 years of age" means a male named insured under 25 years of age or any other male operator of the auto-
mobile under 25 years of age resident in the same household as the named insured or employed as α chauffeur of the automobile.
C. A male individual under 25 years of age in active military service with the armed forces of the United States of America is not
considered an operator of the automobile unless such individual customarily operates the automobile.
b. If there are two or more automobiles in the same household as the named insured, the age of male operators shall be disregarded
for the purpose of rating the automobiles in excess of the number of male operators under age 25. With respect to collision insurance,
by such operators.
the applicable classification for male operators under 25 years of age shall be applied to the automobile or automobiles principally used
(SEE REVERSE SIDE FOR FURTHER PROVISIONS)
LANGHAM, LANGSTON, BURNETT & DYER
By
BY Dwand
(Duly Authorized Representative)
2. "Not used for business" means that the use of the automobile is not required by or customarily involved in the duties of the named
insured or any other person customarily operating the automobile, in his occupation, profession or business, except in going to and from his
principal place of occupation, profession or business. Automobiles owned by clergymen, are considered as not being used for business.
3. "Driven to or from work" means that the automobile is customarily used in the course of driving to or from work.
a. The term "customarily" includes the use of automobiles in car-pools or other share-the-ride arrangements.
b. Automobiles driven part' way to or from work, such as to railroad or bus depot, are considered "in the course of driving to or from
work" whether or not the automobile is parked at the depot during the day.
C. Automobiles owned by clergymen are not considered as being driven to or from work.
4. "Owned by a farmer" means that the automobile is principally garaged on a farm or ranch and the automobile is not customarily used in
going to or from work other than farming or ranching and is not used in any occupation other than farming or ranching.
5. "Chargeable accidents". means each automobile accident involving the named insured or any resident operator while operating any
private passenger type automobile", resulting (1) in damage to any property, including his own, in excess of $25.00, (2) in bodily injury,
or (3) in death.
Exceptions-Accidents under the following circumstances are not chargeable accidents:
a. Medical Payments: accidents involving medical payments coverage only: or
b. Legally Parked: a motor vehicle of the named insured or resident operator damaged while legally parked; or
C. Reimbursement: named insured or other resident operator, or owner of the automobile driven by named insured or resident operator,
reimbursed by, or on behalf of, a person responsible for the accident or has judgment against such person, and the named insured has
no knowledge that any payment to others involved in an accident has been made by or on behalf of the named insured or other resi-
dent operator; or
d. Rear-end Collision: automobile driven by named insured or other resident operator struck in rear end by another vehicle approaching
from the rear, and the named insured or other resident operator has not been convicted of a moving traffic violation in connection
with the accident; or
e. Other Party Convicted: operator of any other automobile involved in the accident convicted of a moving traffic violation and the
named insured or other resident operator not convicted of a moving traffic violation in connection therewith; or
f. Hit-and-Run: automobile operated by named insured or other resident operator damaged by "hit-and-run" driver, if named insured or
other resident operator so reports the accident to proper authority within 24 hours; or
Bush Library Photocopy 6.
g. Employer's Cars: accidents involving named insured or any resident operator while operating an employer's car if such automobile is
a part of a risk which is experience rated or meets the conditions of eligibility as respects an amount of premium under the Automobile
Liability Experience Rating Plan and accidents shall not apply to collision coverage if such automobile is part of a fleet that is fleet rated
for collision coverage; or
h. Wild Game Animals: accidents involving damage by wild game animals.
"Chargeable convictions" means each moving traffic violation for which the named insured or any resident operator has been convicted?
while operating any private passenger type automobile* except for the following offenses:
a. inadequate muffler or excessive escape of exhaust products; or
b. defective lights or other defective equipment except defective brakes; or
C. failure to display license plates; or
d: failure to have in possession driver's license provided there is a valid one in existence; or
e. parking violations.
*A private passenger type automobile is (1) a four-wheel automobile of the private passenger, station wagon or jeep type or (2) on automobile of the
truck type with a load capacity of 1,500 pounds or less not used for business or commercial purposes other than farming or ranching except taxicabs-
and other automobiles used as public livery vehicles and police and fire department automobiles.
The term "convicted" as used herein means a final conviction in any court in the United States, forfeiture of bail, or payment of fine.
D. Two or More Automobiles
When two or more automobiles used by the named insured or other resident operator are insured in the same policy or in separate
policies in the same company, points which are incurred by the named insured or other resident operator are assigned in the rating of the
automobile principally used by the operator who incurred the points.
When points cannot be assigned in accordance with the paragraph above, such points shall be assigned to the automobile with the
highest basic rate, and all other automobiles shall be assigned to Sub-Classification 0.
Points assigned in the rating of an automobile insured through the Texas Motor Vehicle Assigned Risk Plan shall not be used in rating
any other automobile owned by members of the same household, nor shall points assigned in the rating of any other automobile owned
by a member of the same household be used in the rating of an automobile insured through the Texas Motor Vehicle Assigned Risk Plan.
E. If there is a misstatement of fact in the Texas Automobile Insurance Rating Statement or in this endorsement, the company agrees to
waive denial of coverage because of any such misstatement of fact, but does not wdive such rights as it may have under the laws of
this State to recover damages from the insured for fraud.
FORM 252. PRIVATE PASSENGER AUTOMOBILE CLASSIFICATIONS-RATING INFORMATION ENDORSEMENT-
TEXAS SAFE DRIVING INSURANCE PLAN
Texas Standard Automobile Endorsement
Prescribed April 1, 1960
PART 2. This Declarat Page with "Policy Provisions-Part 1" [Form 14012-F(1)]
letes the below numbered
FAMILY COMBINATION AUTOMOBILE POLICY
5-19646
REVISED 1-60
Item
DECLARATIONS
Policy Number
FSF 17180767
1.
Named Insured
George H. W. Bush
5525 Briar Drive
Address: Number and Street, Town, County and State
Houston, Harris County, Texas
2.
Policy
Period:
12:01 A.M. standard time at the address
of the named Insured as stated herein
From:
January 9, 1961
To: January 9, 1962
Renewal
or Rewrite
Agent or Broker
Langham, Langston & Burnett
of No.
FSF 11138059
Address
3700 Montrose Boulevard
DATE OF
12/15/60 CS
City and State
ISSUE
Houston, Texas
Garage: The owned automobile will be principally garaged in the above town or city, unless otherwise stated herein:*
FEDERAL NSURANCE COMPANY
B & #
CHUBB & SON INC., Manager
90 John Street, New York 38, N. Y.
3.
The insurance afforded is only with respect to such of the following coverages as are indicated by specific premium-charge or charges. The limit of the
company's liability against each such coverage shall be as stated herein, subject to all the terms of this policy having reference thereto.
COVERAGES
LIMITS OF LIABILITY
RATES
PREMIUMS
CAR
A
Bodily Injury Liability
$ 300,000.
each person
$ X X
$ 37.00
1
$ 300,000.
each occurrence
$ 56.00
2
B
Property Damage Liability
$ 50,000.
each occurrence
X X
$ 15.00
1
$ 22.50
2
C
Medical Payments
$ 2,000.
each person
XX
$ 5.25
1
$ 9.00
2
Bush Library Photocopy
D
(1) Comprehensive-Excluding Collision
(Insert Amount $ ACV
car 1
ala
$ 25.00
1
or "Actual
Cash Value")
$ ACV
car 2
$ 36.00
2
(2) Personal Effects
$100
XX
E
Collision
Actual Cash
$ 100.
car 1
deductible
$ 23.00
1
Value less
$ 100.
X X
car 2
$ 43.00
2
F
Towing and Labor Costs
$
per disablement
$
1
$
per disablement
$
2
G
Uninsured Motorists
$
each person
$
$
each accident
Endorsements:
$
Rate Class: Car 11A-0-25%
Car 2 1B-0
Territory: 01/01 Total Premium
$ 271.75
4.
(a) The total number of private passenger, farm and utility automobiles owned on the effective date of this policy by the named insured does not exceed the
number of such automobiles described in Item 5, unless otherwise stated herein:
(b) The named insured does not own any trailer on the effective date of this policy unless otherwise stated herein:*
5.
Description of owned automobile or trailer:
Year of
Body Type:
Actual Cost
Purchased
Model
Trade Name
Model
Serial Number (S)
Motor Number (M)
when Purchased
Rating
Including Equipment Month, Year New, Used Symbol
Car 1
Car 2
AS PER SCHEDULE ATTACHED
Loss Payee: Any loss under Part III is payable as Interest may appear to the named insured and
(See Reverse) CERTIFICATE OF INSURANCE ISSUED? YES
NO
X
6.
Occupation of the named insured is
If Married Woman, Give Husband's Occupation or Business
Name and address of employer
7.
During the past three years no insurer has canceled insurance, issued to the named insured, similar to that afforded hereunder, unless otherwise stated herein:*
Absence of an entry means "No Exceptions".
Countersigned by
FORM 14012-F (2) REV. 1/60
LANGHAM Dusod LANGSTON, BURNETT & DYER
FSF
BY
Authorized Representative
I
F8357 75M
овошлом DOTE
REUSETTI Tax:
23X9T
notawoH
21612
bas
vtio
20 08/21/91
(Applicable only if there is a Loss Payee shown in item #5)
NAUA No. 51 - Edition, June, 1951
LOSS PAYABLE CLAUSE
(All territories except Pennsylvania)
-This insurance- as to the interest of the Bailment Lessor, Conditional Vendor or Mortgagee or Assignee of Bailment Lessor, Conditional Vendor
or Mortgagee (herein called the Lienholder): shall not be invalidated by any act or neglect of the Lessee, Mortgagor or Owner of the within described
automobile nor by any change in the title or ownership of the property; provided, however, that the conversion, embezzlement or secretion by th
Lessee, Mortgagor or Purchaser in possession of the property insured under a bailment lease, conditional sale, mortgage or other encumbrance is
not covered under such policy, unless specifically insured Edgainst and premium paid therefor; and provided, also, that in case the Lessee, Mortgagos
or Owner shall neglect to pay. any premium due under such policy the Lienholder shall, on demand, pay the same.
Provided also, that the Lienholder shall notify the company of any change of ownership or increase of hazard which shall come to
knowledge of said Lienholder and, unless permitted by such policy, it shall be noted thereon and the Lienholder shall, on demand, pay the pre
mium for such increased hazard for the term of the use thereof; otherwise such policy shall be null and void.
The company reserves the right to cancel such policy of any time as provided by its terms, but in such case the company shall notify
Lienholder. when not less than ten days thereafter such cancellation shall be effective as to the interest of said Lienholder therein and the come
pany shall have the right, on like notice, to cancel this agreement.
Bush the Bibrary. the notocopy
If the insured fails to render proof of loss within the time granted in the policy conditions, such Lienholder shall do so within sixty days
thereafter, in form and manner as provided by the policy, and, further, shall be subject to the provisions of the policy relating to appraisal and
time of payment and of bringing suit.
Whenever the company shall pay the Lienholder any sum for loss or damage under such policy and shall claim that, as to the Lessee, Mortga-
gor or Owner, no liability therefor existed, the company shall, to the extent of such payment, be thereupon legally subrogated to all the rights
of the party to whom such payment shall be made, under all securities held as collateral to the debt, or may at its option, pay to the Lienholder
the whole principal due or to grow due on the mortgage with interest, and shall thereupon receive a full assignment and transfer of the mortgage
and of all such other securities; but no subrogation shall impair the right of the Lienholder to recover the full amount of its claim.
Bush Library Photocopy
ZAPATA OFF-SHORE COMPANY
1701 HOUSTON CLUB BUILDING
HOUSTON 2. TEXAS
Bush Library Photocopy
CLAIM OFFICES
INSTRUCTIONS TO THE INSURED, IN CASE OF ACCIDENT
Atlanta, Ga.: Chubb & Son Inc.,
New Orleans, La.: Chubb & Son Inc.,
Nat'l Bank of, Commerce Bldg.
1. Report accidents immediately to your agent or broker or telegraph
Fulton Nat. Bk. Bldg.
New York, N.
rubb & Son Inc.,
brief details, including
policy number, to nearest claim office.
,
Bluefield, W. Va.: Grant Hubbard,
90 John St.
Law & Com. Bldg.
2. Obtain full name, addr
and license numbers of each person
Philadelphia, Pa.: G. P. Hender,
Chicago, III.: Chubb & Son Inc.,
involved in accident.
Public Ledger Bldg.
175 W. Jackson Blvd.
Pittsburgh, Pa.: Chubb & Son Inc.,
3. Obtain full name, home and business address of each witness.
Cleveland, 0.: T. E. McNamara,
Oliver Bldg.
4. Do not admit liability or discuss accident with anyone except police
Union Commerce Bldg.
St. Louis, Mo.: T. 0. McNearney,
Dallas, Tex.: Chubb & Son Inc.,
or Company Representative.
506 Olive St.
Mercantile Securities Bldg.
San Francisco, Cal.: Chubb & Son Inc.,
This Company agrees, through its Representative or otherwise, to pay
Denver, Col.: Chubb & Son Inc.,
320 California St.
the cost of any necessary release of attachment bond not in excess of
1700 Broadway
Seattle, Wash.: Chubb & Son Inc.,
the policy limit and also the cost, not exceeding $100.00 at the usual
618 Second Ave.
Detroit, Mich.: Chubb & Son Inc.,
First National Bldg.
ance in court of anyone who is on insured under the policy when such
charges of surety companies, for a bail bond guaranteeing the appear-
Short Hills, N. J.: Chubb & Son Inc.,
1266 Morris Tpke.
Huntington, W. Va.: Chubb & Son Inc.,
appearance is required due to an accident or a traffic violation arising
Toronto, Canada.: Chubb & Son Inc.,
Keith-Albee Bldg.
100 Adelaide St., West
out of the use of on automobile covered by the policy.
Los Angeles, Cal.: Chubb & Son Inc.,
Washington, D. C.: Chubb & Son Inc.,
CHUBB & SON INC., Manager
611 S. Catalina St.
Shoreham Bldg.
Westport, Conn.: Chubb & Son Inc.,
CARRY THIS CARD WITH YOUR LICENSE
Montreal, Can.: Chubb & Son Inc.,
276 St. James St., W.
120 State St., E.
Bush Library Photocopy
AUTOMOBILE INSURANCE SERVICE CARD
FEDERAL INSURANCE OMPANY
CHUBB & SON INC., Manager
90 John Street
Policy Number
FSF17213700
New York 38, New York
NAME OF
George H. W. Bush
INSURED
5525 Briar Drive
Houston, Harris County, Texas
From: January 9, 1962
To:January 9, 1963
VSV 17180767
Langham, Langston, Burnett & Dyer
3700 Montrose Blvd.
Houston, Texas
204. FAM AUTOMOBILE POLICY-GENET COVERAGE
AMENDMENT ENDORSEMENT
(Insurance granted in the policy, as to coverages which are to be retained, unchanged, shall also be listed below)
This endorsement forms a part of Policy No. FSF 17180767
issued to George H. W. Bush
by the
Federal Insurance Company
at its Agency
(Name of Insurance Company)
located (city and state)
New York, New York
and is effective from
6-21-61
(12:01 A. M. Standard Time)
(The information above is required only when this endorsement is issued subsequent to preparation of the policy.)
This endorsement forms a part of the policy to which attached, effective from its date of issue unless otherwise stated herein.
In consideration of
Additional
premium of $ 47.54
,
it is agreed that the Declarations of the policy to
(Additional-Return)
which this endorsement is attached is hereby amended to read as follows instead of as originally written.
COVERAGES
LIMITS OF LIABILITY
NET
ADDI-
RATES
RETURN
TIONAL
Bodily Injury Liability
$ 300,000 each person
X X
$ 300,000 each occurrence
20.86
Property Damage Liability
$ 50,000 each occurrence
XX
10.38
Medical Payments
$ 2,000 each person
XX
3.57
(1) Comprehensive-Excluding Collision
ACV
(2) Personal Effects
$100
}
No Change
Collision
Actual Cash Value Less
$ 100. Deductible
X X
12.73
Bush Library Photocopy
Fire, Lightning and Transportation
Theft
Combined Additional Coverage
Towing and Labor Costs
$25 per disablement
TOTAL
$7.54
$
Class 2A-0 less 10% DTC applies to car #1. SO-30 recorded
George Walker Bush is included as resident operator.
D.O.B. 7-6-46 D/L # 3868858
By
BY
LANGHAM, Been LANGSTON BURNETT & DYES
(Duly Authorized Representative)
FORM 204.-FAMILY AUTOMOBILE POLICY-GENERAL COVERAGE AMENDMENT ENDORSEMENT
pw
Texas Standard Automobile Endorsement
Revised June 1, 1958
LICENSE NO.
OWNER
RK322
Seo.
Bush
PHONE
Bush Library Photocopy
AA20395
REPAIR
DATE
HOUR
SERIAL NO.
K 5362
ADDRESS mirades 1701 NO Houston Clh BODY Bldg TYPE
RE.
ORDER
MODEL
6/19
CEIVED
DATE
HOUR
SPEEDOMETER
220
5
PROM.
DATE DELIVERED
ISED
5877
DESCRIPTION OF OPERATION
FREE REPAIRS
GAS, OIL
OUTSIDE
"X"
& GREASE
WORK
PARTS
LABOR
TOTAL
1 sine can 5700 mils dowin
)
2
75
3
2 ck R hand A/C matar-blower
X
MERCEDES:BENE
3 Put duct cover back in place
intrunk
X
5 ck A/C Compress But
THANK YOU
X
We appreciate your
business and endeavor
6
Lost
10 give you the best
service. You'll gel bet.
/
57
ter performance, enjoy
7 changial
your car more, and
I
3
12
keep its trade-in value
high by bringing it to
8
US every 1000 miles for
needed expert lubrica-
9
lion
and free in-
spection.
10
MOSEHART
11
& KELLER
12
AUTOMOBILE
13
CO.
14
"Your Studebaker
Dealer Since 1907"
15 Diliver to NBC, Darage when ready
16
STUDEBAKER/PACKARD
ADDITIONAL ORDERS
SERVICE SALESMAN
SUB-TOTAL
1101 San Jacinto at Lamar
DEDUCTIONS
Jepr
You Darly are hereby authorized to make the above described repairs to my automobile, supplying
Phone CA 8-1466
IF ANY
HOUSTON 1, TEXAS
TOTAL
737
the necessary labor, parts and supplies. It is understood that this company assumes no re-
sponsibility for loss or damage by theft or fire to vehicles or parts placed with them for
This is Your INVOICE
storage, sale or repair,
SIGNED
Photocopy
George
by HW Buh OWNER
MOSEHART & KELLER AUTOMOBILE CO.
BY
Bush Handwriting
LITHO IN U. S. A.
Photocopy from George Bush Presidential Library
5525 Brian Dn
Kg 27
PHONE
LICENSE NO
OWNER
Ca 2050
REPAIR
RK RK32E 32E
DATE
HOUR
K 3284
ADDRESS
RE.
ORDER
SERIAL NO
1701 Houston Club
5-6-61
CEIVED
DATE
HOUR
MODEL NO
200 B MB BODY TYPE Sallan
PROM.
DATE DELIVERED
MAY - 8 1981
m
ISED
SPEEDOMETER
FREE REPAIRS
GAS, OIL
OUTSIDE
4429
DESCRIPTION OF OPERATION
"X"
& GREASE.
PARTS
LABOR
TOT
AL
WORK
1
Give Car 3800 mile serve 2
990
2.
Change acl 6½ ats amalis
335
3 Lubricate Car
150
THANK YOU
4
We approciate your
5
Chick r repair How would
we business and yob endegvor The best has
110
6 Clear
service. You'll gel bel.
for performance, enjoy
7' Clenn adjust Points
you more, and
keep its trade-in value
high by bringing it 10
8
US every 1000 miles for
FORMY-1953INORICK BROS
adjust Brokes
needed expert *lubrica-
9
10 Criss Cross Dires
Regair stop Lighto newi
401
spection.
220
MOSEHART
11 Balonce 4 while (2
is
& KELLER
930
AUTOMOBILE
12
13
not Bank of Connerce
CO.
iss
14 Delive to Houston Club Jawas
our Studebaker
Dealer Since 1907"
15
16
ADDITIONAL ORDERS
SERVICE leasured SALESMAN
(STUDEBAKER/PACKARD)
SUB-TOTAL
1101, San Jacinto at Lamar
DEDUCTIONS
liebt
Phone CA 8-1466
IF ANY
HOUSTON 1, TEXAS
TOTAL
3126
You are hereby authorized to make the above described repairs to my automobile, supplying
Vints
the necessary labor, parts and supplies. II is understood that: this company assumes no re-
This is Your INVOICE
sponsibility for loss or damage by that or fire 10 vehicles or. parts placed with thom. for
storage, salo or repair.
SIGNED
OWNER
MOSEHART & KELLER AUTOMOBILE CO.
BY
w
LICENSE NO
OWNER
PHONE
Bush Library Photocopy
RK 3rz
REPAIR
ADDRESS
SERIAL NO
5525 BrianD BODY TYPE H0075 30-61 DATE
HOUR
ORDER
K 1730
RE.
CEIVED
MODEL NO
DATE
HOUR
SPEEDOMETER
220BMB
Sa
PROM.
R
DATE DELIVERED
ISED
APR 10 1961
3417
FREE REPAIRS
DESCRIPTION OF OPERATION
GAS. OIL
OUTSIDE
*****
& GREASE
WORK
PARTS
LABOR
TOTAL
1
sustell artic Car arrevedition
Um
535m
2
MERCEDES-BENZ
3
THANK YOU
4
2% Top
We appreciate your
business and endeavor
5
1605
to give you the best
service. You'll get bel-
6
ler performance, enjoy
your car more, and
7
keep its trade-in value
high by bringing il to
8
FORM Y.1953 NORICK BROS..
US every 1000 miles for
needed expert lubrica-
9
lion
and free in-
spection.
10
MOSEHART
11
& KELLER
12
AUTOMOBILE
CO.
13
miss Elenic
"Your Studebaker
14
Dealer Since 1907"
15
16
STUDEBAKER/PACKARD
ADDITIONAL ORDERS
SERVICE SALESMAN
SUB-TOTAL
1101 Son Jacinto at Lamer
Knity
Eastival
DEDUCTIONS
Phone CA 8-1466
IF ANY
HOUSTON 1, TEXAS
TOTAL
55105
You are hereby authorized to make the above described repairs to my automobile, supplying
the necessary labor, parts and supplies. II is understood that this company assumes no re-
This is Your INVOICE
sponsibilly for loss or damage by theft or fire to vehicles or parts placed with them for
storage, sale or repair.
SIGNED
OWNER
MOSEHART & KELLER AUTOMOBILE CO.
BY
LITHO IN U. S. A.
ZAPATA OFF-SHORE COMPANY
1701 HOUSTON CLUB BUILDING
HOUSTON 2, TEXAS
December 23, 1960
Carl Smith
Assessor - Collector
County Court House
Houston, Texas
Dear Sir:
I would like to receive the following special
automobile licenses
1959 Nash Rambler - 322
1961 Mercedes Benz - 322
Enclosed is my check.
Very truly yours,
Bush Library Photocopy
Universed Flysex
George H. W. Bush
GHWB/vf
Buch
Photocopy from George Bush Presidential Library
LICENSE NO.
OWNER
PHONE
SERIAL Rg 2866 NO
Geo Buch
REPAIR
ADDRESS
DATE:
HOUR
ERE
ORDER
J
7894
1701 Houston Cluf.
13
60
CEIVED
MODEL NO:
BODY TYPE
DATE
HOUR
PROM
60 is 220mB
DATE DELIVERED
SPEEDOMETER
ISED
JAN 4 1961
1934
FREE REPAIRS
GAS, OIL
OUTSIDE
DESCRIPTION OF OPERATION
& GREASE
WORK
PARTS
LABOR
TOTAL
Gurce Car 1900 Sme sung
@
t.
2
See List
MERCEDIS-BERE
Radio for state or on motor THANK now
YOU
appreciate your
7m and endeavor
give you the best
service. You'll get bel.
Lubricat
ler performance, enjo/
your more, and
150
7
8
Change oil
high US needed keep every its export 1000 trdde bringing miles in Ubrica value it for to Cn
29r
?
tion and free in
spection.
10
MOSEHART
"
Delmi Wensday 3Pm
& KELLER
12
AUTOMOBILE
13.
to national Bank Comerci
Your Studebaker
O
14
Dealer Since 1907
15
STUDEBAKER S
16
ADDITIONAL ORDERS
SERVICE Palmer SALESMAN
SUB TOTAL
1101 San Jacinto at Lamer
DEDUCTIONS
Phone CA 8-1466
IF ANY
HOUSTON 1; TEXAS
s
TOTAL
44
You are hereby authorized to make the above described repairs to my automobile, supplying
y
the necessary labor, parts and supplies. It is understood that this company assumes no
This is Your INVOICE
sponsibility for loss or damage by theft, or fire to vehicles or parts placed, with them for
storage, sale or repair.
SIGNED
OWNER
MOSEHART & KELLER AUTOMOBILE CO.
BY
LITHD IN
LICENSE NO
OWNER Seo Bush Photocopy Library uspa A20395
PHONE
RK 322
REPAIR
ADDRESS
DATE
HOUR
L
SERIAL NO
RE.
ORDER
5490
MODEL NO
BODY TYPE
2/8
CEIVED
DATE
HOUR
SPEEDOMETER
220
m.B
5
PROM.
DATE DELIVERED
ISED
12232
FREE REPAIRS
DESCRIPTION OF OPERATION
GAS. OIL
OUTSIDE
"X"
& GREASE
WORK
PARTS
LABOR
TOTAL
1 Give car E Service 21435
62
52
2
MERCEDES-BERZ
Vente
3 Criss crassitives
2
20
THANK YOU
4 Bal which
9
90
We appreciate your
business and endeavor
5
10 give you the best
service. You'll gel bel.
6
for performance, enjoy
your car more, and
7
keep its trade-in value
fubricate
high by bringing il to
8
US every 1000 miles for
/
50
9 Change Oil
needed expert lubrica-
tion
and free in-
3
25
10 Change ail Filts
spection.
3
77
MOSEHART
11 change transmession ail
& KELLER
2
10
12
diff ail
AUTOMOBILE
/
75
CO.
13
14 Deliver to not. Bnk.of Com. Garage
stiff Stydebaker
Dealer Since 1907"
15 when ready.
16
STUDEBAKER/PACKARD
ADDITIONAL ORDERS
SERVICE SALESMAN
SUB-TOTAL
86
1101 San Jacinto at Numar
99
narman
DEDUCTIONS
You Dajly are hereby authorized to make the above described repairs lo my automobile, supplying
Phone CA 8-1465
IF ANY
46
HOUSTON 1, TEXAS
TOTAL
87
95
state
the necessary labor, parts and supplies. It is understood that this company assumes no re-
sponsibility (for loss or damage by theft or fire lo vehicles or parts placed with them for
This is Your INVOICE
storage, sale or repair.
SIGNED
OWNER
MOSEHART & KELLER AUTOMOBILE CO.
BY
LITHO IN U. S. A.
226-56
Bush Library Photocopy
14513
How to Operate
YOUR
ARTIC-KAR
AIR
CONDITIONER
IMPORTANT NOTICE
THIS BOOKLET IS VERY IMPORTANT AND
SHOULD BE CARRIED IN YOUR AUTOMOBILE
AT ALL TIMES. PLEASE READ VERY CARE-
FULLY TO UNDERSTAND YOUR UNIT AND
YOUR WARRANTY RIGHTS.
1701 Ho Club Bldg
Bush Library Photocopy
ARTIC-KAR
AIR
CONDITIONER
Product of
CAPITOL REFRIGERATION, INC.
3333 East Kiest Blvd., Dallas 3, Texas
1
4
ARTIC-KAR EQUIPMENT WARRANTY
ARTICLE L Capitol Refrigeration, Inc., 3888 East Kiest Blvd., Dallas 8, Texas,
warrants its new ARTIC-KAR air conditioning systems to be free from defects
in material and workmanship under normal use and service.
ARTICLE II. Its obligation under this warranty is limited to making good any
defective part or parts within ninety (90) days after an ARTIC-KAR unit has
been installed in the original purchaser's automobile. The dealer from whom this
air conditioner was purchased is responsible for effecting the necessary repairs
or replacement under this warranty. ARTIC-KAR will exchange parts to your
dealer through his distributor as are found by ARTIC-KAR to be defective in
material and workmanship. The defective parts must be shipped prepaid to ter-
ritory distributor within ten (10) days and replacement parts will be shipped
immediately prepaid.
ARTICLE III. The obligation under this warranty, statutory or otherwise, is limited
to the replacement or repair of same at the manufacturer's factory or at a point
designated by the manufacturer, of such part as shall appear to the manufacturer,
upon inspection at such point, to have been defective in material or workmanship.
ARTICLE IV. NOTICE: Equipment warranty is effective only when enclosed war-
ranty cards are properly filled out and mailed as addressed within ten (10) days
after installation.
ARTICLE V. This warranty shall not apply to any air conditioner which, in the
opinion of ARTIC-KAR, has been altered, or repaired in a manner affecting the
efficiency of performance of the unit, nor shall this warranty apply in the case
of accidental damage to finish or components, abuse, misuse, flood, fire, or if the
serial numbers are missing, altered or defaced.
ARTICLE VL The manufacturer shall in no event be liable for consequential damage
Bush Library Photocopy
or contingent liabilities arising out of failure of any unit or parts to operate
properly.
ARTICLE VII. Due to a large glass area in automobiles this equipment is not guar-
anteed to maintain a specific temperature or a specific operating condition.
ARTICLE VIII. Capitol Refrigeration, Inc., reserves the right to make changes in
design and changes or improvements upon its products without imposing any
obligation upon itself to install the same upon its products theretofore manufac-
tured.
ARTICLE IX. This warranty is expressly in lieu of all other warranties expressed
or implied and all other obligations or liabilities on the part of Capitol Refrigera-
tion, Inc., and no person including any dealer, agent, or representative of the
Capitol Refrigeration, Inc., is authorized to make any representation or warranty
concerning ARTIC-KAR air conditioning systems on behalf of the company except
to refer purchasers to this warranty.
ARTICLE X. All merchandise returned to ARTIC-KAR for any reason will be sent
prepaid. No C.O.D. shipments will be accepted for any reason.
ARTICLE XL If merchandise is in warranty, replacement parts or credit will be
issued upon inspection of said merchandise.
ARTICLE XII. If merchandise is returned to be restocked, a credit or check will be
issued upon inspection of said merchandise. There will be a 10% restocking fee if
merchandise is returned due to causes beyond our control.
ARTICLE XIII. As an added service to our customers and to expedite parts covered
by warranty or any other reason, we will ship parts C.O.D., and issue credit for
parts only when we receive defective parts prepaid and warranty tag properly
filled out attached to part. If parts are to be returned to the factory due to an
error on the part of ARTIC-KAR, we will issue credit for all parts shipped
prepaid, plus postage, upon receipt and inspection of parts in question. Otherwise,
parts will have to be sent to us prepaid as 50 stated in Article П and we will
replace part.
ARTICLE XIV. No used merchandise will be returned to the factory for credit with-
out written permission from ARTIC-KAR. Any compressor or component parts
returned without serial numbers or name plate will not be honored on our
warranty.
CA
"IMPORTANT FOR ALL
Photocopy Аледножато OPERATE YOUR
ARTIC-KAR UNITS"
NEW ARTIC-KAR AIR CONDITIONER
"UNDER DASH MODEL"
For best results and maximum comfort, use coldest
setting only for start and stop city driving. After
car is cooled down, a warmer setting is the most
comfortable and the thermostat will need no further
adjustment. You can forget it.
COLDER
PILOT
OFF
HI MED
In humid weather, you may desire to use your
NED
Artic-Kar as a rapid defroster. Just turn your Artic-
Kar on for a few minutes and all moisture condensed
LO
on your windows will quickly disappear.
AK
During the winter, when your Artic-Kar unit is
inoperative, turn your unit on twice a week to pre-
vent drying of seals. Long periods of inactivity may
cause the compressor seals to dry out, resulting in
To turn your Artic-Kar air conditioner "ON" turn
loss of lubricant and Freon, and may cause com-
the temperature control knob (knob on the left),
pressor damage.
slightly to the right. This starts the refrigeration
cycle. Temptrol is now in operation and will auto-
matically disengage the clutch and stop refrigeration
when temperature drops to the degree selected. It
automatically re-engages the clutch when more re-
YOU HAVE PURCHASED THE VERY BEST
frigeration is needed to maintain the desired tem-
AUTOMOBILE AIR CONDITIONER ON THE
perature.
MARKET, AND CAN GET THE YEARS OF
To circulate cold air in your automobile, turn air
SATISFACTORY SERVICE THIS UNIT IS CA-
control knob (knob on the right), to the right. You
PABLE OF PROVIDING, ONLY IF YOU FOL-
then have a choice of three (3) speeds, high, medium
or low. No air is circulated through the cooling unit
LOW THESE SIMPLE RULES.
when the air control knob is in the off position.
Compressor will automatically shut off if air is not
allowed to circulate. The indicator light or pilot
shows at a glance when compressor is in operation.
(Unit is refrigerating).
To turn unit "OFF", turn both temperature con-
trol and air control knob to "OFF" position. Extreme
left setting for both knobs.
2
3
"DELUX TRUNK UNIT"
Bush Library Photocopy
TEMPERATURE CONTROL
"Set It and Forget It"
AIR CONTROL SWITCHES
"WARMER
COLD
COLD
ON
OFF
COOL
OFF
COOL
OFF
ARTICKAR
OFF
Turn your Artic-Kar Delux Trunk Unit "ON", by
turning the Temptrol temperature control knob, lo-
cated on the return air grille in the parcel shelf.
To circulate air in your automobile, turn rotary
Turning this knob to the right, turns the refrigera-
switches to the right to the desired blower speed.
tion cycle on. Turning further to the right sets the
Cold is high speed, cool is for lowest speed and in
thermostat for a colder setting. Temptrol is now in
between these positions is medium blower speed.
operation and will automatically dis-engage the
Delux trunk units are equipped with two blowers
clutch and stop the refrigeration cycle when tem-
and a separate switch for each blower. Blowers may
perature drops to the degree selected. Clutch auto-
be used separately or together, as desired.
matically re-engages when more refrigeration is
The toggle switch on the left of this control panel
needed to maintain the desired temperature.
allows manual control of the unit down to the tem-
For first setting of Temptrol (thermostat) we
perature selected by the temperature control knob.
suggest it to be done at highway speeds. Set knob on
The indicator or pilot light shows when compressor
colder position until desired temperature is obtained,
is operating (unit is refrigerating).
then slowly turn knob toward warmer until the pilot
light goes off. This is now the recommended setting
and will suffice for either city or highway use.
4
5
Bush Library Photocop LINA TRUNK ХЛЕБА,,
AIR CONTROL PANEL
ROLLS-ROYCE & MERCEDES-BENZ
300 D"
TEMPERATURE CONTROL
OFF
COLD
COOL POLAR
"Set It and Forget It"
MED
MATIC
*WARMER
COLDER-2
PILOT
ARTIC-NAR
AIR
OFF
To circulate the cold air inside your automobile,
either of the three white push buttons may be se-
Turn your Artic-Kar Delux Trunk Unit "ON", by
lected. High, medium or low. The extreme right
turning the Temptrol temperature control knob, lo-
button is the clutch switch. Depress this button and
cated on the return air grille in the parcel shelf.
the clutch will automatically engage and dis-engage
Turning this knob to the right, turns the refrigera-
when necessary to keep the car at the desired tem-
tion cycle on. Turning further to the right sets the
perature as set by the Temptrol thermostat control.
thermostat for a colder setting. Temptrol is now in
The button on the extreme left is the "OFF"
operation and will automatically dis-engage the
switch. Depressing this button completely turns off
clutch and stop the refrigeration cycle when tem-
the air conditioning system. The indicator or pilot
perature drops to the degree selected. Clutch auto-
light shows when the compressor is operating (unit
matically re-engages when more refrigeration is
is refrigerating).
needed to maintain the desired temperature.
The Rolls Royce and the Mercedes-Benz 300D
For first setting of Temptrol (thermostat) we
Delux Trunk Units are equipped with an automatic
suggest it to be done at highway speeds. Set knob
relay which renders the air conditioning system
on colder position until desired temperature is ob-
inoperative while starting engine and at extreme
tained, then slowly turn knob towards warmer until
low idle speed while parked.
the pilot light goes off. This is now the recommended
setting and will suffice for either city or highway
use.
6
7
ADJUSTABLE TRUNK AIR DUCTS00104d Libbrary usng
HEAT PUMPS
This is a combination unit that cools and heats.
The heater can be added to any Artic-Kar unit such
as the Sno-Cap, or Iceberg Fan and is an extra
accessory.
To operate the heater, flip the "Cooling-Heating"
switch (the switch on the left or above), to the
"Heating" position. Turn the "Temperature Control"
knob (knob on the left side of case) slightly to the
right. This starts the heat pump. Temptrol is now
in operation and will automatically disengage the
clutch and stop the heat pump when the temperature
reaches the degree selected and automatically re-
engages the clutch when heat is required to maintain
the desired temperature.
To circulate hot air inside your automobile, turn
the "Air Control" knob (knob on the right), to the
right. You have a choice of three (3) speeds, high,
medium or low. Also you have a choice of direct or
indirect fan operation. Flip the "Air Direction Con-
trol" switch (switch on the right or lower) to "Di-
rect" and the fans push the air to the rear of the
automobile. Use this position for fast heating or
Artic-Kar ducts are completely adjustable and can
cooling and the air blows directly on you. After the
deflect cool air into the remotest corner of your auto-
car is warm or cool, you can flip the "Air Direction
mobile. The entire duct will rotate on a horizontal
Control" switch to "Defrost" and the fans will re-
plane. The round deflector face will rotate 360° on
verse, pushing the air towards the firewall giving
a vertical plane. The louvers made into the round
true indirect heating or cooling. Use this position for
deflector face will tilt through the vertical plane.
rapid defrosting.
8
9
HELPFUL HINTS AND CARE OF UNITS
7. In case of overheating, check the following items:
A. Defective radiator pressure cap
1. It is recommended during a break-in period of
500 miles, that your speed be confined to a maxi-
B. Loose fan belts
mum of 60 miles an hour, as all parts in the air
conditioning system are new and require break-in
C. Clogged condenser and radiator core (bugs)
periods similar to that required for your auto-
D. Water restrictions (kinked or collapsed water
mobile engine.
hoses, radiator clogged internally)
2. Proper belt tensioning is as important as the
E. Defective engine thermostat
electric cord which furnishes power to your home
F. Losing water level, such as leaking gaskets,
refrigerator. The belt must be retensioned within
radiator or hoses
the first one hundred miles. After this, periodic
checks will assure longer belt life.
G. Air conditioning system overcharged
3. Checking proper oil level in the compressor
should be done only by competent refrigeration
personnel when either charging or recharging the
8. Winter operation
system with refrigerant Freon 12.
A. Do not remove the compressor belt
4. All other belts are equally important and should
be checked periodically. Failure to do this may
B. Turn off "Temptrol" (thermostat), thereby
result in weak or run down battery and/or cause
disengaging the clutch
overheating of engine.
C. Cycle air conditioning system twice a week at
least 5 minutes each time
5. Your air conditioning system, like a fine watch,
may require adjustments or service, which should
only be done by experienced refrigeration per-
sonnel.
9. A large quantity of water is removed from the
air by your air conditioner. When dual drains
6. On every Artic-Kar System, there is provided a
are properly installed, this water will drain
liquid Freon level indicator. With this, at a
through the floor, onto the ground. This is normal
glance, proper Freon level can be checked.
and necessary.
10
Bush Library Photocopy
11
ARTIC-KAR
Bush Library Photocopy
TOTAL LABOR
PART REPLACEMENT
ALLOWANCE
EVAPORATOR CASE - TRUNK
6.89
Blower Motor - Trunk
3.60
Expansion Valve - Trunk
5.01
Thermostat - Trunk
3.20
Switch - Trunk
1.32
HOSES
P
Discharge Hose
3.36
Liquid Hose
3.76
G
Suction Hose
3.94
10
Heat Exchanger Hose
5.00
Positively no allowance will be made for loss of
0
Freon due to servicing of unit. Freon is considered
in above prices.
Warranty Labor applies only for parts change and
will be paid on Parts Return Tag received with part
at above rate only.
(
SPECIAL NOTE
When away from home base, or original installa-
tion point, owner will be required to pay for War-
0
ranty Labor involving defective part replacement
and receive settlement from person or business han-
0
dling original installation at the printed Labor Al-
B
lowance Schedule printed in this Booklet. Any vari-
Switch - Underdash
1.60
ation in these prices, will be at customer's expense.
12
13
ARTIC-KAR
Bush Library Photocopy
TOTAL LABOR
BADT DEDI
ALLOWANCE
WARRANTY LABOR ALLOWANCE SCHEDULE
TOTAL LABOR
ALLOWANCE
PART REPLACEMENT
COMPRESSOR
Includes Clutch Removal & Replacement
$
7.50
PA
Compressor Mount-Includes Compressor Rem. & Replacement
9.00
Crankshaft Drive Pulley
7.10
C(
2.24
Idler Pulley
Clutch-Removal and Replacement
3.24
Compressor Seal-Includes Clutch Removal & Replacement
6.84
4.93
Compressor Valve Plate
1.00
Belt Replacement Only
CONDENSER
Removal & Replacement - Bumper
$3.60
Radiator
5.63
4,23
Receiver-Drier Assembly
EVAPORATOR CASE - UNDERDASH
N.A.
CC
Fan Motor - Fan Model
3.47
3.60
Blower Mctors - Blower Model
N.A.
Expansion Valve - Fan Model .
EV
N.A.
Expansion Valve - Blower Model
N.A.
]
Thermostat - Underdash
N.A.
]
Switch - Underdash
6.89
EVAPORATOR CASE - TRUNK
3.60
Blower Motors - Trunk
5.01
Expansion Valve - Trunk
3.20
Thermostat - Trunk
1,32
Switch - Trunk
HOSES
3.36
Discharge Hose
3.76
Liquid Hose
3.94
Suction Hose
Heat Exchanger Hose
5.00
Positively no allowance will be made for loss of Freon due to servicing of unit.
Freon is considered in above prices.
Warranty labor will be paid at above prices on Parts Return Tag received with part.
Rework of mounts require authorization from the Artic-Kar factory.
Prices subject to change without notice.
Bush Library Photocop MARRANTY
PROCEDURE SYSTEMS AND FORMS
When an Artic-Kar Dealer replaces a defective
The Distributor must check each incoming part for
part within Warranty, it should be replaced with a
Parts Return tag, then mark the attached tag for
part of exactly the same specifications.
either credit or replacement. He then removes the
A "Parts Return" tag should be wired securely to
yellow copy for his files, leaving the pink and hard
the defective part immediately and the requested
copy to be returned with the defective part to the
information filled in. Use information found on the
Artic-Kar factory. The pink copy will be attached to
customer's Warranty Card. (In "How to Operate"
a credit memo covering this claim at the Artic-Kar
manual.)
factory. The hard copy of the Parts Return tag will
be used by the factory for handling this claim. It
Full and complete Warranty information must be
will remain with the defective part until a disposi-
listed on each Parts Return tag. A defective part
tion is rendered by the Warranty Adjuster at the
replaced within Warranty must be returned to the
Artic-Kar factory, at which time replacement parts
Distributor within ten (10) days, not to the Artic-
will be returned to the distributor.
Kar factory. In the event there is no territory Dis-
tributor, then the defective part is returned to the
If defective merchandise is returned to Artic-Kar
Artic-Kar factory.
factory, without Parts Return tag, said merchandise
The Artic-Kar dealer will detach the white copy
will be returned to the Distributor immediately (or
of the completed Parts Return tag, leaving the re-
Dealer in the event there is no territory Distributor),
mainder attached to the defective part. The Distribu-
transportation collect. If the supposedly defective
tor will issue credit or replace the item to the Dealer
part is proven not to be defective, it will be returned
immediately, providing complete and accurate in-
to the Distributor or Dealer and of course no War-
formation is supplied.
ranty will be rendered.
14
15
IMPORTANT NOTICE TO THE OWNER
See that your Warranty Cards are all filled out properly by the
installing dealer and returned to the respective parties listed on the
heading of each card. This is the only possible way we can give you
the Service and Warranty you are justly due.
If all cards are not on record, in their respective files, we cannot
16
and will not honor an oral claim or any claim without proper War-
ranty Card. If you are away from home base, or original installation
point, and experience difficulty with your unit, contact the nearest
Artic-Kar Dealer or Distributor and present your "How to Operate"
Booklet, with your Warranty Card inside. The Dealer or Distributor
can then render Warranty due, governed by our printed Warranty
Program in this Booklet. No Warranty can be given without this card
being presented, SO carry this booklet in your automobile at all times.
Bush Library Photocopy
WARRANTY CARD
THIS CARD REMAINS IN CUSTOMER'S OPERATION BOOKLET
UNIT NO 94813
Dealer Making Installation mosehort & Kellen anto Co
Purchaser's Name Geo Bush
Street 1101 lan Junts City Mousts State 24
Street
City
State
Year and
Engine Designation
Make of Car Mercedes Model 1960
Model 0256
Dealer's Distributor Name
Street
City
State
Date Installed 3-31-60 Belt No 448 Mileage 3917
Artic-Kar Case Serial No 5471
Compressor No 127334
Name of Unit Installed Artic- - KAr
Bush Library Photocopy
ZAPATA OFF-SHORE COMPANY
2218 FIRST CITY NATIONAL BANK BUILDING
HOUSTON 2. TEXAS
Title
1. ADDITION, SUBSTITUTION, OR ELIMINATION AUTOMOBILE
Bush Library Photocopy
(ALL COVER FORM)
This endorsement forms a part of Policy No FSF 11138059 issued to George H. W. Bush
by the
Federal Insurance Company
at its Agency
(Name of Insurance Company)
located (city and state)
Houston, Texas
and is ellective from
11-5-60
(12:01 A. M. Standard Time)
(The Information above is required only when this endorsement is Issued subsequent to preparation of the policy.)
This endorsement forms a part of the policy to which attached, effective from its date of issue unless otherwise stated herein.
In consideration of
Additional
premium of $ 9044
it is agreed that as of the
(Additional-Return)
effective date hereof the policy is hereby amended in the following particulars:
Automobile Added
Division I
To afford insurance with respect to the automobile described in this Division, subject to all the terms of the policy except as
specifically amended herein:
Description of the Automobile and Facts Respecting its Purchase by the Named Insured.
Year of
Identification Number
Model
Trade Name
Model
Body Type: Truck Size: Tank Gallonage
or Serial Number
Number of
Capacity: or Bus Seating Capacity
Motor Number
Cylinders
I
or
1B-0
S
1960
Mercedes-Benz
220
4 Dr. Sedan
M 220-005736
F. O. B. List Price
Actual Cost
Purchased
or Delivered Price
When Purchased
The automobile is unencumbered unless otherwise stated herein:
at Factory
Including Equipment
Month, Year
New or Used
Encumbrance
Installment Payments
Due Date and Amount
Number
Amount of Each
of Final Installment
Rating Symbol N-1
M 11
$
$ 5073.
Y
60
New
$
$
$
The automobile will be principally garaged in the Town, County and State shown in the address of the insured in the policy, unless
otherwise stated herein
The purposes for which the automobile is to be used are P & B
The following endorsements attached to this policy are applicable to this endorsement
Any loss under coverages of comprehensive, collision or upset, fire, theit, windstorm, and combined additional coverage is payable
as interest may appear to the named insured and
No Exc/
(Name and Address)
Automobile Eliminated
Division II
To discontinue insurance with respect to the automobile described in this Division:
Year of Model
Trade Name
Model
Identification Number
Serial Number
Motor Number
1958
Plymouth
LP2E-34370
Division III
The insurance allorded for the added automobile is only with respect to such and só many of the following coverages as are
indicated by an additional or return premium or the words "no charge" in the premium column. The limit of the company's liability
against each such coverage shall be as stated herein, subject to all of the terms of this policy having reference thereto:
PREMIUMS
COVERAGES
LIMITS OF LIABILITY
Annual
Additional
Return
$300,000. each person
Bodily Injury Liability
$300,000. each accident
$
$ No Change
Property Damage Liability
$ 50,000. each accident
"
"
Basic Medical Payments
2,000. each person
"
If
Comprehensive (Loss of or damage to the automobile,
except by Collision or Upset but including Fire, Theft
and Windstorm)
$
ACV
7.12
Actual Cash Value less
Collision or Upset
$
100.
deductible
2.32
Convertible Collision or Upset
Additional Payment $
Actual Cash Value
Fire, Lightning and Transportation
$
Theft (Broad Form)
$
Theft (Deductible Form)
$
Windstorm, Hail, Earthquake or Explosion
$
Combined Additional Coverage
$
Towing and Labor Costs
$25 for each
disablement
Special Charge for
as per endorsement attached
Totals
$
$ 9.44
$
Note: If automobile is eliminated and no automobile is substituted therefor in Division I, return premiums for the automobile
eliminated are to be stated in the premiums column.
FORM 1-ADDITION. SUBSTITUTION. OR ELIMINATION OF AUTOMOBILE
(ALL COVER FORM)
Texas Standard Automobile Endorsement
By
LANGHAM Quard ANGSTON, BURNETT & DYER
Revised June 1. 1958
(Duly Authorized Representative)
LICENSE NO.
OWNER
PHONE
2864
George Bush
Photocopy
Bush Library
REPAIR
ADDRESS
DATE
HOUR
J 5680
SERIAL NO.
1701 Honston BODY TYPE Cluf By
60
RE.
ORDER
1111
CEIVED
MODEL NO.
DATE
HOUR
SPEEDOMETER
220 mB
PROM.
12
955 FREE REPAIRS
DATE DELIVER
ISED
Due
243
DESCRIPTION OF OPERATION
GAS,
OUTSIDE
SERIES
"X"
& GR
WORK
TOTAL
Gen Car 300 Mi Sun
Cy
2
MERCEDES-BENZ
3
Cor
150
THANK YOU
4
5 Instal Falter
Change oil
2
P5
We appreciate your
business and endeavor
,5
36
to give you the best
6,
Change ait in Transmiss
service. You'll gel bet-
95
ter performance, enjo/
your car more, and
7
keep its trade-in value
high by bringing it to
8
US every 1000 miles for
needed expert lubrica-
9
lion
and free in.
spection.
10
MOSEHART
11
& KELLER
12
AUTOMOBILE
CO.
13
"Your Studebaker
14
Dealer Since 1907"
15
16
STUDEBAKER/PACKARD
ADDITIONAL ORDERS
SERVICE Patmu SALESMAN,
SUB-TOTAL
1101 San Jacinto at Lamar
DEDUCTIONS
Phone CA 8-1466
IF ANY
HOUSTON 1, TEXAS
TOTAL
1076
You are hereby authorized to make the above described repairs to my automobile, supplying
the necessary labor, parts and supplies. II is understood that this company assumes no re-
sponsibility for loss or damage by theft or fire lo vehicles or parts placed with them for
This is Your INVOICE
storage, sale or repair.
SIGNED
OWNER
MOSEHART & KELLER AUTOMOBILE CO.
BY
LITHO IN U. S. A.
November 7, 1960
Mosehart & Keller Automobile Co.
P. O. Box 2543
Houston 1, Texas
Attention Mr. Hymer
Gentlemen:
Here is my title on the Plymouth which I traded in on
Mercedes Benz 220 Sedan, Identification No. 220.005736,
Motor No. 11-000256.
Per your instructions I am also attaching a wash ticket
from the Humble station in the amount of $2.00. You
can reimburse me at the above address at your convenience.
Very truly yours,
George H. W. Bush
Bush Library Photocopy
GHWB/vf
Att.
CApitol 8-1466
CApitol 8-1466
MOSEHART & KELLER AUTOMOBILE CO.
MERCEDES
STUDEBAKER CARS AND TRUCKS
Parts, Accessories and Service
TUDEBAKER
1101 San Jacinto at Lamar
P. O. Box 2543
HOUSTON I, TEXAS
BENZ
NOV 5 1960
Mr. George H. W. Bush
5525 Brhar Drive
Houston, 27, Texas
TERMS: NET CASH
One New Mercedes Benz 220 Sedan,
Identification No. 220-005736, Motor No. 11-000256
5073.53
Front Evening Fill Cushion & Center Arm Rest
109.00
State Sales Tax, License, Title & Documentary Fees
88.19
5270.72
Less allowance on 1958 Plymouth Hardtop
1050.72
4220.00
Bush Library Photocopy
Mosehart & Keller Auto Co.
NOV 5 1960
By
Bush Library Photocopy
i " sluft down! light
2. oil temp gauye
3. hand brain.
i/, back seats adjust
5. lite in radio
6. adjust rates
7 wipe It off
wan
in protection of
warranteis
Photocopy - - George
Bush Handwriting